Mid-Term Exam Essay Example | Topics and Well Written Essays - 1250 words - 1

Mid-Term Exam - Essay Example On the other hand, there are data that lead to the assumption that race can be a decisive criterion for the criminal behaviour against juveniles. The views of the theory do not seem to agree totally on such an aspect, however it would be rather difficult to formulate a precise assumption since the identification of the exact reasons of a specific criminal behaviour can just assumed (as already explained above). A series of issues like the personal experiences and the stress can severely affect human behaviour and in these terms the criminal behaviour against juveniles could not be considered as having a particular cause. However, the weakness of juveniles to respond to the attack (psychological or physical) is regarded as a common reason for the development of criminal behaviour against them. In the case of suicide, it is also this weakness of juveniles to respond to the pressure of a particular difficulty. The statistics involving in the criminal behaviour against juveniles are indicative of the extension of the problem. More specifically, in accordance with a series of statistics published by the Youth Violence Research Bulletin (2004) ‘between 1981 and 1998, 20,775 juveniles ages 7–17 committed suicide in the United States—nearly as many as were homicide or cancer victims; males were the victims in 78% of these juvenile suicides; over the same period, the suicide rate for American Indian juveniles was far higher than for any other race’. It seems from the above figures that there is a relation between suicide and race. Conditions of living or work can be considered as potential reasons for the above differentiation. Towards the same direction, in a research made by the Center for Disease Control and Prevention it has been found that ‘a white juvenile between ages 7 and 17 was nearly 1.5 times more likely to commit

Language Death Essay Example | Topics and Well Written Essays - 2000 words

Language Death - Essay Example The endangered languages badly need to be protected from being eroded and should be treated as a living heritage. In the globalized world of today, the endangerment of languages has presented them as anthropomorphic organisms, with lives independent of their speakers. Throughout the world; the emergence of regional and international economic networks have, blurred the national boundaries. The highly industrialized countries have exercised their economic monopoly and have thus, led certain world languages to compete as imperial or hegemonic while jeopardizing many others. Languages are capable of negotiating their coexistence on their own terms and it seems quite surprising at times that languages; which are reliably passed down through generations; still become extinct. Languages are parasitic species whose vitality depends on the communicative behaviors of their speakers, who in turn respond adaptively to changes in their socio-economic ecologies (Mufwene, 2002). These adaptations have resulted in language shifts, endangerment and destruction and it's not at all surprising when we come across or read about killer languages. The death of a language occurs when it's speakers decrease in number and gradually diminish, an is taken over by a killer or a leading language. A language killer is a dominant language which is learned at the cost of the mother tongue rather than in addition to it. Though the essential characteristic of a killer language in not to eradicate a language, but most major languages can be identified as killers and this process is sometimes called linguistic cannibalism, glottophagy or language cannibalism (Tove, 2000). English today is considered to be the primary killer language of the world as compared to other popular languages like Chinese, Russian and French, etc. and sign; or other less powerful smaller cultural languages. When the speakers of a language shift to another language, their native language is neglected and the new language takes over. When a language dies, it does not just disappear naturally, but the speakers leave them voluntarily either for their own good reasons o r for instrumental purposes. Globalization and Language Extinction The death of languages has usually been summoned by power as an important factor, which favored the language of the powerful over the less powerful nations and populations. During the past four centuries, this has been made more obvious by the European Colonization of the world, at least until the independence of the Asian countries and Africa, in the mid twentieth century. The economic relations of countries less industrialized, with their former colonial rulers, have been subject to the terms and language of their former rulers for economic exchange. The European languages have not only endangered the other languages but have been depicted as killer languages, about to replace all other languages (Crystal, 2000). In addition to this, a language is also endangered because it plays a vital role in the cost and benefit consideration; where the speakers need a particular language for socio-economic ecology. The survival of a language in the globalized economy can result in the giving up of a language for survival. A language can thus be doomed and eventually become extinct for the socio-economic benefits. For example, many African languages have recently lost not to political

Nursing in the Community Essay Example for Free

Nursing in the Community Essay In this assignment the topics discussed is a nursing problem related to a medical diagnosis taking from an example of a patient dealt with while the nursing student was out on clinical placement. For this assignment the patient has a diagnosis of Type 1 Diabetes Mellitus. Kevin Brophy (pseudonym) is a 9 year old boy that had come into the Paediatric Unit. He is of the Roman Catholic religion. He lives with only his mother and she is educated about his disease of Diabetes. His mother’s sister is a nurse also and knew how to manage his Diabetes and looked after him if his mother was busy. The multidisciplinary team have been treating him for the condition for 4 years. He gets hospitalized often to regulate his blood sugar levels and monitor his insulin intake. The nursing problem associated with his diagnosis is related to his diet and nutritional status and being able to monitor these with caution and ease. The nurse had a form for filling out what had he eaten that day and what time this had happened at in the ‘end of bed’ chart which was with his other documentation such as his vital signs and also the fluid balance intake and output chat. There was also a section in this form for documenting what level his blood sugars were and was directed to take record of them after every meal. The nurse then had an idea  of what sort of food he was eating and also a report of his blood sugars which were monitored closely throughout the day. The nurses primary responsibility was to ensure this boy was eating correctly and following the dietary guidelines of a Diabetic patient. The model of assessment/care used to treat Kevin was devised from Roper, Logan and Tierney (1980). The Roper, Logan and Tierney’s’ activity of living (AL) model of nursing consists of twelve activities of living. According to Aggleton Chalmers (2000 P46), â€Å"Each AL specifies a relatively distinct type of human behaviour related to meeting a particular need.† Information was obtained from a booklet containing facts and advice on Diabetes and Healthy Eating from the Department of Health and Dietetics in Waterford Regional Hospital. This has described diabetes as a condition where the body is unable to control the amount of glucose i.e. sugar in the blood. Everyone’s blood has some glucose in it because your body needs glucose for energy. Normally your body breaks food down into glucose and sends it to the bloodstream. Insulin, a hormone made by the pancreas, helps to get the glucose from the bloodstream into the cells to be used for energy. In people with Type 2 Diabetes, the pancreas is not making enough insulin or is unable to use the insulin properly, or both. In people with Type 1 Diabetes, the pancreas is unable to make insulin full stop. Without insulin in the body, the blood glucose rises (Department of Nutrition and Dietetics, Waterford Regional Hospital 2006). To manage diabetes in paediatrics is primarily challenging and m uch more complicated than dealing with the diagnosis in adults with Diabetes (DH Diabetes Policy Team 2007, Christie et al 2009). Nurses have to educate and facilitate the self management of Diabetes and also introduce skills to gain the best possible control over the patient’s blood sugars i.e. glycaemic control. If these skills are not executed properly then diseases such as micro-vascular e.g. nephropathy or retinopathy or cardiovascular diseases (macro-vascular), which decreases the quality of life and a reduced life span (The Diabetes Control and Complications Study Group,1994). The nurses and patients responsibility is to monitor and control the intake of food and also be educated on what can have a negative or positive effect on the body. This is a major nursing problem associated with the Diabetic patient and  intervention by the nurse is necessary throughout. In doing so, the nurse must follow the Nursing Process in relation to their diet. Assessment Patients diagnosed with type 1 Diabetes are assessed for signs of Diabetic Ketoacidosis, including ketonuria, Kussmaul respirations, orthostatic hypotension, and lethargy. The patient is asked about symptoms of DKA, such as nausea, vomiting, and abdominal pain. Laboratory results are monitored for metabolic acidosis (i.e. decreased pH and decreased bicarbonate level) and for electrolyte imbalance. If the patient exhibits signs and symptoms of DKA, the nursing care first focuses on treatment of these acute complications, as outlined earlier. Once these complications are resolving, nursing care then focuses on long-term management of diabetes. The patients emotional status is assessed by observing his or her general demeanour (e.g., withdrawn, anxious) and body language (e.g., avoids eye contact). The patient is asked about major concerns and fears about diabetes; this allows the nurse to assess for any misconceptions or misinformation regarding diabetes. The nurse is also assessing th e vital signs of the patient such as temperature, respiration, blood pressure etc. and develops a baseline of these results. In this case the patients normal vital signs were as follows : Temperature- 36.4ââ€" ¦, Blood Pressure- 114/70, Respiration rate- 18 breaths per minute. Nursing Diagnosis Based on the assessment data, the main diagnoses the nurse must adhere to are as following: Risk for fluid volume deficit in relation to polyuria and dehydration, imbalanced nutrition related to imbalance of insulin, food, and physical activity. The main ones that are focussed on in this essay are the imbalance of insulin and the patient’s diet. Planning The major goals for the patient may include maintenance of fluid and electrolyte balance, optimal control of blood glucose levels. The nurse would plan suitable charts and regimes for the patient to follow. Intake and  output are measured. IV fluids and electrolytes are administered as prescribed, and oral fluid intake is encouraged when it is permitted. Vital signs are monitored hourly for signs of dehydration (tachycardia, orthostatic hypotension) along with assessment of breath sounds, level of consciousness, presence of oedema, and cardiac status. If the patient agrees with the diet plan and increases his fruit and vegetable intake this can highly optimise nutritional health, promote a healthy image and reduce the chances of obesity (Lock et al., 2005). In Diabetes, diet is a chief obstacle in the control of the condition (Watson et. al 1997). The patient’s goals in agreeing with a healthy diet for their Diabetes are as follows: 1) To regulate and sustain lipid levels an d blood glucose back to their normal state. 2) To avoid fluctuations in their blood glucose levels during the day. 3) To manage and control a desirable body weight. 4) To prevent or hinder the growth or advancement of renal, neurological or cardiovascular difficulties (Watson et. al 1997). The nurse should introduce a dietary plan for the patient with the Diabetes. This controls the amount of calories that are needed for each day and the magnitude of these calories to be assigned to carbohydrate, protein and lipids. This is determined by a person’s age, weight, gender, activity and their dietary intake before they discovered the disease. In general, the amount of targeted calories allocated to each food type is in the region of 50-60% carbohydrate, 10-15% protein and under 30% of fat (Rees and Williams,1995). In the diet, the concentrated sugars should be strictly limited e.g. sweets, jam, cake, and should only represent a minute part of a meal to prevent rapid increase in the blood sugar levels. The unrefined carbohydrates such as whole-meal bread, fruit and vegetables, and also fibre-rich f oods, should be consumed as an alternative to the refined carbohydrates as mentioned before. Implementation Meal planning is put into practice, with the control of glucose as the primary goal. The nurse must consider factors before beginning to intervene such as the patients lifestyle, cultural background, activity level, and their food preferences. A suitable caloric intake allows the patient to achieve and maintain the desired body weight. The nurse would encourage the  patient to eat complete and wholesome meals including snacks that have been prescribed in the diet that the team has devised for Kevin. The nurse needs to take into consideration of the fluid intake and keeps records of IV and other fluid intake, also record urine output measurements. Hypoglycaemia is the most dreaded acute difficulty in the disease of Diabetes, and can be a major factor in the hindering of the metabolic control in the body. Night-time hypoglycaemia states, more common in the paediatric side of Diabetes, places an immense worry for the child themselves but also the parents, as it more likely to go unnot iced and care for (Nordfeldt S, Ludvigsson J 2005). Hypoglycaemia may occur if the patient skips or delays meals, does not follow the prescribed meal plan, or greatly increases the amount of exercise without modifying food intake and insulin. In addition, hospitalized patients or outpatients who fast in preparation for diagnostic testing are at risk for hypoglycaemia. Juice, milk, or glucose tablets are used for treatment of hypoglycaemia. The patient is encouraged to eat full meals and snacks as prescribed in the meal plan. If hypoglycaemia is a recurring problem, the whole dietary plan must be looked over and improved if needed. The risk of hypoglycaemia with rigorous insulin routines, it is of the utmost importance for the nurse to review with the patient the signs and symptoms, possible causes, and measures for prevention and treatment of hypoglycaemia. The nurse should emphasise to the patient and family the importance of having information on diabetes at home for reference. Evaluation After putting this plan into practice, the nurse found that it helped in the treatment and care of Kevin Brophy in managing and controlling his Diabetes. After following the Roper Logan and Tierney model of Nursing it helped understand his Activities of Daily Living and how the patient could work his new dietary plan into these ADL’s and control his blood glucose to prevent hypoglycaemia. Kevin will also be able to be knowledgeable of and carry out duties in a way to control his diabetes mellitus and also maintain adequate fluid volume in the body. He will be able to monitor his blood glucose periodically throughout the day, administer his own insulin, increase his own fluid balance and monitor his urine output. He should demonstrate a participation in activities that include having a proper diet, exercise and  lifestyle (Palandri, M.K. 1993). He also should be wary of and identify community, outpatient resources for obtaining further diabetes education. Conclusion To conclude, Kevin will need continuous assessment and advice on managing and controlling his Diabetes diagnosis. He will need support from his mother and also help from the multidisciplinary team that works with him and his mother in the hospital. In following the Roper Logan and Tierney model he will then be able to manage his ADL’s better and be more understanding with the condition of Diabetes. He will be able to control his dietary intake and follow a routine throughout life to deal with his diagnosis. References Aggleton, P., Chalmers, H. (2000)Nursing Models and Nursing Practice. (2nd edn). London: Macmillan. Lock, K., Pomerleau, J., Causer, L., Altmann, D.R. McKee, M. (2005) The global burden of disease attributable to low consumption of fruit and vegetables. Bull. World. Health. Organ. 83, 100–8. Nordfeldt S, Ludvigsson J. Fear and other disturbances of severe Hypoglycaemia in Children and Adolescents with Type 1 Diabetes. J. Pediatr. Endocrinol. Metab. 2005; 18: 83–91. Palandri, M.K. and Sorrentino, C.R. (1993). Black and Matassarin – Jacobs, Pocket Companion for Luckmann and Sorensen’s Medical Surgical Nursing: A Psychophysiologic Approach. 4th Edition. W.B. Saunders. The Diabetes Control and complications Study Group (1994) Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: Diabetes Control and Complications Trial Research Group. J. Pediatr. 125, 177–188. Waterford Regional Hospital (2006) Department of Nutrition and Dietetics Watson et. al (1997) Clinical Nursing and Related Sciences 5th edn. Bailliere Tindall, 24-28 Oval Road, London NW1 7DX. Patricia Power Sorcha Dineen Miriam Cass 20053881 Patricia Chesser Smyth Nursing in the Community Module Leaders

Creating Tourism Uniqueness To Hua Hin Tourism Essay

Creating Tourism Uniqueness To Hua Hin Tourism Essay Assignment Details: how a specific destination can conduct market research to develop a new brand for itself. Consideration the subjects of market segmentation and product differentiation strategies. Based on your discussion, you can provide suggestions about what this destination business should do in order to develop a product. Please use proper referencing. Following questions should be answered: Give a short account of the history of the destination. State its mission, vision and major goals. Analyze challenges and developments in relation to its marketing. Situation Analysis Competitive analysis Customer analysis SWOT analysis Destinations marketing strategies. Recommendations for this destination to pursue in the future. History of Hua Hin Hua Hin is one of the most well-known tourist destinations for decades, and currently, the island has been transformed to a major tourism hub with the well-prepared infrastructure and services to accommodate millions of tourists around the world every year. Hua Hin now can provide highest standards of wellness care, blended with Thai hospitality. The ingredient of world-class wellness service with the charming warm hospitality makes Hua Hin the favorable health wellness destination of the world. There is more to Hua Hin than its white sandy beaches, fantastic bargain shopping, water and land sport activities and entertainment. Furthermore, Thailand is one of leading tourism destinations for decades. Many cities have been transformed to a major tourism hub with well-prepared infrastructure and service to accommodate tourists around the world every year. With the number of tourists has been increasing every year, tourism related infrastructures have been developed. One of the infrastructures we really put our effort to medical infrastructure, originally to ensure all of the tourists for any emergency health incidents during their holidays. Thailand is leading Asia as a medical tourism destination. Major reasons that enabled Thailand to dominate this growing market are the low cost of medical treatments, the quality of treatments provided by hospitals and private clinics, and the highly developed tourism industry. As the population in the potential tourists searching for better life continues to grow, the demand for health and wellness trips tend to increase. Health and wellness tourism represents the recent trend to converge two of the worlds largest industries, healthcare and tourism. Hua Hin has been acknowledged as the healthiest city in Thailand. The combination of health tourism hub is between beautiful and natural tourism destination, with the international standard of healthcare perspectives. It has no doubt on the beauty of Phuket Island, together with various supporting factors; pristine beaches, delicious Thai seafood, varieties of entertainment, fun shopping and tropical luxurious spa. Those combinations have made Phuket to the outstanding tourism destination in world map. Location Hua Hin is a coastal town in Prachuab Kirikhan Province, 200 kilometers south of Bangkok. It can easily be reached by car. Hua Hin has an airport which links the seaside resort by daily flights to Bangkok, Phuket and Samui. Regular buses leave Bangkoks Southern Bus Terminal for Hua Hin and Prachuap Khiri Khan many times daily. Trains leave Bangkok Central Railway Station for Hua Hin 12 times daily. Climate Hua Hin is located in the hot zone, but refreshed by a cooling sea breeze. The average temperature is 24C to 32C. It has one of the lowest rainfalls of any beach area in Thailand. Therefore, tourists can visit the town all year round. Due to the excellent weather and climate, there are a large number of the retire staying permanently there. One of facilities plays important roles to non-residents and local people is the medical and health services. Vision Hua Hin is a world source of health tourism. It will be broadly recognized as a magic place to healing and become the destination of choice for visitors whose primary intention is to enjoy health and wellness experiences. Its products and services will be delivered with a world class standard to fulfill customer needs. Mission Statement Hua hin welcomes all local and international visitors with top class of health and wellness facilities which are rare to find elsewhere. Unique identity of historical city together with natural resource and splendid long beach are attractive and draw health seekers from around the world and known as the best of destination for wellness. Objectives To create tourism uniqueness to Hua hin. Strengthen Hua hin reputation in term of wellness and health destination. Increase standard of hotel and resort in Hua hin to average of 4 stars in 5 years of implementation. Create commitment of city owner to local people and educate the sustainable benefit of following destination strategic marketing. Situation Analysis Market analysis Growth rates within the health and wellness tourism market are significance. Based on research, the global market size of health and wellness tourism is estimated at 5 million trips annually. As the population in the potential tourists searching for better life continues to grow, the demand for health and wellness trips will increase. However, even though in Thailand, wellness tourism is just in an early phase of growth, it is growing. The promise of low-cost, high quality healthcare is attracting more than tourists a year to key locations. Based on Bangkok Post 2004 Mid-Year Review, a health and wellness tourist spends an average of USD 362 a day, compared with the average travelers spending of USD 144 and 50 % cheaper than in Singapore, three times cheaper than in Hong Kong, and five to ten times cheaper than in Europe and the USA. Competitor Analysis Domestic Competitive Environment Phuket has been discovered only recently as one of the most well-known tourist destinations and has undergone rapid. Strength: with the investment of international healthcare facilities, Phuket now can provide highest standards of wellness and medical care, blended with Thai hospitality. The ingredient of world-class healthcare service with the charming and warm hospitality makes Phuket the favorable health and wellness destination of the world. There is more to Phuket than its white sandy beaches, fantastic bargain shopping, water and land sport activities and entertainment. Phukets hospitals provide patients with access of highly qualified medical personal. We emphasize that such international accreditation is the key successful factors and is a guarantee of our commitment for best medical services. The rapid changes of our planet today bring us to more challenging era. The world has been changed, both in positive and negative ways, and the most worried development to our mankind is the development of the sickness. In another word, may I say, sickness has no barriers, anyone living in anywhere in this world would have chance to experience any kind of sickness or diseases. And most of the time, sickness can be cured only for the permission time. With this believe, Phuket is the best place for medical treatment, as we possess the edge when it comes to the availability of services. And you will found that there is no queue or much waiting time for medical treatment in Phuket. International Competitive Environment Many countries now actively market themselves as health and wellness destinations. This further expansion of health and wellness tourism has positively impacted incoming tourist receipts by boosting average spend per visitor and reversed the general trend towards shorter, more frequent breaks. It has also provided an element of stability to the travel and tourism market, as activities are generally in-door thus avoiding the problems and fluctuations of seasonality. Source Market Region General Competitive Environment Competitive Strengths India Long history of wellness from folk know-how, such as Yoga, Ayurveda and Unani. Fast-paced life style increases demand for wellness tourism and alternative cures. Diversity of tourism destinations and experiences. Unique experience in heritage place and hotel. A very wide variety of hotels is present in the country that can fulfill the demand of the tourists. There are international players in the market such as Taj and Oberoi International Chains. Thus, the needs of the international tourist travelers are met while they are on a visit to India. India offers a readymade tourist destination with the resources it has. Thus the magnet to pull customers already exists and has potential grow. Quality and Range of Services. Affordable costs. Singapore Strengths as a tourist destination. Singapores land use planning, zoning controls and environmental regulations in destination management. Innovation, ICT and Singapores business sophistication factors. Implementation of the VICE model by Singapore to maintain sustainable tourism (Visitor, Industry, Community, Environmental). Achieving international-standard training and acquiring improved Knowledge skills in the hospitality tourism industry, to strengthen Singapores position as a top Human Capital Excellence destination. The significance of Singapores destination brand values. Partnering of tourism and hospitality industries to support Singapores tourism development. Partnering of tourism and hospitality industries to support Singapores tourism development. Source: http://www.gourkanjilal.com/tourism-s-w-o-t-analysis-india/index.htm, 31 Aug 2010 Conference on Tourism in India Challenges Ahead, 15-17 May 2008, IIMK http://discoversvg.com/index.php/en/home/latest-news/425-competitive-tourism-destination-lessons-learnt-from-singapore India India is one of the worlds oldest civilizations, which is mysterious to tourists. It is considered a land of contrast of ancient farming and agricultural techniques in one area to bustling, cosmopolitan cities in another. While much of the country is poorly developed, a medical tourist can rest assured that their hospital and, for a price, their hotel will be extremely modern and pristine. Venturing beyond these, however, a traveler is virtually guaranteed to suffer from diarrhea and intestinal parasites are common even for cautious eaters. Likewise, the odds of contracting a serious disease are low, however several additional vaccinations are strongly recommended that are not necessary in the other hubs. India is positioning itself as a primary global destination for the most-complex medical procedures, and is committed to delivering these services by obtaining US Joint Commission International Accreditation to help in increasing US market share. India deals with a higher proportion of major surgery tourists than minor surgery and check-up tourists than the other major hubs, which has given rise to specialist hospitals across India. It is the cheapest destination. Most estimates claim treatment costs in India start at around a tenth of the price of comparable treatment in America or Britain. These hospitals are far out of the reach of most Indians and cater specifically to foreign tourists for very specific needs for example some centers will focus strongly on heart surgery while others will deal with joint replacements. These specialist hospitals are very new with top rate medical teams, high volume and experience in their specialty and the best equipment available. High volume of heart surgeries does not translate into high volumes overall, however, and these hospitals rely heavily on agents, especially on the internet, to recruit prospective patients. These facilities also offer procedures that are rare or unavailable in the United States, such as hip polishing or resurfacing, which is a popular surgery for medical tourists. The most popular treatments sought in India by medical tourists are alternative medicine, bone-marrow transplant, cardiac bypass surgery, eye surgery and orthopedic surgery. India is known in particular for heart surgery, hip resurfacing and other areas of advanced medicine. The south Indian city of Chennai has been declared Indias Health Capital, as it nets in 45% of health tourists from abroad and 30-40% of domestic health tourists.[77] Other major cities where medical tourists are catered to include New Delhi and Mangalore. By 2015, Indias medical tourism sector is expected to experience an annual growth rate of 30%. Estimates of the value of medical tourism to India go as high as $2 billion a year by 2012. Advantages for medical tourists include reduced costs, the availability of latest medical technologies and a growing compliance on international quality standards, as well as the fact that foreigners are likely to face a language barrier in India. The Indian government is taking steps to address infrastructure issues that hinder the countrys growth in medical tourism. Ministry of Tourism India (MoT) is planning to extend its Market Development Assistance (MDA) scheme to cover Joint Commission International (JCI) and National Accreditation Board of Hospitals (NABH) certified hospitals. A policy announcement of this effect is likely soon. However, tourism in India can be impressive and at the same time quite uncomfortable. Its infrastructure is very poor. Although excellent hotels and western restaurants are available, they are extremely expensive. India has magnificent sights to see, however, from Hindu shrines to Islamic monuments and palaces and a vibrant modern culture. Conclusion: India is a good choice for major surgery, but it is necessary to make sure you are going to a hospital with a strong track record in your particular condition. Tourism options after treatment are not as comfortable as the other hubs but are among the most interesting. Singapore Singapore has a world-renowned and well-established healthcare and medical system. Based on the WTO (2007) Singapore was voted the Best Medical/Wellness Tourism Destination by TravelWeekly (Asia) Industry Awards 2007. There are a dozen hospitals and health centers with JCI accreditation.[91] In 1997 (published 2000), the World Health Organization ranked Singapores health care system sixth best in the world and the highest ranked system in Asia.[92] Patients from developed countries such as the United States and the UK are also beginning to choose Singapore as their medical travel destination for relatively affordable health care services in a clean cosmopolitan city. Pros The WHO ranked the quality of healthcare in Singapore as 6th in the world. Singapore is a highly urbanized, orderly and spotless country so medical tourists should not expect the same chaotic environment that are typical in other Asian destinations There are several JCI-certified hospitals and healthcare facilities in Singapore. English is one of Singapores official languages and is spoken by all doctors and medical staff Although the cost for medical procedures in Singapore is not as low compared to India or Thailand, the prices are still lower then Western Europe and the USA. Cons Medical procedures and treatments done in Singapore are more expensive compared to other Asian medical tourism destinations such as Thailand, India and Malaysia. The climate in Singapore is hot and humid, which may be uncomfortable to most westerners particularly during the post-procedure and recovery stages Prices of goods, transportation and accommodation in Singapore are relatively more expensive than other Asian countries For US and Canadian medical tourists, travel times to Singapore are very long 3.4 SWOT Analysis The following SWOT points have been identified based on secondary-qualitative research. Strengths Hua Hins current position as a desirable tourist Affordable cost Not far from Bangkok Low cost of wellness products and services with high quality Accessibility: by car, air shutter Reputation and Marketing Reputation Weaknesses Lack of consumer awareness Some doctors are employed part time Language and Culture Barrier Unskilled Workforce Opportunities Many factors have contributed to the increased public awareness of health and wellness. Higher rates of heart disease. Wellness tourism market is large and increasing. Tourism policies from government, tourism industry will be strategically supported from government. Provincial strategy group will create more obvious tourism development roadmap. The continued growth of the Thai economy, resulting in growth of domestic tourism and raise opportunities to local tourism development. Information technology and internet allow the distribution of travel information to be more convenient and faster. Global trend towards health conscious. Fund flow from local and foreign are key for development in tourist destination province like Hua Hin. Threats Travel understands how to package but healthcare facilities do not. Unstable political situation in Thailand. Global economic situation is difficult to expect, may impact spending of target market especially if problem occurred in target country. Speaking about medical factors, for the definition, which comes from the research in preparation stage, we have found that there are four factors to make destination ready for international medical services. Destination marketing strategies The experience of Hua Hin thus serves to illustrate factors that are critical to destination development, raising two pertinent questions: 1. What are the best models of tourism marketing that focus on total customer needs, wants and experiences, and which recognize the essential nature of fun, high quality and diversity of choices at the destination? 2. Is it necessary for a destination / country to have a marketing strategy for attracting tourism? If the destination aims to host tourists in a way that leads to economic growth while balancing the needs of the citizens, then a structured and coordinated approach, a marketing strategy is the optimal approach to achieving these goals. Recommendation The findings revealed several strengths of Hua Hin tourism in terms of destination marketing. These included: effective tourism organizations, continuing tourism product development, a unique variety of activities and culture, variety of accommodations and hospitality programs, thorough overseas market segmentation, targeting, and positioning activities. Stability of economic, politic and social in Thailand is major factor of developing through strategies. However, if current government can sustain itself in medium term and serious implement of tourism destination development, Hua Hin is one of the most potential to famous globally likes others destination in Thailand.

Abraham Lincolns Emancipation Proclamation :: American History Research Papers

Abraham Lincoln's Emancipation Proclamation Until Abraham Lincoln issued the preliminary Emancipation Proclamation on 22 September 1862, the President’s enunciation of Civ il War aims centered squarely upon the restoration of the Union, and purposefuly omited the inclusion of the abolition of slavery. Dismantling the institution of slavery was not his ultimate objective, and Lincoln was forced to pursue a war strategy tha t would not push the slaveholding border -states into the open arms of the Confederacy. General John C. Fremont, however, living up to his reputation for impulsive acts and liberal interpretations of his own authority, proclaimed the freedom of any slave c onfiscated under his command in Missouri. This order ran counter to Lincoln’s war strategy and threatened to deliver Kentucky and other border - states to the Confederacy. Nevertheless, although Fr6mont’s decision was injudicious and unconstitutional accord ing to Lincoln, the conditions in Missouri, the strategic importance of hol ding that state, and the latitude given by the inistration to Fremont in his western department command, indicate that his order may have had military and political value, but th at it was il timed. As a result, Lincoln did not censure or relieve Fremont for this particular act, but congenialy asked him to amend his proclamation to avert unwanted political and military consequences. Lincoln’s belief in the utility of emancipati on as a tool to defeat the South was demonstrated a year later with the issuance of the Emancipation Proclamation. Expressions of Character —Who was John C. Fremont? In the course of a lifetime, each person wil act and react in various ways when he or s he is confronted with particular circumstances and situations. While individual expressions of behavior can be misleading, paterns of behavior can reveal true character and values. Fremont is no exception. Long before he proclaimed the slaves of Missou ri’s Confederate sympathizers to be free, Fremont frequently acted and interacted in a manner that indicated an aversion to authority, an enduring pride, and an impulsive and independent nature. The strength of these characteristics wil be made clear in a discussion of his emancipation order, but first it is necessary to examine a selection of Fr6mont’s earlier experiences so that the order can be put in beter perspective. Expeditions. Fremont is best known for his role as an instrument of America n Empire as he surveyed and mapped the burgeoning American frontier.

Robert Keith Millers Discrimination is a Virtue, Elizabeth Cady Stantons Declaration of Sentiments and Resolutions :: Eva Hoffmans Wanderers by Choice

Robert Keith Miller's Discrimination is a Virtue, Elizabeth Cady Stanton's Declaration of Sentiments and Resolutions, and Eva Hoffman's Wanderers by Choice Robert Keith Miller wrote Discrimination is a Virtue to clarify the definition of discrimination and how it is suppose to be used. The correct definition of discrimination is the ability to tell differences. He is saying that Americans use this term in more of a negative form, when they should be defining their actions as prejudice. He uses several examples to show this difference, which also grabs the reader’s attention. He explains that when you discriminate, you should be able to tell the difference between things and know what each needs. In other words, he is trying to say we should be as open-minded as possible, â€Å"but not so open-minded that our brains fall out.† However, Americans use the word discriminate by making others appear lower than themselves, and thinking less of them because they are lower. This should be recognized as prejudice. This essay makes discrimination very clear and shows how it should be used in American society. Declaration of Sentiments and Resolutions Elizabeth Cady Stanton wrote Declaration of Sentiments and Resolutions in order to convince the men her time that women should be equal and have the right to vote. She uses the Declaration of Independence to attract readers which makes it much easier for her to explain her purpose. She is trying to explain that, â€Å"We hold these truths to be self-evident: that all men and women are created equal; that they are endowed by their Creator with certain inalienable rights; that among these are life, liberty, and the pursuit of happiness; that to secure these rights governments are instituted, depriving their just powers from the consent of the governed.† Her purpose is clear; she takes the time to show how wrongly men of this time treated women and what should be done to resolve that. She explains that women should have the right to vote and have other responsibilities in government. She shows other examples from the Declaration of Independence and resolutions on how to make man and woman equal. She is trying to show how important it is to create a balance between genders and how each can learn from each other.

Walker: White People and Well-educated Black Man

A well-educated black man, with dreams of making it in the world, is What Jerald Walker was determined to do. Walker had grown up in a community where opinions about â€Å"whites† were shared by everyone. Whites discriminated against black people and anything that was believed as bad by black people, was blamed on the white people. In order to succeed, Walker would have to â€Å"Be† like his brother Clyde. Clyde did not fit the â€Å"stereotype†, of a regular black man. His brother said things like, â€Å"whites aren’t an obstacle to success† and â€Å"only you can’t stop you†.In Scattered Inconveniences, Jerald Walker is up against what seems to be a â€Å"redneck cowboy† that is trying to intimidate and scare because his family wasn’t from that part of the country. it turns out that the guy honking his horn and riding his bumper, is just a good Samaritan trying to prevent a washer from falling out of the back of Walkers truck. I think that Walker is talking from his own experience, when he states that everyone is a racist just by nature, he is saying that we all learn stereotyping from the people around us.I don’t think that his statement is necessarily being a racist, I feel that everyone is discriminated against for something whether it be the color of our skin, the clothes that we wear, or the place that we live. I see myself being like Walker, just assuming this guy is out to hurt me and my family just because I’m a different race. Not fitting the stereotype, I would probably react the same, just get mad and then feel really bad for just automatically thinking the worse first.