Persian Girls by Nahid Rachlin - 752 Words

In Nahid Rachlin’s memoir, â€Å"Persian Girls†, the author describes her life in Iran and later in America as a woman, refusing to accept both Muslim and Iranian cultural norms. This plays an important role in the lives of many characters, choosing the sometimes hard decision to break apart from cultural standards. Characters that are faced with this difficult choice include her brothers Cyrus and Parviz, her older sister Pari and Nahid herself. Nahid’s brothers, Cyrus and Parviz, are sent to America a few years before her. Like many foreign students, they are coming from a place so different than America. Having been born and raised in Iran, they are coming from a different culture; they speak a different language and follow a different†¦show more content†¦She decides to leave without telling him, something culturally frowned upon in Iran. She leaves with Bijan, taking him to her parents’ house in Ahvaz. â€Å"‘He’s my son and he’s going with me.’ [...] Taheri walked out of the courtyard with a crying Bijan in his arms† (pg 172). In this scene, Taheri finds out that Pari not only left without his permission, but took his son with her. He comes to Paris’ parents’ house and takes Bijan away from her. It is out of the cultural norm for Pari to walk up and leave her husband without informing him, but she took a chance. She made a very difficult decision, wh ile also taking into consideration that she may lose custody of Bijan and may never see him again. Unlike her brothers, it takes Nahid a longer time to adjust to the American culture. From an early age, Nahid refuses to accept the traditional mores expected of her as a young Iranian women. Dreaming of having a career in literature, she is spared of having the same fate as her older sister Pari. Instead of being pressured into marrying, she negotiates with her father to pursue her studies in America. Her father plans for her to receive a degree, return home and later marry a respectable, wealthy man of their choosing. That’s what all modest, Iranian families expect of their daughters. But Nahid has something else in mind. She meets Howie, a Jewish-American who she falls in love with,

The Outbreak of the Iran-Iraq War, An Outline - 826 Words

In the fall of 1980, one of the largest and most destructive conflicts to occur since the end of the second world war started between the states of Iran and Iraq. Lasting eight years, the war left approximately 1.5 million dead and around a million casualties with thousands of refugees fleeing both nations. †¢ Cost up to $1,000,000,000 monthly †¢ Total cost to date may exceed $300,000,000,000 †¢ (Swearingen, 1988) Using three levels of analysis - the individual, domestic and systemic - the causes of the conflict will be analysed and prove the aforementioned hypothesis. VARIABLES: †¢ Geopolitical: 1. Some contend the it was about 105 km. long Shatt al-Arab boundary (not definitive) others say it was only a pre-text for escalating hostilities 2. Structural changes in the Middle East Establish a Pax Arabia with Iraq as the dominant regional power in the Middle East †¢ ORIGINS/CAUSES: †¢ Some contend the it was about 105 km. long Shatt al-Arab boundary. 5 pieces of info support this: 1. Iraq and Irans predecessors have been fighting for centuries over the Shatt al-Arab waterway 2. The most recent boundary treaty signed in 1975 was a source of deep humiliation for Iraq -- forced to accept the treaty because the Iranians supported Kurdish revolts that threatened to tear apart Iraq and possibly deprive it of its greatest oil producing region. In exchange for Iranian support in ending the revolt, Iraq gave up a large part of the vital waterway.Show MoreRelatedEssay on Conflict in South Sudan1784 Words   |  8 PagesThe accusation served as a catalyst for the feuding tribes of the two political figures. President Kiir and Machar are from the Dinka and Nuer tribes respectively, and their political dispute only intensifies the inter-tribal opposition. Multiple outbreaks of violence and fighting now plague the already young and struggling nation. The Nuer White Army is an unorganized and unpredictable force which the former Vice-President cannot control. 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Just like the present day wars in Iraq, Afghanistan, Israel, Congo, Iran are similar to war which took place in Italy, Germany, France, Russia and so on. In my opinion, globalization refers to collapse in the borders between countries in terms of trade, education, capital, politics and culture. GlobalizationRead MoreInternational Management67196 Words   |  269 Pagesgrowth during a period in which developed countries saw their economies stagnate or decline. The global political environment remains volatile and uncertain, with ongoing conflicts in the Middle East and Africa and continuing tensions in Iran, North Korea, Iraq, and Afghanistan, especially as the U.S. role in these latter two countries evolves. On the economic front, failure to conclude important trade agreements, including the so-called â€Å"Development† Round of multilateral trade negotiations under

Corporate tax Free Essays

#1(A). I would advise Mr.. We will write a custom essay sample on Corporate tax or any similar topic only for you Order Now Young to organize his new venture as a LLC. In organizing his venture as a LLC, Mr.. Young would be able to gain financing through venture Investors or by equity offerings. This would reduce his personal costs and allow for greater allocation of resources. An LLC would also limit his personal liability compared to a sole proprietorship as only his personal investments Into the organization would be liable/exposed and not any personal assets. One of the most Important positives with a LLC Is no double taxation as Is the case with the corporation organization. Similar to the sole proprietorship, the taxes would be at the personal rate. #1(B). Mr.. Young can protect his Intellectual property by: obtaining patents on his Inventions , trademarks on any logos or designs and through Trade secrets to protect his Ideas and Information that Is not generally known to the public. 8. A. Invisible Eave. Inventories How to cite Corporate tax, Papers

Development Under The Effect Of Drugs And Alcohol At Early Stage

Question: How To Adolescent Development Under The Effect Of Drugs And Alcohol At Early Stage? Answer: Introduction Though it has been a long time to the fact that teenagers are quite prone to unpredictable behaviors and even quite impulsive like even might not understand their own actions and their consequences which can be disastrous. But the MRI technology and neuroscience field in medicine have recently been able to get the fact that there is a strict and a direct connection between everything which has led to all of the understanding for a teenagers brain development and their behavior. The adolescent mind, it turns out, is a cerebrum as yet creating. (Allahverdipour, 2010) To comprehend the dangers related with psychoactive substances in young people, it comprehends that youngsters are not quite recently less-experienced grown-ups; they are experiencing a critical yet difficult formative stage in which that they are inclined to blunders of judgment, and touchy to neurological attack by psychoactive substances. This can turn so many situations opposite and with the kind of environment which they have and moreover the way there formative stages have been or what they have grasped has a very serious impression on their brain development. This all can actually come up with a hazard for substance dependence, and more than some other age gather they chance changeless scholarly and enthusiastic harm because of the impacts of medications. (Hallfors, 2010) Brain Development of a Normal Adolescent The human brain is etched by involvement. During childbirth, the mind contains numerous more neural associations than it could conceivable utilize, however these associations are unspecialized and undeveloped and gets developed throughout the course of their lives. But emphasizing on the development of the adolescents brain, there can be the long haul a few associations are fortified, (for example, the nerves that procedure seeing a mother's faced or sound of a kin's voice) and others are pruned away. But the some which remain left gets to the brain of that person and affects him/ her lifelong and this is one of the reasons for the early use of substance or being addicted to it. The most stamped advancement in pre-adulthood is in the mind's frontal projection and external mantle. The pre-frontal cortex, situated in the frontal projection, executes such abilities as setting needs, defining systems, dispensing consideration and controlling driving forces; the external mantle is included with handling theoretical data and understanding guidelines, laws and codes of social collaboration. And thus this is where the gap is and the space to let other things enter in the system through outside environment and a lot more. Moreover, there is a lot of effect in this early age since thats the stage where your development takes place and moreover, a lot of effect with the things. The practices that go with these progressions are straightforward. Young people are infamous for their fixation on social communication, for making up social guidelines and breaking them. As adolescents develop into youthful grown-ups they regularly display an interest with unique thinking on themes like history, culture and media, which shows their developing capacity to comprehend the bigger world. While the high school mind is in some ways not well prepared to settle on choices and decisions without the assistance of put stock in grown-ups, it is consummately intended for the sorts of scholarly and social difficulties youngsters most need to ace. (Winters, 2007) Still, improvement of completely develop complex deduction takes quite a while. X-ray contemplates demonstrate that the advancement of the prefrontal cortex and external mantle of the mind proceeds into the mid-20s, and may not be finished until the mid-20s. Like protection on a wire, this greasy layer enables the nerve associations with process speedier, making levelheaded, contemplated basic leadership snappier and more programmed. (Allahverdipour, 2010) Developing Brain getting affected by Drugs There are numerous ways that these sorts of substances and drugs can modify or harm the improvement of the immature cerebrum. Right off the bat, substances regularly target and adjust capacity of neurotransmitters, the synthetic dispatchers that enable nerves to convey at their intersections. Also these can straightforwardly harm delicate creating neural associations. Besides certain things, there can be many issues that affect the logic and perceptual aptitudes of the people; also with the utilization of the medication it might be very useful for them. But the utilization of these substances adjusts recognition and may meddle with the creating perceptual aptitudes and this in turn affects people a lot which can be a lot of repercussions in the brain development of the adolescents. Lastly, the propensities and decisions related with the utilization of medications and liquor gradually end up plainly instilled in the wiring of the cerebrum. Rehashed activity moves toward becoming prope nsity and the propensities for thought, observation, and thinking created in youth and youthfulness can remain with a man all through his or her lifetime. (Feldstein, 2010) Things which led to changes in Perception Many drugs have been affecting the adolescents and that is why there is a strong sense of quick reactions and all from the side of them when they have taken these drugs. And when these have hit the mind of a person at such an early age this makes such reactions so high and even the reaction time is so quick and totally different. And these are the lead to, potential of such drugs being too high. Like the chronic marijuana- its use can be profound. Deciding the sentiments and thought processes of other individuals is important to work as a grown-up in the public arena. On the off chance that pot utilize is perpetual or sufficiently steady to obstruct perceptual development, a pre-adult client may experience misjudged disappointments in school, work, and connections, which thusly re-authorize the craving to withdraw to drugs. There can be so much of effects at the very early age for their development. Habits and more of things related to the Brain As self-improvement instructors can be speedy and to bring up, on the off chance that you help out sufficiently long it ends up noticeably all like common for everyone. No place does this intelligence more remain constant than in youth. In spite of the fact that teenagers may change garments, thoughts, companions and leisure activities with incensing recurrence, they are creating thoughts regarding themselves, their reality and their place in it that will tail them for whatever remains of their lives. And this is why to make thoughts about themselves as per the environment, their mind also takes such functions which can be too much engrossed into substance abuse and much more. Moreover the grown-ups may have invested their years attempting to make or end even the least difficult propensity, yet most grown-ups find that their most significant thoughts regarding themselves and the world were created in secondary school which doesnt let them get involved. Instead the young ones get invo lved in such alcohol and drugs. This is on the grounds that, by age 25 or so the brain is completely created and constructing new neural associations is a much slower handle and thats why such legal permissions are given on this age. Conclusion The early detection of the issue and urgent treatment is a basic to taking off the advancement of substance dependence in young people. Given their mental health, youngsters can't having to know what are the real effects of these hard things and substance abuse. The infection must be counteracted, and where it can't be anticipated it must be cured while there is still time for a full change. The repercussions will also be huge in number- Thus there needs to be even a proper counseling sessions which should be carried out to make sure such substance abuse or their environment doesnt affect them so much. (Masten, 2008) References Weinberger, D. (2005). The Adolescent Brain: A Work in Progress. The National Campaign to Prevent Teen Pregnancy. Plddemann, A, Flisher, AJ, Mathews, C, Parry, CDH Lombard, CA(2010) Methamphetamine use, aggressive behaviour and other mental health issues among high-school students in Cape Town, South Africa. Drug Alcohol Depend. 109:1419. doi: 10.1016/j.drugalcdep.2009.11.021. [PMC free article] [PubMed] [Cross Ref] Winters KC, Lee CY.(2007) Likelihood of developing an alcohol and cannabis use disorder during youth: association with recent use and age. Drug and Alcohol Dependence. 2008;92:239247. doi: 10.1016/j.drugalcdep.08.005. [PMC free article] [PubMed] [Cross Ref] Masten AS, Faden VB, Zucker RA, Spear LP.(2008) Underage drinking: A developmental framework. Pediatrics. 121(S4):S235S241. [PubMed] Feldstein SW, Miller WR. (2010) Substance use and risk-taking among adolescents. J Ment Heal. 15(3):633643. Hallfors, D, Cho H, Brodish, PH, Flewelling, R Khatapoush, S.(2010) Identifying high school students at risk for substance use and other problems: implication for prevention. Substance Use and Misuse.;41:115. doi: 10.1080/10826080500318509. [PubMed] [Cross Ref] Allahverdipour, H, Bazargan, M, Farhadinasab, A Moeini, B.(2010) Enjoy and learn with educational games: examining factors affecting learning performance. Comput Educ;68:42939. Allahverdipour, H, Bazargan, M, Farhadinasab, A Moeini, B.(2010) Correlates of video games playing among adolescents in an Islamic country. BMC Public Health;10:286.

Juvenile Rheumatoid Arthriris Essays - Rheumatology, Arthritis

Juvenile Rheumatoid Arthriris A chronic, inflammatory disease that may cause joint or connective tissue damage. The onset occurs before Age 16. Causes, incidence, and risk factors: JRA is thought to belong to the collagen classes of disease (those diseases that involve connective tissue). It is a complicated disease. The primary manifestation is arthritis, but the disease may involve other body systems such as the heart and lining around the heart (pericardium), lungs and lining around the lungs (pleura), eyes, and skin. Systemic arthritis affects 20% of those with juvenile arthritis and includes fever, rash, and enlarged spleen (splenomegaly) in addition to joint inflammation. JRA is generally divided into five broad groups depending on whether a large number of joints are involved or just a few, whether the rheumatoid factor (a blood test) is positive or negative, and whether there is eye involvement or not. The five categories of JRA may be roughly broken down as follows: many involved joints and a positive rheumatoid factor many involved joints and a negative rheumatoid factor few involved joints and a positive antinuclear antibody few involved joints and a positive HLA B27 surface antigen systemic JRA (throughout the body) A specialist in rheumatology generally makes the category determination. The onset of arthritis may be slow or extremely rapid. An early sign of slow onset may be stiffness on arising in the morning. Swollen, painful joints characterize the arthritis of JRA with pain on motion and sometimes to touch. The skin over the joints is generally not red but can be. The systemic form of JRA may first appear with high fevers, chills and a rash but without joint pain. In the systemic form, arthritis may develop months after the appearance of the fever. The two forms of JRA where there are only a few joints involved often have associated eye disease. The most severe form of eye disease, chronic iridocyclitis of JRA, may lead to lead to visual problems or blindness. The milder form of JRA-associated eye disease is acute iridocyclitis, which generally heals without permanent damage. The cause of juvenile rheumatoid arthritis is unknown. Growth may be affected during periods of active disease. Girls are affected more often than boys are. The peak onset occurs between the ages of 2 to 5 years old and between 9 to 12 years old. Risk factors may be a family history of the disease and recent rubella infection or vaccine. Prevention: There is no known prevention for JRA. Symptoms: General symptoms: joint stiffness on arising in the morning limited range of motion slow rate of growth hot, swollen, painful joints fever, low grade (with multiple-joint type disease) fever, high spiking with chills (with systemic form of disease) rheumatoid rash rheumatoid nodules (at sites of pressure) Symptoms of eye involvement: red eyes eye pain photophobia visual changes Other symptoms: chest pain shortness of breath abdominal pain Signs and tests: Physical examination may show an enlarged liver (hepatomegaly), enlarged spleen (splenomegaly), or swollen lymph nodes (lymphadenopathy). There may also be signs of: anemia iridocyclitis pericarditis pleuritis myocarditis Tests include: CBC ESR ANA RA factor HLA antigens immunoelectrophoresis - serum synovial fluid analysis X-ray of a joint X-ray of the chest ECG slit-lamp exam of the eyes Treatment: Treatment is aimed at preserving mobility and joint function and supporting the patient and family through a long chronic illness. Therapeutic medications include: aspirin nonsteroidal anti-inflammatory agents (NSAIDS) corticosteroids topical ophthalmic corticosteroids mydriatics gold therapy chloroquine agents immune suppressing agents (rarely used in children) Note: Talk to your health care provider before giving aspirin or NSAIDS to children! Physical therapy and exercise programs may be recommended. Surgical procedures may be indicated, including joint replacement. Expectations (prognosis): JRA is seldom life threatening. Long periods of spontaneous remission are typical. Often JRA improves or remits at puberty. Approximately 75% of JRA patients eventually enter remission with minimal functional loss and deformity. The stress of illness can often be helped by joining a support group. Here, members share common experiences and problems.. Complications: loss of vision or decreased vision total joint destruction of the major weight-bearing joints chronic spondyloarthropathy

Statistics and Data Essay

Statistics and Data Essay Statistics and Data Essay Suppose that you are a fourth grade teacher and you’ve saved extensive records of all your students for the past five years. Assume that your students are a sample of all fourth graders in your state and you can use your student data to test some ideas. 1. What is the major problem with your assumption? The major problem with this assumption is that all the data collected came from the students of one particular teacher and does not represent all fourth graders in the state since these students all had two major things in common, the school and the teacher. If the teacher was an extraordinary teacher or a terrible teacher or if the school was in a really wealthy district or a really poor district than the results would be skewed. A random sample of all fourth graders would have to come from all over the state in different schools districts and different elementary schools. 2. You’re wondering if the distribution of grades was roughly Normal. How would you check this? I would do a histogram and look at the shape of the data. If the data follows a bell-shaped distribution, the Gaussian distribution, it would be considered normal. 3. You have a nagging idea that shorter students tend to have better grades; how could you check to see if there is a link between height and grades? Maybe you could roughly predict a new student’s final grade by their height? How would you do that, and how accurate might that prediction be? I would complete a scatter plot graph to look at the correlation of the data. I could make predictions based on the height by simply looking up the height and go with the corresponding grade on the line. To test how accurate my prediction would be I would then calculate the strength of the correlation (r) the closer to -1 or 1 the stronger the relationship is and the more likely my prediction would be accurate. 4. 4th graders in the US take a standardized test for math. The national average score is 237. Did your state, as represented by your students, outperform the national average using a statistically significant measure? I would figure out the average score of my students and compare them to the average score of the national students. I would then do a two sample t test for significance with the Ho = 237 and Ha 237. If I find for Ha than my students would have outperformed the national average. 5. December holidays always seem such a distraction to 4th graders. Are your students’ December grades significantly worse than their October grades? If so, by how much? I would compare the October data with the December data and then do a paired t-test. Ho would equal the mean of the October data and Ha would be less than the mean of the October data. If I find for Ho

Experience MIS Assignment Example | Topics and Well Written Essays - 250 words

Experience MIS - Assignment Example b). Samantha has a competitive strategy which gives her an advantage over her rivals. During slow business times, she calls her former clients to remind them of the importance to trimming their trees on a daily basis. She reminded them of the services she provides to the members (O’Brien, James, Marakas & George, 2006). C). Knowledge of her competitive advantage would help her greatly in her sales and marketing efforts. Since during times when business is weak she calls her clients to remind them of her services, this gives her a competitive advantage over her rivals who do not do the same. The idea of reminding customers is a marketing tool that would retain customers thus increasing sales (O’Brien, James, Marakas & George, 2006). d). The information system that Samantha needs to use is the ABC model to lock in customers. According to Kroenke, Bunker, and Wilson, Samantha can use this model to make it expensive for her customers to switch to another service provider. Therefore, Samantha should make use of this system to keep customers (Kroenke, Bunker & Wilson,

Critical Evaluation of the Three Approaches to International Human Essay

Critical Evaluation of the Three Approaches to International Human Resource Management - Essay Example This research will begin with the statement that businesses are no more restricted by boundaries. Most of the large companies of the world have been witnessed to carry out an important part of their business functions presently outside the boundaries of their respective countries of source. There are various organisations attempting to make their presence powerful and prominent in other countries, especially overseas. The success or the failure of such organisations largely depends on their human resources and their management. Human resources are considered to be an integral and crucial part of an organisation. The success of an organisation depends on the management of its resources related to production but it is greatly reliant on the way it manages its workforce or human resources. Proper management of the human resources would facilitate in triggering and delivering the actions desired by the organisation. These desired actions contribute significantly towards the success of th e organizations. Cross-cultural approach refers to the assessment or rather the evaluation of the behaviour related to the human resources in a particular organisation. The carrying out of businesses is progressively growing to be further global by expanding in various countries and so it has become an indispensable part to manage the human resources in this global perspective. It becomes quite necessary to manage and to control the human resources of the other countries and this is where International Human Resource Management comes into play.... It becomes quite necessary to manage and to control the human resources of the other countries and this is where International Human Resource Management comes into play (Schuler & et. al., 2002). Human Resource Management (HRM) and International Human Resource Management (IHRM) differ in two vital areas. HRM does not need to deal with the complications of functioning in various countries involving different cultures like IHRM. Secondly, HRM in the domestic context is engaged with workforce that falls under the national boundary whereas IHRM requires to handle and to manage the workforces of three national groups, that is firstly, the home country where the headquarter is situated, secondly the country where any subsidiary would be situated and thirdly the other countries which cater to the finance, labour or research as well development (Pattberg, 2006). It was stated by Taylor & et. al. (1996) that IHRM was treated as a structure of the Multinational Enterprises (MNEs) which compris es certain diverse behaviours, procedures and operations that are carried out with the intention of drawing, sustaining and building up of a workforce or rather human resources in the MNEs. Schuler and Tarique (2007) stated IHRM to be the effectual way of controlling and handling the human resources in the international markets. This is done for the MNEs in order to obtain a chief basis of competitive advantage along with attaining international success. It was suggested by Milliman & et. al. (1991) that IHRM needs to be put into practice with a professional approach of ‘flexible and fit’ in order to make certain of the suitable harmonisation and management among the companies and its respective

Final reflection Assignment Example | Topics and Well Written Essays - 250 words

Final reflection - Assignment Example Among the various styles of artwork, I was particularly impressed with the surrealist style of art. I think that the surrealist art is the most honest expression of human consciousness, since it portrays dreams which one does not have control upon. I think I shall practice more and excel in the surrealist art style. It would also allow me to produce open work for the audiences, following Eco’s idea, since people looking at my paintings from different perspectives would draw different inferences from my art. Perhaps, these diverse interpretations of my artwork would provide me with an opportunity to better understand my own sub-consciousness. This course has not only equipped me with the knowledge of art, but has also refined me both as a painter and an art critic. Having taken this course, my ability to judge the extent to which a certain artist’s painting does justice to the intended theme has

Challenges Hospital Management In Nepal

Challenges Hospital Management In Nepal The WHO defines health as A complete state of physical, mental and social wellbeing, not merely the absence or disorder (WHO, 1948). It means that complete state of wellbeing is health and hospitals one of the major tool for promotion of health. WHO in 2010 has addressed the role and importance of hospital management for a quality health (WHO, 2010). There is no internationally accepted clear definition for hospital. There are several types of hospitals based on the facilities, equipments and services, i.e. district hospitals, provincial hospitals, speciality hospitals and referral hospitals, teaching University hospitals and other types of health care facilities. There is no international standard defining what should be the minimum services that each hospital should provide during a health crisis. Each country has to develop a national policy and technical guidelines to deal with a health crisis. Before defining the essential services, the ministry of health has to define the essential health services that the health sector will provide to the community in order to identify what more specific services will be delivered by hospitals (WHO, 2009). Management is defined as the organization and coordination of the activities of an enterprise in accordance with certain policies and in achievement of defined objectives. Management is included as a factor of production along with machines, materials and money. Renowned guru of management Peter Drucker (19909-2005) has said that the basic task of management is two fold: marketing and innovation. Practice of modern management owes its origin to the 16th century enquiry into low efficiency and failures of certain enterprises, conducted by the English statesman Sir. Thomas Moore (1478-1535). As a discipline, management consists of the interlocking services of formulating corporate policy and organizing, planning, controlling and directing an organizations resources to achieve the policies objectives (Walden University, 2011).Hospital managenmnet.net suggests that Hospital Management provides a direct link between healthcare facilities and those supplying the services they need ( Hospit al management.net 2011) . WHO in 2009 suggests understanding by hospital management as an effective and combined management of, the following factors:- (a) Acute care for emergency patients; (b) Out Patient Department (OPD) activities; (c) Investigation (laboratory; X-ray; other diagnostic elements); (d) Referral for primary health care (PHC); specialized consultations or services; (e) Contribution to public health programmes; (f) Part of health information system (surveillance system, including a EWS Component); (g) Public information and education; and (h) Preparedness for health crisis management. Nepal is a landlocked country which is mostly covered by hills and mountains and it has a population of 25.8 million as estimated in 2006. It is in the south Asian continent, north to India and south to China. Its area is 147,181 sq. km (WHO, 2007). It has been facing several challenges to establish a functional health management system (Thapa, 2010). This proposal deals with the challenges which Nepali health system is facing at present and suggests the possible ways for its improvement. Statement of the problem Nepals health system is in transition. Nepal is an underdeveloped country where most of the geographical part (85%) is covered by mountains and hills. India is in the south and China is in the northern part of the landlocked country. The southern boarder is open where the northern part is separated by the high mountains called Himalayas. The health indicators are very poor. The health service facility is not adequate to Nepali people. So the hospitals are (Dixit, 2005). Nepals hospital bed per ten thousand populations is 4.26 (2001/02), physician per ten thousand populations is 2 and Nurses per ten thousand population is also 2 as per the data of 2004 Similarly, Total Expenditure on Health (THE) as % of Gross Domestic Product (GDP) 5.3% and Public Expenditure on Health (PHE) as % of Total Expenditure on Health (THE) is 28 while Private Expenditure on Health (PvtHE) as % of Total Expenditure on Health (THE) 72(WHO, 2007). If it is compared with the other developing countries in the sa me region i.e. south east Asian region, the level of the problem may be perceived. Maldives, a small tiny country with population 298 thousand has Total Expenditure on Health (THE) as % of Gross Domestic Product (GDP) 6.2. Maldives Public Expenditure on Health (PHE) as % of Total Expenditure on Health (THE) is 89 as compared with 28 of Nepal. Private Expenditure on Health (PvtHE) as % of Total Expenditure on Health (THE) in Maldives is 11. It shows that the state has better involvement in Maldives than in Nepal. More over, the population per hospital bed is 381, which are 26.2 hospital beds per 10000 populations. Similarly, number of populations per physician 959 and nurses per 10000 populations are 33 (WHO, 2007). It clearly shows the scenario of health development of Nepal. As part of health, curative health services have a major role in providing quality health service to the people. Until the health care provider organizations are strong, the curative health service can not be delivered to the beneficiaries properly (Edelman and Mandle 2006). Hospitals are the key component of health care delivery system and they needs to be reformed to ensure a quality health care system (McKay and Healy, 2000).Unfortunately the hospitals in Nepal have very poor in quality management and they are not able to deliver quality health services to the people (Dixit, 2005). To address the needs and requirement of the hospital, the government of Nepal ( GON), Ministry of Health and Population ( MOHP) has published The guideline on the establishment, Operation policy and standard and infrastructure for Private and Public Health Hospitals in 2004 ( MOHP,2004). But it is still lacking in the formulation of the standard for the hospitals run by the government (Dixit, 2005). However, the policy published by the MOHP tries to clarify on the basic parameters of the infrastructures required for the hospitals which may be applied for the general hospitals as well. But the document does not speak about the application in the government run hospitals (MOHP, 2004). That is why; there is a lack of clear cut guideline for the management of hospital. Nepals health sector is facing a challenge regarding the management (Dixit, 2005). As part of whole system of health in Nepal, management of the hospitals is also a sever challenge for the country. 1.2 Summary of the problem Nepal has set a target to achieve the millennium Development goals by 2015. It has to meet the target in all health indicators. Goal no 3 and 4 are c loosely related with health and as part of curative health, hospital and hospital management have crucial role in health promotion. In Nepalese context, hospital management skill and concept of hospital management is still beyond the priority of the government and the government still does not have any policy guidelines over the hospital management sector (Dixit, 2005). People skill is a key asset for the development of key management styles. Dealing the people is a professional skill in itself. Being able to see from the perspective of others is essential, and caring for their welfare is also of prime importance. There are many high-profile examples of how to develop a successful management style. Managers like Bill Gates and Warren Buffett have famously developed their own distinctive management style from which others can learn. However, the fact that the two examples are very different management styles shows that there is no single route to success (Bono and Hellers, 2009). But unfortunately, there are no clear guidelines or policy found in the government documents. The recent document on the guideline on the requirement of a hospital, government does not speak about the hospital management, its skill development and transfer for the improvement of a hospital (MOHP, 2004). Lack of professional skill in the person responsible to manage the hospitals has created a problem in hospital management. The government run or supervised hospitals still do not have positions for the hospitals. MOHP in its policy document has not mentioned anything about the hospital managers (MOHP,2004). However, the private hospitals have started hiring them which is still out of the government policy (Thapa, 2010). Nepal is an underdeveloped country where the literacy rate is only 62.7% for male and 34.9% for female as per the report of census 2001 (CBS, 2001). It means still 64.1% women are out of literacy coverage. Nepal has poor health facilities all over the country except in capital Kathmandu and other urban areas. Most of the doctors are not willing to go to the rural areas hospitals and they are often running without (qualified) doctors (Dixit, 2005). In conclusion, the poor socio-economic conditions, hard geographical conditions and lack of awareness of the people and traditional beliefs and superstitions, lack of will in the political parties and their leaders are the main burning issues for the improvement of health sector in Nepal (Chaulagain, 2004). These all are problems associated with the hospitals and ultimately with their management. The factors associated to hospital management are still not uncovered in Nepal (Thapa, 2010). So, it Purpose of the study As mentioned above, it has been obvious that Nepal is facing the problems to strengthen the management of the health sector. The documents are not found to have been lacking regarding the strategies and policies on the health management. So, the proposal aims to identify the hindering factors affecting the hospital management in Nepal. It will study the existing policies and strategies of the government of Nepal on hospital management, international principles, theories and practices on hospital management and identify the factors which are affecting the betterment for hospital management sector of Nepal. So, the purpose of the study is to identify the hindering factors of hospital management in the case of Nepal and suggest the concerning authorities about improving the hospital management system, formulating the policies and implementing them. This proposal will analyse the strength and limitations of the hospital management system in Nepal and help all the concerned to mitigate and minimize them. Main research question The study can not answer all questions that come on surface while studying about the issue. So, to narrow down the study area and sharpen the focus, the study has defined the main study questions as follows:- What are the hindering factors that effect the hospital management in Nepal? Subsidiary Questions To supplement the main research question, these questions are defined as subsidiary questions as follows:- What will be the appropriate modality or best practices of hospital management that are applied in the world by other countries and What are the factors that are hindering in the betterment in the hospital management in Nepal? What is the most influential factor to promote the hospital management in Nepal? Hypothesis Lindsen and Jong (2005) have defined hypothesis as an alternative explanation of residual switch trial costs or, more precisely, of the empirical finding that the repetition trial (RT) distribution for switch trials with a long preparation intervals can be modelled as a mixture of the RT distributions for repetition trials and for switch trials with a short preparation interval (Lindsen and Jong, 2010). In here, the hypothesis tries to establish an alternative factor that might be supposed to be the commonest hindering factor for the management of hospitals in Nepal. The hypothesis taken here is the lack of professionalization of hospital managers or the persons who are involved in the management of either government run or private or community run hospitals in Nepal is the most influential limiting factors in hospitals in Nepal. Significance of Study As mentioned above there are no special policies and practices established for hospital management in Nepal. The hospitals are managed by the medical doctors or surgeons so far (MOHP, 2004). The doctors are not entitled to diagnose the patients, treat them, run medical and surgical and public health cams campaigns in the hospitals or in the periphery of the hospitals. The Medical council is liable to assign the job responsibilities of the doctors in the case of Nepal. But it has not mentioned about the management part of the hospital and its regulation, Nepal Medical Council Act, 1964 (amended in 2001).It does not speak who is responsible for that (Nepal Medical Council, NMC, 2001). There is no one professionally responsible for the hospital management in the present context. In the country where the government policy about the medical sector does not speak about the role of hospital management, it becomes obvious that the hospital management sector is not running smoothly. No presen ce of the monitoring body to supervise and evaluate the hospital management is found in the present documents whether published by the government or private organizations. So, the studies significance is in establishing the fact what are the main barrier and other minor barriers in the hospital management of Nepal. That is why this study is has a significance value. Literature Review 2.1 Concept of Hospital Management Hospital management provides a direct link between health care facilities and those supplying the service they need. This enhances the capacity of deciding and managing hospitals and health care centres and all other health care providers and other health care industries (Hospital management.net, 2011). The discipline hospital management is found to be conceptualised from the WHO Ottawa Charter for Health Promotion in 1986. It was introduced in the name of Health Promoting Hospitals (HPH) in the beginning since hospital was regarded a mean of health promotion. So, this concept is only 25 years old and newer to other disciplines. The Ottawa Charter recognised five areas of hospital management i.e. health promoting hospital setting, health promoting workplaces, the provision of health related services, training, education and research. It has identified the hospital sector as the change agent and advocate for health promotion (WHO, 2011). From the declaration of WHO, it becomes obvious that hospital is not only a place of treating the patients, but also a place where the activities for health promotion are run, all heath services are provided, trainings are conducted, education is given and researches are carried out. It rules out the understanding of the government on hospitals. Th e Bir Hospital, which is one of the units or part of the Ministry of Health and Population and the biggest government run hospital (MOHP) of Nepal has defined Bir Hospital only as a treatment and diagnosis service centre. In this definition, the other four parts defined by the Ottawa Charter are missing. However, it adds something in its website as its activities. According to it, Bir Hospital offers training to the students through its Post Graduate programme of its Medicine School (Bir Hospital, 2008). It clearly shows that the government of Nepal has some how realised the integrated approach of the hospitals, but not mentioned in its policy or strategy. There seems a gap between the Ottawa Charter and the understanding of the Government of Nepal in terms of its concept. National Health Service (NHS) of the UK has presented a model of its Week Hospital in its journal. It says that it has developed and validated an innovative integer programming model, based on clinical resources allocation and beds utilization. According to NHS, the model aims at scheduling Week Hospital patients admission/discharge, possibly reducing the length of stay on the basis of an available timetable of clinical services. The performance of the model has been evaluated, in terms of efficiency and robustness, by considering real data coming from a Week Hospital Rheumatology Division. The experimental results have been satisfactory and demonstrate the effectiveness of the proposed approach (NHS, 2011). We can see the factors that contribute in hospital management by this example mentioned above. The hospital management has become an emerging field in India, the neighbouring of Nepal and a developing country in the south Asian sub-continent. India education in its home page of its website says that hospital management and administration has become a priority and importance for healthcare industry and providing health and hygiene care in India. The government of India is paying attention on providing healthcare in both rural and urban areas by improving the management of the hospitals. It further adds that hospitals are expected to deliver quality service 24 hours a day at a minimal cost. The urgent nature of its work and the level of efficiency that is expected have increased the need of well-formulated hospital management system throughout the world (India Education, 2011). It shows that India has seriously taken the hospital management stream to upgrade the quality of the service delivery of the hospitals in India. These literatures presented above describe the concept of h ospital management. 2.2 Benefit of Hospital Management Worlds renowned management Guru Peter Drucker developed the concept of Management by Objective (MBO) in 1954. He has defined MBO as a systematic and organised approach that allows management to focus on achievable goals and to attain the best possible results from available resources. He has further said that the strong management system of the organization increases its performance by aligning the goals and subordinate objectives through out the organization. He adds that the employee get strong input to identify their objectives and timeline for completion. He has described the benefits of management to have supporting in setting objectives, organising groups, motivating and communication, measuring performance and developing people ( Peter Drucker,1954). NHS has defined its hospitals as organizations where high qualities of health care services are delivered to the clients (NHS, 2011). So, all the theories of the organization may be applied in hospitals and the importance of the hospitals may be assumed based on the benefits of a good management system as described Drucker. So, it has become obvious that to achieve the goals of the nation, the hospital management sector should be regarded as an important discipline in the context of Nepal as well. Limitations of Hospital Management Management is not a solution, but only the means of the solution which organises the resources in a proper way. For the effective management, every surrounding factor should be appropriate. Verzuh (2001) has identified five sectors that are required for effective management. They are good agreement between service providers and clients, an effective and realistic plan, constant and effective communication, a controlled scope and upper management support (Verzuh, 2001). Hospital as an organization can not provide its best services if the factors mentioned above are not available. In Nepalese context, the hospital management can not take the hospitals in the position to achieve its goals until there is an effective service giving and taking culture, until the planning body is capable enough, until the inter and intra organizational communication is strongly developed and there is a political commitment to prove upper support toward the bottom. So, these are the limitations of the hospi tal management. Barriers of Hospital Management in Nepal Nepals literacy rate is low, the national income and per capita income is also low. The difficult geographical situation is not also favourable for rapid development in Nepal. The socio-economic development is far behind as compared with other developed and even with developing countries (Dixit, 2005). As mentioned above, financial strength, political commitment, social culture and context need to be favourable for the good management of every development sector and the hospital is not an exception. The people can not consume the facilities well if they are not aware about the facilities they have been provided with (Thapa, 2010). But hospitals are managed by the Department of Health Services under the Ministry of Health Population and the, So, for the hospital management, this context has become a barrier. Hospital management practice in different countries i.e. Nepal, USA, UK, India, Japan and Thailand Hospital management is a new discipline. In Nepal, the Pokhara University strated Hospital Management course in 2001 only. Then it has put a milestone in the way of hospital management. Then some private hospitals have started to recruit hospital managers due to its influence and the government is in the way to start thinking on the need of separate hospital management stream under the health service (NOC, 2011). In USA, the hospitals are governed by the United States Department of Health. Its history goes to 1798 from when USA has started on managed health service (USDHHS, 2001). UK established National Health Service ((NHS) in 1948 from which it has been running the hospitals. All together, 12000 doctors are working in its hospitals all over the UK (NHS, 2011). Ministry of Health and Family Welfare is responsible for hospital management in India. It has Department of Health and National Rural Health Mission for managing the hospitals (Ministry of Health and Family Welfare, India, 2011). Likewise, Ministry of Health, Labour and Welfare looks health activities in Japan. It has Health Policy Bureau under the ministry and it looks after the hospitals and it has prepared a policy to manage the hospitals properly (Ministry of Health, Labour and Welfare, 2011). In Thailand, Ministry of Public Health looks after the hospital management. Under the ministry, there is Department of Health and under th is, there are 9n divisions. They are supporting the hospitals for their management in an integrated way (Department of Health of Thailand, 2011) 2.6 Previous empirical research findings on challenges in hospital management The Hospital; of St Raphael in UK has written in its website about the challenges it suffering in terms of the management. It says that the demand is growing and the challenge is increasing. Patient satisfaction concerns, hospital management demand, smart mind and smart technologies to keep healthcare system smoothly are the challenges seen in the present context. Likewise, recruiting hospital management and their turnover are other challenges (St Raphael Hospital, 2011). In Nepal context, There are no special resources are found either in published copies or in the websites. The National Open College has written about the importance of the Hospital Management course which is like an advertorial (NOC, 2011). But it does not speak about the challenges of the hospital management. So, relevant literatures are not enough as per the topic. Discussion and Conclusion After studying the literature and analysing the present hospital management system in Nepal, the points come into mind to be discussed:- The Government of Nepal has still not considered the hospital management as a separate sector. There is a lack of Hospital management professionals. There is no proper policy addressing hospital, management issues in Nepal. Hospital management sector has not been regarded as an integrated issue so far. Public and private sector are also not actively participating for the professionalization of hospital management human resources. In conclusion, we can say that hospital management is a new discipline. The developed countries like UK have already started to think on the management issues of hospitals as a separate sector. But in Nepal, the hospital management sector is not visible separately and it has not been regarded as a separate need or requirement. The hospital has not felt the need of hospital managers to manage the hospital smoothly. Lack of awareness, culture and customs low literacy rate, low income and difficult geographical situation are the factors which are hindering the hospital management sector to grow and become strong. Methodology 3.1 Instrument The study was carried out by using systemic literature review method. The literatures were searched in the website of the Universities of UK i.e. Bournemouth. The Medical Journal of America and USA were searched. The government policies of NEPAL, India, USA, Japan, Thailand and UK were other sources. The documents were collected, materials were searched and the materials retrieved were analysed before applying them in this search. The WHO website and other journals were considered as most reliable sources. Library use was the mostly used mean for search and writing the paper. This study will apply qualitative methodology to find the hindering factors of hospital management in Nepal where face to face interviews will be arranged during this study. 4 Conclusions The hospital management is a new term which is derived from the separate words hospital and management. Hospital is a mean of healthcare delivery while management is a way to utilize the resource in an efficient way. The hospital management is not very old concept in even in the developed countries while the countries while Nepal is very far behind in the development of this sector. Lack of professionalization of the existing human resources, less availability of skilled human resources, poor socio-economic situation, low interest of government towards the hospital are the hindering factors for the development of hospital management in Nepal. These all information was collected through literature review available in the library and websites developed by the governments, universities and academic institutions. It recommends the government of Nepal to recognise the hospital management as a separate and independent discipline under the health service. It suggests the academic institutions to focus on the development of hospital management professionals in their course and curriculum. It also suggests the private sector involved in running private hospitals in Nepal to start hospital management principles in their management.

Just Taxation :: essays research papers

Index: I.  Ã‚  Ã‚  Ã‚  Ã‚  Introduction  Ã‚  Ã‚  Ã‚  Ã‚  2 II.  Ã‚  Ã‚  Ã‚  Ã‚  Introducing the problem  Ã‚  Ã‚  Ã‚  Ã‚  2 III.  Ã‚  Ã‚  Ã‚  Ã‚  Income vs. Consumption Tax  Ã‚  Ã‚  Ã‚  Ã‚  3 IV.  Ã‚  Ã‚  Ã‚  Ã‚  A just tax base?  Ã‚  Ã‚  Ã‚  Ã‚  5 V.  Ã‚  Ã‚  Ã‚  Ã‚  Liberutopia  Ã‚  Ã‚  Ã‚  Ã‚  6 VI.  Ã‚  Ã‚  Ã‚  Ã‚  Conclusion  Ã‚  Ã‚  Ã‚  Ã‚  8 VII.  Ã‚  Ã‚  Ã‚  Ã‚  References  Ã‚  Ã‚  Ã‚  Ã‚  9 Table of Figures: Figure 1: Consumption vs. income tax  Ã‚  Ã‚  Ã‚  Ã‚  3 Figure 2: Floating money and deposit money  Ã‚  Ã‚  Ã‚  Ã‚  4 I.  Ã‚  Ã‚  Ã‚  Ã‚  Introduction In the debate of just taxation an argument came up, which insisted that any tax that distorts individual preferences should be considered as unjust. This argument is known as the â€Å"fairness-to- savers-argument†. The intention of this essay is to explain of what the fairness to savers argument consists, how to approach it and foremost why it is wrong. At first I will therefore explain the argument on the basis of it’s most common example. The following chapter will then provide a better insight into to exact circumstances, under which the fairness to savers argument might arise. Here the functionalities of the, in the example presented, tax bases will be addressed. To approach the rejection of the argument correctly, it will be necessary to determine what exactly â€Å"just† means and this will lead us to some assumption, which need to be made to prove the argument wrong. But before that, I will present the approach Murphy and Nagel make in their book â€Å"The myth of ownership† and why they are not able to reject the argument completely. Afterwards I will introduce my approach, which basically will show, that any kind of taxation will distort individual preferences and there from I derive, that the fairness to savers argu-ment must be invalid. II.  Ã‚  Ã‚  Ã‚  Ã‚  Introducing the problem The basic problem of the fairness to savers argument, is the effect of different tax bases on individual preferences. The name of the argument follows from it’s most vivid example, which I want to address at first, for a better understanding of the issue. The example is often illustrated with the comparison between two individuals preference for saving, both taxed once under an income tax and once under a consumption tax. Let’s consider two people, Steve and John, both earn in t0 100$, the rate of return is in every period constantly at 10% and they are in every aspect totally similar, despite their individual time preference, which is for Steve at 3% and for John at 9%. That means exactly, that Steve is willing to save his money as long he gets at least a net return rate of 3% and John is willing to save his money as long he gets at least a net return rate of 9%. In case their time preference is higher than the net return rate, the utility they derive from immediate co nsumption will be greater than the utility they derive from saving, thus they won’t save their money.

Personal and organizational values Essay

What are personal and organizational values? Values are one of the most special achievements as human beings. A person acts not just in service to personal needs, but also out of a broader sense of what is important, purposeful and meaningful (Cynthia D. Scott, 1993). Values are the building blocks of organizational culture. They represent an organization’s basic guidelines about what is significant; how business is conducted; how people relate to one another; its clients and customers relationships; and its decision making strategies. Values affect every aspect of the organization, and take years, constant attention, and perseverance to change. Values serve to inspire and foster commitment, motivation, innovation and trust around principles of conduct that are held inviolate. They reflect intentions and provide guidance for every action when there is a gap between intentions and reality. When actions do not comply with stated intentions, the gap becomes a source of cynicism and loss of confidence and momentum toward change and innovation. Values are represented in decision making processes, interpersonal interactions, leadership actions, reward structures, supervisory styles, and information and control systems. Each plays a role in sustaining the structure of a value, and each serves as a lever of change. To stimulate an organization toward change, we must minimize or fill the gap between the stated values and value actions (Rodney Napier, 1997). Conflict between personal and organizational values and goals How do organizational and personal goals differ? Organizational goals are carefully and logically determined. Frequently, this must be discussed with other people in order to define them exactly. An organizational goal is one that we understand and commit to intellectuality. A personal goal, on the other hand, is a private and often purely emotional commitment (Merrill E. Douglass, 1993). Value conflicts arise when people are working in a situation where there is a conflict between personal and organizational values. Under these conditions, employee may have to struggle with the conflict between what they want to do and what they have to do (Diane F. Halpem, 2005). This can be a distracting experience as you face changes, contrasts and a few surprises, and have to make some sense of all this (Henry Tosi, 2000). For example, people whose personal values dictate that it is wrong to lie may find themselves in a job where lying becomes necessary for success. Successful job performance may require a bold lie, or perhaps just a shading of the truth. People who experience such a value conflict will give the following kinds of comments: â€Å"This job is eroding my soul,† or â€Å"I cannot look at myself in the mirror anymore knowing what I’m doing. I can’t live with myself. I don’t like this.† If workers are experiencing this kind of mismatch in values on a chronic basis, the burnout is likely to arise. However, a Machiavellian individual, who believes that the end justifies the means, will have a better fit with a job in which lying is essential to success and will probably not experience value conflict and many other situations (Diane F. Halpem, 2005). Value-driven management Value-driven philosophy is designed to develop effective and value-driven leadership at every level in the organization. The decision making and leadership styles of effective business leaders are value-driven men and women who create value for their organizations that goes far beyond mere stockholder value. This is not to suggest that they should disregard profitability as an important corporate goal, but it is instead to state that the financial bottom line—as a value—is integrated with other value drivers in their leadership behavior. Value Driven Management and value driven leadership are interactive and synergistic. Value-driven organizations will tend to develop value-driven leaders, and value driven leaders will create value over time for their organization and their organizations are becoming more valuable and fulfilled, and continue to grow and thrive throughout their lifetimes. This view is especially significant in today’s growing force of high employment, knowledgeable workers, and the concept of measuring and managing organizational knowledge as intangible financial assets. There are 8 value drivers that impact organizational and individual decision making. These value drivers are to some degree interrelated and overlapping, but in total, they encompass the universe of the organization, combining the internal and external variables it must confront throughout its existence:   external cultural values, organizational cultural values, individual employee values, customer values, supplier values, third-party values, owner values and competitor values. When these value drivers are used systematically and properly in the company’s decision processes, and when their individual and collective impact is weighed and balanced, in organizational decision making, the firm will create value for –itself over time—particularly in the long run (Randolph A. Pohlman, 2000). Collegial vs. meritocratic structure of value Better fit between individuals’ and organizations’ values predicted higher levels of satisfaction and commitment and lower turnover. Leadership organizations have a tough, but not, harsh, view of change. They focus on accountability for actions and give some emphasis to the discussions of goals and means. Although these organizations are still basically compliance-oriented, their documents portray the change process less impersonally and more persuasively, seeking to encourage employees to comply with the requirements rather than simply expecting it. In the meritocratic value structure, this appears to be a much greater emphasis on motivating employees to play a constructive role in change. This emphasis involves explaining both the goals of change and the means for bringing it about. Meritocratic structures can be characterized as trying to challenge or energize employees. Change, although difficult, is associated with achieving important goals, and the organization signals that people’s efforts and achievements are recognized and appreciated. This is characterized by themes of striving, effort, goals, achievement, motivation and recognition. Only collegial organizations view change in a positive way and emphasize employee participation. Collegial ones do not challenge their employees to achieve organizational goals; instead, they emphasize the benefits change brings to internal and external stakeholders and depict an enthusiastic, responsive orientation to change (Boris Kabanoff, 1995). Entrepreneurial vs. bureaucratic values (differences in social origins, including gender and cognitive ability) Differences in social origins, such as gender and cognitive skills create different sets of belief concerning the qualities of a good job. According to Miller and Swanson theory (1958), the theory identifies two major value systems—the entrepreneurial and bureaucratic. These values are oftentimes merged, and thus form beliefs about the desirable attributes of jobs, by comparing expected returns against expected risks in the search of opportunities for future economic wellbeing. Some people may embrace either of the entrepreneurial or bureaucratic orientation is determined mainly by entrepreneurial skills and attitudes towards risk, which in turn can be affected by family background, schooling, gender, and cognitive skills. The adult achievements are favored by early family and schooling forces, and the very same personal qualities that give in to advantages for achievement, also creates expressions of preference that favor entrepreneurial type over the bureaucratic job properties. Cognitive ability and gender, being the most powerful sources of variation in job values, are followed by years of schooling. Parental education, occupational status, self-employment and income all geared towards entrepreneurial over bureaucratic job properties. Significant other’s influence, educational aspirations and years of schooling, aside from favoring entrepreneurial over bureaucratic values, create a very strong preference for esteem over all other job properties and is significantly related   in the value system geared towards   achievements (Halaby, 2003). Cultural values on problem solving, teams, gender, stress and ethics National culture plays an important role and leads to differences in how problems are solved and in the quality of the solutions. Chinese employees are more likely to delay informing a manager about a problem until the manager sees the problem on his or her own. The employees are also likely to minimize the seriousness of the problem. In western cultures, managers are more likely to appreciate and give credit to an employee who draws attention to a problem, and therefore, problems are more rapidly identified and brought to the attention of management.    The result is that Western managers are more likely to speak directly about the problem. In collectivist cultures, decision making is more likely to rely on consensus while managers from individualist rely more on their own experience and training when making decisions. It is also   found that Australians prefer a decision making style based on having a selection choices that require careful individual thought, whereas the Japanese prefers styles that require more references to other people. In Japan, individuals are likely to measure their personal success by the success of their team and organization (Siverthome, 2005). Impact of technology While technology has increased the ability to communicate, one might question whether it has increased or diminished the capacity to connect with co-workers in the workplace. It is through feeling this connection that we derive our sense of teamwork, community, attachment, and belonging—all essential aspects of what humans needs to feel: valued, respected and acknowledged. It is these core social and emotional elements that lubricate human beings and keep them going in times of difficulty, be it a personal, professional, or even a national crisis (Lewis, 2006). Dealing with value conflicts What can be done to alleviate burnout? One approach is to focus on the individual who is experiencing stress and help him or her to either reduce it or cope with it. Another approach is to focus on the workplace, rather than just the worker, and change the conditions that are causing the stress. The challenge for organization is to identify interventions that target those particular areas (Diane F. Halpem, 2005). What implications these have for managers?   Value configurations may motivate and support the organization’s coherence, strength, and stability. They also offer managers a framework for conceptualizing the nature and purpose of organizational change. One possible explanation for the high failure rate of company mergers and acquisition is â€Å"culture incompatibility† and â€Å"culture collisions.† (Boris Kabanoff, 1995)          References: BORIS KABANOFF, R. W., MARCUS COHEN (1995) Espoused Values and Organizational Changes Themes. Academy of Management Journal, 38, 1075-1104. CYNTHIA D. SCOTT, D. T. J., GLENN R. TOBE (1993) Organizational Vision, Values and Mission, Thompson Crisp Learning. DIANE F. HALPEM, S. E. M. (2005) From Work-family Balance To Work-family Interaction: Changing The Metaphor, Routledge. HALABY, C. N. (2003) Where Job Values Come From: Family and Schooling Background, Cognitive Ability, and Gender. American Sociological Review, 68. HENRY TOSI, N. P. M., JOHN R. RIZZO (2000) Managing Organizational Behavior, Blackwell Publishing. LEWIS, G. W. (2006) Organizational Crisis Management: The Human Factor, New York, Auerbach Publications. MERRILL E. DOUGLASS, D. N. D. (1993) Manage Your Time, Your Work, Yourself AMACOM American Mangement Association. RANDOLPH A. POHLMAN, G. S. G. (2000) Value Driven Management: How to Create and Maximize Value Over Time for Organizational Success, AMACOM American Management Association. RODNEY NAPIER, C. S., PATRICK SANAGHAN (1997) High Impact Tools and Activities for Strategic Planning: Creative Techniques for Facilitating Your Organization’s Planning Process, McGraw-Hill Professional. SIVERTHOME, C. P. (2005) Organizational Psychology in Cross-cultural Perspective, NYU Press.

Restaurant †Eating Essay

One of my favorite restaurants is Olive Garden. Without going to Italy to taste their traditional food just come in to Olive Garden and experience the Italian food. They offer wide varieties of Italians food. While the restaurants are similar in the type of food they prepare the difference in their atmosphere, menu and services will assist the customers in making the big decision on which one they like to satisfy their appetite. Olive Garden is the perfect place for a meal if you’re looking for both exquisite and casual dining. The atmosphere is very comforting and the mood is relaxed with the dà ©cor being contemporary but restrained. The tables are in a good distance apart so the diners are given their privacy, but at the same time do not feel isolated from others. When my first time walked in their restaurant, I said to my self that this is a place that I can bring my family to enjoy our dinner together. Even though, I have to spend time waiting to get the table, but it is worth to wait. While the atmosphere is a place to go so do their services. The staffs are friendly, welcoming and efficient. They are always willing to go to lengths to help make your dining experience as memorable as possible. My family and I were very new to the restaurant; the waitress came make us feel like home. She took us to the table and asked to order the drink. She greed us and told us that she will be your table service for tonight. The service was very knowledgeable of the menu and was very polite while taking order. Olive Garden offers wide varieties of Italian food. You can order from an exclusive range of starters, main courses and desserts. The dishes are quite reasonable price range from $10 to $25 including entrà ©e and dessert. I was order Chicken Alfredo which is my favorite. While we were waiting for our main course the entrà ©e came with the salad and breadsticks and also the wine are exclusively sold only at Olive Garden for their customer to taste; then our order came in a short time after. While we were eating the waitress came asked for drink refill or how did we enjoy the food. We were really enjoying our dinner at Olive Garden where we can enjoy good food, a place where we can relax and the staffs treat us as family. We brought friend and family their many time after and everything is treating us the same way even better. This is our favorite Italian restaurant of all time.

Emily Dickinson1 essays

Emily Dickinson1 essays Emily Elizabeth Dickinson was an American poet of the nineteenth century. She was one of the greatest masters of the short lyric poem. Not much is known about her life, but what is known is unusual and interesting. Emily Dickinson was born in Amherst, Massachusetts on December tenth, eighteen hundred thirty, to a prominent family. [ 9. kutztown.edu/faculty/ reagan/*censored*inson.html ] She was the second child of three children. Her grandfather, Samuel Dickinson, was one of the founders of the Amherst College. Edward Dickinson, her father, held several political positions. He was on the General Court of Massachusetts, Massachusetts State Senate, and United States House Representatives. Edward was also a lawyer and the treasurer for the college. [ 9. kutztown.edu/faculty/reagan/*censored*inson.html ] Emily's mother, Emily Dickinson, was a simple woman. She was dedicated to her home and family. Emily's mother suffered a long term of illness so she took care of her. Dickinson had an older brother, Austin, who also served as the treasurer for the college and other civic positions. Austin married Emily's best friend, Susan Gilbert. Lavinia was Emily's younger sister. She didn't marry anyone so she stayed in the family house. The three siblings shared a very close relationship. Their parents didn't have a close relationship wi th them, but they did love and care for them. Emily's parents made sure she had a good education. She went to a primary school for four years then she attended Amherst Academy from eighteen hundred forty through eighteen hundred forty-seven. After that she went to Mary Lyon's Female Seminary ( Mount Holyoke Female Seminary ) for only a year. [ 7. gale.com/library/resrcs/poets_cn/*censored*nbio.htm ] The seminary insisted on religious as well as intellectual growth. Emily didn't like the religious environment and was under considerable pressure to bec...

Care Plan. 745769 Essay Example | Topics and Well Written Essays - 750 words

Care Plan. 745769 - Essay Example Specifically, limitation of tissue oxygenation directly due to a sluggish blood flow is the major pathophysiologic feature of sickle cell anemia. End- organ damage may result when tissue hypoxia is prolonged, which then can lead to death (Smeltzer & Bare, 2006, p. 886). II. Clinical Manifestations (Signs & Symptoms): Severity of the clinical manifestations depends largely on the proportion of RBCs that have sickled. That is, when more cells are sickled, the chances of thrombosis also increase, thus causing decreased oxygen supply to tissues and organs. Pain is one of the most common manifestations as hypoxic tissues generate lactic acid that easily irritates nerve endings and other pain receptors. When the heart tissue is involved, acute chest pain manifests and more commonly associated with tachycardia, fever, falling hemoglobin levels, and sometimes bilateral infiltrates seen on the chest x-ray. Since these cells have relatively shortened life- span, simultaneous hemolysis raises b lood bilirubin level up to toxic levels. This is manifested as jaundice. Complications result from chronic hemolysis or thrombosis (Smeltzer & Bare, 2006, p. 887). III. ... On the other hand, chemotherapy using hydroxyurea increases hemoglobin F levels in affected patients, therefore reducing the formation of sickle cells. Still, there has been no evidence yet if the drug reverses organ damage. Lastly, chronic RBC transfusion is particularly helpful in acute exacerbations of the condition causing severe anemia and infections. However, the patient may also develop complications due to iron overload and thrombosis (Smeltzer & Bare, 2006, p. 888). Nursing interventions are focused on providing continuous pain relief by prompt administration of pain medications prescribed by the physician and helping the client relax and reduce anxiety. Prevention of infection by maintaining a therapeutic environment and using aseptic technique in nursing procedures performed must be an integral part of the care plan. IV. Diagnostic Studies/Lab analysis: Blood tests reveal the presence of sickle RBCs. WBC Count- 9x103/mm3 (N: 3.54-9.06 x103/mm3). Hemoglobin level is 7 mg/ d l (N- 13- 16 mg/dl) which implies anemia and decreased tissue oxygenation, thus, necessitating blood transfusion. Discharge Planning and Client Teaching Continue medications as prescribed by physician. Determine learning needs and educate as necessary especially the common triggers of an exacerbation. Inform S.B. and his mother about his increased risk of acquiring infection and provide directions to prevent it. Caution about severe chest pain and other signs of exacerbations that warrant immediate hospitalization. NURS 401 NURSING CARE PLAN Growth and Development According to Erickson Stage: 6 Crisis: Intimacy vs. isolation (Videbect, 2007, p. 53) I. Describe your patient’s ability to achieve

Communication in Organizations Essay Example | Topics and Well Written Essays - 1250 words

Communication in Organizations - Essay Example It is an established company with a wide scope that involves extensive communication within the organization and with other stakeholders. Its administration is as a result characterised by a number of management meetings for ‘decision-making’. The company’s organizational structure consists of a board of directors at the top with seven directors, a chairperson, a general manager, and line managers. Decisions are made through deliberations in meetings and resolutions passed to line managers for implementation. Communication refers to a process in which a party sends a message to another who receives the message, comprehends it, and submit a feedback to the sender. In any organizational set up, effective communication leads to successful pursuit of objectives while poor approaches to communication undermines objectives and may lead to negative impacts. Kelly however argues that people can achieve effective communication through â€Å"vigilance, perseverance, and by using their power to change course† and laid down structures (2011, p. 199). This means that success in a communication process depend on the parties capacity as well as skills towards effective communication (Kelly, pp. 199, 200). ... Effective communication also means clarity in message content as well as accuracy in targeting the recipient. The subject of communication should not be vague and should directly target the intended recipient. Similarly, effective listening skills facilitate a successful communication process through enhancing the recipient understanding of the communicated piece of information. Attitudes, as developed by either the sender or the recipient, also affect effectiveness of a communication process (Auer and Blumberg, p. 113). Theories into communication have also been used to explain the communication process. Trait theory for instance explains that people have different characteristics that define their personality and behaviour. Such traits determine a person’s ability to demonstrate the essential elements of effective communication. A person’s characteristics will for example defines the applied level of attentiveness to the communication process as well as attitude towar ds the communication process. Negative traits therefore undermine effectiveness of a communication process (Littlejohn and Foss, 2007, p. 66- 68). Consistency theories, another communication theory, explain the essence of consistency among parties to a communication process. Such consistencies are necessary with respect to the parties’ attitudes, the parties’ behaviour as well as between behaviour and attitude. The fundamental principle is that while consistency creates a favourable environment for effective communication, its absence initiates change in attitudes that may adversely affect a communication (Littlejohn and Foss, 2007, p. 78). Similarly, the theory of identity suggests that a person’s identity affects his or her

Renaissance Comparison Essay Example | Topics and Well Written Essays - 500 words

Renaissance Comparison - Essay Example Although the very term renascence was brought into currency in the 19th century by the Swiss historian Jacob Burckhardt, the origins of this movement could be traced as earlier as the beginning of the 14th century. Actually the European Renaissance began in Central Italy, namely in Tuscany centering in the cities of Siena and Florence. This movement had further a considerable impact in the city of Venice where the remains of ancient Roman and Greek cultures had been brought together and provided Renaissance humanist scholars with new texts. Consequently the Renaissance had a significant impact on Rome, which was decorated with numerous structures in the new mode of all’antico, later was rebuilt by sixteenth-century humanist popes. The Italian Renaissance reached its peak in the mid-16th century as the country began to be permanently invaded by various foreign armies. Nevertheless, the ideals and ideas of the Italian Renaissance survived these calamities and even spread into th e rest of European countries, initiating the English Renaissance and Northern Renaissance as a whole. To define the Renaissance in the northern part of the continent the term Northern Renaissance is used. Furthermore this term often refers to the Renaissance in the countries of Old World outside Italy.

Evolution of Human Figure in Sculpture Essay Example for Free

Evolution of Human Figure in Sculpture Essay Depiction of human figures have dramatically changed through time. It was in sculpture that human physical dimensions were visibly illustrated. There have been many variations of the human body shown from the prehistoric to the modern period. In this research, three sculpture namely: statute of Gilgamesh, the Moschophoros and the statue of Augustus of Prima Porta will be used to trace the progression of the human body.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Gilgamesh was   the main character in the Epic of Gilgamesh wherein he was portrayed as half god and half human. His personality was the representation of all the virtues of humans. In the statue, Gilgamesh was shown holding a lion in a headlock position wherein his arm was protected by the â€Å"chain-mail robe† (Gilmore â€Å"Ancient Sumeria). Meanwhile, the other hand was gripping a snake.   These portrayals symbolized Gilgameshs warrior and royal status. The body was irregularly depicted because of the   disproportion of the upper and lower body.   The torso seemed intentionally elongated making the waist line looked low. However, since the statue is an example of a Gargantuan statue, they type of perspective would make a difference in the alteration of the figures proportions (Gilmore â€Å"Ancient Sumeria).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The Calf-bearer or the Moschoporos is the interpretation of a Greek specifically a rich Attican who was about to sacrifice a calf as an offering to the goddess Athena. The figure was clothed with a thin cloak that outlined the structure of the body resulting to a partially nude sculpture. The animal was put around the figures shoulders with his hands clutched on the hooves. More so, muscular details were evident in the abdomen area. Many details were present on the face of the human figure. The curls of his hair took the shape of pearls or corals that framed his forehead while a closed small mouth with a curved beard and â€Å"deep-set eyes† accented the whole face (Atlantis International â€Å"The Acropolis Museum†).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The statue of Augustus of Prima Porta signified Augustus military supremacy. Historically, the statue was believed to be created as a sign of the commemoration of the triumph of the Romans against the Parthians. Unlike other Roman leaders, Augustus was   depicted as a mere man and not the traditional deified god (Ramage â€Å"Historical Reflection on the Statue †). The head of the statue contained details that were very recognizable such as the broad head with a Primaporta styled hair, full close mouth, keen ridged eyebrows, smooth round chin and   pointed nose highlighted. The breastplate with intricate graphical details and the hand in an upright position signified his authority. Meanwhile, the presence of the robe suggested the godliness of Augustus and the cupid riding a dolphin emphasized the divinity of the â€Å"founder of Venus and Italy namely the Julian family to Aeneas† (Ramage â€Å"Description of the Statueà ¢â‚¬ ).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Among the three sculpture, the Roman portrait of Augustus was the most defined in terms of human form. It exactly depicted the human characteristics from top to bottom. The statue of Gilgamesh and the Calf-bearer have some distortions in the body image making it look disfigured. In the statue of Augustus, it had a sense of movement while the statue of Gilgamesh and the Calf-bearer appeared stiff. Also, the Gilgamesh lacked the three-dimensionality because of the awkward position of the legs and arms while the Calf-bearer compared to the former achieved more proportion because of the smooth construction of the muscles in the body. It is evident that from the Archaic period to the time of the Romans, human figure developed from a god-like depiction like the Gilgamesh to a more real person represented by Augustus. However, the concept of the sanctity of gods and goddesses were prevalent in the three sculptures. Overall, the sculptures showed the progress in depicting the human body from being disproportionate to a perfect formation of the shape and movement of the whole body. Works Cited Glimore, Tom. â€Å"Ancient Sumeria.†1999. T Byron G Publishing. 27 March 2008   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   http://www.anticipation.info/texte/gilmore/Tom  Ã‚  Ã‚  Ã‚   %20Gilmore/www.tomgilmore.com/sumeria.htm. Ramage. â€Å"Description of the Statue.† (October 2005). The Statue of Augustus of   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Prima Porta   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   http://web.mit.edu/21h.402/www/primaporta/description/. Ramage. â€Å"Historical Reflection on the Statue.† (October 2005). The Statue of Augustus of   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Prima Porta http://web.mit.edu/21h.402/www/primaporta/context/reflection/. â€Å"The Acropolis Museum.† (2006). Atlantis International.   27 March 2008     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   http://madeinatlantis.com/athens/acropolis_museum.htm.

Effect of Occupational Noise Pollution on Workers

Effect of Occupational Noise Pollution on Workers Noise pollution CHAPTER 1 INTRODUCTION Background Noise means unpleasant sound that gives a disturbing and annoying effect to the listener. Noise pollution is any unwanted, disturbing, or harmful sound that impairs or interferes with hearing, causes stress, hampers concentration and work efficiency, or causes accident. Noise can block, distort, change or interfere with the meaning of a message in both human and electronic communication (Wikipedia, 2009). Agricultures workers are one of the highest contributors in the rate of noise pollution among all occupation. Any person who is exposed to an excessive noise pollution in long period may suffer hearing loss. The amount of damaged caused by noise depends on the total amount received over time. The degree of risk is affected by the intensity (loudness) and the frequency (pitch) of the noise, as well as the duration and pattern of exposure and the individual susceptibility to hearing impairment (CCOH, 2009). The increased spread of hearing loss from high frequencies through low frequencies with age and noise exposure is common for this population. Hearing loss of farmers is very characteristic of a sensor neural, bilateral sloping configuration resulting from both noise and aging. When age group data were compared to the hearing sensitivity values of the U.S. Occupational Safety and Health Administration (OSHA), all farmer populations, age 20-60, showed more dramatically hearing loss than the comparison group. This also was true when the data were compared to the International Organization for Standardization (ISO) 1990 data. Physical ear discomfort to noise exposure starts from sound pressure level of 80-100 decibels (dB). A continuous noise level of 85 dB can result in hearing damage as well as create other various negative effects on health (League for the Hard of hearing, 2002). Noise induced hearing loss occurs gradually and without pain. Noise is often recorded as decibels dB (A) t o approximate how the human ears respond to noise. In Malaysia, noise exposure in work place is legislated under the Factories and Machinery Act (Noise Exposure) Regulation 1989, and Occupational and Safety Health Act (OSHA) 1994. This regulation makes it mandatory for noise level and workers exposure to noise is measured, assessed, and controlled. Malaysian permissible exposure level (PEL) refers to the limit of exposure that must not be exceeded by any employee over a specified time limit. These limits denote concentration levels above which exposure to chemicals hazardous to health must be controlled. To protect against chronic health effects of chemicals, the limits set are eight hours time-weighted average values. Excursions above the eight-hour time weighted average limit is allowed as long as it does not exceed three times this set limit. The farm tractor has a central role in field operations and often in stockyards and buildings too. It pulls lifts, powers and supports; it provides personal transport and shelter from the weather. It is often the main status symbol of the agricultural enterprise; this is why tractors are styled (like cars), why they are loved by enthusiasts (like steam railway engines), and why individual farmers often praise and are faithful to one particular make. Two aspects of tractor noise cause concern: the environmental noise heard by bystanders, either fellow road users or local residents, and the potentially harmful noise to which the operator is subjected. Environmental noise was the subject of a formal OECD test. In the 1960s the Institute harmonized details of the test procedure by comparing measurements in all European test stations. Noise screens for engines were successfully developed, but the dominant environmental noise arises from exhausts, where a balance must be found between silencer effectiveness and power loss. A separate study of the annoyance caused by farm noise of all kinds rated the tractor as much less annoying than axed plant such as grain driers. Objectives The study is focused on highlight that prolong to high level of occupational noise which can affect the hearing ability to agricultures worker who are using tractors and machines. To characterize noise exposure profile among agricultures workers at Seksyen Kejuruteraan Ladang, Taman Pertanian Universiti,Universiti Putra Malaysia. To evaluate safety practices among workers. Significant of study The purpose of this study is to determine and observe if the noise from heavy machine, agriculture machine, industry machine and agricultures tools that are related to noise can contribute to the incidence of hearing loss. CHAPTER 2 LITERATURE REVIEW Noise Noise is a word often used to mean unpleasant sound that the listener does not want to hear, although there are no physical characteristics distinguishing noise from wanted sound (Plog et. al., 2002). Noise means unpleasant sound that give a disturbing and an annoying effect to the listener. Noise pollution is any unwanted, disturbing, or harmful sound that impairs or interferes with hearing, causes stress, hampers concentration and work efficiency, or causes accident). Noise can block, distort, change or interfere with the meaning of a message in both human and electronic communication (Wikipedia, 2009). Noise environments of the type and severity associated with combustion engines and other noises arising from mechanisms or animals may have the following principle effects on the person exposed. The noise may be annoying to varying degrees, from being just objectionable to being unbearable. The performance may be affected due to a lowering of concentration, fatigue caused by longer exposed, rhythm disturbance, interference with sound cues associated with the work or interference with worker-to-worker communication in a team. Damage to hearing noise may be caused by noise; the character and to a lesser extent, the mechanism of this damage is now being understood. Both temporary and permanent components of hearing threshold shift are possible (Matthews, 1968). Noise is unwanted electrical or electromagnetic energy that degrades the quality of signals and data. Noise occurs in digital and analog systems, and can affect files and communications of all types, including text, programs, images, audio, and telemetry. In a hard-wired circuit such as a telephone-line-based Internet hookup, external noise is picked up from appliances in the vicinity, from electrical transformers, from the atmosphere, and even from outer space. Normally this noise is of little or no consequence. However, during severe thunderstorms, or in locations were many electrical appliances are in use, external noise can affect communications. In an Internet hookup it slows down the data transfer rate, because the system must adjust its speed to match conditions on the line. In a voice telephone conversation, noise rarely sounds like anything other than a faint hissing or rushing. Noise is a more significant problem in wireless systems than in hard-wired systems. In general, noise originating from outside the system is inversely proportional to the frequency, and directly proportional to the wavelength. At a low frequency such as 300 kHz, atmospheric and electrical noise are much more severe than at a high frequency like 300 megahertz. Noise generated inside wireless receivers, known as internal noise, is less dependent on frequency. Engineers are more concerned about internal noise at high frequencies than at low frequencies, because the less external noise there is, the more significant the internal noise becomes. Communications engineers are constantly striving to develop better ways to deal with noise. The traditional method has been to minimize the signal bandwidth to the greatest possible extent. The less spectrum space a signal occupies, the less noise is passed through the receiving circuitry. However, reducing the bandwidth limits the maximum speed of the data that can be delivered. Another, more recently developed scheme for minimizing the effects of noise is called digital signal processing (digital signal processing). Using fiber optics, a technology far less susceptible to noise, is another approach (Techtarget, 2010). Noise Pollution generally refers to unwanted sound produced by human activities unwanted in that it interferes with communication, work, rest, recreation, or sleep. Unlike other forms of pollution, such as air, water, and hazardous materials, noise does not remain long in the environment. However, while its effects are immediate in terms of annoyance, they are cumulative in terms of temporary or permanent hearing loss. Society has attempted to regulate noise since the early days of the Romans, who by decree prohibited the movement of chariots in the streets at night. In the United States, communities since colonial days have enacted ordinances against excessive noise, primarily in response to complaints from residents. It was not until the late 1960s, however, that the federal government officially recognized noise as a pollutant and began to support noise research and regulation. Federal laws against noise pollution included the National Environmental Policy Act of 1969, especially sections concerning environmental impact statements; the Noise Pollution and Abatement Act of 1970; and the Noise Control Act of 1972, which appointed the Environmental Protection Agency (EPA) to coordinate federal research and activities in noise control. Charged with developing federal noise-emission standards, identifying major sources of noise, and determining appropriate noise levels that would not infringe on public health and welfare, the EPA produced its so-called Levels Document, now the standard reference in the field of environmental noise assessment. In the document, the EPA established an equivalent sound level (Leq) and a day–night equivalent level (Ldn) as measures and descriptors for noise exposure. Soon thereafter, most federal agencies adopted either the Leq, Ldn, or both, including levels compatible with different land uses. The Federal Aviation Administration (FAA) uses Ldn as the noise descriptor in assessing land-use compatibility with various levels of aircraft noise. In 1978 the research findings of Theodore J. Schultz provided support for Ldn as the descriptor for environmental noise. Analyzing social surveys, Schultz found a correlation between Ldn and people who were highly annoyed by noise in their ne ighborhoods. The Schultz curve, expressing this correlation, became a basis for noise standards. As part of its effort to identify major noise sources in the United States, the EPA set about determining the degree to which noise standards could contribute to noise reduction. During the 1970s, EPA-sponsored research on major noise sources led to regulation of the products that most affected the public, including medium and heavy trucks, portable air compressors, garbage trucks, buses, and motorcycles. Missing from the list was aircraft, which was considered the responsibility of the FAA. During the administration of President Ronald Reagan in the 1980s, the power of the EPA and its Office of Noise Abatement and Control was curtailed and most of its noise regulations rescinded. Even so, efforts continued to curb noise pollution. The Department of Transportation maintains standards for highways, mass transit, and railroads, as well as aircraft. The environmental review process, mandated by the National Environmental Policy Act of 1969, remains the single most effective deterrent to noise pollution (Answer, 2010). Noise exposure Noise is one of the most important environment factors, which affects the workers health and efficiency. Noise can increase the overall workload of operators during a specific task and can affect the performance. As the result, noise affects workers health directly and indirectly (Parsons, 2000). Exposure to intense noise has been shown to damage the human hearing process and noise has been labeled as the most pervasive hazardous agent in the workplace (Milz et al., 2008). Among these effects are weariness, backhoe, nervousness, nausea, careless, etc (TÃ ¶r, 1989; Anonymous, 2002; Ekerbicer and Saltik, 2008). According to McBride et. al (2003), it is known that people working in agricultural facilities are exposed to some noise sources, but the risk appeared in the people who have been exposed to noise for many years have not been fully characterized yet. The reduction in the hearing loss does not decrease below 1000Hz (Akyildiz, 2000). It was showed that noise induced hearing loss increase up to 7dB in the first 10 years at 1000 Hz and 100 dB (A), and then gradually increases to 12 dB losses for exposure time of 40 years. The hearing loss is about 30 dB for first ten years exposure at 4000 Hz and 100 dB (A). It is clear that at 100 dB (A), the ear is much more sensitive to 4000 Hz compared to 1000 Hz. Maximum sound pressure level for 8 h/day exposure is accepted to be 85 dB at frequencies higher than 1000 Hz. At levels lower than this value, the risk of noise becomes the least (Grandjean, 1988). Lonsbury and Martin (2004) states that the beginning region of impairment involves the sensitive mid-frequency range, primarily of impairment involves the sensitive mid-frequency range, primarily between 3 and 6 kHz, and the corresponding impairment is classically described as the 4-kHZ notch. This particular pattern of appears regardless of the noise exposure environment. Sumer et al. (2006) explains that, there is a tendency of reducing daily noise exposure to below 90 dBA for an 8-h shift, and hence exposure level of 85 dBA is informally acknowledged to be the informal threshold sound pressure level. Therefore it is crucial to keep sound pressure levels within safety limits to avoid health related disturbances and work related inefficiencies. Sanders and McCormick (1992) explained that the ear is more sensitive to noise at frequencies over 2000 Hz and the sensitivity increase with age. Miyakita and Ueda (1997) wanted to determine the number of persons exposed to loss of hearing at levels above 40 dB at a frequency of 4 Hz; and as a result, estimated that 360,000 people working in agricultural facilities in Japan impaired their hearing abilities. This feature makes the agriculture their second biggest sector after the construction sector, which causes the loss of hearing abilities. Hearing loss from noise exposure Exposure to occupational noise has been linked to variety of physical effects such as work absenteeism and stress. The most profound effect of prolonged exposure to noise is the noise induced hearing loss (NIHL). NIHL is an irreversible sensory-neural hearing impairment caused by prolonged exposure to noise. NIHL causes communication interference that can substantially affect social integration and the quality of life. The development of NIHL depends on exposure time, intensity, frequency, type of noise, and the use of personal protective equipment (Ismail et al, unpublished). Noise-induced hearing loss (NIHL) is a well and long recognized occupational hazard but methods of influencing attitudes towards noise hazard and prevention of hearing loss as a result a poor (World Health Organization, 1997). Although the effects of noise on hearing are not precisely defined and uncertainties remain, there is sufficient information to permit development of predictive indices of the hazardous effects of noise on human hearing sensitivity. The effects of noise on hearing may be divided into three categories which are acoustic trauma, noise-induced temporary threshold shift (NITTS) and noise-induced permanent threshold shift (NIPTS). Acoustic Trauma (immediate organic damage to the ear from excessive sound energy) is restricted to the effects of a single exposure or relatively few exposures at high sound levels. Extremely intense sound reaching the structures in the inner ear may exceed the physiologic limits of those structures producing a complete breakdown and disruption of the organ of Corti. Some degree of permanent hearing loss usually results from acoustic trauma. The precipitating episode is frequently dramatic so the person involved has no difficulty in specifying the onset of the resulting hearing problem. Noise-Induced Temporary Threshold Shift (NITTS) results in an elevation of hearing levels such as loss of hearing sensitivity, following shift the hearing loss is reversible. In Noise-induced Permanent Threshold Shift (NIPTS) the hearing loss is nonreversible; it remains throughout the lifetime of the affected person. There is no possibility of further recovery. Permanent threshold shift may result from acoustic trauma or may be produced by the cumulative effect of repeated noise exposure over periods of many years. The majority of those persons experiencing permanent hearing losses from noise sustain such losses from long periods of repeated noise exposure. Hearing ability decreases as age progresses. Age has been identified as one of the individual risk factors for sensory neural hearing loss (SNHL) among forest workers who handled chainsaws. Hearing loss induced among elderly miners in Romania was more pronounced compared to younger miners. The mean hearing threshold level (HTL) for the 40- 46 age group workers produced a decrease in HTL at frequencies 4, 6 and 8 kHz. Age is positively associated to hearing loss among metal processing factory workers in Brazil, with prevalence ratio of 4.02 for workers older than 40 years old (Ismail et. al, unpublished). Animals studies have shown that these chemicals interact synergistically with noise or potentiate its effect on auditory system. Workers exposed to chemicals have significantly poorer pure-tone thresholds compare to those not expose (Morata et al., 2003). Lonsbury and Martin (2004) gave audiogram results that show audiometric patterns of hearing levels from patients in beginning stages of noise induced hearing loss and examples were given for males and females exposed to noise in different environments including industrial noise. Hearing loss was not observed at frequencies below 1000 Hz and was sharpest above 2000 Hz for a male industrial worker. Patients working in different sectors showed that the hearing loss might not be observed below 2000 Hz in different work environments while others might experience hearing loss at about 1000 Hz. The sensitivity is also affected by gender and the number of years worked in a particular environment. Occupational health hazard of noise In Malaysia, noise exposure in the workplace is legislated under the Factories and Machinery Act (Noise Exposure) Regulation 1989, and the Occupational and Safety and Health Act 1994. These regulations make mandatory for noise levels and workers exposure to noise to be measured, assessed and controlled (Leong, 2005). International Labor Organization (ILO) accepts 85 dBA as warning limit and 90 dBA as danger limit for continuous work for 8 h. A-weighted equivalent sound pressure level of 85 dBA results in temporary hearing losses and 90 dBA increases the blood pressure, accelerates the pulse and breathing, decreases brain liquid pressure, causes tension in muscles, and withdrawal of blood in the skin (Sabanci and Uz, 1984). Lonsbury and Martin (2004) gave audiogram results that show audiometric patterns of hearing levels from patients in beginning stages of noise induced hearing loss and examples were given for males and females exposed to noise in different environment including industrial noise. Hearing loss was not observed at frequencies below 1000 Hz and was the sharpest above 2000 Hz for male industrial worker. Patients working in different sectors showed that the hearing loss might not be observed below 2000 Hz in different work environments while others might experience hearing loss at about 1000 Hz. The sensitivity is also affected by gender and the number of years worked in a particular environment. According to Dewangan et al. (2005), the exposure to noise may have both immediate and long-term effects on hearing of the tractor drivers and other farm workers. High noise levels can cause headaches; dizziness; nervousness and stress; sleeping problems; and loss of concentration. Noise can also increase human error, contributing to accidents by masking audible alarms, verbal messages, etc.; harder to process complex information for difficult task; and harder to monitor and interpret unusual events, by narrowing the span of attention. Although this kind of the damage is quite difficult to measure, it is always present and can manifest: in the gastro enteric tract with an increase in acid secretion; in the nervous system with states of fatigue and depressions; in the psyche, with insomnia and headaches (Febo et al., 1983). Jansen (2003) observed that sounds in the range or 70-90 dB cause tiny blood vessels in the toes, fingers, skin and abdominal organs to contract. This narrowing of small blood vessels can reduce blood flow to affected body parts by as much as one-half. Studies have indicated that workers exposed to high levels of industrial noise for 5-30 years have increased blood pressure and statistically significant increases in risk for hypertension, compared to workers in control areas (Passchier and Vermeer, 1993). Sensor neural hearing loss has been common complaint among farmers seen by rural otolaryngologist (Gregg, 1972). Farmers to be among the most hearing impaired workers and most expect to experience significant hearing loss by age 50 (Mahon, 1988). Occupational noise limit In the light of scientific data which shows the negative effects of noise on human health, new legal regulations were made in order to eliminate these effects. One of these regulations is Noise Control Regulation. In this regulation, it is stated that beside the intensity of the noise, the exposure duration in noisy medium can be effective on human health. Therefore it is emphasized that working hours should be determined according to sound pressure level (Aybek et al., 2007). Duration of exposure is also a consideration as well as the frequency content and A-weighting curve is used in practical applications denoted by dB(A) and 85-90 dB(A) have been proposed to be limiting values for 8 hours exposures (Parson, 2000). The effect is more profound to certain frequencies of noise (Parson, 2000). The farmers worked on average 14 hours a day and their exposure was 86 decibels on A-weighted scale (dB (A)) as an 8-hour time-weighted average (8HR TWA). Except for breakfast and lunch breaks, the farmers had nearly continuous noise exposure that exceeded the Occupational Safety and Health Administration (OSHA) action level of 85 dB (A) (Milz et al., 2008). Legislation, effective since June, 1976, limits the maximum noise level at the driver to 90 dB (A) for all tractors sold in UK (Talamo, 1979). In Malaysia, to protect the workers from excessive exposure to noise, the hearing conservation program was introduced under the Factories and Machinery (Noise Exposure) Regulation 1989. Under this regulations, workers are protected from excessive noise exposure and reducing the risk of NIHL. According to the Factories and Machinery (Noise Exposure) Regulation 1989, for the permissible exposure limit, the employee shall not be exposed to noise level exceeding equivalent continuous A-weighted sound pressure level of 90 dB(A) or exceeding the limits specified in the First Schedule or exceeding daily dose of unity. No employee shall be exposed to noise level exceeding 115 dB (A) at anytime. The 85 dB (A) is adopted as a criterion for action (action level). When the action level is reached or exceeded, it necessitates (NIOSH, 2006). According to the U.S. National Institute of Occupational Safety and Health, the recommended exposure limit (REL) for occupational noise exposure is 85 dB (A) time weighted average (TWA). Exposures at or above this level are considered as hazardous. They differed from the U.S. Occupational Safety and Health Act (OSHA) which uses 90 dB (A) TWA. The rationale is to offer greater protection to noise-exposed workers, citing research that indicates an 8% excess risk of hearing loss at the 85 dB (A) TWA limit as opposed to 25% at 90 dB(A). The TWA is the averaging of different exposure levels during an exposure period. The REL for an 8-hr work shift is a TWA of 85 dB (A) using a 3-decibel (dB) exchange rate. The Malaysian Noise Exposure Regulation 1989 adopted a 5 dB exchange rate (OSHA, 2006). In the last 10 years, a considerable number of laws and rules regarding the control of noise in the working environment, also involving the agricultural sector, have come into force. The main purpose of the individual laws and rules were different, but all emphasized the hazard of noise for workers, and consequently the need to control and, if necessary, to reduce the relevant levels. In the European Union, and specifically in Italy, some of them held an important role. For agricultural machinery, the EN 1553 represents a particular reference, while specially for tractors, the EC 74/150 (environmental noise) and EC 77/311 (drivers ear noise) Directives were issued in the 1970s (Domenico and Matteo, 2000). Tractors and machines Agricultural and forestry tractors operate both as vehicles and as engines which provide power on the farm and in the forest. With respect to the noise which they emit, it is generally accepted that use as vehicles has the greater impact on the population at large. Hence the type of the test used to asses noise emission is equivalent to that used for other road vehicles, in which sound pressure level at a bystander position is measured under specified drive-past conditions, as opposed to the measurement of sound power, which is used for lawn-mowers and various items in construction equipment (Stayner, 1988). Parallel to the development in technology, the use of machines in mechanization processes of agricultural production has brought about the factors such as noise, vibration, gas , etc. which affect the working environment of users and inspectors of those machines (Aybek et al., 2007). In order to increase the work success of the machines and to provide the users with safety and comfort these machines must be designed with respect to the human characteristics (Lijedahl et al., 1996). The machines used in agricultural operations such as tractors, combines, shellers, elevators, driers, etc. exposed noise of high level. More hearing loss is encountered among people who work in agricultural facilities than other jobs (Baker, 2002). The mechanization of agriculture; including the use of the internal combustion engine, greatly increased the noise exposure of the US farm population (Matthew, 1968). Equipment manufactured prior to the institution of noise reduction features is often still in use on US farms, as demonstrates by the New York Farm Family Health and hazard Surveillance Program (Beckett et al., 2000). The majority of noise exposure seemed to come from mechanical equipment (Dennis et al., 1995). The mechanization of agriculture, and in particular the large-scale employment of the internal combustion engine, has led to a serious increase during the last few decades of farm workers to noise. For the most damaging environment, noise measurements were made on tractors (Matthews, 1968). Noise isolating enclosure for tractor drivers have the same conflicting performance requirements as hearing defenders in that they are required to exclude harmful noise and yet allow the passage of important information. The tractors drivers and his counterpart in industry may depend on acoustical signals for warnings of danger and for maneuvering instructions when he is working to close limits or when hitching implements to the three point linkage. Other external sounds may be important for example, the tone generated by a component such as a fan may be the most important source of feedback to the driver of machine performance. A change in noise produced also vital where it is associated with the operation of a safety device such as an overload clutch or with the failure of the component. Many tractors in use on farms, however, have a much higher noise level and since tractors have a long life it will be many years before they are phased out (Talamo, 1979). The management of very old tractors is uneconomical. They may be dangerous on the roads, unsafe for the driver and for other vehicles, mainly due to deterioration in performance. Very often the operators are exposed to unfavorable climatic and working conditions (noise, vibrations, etc.), and they are therefore subject to a higher level of stress and to a higher risk of accident or occupational disease. Despite the limit of technical obsolescence of agricultural tractors being commonly fixed at 10 yr (corresponding to an optimum of 1000 working hours per year) a large number of older machines are still in use in Italy. Repair and maintenance operations are frequently neglected on these vehicles, because the farmer does not consider the relevant cost appropriate (Domenico and Matteo, 2000). Hearing protectors In many noise environments it is not practical, economical, or feasible to reduce noise levels at the ear of a listener to within acceptable limits using engineering controls. In these situations, an acceptable noise level may be achieved with the use of personal either single or in combination. The widespread attention given to noise as a pollutant has stimulated the use of hearing protectors in industry as well as around the home and in recreational and in sports activities. This chapter describes the types of ear protectors, characteristics of ear protectors which influence their effectiveness and acceptance, other practical considerations for users of ear protectors, and estimations of the hearing protection which provide. Various types of ear protectors likes earplugs, earmuffs, ear cups on hardhat, ear cups on welding mask, communication headsets and helmets. Although an ear protector can reduce effectively the ambient sound at the ear of the wearer, factors other than hearing protection may actually determine its suitability and acceptability (Nixon, 1979). According to Domenico and Matteo (2000), the function of a hearing protection device (HPD) is to cover or to fill the ears so that the noise reaching the ear drum is attenuated. It is important to emphasize that the HPDs should not be the sole or primary means by which the worker noise exposures are reduced. HPDs should be used only when engineering controls and work practices are not feasible for reducing noise exposures. This seems to be the typical situation for very old and worn tractors. Nevertheless, the degree of attenuation that a HPD provides is dependent on the technical characteristics of the HPD and generally on a range of other factors, such as the wearing time, the motivation and training of the worker. The use of HPDs has been practiced since the 1950s; the first standards to measure their attenuation were issued about 40 years ago. All of them are finalized to obtain an index, in order to define the attenuation of the HPD: noise reduction rating (NRR) and single numbe r rating (SNR) are those more frequently considered. Wearing time is also an important parameter since it can decrease the effective protection provided by a HPD. For example, if a HPD with an NRR of 20 dB is not worn for as little as 30 min in an 8 h work shift, its effective NRR is reduced by 5 dB (Berger, 1980). It is in fact taken into account that wearers may be prone to remove and replace some HPDs more than others, depending on various factors such as comfort, ease of donning and removal, and the interference of the protector with the auditory communications. Many types of H