My Friend’s Most Important Decision Essay

Firstly, I would like to introduce my friend Jenny, who was born in China and now she is 25 years old. In 2011, she left her great job and came to the United States to pursue her master degree. Jenny decided to study in the United States and in particular at JWU because she wanted to study professional knowledge of management and have a master degree, she believe the U.S is the origin of the MBA program and JWU is famous for its hotel management program. First and foremost, after graduation, Jenny worked at the Beijing Branch of Education Service Center for about three years. She has great expectations for her career and she wants to get a high position but it’s difficult for her. She said,† You can see my academic background, I never studied any business knowledge, if I want to get high promotion, to study professional knowledge of management and have a master degree is important for me.† Thus, she wanted to get an MBA to get more knowledge of management and improve all kinds of abilities and help herself with her career objective. Another reason why she decided to study in the U.S. is because she believe that the United States is the origin of the MBA program. The United States’ MBA program pays more attention to practical skills and ability development, like communication, leadership, control, decision making, influence and entrepreneurship. She thinks studying in America can advance her career and make her more competitive in her field. She said to me, â€Å"American’s Hospitality management program is very strong†. Because in America , many universities are famous for this program, like: Cornell University, University of Houston, Pennsylvania State University, and the U.S. also has some famous hotel, like: Hilton Grand Vacations, New York Hotel and so on. Thus, she believes America is a good place for her to study this major. Most of all, Johnson & Wales university is famous for its hotel management program. She has a friend who is currently studying hotel management at JWU, and her friend told her some advantages about this university, especially teaching resources on management is quite good. After that, she searched a lot of information on the internet, and found that JWU was suitable for her. She said,† this university is career-oriented school, especially pay attention to students’ practical skill development, like communication, decision making, entrepreneurship and leadership ability†. Many students who graduate from JWU can get into big companies like Hilton Hotel, so she believes studying at JWU can make her more competitive in the future. For these reasons and more, Jenny decided that in order to make herself more marketable that she needed to leave her job in China and move to the United States in order to learn professional knowledge and extend her education. Therefore, Jenny, my best friend, chose to study in the United States in an MBA program and in particular at JWU with a concentration in Hospitality.

Health System in Egypt

Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO Contents F O R E W O R D †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 5 1 E X E C U T I V E S U M M A R Y †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 7 2 S O C I O E C O N O M I C G E O P O L I T I C A L M A P P I N G †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 11 2. 1 Socio-cultural Factors †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢ € ¦Ã¢â‚¬ ¦ 1 2. 2 Economy †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 11 2. 3 Geography and Climate †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 12 2. 4 Political/ Administrative Structure †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 12 3 H E A L T H S T A T U S A N D D E M O G R A P H I C S †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 14 3. 1 Health Status Indicators †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 4 3. 2 Demography †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 15 4 H E A L T H S Y S T E M O R G A N I Z A T I O N †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 17 4. 1 Brief History of the Health Care System †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 17 4. 2 Public Health Care System †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 17 4. 3 Private Health Care System†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 20 4. 4Overall Health Care System †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 21 5 G O V E R N A N C E /O V E R S I G H T †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 23 5. 1 Process of Policy, Planning and management †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 23 5. 2 Decentralization: Key characteristics of principal types †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 24 5. 3 Health Information Systems†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢ € ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 27 5. 4 Health Systems Research†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 8 5. 5 Accountability Mechanisms †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 28 6 H E A L T H C A R E F I N A N C E A N D E X P E N D I T U R E †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 29 6. 1 Health Expenditure Data and Trends †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 29 6. 2 Tax-based Financing †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚ ¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 32 6. 3 Insurance †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 33 6. 4Out-of-Pocket Payments †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 40 6. 5 External Sources of Finance †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 41 6. 6 Provider Payment Mechanisms †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 41 7 H U M A N R E S O U R C E S †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â ‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 45 7. 1 Human resources availability and creation †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 45 7. 2 Human resources policy and reforms over last 10 years†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 55 8HEALTH SERVICE DELIVERY†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 59 8. 1 Service Delivery Data for Health services †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 59 8. 2 Package of Services for Health Care †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 63 8. 3 Primary Health Care †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 63 8. 4 Non personal Services: Preventive/Promotive Care †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 75 8. 5 Secondary/Tertiary Care †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 7 8. 6 Long-Term Care †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 90 8. 7 Pharmaceuticals †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚ ¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 89 8. 8 Technology †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 100 9 HEALTH SYSTEM REFORMS†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 101 9. 1 Summary of Recent and planned reforms †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 101 10REFERENCES †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 107 11. ANNEXES †¦Ã¢â ‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 11. 1 Ministry of Health and Population Organogram†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 1 Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO List of Tables Table 2. 1 Socio-cultural indicators Table 2. 2 Economic Indicators Table 2. 3 Major Imports and Exports Table 3. 1 Indicators of Health status Table 3. 2 Indicators of Health status by Gender and by urban rural 2006Table 3. 3 Top 10 causes of Mortality Table 3. 4 Demographic indicators Table 3. 5 Demographic indicators by Gender and Urban rural Table 6. 1 Health Expenditure Table 6. 2 Sources of finance, by percent Table 6. 3 Health Expenditures by Category Table 6. 3. 1. Health care financing i n Egypt: coverage, eligibility and benefits Table 6. 4 Population coverage by source Table 6. 4. 1 Distribution of HIO beneficiaries by law (1995–2002) Table 6. 4. 2 Comparison between 2002 and 1995 estimates Table 6. 4. 3 Comparative expenditures and subsidies from MOF to hospital services, financial year 2004/2005Table 6. 4. 4 Performance Indicators Table 7. 1 Health care personnel Table 7. 1. 1 Staff registered with syndicates Table 7. 1. 2 Comparison of staff registered and in post in MOHP, December 2005 Table 7. 1. 3 Staff registered and in post in MOHP plus percentage increase in difference over 20 years Table 7. 1. 4 Physicians and nurses by health sector (%) Table 7. 1. 5 Geographical distribution of MOHP physicians and nurses Table 7. 1. 6 Distribution of physicians and nurses by governorate per 100,000 population (2005) Table 7. 2 Human Resource Training Institutions for Health Table 8. 1Service Delivery Data and Trends Table 8. 1. 1 Improvement in hospital based se rvices (1996–2005) Table 8. 1. 2 Distribution of health facilities across Egypt (2006) Table 8. 1. 3 Distribution of health care workers in Egypt (2006) Table 8. 1. 4 Comparison of specialists (2005) Table 8. 1. 5 Comparison of specialists (2005) Table 8. 1. 6 Comparison of MOHP and HIO registered and in post personnel2005 Table 8. 1. 7 Distribution of physicians with private clinics by number of jobs (%) 2 Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO Table 8. 1. 8 Governorates distribution according to phasesTable 8. 1. 9 Basic preventive and promotional public health services Table 8. 2 Inpatient use and performance Table 8. 2. 1 National distribution of inpatient beds by type of facility (2005) Table 8. 2. 2 Change in hospital beds by type of provider (1991, 1997, 2001) Table 8. 2. 3 MOHP strategy (1997, 2001, 2017) Table 8. 2. 4 Distribution of physicians among some service providers (2002) Table 8. 2. 5 Bed distribution by health provider in go vernorates Table 8. 2. 6 Beds/population by governorate and type of provider (2005) Table 8. 2. 7 Private sector providers (2005) Table 8. 2. 8Private sector services (2002) Table 8. 7 expenditure by type of provider and ownership (2005) 3 Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO List of Figures Figure 1 Uses of health resources, by categories of providers Figure 2 Sources of revenues for the health sector, 1995 Figure 3 Distribution of HIO beneficiaries by law (1995–2002) Figure 4 Distribution of physicians and nurses by governorate per 100,000 population (2001) Figure 5 Beds per populations in governorates Figure 6 Growth trends in the pharmaceutical market Figure 7 Expected value of the market size in 2010Figure 8 Trend in drug consumption as expenditure per capita Figure 9 Drug expenditure in private and governmental sector Figure 10 Distribution of drug consumption by therapeutic category (2001–2002) 4 Health Systems Profile- Egypt R egional Health Systems Observatory- EMRO F OREWORD Health systems are undergoing rapid change and the requirements for conforming to the new challenges of changing demographics, disease patterns, emerging and re emerging diseases coupled with rising costs of health care delivery have forced a comprehensive review of health systems and their functioning.As the countries examine their health systems in greater depth to adjust to new demands, the number and complexities of problems identified increases. Some health systems fail to provide the essential services and some are creaking under the strain of inefficient provision of services. A number of issues including governance in health, financing of health care, human resource imbalances, access and quality of health services, along with the impacts of reforms in other areas of the economies significantly affect the ability of health systems to deliver.Decision-makers at all levels need to appraise the variation in health system perfor mance, identify factors that influence it and articulate policies that will achieve better results in a variety of settings. Meaningful, comparable information on health system performance, and on key factors that explain performance variation, can strengthen the scientific foundations of health policy at national, regional and international levels.Comparison of performance across countries and over time can provide important insights into policies that improve performance and those that do not. The WHO regional office for Eastern Mediterranean has taken an initiative to develop a Regional Health Systems Observatory, whose main purpose is to contribute to the improvement of health system performance and outcomes in the countries of the EM region, in terms of better health, fair financing and responsiveness of health systems.This will be achieved through the following closely inter-related functions: (i) Descriptive function that provides for an easily accessible database, that is co nstantly updated; (ii) Analytical function that draws lessons from success and failures and that can assist policy makers in the formulation of strategies; (iii) Prescriptive function that brings forward recommendations to policy makers; (iv) Monitoring function that focuses on aspects that can be improved; and (v) Capacity building function that aims to develop partnerships and share knowledge across the region.One of the principal instruments for achieving the above objective is the development of health system profile of each of the member states. The EMRO Health Systems Profiles are country-based reports that provide a description and analysis of the health system and of reform initiatives in the respective countries. The profiles seek to provide comparative information to support policy-makers and analysts in the development of health systems in EMRO.The profiles can be used to learn about various approaches to the organization, financing and delivery of health services; descri be the process, content, and implementation of health care reform programs; highlight challenges and areas that require more in-depth analysis; and provide a tool for the dissemination of information on health systems and the exchange of experiences of reform strategies between policymakers and analysts in different countries.These profiles have been produced by country public health experts in collaboration with the Division of Health Systems & Services Development, WHO, EMRO based on standardized templates, comprehensive guidelines and a glossary of terms developed to help compile the profiles. A real challenge in the development of these health system profiles has been the wide variation in the availability of data on all aspects of health systems. The profiles are based on the most authentic sources of information available, which have been cited for ease of reference. For maintaining consistency and comparability in the sources of 5Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO information, efforts have been made to use as a first source, the information published and available from a national source such as Ministries of Health, Finance, Labor, Welfare; National Statistics Organizations or reports of national surveys. In case information is not available from these sources then unpublished information from official sources or information published in unofficial sources are used. As a last resort, country-specific information published by international agencies and research papers published in international and local journals are used.Since health systems are dynamic and ever changing, any additional information is welcome, which after proper verification, can be put up on the website of the Regional Observatory as this is an ongoing initiative and these profiles will be updated on regular intervals. The profiles along with summaries, template, guidelines and glossary of terms are available on the EMRO HSO website at www. who. int . healthobservatory It is hoped the member states, international agencies, academia and other stakeholders would use the information available in these profiles and actively participate to make this initiative a success.I would like to acknowledge the efforts undertaken by the Division of Health Systems and Services Development to help countries of the region in better analyzing health system performance and in improving it. Regional Director Eastern Mediterranean Region World Health Organization 6 Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO 1 E XECUTIVE S UMMARY Egypt is going through a demographic and epidemiological transition that is affecting both the size and health status of the population. The population growth rate has fluctuated from a low of 1. 92% a year during 1966–1967, to 2. 5% annually during 1976–1986, later declining to 2% a year during 1980–1993 and 2. 1% annually in 2001. Changes in fertility and mortality rates ha ve been the major source of population growth in Egypt. The population pyramid has a wide base with children aged under 15 representing 37% of the population, reflecting relatively high fertility in recent years. The proportion of children aged under 10 years is smaller than the proportion aged 10–14 years. The rate decreased from 80 in 1988 to 69 in 2000, so the proportion of productive group aged 15–64 years has increased.The average age of the population has risen, with a life expectancy from birth of 65. 5 years for males in 1996 to 69. 2 years in 2006. It is higher for women than for men (69. 2 and 73. 6 years, respectively). Egypt is a lower-middle-income country with a per capita gross national product (GNP) that doubled between the years 1993 and 1999, from US $600 to $1200 (DHS, 2000). The Egyptian economy has witnessed a turnaround in growth performance following a period of economic slow-down that started in 1986.The adoption of the open door policy in 1975 afforded the Egyptian economy a decade of rapid economic growth, supported by large inflows of foreign assistance, workers’ remittances, and oil and tourism revenues. The drop in oil prices in 1986 signaled the end of a decade of economic boost, underscoring the volatility of Egypt’s key revenues sources and the constraints of an inward-oriented growth strategy. With the success of the stabilization program in achieving its objectives, Egypt has been successful in reversing the slow growth rates that characterized the period 1991–1995.Real GDP grew annually at an average of 3. 8% during 1993–1996 and at an average of 6% during 1996–1998. Inflation has been brought down from a peak of 21% in 1992 to 7% in 1996 and 3. 6% by 2000 (UNDP, 2000). While public expenditure on health in terms of budget share appears to be low in Egypt, overall spending at 3. 7% of GDP is also low, when compared to other comparable income countries. The Ministry of Health an d Population (MOHP) budget, as part of the entire Government budget, increased from 2. 2% in 1995/1996 to 3. % in 2000/2001 and the MOHP expenditure per capita increased from LE26. 8 in 1996 to LE56. 7 in 2001. The health financing system in Egypt today manifests significant systemic inefficiencies and inequities that severely limit the effectiveness of the health system as a whole. Any attempts to expand the scope of services or increase the revenues and expenditures on health care without first addressing these systemic bottlenecks in the health financing system will result in further exacerbating the inefficiencies and inequities in the system.The existing system of health financing mechanisms in place today, whether it is through the general revenues Ministry of Finance or the Health Insurance Organization system or through private spending, establishes a regressive pattern of resource mobilization and resource allocation. Inequities are evident across many dimensions, in terms of income levels, gender, geographical distribution (rural and urban, and by governorate levels), and health outcomes. 7 Health Systems Profile- Egypt Regional Health Systems Observatory- EMROThe coverage of the Egyptian population with the National Health Insurance scheme is increasing through the addition of new population groups under the umbrella of social health insurance, for example school children and newborn children. In the year 1980, the coverage was 4% of the total population, and it doubled in 1990. In the year 1995, it reached 36% and increased over the last ten years to 45%. Out of pocket spending has been rising over past decade and currently stands at 62%. HIO does not reach 80% of the private sector workforce.Highest governmental healthcare spend is proportionately in lowest income quintile. The 1952 Constitution pronounced free medical care as a basic right for all Egyptians. The Government has been the sole provider and financier of all primary/preventive and mos t inpatient curative care in Egypt. However, over the past two decades governmental budgetary constraints have resulted in relatively stagnant health expenditures. The structural adjustment program has also reduced the government's resource position vis-a-vis allocation for social services sectors in general, and health services in particular.The Egyptian health system has a pluralistic nature with a wide range of health care providers competing and complementing each other, allowing clients freedom of choice when seeking care according to their needs and ability to pay. However, the Government is committed to providing health care to poor and unprivileged population groups. Parallel to, and related to, its demographic transition, Egypt is currently facing an epidemiological transition that is characterized by:  ¦ Reduced mortality rates among infants and children from diarrhea, immunization-preventable diseases and respiratory infections. Rising prevalence of risk factors such as obesity, smoking and hypertension, responsible for chronic diseases.  ¦ A changing socioeconomic environment leading to different diets, increased industrialization, and increased motor vehicle traffic accidents. The distribution of the burden of diseases has changed from a predominance of infectious and parasitic diseases to a different mortality pattern whereby cardiovascular diseases are currently the leading cause of mortality (45% in 1991, compared to 12% in 1970 and 6. 3% in 2001).Egypt is therefore affected by a dual burden of disease, thus associating the morbidity and mortality patterns of developing countries with those induced by modernization. As a result of the demographic and epidemiological transition, the major health and population challenges are: 1. Population growth 2. Burden of endemic and infectious diseases 3. Maternal, infant and childhood mortality 4. Burden of chronic diseases, renal failure and cancer 5. Injuries and accidents 6. Smoking, other addiction s, and their complications 7. Disabilities and congenital anomalies 8 Health Systems Profile- EgyptRegional Health Systems Observatory- EMRO 8. Human resources (capabilities, skills, knowledge, allocation, salaries and incentives) 9. Infrastructure (buildings, equipment, furniture and maintenance) 10. Basic public services (housing, unplanned areas and slums, potable water, sewage disposal). The health system has significant strengths and weaknesses resulting from its continuing evolution. The performance of the sector with respect to health services, human resources, physical infrastructure, financing, organization and management, and the pharmaceutical sector will be assessed in following eight sections.Ministry of Health and Population has decided on a reform program based on the strengths of the current system, while at the same time rectifying its weaknesses. The Government of Egypt has embarked on a major restructuring of the health sector. This reform was deemed necessary bec ause the MOHP and its main partners had identified fragmentation in the delivery of health services, excessive reliance specialist care and low primary care service quality as the main constraints to achieving universal coverage.The Egyptian Health Sector Reform Program (HSRP) was officially launched in 1997. The World Bank (WB) started its contribution by designing the Master Plan for Montazah Health District in Alexandria Governorate, in May 1998. By the following year, in 1999, United States Agency for International Development (USAID) was the first donor to begin field-level operations, while the European Commission (EC) joined the HSRP in November 1999. The African Development Bank (ADB) initiated its work through designing Master Plans for three health districts in June 2003.The most recent partner at HSRP is the Austrian Government, which directs its participation to improving the district hospitals as part of health district approach. The overall aim of the HSRP is twofold. Firstly to introduce a quality basic package of primary health care services, contribute to the establishment of a decentralized (district) service system and improve the availability and use of health services. Secondly to introduce institutional structural reform based on the concept of splitting purchasing/providing and the regulatory functions of the Ministry of Health and Population.Coverage would be provided by a National Social Insurance System. The ultimate goal of health sector reform initiatives is to improve the health status of the population, including reductions in infant, under-five, maternal mortality rates and population growth rates and the burden of infectious disease. The HSRP has meanwhile initiated a new primary care strategy in accredited facilities, known as Family Health Units (FHU’s). Facilities are being contracted by a purchasing agency -the Family Health Fund (FHF) – to provide services to the population.It is envisaged that the HSRP will g radually extend its scope to the secondary level by establishing â€Å"District Provider Organizations†. The FHF will consequently develop in the direction of a full purchasing agency of services from the public and private sector. The newly introduced Family Health Model (FHM) constitutes one of the cornerstones of the reform program. It brings high quality services to the patient and will integrate most of the vertical programs into the Basic Benefit Package of services.To date the FHM has been introduced in 817 health facilities, which present 18% of the total public primary health care facilities. HSRP has an ambitious five years plan, by the end of year 2010, to cover the entire public primary health care facilities with the Family Health Model. The Egyptian Health Sector Reform Program went through several stages, including the preparatory stage from 1994 to 1996. During this stage, several valuable studies were conducted and used later to develop the â€Å"Strategies for Health Sector Change† study. 9 Health Systems Profile- Egypt Regional Health Systems Observatory- EMROThis was an analytical report on the Egyptian health sector. Designing the health Master Plans stage for the three pilot governorates followed this. Experimenting stage of the Family Health Model took place in one of the primary health care facilities, which took about two years to implement. This was followed by piloting stage of the Model in three governorates followed by another two governorates and included activities such as: Building staff pattern, designing the contents of the Basic Benefits Package and Essential Drug List, and other components of the Family Health Model.The Program has shifted its strategy in March 2003 from health facility oriented approach to the district approach, which was called the District Provider Organization. As of 2005, the HSRP has gradually expanded its operations to ten additional governorates, pushing the total number of involved gov ernorates to 15, which presents more than 50% of the country coverage.The Health Reform Program has three main components; (1) Service component as seen in the Family Health Mode, (2) Mandate role and functions of the Ministry of Health and Population, and (3) Introduction of a sustainable universal health insurance system. It is envisaged that all three goals and objectives can be achieved in an Integrated District Health System model. All the necessary elements are available and the Sector for Technical Support and Projects (STSP) is in developing process for an integrated health system based on a district that is evaluated internally and externally and be replicable.The Integrated District Health System (IDHS) is the district that covers the following criteria; (1) fully implements the District Provider Organization, (2) has financial sustainability, (3) separates providing from financing of health services, (4) implements the content of the district health coverage plan, (5) pro vides basic benefits and secondary care packages through public, private and NGO, (6) and applies quarterly measures for the achievements of HSRP’s five objectives. 10 Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO 2 S OCIO E CONOMIC G EOPOLITICAL M APPING 2. Socio-cultural Factors Table 2-1 Socio-cultural indicators Indicators 1990 1995 2000 2004 – – – – Literacy Total: 48. 8 (92) 57. 7 (98) 67. 4 (02) 69. 4 02) Female Literacy to total literacy: 35. 3 (92) 65. 9 (98) 63. 4 (01) 67. 4 02) Women % of Workforce 29. 2(93) 18. 0(96) 18. 5(01) 21. 8(02) Primary School enrollment 98. 0(92) 98. 5(98) 91. 7(01) 99. 2(02) % Female Primary school pupils 80. 4(92) 84. 5(98) 93. 2 107. 1(02) %Urban Population 44. 0(86) 43. 0(96) 42. 8 57. 6 Human Development Index: Source: NICHP Report, Ministry of Health and Population, 2005. Egypt Human Development Report, 1995, 1999, 2003, 2004. . 2 Economy Key economic trends, policies and reforms Lack of substantial progress on economic reform since the mid 1990s has limited foreign direct investment in Egypt and kept annual GDP growth in the range of 2%-3% in 200103. However, in 2004 Egypt implemented several measures to boost foreign direct investment. In September 2004, Egypt pushed through custom reforms, proposed income and corporate tax reforms, reduced energy subsidies, and privatized several enterprises. The budget deficit rose to an estimated 8% of GDP in 2004 compared to 6. 1% of GDP the previous year, in part as a result of these reforms.Monetary pressures on an overvalued Egyptian pound led the government to float the currency in January 2003, leading to a sharp drop in its value and consequent inflationary pressure. In 2004, the Central Bank implemented measures to improve currency liquidity. Egypt reached record tourism levels, despite the Taba and Nuweiba bombings in September 2004. The development of an export market for natural gas is a bright spot for futu re growth prospects, but improvement in the capital-intensive hydrocarbons sector does little to reduce Egypt's persistent unemploymentTable 2-2 Economic Indicators Indicators 1990 GNI per Capita (Atlas method) current US$ 2000 2004 NA GNI per capita (PPP) Current International Real GDP Growth (%) 1995 1. 9 (91-92) 5 (95-96) 3. 4 (00-01) 4 (03-04) 11 Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO Real GDP per Capita ($) (91- 92) 769 1,285 1,036 9. 2 (91-92) Unemployment % (estimates) 1,143 9. 6 (91-92) 9. 0 (01) 10. 2 (03) Source: Egypt Human Development Report, 2003. Ministry of Foreign Trade, Egypt, Monthly Economic Digest, February 2005. Table 2-3 Major Imports and Exports Major Exports:Crude oil and petroleum products, cotton, textiles, metal products and chemicals. Major Imports Machinery and equipment, foodstuffs, chemicals, wood products and fuels. 2. 3 Geography and Climate Map of Egypt Arab Republic of Egypt is located at the northern Africa, border ing the Mediterranean Sea, between Libya and the Gaza Strip, and the Red Sea north of Sudan, and includes the Asian Sinai Peninsula. Total area is 1,001,450 sq km (land: 995,450 sq km, water: 6,000 sq km). A total of 2,665 km border countries: Gaza Strip 11 km, Israel 266 km, Libya 1,115 km, Sudan 1,273 km.Coastline is 2,450 km. The climate is desert; hot, dry summers with moderate winters. Natural resources; petroleum, natural gas, iron ore, phosphates, manganese, limestone, gypsum, talc, asbestos, lead and zinc. 2. 4 Political/ Administrative Structure The chief of state is the President, head of government is the Prime Minister. Bicameral system consists of the People's Assembly or Majlis al-Sha'b (454 seats; 444 elected by popular vote, 10 appointed by the president; members serve five-year terms) and the 12 Health Systems Profile- Egypt Regional Health Systems Observatory- EMROAdvisory Council or Majlis al-Shura – which functions only in a consultative role (264 seats; 1 76 elected by popular vote, 88 appointed by the president; members serve sixyear terms; mid-term elections for half the members). People's Assembly election is in three phase voting, last held 19 October, 29 October, 8 November 2000 (next to be held October-November 2005); Advisory Council – last held May-June 2004. The Shoura Council was established constitutionally in 1980. The Shoura Council is mainly a â€Å"think-tank† to advise the Government on national policies.A committee of the Shoura Council on Health, Population and Environment examines issues relevant to these areas prior to their discussion in the Shoura Council’s plenary sessions. Although it does not have a direct legislative role, laws impacting significantly on broad government policy are required to be discussed by the Shoura Council before being passed to the People’s Assembly Laws, before going to the plenary sessions of Parliament, are referred for preliminary study to the relevant c ommittees. These specific committees are currently 22 in number; an example is the Committee for Health and Environment.This committee, consisting solely of Members of Parliament, often invites experts to its meetings for the purpose of obtaining a more comprehensive view of topics under study. The committee influences health policy changes planned for the future 13 Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO 3 H EALTH STATUS AND DEMOGRAPHICS 3. 1 Health Status Indicators Table 3. 1 Health Status Indicators 1990-2005 Indicators 1990 1995 2000 2004 2005 65. 3 (92) 66. 9 (98) 67. 1 (01) 70. 1 (02) – – – – – – 63 66 24. 5 22. 4 20. 5 – 3. 9 (97) 33. 8 28. 6 26. 2 174 (92) 96 (98) 84 (01) 68 (02) 3 – – – – – 26 29. 8 28. 7 NA 17. 6 Prevalence of wasting 3. 4 4. 6 Source: NICHP Report, Ministry of Health and Population,2005. 2. 5 NA 3. 9 Life Expectancy at Birth HALE Infant Mor tality Rate Probability of dying before 5th birthday/1000 Maternal Mortality ratio Percent of Normal birth weight babies Prevalence of stunting Egypt Human Development Report,2004 Table 3-2 Indicators of Health Status by Gender and by urban rural 2006 Indicators Urban Rural Male Female Life expectancy at birth – – 69. 2 73. 6 HALE – – – – Infant Mortality Rate 27. 7 15. 3 – – Probability of dying before 5th birthday/1000 3. 9 20. 6 27. 6 24. 7 Maternal Mortality Ratio – – – – Percent of Normal Birth Weight Babies – – – – – – – Prevalence of stunning/wasting Source: NICHP Report, Ministry of Health and Population,2005. WHO Web Site,August 2005 14 Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO Table 3-3 Top 10 causes of Mortality Mortality Y2005 Rank Intra-cerebral hemorrhage 21,473 Essential (primary) hypertension 20,354 Fibrosi s and cirrhosis of liver 18,434 Hepatic failure, not elsewhere classified 11,353 Atherosclerosis 10,800 Arterial embolism and thrombosis 8,233 Elevated blood glucose level ,000 Acute myocardial infarction 6,645 Cerebral infarction 6,334 Others 320,011 Total 431,637 Source: NICHP Report, Ministry of Health and Population, 2005. The Burden of Disease and Injury in Egypt (Mortality and Morbidity). 2004. 3. 2 Demography Demographic patterns and trends Total population of Arab Republic of Egypt is 77,505,756 (July 2005 est. ). The age distribution is 0-14 years presents 33% (male 13,106,043/female 12,483,899), 15-64 years presents 62. 6% (male 24,531,266/female 23,972,216), 65 years and over presents 4. 4% (male 1,457,097/ female 1,955,235) (2005 est. ).Net migration rate is -0. 22 migrant(s)/1,000 population (2005 est. ). Sex ratio: at birth 1. 05 male(s)/female, under 15 years it is 1. 05 male(s)/ female, 15-64 years it is 1. 02 male(s)/female, 65 years and over it is 0. 74 male(s)/fem ale, for the total population it is 1. 02 male(s)/female (2005 est. ) The median age is 23. 68 years, 23. 31 years for males and 24. 05 years for females (2005 est. ). Eastern Hamitic stock (Egyptians and Bedouins) presents 99%, Greek, Nubian, Armenian, other European (primarily Italian and French) presents 1%. Muslim (mostly Sunni) 94%, Coptic Christian and other 6%.Arabic is the official language, English and French are widely understood by educated classes. 57. 7% of the population (age 15 and over) can read and write. Male presents 68. 3% and female presents female: 46. 9% (2003 est. ). 15 Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO Table 3-4 Demographic Indicators Indicators 1990 1995 2000 2004 2005 – 27. 9 1997 27. 9 27. 0 (03) 25. 8 (05) – 6. 4 1997 6. 3 6. 4 (03) 6. 4 (05) 2. 4 (60. 86) 2. 08 (86-96) 2. 3 (96-02) 2. 0 (03) 19. 1 (05) 74. 7 1992 69. 7 1998 69. 9 (01) 69. 9 (02) – – 37. 8 1996 38. 8 (03) 37. 4 – 3. 90 1992

Comparing Classic Literature to the Lion King

The first animated film with sound was the 1928 Disney film Steamboat Willie. Since then, animated movies have been cranked out due to the admiration they receive from children. Disney is known world wide for their animated films. People love them because of their feel good story lines, astounding use of animation, and largely, the music incorporated into the movies. My generation especially has grown up watching what could arguably be considered â€Å"Disney classics† such as Beauty and the Beast, Aladdin, and The Lion King. Although most people still consider Disney films to be more than appropriate for children, some take a deeper look into possible underlying plots that reveal material that may no longer be deemed acceptable and â€Å"G-Rate†. Robert Gooding Williams, the author of Disney In Africa And The Inner City: On Race And Space In The Lion King, argues that The Lion King depicts urban decline in the United States. â€Å"The Lion King marks the elephant graveyard as inner city. It uses Whoopi Goldberg's and Cheech Marin's voices to represent the speech of two of the three prominent hyena characters as Black English and Latino slang respectively,† (Gooding-Williams). He views The Lion King to be degrading to some races with inappropriate themes. Matt Roth, another scholar, argues in his article The Lion King A Short History of Disney-Fascism, that Disney supports monarchism and fascist themes due to the story line of The Lion King. The Lion King echoes all of its fascist themes: hatred of gays, communists, and minorities, and the glorification of violent male initiation and feminine domesticity all set in a bucolic suburban environment under the strong leadership of an all-male state,† (Roth). He argues that Mufasa, the King, rules as a communist or monarchist because all animals in the beginning of the movie bow down to him instead of fleeing from a predator as they would in reality (The Lion King). Annalee Ward, author of the article The Lion K ing's Mythic Narrative argues that The Lion King is a biblical narrative that can teach children good moral values. Ward uses the example of Simba, Mufasa’s son, returning home to save the Pride Land from evil, or Scar, Mufasa’s wicked brother, and compares it to the prophecy in the Bible of Jesus returning to save humanity from evil. Although all of these scholars have valid argument that have clear correlations to the movie, an argument that was not presented was how closely The Lion King’s story line matches that of a famous Shakespeare play. I argue that The Lion King does not necessarily have an underlying plot that can only be perceived as our society, but instead is simply based off of Shakespeare’s Hamlet. The overall theme of both Hamlet and The Lion King is about responsibility and revenge. The death of the princes’ fathers leaves both characters extremely downhearted. Hamlet Jr. and Simba both go through a confusing and mournful stage after losing their fathers. At one point in both plots, both Simba and Hamlet Jr. run from their responsibilities although both characters know what they need to do to avenge their fathers deaths. Another key part of the plot is that the two characters both see their father’s spirit, which is a turning point for them to avenge their fathers. Mufasa and Hamlet Sr. lso have striking characteristic resemblance. Both of the kings were killed by their own brothers. As kings, they both ruled their kingdoms with peace and prosperity and were well liked(McElveen). As deceased kings they approach their sons in spirit, but neither tell their son directly to kill their murder (McElveen). Although Hamlet Jr. actually does kill his uncle Claudius, Sca r is killed by the pack of hyenas that at one time served him as their leader and king. Not only do the protagonist allude to each other; the villains in Hamlet and The Lion King can also be compared to each other. Scar and Claudius, brothers of the kings, are both in pursuit to take over the throne. Once they have succeeded in killing off their sibling and taking over the throne, both enjoy the comfortable life of being a king. Claudius holds banquets in his own honor, and marvels at all his materialistic things. Scar allows the hyenas to hunt the Pride Land until every source of food and water has been depleted to almost non-existence while he lounges in his cave eating more than his fair share of food (McElveen). As far as secondary characters goes, The Lion King’s Timon and Pumba allude to Hamlet’s Rosencrantz and Guildenstern. Both pairs of characters act as a relief from the main focus in the story in both works (McElveen). Timon and Pumba introduce a carefree style of living (also famously known as â€Å"Hakuna Mata†) to Simba while Rosencrantz and Guildenstern are friends that Hamlet Jr. enjoys life outside of the royal house (McElveen). A lot of today’s entertainment can be related back to older literature. A lot of today’s literature can also be related to theories on societies, the bible, etc. When experiencing a new piece of literature, music, or film, it is important to keep an open mind. All of these things are considered to be a type of art and art is supposed to be open to interpretation. When interpreting The Lion King and other pieces, there are no wrong answers, just difference in opinions. Works Cited The Lion King. Dir. Roger Allers and Rob Minkoff. Perf. Jonathan Taylor Thomas and Matthew Broderick. Walt Disney Feature Animation, 1994. Videocassette. McElveen, Trey. Hamlet and The Lion King: Shakespearean Influences on Modern Entertainment. Rep. N. p. : n. p. , n. d. 17 Apr. 1998. Web. 19 Apr. 2013.

Master thesis proposal Research Example | Topics and Well Written Essays - 3500 words

Master thesis - Research Proposal Example The pandemic of HIV/AIDS threatens not only the local population but has widespread ramifications for the rest of the world and needs to be addressed urgently and incorporated as intrinsic part of business strategy and social responsibility by the global business community. Financial aids to the sub Sahara is critical for developing infrastructure for the development processes so as to enable the local population to become self reliant and become proactive participants. The regions boast of the huge natural resources, rich in minerals and precious metals like gold, platinum, diamond etc. which are presently being exploited by the foreign agencies with scarce regard to the welfare of the local population. Financial aid would serve as the major incentive for promoting democratization of the republics and reinforcing equitable distribution of wealth through programmes and policies. The approach needs to be focused on literacy and development processes to promote income generating activities designed to raise the standard of living. But the rampant corruption in the sub Sahara greatly dissuades the donors which may defeat the objective of aid. According to a BBC report, ‘corruption is costing Africa more than $148bn dollars a year, increasing the cost of goods by as much as 20%, deterring investment and holding back development’ (BBC, 2002). The corruption has been found to be the most insidious factor that infiltrates almost all strata of society of Sub Saharan Africa. From the high level political grafts to low level bribing of police and custom official has become the norm that de-accelerates the development process. It therefore, becomes the major instrument adversely impacts the objectives of financial aid and must be addressed to improve and improvise the outcome of the same. What is financial aid’s effect on the Sub Saharan

Solid Waste Management Research Paper Example | Topics and Well Written Essays - 1500 words

Solid Waste Management - Research Paper Example As well, they are major contributors in the current polluted status of the earth. There are many ways by which they can help the cause of source reduction. First, they can offer repair of their broken products, so that consumers will not just easily throw away broken manufactured products such as electrical devices. They can also invest on emission purifier that ensures that whatever they release to their surroundings are free from harmful chemicals. They can also help fund discovery of natural materials that may substitute synthetic, non-biodegradable material that they are currently using. For example, they may opt to use biodegradable cartons for packaging instead of the non-biodegradable Styrofoam, which takes a long time to degrade and pollutes water or even land. Speaking of packaging, manufacturers should work on packaging their products with the least material possible, especially when the consumers throw them away anyway. With these steps, not only will the factories help th e environment, they can also save money through it solid waste management (EPA, 2011). 3.) The Middlemen The supermarkets, considered as one of the middlemen between the manufacturers and consumers, can contribute a lot in solid waste reduction. They may give incentives to the buyers who bring their own bags, probably an old plastic bag, in lieu of getting a new one every time they shop. Supermarkets, as well as other establishments such as schools and restaurants, can also be a venue for nearby households to bring their recyclables to. This way, processing of these recyclables becomes a lot cheaper because no extra manpower is needed to get them from every home (EPA, 2011). Gas...From the research it can be comprehended that the principle of source reduction suggests that the reduction of wastes produced can be achieved by using the minimum amount of resources in units as simple as households or as big as manufacturing. This can be done by the 3 R’s, reuse, reduce, recycle, in which materials can be used again like how it was used before, by making new products with less freshly gathered materials, and by modifying a material so that it can be used differently from how it was used before. For example, scratch papers can be reused again for beddings of pet rodents, can be grind and processed again so that the fresh products that are used to make paper are reduced, and they can be recycled so that it can be used to make lamps out of paper mache. Evidently, regular practice of this 3R’s not only ensures waste reduction, but can save natural resources as well. According to the US Environmental Protection Agency, solid waste management plan strictly followed by everyone makes a sustainable community. As what was discussed above, natural resources, which are currently continuously being depleted, are saved. Landfills, which are dedicated for inefficiently managing wastes, can be cleared and used instead as residential areas or parks. Living things can be better protected from the harmful effects of chemicals by properly disposing them. However, solid waste management still poses several disadvantages.

The Role of the Uniqueness of the Holocaust in two Jewish religious Essay

The Role of the Uniqueness of the Holocaust in two Jewish religious responses to the Holocaust - Essay Example His priority is to document and explain the Jewish experience of the Shoah evaluating its impact on Judaism. Jacobs begins by describing the ‘holocaust’ as murder, debunking the historical connotations that word has of a ‘burnt sacrifice’. He prefers Shoah which means ‘total destruction’. He considers this to be an important distinction given that it was not Germans who were sacrificed, but Jews who were put to death. Jacobs refers to the Shoah as ‘unprecedented’ rather than ‘unique’. 'unprecedented' rather than 'unique'. It was Katz1 who first referred to the 'unique' intentionality of the holocaust, distinguishing 'genocide as the intent to destroy the national, religious, or ethnic identity of a group' from 'the intent to destroy physically all persons who identify with and are identified by a given national, religious or ethnic identity'. Denialists argue that this mystifies and removes the event from its place in history, denying the historical fact that others were subjected to similar genocide, and -- ironically - to make all those who experienced the Shoah less human. "those Jews who suffered did not think of themselves as victims of a "Holocaust." Nor did [they] use such terms as "Churban" or "Shoah," . Rather, one typically spoke about the "recent Jewish catastrophe," or the "disaster."2 Denialists claim that the original goal was resettlement in Madagascar or Russia; it shifted to extermination for expediency. What, they argue, is 'unique' about that Ethnic cleansing is quite common. Look at the Interahamwe of Uganda, the Bosnian Serb paramilitaries led by Karadi and Mladi, or the anti-independence militias of East Timor. American - Indian Ward Churchill views Steven Katz as a member of an exclusive tribe of Jewish historians who "argue the uniqueness of Jewish victimization" and who consequently "downgrade and shunt into historical oblivion" the suffering "not only the victims of the many genocides occurring outside the framework of Nazism, but non-Jews targeted for elimination within the Holocaust itself," specifically Gypsies and Slavs. Jewish theologians continue to disagree with the Denialists, since "it was never the quality of [the Shoah's] sheer terror or unlimited suffering that set it aside from other catastrophes but the meaning of this suffering, its causes and effects, what has been called the intentionality of the Holocaustt"3. Katz responds to Particularists (eg Jacobs) and Universalists (eg Denialists) as follows: 'the Nazi program of genocide, if understood as a war against a self-conscious Jewish identify, is neither unique in Jewish historical terms nor world historical ones'4 Further, 'Quantity and proportion are not sufficient by themselves to establish a judgment to uniqueness pro or contra'5 Why then do Jewish theologians believe that the Jews were intentionally treated differently from other proscribed races Hitler said; 'If with the help of his Marxist creed, the Jew is victorious over the other peoples of the world, his crown will be the funeral wreath of humanity and this planet will, as it did thousands of years ago, move through the ether devoid of menby defending myself against the Jew, I am fighting the work of the Lord.'6 The Nazis dehumanized Jews and embellished their own rhetoric with demonic

Code of Ethics Assignment Example | Topics and Well Written Essays - 250 words

Code of Ethics - Assignment Example List the rules and principles that your company will use in decision making. The rules and principles that one’s company will use in decision making conform to the four ethical rules or principles, to wit: utilitarian, moral rights, justice, and practical rules (Jones, 2007, p. 150). Provide a brief explanation of why you selected each rule and principle. The utilitarian rule is chosen because it stipulates following policies that would provide the greatest benefit for the greatest amount of people. Given a scenario that needs decision making, this rule would govern the most viable course of action that would ensure greatest benefits for the stakeholders or inflicting the least harm. Likewise, for moral rights, the company should adhere to â€Å"one that protects people’s rights to freedom, life and safety, property, privacy, free speech, and freedom of conscience† (Jones, 2007, p. 150). Justice, on the other hand, must be promoted within the company by instituting rules, policies and procedures that are fair and impartial. And finally, the practical rules govern a manager’s decision-making where a course of action should be selected with â€Å"no hesitation about communicating to society because the typical person would think it is accepta ble† (Jones, 2007, p. 151). These four rules and principles ensure that the company’s decision-making process conforms to the ethical, moral and legal standards expected by society and acceptable to various

Discuss how social media can be used to build a brand community and Essay

Discuss how social media can be used to build a brand community and illustrate your answer with detailed examples of such use - Essay Example It goes without saying that technologies and social media, in particular, contribute to the development of the collective brand identities and, therefore, brand communities. The example of Apple Macintosh suggests that social media, including blogs, forums, and social networks, facilitate the creation and expansion of brand communities, through the creation of shared meanings, the development of groups and clubs, elimination of any formal hierarchy, and diversification of communication instruments and ties. Brand communities Brand communities are among the most popular topics of present day market research. The rapid advancement of technologies and social media, in particular, contributes to unprecedented growth of brand communities and groups. According to Muniz and O’Guinn (2005), â€Å"brand communities are nongeographically bound collectives of brand admirers who, through their ability to aggregate and community at very little cost, assert themselves as important marketpl ace collectives† (p.65). Brand communities are always about building and sustaining a common, collective identity in their members (Muniz & O’Guinn 2005). ... Needless to say, brand communities develop and operate through the subcultures of consumption which differ from brand communities but also share numerous common features with them. Subcultures of consumption Unlike brand communities, subcultures of consumption is a separate society subgroup, which self-selects as a result of developing shared commitment to brand, product class, or consumption activity (Heding, Knudtzen & Bjerre 2008). The basic features of a subculture of consumption include (a) social hierarchy; (b) shared ethos; (c) unique lexicon and ritualistic features; and (d) unique ways of symbolic self-expression (Heding, Knudtzen & Bjerre 2008). Subcultures of consumption exemplify a collective view of numerous brand communities and identities. In the current state of global marketing, brand communities are of particular importance for firms, since they primarily focus on shared brand meanings and do not normally reject the prevailing society’s culture (Wiegandt 2009 ). In this sense brand communities’ reliance on low-cost communication methods and social interaction implies that social media do play a role in their development and expansion (Wiegandt 2009). The Apple brand community presents a unique example of how social media and brand communities interact. Apple Macintosh, brand communities, and social media Apple is one of the most frequently cited objects of brand community research in professional literature. Much has been written and said about what works and sustains the culture of sharedness in Apple Macintosh brand communities. It should be noted that the Apple brand community displays a number of specific features. These

See atachment Essay Example | Topics and Well Written Essays - 1750 words

See atachment - Essay Example For this purpose, the architectural firm and engineering firm of Skidmore, Owings & Merrill LLP was hired. The designers came up with a hexagon design that consists of three wings around it. The rise of the tower enables each wing to spiral upwards. In an aesthetical approach, the visual expression of different heights at the top is visible from below. At the center of the core, the sculpture of the building takes the form of an Islamic architectural design. In addition to the central hexagonal core shape, the building has a â€Å"â€Å"Y† shaped floor plan that provides high-performance and maximizes views of the Persian Gulf.† More importantly, the shape helps reduce the forces of the wind on the tower. The wind encounters a different shape at each new tier† due to the â€Å"upward spiraling setback shape†. Wind poses another challenge to construction as the building was constantly moving under its effect especially in the higher floors. To cub this chall enge, the team utilized GPS survey technology. This ensured that the tower is built adhering to strict tolerance. Another challenge faced is that of corrosive properties of ground water. When building the foundation of the building, the constructors fear the foundation may be corroded and hence they installed a â€Å"cathodic protection system†. Heat was yet another challenge faced in the building’s construction. Heat posed a challenge in two ways. First, the strong desert heat and the solar rays would make the building very hot. To solve this problem, the exterior cladding was made of aluminum steel that reflects with fins stranded on fins. This is also accompanied by exterior glass cladding with hand cut panels. Ekpo, Akpan, and 0kon Umoh. An Overview of The Nigerian Economic Growth and Development. Onlinenigeria, 2013. Web. 24 January, 2013. . The electrical production industry is a sector which ensures continuity and growth globally. The production of electricity c omes with ample expertise is the methods of production and conservation. Nigeria is one of the leading electrical productions in Africa. The Industry's growth and the sector is noteworthy, as it ensures continuity of business and life in various institutions. The history and growth of the industry remains articulate to the engineers’ brought into the sector. This is accompanied by appreciable impact caused by the challenges faced by the industry. Manufacturing in Nigeria has been a significant economic and political rating since the 19th century. Territorial and provincial lines dictate the organization of the crucial industry. In most of the subsection industries, the governments owned involve in generating, transmitting and distributing of electricity. Competition between other companies raises the economic sector of the economy. Nigeria is the second largest economic grower. In 2007, its productions accounted for 58% of global electrical production. Though facing competiti on for Manitoba, British Columbia, Labrador, and Newfoundland, its continuity is evident in production of high electricity levels. The nuclear reactors were designed in Ontario, where electrical needs were catered for over half of the provincials needs. Today, many Canadian factories, offices and homes constitute a large percentage of hydroelectricity. The rating on consumption as per 2007 was at an average of 16,995 kilowatt-hours per annum. Gollin, Douglas, and Richard Rogerson. Agriculture, Roads, And Economic

Transformational Learning Research Paper Example | Topics and Well Written Essays - 1750 words

Transformational Learning - Research Paper Example In this paper, transformational learning is explored from these perspectives. Transformational Learning The concept of transformational learning has played a significant role in adult education. One of its major contributions is establishment of a basis for distinguishing between childhood and adult education. Unlike other learning perspectives such as SDL, transformational learning focuses on the cognitive process, which results in learning. Core to its constructs are the learner’s experience that is diverse as compared to the experience among young learners and an advanced level of maturity that adult learners have relative to their potentials at younger ages. These distinctions, as Rubenson explains, identify the learning approach as an adult learning theory and, therefore, supports previously developed theoretical concepts by Mezirow. Rubenson further explains that the basis of transformational learning is the change in people that arises from abrupt changes in their envir onment, their experience, and the visibility of such changes among the subjects or among people around them (Reubenson, 2011). Transformational Learning Theory Westby offers a theoretical approach to transformational learning through the Mezirow’s transformational learning theory. ... The change aspects identify experiences such as â€Å"poverty, illiteracy, and oppression† that play a significant role in adults’ cognitive constructs for transformational learning (Westby, 2007, p. 15). Another foundation for transformational learning theory is the rational nature of human beings that drives them to reflect on their experiences and develop assumptions and opinions from the experiences. Westby offers four constructs of transformational learning. These are â€Å"constructivists’ foundation, critical reflection, a shift in the world view, and a change to meaning schemes† (Westby, 2007, p. 15). Constructivism recognizes adults’ perspectives that learning is developed from life experiences and is, therefore, an intrinsic phenomenon as opposed to a development from external sources such as books and educators. Constructivism further undermines the role of educators in transferring knowledge to learners because adult learners develop kno wledge from their experiences. Reflection is another fundamental construct in transformational learning and defines knowledge development through a series of reflection into actions and reflective evaluation of actions for solutions to problems that learners may encounter. This means that transformational learning is not entirely dependent on experience, but also on the learner’s rationale, which evaluates experiences for intellectual developments. A significant change in the worldview is another definitive characteristic of transformational learning and goes beyond knowledge and skills. The change in general perception involves transformation of personal values and approaches to developing meaning from a person’s

Florence kelleys speech on child labor Essay Example for Free

Florence kelleys speech on child labor Essay In Florence Kelley’s speech to the National American Woman Suffrage Association, she connects with her audience and encourages them to fight for the end of child labor by showing how horrifying it truly it is. Through bringing up the horrors of child labor, she implies that women need the right to vote, as they would abolish child labor. By appealing to pathos, using imagery, and applying repetition, Kelley successfully convinces the audience to agree that child labor is wrong. Through appealing to pathos, Kelley connects with the audience’s conscience by showing how barbaric child labor and pushes her audience to desire the end of child labor. By stating that children â€Å"in age from six and seven years and eight, nine, and ten years†, work to provide for their families and themselves, Kelley strikes a chord in the listeners’ hearts and shows how this system takes advantage of young kids. This shows the monstrosity that is child labor as they are so young. As she writes that â€Å"boys and girls, after their 14th birthday, enjoy the pitiful privilege of working all night long†, Kelley shows that working all night is like forcing children into slavery. With the oxymoron â€Å"pitiful privilege†, she shows ironic it is that when a child has an important birthday, they are jokingly rewarded with longer work hours. Kelley connects with the audiences’ emotions as she shows how unjust it is to make children work as hard and as long as adults do. By describing the children as â€Å"little beasts of burden, robbed of school life that they may work for us†, Kelley makes the audience feel guilty for allowing child labor to be a common occurrence within America. By utilizing pathos, Kelley connects with her audience through proving how horrendous child labor is and calls them to action to rid America of it. Kelley also uses imagery to convince the audience that child labor is horrendous and should come to an end by vividly describing the working conditions that the child laborers go through and how young these workers truly are. She describes the children as, â€Å"just tall enough to reach the bobbins†, which brings to the audience’s mind an image of an innocent girl forced into working at such a young age. As she describes the harsh factory working conditions the children face, she points out, â€Å"the deafening noise of spindles and the looms spinning†. By using such descriptive imagery, Kelley transports the audience to the rooms where little children are suffering and working. Through placing these unforgettable images in her audience’s mind, she causes them to realize the unfairness and horror of child labor which they will never be able to forget. Another rhetorical device Kelley uses to convince her audience that child labor is a monstrosity is a repetition of certain phrases. Through repetition, Kelley pushes her words and facts into her audience’s head leaving them no room to deny the unfairness of child labor. Throughout her speech, Kelley repeatedly starts paragraphs with, â€Å"in (certain state)†. By doing this, she is able to state facts on child labor laws in certain states; showing that though there are laws on child labor, they are still extremely unreasonable and unfair. This shows the audience that child labor is very real and though they do not witness it, these kids make their items of comfort. She also repeats the phrase â€Å"while we sleep†. This repetition highlights that children work through the night, but more importantly, it implies that this occurs while everyone else is relaxing and sleeping soundly in their beds. By showing that children are forced to work extremely hard, the audience is left horrified. By utilizing repetition, Kelley successfully imprints the facts of child labor and its’ unfairness in the listener’s mind. In Kelley’s speech, she appeals to the audience’s conscience and emotions, paints vivid imagery, and uses repetition to call others to fight to end child labor as it is a horrendous occurrence.

Bullying Speech Essay Example for Free

Bullying Speech Essay Hello I’m Maddi Beeson as many of you know and I wanted to talk to you about a very important issue at our school. There is the problem of bullying and I would like to say something about it which will hopefully change things. Starting off with this poem I had found on the internet which is a very inspiring poem about bullying. It is called: To This Day- for the bullied and the beautiful by Shane Koyczan. When I was a kid I used to think that pork chops and karate chops Were the same thing I thought they were both pork chops And because my grandmother thought it was cute And because they were my favorite She let me keep doing it Not really a big deal One day Before I realized fat kids are not designed to climb trees I fell out of a tree And bruised the right side of my body I didn’t want to tell my grandmother about it Because I was afraid I’d get in trouble For playing somewhere that I shouldn’t have been A few days later the gym teacher noticed the bruise And I got sent to the principal’s office From there I was sent to another small room With a really nice lady Who asked me all kinds of questions About my life at home I saw no reason to lie As far as I was concerned. Life was pretty good I told her, â€Å"Whenever I’m sad My grandmother gives me karate chops† This led to a full scale investigation And I was removed from the house for three days Until they finally decided to ask how I got the bruises News of this silly little story quickly spread through the school And I earned my first nickname Pork Chop To this day I hate pork chops I’m not the only kid Who grew up this way Surrounded by people who used to say That rhyme about sticks and stones As if broken bones Hurt more than the names we got called And we got called them all So we grew up believing no one Would ever fall in love with us That we’d be lonely forever That we’d never meet someone To make us feel like the sun Was something they built for us In their tool shed So broken heart strings bled the blues As we tried to empty ourselves. So we would feel nothing Don’t tell me that hurts less than a broken bone That an ingrown life Is something surgeons can cut away That there’s no way for it to metastasize It does She was eight years old Our first day of grade three When she got called ugly We both got moved to the back of the class So we would stop get bombarded by spit balls But the school halls were a battleground Where we found ourselves outnumbered day after wretched day We used to stay inside for recess Because outside was worse Outside we’d have to rehearse running away Or learn to stay still like statues giving no clues that we were there In grade five they taped a sign to her desk That read beware of dog To this day Despite a loving husband She doesn’t think she’s beautiful Because of a birthmark That takes up a little less than half of her face Kids used to say she looks like a wrong answer That someone tried to erase But couldn’t quite get the job done And they’ll never understand That she’s raising two kids Whose definition of beauty Begins with the word mom Because they see her heart Before they see her skin Because she’s only ever always been amazing He Was a broken branch Grafted onto a different family tree Adopted Not because his parents opted for a different destiny He was three when he became a mixed drink Of one part left alone And two parts tragedy Started therapy in 8th grade Had a personality made up of tests and pills Lived like the up hills were mountains And the down hills were cliffs Four fifths suicidal A tidal wave of anti depressants And an adolescence of being called popper One part because of the pills Ninety nine parts because of the cruelty He tried to kill himself in grade ten When a kid who could still go home to mom and dad Had the audacity to tell him â€Å"get over it† as if depression Is something that can be remedied By any of the contents found in a first aid kit To this day He is a stick of TNT lit from both ends Could describe to you in detail the way the sky bends In the moments before it’s about to fall And despite an army of friends Who all call him an inspiration He remains a conversation piece between pe ople Who can’t understand Sometimes becoming drug free Has less to do with addiction And more to do with sanity We weren’t the only kids who grew up this way To this day Kids are still being called names The classics were Hey stupid Hey spaz Seems like each school has an arsenal of names Getting updated every year And if a kid breaks in a school And no one around chooses to hear Do they make a sound? Are they just the background noise Of a soundtrack stuck on repeat When people say things like Kids can be cruel? Every school was a big top circus tent And the pecking order went From acrobats to lion tamers From clowns to carnies All of these were miles ahead of who we were We were freaks Lobster claw boys and bearded ladies Oddities Juggling depression and loneliness playing solitaire spin the bottle Trying to kiss the wounded parts of ourselves and heal But at night While the others slept We kept

Public Interest in Serial Killers

Public Interest in Serial Killers In this weeks module five on the publics interest in fictional and real serial killers a lot of interesting information was given. As much as we dont like the fact that people kill people out of random acts and for no reason, we cant just turn a blind eye to it. These killings weather we like to admit it or not draw us in and we want to know how it happen and the details of the crime that was committed. This infatuation isnt just for one reason but for many different reasons depending on the type of person someone is. One of the reasons a person might be infatuated with a serial killer is because of the curiosity of the crime in the way that the crime that was committed was so rare that it invokes a greater interest then that of a random killing (Bonn, Scott), or a killing that has been done before.   A second reason is that some killers kill at random and dont know their victims this it like a shark attack to people and makes them feel hat anyone can be a target. Another reason is that when some killers kill their inner demons come out (Bonn, Scott) and in a great rage and force it is this rage that draws people to try and comprehend their mind set and try to understand it. When it comes to the monsters portrayed in movies it especially plays on the feeling and emotions of people and this is why we are so attracted to it. It draws us in by playing on our emotions of fear and anger (Bonn, Scott). There is a fine line between those people that have an interest in the fictional characters that are played in movies that are killers versus those that are actual serial killers. Those that have a high interest in fictional killers dont acknowledge those that are actual killers. This to me might be because the crimes committed in the movies havent happened in real life but the fact that the scenarios in the movie could happened and bring upon feelings of fear that makes it interesting and an infatuation occur. There are some people that have gone so far with the infatuation for a real life serial killer that have written them in jail and build a friendship with them because they are obsessed with the crimes they did and their mind set (Bond, Michael). For these people their infatuation has brought them to an extreme. It is because they have a want to be like them or just understand them and have brought their fantasy into reality to get to know them on a personal level. The media is a high influencer of these infatuations and this is because when these kinds of crimes they are highly wanted in the news and that because they are integrating and as far as the media is concerned builds up their ratings. Law enforcement and the media in a way bump heads and this is because when a crime occurs and the media catches wind of it they report on it and they use some facts of the cast and they exaggerate and make their own assumptions about the crime that happen (Morton, Robert). This makes it especially hard for law enforcement with an ongoing investigation because when they make false claims to the public it evokes fear in people (Morton, Robert) and they are looking for the person that did these and any person that they feel is the killer because of the false facts of the media is reported on making law enforcement follow false leads. Our interest and obsession with serial killers could be for many different reason weather that person is a real serial killer or one made up by movie producers. The fact is that this infatuation is a little scary that a person could be so interested with someone that has actually committed a crime and harmed another because they want to be like them and they committed a crime that they know they could not do. On the other hand those that are drawn to killers because of the need to understand their mind set and know what drove them to such extremes, profilers that classify serial killers do this to catch a serial killers and prevent it from happening,. Infatuation and interest in serial killers will always be something the human mind does because of the need for understanding. References 1.) Bond, Michael. Why are we eternally fascinated by serial killers? March 31, 2016. Retrieved from http://www.bbc.com/future/story/20160331-why-are-we-eternally-fascinated-by-serial-killers 2.) Morton, Robert. Behavioral analysis unit 2, Federal Bureau of Investigation. Serial Murder: Multi-Disciplinary Procedures for Investigators. Retrieved from http://ct2learn.com/els/resources/ebooks/serial-murder-multi-disciplinary-procedures-investigators/view-serial-murder-multi-disciplinary-procedures-investigators/ 3.) Bonn, Scott. Heres Why We Love Serial Killers. September 22, 2014. Retrieved from https://www.psychologytoday.com/blog/wicked-deeds/201409/here-s-why-we-love-serial-killers

Gun Rights vs Gun Control Essay -- right to bear arms, gun laws

The continuing Mass Shootings in the United States has caused the gun control debate to intensify. While anti-gun control advocates say the Second Amendment guarantees each individual the right to bear arms, the pro-gun control group reads the Second Amendment as a collective right to bear arms; meaning organized militia are the only ones with that right. This essay will analyse the effectiveness of several different articles which present arguments for and against gun control. Charles W. Collier’s article, â€Å"Gun Control in America: An Autopsy Report†, dives into the controversial topic of gun ownership and gun control in the United States. He uses recent shootings, including the George Zimmerman case and the Connecticut elementary school shooting, to present his case that gun violence will remain in the United States as long as guns remain high in number and low in regulation. Collier states that if Americans did not intend the consequences of holding an army with almost unlimited access to firearms, they would start demanding laws to control the gun violence: But changes of this magnitude are hardly to be expected—not in a land where a one-gun-per-month purchase limit counts as bold—even â€Å"pioneering†Ã¢â‚¬â€legislation. (The debate over assault weapons and high-capacity magazines, after all, is not about whether people will be killed; it is about how many will be killed, and how quickly). (81) Collier writes his article in a pessimistic view of the future of gun regulation. He uses logos in the quote above by using deductive reasoning. Collier writes about the generalization that any gun legislation should be unexpected because the specific case of the one-gun-per-month purchase limit. Collier uses pathos heavily throughout the a... ...additional information concerning gun control, the reader is left to make his or her educated opinion. Works Cited "Countering The Gun Lobby With Data." Bloomberg Businessweek 4347 (2013): 10. Business Source Premier. Web. 10 Feb. 2015. "Enforcement of Gun Control Laws." Guns in American Society: An Encyclopedia of History, Politics, Culture and the Law. N.p.: ABC-CLIO, 2003. Credo Reference. 16 July 2008. Web. 10 Feb. 2015. "Gun Control." Guns in American Society: An Encyclopedia of History, Politics, Culture and the Law. N.p.: ABC-CLIO, 2003. Credo Reference. 16 July 2008. Web. 10 Feb. 2015. Collier, Charles W. "Gun Control In America: An Autopsy Report." Dissent (00123846) 60.3 (2013): 81-86. Academic Search Premier. Web. 8 Feb. 2015. "Gun Control Overview." Congressional Digest 92.3 (2013): 3-7. Academic Search Premier. Web. 9 Feb. 2014.

Higgenbotham Book Review :: American History, American Identity

Don Higginbotham expertly combines both primary and secondary sources providing the reader a composite historical narrative of the American Revolution as â€Å"seen through American ideas.† Higginbotham was Dowd Professor at the University of North Carolina at Chapel Hill until his death in June 2008. Higginbotham contributed several articles on comparative revolution and many other books and articles about the American Revolution. The book’s subtitle is Military Attitudes, Policies, and Practice 1763 – 1789. However, Higginbotham devotes substantial attention to other themes providing the reader with a synthesized version of the political and military aspects of the war. He also addresses the cultural and social aspects of the war. In doing so, he illustrates how the war affected the development of an American identity and how whig philosophy translated into everyday reality for the common man. Finally, he uses the book to compare the Vietnam conflict to the American Revolution. The author never directly discusses the development of an American identity, but one can see that thread as he discusses the militia system and its reinforcement of the provincialism and localism during the period (7). Higginbotham continues this theme, contending that a group of â€Å"American political leaders† emerged within the Continental Congress who were nationalists and desired to go beyond the simple provincial assemblies (81). Higginbotham maintains this concept, proposing that Manifest Destiny may have been an issue as early as 1776 in the colonial discussions concerning the invasion of Canada (108). The concept of an American identity came to fruition in 1776 when opinion concerning independence grew increasingly favorable (117). One could argue, however, that most Americans possessed little concept of an identity even after the Declaration was signed. Nevertheless, in 1781 the Pennsylvania line must had some concept of an American identity. After revolting due to lack of pay and other necessary items, one soldier remarked that, â€Å"Clinton might ‘bribe such a mean toadeater as Arnold,’ but ‘it is not in his power to bribe an American soldier’† (404). Without an innate knowledge of what an American soldier was, it seems unlikely that such a remark would have been made. Higginbotham clearly demonstrates how colonial Americans internalized whig beliefs and turned them into action not only resisting British authority, but also resisting its own Continental Army. This created somewhat of a quandary for colonial authorities throughout the war, for in resisting the militarism of George III (118), they needed to establish a military that became what they were fighting against. Higginbotham describes Congress’ first attempt at this in a â€Å"restrained military code† that would reflect the society from which it originated.

Othello: the Abnormal Essay -- Othello essays

Othello: the Abnormal Five Works Cited  Ã‚  Ã‚   William Shakespeare’s tragic drama Othello presents to the audience a very abnormal character in the person of Iago. Also can one classify the epileptic seizure of Othello as normal? Let us in this essay consider the abnormal in the play. The abnormal behavior of the ancient is partly rooted in his misogynism. In â€Å"Historical Differences: Misogyny and Othello† Valerie Wayne implicates Iago in sexism. He is one who is almost incapable of any other perspective on women than a sexist one: Iago’s worry that he cannot do what Desdemona asks implies that his dispraise of women was candid and easily produced, while the praise requires labour and inspiration from a source beyond himself. His insufficiency is more surprising because elsewhere in the play Iago appears as a master rhetorician, but as Bloch explains, ‘the misogynistic writer uses rhetoric as a means of renouncing it, and, by extension, woman.’ (163) And how about epilepsy? In Act 4 the evil Iago works up Othello into a frenzy regarding the missing kerchief. The resultant illogical, senseless raving by the general is a prelude to an epileptic seizure or entranced state: Lie with her? lie on her? – We say lie on her when they belie her. – Lie with her! Zounds, that’s fulsome. – Handkerchief – confessions – handkerchief! – To confess, and be hanged for his labor – first to be hanged, and then to confess! I tremble at it. [. . .] (4.1) Cassio enters right after the general has fallen into the epileptic trance. Iago explains to him: IAGO. My lord is fall’n into an epilepsy. This is his second fit; he had one yesterday. CASSIO. Rub him about the temples. IAGO. No, forbear. The lethargy must have his quie... ...l find Iago peeping out from many of its pages. Still more, Iago’s name will be found appearing occasionally in bold print in books on abnormal psychology. (89-90)    WORKS CITED    Bevington, David, ed. William Shakespeare: Four Tragedies. New York: Bantam Books, 1980.    Campbell, Lily B. Shakespeare’s Tragic Heroes. New York: Barnes and Noble, Inc., 1970.    Coles, Blanche. Shakespeare’s Four Giants. Rindge, New Hampshire: Richard Smith Publisher, 1957.    Shakespeare, William. Othello. In The Electric Shakespeare. Princeton University. 1996. http://www.eiu.edu/~multilit/studyabroad/othello/othello_all.html No line nos.    Wayne, Valerie. â€Å"Historical Differences: Misogyny and Othello.† The Matter of Difference: Materialist Feminist Criticism of Shakespeare. Ed Valerie Wayne. Ithaca, NY: Cornell University Press, 1991.

Justification for Torture

Torture is a scenario that dates back to the old government ages. Is government torture ever justified? This answer is can be answered by this quote,†Torturing the terrorist is unconstitutional? Probably. But millions of lives surely outweigh constitutionality â€Å"(Levin 1). Who would not save the lives of fellow citizens If the only option to solve the issue was torturing an individual for his crimes? Many people would see the situation as a sacrifice for the better of the people. The lives of Americans should be the most important priority of a nation. Torture is justified as long it is for the safety of the people and not for the mere cause of violence. Torture is the considered to be a harmful mentally and physically to anyone. It is a very well known method in the time of war. There have been many cases where it used on children and women. The course of torture can range from physical abuse to sexual abuse. Those are without a doubt an international crime. Using torture on innocent human being is completely out of the question. The use of torture in terms of water boarding on terrorist can be another matter. Torture without a doubt is a cruel treatment for an individual but it must be a nation policy (Falbaum 15). Saving innocent lives should be a governments priority in a â€Å"ticking time bomb † scenario. The scenario states, lets say an officer, got control of a terrorist planning an attack on hundreds of people. It is highly likely this terrorist will be interrogated by other officials to obtain information about the attack. Torture should be an option if the individual refuses to give the data to save hundreds of lives. Falbaum also mentions that 9/11 attack could been prevented if the United States had torture as part of their system. If the US policy was more strict at those times the terrorist would have feared their policy or would have captured their leader and gained details about the whereabouts of the attack. A poll shows that majority of registered citizens prefer harsh techniques that can keep America safe (Bauer 27). The society should support inhumane behaviors like torture if it is seen as last hope for innocent lives. Successful interrogations can keep America safe for the future. The world revolves around information and if your country is lacking information, terrorists can take advantage of the situation. Using torture on terrorists to gain information will benefit in prevention of future attacks on the country. Marc A. Thiessen goes into detail how many terrorists that have been interrogated provided them with reliable information that ended up saving thousands of American lives. â€Å"Thiessen believes that terrorist suspects will talk if pressured in the right way† (Thiessen 36). Some people may argue that torture does not provide the right detail because the victim will say anything to stop the deadly act. A statement said by the terrorist Abu Zubayah explains that captive terrorist tends to resist as long as they can, if they fail to do this they are given permission by their religious belief to tell what they have known. â€Å"The job of the interrogator is to safely help the terrorist do his duty to Allah, so he then feels liberated to speak freely â€Å"(Thiessen 40). It leads to show if the US practice and enhance their torture techniques it will lead to a safer nation. What techniques can be considered torture? Water-boarding is the act where the victim is drained water on his head to stimulate the pain of drowning. Water-boarding to Joseph Farah is not considered torture. He states that the technique is relatively safe with the right management. Not only that he argues that United State also practice this technique on their own soldiers as training (Farah 82). According to him while water-boarding is very abhorrent it is not as bad as cutting of a hand or anything gore. The truth is Water-boarding is very effective and most of the time the result are given in less than a minute. The success stories range from learning about al-Qaida's top plans. It is said that the terrorist agents resisted normal interrogations for hours and hours but gave into water-boarding sooner than the word can be said. This scenario can happen anywhere in the nation. Lets say an al-Qaida member was captured by the CIA and found whereabouts of bombs being placed around a city. They hire the top of the line negotiators to spoil the information. The real question still remains. Will they be able to make the terrorist member talk before it's too late? Then again we could resort to the use of water-boarding and save their lives before it is too late. It is not like we have torn their limbs off to order to get the information. â€Å"But a few seconds of dripping water on a prisoner's face? That's not torture to me â€Å"(Feah 85). Some believe that torture disregard true American standards. Patrick J. Buchanan gives a great insight about this issue. He states that torture is viable as long as it fit to save the American people. It is just like how murder is seen unethical yet you see soldiers and cops given the permission to kill as long as it fits the right scenario (Buchanan 55). Would a war hero that killed twenty men in order to rescue 2,000 citizens receive a death sentence? Just because he murdered 20 men, no. He would be honored as a hero he so deserved to be. There are doctors that inflicts pain to many soldiers in the war field by cutting of parts of their body. This saves their life by preventing death by decay. These are one of the exceptions that torture should be given into. Take for example someone's son or daughter was captivated by a terrorist group. One of their remember was found, he would not spoil or hint any information by simple conversations. What will a parent would want from the government to do? It does not matter if they oppose torture or not, a parent would choose water-boarding compared to the death of their child. Torture is not to be taken lightly but should be considered an option if the situation arise. Torture should the last option if it ever to be used. It a very sensitive topic for many people. There are groups that strongly rejects torture in any situation and there are people that support torture if it leads to saving lives. Ultimately saving lives should be the priority of any government. If it result in agreeing to an â€Å"harsh techniques † like water-boarding to stop future 9/11 attacks, the majority will agree. It is very hard to come to a conclusion about this specific topic because both sides can provide very good viewpoints. It will be one of those controversial topic that will go on for decades.

Expository Essay: Body Image Essay

Most women could agree that it can be rather frustrating and sometimes difficult to find the perfect clothes for that perfect fit. Oftentimes many women may feel they look fat in their skin tight jeans, or do not have nice, shapely legs to wear those cute short shorts during the summer months. Some women may have some extra padding they would like to conceal, whereas others may want the extra padding. There are specific body types for all women, and when people refer to body types they may refer to a pear shaped body that entails acquiring a slender neck, narrow shoulders, small bust line, a shapely waist, and generous lower hips and full thighs. Some women may have a round figure, which may give them a giving bust, fuller back, generous middle, narrow hips, and slender legs (which many women may love to have). In any case, many plus sized women face conflict concerning selecting clothes; however, there are numerous options that can flatter any body type. Accentuating Assets For those women who know they have a grand set of brilliant, voluptuous breasts, remember that cleavage is a much more tasteful and yet sexy way to go then trying to show full breast for the world to see. Instead, try wearing a slinky halter neck dress or shirt to skim modestly over breasts and show off any curves. Also investing in a well fitted bra will also help in accentuating those brilliant beauties. At hand, there are countless women with amazingly shaped, long, slender legs and many women with nice, toned arms. A woman with long, shapely legs could be wearing above the knee  skirts or short shorts. Women with the nice toned, muscular arms should try wearing more sleeveless shirts or dresses to show off those shapely toned muscles. For women who seem to have that excess skin under the arms, try opting for a shirt with fitted sleeves just above the elbow to help minimize any sagging they may not want seen. Women are continually trying to focus always on hiding what they do not want to be seen. However, instead of trying to focus on hiding what they do not like about their body, they should try to focus on what they do like most and in turn; the observer will focus more on the positives rather than the negatives. Remember, focusing more on showing off the goods will derail the audience in trying to focus on any flaws a woman is trying to cover up. Jeans and Pants It is true for some women that the pants or jeans they buy just do not look or feel right on  their body. Do they feel they make them look larger than they are? What if these pants or jeans make them look even slimmer then they want to look? There are numerous diverse styles of jeans and pants that will look amazing on any figure. For women who worry about their waistline, maybe try pants that sit low on the hips, which will help to slenderize the trouble area. Slacks that sit just below the naval will make a woman’s midriff seem longer and more slender, according to a contributor at (http://weightloss.about.com). If a woman is trying to hide thighs, saddlebags, or a big booty, she should try opting for a slightly flared or boot-cut style jean or pant. This type of style will in turn help draw attention away from those problem areas. According to Falcon (2011), another marvelous idea to help hide those unwanted thunder thighs: try a pair of skinny jeans with a tailored blazer, a longer shirt, and high heels. Flat-front pants and a side or back zipper can help flatter the figure. For those women trying to hide the tummy area, try to avoid pockets and tight pants, for they will only draw that unwanted attention to the midsection. Dresses and Skirts Some women believe they are feminine and sophisticated in a nice flowing dress whether it is a glamorous formal gown to something as simple as just a  wrap around. However, it can be sometimes difficult to find that perfect dress or skirt that will look perfect on a woman and appeal to her body type. A woman can never go wrong with an A-line cut dress. According to a contributor from (www.ehow.com), these styles flow naturally over the stomach and hips, and will draw attention to the waist at the smallest part. When looking for glamorous gowns  look for a dress that flows with the natural curves of the body. Falcon (2011) says that scoop necks, sweetheart cuts, and even off-the-shoulder are especially flattering. A woman who may be on the heavier side should try to stay away from gowns that could leave her looking plump, so instead stay with thicker lined fabrics (example would be a stretch satin) that will help in concealing those unattractive ripples. Angie (2008) suggests that for women who want to conceal their stomach area more could lean toward a printed wrap dress, which helps in defining the waistline while the print camouflages the stomach area. Many women struggle with below the waistline areas like the hips and thighs. Women can solve this by looking for dresses that create volume on the bottom. Pencil style and bias-cut skirts are frowned upon slightly for any woman and her body type. These styles tend to cling to the body more and emphasize those areas she does not want noticed. Colors and Patterns Not only do the right clothes make a difference, but colors and patterns can play a big role as well. If a woman is wide around the middle she may want to avoid any horizontal striping on clothing. Wide horizontal striping is a huge NO for wide figured women! Vertical stripes are wide-reducing friendly, and they also give off a more professional look as well. However, maybe there are women who need or want to look a little wider? That is alright and by all means horizontal stripes could be their best friend. However, try not to overdo it or get too carried away. Less is more. Also pin stripes and tunics give off an attractive lengthening look to a woman’s body. As far as colors are concerned, even though black is the number one choice in  color for slimming the body, it certainly does not have to be the last. Jewel tone colors like garnet, cobalt, and even plum are great colors to experiment with. Women can even try colors like navy blue, burgundy, or even a dark brown. A splash of color can help lively up any person’s mood. However, if black is her favorite color try dressing it up a bit with a nice colored belt, jewelry, or even a great pair of shoes (Falcon, 2011). Accessories Many women love to accessorize. Accessorizing the outfits should be fun for everyone and are the final finishing touches to a great ensemble. However, there are women that like the simple look, so if they are not into accessorizing, a simple pair of earrings of their choice or a necklace can help to simplify their ensemble. Quite a few women like the belt look and, will use that as an accessory. The secret to wearing belts is to wear them above a woman’s natural waistline according to Falcon (2011). Waist high belts can make an ensemble look good. Scarves seem to be a trendy new look for a woman dressing casual or if she is going for a more elegant style. Wool scarves are best worn in winter, while cotton scarves with bright colors are well suited for the spring and summer. Silk scarves are very exotic and can add some elegance to any dress. Beautiful, bright, and exotic silk and linen scarves will not only liven up any wardrobe, but add that summery euphoria to a womanâ€℠¢s personality. A woman’s shoes are her very core – alright maybe not her core but close to it. She should always finish an outfit with a great pair of shoes. High heels are nice in that they elongate, making a woman look taller and leaner. Open toed shoes can give those thighs and calves a slimmer look than wearing a closed toe shoe that would give off the opposite illusion. Women should avoid ankle straps if their legs are already slim. However, for those women who want to add a fuller appearance, ankle straps are their friends. When concerning wearing boots, the knee-high boots, or boots that fall just below the knee have become a popular trend for short skirts according to a contributor from (http://www.wikihow.com). Whatever the style shoe or boot a woman should be sure the shoe or boot is comfortable for her and emphasize  what she wants to accentuate the most. In all, a woman should have fun experimenting. Women can mix and match to suit any kind of ensemble. A woman can even come up with her own styles that better suit her and how comfortable she feels wearing what she chooses. Remember, there are numerous styles out there that will fit any body style, whether a woman has a pear shaped body, hourglass, or even round. It is just a matter of living happy and confident not only on the inside but on the outside as well that will really grab a person’s attention. References Falcon, A. (Copyright 2011). Fashion How Tos: Plus-Size No- No’s Busted: How to Wear Tricky Looks. http://www.marieclaire.com/fashion/tips How to Dress to Make Yourself Look Skinnier [Anonymous]. (Last edited December 28, 2010). http://www.wikihow.com/Dress-To-Make-Yourself-Look-Skinnier Glass, V. (Copyright 1999-2011). How to Wear Clothes That Make You Look Slimmer. http://www.ehow.com/how_2618_wear-clothes-make.html Scott J. R. (Updated September 28, 2009). 10 Tips to Looking More Slender. http://www.weightloss.about.com/cs/ourtoptopics/a/aa05124a.htm