Tuesday, August 6, 2019
Energy Drinks Essay Example for Free
Energy Drinks Essay The use of energy drinks in the United States has increased more than the controversial consumption of regular sodas. According to Coca-Cola executives, profits from energy products since 2005 through 2008 will total $540 million, compared with $210 million for regular soft drinks, $130 million for bottled water and $290 million for sports drinks (Warner). So what is it about this drinks that make them more popular than our pure and vital water? The answer is very simple; our hectic lifestyles. Todayââ¬â¢s society is filled with exhaustion and high stress levels; many people rely on energy drinks to give them that second wind, which helps them stay awake through a test, and even revive them for a party. According to Simmons Research, thirty-one percent of teenagers in the United States say they drink energy drinks on a regular basis. People use energy drinks to boost their energy so they can be able to perform better, but because energy drinks contain ingredients that harm the human body they should be banned all over the world. There are some factors that increase the popularity of energy drinks. For example the easy to grab structure in which they are packed. The small container makes it quick to drink down, and the smaller scale gives the impression that the contents are more concentrated, which attracts the consumer even more. The color of the energy drinks is another reason for their popularity; a combination of bright and vivid colors such as acidic greens and yellows, black and red suggest a sense of energy and high performance. The mystery flavor in energy drinks is another reason why these drinks are consumed in excess. Compared to a typical juice offering, there is little or nothing about energy drink packaging to tell the consumer what the product tastes like. Instead, the graphic emphasis is more on the consumers sensibilities and attitude than flavor or thirst (Patterns). It is pathetic to see how big companies and manufacturers of these products use the ignorance and lack of knowledge of people to make a profit. Unfortunately we cannot victimize ourselves and blame everything on them. We are responsible for what we do and I believe that we should do some research before we buy a product that is obviously not natural at all. Energy drinks are made up of caffeine, taurine, guarana, ginseng, ginkgo, ephedrine, B vitamins and many other sugars. Caffeine is one of the most active ingredients in energy drinks; it is a psychoactive substance found in the beans, leaves and fruit of over 60 plants; it stimulates the nervous and cardiovascular system. Taurine is an amino acid that our body naturally produces, but in energy drinks the taurine is a synthetic element. It helps regulate heartbeat, muscle contractions, and energy levels. Usually our body makes enough so that we donââ¬â¢t need to supplement. Guarana is derived from South America plants and it contains approximately three times more caffeine than coffee beans. It stimulates the central nervous system, cardiac muscle, as well as the respitarory system. B vitamins help convert sugar to energy. Ginseng is an herbal stimulant used to cure, from stress to poor memory to diabetes. Gingko is another herbal stimulant that is used to treat memory loss, headaches, ringing in the ears and depression. Ephedrine is a stimulant, used as a decongestant in treatments of asthma. The chemical structure is similar to amphetamines and methamphetamines. This stimulant is found in weight loss pills, it speeds up metabolism by causing energy that is acquired from food to burn faster. These ingredients do not sound harmful at all. Many of them are natural and even beneficial for our health. So why have energy drinks been banned in a few countries? Lets me now introduce to you the negative sides of all these ingredients. According to Roland Griffiths, a professor in behavioral biology, the amount of caffeine that is necessary to produce dependency and withdrawal symptoms is about 100 milligrams a day. A can of energy drink has 80 to 160 milligrams (Warner). Some of the side effects that the use of caffeine creates are dependency, diarrhea, copious urination and headaches. It also increases the heart rate, blood flow, respiratory rate, and metabolic rate for several hours. Caffeine causes anxiety, irritability, high sensitivity to noise, and self-mutilations. There are four caffeine-induced psychiatric disorders recognized by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition: caffeine-induce anxiety disorder, caffeine-induced sleep disorder, and caffeine-related disorder not otherwise specified (NOS). Caffeine is also associated with a high risk of developing Parkinsonââ¬â¢s disease in men. The side-effects that taurine causes are almost the same as caffeine, but many people claim that it kills your heart, since it is found in the central nervous system, skeletal and is more heavily concentrated in heart tissues and the brain. Taurine found in energy drinks is a synthetic vitamin that does not perform the same functions in the human body as vitamins found naturally in whole food nutrients would. These vitamins actually deplete the body of other nutrients, and overstretch your kidneys before being excreted through the urine. The side effects of Ginseng are nervousness, insomnia, and diarrhea. The effects of ginkgo are restlessness, upset stomach, diarrhea, and vomiting. A soft drink usually has 19 to 25 grams of sugar in each eight-ounce serving. Energy drinks on average contain more than this. Red Bull, for example, contains 27 grams of sugar per serving of 250 milliliters (a little over eight ounces). This can be very dangerous, for an overload of sugar can lead to gastric emptying. This often results in nausea and vomiting. As it was stated above each of the ingredients that a energy drink contain have several and powerful side effects when taken separately, imagine how dangerous they be can when taken all at the same time. People are using energy drinks as an alternate for proper rest, nutrition, and exercise like the spokeswoman for the American Dietetic Association, Roberta Anding said (Ellis). Many health problems can develop from the lack of proper rest like a weakened immune system, depression, high blood pressure, obesity, and diabetes. The best substitute of energy drinks is water. Our body is 55 to 75 percent made out of water and its benefits are countless. Water improves energy, increases mental and physical performance, removes toxins and waste products from the body, keeps the skin healthy and glowing, helps to lose weight, reduces headaches and dizziness, helps digestion, helps the heart work better, reduces stress, and prevents urinary tract infections by flushing out impurities from the body. Many people that do not like to drink water can replace the energy drinks with natural juices such as orange which are 87 percent water or by eating cucumbers which are 95 percent water. Milk is another liquid that can replace energy drinks. Milk is our first source of nutrition when we are born; we are fed with this liquid before he can digest other food. Milk is made out of saturated fat, protein, calcium and vitamin C. Saturated fat provides the building blocks for cell membranes and it also acts as a carrier for vitamins A, D, E and K. This fat makes the lungs healthier, prevents stroke, and protects kidneys from diseases. Calcium makes up 70 percent of the bone weight and gives it strength and rigidity. Vitamin C helps the body produce a basic component of connective tissues called collagen. Collagen is an important element in the blood vessel walls, gums, and bones. Vitamin C functions as an antioxidant, it helps boost immune function protects against cancer, cataracts, deterioration of the retina, and other chronic diseases. Nowadays we live in a society that is always on the go and we are always looking for ways to get more energy to be able to get through school, work or any other duties that we may have. But putting our lives in danger by consuming energy drinks is not worth it. The government should definitely do something about it instead of letting some people get rich by the ignorance and lack of knowledge of most of the people that consume these harmful drinks. Works Cited Clayton, Lawrence. Amphetamines and Other Stimulants. New York: The Rosen Publishing Group, Inc. , 1998. Ellis, Steven. Energy drinks bubble up. The Christian Science Monitor. 7 June 2007. 20 November 2007 Goldish, Meish. The Dangers of Herbal Stimulants. New York: The Rosen Publishing Group, Inc. , 1998. Gustafson, C. J. The Health Benefits Of Drinking Water. 2005. 22 November 2007 Warner, Melanie. A Jolt of Caffeine, by the Can. New York Times 23 Nov. 2005. 20 November 2007.
Monday, August 5, 2019
The Objectives Of Clinical Management Systems Information Technology Essay
The Objectives Of Clinical Management Systems Information Technology Essay CMS stands for Clinical Management System, including the information integration, inventory control, data processing and tools for medical data exchange. Generally the major user for CMS are physicians, and consist of laboratory information system (LIS), radiology information system (RIS), picture archiving and communication system (PACS). 1In medical fields, the application of new CMS mainly develops in the following stages. Automated medical record (AMR) is mainly used for the automation in medical data processing from paper into e-format. Electronic medical record (EMR) ensures a good communication for paperless and image exchange and sets up foundation of medical terminology. Electronic patient record (EPR) ensures the interoperability networking for the data exchange between CMS or other parties by using a single and standard format. Electronic health record (eHR) sustains the medical decision support system. In the medical support system, it conducts data mining skills from getting multiple data from multiple databases to assure the correct medical decision. Recap above stages, the applications of CMS are useful in medical filed. Objectives Due to the following objectives, our team suggests Town Health co Ltd to implement Clinic Management System (CMS). Increasing business opportunity; Connecting medical record with Hong Kong Government regulation standard; Exchanging medical data with Hong Kong Government centralize database. Company Background Town Health Co Ltd. (The Group) Established in 1985, the group has adopted the managed healthcare model to provide high quality and affordable medical services to our corporate clients. THMN has a full range of medical services, including General and Specialists Services, Dental Services, Physiotherapy Services, Laboratories Imaging Services and other auxiliary medical services. The Group has well developed and became one of the largest healthcare services providers, with about 30 medical clinics and specialist outpatient clinics, in Hong Kong. Company network Figure 1.1 http://www.thmn.com.hk/our_locations.asp Company Workflow The Group was operating a standalone medical management system over 10 years. Many problems occur throughout their daily operation. The basic operation workflow is shown as below figures 1.1. Diagnosis New Patient Registration Consultation Medical Record Transfer to Hospital/Other films Treatment Figures 1.1 For our daily operation, a new patient is required to fill in a registration form for his / her personal information in paper format. Then the duty doctor consults and examines the patient based on the background and situation at that moment. The paper medical record and real time observation by the duty doctor will be used as tools to support the diagnosis of the patient. Finally, the staff or nurses will input the finalize treatment formulated and medical record into the existing medical system. Five Force Analysis For The Group Suppliers Industry Competitions Buyer Potential Entrants Substitutes Threat of New Entrants There are many new entrants in Hong Kong healthcare services industry. It is because of the rapid changing of economical scale, such as new investments from PRC. Threat substitutes Since the market demand is changing recently, many different professionals are willing to join together and run their business to provide a 24*7 (24 hours with 7days) services. Besides, they combine their services into a single business firm, such as Chinese medical services, Dental and out patient services. Therefore they can share resources to reduce the operating cost and increase the revenue. Bargaining power of Suppliers Most of suppliers ally their product price due to the increasing price of most original materials. For a healthcare group, they are required for lots of inventory, like drugs and medicate equipment. This is a main reason for their high operating cost. Bargaining power of Buyers The Government regulation was release as benefit to all Hong Kong elders such as health care voucher, eHealth medical record sharing system, and etc. Industry Competitors There are many strong competitors with increasing and steady revenue. Moreover, most professionals quit their job in public sector (Government Hospital) and join the joint venture of healthcare group to start their own business. SWOT Analysis for The Group Strength The group is established for over 25 years, it is a well-known health care services provider with confidence in providing quality services. A wide spread of clinic coverage is convenience to all patients in Hong Kong. The medical management system assists on keeping patients records that ensures the efficiency on daily data processing. Weakness Performance of existing medical management system becomes slower due to the increasing size of data. Increasing numbers of patient records reduce the performance of accuracy. Thus, many errors were found in daily operation which influences the efficiency. The system will become a bottleneck of the Group for the business expansion. Opportunity Modernize on computer system provided a better management on patients data and prevent error to increase efficiency on operation. Also, connectivity to Hospital Authority (HA) and insurance companies database can get advantages on increasing revenue and convenience of data exchange for the Group. Treats The medical industry competition had a huge impact to the Group due to the decreasing market share and revenue while the running cost for equipment and drugs is increasing. Research Methodology Research method Interview for analyzing the current problems The aim of the interview is gathering information about the understanding for the current system and its process. Our team conducted the interview to narrow down the problems one by one. Web survey for capture the industry strategy Due to the rapid change for the market, this survey is aimed to get the most common strategy for our team. Data Gathering This process is mainly used for identify the existing operation problems through the interview with the company partners, managements and customers. Peoples interviewed: Partners Project mangers Customers The questions for Partners What is your corporate vision and mission? What is your corporate development target in long term / short-term? What is your development strategy in long terms / short terms? Do you agree the change of Hong Kong market decreasing revenue of your company? How many resources had been spent on your strategy development projects? What is / are the existing problem(s) that your company is facing now? And how does your company fix it? The questions for Project Managers How do you carry out the CMS? How long do you planned for your project schedule? How the CMS fulfill the development of your company that you had mentioned before? How many resources had been spent on your strategy development projects? The questions for Customers What service(s) do you mainly used in Town Health Corp? Do you comfortable with the current system of Town Health Corp? 3 Do you have any suggestion(s) for Town Health Corp? Through the interviews, our team recognizes the mission of health care group is providing a comprehensive healthcare service. The short term planning is to develop an effective clinical management system, while the long term objective is to build up an exhaustive service for customers, such as medical decision support analysis. To achieve the short term and long term objectives mentioned above, we have to improve: The duties schedule of physician Communication channels with other insurance companies The inventory control and allocation Standardization of e-health medical record Survey result All interviewee thought that the eHealth is useful as it answered them many questions and as a platform to communicate with others. Whats more, over 80% clients having discussion with professional after a year, which is dangerous if they didnt take annual body check. Almost 80% clients thought the Clinical management system should be connected into Hong Kong centralize database. Due to the elderly dont know how to use the high technology (e.g. computers), thus the respondents refuse to use it. There are only 20% of interviewees think that the Clinical management system cant be effectively the diagnosis processing. Almost 80% of respondents has been used the clinical management system, especially most of them used the Google one. The respondents all are educated above the primary school and most of them are in the age group of 30-39. Values Identified from Interview Objective Schedule Management Insurance interface Inventory control e-medical Record The duties schedule of physician Communication channels with other insurance companies The inventory control and allocation Standardization of e-health medical record Problem Definitions The Group was operating a standalone medical management system over than 10 years. However, there are still many problems occur during daily operation. Data formatting out of date The existing medical system was developed in 1989. All clinic offices were allocated a standalone workstation for operating medical system. The medical system database was developed by FoxPro which could not conduct data mapping with other new technology like Microsoft SQL server, MySQL server. Hence each medical system was all recorded year by year until present. Suffering in medical claim to insurance company Every time when different insurance companies transfer some patients data for inquiry, the staff needs to input the patient data one by one manually in order to get the corresponding data from the database. After all required data have been extracted from the database, the staff needs to enter the corresponding data to different systems that provided by insurance companies. Sometime if the data from insurance companies could not match with the database, the staff needs to notify the insurance company for amendment. After receiving the update data, the staff needs to do the inquiry all over again. Cannot manage resources on inventory Existing medical management system can only handle patients records. Inventory of the Group is recorded by using a logbook. Using of pen and paper cannot fulfill the services standard nowadays. That is not a flexible and efficiency way to keep track and monitor inventory, especially for a medical group which owned over thirty clinics. Manpower that used on inventory is also become a challenge on management and costs. Cannot manage customers appointment effectively Many clinics handle their patient appointments by using telephone bookings and marked on the notebook. However, it always has the contrived mistake, for example, marked down the wrong name or contact number. Sometimes the patients need to wait for a long time to check the appointment time or the medicine stuffs. Furthermore, the doctor may not stay in one single clinic; it is inconvenience for the customers who want to consult the same doctor. Based on problems above, managements decide to carry out a new Clinical Management System (CMS) to replace the existing one. Our learning area: Electric Medical Record, Interfaces with Insurance Company, Inventory Control and Book appointment with web interfaces. Successful Stories 2The Hospital Authority (HA) of Hong Kong 3The Hospital Authority (HA) is one of the successful case of implement CMS in Hong Kong. HA set up 15 Chinese medicine outpatient clinics (CM Centres). These 15 CM Centres are served with a fully computerized Chinese Medicine Information System (CMIS). CMIS is developed by HA for managing a large amount of clinical information. The CMIS is aimed to the support for patient administration (example, appointment, registration and payment), clinical modules (example, diagnosis, consultation notes and prescription) and pharmacy management. It can also treat as a platform for data analysis, planning and researches. The Integrative Medicine Information and Research Manager of HA, Tat Tse said, the system can reduce errors and enhance risk management, for example, the emergence of drug incidents, we can trace the patient and arrange examination as soon as possible. 4Union Hospital in Hong Kong Another successful case for CMS implement is Union Hospital and Union Hospital Polyclinic. Union Hospital was established in the year 1994 while Union Hospital Polyclinic (Tsuen Wan) went into service in January 2007. Hospital and polyclinic have an advanced Customer Management System to provide comprehensive patient data and flexible registration service. It is convenience for the clinic and the hospital to access the patient information and medicine history. It is also expediency for the patient to choose the venue for having the follow-up care thought out the network of Union Hospital. Proposed Solutions With the reference to the above successful cases in Hong Kong, the main purpose for the CMS is easy to deliver medical data. It is a centralized system to control and share the resources, like medical information, to related departments, like Pharmacy, Laboratory and front-end clinics department. Besides, CMS can be synchronized all the medical data to both public and private hospitals and other CMS. A brand new CMS become an important milestone in the IS strategy development. Inventory control To improve the inventory control, the implement of inventory control system is required. It can increase the flexibility and efficiency. The new system will include inventory monitoring, stock transfer, out of stock alert and reporting, and other function like expiry date reminder and search. These functions are the daily tasks which are operating manually every day. The implement of new system can help to reallocate manpower to other tasks. Schedule management The system will renew the data periodically. Old records of patients will be found easily. Clinic staff can handle the patients records and the appointments by using an easier way. Insurance interfaces The system can get requests from different insurance companies and reply those insurance companies automatically. A summary report will generate for checking every day. This can save the manpower of processing insurance companies request and prevent missing or wrong information exchange. E-medical standard Since all the new medical data should be matched with international standard, developers change all the new medical data intoà [5]à HL7 format. HL7, an international standard medical system, can exchange data with other systems, which will be the main trend for future development. This action may cost lots of resources in transferring to the new CMS, it is still certainly required for the long term strategy of health care industry. Physical Architecture This section describes the physical architecture of the System. The below diagram shows the physical architecture of the System. The CMS is constructed in 3-tiers web based architecture, which includes web server, application server and database server. Web Server The Web Server will be the primary entry point for all users to access the system. All user activity will be limited within the Web Server. Application Server The Application Server will serve the validation process and the using of the stored data in the Database Server. Users will access these functions through the user interface located at the Web Server. Database Server The Database Server will be the central repository of all data. These data will be using for validation purpose. Software requirements Internet Explorer 5.5 above Java web starter 6.0 above MySQL 10.0.1 above Tomcat web server 6.0 above Hardware requirements IBM X3250 M2, Xeon E3110 3.0GHz/ 1333MHz (DC 65w 6MB L2 cache), 8GB 667MHz SDRAM, 160GB Hot-Swap SATA HDD Tape Drive [Prod Servers] IBM Tape Backup Drive Juniper Netscreen-5GT CableCat5 and Cat6 KVM 1U 15 LCD Monitor w/ 8-port PS/s Solution Budget The solution estimated project costs are shown as below: Items Estimated Costs (HK$) 1. Project team staff/development costs# 500,000 2. Project office set up and running costs including rent, telecom costs, mail/courier, etc. 100,000 3. IT costs including PC, software, printer, fax, LAN set up, etc. 100,000 Grand Total 700,000 Workflow of new CMS E-Medical record standard formats (Health level 7) apply in CMS First of all the medical record (HL7) run across multiple module of CMS, the example shown the workflow of e-medical Record useful in multiple modules of CMS. HL7 is mainly use for data exchange in different multiple module. Such as a single medical record it can be data exchange to doctors in clinical departments then transfer information to other lab departments then the lab result can be generate the medical decision support lab test. Finally the doctor can be made the medical decision and prepared the consultation result. The medical can be claim to insurance company directly for patients. Workflow of appointment in CMS The client calls to book the time with the right doctor. The clinical nurses mark down the information of the client and find out the clinic data from the database. The nurse call to remind the client and confirm the booking. When the client comes, then the appointment is done. Phone in to clinic Mark down the client information Call back and remind the clients Appointment done! Workflow of inventory system 1. Medicine, equipment or office supplies delivered to warehouse, information and amount of each product will be updated into the inventory system 2. Staff in clinics will place order for different items in the inventory system, delivery will be arranged. For some critical items like life-saving medicines, order will be automatically placed once the amount dropped to preset minimum quantity 3. Items delivered to each clinic from warehouse Workflow of Medical Claim Enquiry From Insurance Company Insurance company send medical claim request to CMS, CMS will retrieve data automatically from database and return diagnosis result back to that insurance company. Implementation Schedule The following is the paramilitary schedule of the proposed plan: Date Major Milestone Month 1 Launch of the CMS Project Proposal evaluation Month 2-4 Project Initiation User Requirement Collection Mouth 5-6 System Design and Analysis Procurement and Installation of Hardware and Software Interface with external systems Mouth 7-8 Program Development Mouth 9-11 User Acceptance Test Documentation Training Mouth 9-11 User Feedback Collection User Feedback Analysis System Design Revision Mouth 9-12 Program Modification User Acceptance Test Documentation Training Phase 2 Live Run Conclusion Durng the study topcis,all of us exploer our eye on Hong Kong Helthcare business operations.Due to the market change from previous, Hong Kong became stanadardation with international.The government of HKSAR become the leader role on electric health care stanard and regulations. Hence the team regonzine the implementation of cinical management system just the begin electric health care stages. All the industry stakeholders become more international standardization in future! Project Self-evaluation The study of CMS and its functions team completed the target because we can learn Healthcare knowledge during the project. The project management works are fine and the team conducts many discussion points during preparation. Finally I inspirit our teamwork steps until project closure. Tommy Wong @ Middlesex University 2011 During this project, I got the chance to explore and learn about the medical industry, and the relationship between information technology and medical and how they benefit each other. In my own findings using information technology in medical industry especially the outpatient services, is still in a preliminary stage, which mean more I.T. elements can be used to enhance the perform, more efficiency and profit can be archived. Simon Wong @ Middlesex University 2011 During this project, our division of labor is very balance. Everyone tried the best and put many efforts on it. I in charged the parts of findings, included the survey result, interview result and others. However,à some difficultiesà encountered inà investigations, for example,à many respondents wereà not sureà whatà is eHealth, orà send the mail to people have not reply. I think our team spirit is good. But I should do the project more actively. Whats more, after my self-evaluation, I think my work is fair effective and efficient, due to the fair English grammar, I might need the others group mates help to proofread. At the same time, I think my time management can be better, because of my delay, the schedule of work might postpone. I hope I will do it better next time. Eric Pang @ Middlesex University 2011 Medical topic is a totally new topic to me, but to deal with different industries and departments is one of characteristic for Information Technology. Though this project, my skill for handling an unfamiliar topic is improved, which is equipped me to be an Information Technology professional. In this group project, I responsible for research on medical field business model. I found that even in a field of professionalism, the competition between companies still very great. Therefor price war is not a best way for them to increase the revenue. Before this project, I truly believed that price war is always a way to help companies to develop their business, but now I understand that with the information system support and re-engine the process flow, the company still can increase their productivity and achieve the target of increasing revenue. After this project, doing the analysis on the company background and market background become more and more import to me when designing solutions. This is the first time for me to handle an unfamiliar topic, medical health care industry. I had spent a lot of time to search information and catch up the schedule of my teammates. By having thIs experience, I am sure that I can do better for next time. Ben Wong @ Middlesex University 2011 Appendix 1 Interview Questions with Answer Dr Joseph Lee, Partner of Corporate Development Town health Co Ltd 1 Feb 2011 Dear Dr Lee, We are a group of year 3 undergraduate students of Middlesex University, School of Engineering and Information Sciences. As part of our final year studies, we have been asked to contact and interview a strategic manager on a topic related to the use of Information Technology and Information Systems within the organization. The focus of our approach is to look at the strategic reasons why a particular configuration of IT/IS functionality was adopted assuming that competitive advantage was the prime focus of the implementers. The topic we have selected is Clinical Management System implementation for the chain health care group. We approach you because we believe that our topic represents an important strategic use of IT/IS within your organization. We are requesting a short interview with an appropriate strategic manager within your organization. We should only take a short amount of time at your convenience. However, we do have a deadline of early December for this part of our work. If you are available to help, please reply me by email to [emailprotected] Thank you for your consideration of our request. Yours truly, Tommy Wong Attn: Dr Joseph Lee, Partner of Corporate development, Town Health Co. Interview Questions 1. What is your corporate vision and mission? Our group mission is grouping up all the clinic services to provide a comprehensive healthcare place to the public. 2. What is your corporate development target in long term / short-term? Long -term: Our corporate development target will be emphasized on the elderly mansion. We can provide the periodically body check as elderly easy to have the elderly ill. We would like cooperating with them by contractual in the future 5 years. Whats more, they will enjoy the discount by joining our group elderly program. We hoped that we can have over 30 elderly mansion join us. Short -term: Another our consideration is the doctors who wanted save the rent. They can use the place that share with other doctors, thus they still have their own clinic room but share the rent and human resources. It is because we want to keep increasing our shops (about 10 /year) in different area in HK to enhance our brand image. 3. What is your development strategy in long terms/ short terms? Increase the shops of Town Health is the one of the promotion plan. It increases the brand warranty and customer trusting. When the demand increases, the supply should be increased too. In long term, Town Health has to use personal selling to explain the services to the elderly mansion. Therefore we will recruit more sales to demonstrate our job to the elderly to increase our professional image and increase the corporate opportunities. 4. Do you agree the change of Hong Kong market decreasing revenue of your company? No. It was totally opposite with your question. As the citizens in HK becomes older and older, their requirement of the elderly instruments and healthcare in growth rapidly. In fact the target market in our industry is growing, the revenue of our company is in an enhancement. 5. How many resources had been spent on your strategy development projects? A lot! Human resources and Material resources which includes the instruments, medicines, equipments. I think it will over 100 millions. 6. What is / are your existing problem(s) that your company is facing now? And how does your company fix it? We have to find the Corp target carefully as many of them are not the legal one, whatever the mansion or doctor. We want to enlarge our clinic healthcare by a good quality. We would like asking the existing customers opinions and their past experience. Sometimes we need to find the good doctors by the positive word-of mouth. Thanks for your time and attention. Mr Jackson Tam, Project Manager Town health Co Ltd 1 Feb 2011 Dear Jackson, We are a group of year 3 undergraduate students of Middlesex University, School of Engineering and Information Sciences. As part of our final year studies, we have been asked to contact and interview a strategic manager on a topic related to the use of Information Technology and Information Systems within the organization. The focus of our approach is to look at the strategic reasons why a particular configuration of IT/IS functionality was adopted assuming that competitive advantage was the prime focus of the implementers. The topic we have selected is Clinical Management System implementation for the chain health care group. We approach you because we believe that our topic represents an important strategic use of IT/IS within your organization. We are requesting a short interview with an appropriate strategic manager within your organization. We should only take a short amount of time at your convenience. However, we do have a deadline of early December for this part of our work. If you are available to help, please reply me by email to [emailprotected] Thank you for your consideration of our request. Yours truly, Tommy Wong Attn: Jackson Tam, Project Manager, town health Corp. 1. How do you carry out the CMS? I would set up a project team. Most of the members come from functional team. I also recruit external consultant to be the project adviser. 2. How long do you planned for your project schedule? 2 years 3. How the CMS fulfill the development of your company that you had mentioned before? The functions of CMS commit, electronic medical format as connecting with international standard, the platform connecting with insurance company modules and also control inventory and physicians schedule management. 4.How many resources had been spent on your strategy development projects? Over 2 Millions. All are spent on in-house team development works. Thanks for your time and attention. Ms Eva Ma, Deputy Business Development officer. AIA HK Co Ltd 1 Feb 2011 Dear Eva, We are a group of year 3 undergraduate students of Middlesex University, School of Engineering and Information Sciences. As part of our final year studies, we have been asked to contact and interview a strategic manager on a topic related to the use of Information Technology and Information Systems within the organization. The focus of our approach is to look at the strategic reasons why a particular configuration of IT/IS functionality was adopted assuming that competitive advantage was the prime focus of the implementers. The topic we have selected is Clinical Management System implementation for the chain health care group. We approach you because we believe that our topic represents an important strategic use of IT/IS within your organization. We are requesting a short interview with an appropriate strategic manager within your organization. We should only take a short amount of time at your convenience. However, we do have a deadline of early December for this part of our work. If you are available to help, please reply me by email to [emailprotected] Thank you for your
Sunday, August 4, 2019
Affirmative Action Must Play a Role in College Admissions Essay
Anxiously awaiting its contents, the high school senior stares at his mailbox. He has been awaiting a response for months from his dream college. He has endured the endless questions from friends and family, "Did you hear from that college yet?" He has spent many a night he should have been sleeping lying in bed wondering whether he would be heading to his dream school in the fall. He has read numerous books and has done serious research on just what it took to get where he wanted to be. He continues to stare for hours, shaking from either anticipation or fear, though he cannot decide which. Finally his parents arrive home and encourage him to open the letter. He then opens the box. Now I ask this. Should this seniorââ¬â¢s ethnicity impact whether his envelope is thin or thick? Should he have a better chance to attend his dream school because he is a minority? Or do the questions go deeper than the single factor of ethnicity? The issue of Affirmative Action, preferences towards persons of racial minorities to compensate for prior discrimination, in college admissions is a quite complicated one. Many sides must be explored to gain a better understanding of the theories and views on this issue. It is not easily answered with a yes or no. Since its inception, Affirmative Actionââ¬â¢s use has been a major debate in American society. Many questions are left to be investigated. Many believe that we should live in a society where preferential treatment could be eliminated, and admission to college is based solely on oneââ¬â¢s merit and character, yet this view seems quite unrealistic. The United States Supreme Court handed down its first decision on this complex issue with the case of Allan Bakke. Allan Bakke was a white male who applied to ... ...ns. The evidence supports the fact that if racial preferences are not used in admissions, the country will be withholding quality educations, both graduate and undergraduate, from large numbers of minority students. One of the staples of slavery when it is employed in this world is preventing those who are enslaved from becoming educated. We must work for the advancement of the human race as a whole, and this includes making sure that entire races of people are not left off prematurely on the road of education. Sources Cited Cross, Theodore. "What if There Was No Affirmative Action in College Admissions?" The Journal of Blacks in Higher Education. No. 5. Autumn 1994. 52-55. à Dreyfuss, Benjamin W. "Reverse Discriminationââ¬â¢ or ââ¬ËEqual Opportunityââ¬â¢?" http://www.people.fas.harvard.edu/~dreyfus/bakke.html. 1995. à Mundy, Bob. Personal Interview. 27 April 2001
Saturday, August 3, 2019
The Bubble Economy of Japan :: Japanese Economy Economics Finances Essays
The Bubble Economy of Japan The Economy of Japan had experience a tremendous growth since the end of the Korean war. The growth of GNP in 1967 and 1968 was above 10 % (double digit growth period) which exceed countries such as Britain, France and Germany. The economy experienced a boost is due to many reasons, such as: enlargement of industrial facilities, massive adaptation of western technology and education, lower the military expense to 1% of GNP, relation with power nation, human resources and their spirit to achieve "zero defect program". But after the first and second oil crisis that occur from 1973 onward. The economy move downwards partially due to the poor management of economic policy. Although the government had attempt to adjust the economic policy but the recovery was slow. As the soaring of yen continues the demand for export has increase tremendously. With the concern of the United State of this problem, president Reagan and the G5 have signed an agreement with Japan called "Plaza Agreement" , the agreement stated that the exchange rate of Japan and Deutschmark can appreciate against the U.S. . Since then the yen value began to appreciate, Japan was going through a period of trade balance adjustment. While Japan is prepare to go through a period of trade balance adjustment, it will also suffer a period of recession, so the government strongly encourage business activities to strengthen the economy in order to prevent backwash effect. It was this event which boost up the GNP and raise the exchange rate. With this exchange rate advantage it stimulate business activity on housing and stock investment which created a bubble economy. During this period almost the entire country was involve in land speculation or other speculate activities. In this essay it will prove that land speculative activities had create many negative impacts to the Japanese society and economy. Firstly, it will describe the cause of land speculation. Secondly it will discuss on the society and political effects in Japan and lastly it will focus on the economy effects, more over it will include the aftermath when the bubble collapse. The root of this bubble economy is due the wave of land speculation. The wide spread of land speculation activities were mainly because it is profitable. The speculative transactions in assets grew and grew and many believe that this will last for very long period of time. One of the reason that leads to massive investment in the risky activities is because of the success of the Japanese in the international market during 70*s - 80*s. Many Japanese enterprises and
Friday, August 2, 2019
Body Piercing: Reclamation, Enhancement, And Self-Expression Essay exam
In America the practice of body piercing is everywhere, especially among young people, who are getting several parts of their bodies pierced either as an affirmation of their personal individuality, as a means of sexual gratification or stimulation, a reclamation of their bodies from physical or emotional trauma, or for as a means of adornment. Whatever the reason, it's widespread. Body piercing is the piercing of the ears, nose, septum, cheeks, lip, tongue, nipples, navel, clitoris, labia, penis, and scrotum. Says California State University anthropologist James Myers, Ph.D. body piercing is "possibly as old as genus Homo." (Todd, Richard, p.1) Body piercing studios are popping up all over the country in a response to the growing demand for having a needle poked through your skin. Contrary to popular belief, body piercing is not being performed by freakish subculture deviants. In order to be a reputable piercer one has to take a rigorous course of education in the principals and met hods of body piercing. This is a step toward the acceptance of body piercing in mainstream America, where it is still viewed with mistrust by many. Body piercing allows a person to express their individuality in a new way: by putting a needle through yourself, you mark your body as your own (Delaney, Jim, p.3). By exploring some of the motivations behind body piercing, onediscovers that it's not an unhealthy practice (unless performed in an unsterile environment or the piercing is not adequately cared for by the piercee- both of which are heavily discouraged by piercing advocates). Indeed, body piercing is a healthy way to express your individuality or improve your self image. In the nineties, more and more young people are sporting rings through various parts of their bodies. This is known as body piercing, and it has made a considerable imprint on young people. Body piercing is the practice of piercing the ears, eyebrows, tongue, nose, septum, lip, cheek, nipples, navel or genitals for varied reasons. It's becoming more and more common: Body piercing shops are cropping up all over the country and business is booming. Says piercer Kent Fazekas, who owns Indianapolis-based Body Accents Inc, " ...I think it's here to stay." (Eckert, Toby, 1) The practice of body piercing among young Americans is part of a quest for individuality. Brooklyn body piercing studio Modern Americ... ...gn statement of who these people are and what they believe in. All too often it is ignorance that leads people to spurn body piercing. By educating yourself on the subject it becomes plain to see that body piercing is a powerful tool for self-expression and emotional security. By going through the pain of the piercing, the emotionally insecure regains a feeling of control. Works Cited 1. Trebay, Guy. "Hole in one" The Village Voice July 7, 1995: p.18 2. Eckert, Toby. "Body Accents Pierces Traditional Business Image with Wares to Wear" Indianapolis Business Journal March 3, 1997: p.45 3. Leo, Jon. "The Modern Primitives" US. News and World Report July 31, 1995: p.16 4. Wattenberg, Daniel. "A Parents' Guide to Body Piercing" Forbes September 23, 1996: pp. 166-173 5. Howard, Dylan. "Holier than Thou" The Yale Daily News November 10, 1995: p.3 6. Todd, Richard. "Look What They've Done to my Bod, Ma" Psychology Today May/June 1993: p.8 7. Delaney, Jim. "Piercing for Beginners" Prime Magazine September 26, 1995: pp. 19-23 8. Alexander, Keith. "About Body Piercing." Body Modification Ezine 3pp. World Wide Web http://www.bme.freeQ.com June 1997
Macroindividual Essay
I need to explain the uses, problem and critically examine the uses or problems with real life examples. Question 1 Briefly explain the uses of National Income Statistics. Comparison over Time According to Vengedasalam D. and Madhavan K. (2010), national income able to state the economyââ¬â¢s performance whether is progressing, stagnating or deteriorating on yearly basis from national income figures. For example like Singapore, their national income has improved steadily over the years which indicate that the country have a stable economy and high in productivity. As for economies in countries such as India, China, and Bangladesh are stagnating and should take action to increase their growth and development. However countries such as Vietnam, Cambodia, and some African countries have deteriorated in terms of economic performance. Comparisons between Countries Ali H. (1999) stated that we can differentiate the development and developing countries through national income. According to an international organization, OECD (Organization Economic Cooperation and Development) statistic, Singapore was the 13th richest country in the world. OECD is to tackle the country performance to estimate the country is developed or still developing. Countries such as Ethiopia, Myanmar, Bangladesh and most of the Asian states are the poorer nations. Measurement the Standard of Living According to Vengedasalam D. and Madhavan K. (2010), nationwide earnings information able to help us evaluate the quality lifestyle of individuals in different nations and the individuals residing in the same nations at different times. There is a correlation between national income and standard of living because when income is high, standards of living is high; when income is low, standards of living is low. For example countries such as United States, United Kingdom, Canada, and Australia have high national income and also high standards of living. However, as for the countries such as Ethiopia and Myanmar have low national income leads to low standards of living. Balance of Payment Ali H. (1999) stated that stability of transaction can be determine as the complete of expenses and invoices that a nation generates as result of transfer and trade worldwide with other nations. We can approximately calculate whether the nation will face lack or excess balance of transaction through the nationwide earnings data. There will be an output of forex from the nation and this will lead to disequilibrium in the complete amount of transaction if earnings paid overseas are far greater than earnings obtained overseas. National Planning According to Vengedasalam D. and Madhavan K. (2010), national planning also knows as planning of each of the countries which based on the national income statistic, the government will formulate its short term and long term economic planning. In this case, Karl E. Case and Ray C. Fair (2003) stated on the basis of present economic performance, the government will have to forecast future developments. This which if income increase, plans for the future will increase; same goes to if income decrease, plans for the future will decrease. This also important and why all the countries have to collate data on national income. Question 2 Discuss the problems involved in calculating the GNP per capita of an economy. Underground Economy Oââ¬â¢Sullivan A. , Sheffrin S. M. , and Perez S. J. (2012) stated that one of the significant problems from measured GDP is so-called underground economy where transactions are not reported to official authorities. According to Lipsey (1998), some transactions are perfectly legal, but for the people do not report their income that they have generated it is because they wanted to avoid paying taxes. For example plumber who repairs pipes leakages in the toilet and only receive payment by cash which is to avoid taxes and these transactions are not recorded so they are excluded from GDP. According to Tucker I. B. (2008), some transaction such as illegal gambling, illegal drugs, illegal guns prostitution, and loan-shark are goods and services that meets every requirement for GDP but GDP does not include unreported criminals activities. Nonmarket Activities According to Lipsey (1998), dealings that do not take position in the structured industry are also being disregards by GDP. For illustrations like solutions that individuals do for themselves in their own houses because these solutions are not moved through markets; this is so GDP statisticians cannot evaluate them. Tucker I. B. (2008) stated nonmarket activities that are not transferred though the markets such as homemaker production, do-it-yourself activities, childcare services, and voluntary work. Problem of Illiteracy Vengedasalam D. and Madhavan K. 2010) stated that problem of illiteracy most happen in third world countries like Bangladesh, Indonesia, Myanmar, India, and many African nations which the people there do not know how to keep accounts of their productive activities. With this problem of illiteracy, the governments of these countries will have difficulties in getting information such as estimated value of home produced product. For example people there do not have knowledge on marketing and finance which makes them do not know the value of product they are selling. Problems of Expertise According to Vengedasalam D. nd Madhavan K. (2010), one of the major problems of developing countries is shortage of professionals. In order to measure the national income accurately, we need the professional services such as statisticians, analysts, programmers, researchers. With these professionals in the developing countries will be able to present the national income data accurately with less technical and human errors. For example if the country do not have programmer, they need to record the national income data in papers and there will be more human errors. Lack of Sophisticated Machinery Vengedasalam D. and Madhavan K. (2010) stated that technical aspect is as important as human factor. Technical aspect such as having sophisticated machinery is needed to compute data and information. For example, problems that developing countries like Indonesia and Peru are facing the problem of technical experts and technical equipment. There countries need this latest and advance machinery to compute massive volume of data. In the end, data that collected on national income need to be analyzed using sophisticated machinery regardless of which method is used. Question 3 Explain with examples whether you support its use as a measure of quality of life in a country. No, I do not support its uses as an evaluation of total well-being in a nation. The factors as follows: Problem of Illiteracy Third world countries like Bangladesh, Indonesia, Myanmar, India, and many African nation facing this problems in which the people there do not know how to keep accounts of their productive activities. For example, Memon G. R. (2007) stated Pakistan has one of the smallest expenses of details on the globe, and the smallest among nations of relative resources and public or financial conditions. With a per close relatives earnings of over $450 Pakistan has an older details amount of 49%, while both Vietnam and Local Indian native with less per close relatives earnings have details expenses of 94% and 52%, respectively (Human Development Middle, 1998). Knowledge is greater in places and in the areas of Sindh and Punjab, among the greater earnings group, and in men. Nonmarket Activities According to Shaheen S. , Sial M. H. , Awan M. S. (2011), womanââ¬â¢s option about contribution in work market is of crucial importance in determining living standard, dependency stress and saving design in homes. Women signify about half of the people in this country in Pakistan. But in Pakistan mostly femaleââ¬â¢s execute happens in non-market activities in the home or the informal market. In recent past women contribution in modern market activities has been increasing. Factors determining the profession of women are extremely complex. At the individual level femaleââ¬â¢s option to execute is topic to such factors as the availability to projects, knowledge level and skills. Underground Economy One of the problems from measured GDP is so-called underground economy where transactions are not reported to official authorities. According to Schneider F. and Enste D. H. (2000), the results from eight nations in African-american are revealed, among these, Nigeria and The red sea have the biggest subterranean financial systems with 76 % and 68 % of GDP; Mauritius has the tiniest subterranean economic system with 20 %. Implementing the forex requirement strategy, Tanzania had a subterranean economic system of 31 % (of GDP) in 1989ââ¬â90, and Southern African-american, 9 % in 1989 to 1990. The position of the size the subterranean financial systems for the Africa nations is reinforced by identical results and historical proof from Pozo (1996); Lawrence Chickering and Muhamed Salahdine (1991); and Lubell (1991). Conclusion I have explained the uses and problems. I have also examined the problems with real life examples.
Thursday, August 1, 2019
Examine the Key Ideas of Situation Ethics
Examine the Key Ideas of Situation Ethics (21 Marks) In this essay, I am going to examine the key features of Situation Ethics. Situation Ethics is a teleological theory that resolves ethical and moral issues relative to the situation and was developed at a time when society and the church were facing drastic and permanent change. It is most commonly associated with Joseph Fletcher and J. A. T Robinson and also William Barclay.Situation Ethics is also considered to be the method of ethical decision making that states that you must consider ââ¬Å"noble loveâ⬠(agape) in decision making and that a moral decision is correct if it is the most loving thing to do. The theory is based upon this idea of agape love which is defined by William Barclay as ââ¬Å"unconquerable good willâ⬠. Situation Ethics developed during the 1960s and the post war generation was a great influence on this. Between the end of the Second World War and the end of the 1960s, Western Europe and North Amer ica were socially, culturally and morally transformed.Up until the 1960s, many people still followed the ââ¬Å"old fashionedâ⬠approach of Divine Command Ethics where by people obeyed the Bible and the teachings presented in them. People believed that by following the teachings of God as directly revealed by Him through scripture and the Church, they were doing good. However, by the 1960s all this changed. This quote was produced in 1966: ââ¬Å"Greater independence; more moneyâ⬠¦the weakening of family bonds and religious influences; the development of earlier maturity, physically, emotionally and mentally; the impact of modern books, television and periodicalsâ⬠. Sex and Morality, SCM,). This study blamed many things on the fact that many people were turning away from the Churchââ¬â¢s rules during the 1960s and more towards abandoning rules. The world was becoming more secular and people had stopped listening to the Church and their teachings on what was ethicall y right. During the 1960s, society and the Church were facing drastic and permanent change. By 1966, women occupied an increasingly prominent place in the work force and there was a universal shock of the foundation of the contraceptive pill. This allowed young women to have sex whenever and with whoever they pleased.The sacred bonds of marriage started to break as more people saw this as a chance to have sex without having to be in a secure marriage or even a relationship. This sexual revolution of non-marital sex caused the levels of promiscuity to rise drastically as paternalism, authority, law and government were ditched. Other moral perspectives that changed the latter half of the 20th Century included fashion, music, politics and the view of religion. The drastic cultural and social changes during the 1960s caused a conflicting reaction by the Church.The British Council of Churches ordered a Working Party on Sex, Marriage and the Family to suggest how a Christian position on s ex and marriage can be communicated to the community. As a result, in 1964, the British Council of Churches, on the advice of its advisory group on Sex, Marriage and the Family, appointed a Working Party that set out to ââ¬Å"Prepare a Statement of the Christian case for abstinence from sexual intercourse before marriage and faithfulness within marriageâ⬠¦and to suggest means whereby the Christian position may be effectively presented to the various sections of the Communityâ⬠(Sex and Morality, SCM, 1966).J. A. T Robinson was a New Testament scholar, author and former Anglican Bishop of Woolwich, England. In 1963, he published his highly controversial book ââ¬Å"Honest to Godâ⬠which changed peopleââ¬â¢s perspective of God. As a result of this publication, it caused the Church to be thrown into disagreement. This in turn caused the traditional church to be shaken at its very roots. Robinson challenged the idea of the traditional and conservative view of God. He s aid that Situation Ethics was for ââ¬Å"Man come of ageâ⬠. In other words, it was for people who were moving away from having to be told what to do by God.As a result, it was right in the middle of Antinomianism and Legalism (which I will discuss later). Robinson and Paul Tillich suggested that God could be understood as ââ¬Ëthe ground of our beingââ¬â¢, of ultimate significance, but not a ââ¬Å"dues ex machineâ⬠, a supernatural being who intervenes in the world from outside it. In other words God is part of people not this almighty being who gives instructions for us to follow. Fletcher (who I will discuss later) used examples from the Bible to show that a strict application of rules was no longer needed and was in line with whatJesus thought too. Fletcher used quotes from the Bible as an illustration of old versus new morality. He used the example of the adulterous woman when Jesus saved her from being stoned to death even though the law permitted it. This situat ion is a clear example of Personalism which Fletcher used to illustrate his theory. Another example that Fletcher identified from the Bible was when Jesus confronted the Pharisees over what the Sabbath Day was intended for. In order to follow strict Jewish law absolutely nothing could be done on this day, often to the detriment of people.Jesus wanted people to follow the spirit in which God had given the law rather than following it and acting immorally in some cases. Whilst Fletcher described agape love as the only intrinsically good thing, William Barclay defined agape love as ââ¬Å"unconquerable good will; it is the determination to seek the other manââ¬â¢s highest good, no matter what he does to youâ⬠¦nothing but good will. It has been defined as purpose, not passion. It is an attitude to the other person. â⬠This kind of love is highly demanding or as Barclay suggested, ââ¬Å"a highly intelligent thing. Situation Ethics can be applied more to the issue of divorce than the application of oral judgement that divorce is ââ¬Å"always wrongâ⬠. Robinson questioned the conservative view of marriage that it is a supernatural unbreakable bond. This idea of marriage for Robinson was too out dated. He believed that it was time for humans to enter into their maturity and seek liberty from such supranaturalist thinking and while allowing the past experience to guide them, be ready to leave behind the restrictions of the old moral law if love was best served by doing so.Joseph Fletcher was an American professor who founded the theory of Situation Ethics in the 1960s. He stated that ââ¬Å"we need to educate people to the idea that the quality of life is more important than the length of life. â⬠Fletcherââ¬â¢s Situation Ethics was based on the New Testament teaching of agape. His work reflected the social change of the 1960ââ¬â¢s and centred around the principle of ââ¬Å"Love your neighbour as yourselfâ⬠(Matthew 22:37). Fletcher ma intained that there were three different ways of making moral decisions. These three approaches to morality were Legalism, Antinomianism and Situationism.He stated that Legalism was a conservative, rule-based morality focused on unalterable laws. Antinomianism was defined as the polar opposite to Legalism ââ¬â the lawless or unprincipled approach. He also stated that Situationism was a midway between the two other positions and that the Situationalist is prepared to set aside rules if love seems better served by doing so. According to Fletcher, ââ¬Å"The situationist follows a moral law or violates it according to the needâ⬠. Fletcher also rejects Legalism because it cannot accommodate ââ¬Ëexceptionsââ¬â¢ to the rule.In addition to this, he also rejects Antinomianism for the reason that it provides no foundation with which to evaluate oneââ¬â¢s morality and offers no justification as to why people should live in any other way than they want to. Fletcher proposed a key principle with which to guide moral decision-making rather than rules. This primary principle is that of acting in the most loving way. A fitting quote that is included in the Bible is that ââ¬Å"Christ Jesusâ⬠¦abolished the law with its commandments and legal claimsâ⬠(Ephesians 2:13-15). Fletcher proposed that we should follow the way Jesus taught us to, with unselfish love or agape.Jesus declared that we should ââ¬Å"â⬠¦love the Lord God with all your heart, and with all your soul, and with all your strength and with all your mind; and your neighbour as yourselfâ⬠(Luke 10:27). Fletcher also proposed four presuppositions of Situation Ethics which are the criteria by which this theory is determined and acted upon. They are Pragmatism, Relativism, Positivism and Personalism. The first presupposition is Pragmatism which demands that a proposed course of action should work and that its success or failure should be judged according to the principle.This is pra ctical and works because Legalism and Antinomianism do not. The second presupposition is Relativism which rejects such absolutes such as ââ¬Å"neverâ⬠, ââ¬Å"alwaysâ⬠, ââ¬Å"perfectâ⬠and ââ¬Å"completeâ⬠. The principle of love is applied relative to each situation so that an appropriate response is made. Situationism is not the same as Antinomianism because the ultimate criterion is ââ¬Å"agapeic loveâ⬠. Love is the constant in all situations, unlike laws which work for some things but not others. The third presupposition is Positivism which recognises that love is the most important criterion of all.Situation Ethics recognises that love is the most important thing when making a moral choice and echoes the sentiments of the Bible. Therefore, the decision to act in a loving way is a choice we make beforehand based on the notion that other ways do not work, not because we have proved Situationism ââ¬Å"worksâ⬠prior to the event. The fourth presupp osition is Personalism which demands that people should be put first. Fletcher emphasised the fact that ethics deals with human relations and should therefore put people at the centre.Fletcher also believed that Legalism fails to appreciate that people exist in a social context and that any decision must be beneficial to the wider community rather than just the individual. Where Legalism fails to recognise the complexity of ethical decision-making, Antinomianism fails to recognise the responsibility ethical decision-making has to the wider community. In addition to the four presuppositions, Fletcher also detailed in explaining how agape should be understood and how it applied to the theory of Situation Ethics by using the six working principles.The first working principle is the idea that love is always good. This states that there is no action or moral rule that is good in itself. An action is good only in so far as it brings about agape. Love is intrinsically valuable, it has inhe rent worth. Nothing else has intrinsic value. The second working principle is that love is the only norm or rule and therefore, love replaces the law. The law should only be obeyed in the interests of love and not for the lawââ¬â¢s sake. Fletcher rejected Natural Law. He said ââ¬Å"there are no [natural] universal laws held by all men everywhere at all timesâ⬠.Jesus summarised the entire Jewish law by saying ââ¬Å"love Godâ⬠and ââ¬Å"love your neighbourâ⬠. In the third working principle, Fletcher stated how love and justice are the same. This idea was unique to Fletcher, who claimed that justice is the giving to every person what is their due, and that as the one thing due to everyone is love, then love and justice are the same. Therefore, there can be no love without justice and as a result cannot be parted. For the fourth working principle, Fletcher outlined the idea that love is not liking and that love is discerning and critical, not sentimental.As agape wa s not an emotion, it did not need to include liking. The fifth working principle includes the statement that love justifies the means. Situation Ethics is a teleological theory that identifies the end outcome of an action as the means of assessing its moral worth. Therefore, as a result, it implies that anything might be done if it brings about the most loving action. Lastly, the sixth working principle of, love decides there and then describes how there are no rules about what should or shouldnââ¬â¢t be done, in each situation; you decide there and then what the most loving thing to do is.Fletcher developed his theory by drawing on a wide range of cases that could not be resolved by applying fixed rules and principles. He used examples including the burning house and time to only save one person, your father or a doctor with the formulae for a cure for a killer disease in his head alone. Fletcher also drew on situations that he had experienced firsthand, but most of all he would act situationally to help people.
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