What are the strengths and weaknesses of Intuitionism Essays

What are the strengths and weaknesses of Intuitionism Essays What are the strengths and weaknesses of Intuitionism Paper What are the strengths and weaknesses of Intuitionism Paper Intuitionism came about as a post-utilitarian perspective, and was largely developed as an ethical theory by Moore, Pritchard and Ross. As the name of the theory tells us it is concerned with humans intuition, Sidgwick came to the conclusion that ethics was not based on a unifying principle but rather on human intuition. Today, an intuitionist is thought of as someone who holds particular views about the way in which we come to find out what actions are right and which are wrong. Apparently, we group basic moral principles because of our intuition. Moral principles are capable of being true and known through a special faculty; moral intuition. W. D. Ross and Pritchard, claimed that they are facts about what is morally right and wrong and that our understanding of these is sufficient to deserve the title knowledge. We know that something is good by intuition: it is self-evident, good is something known directly by intuitionism1 G. E. Moore wrote that what is good, or morally good, cannot be defined by humans, just as yellow also cannot. We all know what yellow is in sensory terms but the only way to describe yellow is to use other colours which does not help someone who is colour blind, Good can be defined no more successfully than yellow. 2 However, we know instantly what yellow is, and we know instinctively what is morally good; they are both self-evident to us. Moore thought that what makes an action good or otherwise are the aims of the person in question when carrying out that action. Moore then went on to make a distinction between the aims and the consequences of an action: the aims are decided intuitively before the action and determine its moral nature. The consequences are determined retrospectively, therefore not determining morality. Harold Arthur Pritchard developed Moores ideas further, he thought that moral obligation just is, and it can be perceived by our intuition. This means that moral obligation is something that a person could just know, it was not quite the same as feeling certain or failing to think or not questioning. The most evident strength of intuitionism is that the Judaeo-Christian tradition teaches that human beings are made in the likeness of God, therefore having his laws written in their hearts. This clearly supports the intuitive approach. The good person knows what is morally good because he/she is designed to know. Paramount to this idea is a) there is an absolute moral code b) that we have the ability to recognise it. Moreover, it is likely in practice that the majority of moral agents act at least partly from intuition on the majority of occasions when they have to make a moral decision. A weakness of the system is to assume that we can know A because of B. We cannot, in fact, say something is right because we intuit it to be that way. An intuitionist would say that humans only have their moral hunches and intuitions to guide them, so we have to rely on this by default. Unlike the scientific world in the world of morals, an intuitive moral decision is often held to be right because the person feels it to be so. This can be seen as a criticism of intuitionism because moral decisions making is more of an art form that an exact science. The apparent weaknesses of intuitionism could be summed up by saying when asking why should I be good? Because you just know you should. Emotivism, as its name suggests, is the moral theory based on peoples emotive responses to other people, events, situations, viewpoints and principles. Emotive response in this context is simply referring to a persons feelings about something. Thus, Emotivism is concerned principally, if not exclusively, with how people feel about something. This can be clearly seen in someone who says abortion is wrong, because according to Emotivism all they are doing is announcing how they feel about abortion. Even if they give a number of reasons why they feel this way, for example it goes against the sanctity of life. All the person is doing is finding other reasons which appeal to their emotions in order to support their initial position. When we remove all the so called rational reasons or arguments for doing A rather than B or believing in X rather than Y, then at root what we are left with is just a personal preference based on feelings of approval or disapproval. This is why the theory is commonly known as the Boo-Hurrah theory; when a statement is approved of the response is Hurrah and when a statement is disapproved of then the response is Boo. The weaknesses of the emotive theory of ethics are as follows; most people believe the need for a moral code. Most moral codes prescribe anti-social acts such as murder, stealing, cheating, deceiving, offending others. Integrity, honesty, loyalty, decency are also common moral requirements. If there is such a thing as a basic moral code, then Emotivism which is relative cannot be an exhaustive or complete system. Also, if everyone operates morally solely on their emotions then there should never be the problem of what to do, they would simply follow their strongest feeling on the issue. However, reality is different. For example; I may have huge sympathy for an elderly patient in pain, imploring me as her doctor to put her out of her misery. I have to force myself against my feelings, reasoning that her life is sacred, and I have no right to play God. Another problem with the relativism inherent in Emotivism is the difficulty of deciding where to draw the line of tolerance. If a Satanist is preaching hatred or murder as a good thing in his eyes should he be opposed vociferously, or in any other way, or not at all? After all, if he feels the emotion of hatred is the best basis of his moral code; from an emotive-relativist point of view I should do nothing unless he actually harms someone. Moreover, Alasdair McIntyre believes that Emotivism is bankrupt as an ethical theory because it lacks any moral absolutes. According to McIntyre the implications of Emotivism on society would be that social relations become manipulative because each person relates to everyone else morally in terms of their own individual emotions, not in terms of absolute moral values. This leads to people being a means to our own ends, instead of being ends in themselves.

Learn How to Conjugate Attacher (to Attach) in French

Learn How to Conjugate Attacher (to Attach) in French The French verb  attacher  means to attach, fasten, bind, or tie up. French students will be happy to know that it is rather easy to conjugate this verb. A quick lesson is all you should need. Conjugating the French Verb  Attacher Verb conjugations in French are a bit more of a challenge than in English. Rather than adding simple -ed or -ing endings to a verb, the French language uses many different endings that you will need to memorize. Attacher  is a  regular -ER verb. This means that it follows the standard changes to the ending as you move from subject and tense.   The chart will help you memorize the conjugations. Simply match the subject pronoun to the present, future, or imperfect past tense. For example, I attach is jattache and we will attach is nous attacherons. Subject Present Future Imperfect j attache attacherai attachais tu attaches attacheras attachais il attache attachera attachait nous attachons attacherons attachions vous attachez attacherez attachiez ils attachent attacheront attachaient Attachers Present Participle The  present participle  for attacher is formed by dropping the -er  and adding -ant  to form attachant. Not only does this act as a verb, but you can use it as an adjective, gerund, or noun as well. The Passà © Composà © of  Attacher The  passà © composà ©Ã‚  is a common form of the past tense in French. For  attacher, you will combine the appropriate conjugate of the  auxiliary verb  avoir  with the  past participle  attachà ©. As an example, to say I attached, you will use jai attachà ©. As the subject changes, only the subject pronoun and  avoir  conjugate will change: we tied up becomes nous avons attachà ©. More Conjugations of  Attacher When youre just starting out, concentrate on learning the present, future, and passà © composà © of  attacher. As you speak and read more French, you may find other forms to be useful as well. The subjunctive and conditional forms are verb moods and imply a certain level of uncertainty or ambiguity in the action. If youre reading or writing formal French, you may also encounter or use the passà © simple or imperfect subjunctive. Subject Subjunctive Conditional Pass Simple Imperfect Subjunctive j attache attacherais attachai attachasse tu attaches attacherais attachas attachasse il attache attacherait attacha attacht nous attachions attacherions attachmes attachassions vous attachiez attacheriez attachtes attachassiez ils attachent attacheraient attachrent attachassent The imperative form of  attacher  will be useful when its used in short, direct requests or demands. For this form, theres no need to use the subject pronoun and you can simply say  attachons  rather than tu attachons. Imperative (tu) attache (nous) attachons (vous) attachez

Operations Managment.Intangible specialisation and product-mix Essay

Operations Managment.Intangible specialisation and product-mix optimisation - Essay Example Based on the specific perspective oriented approach that the operations management makes regarding productivity agenda of an organization, strategic management can be used to formulate policies to enable balancing of availed options in operations (Schiavone, 2004, p7). In this study, Fiat’s case study has been used to demonstrate the importance of understanding operations management from a systems approach in withstanding market conditions. Perhaps defining the term intangible within the context of organization operations will assist in making a conclusive perspective eon the topic. The term intangible denotes assets, capital or factors that an organization works with but they are not immediately visible. On the other hand, tangible assets are the physically visible factors which the company uses in production. Both tangible and intangible factors contribute to the overall operation of the company. Economic evolution of organizations and other production entities is characterized by the accumulation of assets both. Intangible assets also represent relevant knowledge and technologies that the organization needs to remain in a specified production line. Intangible specialization is the concentration of accumulation of assets that are intangible in nature such as technology, with little emphasis being made to accumulation of tangible assets. Since there is some need to balance the control of accumulation of these two sets of assets, it becomes detrimental in the long run when the organization is unable to achieve the balance. Intangible specialization entails the concept of management decision making that tends to lean to and favor the dominance of a service intensive approach in production operations. The most dominant characteristic of intangible specialization is heavy reliance on routines as well as dependence in rigid production paths. Inappropriate

Statement of purpose Essay Example | Topics and Well Written Essays - 500 words

Statement of purpose - Essay Example I chose to major in English Language because I had a clear vision of the advantages of learning English. I became aware of the difficulties in learning the language, surmounted these difficulties with the guidance of my teachers, and decided to use my experience to help my people to learn and use the language for their material, cultural and spiritual progress. Some of my teachers were native speakers of English. There were advantages in learning their language from them, but I think some of my people may find it easier to be taught by one of their own. It was, therefore, natural, that I should apply for the post of an English Language teacher in my country. By the grace of God, the authorities recognized my qualifications, my skills, and my ambition and appointed me to the post. Again, by the grace of God, they acknowledged my merits by promoting me very soon to the position of Head of the General Studies Department. Even as I was trying to master the art of teaching a foreign language to my countrymen, in my early days of teaching, I knew that I needed to learn more about the language and about the latest methods of teaching. When I became Head of the General Studies Department, I realized that I should wait no longer. I discussed this with the Director of the Institute, and he warmly supported my views and wishes.

Health Essays Medical Errors Hospitals

Health Essays Medical Errors Hospitals Medical Errors Hospital Disclosure of Medical errors in every day clinical practice. Introduction Medical errors are very common in every day clinical practice. Even taking serious caution does not make the error free hospital any where in the world. According to British Medical Journal ( cited in Adams 2005), â€Å"about 850,000 medical errors occurs in National Health hospitals every year resulting in 40,000 deaths†¦. Adverse events occur in 10% of all hospital patients (p. 274). Today’s times 2004 ( cited in Adams 2005) claims a cost of 2 billion pounds per year due to medical errors. The data shows the magnitude and the significance of the problem. In fact medical errors are preventable in most of the cases. But the sad part of the story is these errors are not disclosed to the patients or the family. Disclosure of medical errors is a very big issue for the leadership and management of a hospital in terms of institutional ethics. This paper will discuss about medical errors, the issue of its disclosure , its outcomes, current trends regarding disclosure of errors , application of theories and implementation in our context. Medical Errors Albert , Cavanaugh, Mc Phee , Bernard , and Micco ( 1997) define medical error as â€Å"Commission or omission with potentially negative consequences for the patient that have been judged wrong by knowledgeable peers at the time it occurred , independent of whether there were any negative consequences† (p.770). In this regard understanding of the error and realization that it is an error is very important. The issue is if it is internalized that error has occurred, then should it be disclosed or not. Non disclosure of medical errors There is a very strong culture of a number of hospitals world wide and the hospital where I belong to that health care professionals hide and do not disclose medical errors to the patients or their families. Errors come on the picture if by any means the patient or their family comes to know about the error. Kaldijan ,Rosenthal, Reimer, and Hillis (2005) did literature review of 316 articles on medical errors and came up with four categories which include attitudinal barriers, helplessness from the institution, uncertainties about how to disclose and its outcomes, and fears and anxieties. In addition to it, risk of ruining person’s as well as the hospital’s reputation, legality issues, low self esteem in the profession, mistrust of the patient and the family, and hindrance in professional progress are also some of the very important barriers to disclosure. (Boyle, Connell, Platt, Albert 2006, Fischer et al 2006, Albert et al 1997). Besides organization’s culture, policy and the colleagues’ attitude also impacts error disclosure. Non disclosure of errors can have some beneficial effects for the patients as well as for the physician. Patients do not become emotionally upset on hearing the news of occurrence of unexpected event during the hospitalization. Boyle, Connell, Platt, and Albert (2006) have cited that American college of physicians has given the liberty of not disclosing the error if the disclosure can cause more harm than benefit as in the case of psychiatric or depressed patients. But the worse part of it is this concept of deception for the benefit of patient is misused in the name of the health care personnel own interests. Similarly risk benefit ratio of disclosure should be calculated or in ethical terms beneficence versus non maleficence should be judged. Furthermore health care personnel do not have to fear for legal issues and the reputation. However they suffer emotional distress if they do not disclose. Disclosure of Medical Errors Medical errors should be disclosed as an ethical and moral responsibility of the health care personnel and the institution as whole. JCIA and JCAHO has made it a standard in 2001 that disclosure of errors should be implemented in hospitals. (Connell, White, Platt 2003, Henry 2005, Gallagher, Studdert, Levinson 2007). In addition The code of ethics of American Medical Association, The American College of Physicians and the National Safety Foundation have also emphasized on disclosure of errors.( Boyle, Connell, Platt, and Albert 2006 ). The standardization of disclosure by so many international organizations particularly JCIA and JCAHO gives the message that the culture and the approach towards the issue of disclosure is changing. These bodies are international standardized bodies and the change in the approach must be evidenced based. If disclosure was not that important it would not have been the part of these quality improving bodies. Literature supports disclosure of errors. According to Connell, White, Platt (2003) , response of participants who attended the workshop about disclosure of medical errors was 90% affirmative . In a study done by Hobgood, Peck, Gilbert, Chappell ( 2002) on patients and their familys’ perspective of error disclosure gave interesting results. 258 surveys were filled in an emergency department and it revealed that 76% of patients wanted disclosure in case of any error, and 88% felt to its full extent. This clearly indicates the significance of disclosure as an issue and patients need regarding the issue. Disclosure of medical errors has many benefits. Initially the reaction of patients may be negative as error could never be expected from patients’ side. But later they get settled .Studies show positive outcomes from patient as well as the health care personnels’ angle because of disclosure. Error disclosure helps patients to get any compensation in the form of additional treatment or financial help. Most of health care personnel believe that disclosure can ruin their relationship with patients and can bring law suit as well as their image down among their collegues. However according to Witman ( cited in Boyle, Connell, Platt, and Albert 2006 ) patients felt to claim law suit if they were not disclosed about errors. In addition University of Michigan Health System reported that â€Å" the cost and frequency of litigation decreased substantially in 5 years after implementation of an open disclosure programme , with annual litigation †¦reduced from $3 million to $1 million and †¦ claims by more than 50%† ( Gallagher, Studdert, Levinson 2007 p. 2716). Error disclosure also brings a positive impact on learning for the person who did the error as well as for others in the organization. Hence mistakes done once may not be repeated next time , system improvement and therefore improvement in the quality of patient care. ( Albert 1997, Mazor 2005, Boyle, Connell, Platt, and Albert 2006 ). Moreover patient physician relationships do remain intact in most of the cases. Trends in application of disclosing errors and comparison in our context Disclosure of medical errors is gaining its significance in so many health care organizations because of the outcomes of it as well as the realization of doing disclosure. Gallaher, Studdert, and Levinson ( 2007), have stated that 2002 survey of institutional risk mangers showed that 36% of the institutions have adopted disclosure policy and the percentage increased to 69% in 2005. They further quoted that Austarlia and United Kingdom in 2003, National Quality Forum safe practices and Harvard in 2006 emphasized and provided guidelines for full disclosure of medical errors to patients. The trend shows that awareness for disclosing medical errors is gaining its popularity. If we compare the scenario in Pakistan, we have a culture of not disclosing errors in most of the hospitals. In addition to the reasons discussed in the literature regarding non disclosure of medical errors, most of the times it is taken as for granted by the health care professionals that the patients belong to low socio economic status, less educated, low level of understanding and therefore errors need not be disclosed. It has been observed in clinical practices that errors are considered most of the time as side effects and untoward result because of certain treatment and there is no internalization that it is an error. In addition there is also a misconception that since the error did not bring any harm to patient so need not to be reported to the hospital management team and therefore no disclosure to the patient. It is interesting to know that most of the hospitals in Pakistan do not have any policy for disclosing error. However in Aga Khan University Hospital (AKUH) the polic y for disclosure of errors exists and it is mentioned in the sentinel events policy that there should be disclosure of medical errors and it is mentioned in the patients’ bill of rights that patients have right to have all information .( Multi disciplinary policies and procedures sentinel events policy no: MDP-S-002). But the sad part of the story is there is no proper implementation of the policy as well as proper explanation of patients’ rights to them. In fact there is no such culture for the individual to share errors to their supervisors as an ethical and moral responsibility until the error is identified by someone else. Reviewing the issue in the light of Theories To support that medical errors should be disclosed, we will be utilizing the following theories of ethics as well as leadership and management. Kant’s Theory of Deontology Immanuel Kant a German philosopher has given the theory of deontology or duty based theory. According to Kant (cited in Bernstein and Brown 2004), act should be done on the basis of the duty or obligation regardless of the consequences. He also believed that the intention behind the act justifies the action done. If we try to understand the disclosure of medical errors from Kant’s perspective, disclosure should be done as it is the duty of the health care personnel. It is the right of the patient and duty of the personnel to share all information including the errors if occurred. Kant believes in telling the truth which is the duty in all conditions and deception is un tolerable. The debate that if truth telling causes harm should be told to patients or not , goes against Kant’s philosophy. If health care professional feels that deception of the truth will give more benefit than there should be a very strong rationale for it and should not be taken as for convenience. K ant (cited in Bernstein and Brown 2004) has discussed about one’s conscience which play a major role in making right decisions according to his duty and states, â€Å"consciousness is an internal court †¦before which a human being’s accuse or excuse one another†¦an internal judge, and this authority watching over the law in him is something that he himself makes, but †¦incorporated in his being† (p.172). Heifetz’s perspective on Ethical leadership Heifetz ( cited in Northouse 2007) explains that leaders help followers to help resolve conflicts by using their authority. He further explains that â€Å"Heifetz’s perspective is related to values of workers, organizations and communities in which they work† (p. 347). In the light of this perspective, leaders need to have a clear idea of what is the value of the organization which in all circumstances is the best quality care given to its customers and taking care of their wishes and doing what is right. Leaders need to persuade people to do the right thing and therefore the culture of disclosure of medical errors should be inculcated by the leaders. Burn’s perspective on Ethical leadership Burns gave the theory of transformational leadership in 1978. According to Burns (cited in Northouse 2007), leaders have an important role in motivating people to identify their values and to help them reach to a level where the principles of â€Å"justice, liberty and equality† should be incorporated in practice. This clearly indicates the moral aspect of leadership which leads that disclosure of errors should be done as moral obligation of the organization. Significance of medical error disclosure from leadership and management perspective The issue of medical errors disclosure is very important from leadership and management point of view because this issue is not confined to a particular institution but it is a global issue. As discussed above that leaders have a very important role in pursuing and motivating people to follow morality in practice. Ethics has a very important place in leadership and organization. Leaders give direction to the followers or subordinates. They have a very strong impact on their followers. Therefore if leaders will have strong value on creating an environment and culture whereby every individual gets rights and do their duties, then this gives rise to an organization following ethical principles. This is only possible if and only if the leader values that act. In the issue of medical errors disclosure, leaders should play their role to first get the issue internalized and get it inculcated in the organization’s culture. Implementation of disclosure of errors in our context In order to address the issue in our Pakistani and in particular AKUH the most important aspect is first internalizing that the error occurred and not getting defensive. Internalization can be done by leading seminars, discussions, conferences and bioethical grand rounds where issues of error disclosure can be discussed and health care professionals can clarify their misconception about errors. They should have a very clear understanding of what are medical errors. Once the understanding of error is there, the next step is reporting of errors in the organization through the in built system of error reporting. Unfortunately AKUH Karachi does not have a very good system of error reporting. Errors are reported when someone identifies it but the person involved rarely reports the error. On conversation with clinical affairs person of AKUH , centralization of errors reporting is under process. At present if errors are reported it is not centralized to one place. Centralization will assist in getting the picture of medical errors occurring in the hospital as a whole. There should be reinforcement at the academia level of medical and nursing education about errors and its disclosure .Adams ( 2005) has given a very practical approach towards identifying our own errors. He has shared his example how he started writing all the errors which he identified during his practice and it was interesting to see that the identified errors were between one to six per week for 29 weeks . This data was for those errors which he identified himself and may not have captured all the errors done. This practice will help us identify and internalize that how many errors are made by health care professionals. Besides , voluntary electronic reporting of medical errors can also be implemented . The results of one study where 92,547 reports from 26 hospitals were evaluated showed that 47% of the registered nurses did voluntary reporting of errors compared to intern doctors which was 1.4%.( Milch, et al 2006). Jones, Cochrane, Hicks and Mueller ( 2004) asserts that success of voluntary error reporting depends upon the organizational culture where confidentiality is maintained and a â€Å"non punitive culture† exists which promotes error reporting. Once the error is reported, the question comes for the disclosure of error. Henry (2005) asserts that there should be clear policy for disclosure and this helps in creating an open organizational culture for disclosure as well as promotes patients autonomy. He further adds that managerial support should be there and as leaders they should be promoting disclosure in their organization. Organization’s culture needs to be formulated which best supports the disclosure policies. Giganti( cited in Henry 2005) claims that â€Å" one must approach culture change with systems thinking†¦.organization’s culture is built up over time and is based on the assumptions , beliefs and values that drive the organization† (p. 132). Hence the cultural change involves evaluation of systems to see why there is hesitancy and reluctance in disclosing errors to patients and their families. Persons should not be blamed instead system should be analyzed .Cultural change at the institut ional level will lead the policy makers to consider it at the health ministry level because there needs to be law to address this issue. Disclosure is not an easy task keeping into considerations the so called consequences afterwards. There needs to be special trainings in this aspect. Hobgood, Hevia and Hinchey ( 2004) suggest for disclosure in terms of promoting safe environment to the patients and that there should be open conversation during disclosure expecting any reaction from the patient. Therefore communication plays a very important role. Furthermore Connell, White and Platt ( 2003) have given the steps for error disclosure which includes â€Å" apologize and take responsibility†, â€Å"determine who will be involved†, and â€Å"be proactive in addressing the patient’s financial needs† (p.27). However the concept of becoming proactive in identifying our system gaps and root cause analysis of the problem will promote a safety culture and hence less medical errors and therefore less issues of disclosure. Conclusion Medical errors cause huge number of deaths which can be prevented. Medical errors do occur every day in our clinical practices but there is under reporting of the errors. And if reported there is culture of non disclosure of errors until it comes to patient’s knowledge by any means or the outcomes of that error are such that it cannot be kept hidden. The reasons identified through experiences and literature are fear of destroying relationships with patients, loss of patients trust on heath care personnel, legal issues , loosing the credibility in the profession, shame , guilt and not realizing to disclose considering it better from patients perspective. However recent trend suggests that institutions who developed and implemented disclosure policy had very positive results . Patients felt that they were apologized for that and were brought into confidence. This led to less law suits and decrease in the cost given for legal issues. Besides patients were able to participate in t he compensation or adjustment for the loss due to error. Hence the above mentioned literature and practical experiences suggest that medical errors should be disclosed. Leaders need to help their subordinates or the followers to apply Kant theory of deontology but justify if they feel error should not be disclosed. Moreover it is the responsibility of the leader and each and every individual of the team to help creating an open environment of disclosure and to follow it. References Adams,H. (2005). â€Å"Why there is error, may we bring truth.† A misquote by Margaret Thatcher as she entered No 10, downing street in 1979. Anaesthesia, 60 , 274-277. Berstein, M. Brown, B.(2004). Doctors’ duty to disclose error: a deontological ethical analysis. The Canadian Journal of Neurological Sciences,31, 169-174. Boyle, D., O’Connell, D., Platt, F. W., Albert, R. K.(2006). Disclosing errors and adverse events in the intensive care unit. Critical Care Medicine,34 (5), 1532-1537. Connell, D. O., White, M. K., Platt, F. W. (2003). Disclosing unanticipated outcomes and medical errors. JCOM, 10(1), 25-29. Fischer,M. A., Mazor,K.M., Baril,J., Alper, E., Demarco,D., Pugnaire,M. ( 2006). Factors that influence how students and residents learn from medical errors. Journal of General Internal Medicine , 21, 419-423. Gallagher, T. H., Studdert, D., Levinson, W. (2007). Disclosing harmful medical errors to patients. The New England Journal Of Medicine,356, (26), 2713-9. Henry, L. L. (2005). Disclosure of medical errors: Ethical considerations for the development of a facility policy and organizational culture change. Policy, Politics, Nursing Practice, 6(2), 127-134. Hobgood, C., Hevia, A., Hinchey,P.(2004). Profiles in patient safety: when an error occurs.ACAD Emergency Medicine,11(7), 766-770. Hobgood, C., Peck, C. R., Gilbert, B., Chappel, K., Zou, B. (2002). Academic Emergency Medicine, 9(11), 1156-1161. Jones , K. J., Cochran, G., Hicks, R.W., Mueller, K.J.( 2004). Translating research into practice: voluntary reporting of medication errors in critical access hospitals. The Journal of Rural Health, 20 (4), 335- 343. Kaldijan,L. C., Jones , E. W., Rosenthal, G. E., Reimer, T. T., Hillis, S. L. (2006). An empirically derived taxonomy of factors affecting physicians’ willingness to disclose medical errors. Journal General Internal Medicine, 21, 942-948. Mazor, K. M., Reed, G. W., Yood, R. A., Fischer, M. A., Baril, J., Gurwitz, J. H. (2006). Disclosure of medical errors: What factors influence how patients respond? Journal of General Internal Medicine, 21, 704-710. Mellisa, A. F., Mazor, K. M., Baril, J., Alper, E ., DeMarco, D., Pugnaire, M. (2006). Journal of General Internal Medicine, 21, 419-423. Milch, C. E., Salem, D.N., Pauker, S. G., Lundquist , T. G., Kumar, S., Chen, J.(2006).Voluntary electronic reporting of medical errors and adverse events : an anlysis of 92,547 reports from 26 acute care hospitals. Journal of General Internal Medicine, 21, 165-170. Northouse,P. G. ( 2007).Leadership Theory and practice .(4th ed).Sage Publications: London. The Aga Khan University Hospital Multi disciplinary policies and procedures. Retrieved March 22 , 2008, from http://intranet/jcia/jciapp/searchpolicy.asp Wu, A. W., Cavanaugh, T. A., McPhee, S. J., Lo, B., Micco, G. P. (1997). To tell the truth: Ethical and practical issues in disclosing medical mistakes to patients. Journal of General Internal Medicine, 12, 770-775. Winslade, W. McKinney, E. B. (2006).The ethical lawyer. Journal of Law, Medicine, Ethics, Nantechnology, Winter, 813-816.

Pythagoras Theorem and Financial polynomials Essay

                  Ahmed and Vanessa have interest in locating a treasure, which is buried. It is my responsibility to help the two locate it. First, I will help them locate it by the use of Pythagorean quadratic. As per Ahmed’s half, the treasure is buried in the desert (2x + 6) paces form the Castle Rock while as per Vanessa’s half she has to walk (x) paces to the north then walk (2x + 4) paces to the east. According to the Pythagorean theorem, every right angled triangle with length (a) and (b) as well as a hypotenuse (c), has a relationship of (a2 + b2 = c2) (Larson & Hostetler, 2009).                  In Ahmed and Vanessa’s case, I will let a=x, b =2x+4 and then c=2x+6. To follow, will be my efforts to put the measurements above into the real Pythagoras theorem equation as follows: X2+ (2x+4)2=(2x+6)2 this is the equation formed out of the Pythagoras Theorem X2+4Ãâ€"2+16x+16 = 4Ãâ€"2+ 24x+36 are the binomials squared x2 & 4Ãâ€"2 on both sides can be subtracted out. X2+16x+16 = 24x +36 subtract 16x from both sides X2+16 = 8x+36 now subtract 36 from both sides X2-20 = 8x X2-8x-20=0 I will use to solve the function by factoring using the zero factor. (x-) (x+) the coefficient of x2 Application and selection from the following (-2, 10: -10,2: -5,4; -4, -5) In this case, it seems that I am going to use -10 and 2 is as per how the expression looks like this (x-10)(x+2)=0 X-10=0 or x+2=0 creation of a complex equation x=10 or x=-2 these are the two probable resolutions to this equation.                     One of the two calculated solutions is an extraneous solutions, as it do not work with such sceneries. The remaining solution I only have is (X=10) as the number of paces Ahmed and Vanessa have to accomplish to find the lost treasure. As a result the treasure is 10 paces to the north 2x+4 connect the 10, now its 2(10)+4=24 paces to the east of Castle Rock, or 2x+6= 2(10)+6=26 paces from Castle Rock. Financial polynomial                   For the case of financial polynomials, I have first to write the polynomial without the parenthesis. Following the above, I have to solve for p= 2000 + r = 10% for part A and then solve for p= $5670 + r = 3.5% for part B, without the parenthesis as follows: P + P r + P r2/4 (the original polynomial) to reach this I followed the following steps: (1 + r/2)2 This is because it looks as if it is foil P(1 + r/2) P (1+r/2)(1+r/2) After the two equations I combine like terms. Because I am multiplying by 2 on r/2, it cancels out both 2’s and I then get left with is r as follows; P(1+ r/2 + r/2 + r2/4) P(1 + 2(r/2) + r2/4) I then write in descending order (P + Pr + Pr2) To solve for P=2000 and r=10% the following follows; P + Pr + Pr2/4 2000 + 2000 Ãâ€"(0.10) +2000Ãâ€" 0.1024 2000 + 200 + 5 = $2205 P(1+ r/2)2 2000Ãâ€"( 1 + .10)2 2000Ãâ€"(1.05)2 2000Ãâ€"( 1.1025) = $2205 For part B I will solve for P=5670 and r= 3.5% P + Pr + P Ãâ€"(r2/4) 5670 + 5670Ãâ€" (0.035) + 5670 Ãâ€" 0.0352 5670 + 198.45 + 1.7364375 = 5870.1864375 This is approximately ($5870.19) The problem 70 on page 311 has the following steps; (-9Ãâ€"3 + 3Ãâ€"2 – 15x) à · (-3x) The Dividend is (-9Ãâ€"3 + 3Ãâ€"2 – 15x), and the Divisor is (-3x). The Dividend is (-9Ãâ€"3 + 3Ãâ€"2 – 15x), and the Divisor is (-3x). -9Ãâ€"3 + 3Ãâ€"2 – 15x -3xAfter I divide -9 by -3 which equals +3. The x on the bottom cancels the x from the top. -9Ãâ€"3 + 3Ãâ€"2 – 15x -3x -3x -3x -9* x*x* x I am now left with 3Ãâ€"2 for the first part of the polynomial. -3 * x -9*x *x * x -3 * x I first divide 3 by -3, which equals -1 and the x from the bottom cancels out one of the x’s from the top. -9Ãâ€"3 + 3Ãâ€"2 – 15x -3x -3x -3x 3 *x *x At this point I am left with -1x, which simplifies to just –x, as the second part of the polynomial. Then -3 *x 3 *x * x -3 * x Then I divide -15 by -3, which equals positive 5, and the x on the bottom cancels out the x on the top, so you do not have any x’s to carry onto the answer of the equation. -9Ãâ€"3 + 3Ãâ€"2 – 15x -3x -3x -3x -15 *x At this point I am left with only 5 for the last part of the polynomial, and the answer is 3Ãâ€"2 – x + 5. -3 * x -15 * x -3 * x                   The negative sign from the -3 x changes the plus sign in the equation to a minus sign, it changes the minus sign to a plus sign in the final answer, and the equation is in Descending order. Reference Larson, R., & Hostetler, R. P. (2009). Elementary and intermediate algebra. Boston, Mass: Houghton Mifflin Source document

Self Critique Of Social Worker Role - 906 Words

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The ideal social worker might have been one of African American decent, female, and with more experience of what the client was coming from. The mother has instilled this thought that Caucasian people are not to be trusted and we had to break through that barrier by confronting the culture difference, acknowledging it, and then moving on. Our location for services was busy, crowded, and not very private. It was important to make sure the client knew the confidentiality rules that I would adhere to and that we could sit within a close but comfortable distance in order for others not to hear what we discussed. Ideally if weShow MoreRelatedThe Colors Of Racism By John Steinbeck And Of Mice And Men 1330 Words   |  6 Pagesindividuals has become commonplace, due to social injustice. In particular, racial discrimination prevails among African American societies due to the color of their skin, and the stereotypical notions of racial superiority that the white race illuminates. 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