Thursday, October 31, 2019

Answer question Essay Example | Topics and Well Written Essays - 250 words - 1

Answer question - Essay Example al banks, finance companies or asset management firms and determine the stableness of the organization by asking for the length of time in business; who the owners or major stockholders are; where are their other bank locations; and a preview of their financial performance (which is usually available through online sources). The number of credit cards that a person should have actually should depend of the person’s requirements and the capacity to pay. If a person needs credit cards for personal use only, then, one card should suffice. If the person needs a credit card for other purposes like to make credit availments for one’s small business, then, another card that could support and sustain the requirements could be availed in additional to the credit card for personal use. An expense which can reduce one’s tax burden is charitable contributions. According to the IRS (2011), the rules to be considered in cases of charitable contributions are that â€Å"charitable contributions are deductible only if you itemize deductions on Form 1040, Schedule A. To be deductible, charitable contributions must be made to qualified organizations. Payments to individuals are never deductible† (IRS, 2011, pars. 1 &

Tuesday, October 29, 2019

Solution of Bottleneck problem Assignment Example | Topics and Well Written Essays - 1250 words

Solution of Bottleneck problem - Assignment Example However, there are always alternatives that can be embraced to avoid such ups and downs. These actions could even call for an evaluation of the entire process, and once a section that is responsible for the stagnation is established, one can always know what to do to correct it. Such a problem was encountered in one of the buildings, Annex Building entrance, and below is how the irregularity is contained effectively, after close examination of the problem. The doors to Annex building, used on daily basis by different people ranging from workers who have offices in the building, hundreds of teachers and students with classes there, and others wishing to access facilities such as library and food courts. This large number of people flocking into the building further bring into consideration the aspect of convenience which should be paramount for ensuring minimum time loss and for controling excessive crowding at the doors. As expected, the doors to this building should be easy and straightforward to use in order to ensure that there are no inconveniences that arise when anyone wishes to access the building. Though the process sound so simple theoretically (just grasping the handle, pulling/pushing the door open and proceeding through), it is cumbersome when practically done. Numerous factors cause people to halt interactions until they can get someone to ask for assistance. These factors include overcrowding, usability of the arm, people’s baggage loads, and cases when individuals with wheelchairs experience problems at the doors.

Sunday, October 27, 2019

Financial Analysis of the British Petroleum (BP) Foundation

Financial Analysis of the British Petroleum (BP) Foundation British Petroleum Foundation British Petroleum (BP) is one of the worlds leading integrated oil and gas companies, and it is the third largest energy company and the fourth largest company in the world. It provides customers with energy for heat and light, fuel for transportation, lubricants to support the performance of engines and petrochemicals products to diversify daily use items. BP was founded in 1908 by William Knox DArcy to exploit oil discoveries in Iran. Nowadays key persons are Carl-Henric Svanberg (Chairman) and Bob Dudley (CEO). The BP Foundation, Inc., established in 1952, is a private non-operating foundation and an independent charitable organization separate from, but funded entirety by, BP that exists for the public benefit. It supports philanthropic activities around the world, helps communities by supporting STEM (Science, Technology, Engineering, and Mathematics) education programs across America, economic development, and by drawing attention to environmental issues. First of all, BP Foundation is widely known for contribution to the development of STEM educations. It has supported several initiatives in Illinois by donating $5 million to the Museum of Science and Industry; $400,000 to the University of Chicago Collegiate Scholars Math Science Initiative; $100,000 to the Illinois Mathematics and Science Academy Energy Center; and $135,000 to the Chicago State University. Moreover, the BP Foundation supports organizations such as the National Action Council for Minorities in Engineering, the aim of which is to showcase talents of American Indians, Hispanics and African Americans. BPs initiative of donating $1 million every three-year has supported 200 engineering scholarships for students, who attend one of NACMEs 51 partner universities. In general, since 2012 BP Foundation has donated around $65 million for education, that shows a desire to expand economic opportunity, develop a highly skilled workforce and inspire the next generation of innova tors. In 2005, BP united with the Association of Science- Technology Centers in order to launch the Energy Education Initiative, objective of which is to train and equip STEM teachers. Besides, it joined the Million Women Mentors project to help young women to learn more about STEM careers. Second, BP Foundation has Employee Matching Program, that enables BP employees to match fund from BP to eligible charitable organizations and to help support the community where they work. Since 2006, the BF Foundation has matched over $82 million on behalf of its employees to charitable organizations worldwide. In 2014 employees volunteered about 207,866 hours and raised around $1.6 million by taking part in sponsored pledge events. In appreciation of their efforts, the BP Foundation additionally provided matching grants in the total amount of $10.4 million to educational institutions and charitable organizations. Also, BP supports military men both during and after their service. In 2005, BP was rewarded with the Secretary of Defense Employer Support Freedom Award, that the US government gives to employers for their support of workers serving in the Guard or the Reserve. Also, it helps veterans return to civilian life by, for example, supporting adaptive sports such as Paralympic programs and the Warrior Games, that help disabled or injured veterans while they pass procedure of rehabilitation and reintegration. To sum up, it must be said, that BP Foundation is one of the biggest supporters of programs designed to promote education through STEM, but at the same time it invests in economic development through job training, sustainable community projects and enterprise development; and the environment through projects that further the understanding of global environment issues. Financial Analysis Monetarily, the company is performing great. From its financial position, the company has many long-term assets, which are used by the company as a source of income especially when leasing as well as securities while borrowing loans which gives the company an advantage when it comes to loans for future. The long-term assets are known to increase in value as years proceed which places the company at a better place. Additionally, the company has short-term assets which includes revenue and short-term income, which is used by company to provide for most of its expenditures as it, acts as a source of income. From the given information, it indicates that organization has a positive liquidity. The assets of the organization exceed its liabilities, which explains the organization can meet its financial obligations without much pressure. There are the total assets of about 11 million while there are about 7 million of total liabilities which basically leads to the positive deficit of roughly 5 million. The company has short term liabilities, which explains that the company can easily settle them down and cannot lead to the closure of the business. The company also has a lot of sales which shows that the company is performing well in the market. In addition, the company has gross sales of assets which is worth more than 44 million dollars which specifies that the company is better placed and have a lot of disposal capital. The contributions, grants and gifts do not contribute a lot to the company source of income and capital like the company assets which are sold. When comparing its expenses and income, we noticed that the company doesnt incur a lot of expense when it comes to hiring of services as well as equipments used in the office which basically reduces the company liabilities as well as expense. After the financial year, the net assets are greater than net liabilities which shows that the company performed well at the end of fiscal year. The current ratio of the company is greater on the assets side when compared to the liabilities side. The company also has a higher book value of more than 14 billion dollars, which they can use for attracting investors since it indicates that the company is performing better and not in debt. The company also has a higher fair market value which shows that the company is performing well in market and that its products are considered among the best in the market which basically increase its market value. The company investments on the corporate stock is higher both in book value and the market price which illustrates that the company is performing good in the market and that its bonds are among the highly purchased in the market. However, the organization has some grants which are payable and are higher at the end of year as compared to the beginning of the year. This indicates that the company incurred some more expenses between the year which explains that the organizations will incur more expenses on paying the grants. The company lacks any deferred payments and mortgages to pay which reduces the amount of debts that they owe other companies. The business has other investments around $ 175,000, which indicates that the company source of income and revenue is high. Funding of the Organization British Petroleum Foundation is funded through a program called Employee Matching Program. The employees who are linked with this program called Employee Matching Program. The employees who are linked with this program are those working for British Petroleum Corporation. This company is one of the worlds biggest enthusiasm companies and it delivers energy products and services to people around the world. In the employee matching program, a maximum amount of $ 5,000 or equivalent to local currency per employee for each calendar year that has been allocated. They also have the options that are well outlined on how each employee may choose to participate and use this fund. An annual budget from the BP foundation would be allocated to this fund. All employees of British Petroleum and any of its designated partners or exclusively owned subsidiaries are eligible to participate in the program. The recipient organizations must function on a Not for a Profit Basis. The organizations that are located in United States must be qualified for tax-exempt under Internal Revenue Service Code 501 (Gong, 2). Fundamentally, British Petroleum Foundation has done countless things to the entire world and especially with touching many lives. The foundation has donated more than $ 218 million to community and enterprises in the United States. In 2015, BP foundation logged more than 55,000 hours of volunteering that raised approximately $6 million grants. Apart from above, the foundation also assists organizations such as National Action Council for Minorities in Engineering (NACME) which obtains to create an Engineering workforce. The foundation contributed $1 million to support 200 scholarships for students who are attending one of NACMEs universities. British Petroleum foundation also provides financial support to natural disaster areas. In cooperation with local BP businesses, it contributed $125,000 to provide food and health services to those affected by floods in 2015. The foundation is dedicated to support worldwide organizations that meet the British Petroleum foundation donation approach which includes economic development, education and education, economic development and ecological programs. They do not accept unwanted offers but they do request reviews submitted by BP businesses around the world. BP foundation has also partnered with sports and support social enterprises which began in September 2011 to create employment legacy from London 2012 Olympic games. The British Petroleum has also worked with social enterprises in East London and West London to provide training and knowledge to support projects to allow the enterprises grow in future. Therefore, we can conclude that British Petroleum Foundation has contributed to make the Earth the better place for everyone. The BP foundation is also funded from three sources which includes contributions and grants received, interest on investments and profits from sale of assets (Form 990). The foremost source of funding in 2015 tax return is the grants of $ 5.7 million from BP America, Inc. In 2014, they received $ 209,713 from BP Products North America; from which $208,929 was a noncash transaction. The second source of funding is the Interest on Investments. In 2015, the interest was less notable amount of $16,920, however in 2014, the interest was $ 95,338. There was decrease of interest income in 2015 because there were the sales of $44,613.321in 2014 which was initially obtained by the foundation. The third source of funding is profit from sale of assets. In 2015, it amounted to be $(4,651), however in 2014, the profit was $38,734. Therefore, in 2015, its contributions became negative of 0.08%, however the contribution was reported for 26.70% in 2014. The major source of funding is grants which was received from British Petroleum. Issues facing the Foundation Just like any other organization operation in the economy, BP foundation faces some issues in its day to day operations. The first one is financial challenges. BP foundation is exclusively reliant on its parental company. They do not receive any support from other government, private or public organizations. BP foundation is not able to encounter its operating and managerial expenditures from its own resources. There are many more people who need to be reached by the charitable works of BP foundation but finance remains a limiting factor. The foundation needs more funds to be able to extent its charitable services to every corner of the globe. It is therefore up to its management to generate ideas on how they will be able to raise these funds to smoothen their operations. Another issue is operational level. The operations of the foundation revolve around dynamic sectors of the society like education particularly science, economic development and environmental issues. The organization contribution is mainly restricted for providing scholarships for education to its employees but not to community. Also, they are inhibited by the fact that they are suffering losses economically and the company is not in situation to make investments. The foundation should set a lot of funds for research of new ways of doing things. This will enable those students who are under the foundation to be part of the new discoveries made every day. By doing that, the foundation will be able to leave back a legacy to the forth coming generations for being part of those people who contributed to the great innovations ever made in the globe. Information about the Foundation The information on the foundation is very limited. It needs extensive research for one to obtain the information about this foundation because of the nature of their work. They are doing charitable work and it is not always published in newspapers or covered by bloggers. Because of the nature of this information, it needs to do a lot of research to access them. The website of British Petroleum has a very limited information about BP Foundation. The websites like CNN and NASDAQ didnt have any information regarding the financial statements. The other websites provided very limited information about the BP Foundation. The main information came from the BP Foundations Form990 tax returns for 2014 and 2015. Other than that, it is very difficult to find the information regarding the BP Foundation. Integration of BP Foundation The foundation is integrated into British Petroleum Corporation by several levels. The foundation specially gives grants to STEM education, which basically follows the British Petroleums core values of safety and energy. Similarly, in case of when natural disaster occurs, the foundation gets help from BP to help those who got affected during the incident. Another level is excise tax, which is based on investments income, which shows that statement regarding its activities and if the company controlled any entry or exit of any company in the market. Moreover, the company donations to any organization and other transactions outside the book value. The file also shows the credit payments and any other penalty the company was fined. The company through shares and taxes is tied with British Petroleum Corporation as well as the company assets. Work Cited Gong, Ning, and Bruce D. Grundy. Charitable Fund-Raising Matching Grants or Seed Money: An Application to Employee Matching Grant Schemes. SSRN Electronic Journal (n.d.): n. pag. Web. 12 Mar. 2017. Employee Matching Fund. BP Life Benefits (Core US Benefits) Employee Matching Fund. N.p., n.d. Web. 12 Mar. 2017. BP Foundation. Bp.com. N.p., n.d. Web. 12 Mar. 2017.

Friday, October 25, 2019

Revelation Essay -- essays research papers

The creation of the earth and all that is within the earth is mysterious yet miraculous at the same time. Although there are probably hundreds of different accounts, they all seem to be different while almost identical in text. I will be comparing and contrasting between account one and account two in the book of Genesis. In the beginning, according to Genesis in the bible.   Ã‚  Ã‚  Ã‚  Ã‚  In the two creation accounts God is portrayed in two different ways. In the first account God is portrayed as an ultimate or Supreme Being that creates the world by fiat, which are divine spoken words. An example of this is found in Genesis 1:3, which says; â€Å"Then God said, â€Å"let there be light†; and there was light.† This is the fiat command that creates light in the first account of creation and demonstrates the supreme power of God. In the second Genesis account God is portrayed as a much more mortal being, a concept called anthropomorphism. In Genesis 2:7 God creates man, but it wasn’t done through fiat. It says, â€Å"Lord God formed man from the dust of the ground, and breathed into his nostrils the breath of life; and the man became a living being.† This account of God creating man is much different from the first account because God is physlically- taking part in creating man instead of using powers by way of fiat. Another instance that portrays God as more humanlike is found in Genesis 2:8 where it says God â€Å"planted† the garden in Eden. The use of the word â€Å"plan...

Thursday, October 24, 2019

How America Became a Global Superpower Essay

The United States of America is the world’s last remaining superpower. However, this was not always the case. The United States toiled in relative obscurity on a global scale for most of its history. As the world evolved, so too did the young nation. The United States attempted to stay out of world affairs, but a time came when that was no longer possible. Necessity dictated that the United States become a major player at the global level. The United States entered into World War II a great power and emerged a global superpower. What is a superpower? In order to properly examine the events that led to the emergence of the United States as a superpower it is important to understand exactly what constitutes a nation gaining the status of that title. According to Lyman Miller of the Stanford Journal of International Relations, â€Å"A â€Å"superpower† is a country that has the capacity to project dominating power and influence anywhere in the world, and sometimes, in more than one region of the globe at a time, and so may plausibly attain the status of global (2006)†. There have been many global superpowers throughout history. The United Kingdom, France, Germany, the Soviet Union, and the United States have all spent significant time in the past as global superpowers. The collapse of the Soviet Union allowed the United States to become the only nation with a legitimate claim to the title of global superpower. However, there are other nations that may be able to lay claim to the title at some point in the future. Perhaps the most visible, and closest, of these countries is the People’s Republic of China. Over the past 20 years, China has grown into both a military and economic power. China has the second largest GDP in the world, next to the United States, according to the International Monetary Fund. However, Miller doesn’t seem to believe China will be evolving anytime soon. â€Å"At a broader level, in global affairs, its stature and power are growing, but in most respects it remains a regional power, complementing the cast of other great powers under the overarching dominance, however momentary, of the United States (Miller, 2006)†. Focus on Domestic Issues The United States stayed out of foreign affairs throughout most of the 19th century and the first half of the 20th century. These policies actually served the country quite well as the young nation had many domestic problems that needed to be resolved before it could take a prominent position in global affairs. This did not stop the United States from intervening when it was necessary. Aside from this, the citizens of the United States did not really have the stomach for foreign powers. This could perhaps not be better stated than it was by George Washington, the first President of the United States, in his farewell address in 1796. â€Å"The great rule of conduct for us in regard to foreign nations is in extending our commercial relations, to have with them as little political connection as possible. So far as we have already formed engagements, let them be fulfilled with perfect good faith. Here let us stop. Europe has a set of primary interests which to us have none; or a very remote relation. Hence she must be engaged in frequent controversies, the causes of which are essentially foreign to our concerns. Hence, therefore, it must be unwise in us to implicate ourselves by artificial ties in the ordinary vicissitudes of her politics, or the ordinary combinations and collisions of her friendships or enmities†. The first major problem the United States wanted to tackle was the belief that the country was destined to expand across the continent. This led to a focus on expansion. The dream began with Thomas Jefferson’s purchase of the Louisiana Territory. This purchase doubled the size of the United States. Between 1811 and 1912 the United States went from 17 to 48 states spanning from the Atlantic Ocean to the Pacific Ocean. It took 100 years, but the United States’ dream of manifest destiny was realized. (World Book, 2011) One issue which evolved from the nation’s rapid expansion and precluded the United States from becoming involved in global affairs was the country’s relationships with Native American’s. The United States would move Native American’s off of their land and moved them to reservations. It was a very tenuous relationship. There were other issues within the ensuing years. The most significant of these problems was the Civil War. Between 1861 and 1865 the United States was locked in a brutal Civil War. South Carolina seceded from the union on December 20, 1860. Ten other southern states (Alabama, Florida, Georgia, Louisiana, and Mississippi in January; Arkansas, North Carolina, Tennessee, Texas, and Virginia later in 1861) followed South Carolina’s lead and formed the Confederate States of America. Over the next four years American’s killed each other in combat. This resulted in over 600,000 American deaths. The Civil War remains the deadliest war (in terms of American deaths) in United States history. The war did have a couple of positive outcomes. The war preserved the United States. Additionally, the war led to the abolishment of slavery. (World Book, 2011) The Civil War led directly to another major issue. The issue of reconstruction was not just about rebuilding the ravaged the south, but also rebuilding the nation’s unity. Laws were passed to allow African-American’s to have the same opportunities as white Americans, though they often weren’t enforced. Former Confederate states were â€Å"required to ratify the 13th, 14th, and 15th amendments to the Constitution in order to be readmitted to the Union (World Book, 2011)†. Reconstruction ended in 1877, 12 years after the Civil War ended. Communication Problems Domestic problems were not the only things standing in the way of the United States becoming a world power. There were numerous communication barriers that prevented the United States from having any significant influence on issues of a global scale. The most obvious of these issues is the proximity of the United States to the other Great Powers of the world. There are hundreds of miles of ocean between the United States and Europe and Asia across the Atlantic and Pacific respectively. Until the advent of the telegraph the only form of communication between the new world and the old world was via letter or personal contact. Communication in this manner could take weeks to complete. Superpower Ability There were many positive things happening domestically for the United States. The United States has a varied climate, a diverse amount of natural resources, and geographic barriers that make it more difficult to attack the country. These issues placed the United States in a unique position to become a global superpower. The climate of the United States gives it the ability to grow several different types of crops. Corn grows in the plains, cotton in the south, and dairy in the north. It also allows for many different types of animals co-exist as there are several different items for them to graze on. This gives the Unites States the ability to reliably feed its entire populace, at least at the current population levels. The United States also has a plentiful supply of natural resources. These resources include both renewable resources, such as the aforementioned food and animals, and a wide array of nonrenewable resources, such as coal, oil, and metals. The vast amount of natural resources have allowed the United States to create an economic infrastructure that is capable of sustaining the populace without outside assistance from other nations. While the nations geographic barriers have made it harder to communicate with other world powers (at least initially), they also make it harder for a country to maintain a sustained offensive against the United States. It is hard to keep supply lines stocked when the venue of war is halfway across the globe. Most countries do not have the resources to keep up that type of attack for an extended period of time, and even fewer have the ability to maintain an occupying force over the course of several years to combat insurrection. Effect of War Wars had a profound effect on the emergence of the United States as a global superpower. Not only did these wars show that the United States had a military worthy of global recognition, but they also helped to give the United States more clout on the world political stage. World War I and World War II probably had the largest effect, but the Korean and Vietnam Wars, while smaller in size, had large effects on the United States’ sphere of influence. This gave Americans the wherewithal to become more involved in world politics. World War I was the first major overseas conflict in which the United States became involved. The United States attempted to stay out of the war. When German submarines began sinking United States merchant vessels shipping supplies to Europe, however, it became impossible for the United States to maintain its neutrality. â€Å"These and other acts of aggression convinced Wilson and other Americans of the need to join the war against Germany to make the world â€Å"safe for democracy (World Book, 2011)†. The United States joining the war was enough to tip the scale in the allies favor. A little over a year and a half after the United States joined World War I it ended with the surrender of the Central Powers. The European countries in the war spent nearly 60% of their GDP on the war. This number was much lower for the United States. This gave the United States a much needed economic boost over the European powers. (World Book, 2011) After World War I there was a relatively short lived peace between the powers. In the late 1930’s war sentiments in Europe began brewing again. In 1939 Germany invaded Poland sparking World War II. Again the United States took a militarily neutral stance. They did support the Allies (the United Kingdom and the Soviet Union) against the Axis Powers (Germany, Italy, and Japan) economically by sending supplies. Some American soldiers even volunteered to go fight for the United Kingdom. It once again took an unprovoked act of aggression (this time Japan’s sneak attack on Pearl Harbor) to provoke the United States to join the conflict. While the United States’ intervention in World War I helped secure an allied victory, the United States’ intervention in World War II helped change the course of the entire war. The United States did not recede back into isolation following World War II; unlike the end of World War I. With most of the combat happening in Europe, Africa, and Asia the United States again suffered very little damage to their infrastructure. Europe was quite the opposite. With two major conflicts in less than 50 years European infrastructure was decimated. Japan was forbidden from keeping a large enough standing military to have any true significance on a global level thanks to their treaty with the United States. The Soviet Union stopped cooperating with the western Allies before the ink was dry on the peace treaties ending the war. The Soviets refused to unite their portion of Germany with the rest of the country, effectively splitting the country in two. The Cold War had begun. The Cold War necessitated that the United States remain on the forefront of global affairs because neither France nor the United Kingdom were in a position, economically or militarily, to defend against the Soviet threat. While the Cold War didn’t have any direct combat between the two remaining superpowers, the United States and the Soviet Union, it did have conflict. The United States was involved in combat in Korea (which resulted in the split of Korea into two countries) and Vietnam. The Soviets were involved in combat in Afghanistan. The Cold War caused the United States to continue its military growth. As seen in the following chart, National Defense expenditures peaked in 1954 at almost 70 percent of the nation’s total budget (U.S. Government, 2009). Global Influence The size of the United States’ military put them in a position of global dominance, but it takes more than a large military to become a global power. It also takes influence in foreign matters. This is another thing the United States has developed over the two and a half centuries since being founded. There have been more than a few global matters that the United States has influenced other than wars. After World War I the League of Nations was formed. While United States President Woodrow Wilson was an advocate of the League the United States Senate was not. They voted down the motion for the United States to join the League of Nations. Many Americans believe that had the United States joined the League of Nations it would not have failed. This could have helped stop the Nazi spread through Eastern Europe. Decisions made by the United States influence the economies of every nation on earth. The world also looks to the United States for action in times of need. â€Å"I think that the authorities would do better to sit down with Ambassador Thomas and take advantage of whatever voluntary help the only superpower in the world today has to offer the Philippines to put a stop to the worldwide problem of women trafficking (Vitas, 2011)†. Without the United States the spread of communism would have continued unabated following World War II. To this end the United States helped to create the North Atlantic Treaty Organization to create the Soviet Union’s Warsaw Pact. This helped to ensure the safety of democracy for the world. It also helped to curb the spread of communism. The United States also sets the tone culturally. Hollywood is the predominant film industry in the world. Perhaps the area where the United States had the largest cultural impact on a worldwide scale was with regards to space. It was a large achievement for all members of the human race when the Americans landed on the moon. Conclusion The United States went into World War II as a world power and emerged as one of two superpowers. There were many things leading up to the nation’s emergence. The United States has the world’s largest economy, largest military, and the decisions made by its President have far reaching impacts. It has given the country a large sphere of influence that is still evident in the world today. References Einhorn, R. L., & Schulman, B. J. (2011). History of the united states. In World Book Advanced Retrieved from http://www.worldbookonline.com/advanced/article?id=ar576000 Imf: Report for selected countries. (2011, September). Retrieved from http://www.imf.org/external/pubs/ft/weo/2011/02/weodata/weorept.aspx Miller, L. (2006). China an emerging superpower? Stanford Journal of International Relations, Retrieved from http://www.stanford.edu/group/sjir/6.1.03_miller.html U.S. Government. (2009). The budget for fiscal year 2009, historical tables. Retrieved from U.S. Government Printing Office website: http://www.whitehouse.gov/sites/default/files/omb/budget/fy2009/pdf/hist.pdf Vitas, H. M. (2011, November 15). The revelation of the real harry thomas. Philippine Daily Chronicle. Retrieved from http://campus.westlaw.com/ Washington, G. (1796). George washington farewell address 1796. Retrieved from http://avalon.law.yale.edu/18th_century/washing.asp

Wednesday, October 23, 2019

Biopsychosocial Model of Addiction Essay

The Biopsychosocial Model of Addiction is easily the model that appeals to me most. This model states that addiction is the result of multiple, interacting variables, the strength of which vary between individuals. When I was observing each of the models, I found myself agreeing with two or three of the different standpoints from which they were presented. Then I stumbled upon this model, clearly stating that there is not merely one certain model that explains addiction properly, but yet several different ones. As the Biopsychosocial model simply incorporates the other models into a single model, I am quite easily able to explain my point of view. See, I agree with each the Moral, Sociocultural and Biopsychosocial models of addiction. I do believe that addiction is the consequence of personal choice, but that external conditions such as culture, ethnicity, religion and environment also play a big role. Simply put, I believe that everyone is capable of making his or her own choices. From a personal experience of mine, I have been around drugs since the sixth grade. I’ve always been the person that kind of stuck with those who needed help, so that’s the crowd that I just happened to be a part of. And even though my own life at the time was very much in the pits, I never found a reason to join the crowd. It was always a matter of telling myself that it was not something that I wanted to be a part of. Even as I tried to share my knowledge with that group of people who were only doing it because, â€Å"they had a lot going on and just didn’t know how to handle it†, they were still making the conscious choice to choose wrongly. It doesn’t matter what background a person has or what addictions run in their family; if a person wants to avoid addiction then it’s up to them to never put themselves in the situation to get addicted, it’s simple. On the other hand, it’s easy to get caught up in what society finds a trend, especially in this generation; and unfortunately the bigger issue is that people use their own downfalls in life as an excuse to pick something up. Too often people let what their culture says or what the  world says decide who they are. Personally, I could care less what the world says. If I don’t want to bandwagon what’s â€Å"cool† or â€Å"socially acceptable† then I’m not going to do it, regardless of whatever backlash I’ll get. What bothers me most about people today is that everyone has an excuse for their wrongdoing. It’s, â€Å"well my dad was an alcoholic so that ‘s why I am† or well I grew up in Detroit where drugs were bad, so it’s just what I’m used to doing†. No, that’s crap. If a person doesn’t want to give in to addiction then don’t do it! So yes, it’s obvious to say that I definitely lean more towards the Moral Model of Addiction, but I am also partial to understanding the Sociocultural side of it as well. You may not be able to choose where you come from, but you can decide where you go from here. Addiction all starts as a choice, and the level of addiction may be influenced by a number of factors, but the pressing issue is what people allow to define them. It’s unfortunate today that more times then not, people are allowing any bump in the road be their reason to give in to such addictions.

Tuesday, October 22, 2019

Why Did People Keep Paying Rising Real

Why Did People Keep Paying Rising Real 2008 was rather rough for the economy of the United States. In many ways, the problem which the state encountered in 2008 reminds of another crisis, which was much stronger and had much more dreadful consequences, yet developed on very similar premises as the one of 2008.Advertising We will write a custom essay sample on Why Did People Keep Paying Rising Real-Estate Prices? specifically for you for only $16.05 $11/page Learn More The notorious Great depression that struck the United States in 1929 also concerned the issue of mortgage, increasing prices and the intense feeling of financial insecurity. As a matter of fact, there are a number of features which are characteristic of both crises in question. According to Salisbury, the results of the 2008 crisis were just as disastrous as the situation during the Great depression: â€Å"the economic circumstances in the United States now and during the 1929-1940 have several elements in common† (Salisbury 23). One of the common issues with both crises was the mortgage problem. Despite the fact that mortgage agencies are rising prices (Nanto 24), in 2008, people still continued to pay rent for their houses, which raises the question why people followed the attempts of the mortgage agencies to profit from the crisis. As a matter of fact, the answer to this question is rather simple. First of all, it is important to mention once again that dishonest brokers created the illusion of their companies being completely transparent, thus, making people believe that what they would get the services which they would pay for (Zandi 187). Thus, even as the price for the rent increased, people would still pay for the mortgage, being completely sure that they would not be left without their homes. However, as soon as the price rose even higher than ever and the people who lost their jobs due to the crisis could not pay for the rent anymore, the houses went into foreclosure, thus, making people lose their hearth and home. Logically, the people who have suffered because of the swindlers who offered the mortgage which could be sustained only in the case the house was flipped should have been more cautious. Indeed, the rapid increase of the price for the mortgage should have been taken with a grain of salt by the people who rented houses. However, apart from the psychological factor mentioned above, there were also the economical and the financial ones. During a crisis, it must have been extremely risky to switch from one mortgage to another in the search for a more trustworthy company. Honest mortgage companies and swindlers are quite hard to tell apart to begin with; in addition, when changing the mortgage company, one is most likely to come across even higher prices, which was quite undesirable for the people who were struck with the crisis. Hence most of the problems connected with mortgage and the rising prices for it stemmed.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Despite the fact that there obviously were the ways to deal with the mortgage issues other than following the policies of the mortgage companies which decided to raise the money for the rent, the reasons for people to keep paying the rent money is still understandable. Mostly because of the instability of the economical situation in the country and the fear that the change of a mortgage company will be only for the worse, people complied with the outrageous rules imposed on them by the mortgage companies. Nanto, Dick K. Global Financial Crisis: Analysis and Policy Implications. Harrisburg, PA: Diane Publishing Co. Salisbury, Philip S. The Current Economic Crisis and the Great Depression. Bloomington, IN: Xlibris, 2010. Print. Zandi, Mark M. Financial Shock: A 360 º Look at the Subprime Mortgage Implosion,  and How to Avoid the Next Financial Crisis. Upper Saddle River, NJ: FT Press, 2009. Print.

Monday, October 21, 2019

How to Reference an Ebook with Oxford Referencing Style

How to Reference an Ebook with Oxford Referencing Style How to Reference an Ebook with the Oxford Referencing Style When you reference an ebook using the Oxford referencing style, you must cite your source clearly so your reader can access it. Oxford referencing uses a note and bibliography system, so make sure to include full information in both footnotes and at the end of your document. Footnotes When citing a source in Oxford style referencing, indicate this using superscript numbers in the main body of your text (e.g., 1, 2, 3). Each number corresponds to a citation in a footnote. In the first citation of a source, you should provide full publication information. For an ebook, this will include where and when you accessed the source: n. Author Initial(s). Surname, Title, Publisher, City of Publication, Year, Page(s), Name of Database/URL, accessed date. For example: 1. R. Kelsall, I. Hamley and M. Geoghegan, Nanoscale Science and Technology, John Wiley Sons Ltd., Chichester, 2005, p. 26, The E-Book Library [online database, accessed 16 February 2013. If you cite the same source again, the footnote can be shortened to either just the author name and page numbers (for consecutive citations) or the author, a shortened title and page numbers for non-consecutive citations: 1. R. Kelsall, I. Hamley and M. Geoghegan, Nanoscale Science and Technology, John Wiley Sons Ltd., Chichester, 2005, p. 26, The E-Book Library [online database], accessed 16 February 2013. 2. Kelsall, Hamley and Geoghegan, pp. 32-34. 3. A. Nonymous, Another Book, Penguin, New York, 2002, p. 12. 4. Kelsall, Hamley Geoghegan, Nanoscale Science, p. 2. Bibliography In an Oxford referencing bibliography, the entry for an ebook requires the same information as in the first footnote, but without the page number(s). The other important difference is that the first-listed authors surname and initial are inverted so that you can order entries alphabetically by author surname: Author Surname, Initial(s)., Title, Publisher, City of Publication, Year, Name of Database/URL, accessed date. As such, the example given above would appear in the reference list as: Kelsall, R., I. Hamley and M. Geoghegan, Nanoscale Science and Technology, John Wiley Sons Ltd., Chichester, 2005, The E-Book Library [online database], accessed 16 February 2013. Of course, Proofed can help you with your references if you want to be double sure your work is correct. Upload your document today!

Sunday, October 20, 2019

California Drought Affected The Farmers

California Drought For about five years, California has experienced above average temperatures and a lack of rain. This lack of rain and snowfall has caused California to become increasingly dry, starting arguments over whose right to water is more important and who needs to be more mindful with their use of water. Farming in California truly began during the goldrush, when water was redirected to land where food was grown for those looking for gold (Siegler, 2015). The farmers that have stayed on†¦ The California Drought Running Water From 2011 to 2014, California got hit with the driest period since 1895 (Ellen, 2015). This drought had concerned many people all over California. As a result, several water drought pictures were posted online, which showed that water in most lakes and rivers had gone half to even two-thirds down. In January 2014, Governor Brown declared the emergency of the drought, which triggered the State Water Resources Control board to set up conservation requirements†¦ make it no coincidence that California produces the most amount of food within all of the American states. With vast quantities of agriculture, comes the necessity for a great abundance of water. Agriculture uses close to 80% of the entire water supply in California (NDRC, 2014). As California continues to extract more and more groundwater as well as export water-demanding crops, the issue is only getting further from a resolution. The current appalling drought in California has been ongoing since 2011†¦ California’s newest Drought Determining when drought develops is a function of drought impacts and water users. Drought is best sought as a period of dry weather, and extended shortage of water, especially a long one that is injurious to crops. This is a dangerous hydrologic condition that not only concerns water users in the affected area but also in some other locations some water users exempt but not all the way safe. Drought is a abnormal circumstance if it is insistent. Drought is a gradual emergency†¦ The California Drought The California drought has affected many things and many people in a lot of different ways. So many ways that it took a while for me to figure out about whom I was going to write. One group that caught my attention and has been affected greatly by this drought is golfers and golf courses. I have decided to interview both my grandpa and uncle who play golf almost everyday and are a member of one of the most profound country clubs in California. Water districts throughout†¦ Are we coping with the current drought in California or are we just postponing the inevitable shortage of water? Californians need to be quick because if scientists are right, the harshness of the current drought is second only to that of the dust bowl. Some agencies have been created to find possible results to the water shortfall, the government has been manipulated to discover solutions to the problem as well as requesting that people conserve water. This could be the beginning of California’s†¦ high-level plan to engage stakeholders to mitigate the issue of global almond production has on California’s water drought. Hence, I discussed with him and let him know to change his overall focus of his reflection paper. However, I made a modification to my answer in part 1 from reading Kota’s reflection by adding a specific example for the government regulation of taxation for farmers when using excessive water. In contrast, after reading Jihong Yang’s reflection paper, I found several interesting†¦ Daniel - Section #119. Water Management and the Drought in California Water management has been a problem in California’s history since the first settlers moved to California. With most of the water located in the north and eastern parts and most of the population in the southern, desert part of the state, problems were guaranteed to occur. However, in the past five years, a drought has plagued most of the western United States and especially, California. An especially strong La Nià ±a coupled with low†¦ then you may have heard that the State of California has declared a drought of emergency on January 14, 2014. One of the main reasons that California declared a drought emergency is because of the climate change due to global warming. Living in San Francisco, you should have an idea of how populated the area is based on the amount of traffic that occurs. Imagine the amount of carbon dioxide is emitted into the atmosphere on a daily basis. This drought is just one of the effects of global warming†¦ A drought is defined as a â€Å"period of drier-than-normal conditions that results in water-related problems† (USGS). Water years are counted from October 1 to September 30, meaning we just recently entered a new water year. One of the most well-known and troublesome droughts in the United States is the California Drought. It began in 2011 and is now entering its sixth year of drought in 2016. It is described as the worst drought in 1,200 years California has seen (House Committee). The period of June†¦

Friday, October 18, 2019

The Effect of Media on People Research Paper Example | Topics and Well Written Essays - 1750 words

The Effect of Media on People - Research Paper Example It was followed by conveying verbal messages by slaves or subordinates through covering distances on foot or animals at a later stage. Then with the invention of paper came the time of writing letters and sending telegrams. Even for that matter, man had to make journeys of days and night to reach his destination. With the invention of radio in 1895 with the efforts of a number of researchers, people were able to send their messages across borders. The era of radio lasted many years. It was an important mode of communication especially during World Wars I and II. Man has always been a mode of communication himself. The best storyteller is a human being. It started from the beginning of time, when stories were exchanged by families, tribes and entire villages. It gave rise to an aura of enchantment that lasted for ages until the birth of other modes of interaction. During that period, the concept of communicating through imagery was also common. Lifetimes were drawn or painted in the f orm of art in churches, castles or inside caves. Such drawings contained the power of talking to the viewer. (ChallengingMedia 2010) This essence of communication prevailed until the advent of industrial era. Industrial revolution brought the printing press combined with steam engine technology to develop something which was called the newspaper. (ChallengingMedia 2010). This amalgamation changed the paradigm of media. It proved to be an easy and approachable medium for people to educate themselves about the life around them through reading. The biggest advantage of newspapers was the increase in literacy rate. People lost the tradition of telling or hearing stories through the primary source. Instead, people started to limit apparent interaction. Then with the dawn of the electronic revolution came a new mode, the television. The television dominated the electronic age. It was run through antennas that caught channels from satellites and transmitted them throughout the world on tel evisions. It attracted people of all ages but the strongly attracted was the economic and business market. Businessmen started investing through broadcasting commercials on televisions that in return paid for the programs run on it. The United States was the one of the countries that took advantage of this new technology and helped raise its economy through media channels. (ChallengingMedia 2011) Today, the electronic media has expanded and evolved further in the form of the Internet, social networks like Facebook and Twitter, the film industry, the music industry and mobile phones. The Internet which was the invention of the United States during Second World War for the purpose of communication over large distances was later transformed into a public entity. It led people connect across oceans within a matter of seconds through emails, live broadcasting, chatting and webcam. It is splendid and saturated mode of information. The Internet along with the introduction of computers and laptops has made life simple. Now the use of paper and pen or type writer machines has been replaced by typing on computers with advanced features of writing editing. The social networks like the Facebook and Twitter has enhanced the mode of connectivity. Currently there are more than sixty thousand people on Facebook and one hundred and ninety people have joined Twitter. Such networks enable people to share their

Mary Shellys Frankenstein Nature Vs. Nurture Theme Analysis Research Paper

Mary Shellys Frankenstein Nature Vs. Nurture Theme Analysis - Research Paper Example The discussion centers on the themes of nature versus nurture, of whether or not goodness or evil is created through the innate nature of an individual, or if it is developed through the treatment that individual receives. The creature made by Frankenstein states at one point that â€Å"Adam’s situation was far different from mine in every other respect. His God had made him happy and prosperous. His Creator guarded him and cared for him, He was allowed to talk with - and learn from - superior beings. But I was wretched, helpless, alone.† (Shelley, 2008, p. 121). The creature saw himself as abandoned and not allowed to learn at the feet of his creator. This mirrored the relationship that Shelley had with her father as when he had remarried when she was eight she had felt he had left her, only to be more formally abandoned when she married Percy Shelley though her father disapproved (Mellor, 2007, p. 51). In many ways, the discourse of the novel is a conversation with her father, telling him all the ways in which he had disappointed her and how this had made her feel. Shelley expresses her aggression towards her father, naming the first victim of the creature’s rage after him, but combining this visage with the strikingly similar features of the five year old child with those of her own child. In this she explores the dynamic of murder within the family, her aggression towards her father and the horrifying concept of being able to kill her own child. Her child was named for his grandfather, her father, both bearing the name William as does the child of Frankenstein, thus completing the dynamic in which relationships between parents and children are horrifically discussed (Mellor, 2007, p. 52). Mellor (2007), states that Shelley believed that nurture was crucial in the development of the nature of a child, that the way in which a child was embraced or denied by a parent and taught about the

Virtual Reality Essay Example | Topics and Well Written Essays - 1500 words

Virtual Reality - Essay Example The virtual reality systems play an important role in education and training. It provides a solution to some of the challenges that the students may be facing. Virtonomics is one of the existing systems that are widely used by the students during training. It enables the students to test their knowledge and skills in the virtual economy. This has played an important role in providing solutions to the challenges that the students are likely to face in the real world. Virtual reality systems are widely used for military combat training. It enables the recruits to carry out their training under a controlled environment where they can respond to different situations. Head mounted display together with virtual reality weapon is used during the training of the recruits. Virtual reality enables the solders to train under different terrains without necessarily visiting such terrains physically. The existing virtual reality is also used widely for the training of combat pilots. This enables t hem to obtain the skills required in the battle field. Virtual reality systems are also used during the tank drivers. The existing systems, therefore, play an important role in ensuring that different personnel can obtain the required experience. Virtual reality is also used in some of the countries for train firemen. In other countries, it is used for training the doctors to respond to a different live threatening situation of the patients. Virtual reality is also used for gaming. The head mounted display is usually used for gaming.

Thursday, October 17, 2019

The House of the Future Essay Example | Topics and Well Written Essays - 750 words

The House of the Future - Essay Example The house is so big that that its shadow is massive (Cooper 12). Bernard cooper states that the house of the future is a piece of the latest architecture with amphitheatres that are beneath glass dome. The house of the future would have conical towers that pierce the clouds and are bridged by walkways that have been built in tubes. The house of the future would be so efficient and ideal that it would look like a machine. The house is so energy efficient that one will be spending less amount of money to heat and cool it. The house will be designed to have living spaces that are open and filled with light. This house should combine high style and sustainable design. The design of the house is considerate of the houses suitability with shift in needs and evolvement in technology. In the essay house of the future, the author refers several times to his interest in architecture hence the house should be a cutting edge piece of art and creative architecture. The spaces in the house must no t only be welcoming and functional, but they must also be easily adjustable. The house should be constructed and build with future in mind to allow for remodelling to be done if necessary. Simple architectural designs need to be considered in the construction of the house. The house should be easily repeated in many places and by different people (cooper 22) Research needs to be done to enhance the designing and building of the house. Research should be done on the type of product or material that will be more suitable for the construction of the house. According to Coopers essay on the house of the future, it was the permanence and the durability of plastic that made the Monsanto house a marvel hence he calls for the designing of building materials that are long lasting. The ultimate aim is to design a house that is more connected to nature, augmented by technology and also designed for all the people. In the future I would like to have a permanent house located mostly in the subur b, but the country side would also be an ideal location. I would ensure that the exterior of the house is very modern. The house of the future would be surrounded by a high stone wall. The stone masonry should be exceptional with the stones roughly cut (cooper 24). In the essay the house of the future, author talks of his boyhood interest in landscapes, I will have a wide variety of exotic trees and flowers surrounding the house and the lawn would be green all year round and well mowed. The back yard of the house will automatically be having a swimming pool that has all the modern technology to run its maintenance making my work easy.. The inside of the house would be having a cosy sauna. The design of the interior would in such a way that there would be big windows to enhance maximum lighting of the house during the day. There would also be huge skylights to complement the wide and big windows (cooper 22). The rooms would be very spacious in the house of the future while utilizing the wide windows to make the rooms brighter. The sitting room would be adorned with white and orange colours because of the oriental design of the house. The fireplace would be well constructed with roughly hewn stones and bricks. I will have all my pictures framed and put up on all the walls. The floor would be laid with the best carpet in the market made from environmentally friendly materials. The whole house would be fully automated and all i have to do is just press a button on the remote control. The drawing of the curtains, turning on and off the lights would all be automated. The house would be energy friendly with the lights coming on only when I enter the house (Cooper 26) The doors to the living room would be a double glass door. There would also

Global cultural exchange Essay Example | Topics and Well Written Essays - 1250 words

Global cultural exchange - Essay Example Even if the Early Middle Ages (approx. y. 500-800) were times of uncertainty, disorder, invasions and cosmic insecurityi, the period to come, years 800-1500, also known as the High and the Late Middle Ages, was a period of significant cultural development. Therefore, if in the Early Middle Ages we can talk about a sort of cultural indetermination, when people with different beliefs (barbarians, adepts of ancient religions, Christians, the newly emerged Muslims) were thrown in the same pot with no further instructions, then the High and Late Middle Ages bring out the cultural determination, the establishment of linguistic, religious and cultural boundaries and this is when we can observe explicit examples of cultural exchange. Still, I would like to clearly emphasize the fact that cultural interaction wasn’t a goal in itself during this time; it was more of an adjacent process to the phenomenon of medieval travel, which, at its turn, was a result of three major purposes: trade, diplomacy/conquest and missionary. Merchants that engaged in long-travel trade had two main routs available, which linked Europe, Asia and Africa: the silk-road, for luxurious goods and the sea-routes, for more common goods, such as stone, steel and building materials. Major trading cities and ports grew rapidly, becoming a meeting place for foreign merchants, traders, brokers, who ultimately exchanged knowledge, religious ideas, philosophical beliefs, stories, legends and other cultural elements. Missionaries wanted to spread their religious ideas on other territories, an ambition that also became a form of cultural exchange. Diplomatic missions and conquest ambitions appeared as a result of cultural and territorial delimitation, but also implied a cultural interaction between the conquerors and the natives. Thus, in this paper, I would like to analyze the cultural exchange between the Christian world and the Islamic world with an emphasis on the Levant area and the Iberian

Wednesday, October 16, 2019

Asian Indians Community of US Personal Statement

Asian Indians Community of US - Personal Statement Example Then, there are other Hindu important festivals Holi, Durga Pooja, Ganesh Chathuri which I celebrate with the rest of Hindu community while Christmas, Id, Easter, Hanukkah etc with the global community that resides in United States. But it is difficult at times, when we face discrimination at work place or called with funny names for our complexion, accent etc. However, these discriminatory acts were rare before 9/11 and even after the terrorist attacks on Twin Towers; we haven't been victim of any serious racism or prejudice compared to what our fore parents encountered when they moved first to the United States in early 1900s. The history of my community, Asian Indians, goes back to early 20th century when the first group of Indians from the province of Punjab arrived in America and worked as millers and farmers in California and Washington. They were mainly "Sikhs"-followers of Sikhism, a religion originated by Guru Nanak. They faced much difficulties and racist attacks because of their illiteracy and poor English-speaking skills. Associations such as Asiatic Exclusion League made serious efforts to prevent further immigration and property ownership of Indians.( Vinay Lal, 1999) The Sikhs were followed by large number of Indian students who demanded Indian independence overtly. They even formed their own political party to promote and forward their political ideas and demand for Independence. However, America who was strong and old ally of British, saw it as conspiracy of the Germany to overrule the British power in India-a colony within the British Empire. Thus organized attacks were made on these Indian students and successful prosecution of Indians took place. To add to the woes of Indian community, in 1923 the Supreme Court of United States ruled that Indians were ineligible for citizenship of the United States and that citizenship was only reserved for "whites" with European origins. They were also subjected to the Alien Land Law which prevented them from owning and leasing land and forced them to transfer their lands to the white Americans. As a result, the number of Indians sharply dropped from 10,000 in 1914 to 1,476 in 1940 in California alone.(Vinay Lal, 1999) But different Indian organization in America continued to fight for their rights to immigration and naturalization. By 1946, President Truman returned the right to immigrate and naturalize through Luce-Celler Act 1946. ("Indian American") After that, Indians actively participated in politics fighting for the end of British power in India. The most prominent among these politicians was Dalip Singh Saund who was also elected for US House of Representatives from California in 1956 and was also reelected for a 2nd and 3rd term. ("Indian American") Soon the number of Asian Indians grew well above 175000 (1975) and they demanded for minority status within American population. The Census Bureau declared them as a new category of minority group known as "Asian Indians". However, the conditions and performance of the existing Indian community wasn't impressive, to say the least. Unemployment and poverty was prevalent with most Indian employed for odd jobs as taxi drivers, gas-stations workers

Global cultural exchange Essay Example | Topics and Well Written Essays - 1250 words

Global cultural exchange - Essay Example Even if the Early Middle Ages (approx. y. 500-800) were times of uncertainty, disorder, invasions and cosmic insecurityi, the period to come, years 800-1500, also known as the High and the Late Middle Ages, was a period of significant cultural development. Therefore, if in the Early Middle Ages we can talk about a sort of cultural indetermination, when people with different beliefs (barbarians, adepts of ancient religions, Christians, the newly emerged Muslims) were thrown in the same pot with no further instructions, then the High and Late Middle Ages bring out the cultural determination, the establishment of linguistic, religious and cultural boundaries and this is when we can observe explicit examples of cultural exchange. Still, I would like to clearly emphasize the fact that cultural interaction wasn’t a goal in itself during this time; it was more of an adjacent process to the phenomenon of medieval travel, which, at its turn, was a result of three major purposes: trade, diplomacy/conquest and missionary. Merchants that engaged in long-travel trade had two main routs available, which linked Europe, Asia and Africa: the silk-road, for luxurious goods and the sea-routes, for more common goods, such as stone, steel and building materials. Major trading cities and ports grew rapidly, becoming a meeting place for foreign merchants, traders, brokers, who ultimately exchanged knowledge, religious ideas, philosophical beliefs, stories, legends and other cultural elements. Missionaries wanted to spread their religious ideas on other territories, an ambition that also became a form of cultural exchange. Diplomatic missions and conquest ambitions appeared as a result of cultural and territorial delimitation, but also implied a cultural interaction between the conquerors and the natives. Thus, in this paper, I would like to analyze the cultural exchange between the Christian world and the Islamic world with an emphasis on the Levant area and the Iberian

Tuesday, October 15, 2019

Different Parenting Practices Essay Example for Free

Different Parenting Practices Essay The right parenting style will create healthy, loving children. Parenting involves teaching children how to respect their elders, be obedient, have discipline, as well as provides support and love for your child. There are four identified types of different parenting styles. Which are authoritarian, authoritative, permissive, and uninvolved. The type of style that you choose will determine whether your child will be healthy, as well as, whether a loving relationship develops between you and your child. In this paper, I will discuss the types of parenting styles and the best one to foster healthy children. An authoritarian parent lays down the rules and expects them to be followed without any discussion. These parents are very strict. They don’t allow the child to make choices and they consider what they desire without much consideration of the child’s wishes. Their rules are ridged and inflexible. Children raised by this type of parenting style may become very sheltered with unable to voice their opinions. They may have difficulty with emotional expression, unable to make good decisions which could lead to unhealthy relationships. For example, a child raised by an authoritarian parent, comes home from school and knows that they have to put their backpack in a certain place and what chores must be done. The rules are in place, as well as the expectations for his performance. These children know that there will be consequences if they do not follow these rules. An authoritative parent explains the rules and encourages discussion. This type of parenting style combines the b est qualities of the authoritarian and permissive parenting style. These parents spend time with his/her child and explain why certain behavior is wrong and the appropriate behavior prior to administering any type of punishment. They are more reasonable and less demanding of their own way and they consider the wishes of their children. They are patient and trust their children. They promote decision making in the child and oversee their decisions. Children who experience this type of parenting style are typically well balanced, have values and a sense of right and wrong. For example, if a child was to break curfew, the authoritative parent would discuss the potential harms of staying out and then discipline the child. They would most likely involve the child in the type of punishment they would receive. The permissive parent punishes infrequently. These parents are a direct contrast to the authoritarian parent. These parents have very few rules and are extremely flexible. Rules for these parents are not a primary focus. They tend to be more of a friend to their child than a parent. These parents often foster children who do what they want, when they want without thinking about the consequences. They have excessive freedom with very little limitations. These parents focus on pleasing their child regardless of their behaviors. These children are in control of the parents and the household. For example, a child of a permissive parent is not required to place their items in a certain place and rarely receive any consequences for not performing chores or making messes. An uninvolved parent only provides for the basis physical and emotional need and nothing else. Uninvolved describes these parents. They are not involved with their children and they do not discipline them. These parents often neglect their children. Children with these types of parents typically have poor social skills and behavioral choices. There appears to be a correlation between the lack of support they receive at home and their poor social and behavioral skills. For example, a child will seek their parent’s attention and may create problems at home and in school to get that attention. Despite the problems, their parents still ignore them and are not emotionally available. I believe that the authoritative parents have the most effective parenting style. Primarily because it allows time for discussion between the parents and their children. In my opinion, all children need discipline. However they benefit most from explanations of what they did wrong and redirection to assist them to make better choices. Authoritative parents listen to their children and encourage independence. It appears that this type of parenting style leads to successful children. In my opinion, one of the most important aspects of parenting would be the art of compromise which leads to healthy lives for children.

Monday, October 14, 2019

Determinants Of Health Care Utilization Health And Social Care Essay

Determinants Of Health Care Utilization Health And Social Care Essay All people around the world could not access to health care service as there is a significant unmet need for health care. In order to improve the quality of human life, the health care providers and policy makers should have a better understanding of why people utilize or not utilize the health care services. In the changing of global environment such as population growth, increased health problems, higher demand for medical care and advanced medical technologies, health care expenditure is increasing in every country around the world. As health care expenditure has been escalating, financing for health care is becoming one of the challenges for governments especially in low and middle income countries. In many developing countries, the financial source for health care is dominated by private sector as house-hold out of pocket payment. However health insurance schemes are becoming an increasingly recognized tool in recent decades to finance low and middle income countries. As one of the poorest countries in South-East Asia, Myanmar health care financing mainly relies on private financing source in a form of out-of pocket payment. According to (NHA 2008-2009), 85% of total health expenditure comes from private household. In Myanmar, there are some financial schemes initiated by the government in order to protect the financial lost and impoverishment of the people. Among those health financing schemes, Social Security Scheme (SSS) plays a role to pool the risk of financial burden among insured workers. Myanmar government started the social health insurance in 1956 to provide social assistances and health care services to the insured workers. Regardless of the long period of implementation, the coverage of social health insurance is only 0.97% of total population and 1.96% of working population. There are 93 clinics in 110 townships to provide health care services to insured workers (Social Security Board 2012). The clinic time is from 8:00 am to 4:00pm which is during working hours of insured workers (Social Security Board 2012). The social security clinics locations are mostly not closed with the work places. The director of Social Security Board (SSB) mentioned about health care services in the news interview that, The current health care system is not enough for workers as the social security clinics cannot provide 24-hour service. Social security clinics cannot be found all over the country so workers in areas where there are no social security clinics can face difficulties.(The Myanmar Times, April 16-22, 2012). Apart from the difficulty in accessibility, the insured workers have to bear travelling cost and time cost to access health services from social security clinics. Moreover, there is very limited in equipments, medicines and facilities to provide enough health services to the insured workers. So some insured workers dont visit to social security clinics and get the medical care from nearby clinics and treat with traditional medicines. One of the SSB member expressed her experience from a boards clinic in Yangon as not be pleasant. She mentioned, There was a long queue of patients and I was particularly upset by the poor service from the doctors and nurses and I really dont trust them they dont have specialists, they have only general practitioners. I only went there to claim the cost of my medicines.(The Myanmar Times, April 16-22, 2012). Because of difficulties for workers to visit the clinics, health care teams from clinics have been trying to provide health care services in work places; however the very limited number of vehicle and cost of patrol are the big challenging issue for the health care providers. Despite of monthly contribution from their salary, because of hardly to access health care facility from social security, the insured workers could not get their benefit from social security board. However, Myanmar has been opening a new chapter of reform after 2010 general election and adopting democratic system in the country. As the country opening up, there are many reforms have been doing in order to move along with the ASEAN and global community. Myanmar SSS has been reformed to extend its coverage not only in formal but also to informal sectors. A new Social Security Law has been enacted in 2012 and will be implemented in 2013. Currently, the board has been preparing to introduce the new law for the insured workers. Along with the reform process, understanding the behaviors and factors affecting health care utilization is very important for the policy makers to improve the quality of services in order to attract the private workers to enroll in the scheme. By studying determinant health care utilization among insured private workers, we could observe that who pay for and who get benefit from the scheme. Apart from this we could also determine the most influencing factors which hinder and encourage the insured workers to utilize health care services from social security scheme. RESEARCH QUESTIONS General research questions What are the determinants of health care utilization among insured private workers under Social Security Scheme in Hlaing Thayar Township, Yangon, Myanmar in 2012? Specific research questions What are the barriers to access health care services for insured private workers under Social Security Scheme in Hlaing Thayar Township, Yangon, Myanmar in 2012? Research Objectives To identity the determinants of health care utilization among insured private workers under Social Security Scheme in Hlaing Thayar Township, Yangon, Myanmar in 2012 To identify the barriers for insured private workers to access health services from Social Security Scheme in Hlaing Thaya Township, Yangon, Myanmar in 2012 Scope of the study This study will be focused on insured private workers under the Social Security Scheme in Hlaing Thayar industrial zone, Hlaing Thayar Township, Yangon, Myanmar. The insured workers with the age of over 18 years and currently employed by private owned factories and firms will be included in this study. The cross-sectional data will be collected in February and March 2013. Hypothesis The age, gender, marital status, number of children, ethnicity, religion, educational status, occupation, income, distance from work place to health facilities, perceived travelling cost, hospitality of the health care personnel, satisfaction to the services, number of health facilities other than social security health facilities in the area, perceived health status and presence of underlying illness or disabilities influence the health care utilization among insured private workers under Social Security Scheme in Yangon, Myanmar. Myanmar Health care system Myanmar health care system is pluralistic with the mix of public and private providers. As the countrys administrative system has been changed, the key providers in health care services also have changed. However, ministry of health is still the major provider of the health care services through public health facilities while other ministries also provide some health care services (Ministry of Health, 2012). Ministry of Health is taking responsible to implement holistic health care including preventive, curative and rehabilitative care to the people according to social objectives of the country laid down by National Health Committee. There are 7 departments under Ministry of Health and Department of Health is one of the departments to provide comprehensive health care to all citizens. Apart from Ministry of Health, other ministries such as Ministry of Defense, Railway, Mine, Industry, Energy, Home and Transportation also provide health care to their employees. Ministry of Labor, Employment and Social Security established Social Security Board with 3 general hospitals and 93 clinics across the country to take care of insured workers under Social Security Scheme. Myanmar Pharmaceutical Factory which is under the Ministry of Industry supplies medicine and therapeutic agents for domestic market. One thing special for Myanmar health care system is that there is traditional medicine along allo pathic or modern medicine. Apart from public health facilities, local NGO such as Myanmar Maternal and Child Welfare Association and Myanmar Red Cross Society and international donors are also provide some fragments of health services to fill up the gap in the community (Ministry of Health 2012). Financing of health care services are from three main sources; government as general taxation, private household contribution as out-of pocket payment, social security system and community contribution. External donation in form of assistances is also play a role in Myanmar health care financing. Community Cost Sharing Scheme Community Cost Sharing (CCS) scheme is established in 1992. It is simply a user fees system with the intention to charge curative cost for health care services from the rich and provide exemption to those who could not effort for their health care expenditure. According to SSC scheme, the cost for laboratory, radio imaging, private room, drug and medical equipments are asked to pay for those who can effort. The revenue from CCS scheme is broken down into three portions 1) 50 percent is for government revenue, 2) 15 percent go for purchasing medicine and medical equipments and 3) the last 15 percent use for maintenance. However, there are no clear criteria for the poor to provide exemption and many challenges are coming up in the implementation level.(Aye et al.) Revolving Drug Fund Revolving Drug Fund was introduced in 1990 by Myanmar Essential Drug Program. The program started in 9 townships as pilot project and then extended into 100 townships in 1995. The fund is started by WHO, UNICEF, Sasakawa Foundation and the fund is used as a seed grant.(Aye et al.) Trust Fund Trust Fund is another finance source for health care and the objective is to finance to poor patient who cannot pay the cost of health care at public hospitals. The policy for Trust Fund is ONE BED ONE LAKH; and it is raised 100,000 Kyat per bed to hospital by the donation from community. Trust fund are normally kept as saving count at bank and the annual interest from that is utilized according to trust fund management committee or hospital management committee(Aye et al.). Social Security Scheme Social Security Scheme (SSS) is the solely health insurance scheme in Myanmar. It was introduced in 1956 according to 1954 Social Security Act. The SSS is implemented by SSB under the Ministry of Labor which has recently transformed into Ministry of Labor, Employment and Social Security. The objectives of SSB are; to improve the health of the insured workers, to enhance their working ability and to boost productivity, to provide effective benefit in times of social contingencies such as sickness, maternity and employment injury, unemployment, old-age, and death etc, to support the insured workers and family members for living when the formers are unable to work and to make the social security scheme concern the entire population. In order to achieve these objectives, social security board is carrying its duty and functions by ensuring workers enjoy rights and protection granted under the various labor laws, providing social services for the workers, promoting higher productivity of l abors and participating in international labor affair ( Social Security Board, 2012). The premium for Social Security Scheme is mandatory contribution from employee and employer. The contribution is based on tripartite contribution by 2.5 % of the workers salary from employer, 1.5% from the employee and government supports the capital investments as necessary. The contribution is collected according to 15 wage classes. The coverage groups are state enterprise employees, temporary and permanent employees of public or private firms with five or more employees in certain establishments such as railways, ports, mines and oilfields. The employment with less than five employees, construction workers, agricultural workers and fishermen are excluded from the coverage of social security scheme (Social Security Board, 2012). At first, it is started from the cities and then extended into other towns gradually. One 250 bedded workers hospital in Yangon, one 150 bedded hospital in Mandalay and one 100 bedded TB hospital and 93 clinics have being run under the Social Security Board in order to provide health care services to insured workers.(Social Security Board, 2012). In benefit package, it is divided into cash sickness benefit, maternal benefit, and medical benefit. For cash sickness benefit, 50% of the insured workers average earning will be included from the first day of illness up to 26 weeks for one illness. Benefit of temporary and permanent disability and survival benefits are also included in cash benefit. As funeral grant, 40,000 (Kyat) is paid to the deceaseds surviving spouse and child. The maternal cash benefit includes 66% of insured workers average earning for 12 weeks (6 weeks before and 6 weeks after delivery). For medical benefit, free medical services are directly provided by Social Security Boards clinics. Medical services include the medical care at the clinic, emergency home care, specialist and laboratory services at diagnostic center, necessary hospitalization, maternity care and medicine(Social Security Program Throughout the World : Asia and the Pacific 2010, 2011). Literature review The literature review for this study will be broken down into empirical studies on health care utilization and determinants of health care utilization. Health Care Utilization A study in Canada(Curtis MacMinn, 2008) about health care utilization in twenty-five years of evidence to identify the relationship between the socio-economic status and utilization, controlling and demographic characteristics. The study describes pattern of health care utilization under public health insurance scheme. They investigated about physician, specialist and hospital care utilization between 1978 and 2003. The data from Canada Health Survey (1978), General Social Survey (1991), and Canadian Community Health Survey (2001 and 2003) were extracted to analyze the different in utilization over 25 years period. It shows that health care utilization is growing through time. The populations with lower level socio-economic status (income, education, or employment) have on average less likelihood of visiting physician than those with middle socio-economic status. Individuals with lower levels socio-economic status have lower utilization of specialist care than those with higher econ omic status. For hospitalization, poorer individuals have slightly longer stay than with middle and higher income groups. The results also shows that health care utilization of publicly insured individual have strongly related with the health status of them. A Vietnamese scholar(Nguyen, 2012) analyzed the impact voluntary health insurance on health care utilization in Vietnam by using a descriptive and modeling study with secondary data. He looked at the trend of voluntary health insurance members, categories, revenues and expenditures and health care utilization in the whole country for 5 years period (1993-1997). The study shows that the trend of health care utilization is increasing during 5 year period but the number of hospital visit of voluntary health insurance members is lower than those paying by out-of pocket payment. The results of the study only can predict the utilization rate based on the macro factors and could not include other factors that could affect health care utilization among insured individuals. Health insurance does effect the health care utilization and it is revealed in a study from Burkina Faso by (Gnawali et al., 2009). They investigated the impact of community-based health insurance on health care utilization in rural Burkina Fuso. The results show that the individuals who insured under community-based health insurance scheme utilized out- patient services 40% more than those who are not insured however in-patient utilization rate is not significantly changed. Moreover, the study explains that low income groups are less likely to enroll in the scheme and even though they are once insured, health care services utilization is still lower than middle and higher income groups. Health insurance has a statistically significant effect on utilization of health care. In Sri Lanka, (Priyanjith H. 2008) studied the factors affecting health care utilization with three common diseases; Bronchial Asthma, Ischemic Heart Disease, Viral Fever. He has conducted cross-sectional descriptive survey and the respondents were selected randomly. The results demonstrate that patients age, health care expenditure and household monthly income, number of dependents in the family and religion have significant relationship with utilization of health care facilities. Age, family income level, perception and religion (Buddhist and Sinhala) have positive influence on health service utilization while health care expenditure, distance to access health facilities, number of family members and dependents in the family negatively correlated with health care utilization. Determinants of health care utilization Socio-demographic Factors Age A study in Ethiopia by (Girma, Jira, Girma, 2011) shows that children the age under five-year old used health facilities 3.5 times than those above the age of 65. A study in Nigeria by (Aigbe Osariemen, 2011) concluded that maternal age is the main predisposing factor to utilize antenatal care service. The women with age of 15-19, 40-44 and 45 years old utilized unorthodox source (traditional birth attendants, home assistance and church) 63.6 %, 65% and 55.6% respectively and the middle age pregnant women with the age of 20-39 used unorthodox source between 30 to 40.5%. The middle age pregnant women have significantly lower rate of using unorthodox sources for antenatal care. The individuals older than 24 years old were significantly more likely to utilize health care services than younger age (Hu Podhisita, 2008). A study in New Mexico counties, USA by (Anderson, 1973) shows that age has negative effect on hospital admission rate. Gender In Nepal, when holding other variables constant, boys have 43% more likelihood to seek external health care given illness than girls (Pokhrel et al., 2005). Men were 0.46 times tendency to utilize health care services than women(Girma, Jira, Girma, 2011). In Myanmar culture, women are usually given equal chance and not regarded as socially inferior. There is strong relationship between gender and using health care facilities and women visited health services more than men among Myanmar migrant workers in Ranong, Thailand (Aung, 2008). Marital Status In Ethiopia, married individual were 8.1 times more likely to visit health facilities than those unmarried one. (Girma, Jira, Girma, 2011). Ethnicity A study by (Anderson, 1973) conclude that ethnicity is one of predisposing factors for health care utilization. Hospital bed-population ratios are higher in the counties with larger ethnic minority group. However (Hu Podhisita, 2008) reveals that if the ethnic groups have the same opportunities(predisposing, enabling factors), health care utilization will be likely similar. Educational status In Nigeria, the choice of antenatal care sources between orthodox and unorthodox is associated with the education of mother. They pointed out that the usage of unorthodox sources of antenatal care is 83% among with primary education level. The choice for orthodox source is 53% among the mother with secondary education and which is tripled with those of primary education(Aigbe Osariemen, 2011). In Curacao, Netherland, educational level is strongly related with utilization of dentist and physiotherapist. The results indicates that people with the highest educational level in the study utilized dental service a year almost five times than those with the lowest educational level(Alberts, J, Eimers, Den, 1997). Income Annual household income is associated with the level of utilization of health care services. Low income group was 0.26 times likely to use health care facilities (Girma, Jira, Girma, 2011) Accessibility to Health Care Services Distance to the health facilities A study by (Nemet Bailey, 2000) shows the relationship between distance and utilization that as the distance increase, health care utilization is reduced. Another study in Nigeria by (Aigbe Osariemen, 2011) concludes that distance to health facility from their residence is important factors for women to seek ante natal care. They found out that majority of women (76%) utilized the nearby health center which takes less than 30 minute with vehicular transportation from their residence while only 5.9% of women travelled to access health care services from facilities that need more than 45 minute to arrived. In Ethiopia, distance to the nearest health facilities is one of important factors on utilization of health facilities, the study concluded that the individuals who live in 10 kilometers or less to the nearby institution were 1.5 time more likely to use health facilities. Waiting time at health facilities Almost two-third (62.8%) of pregnant women who visited primary health care or private hospitals for antenatal care is for the reason of promptness of the services (Aigbe Osariemen, 2011). Perceived travelling cost In comparison, among the individuals who perceived travelling cost as cheap ,the health services utilization were 2.5 times likely to be higher than those perceived it as expensive. Need Factors Perceived health status A study in Ethiopia by (Girma et al., 2011) revealed health care utilization was associated with individuals perceived health status. They mentioned that in compared to individuals with good health status, those with poor and very poor health status, utilized 11.7 and 13.1 times more respectively. A study by (Fernandez-Olano et al., 2006) shows that perceived health status affected the health care utilization pattern among elderly people. It can be concluded that 36% of elderly users and 60.2% of non-users graded their health status as good and they reported their health status as fair 46% and 29% respectively. Presence of underlying disease or disability The individuals with disability are 3.3 times likely to use health care services and those who had health problems utilized health care 28 times(Girma et al., 2011). (Liu, Tian, Yao, 2012) studied the effects of health profile on health care services utilization in Taiwan. Health profiles were divided into 4 groups: Relatively Healthy, High Co morbidity, Frail Group and Functional Impairment and they found that, High Co morbidity group had more likely to utilize health care services heavily than Frail Group and Functional Impairment while Relatively Healthy regarded as a reference group. A study in Philippine shows that the need factors have strongly associated with the hospital stay. The patients with intensive cases stayed at hospital longer than ordinary cases(Loquias, Kittisopee, Sakulbamrungsil, 2006) Summary The literature review shows some variables influence the health care utilization of individuals. This study will be included the variables that could possibly affect health care utilization decision of insured workers under Social Security Scheme. RESEARCHMethodology Conceptual Framework The conceptual framework for this study is based on the Andersons Behavior Model for health care utilization. Many studies on health care utilization have been done based on Adersen Behavior Model. The model composes of three main factors; predisposing, enabling and need factors. Predisposing factors are the individuals tendency to utilize health care which include demographic characteristics (age, sex, marital status) and social structure (occupation, education, ethnicity, religion). Enabling factors refers to the ability of an individual to make use health services; they include the family and community resources that can affect health care utilization. Need factors is the individuals need for health care by representing perceived health status and present of chronic disease and disability. Predisposing Factors (Socio-demographic) Age Gender Marital status Ethnicity Religion Education status Occupation Enabling Factors Community Resources Distance to health facilities Waiting Time at the clinic Perceived Travelling cost Hospitality of health care personal Satisfaction to the service No. of other hospitals/ clinics near workplace Family Resources Income No. of children (family size) Health Care Utilization Go to social security health facilities Go to private health facilities Go to public health facilities Buy drug from drug store Need Factors Perceived health status Present underlying disease or disabilities Study Design Cross- sectional descriptive quantitative design will be used for this study in order to explore health care utilization pattern among insured private workers under Social Security Scheme in tow industrial zones ( Hlaing Thaya and South Dagon) in Yangon, Myanamr. Study Area Yangon is the largest city and formal capital of Myanmar with population approximately 6 million in 2008. The population growth rate of Yangon division is 2.2 percent per annum in 2008 which is higher than national growth rate. The population density is 666 per square kilometer in 2008. As Yangon is logical site for export- oriented lighted manufacturing, it attracts the people from rural to immigrate and settle in the city. Yangon is located on a peninsula near the confluence of the Yangon and Bago rivers, about thirty kilometers north of the Gulf of Martaban. The city has been extended recently to the east, west, and north both for residential and industrial zones. In Yangon Division, there are 45 administrative townships and 33 of them are in Yangon city municipal and administered by Yangon City Development Committee (YCDC). The study will conducted in Hlaing Tharyar Townships in Yangon city municipal area. Study Duration The study will be conduct from February to March 2013. Study population The study will be conducted among the insured private workers under the Social Security Scheme in two industrial zones Hlaing Thaya Township Yanagon, Myanmar Sample size The sample size for this study will be calculated based on Yamane (1967: 98-99) formula. n= Nz 2 pq/Nd 2 +z2pq If we assume z =2 (1.96 for the 95% level of reliability), then n = N/ 1+Nd2 n = sample size N= population size d = precision (0.05) z = reliability coefficient p = proportion of the target population utilize health care (assuming that 50%) q =1-p (so q= 50% too) The population of insured workers in Yangon division is approximate 350,000. I calculated my sample size based on the total no. of population and I got 399.49 and 10% is added for non responded participants. So the sample size is 439.49 (340). Sampling techniques The multi-stage sampling method will be employed in this study. Hlaing Thayar industrial zone is purposively selected and the participants will be randomly selected from total study population. Including Criteria The workers from private sectors The workers who are insured under Social Security Scheme (SSS) The workers who are working in Hlaing Tharyar Industrial Zone, Yangon The workers who are over 18 years old Excluding Criteria The workers who are not employed by private factors or firms The workers who are not insured under social security scheme The insured private workers who are not willing to participate in the interview Study variables Dependent Variable The dependent variable will be multinomial variables. Health care utilization will be categorized into 4 categories; 1) go to social security health facilities 2) go to private health facilities 3) go to public health facilities 4) buy drug from drug store. Independent Variables The independent variables are: age, gender, marital status, ethnicity, religion, educational status, occupation, family size, distance from work place to health center, waiting time, perceived travelling cost, hospitality of health care personnel, perceived health status, presence of underlying disease or disability Summarized table of independent variables # Variables Abbreviation Expected Sign 11 Age ( continuous variables) age +/- 22 Gender (dummy variable male=1, female=0) gen +/- 33 Marital status (category dummy variable ms + 44 No. of children (continuous variables) child 55 Ethnicity ( dummy variable Burma=1, other ethnicity=0) eth +/- 66 Religion(dummy variable Buddhist=1, Other religion=0) rg +/- 77 Educational status( category dummy variable primary=0, secondary=1, higher =1) edu + 88 Occupation (category dummy variable. occ +/- 99 Income( continue variable) inc + 110 Distance from work place to health facilities (continue variable) dis 111 Waiting time at health facilities(continue variable) wt 112 Perceived travelling cost (dummy variable expensive=1, cheap=0) ptc 113 Hospitality of health care personnel (dummy variable yes=1, No=0) hhp + 114 Satisfaction to the services (dummy variable yes=1, No=0) sts + 115 No. of health facilities other than social securitys health facilities ( continue variable) nhnw + 116 Perceived health status (category dummy variable excellent=1, good=1, fair=0, poor=1, very poor=0) phs + 117 Presence of underlying disease (dummy variable yes=1, No=0) pud + Multinomial Logistic Regression Model Log(Pr(Y=yi)/Pr(y=0))=ÃŽÂ ²0+ÃŽÂ ²1age+ÃŽÂ ²2gen+ÃŽÂ ²3ms+ÃŽÂ ²4eth+ÃŽÂ ²5rg+ÃŽÂ ²6edu+ÃŽÂ ²7occ+ÃŽÂ ²8 ln(inc)+ ÃŽÂ ²9dis+ ÃŽÂ ²10wt+ ÃŽÂ ²11ptc+ ÃŽÂ ²12hhp+ ÃŽÂ ²13sts+ÃŽÂ ²14nhnw+ÃŽÂ ²15phs+ÃŽÂ ²16pud +ÃŽÂ µi Pilot Testing The pilot test will be conducted in one of the townships in Yangon with the similar characteristic of insured workers before actual survey. The questionnaire will be revised and adjusted based on the results from pilot testing. Data collection tools The primary data will be collected suing the structured questionnaires. About 5 interviewers will be hir