Community Health Nursing Assessment

Community Health Assessment of 78382 Chamberlain College of Nursing NR-443 Fall Session, November 2012 Audrey L. Hendrix Community Health Assessment of 78382 Introduction In an effort to promote the health needs within a community, a successful community health nurse (CHN) must focus on the entire population. In order to accomplish this task, the CHN utilizes a scientific approach to determine the priority population focused health needs for the community.According to Nies & McEwen (2011), a population focus involving an assessment of the community is a primary tool utilized in order to develop planning, interventions, and evaluations for the community at large. The purpose of this paper is to determine a priority health problem of a specific community based on demographic data, epidemiological data, and a windshield survey of the community. Community Data Zip code 78382 is the official postal identification for the city of Rockport, Texas. Rockport is the county seat of Aransas Coun ty.Rockport is a Texas Gulf Coast community located on Live Oak Peninsula between Copano and Aransas Bay on State Highway 35. Named for the rock ledge that lies underneath the coastal shore, Rockport was founded after the Civil War as a cattle slaughtering, packing, and shipping port. This industry continued until the late 1800’s when boatbuilding and fishing began to develop into important industries. After the railroad came to Rockport, tourism and the resort business began to thrive (Shukalo, 2005). After the turn of the century, a major hurricane almost destroyed the entire community.Recovery from this devastating natural disaster was slow but by the late 1920’s the community once again began to thrive. At that time, shrimping became a major industry within the community. Throughout the next four decades, the community continued to grow with the main sources of commerce remaining in the areas of fishing, shrimping, and tourism. Today Rockport is a favorite vacation spot known as the Texas Riviera. Major sources of commercial life today in Rockport are the restaurant and motel industries (Shukalo, 2005). Demographic and Epidemiological DataThe estimated population of Rockport is 8,846 compared to 25,674,681 for the state of Texas. The age breakdown for the population is 5% under the age of 5, 17. 9% under the age of 18, 28. 3% over the age of 65 and 51. 7% female. The state of Texas is 7. 7% under the age of 5, 27. 3% under the age of 18, 10. 3% over the age of 65 and 50. 4% female (U. S. Census Bureau, 2012). Caucasian is the largest ethnic group in Rockport at 88. 7%, African-American at 1. 5%, American Indians at 0. 7%, Asian at 2. 4%, Native Hawaiian at 0. 1% and Hispanics at 20. 8%. The state of Texas lists Caucasians at 70. %, African-Americans at 11. 8%, American Indians at 0. 7%, Native Hawaiian at 0. 1% and Hispanics at 45. 3% (U. S. Census Bureau, 2012). Currently 14. 7% of the population over the age of five in Rockport does not spe ak English in the home setting, 87% of the population over the age of 25 is a high school graduate, and 32. 3% over the age of 25 has a bachelor’s degree. In comparison, the state of Texas lists 34. 2% over the age of five that do not speak English in the home, 80% over the age of 25 with a high school diploma, and 25. 8% over the age of 25 with a bachelor’s degree (U. S. Census Bureau, 2012).Per capita income in Rockport is $30,513 compared to $24,870 for the state of Texas. The median income per household is $44,487 and the state of Texas is $49,646. Individuals living below the poverty level in Rockport are 17. 6% of the population compared to 16. 89% for the state of Texas (U. S. Census Bureau, 2012). Current infant mortality in Rockport is 4. 2 per 1000 live births compared to six per 1000 live births for the state of Texas. Adult obesity is 26. 6% of the population in Rockport and 10. 7% of the population is diabetic. Childhood obesity is 23. 3% of the Rockport p opulation compared to 32. % in the state of Texas (Kaiser Health News, 2012). In 2002, Aransas County was listed as one of the top 10 dirtiest counties in Texas due to air pollution from a local chemical plant (Scorecard, 2012). Windshield Survey Within the community, a large amount of individuals are visible. Many are entering convenience stores and some are standing in the parking lot areas talking. A variety of ages is noted and the two major ethnic groups in the community, Caucasian and Hispanic, are the two that are the most visible. Many of the individual are overweight or obese. Some are well dressed while others are disheveled in appearance.Pregnant women are visible as well as women with small children. The general condition of the homes in Rockport is diverse. Many of the homes are multi-million dollar structures while others are dilapidated and in need of serious repair. People seen in the downtown area are walking but away from that area, most people are travelling in ca rs. Some people are travelling on bicycles or golf carts in designated areas. Three areas of public housing are noted but there are no visible signs of public transportation. Numerous campaign signs are visible throughout the entire community.One adult day care and two child day centers are noted during the survey. Two grade schools, one middle school, two private church schools, and one high school are seen during the survey. Many of the homes in the neighborhoods in the area are dirty and in need of repair. The yards are full of garbage and items such as old appliances, empty beer cans, and cars on blocks. Some of the roads are in need of repair and almost too narrow for two cars to traverse safely. Most of the business buildings have handicapped ramps leading up the sidewalks. Parking lots have handicapped parking and the doors have handicapped buttons.One large park is noted during the survey but the park was sparsely populated during the survey. Very few children are visible du ring the survey. Numerous full service restaurants as well as fast food facilities are seen throughout the community. Rockport has no hospital but there is one emergency care clinic. Two dialysis centers, one assisted living facility, and three long-term care centers are noted. Two physical therapy facilities are also seen during the survey as well as three dentist offices. While driving throughout the neighborhoods, very few children are seen outside playing.No neighborhood watch signs are visible in any of the neighborhoods. Numerous churches are seen throughout the entire community. No evidence of gang activity, drug abuse or alcohol abuse is visible during the survey. One herbal shop is located in the downtown area. Next door to the herbal store, there is an advertisement for massage therapy sessions. Signs advertising health clinics, lectures, or health fairs are not visible during the survey. Problem Assessment data clearly defines obesity as a focus health area. The combined percentage totals for the adults and children within the Rockport community that suffer from obesity is 49. %. According to the Center for Disease Control and Prevention (2012) obesity is one of the most common and most expensive health problems facing the United States. One of the objectives of Healthy People 2020 is to improve nutritional status and promote weight loss. When individual are overweight or obese, they are also at a high risk for numerous other medical complications such as hypertension, Type II diabetes, cardiovascular disease, dyslipidemia, osteoporosis, and many more diseases (U. S. Department of Health and Human Services, 2012). Historical SignificanceBefore the 1900’s being overweight was considered a hallmark symbol of wealth and health. The additional weight indicated that the individual had the financial resources to obtain a vast amount of food. Today, however, obesity is indicative of current and future medical problems. Prior to the many modern day c onveniences that most individuals use today, people toiled at intense labor to make a living. Meals were prepared from scratch and microwave meals were not available. In addition, food was expensive and difficult to acquire. Walking was common and until the late 1980’s obesity was not a problem in the United States (Wiley, 2012).Summary Obesity is a medical health problem that has becoming an increasing health care dilemma for minorities, low-income populations, and immigrants. These populations are vulnerable to these health care issues due to a variety of factors such as cultural diet choices, genetics, lack of funds to resource more nutritious foods and lifestyle choices. Throughout the United States, obesity and diabetes are reaching epidemic levels (Candib, 2007). Individuals today live a more sedentary lifestyle. They eat more fast foods, fried food and consume drinks high in sugar content.Children in the public school system consume meals high in carbohydrates and ofte n engage in little or no physical activity. Lack of income reduces consumption of fresh fruits and vegetables and parents often purchase cheaper luncheon meats such as hot dogs rather than the more expensive cuts of meat. When the fast food giants introduced the super sizing concept to the world, thus began the super sizing of the population. References Candib, L. (2007) Obesity and diabetes in vulnerable population: Reflections on proximal and distal causes. Retrieved online from: http://annfammed. org/content/5/6/547. ull Centers for Disease Control and Prevention (2012) Obesity. Retrieved online from: http://www. cdc. gov/obesity Kaiser Health News (2012) Texas. Retrieved online from: http://www. statehealthfacts. org Nies, M. A. , & McEwen, M. (2011) Community public health nursing: Promoting the health of populations (5th ed. ). St. Louis, MO: Saunders/Elsevier Onboard Informatics (2010) Aransas County, Texas (TX). Retrieved online from: http://www. city-data. com/county/Aransa s-County-Tx. html Scorecard (2012) Pollution report card. Retrieved online from: http://scorecard. goodguide. com Shukalo, A. 2005) Handbook of Texas online. Retrieved online from: http://tshaonline. org/handbook/online/articles/hgr05 U. S. Census Bureau (2012) QuickFacts. Retrieved online from: http://www. census. gov/ U. S. Department of Health and Human Services (2012) Healthy people 2020: Nutrition and weight status. Retrieved online from: http://www. healthypeople. gov/2020/topicobjectives2020/overview. aspx? topicid=29 Wiley, S. (2012) Obesity history in the America. Retrieved online from: http://www. livestrong. com/article/359624-obesity-in-america/ Community Health Assessment of Rockport, Texas Introduction

Bred in South Auckland Essay

I think Glen Colquhoun’s purpose in creating this poem was to make people, like myself, realise our self-worth and embrace our individuality. He mocks his everyday habits to show us that we can’t always be put into categories, just because a person does something like ‘†¦I read the newspaper. ’ That doesn’t mean the person has to be stereotyped into a certain group, in this case ‘Some people think I am a typical Pakeha’. I really enjoyed reading the way the author made fun of his everyday habits to tell that there is more than one way of viewing our identity, instead of being guided to a racial or cultural stereotype. I found it easy to believe him when he said ‘I think I am the luckiest mongrel I know. ’ He accepted his cultures but did not let them sculpt him into their typical stereotypes. I really liked the way Glen Colquhoun relates himself to four stereotypical cultures: Maori, Pakeha, Asian and Pacific Islander. I also enjoyed the way he described his everyday habits to each of his cultures. ‘I think I’m the luckiest mongrel I know’ by portraying himself as a mongrel- a dog of mixed breed he tells us he has many different cultural influences as a part of him. This quote made me realise that every person has many dimensions to them; it doesn’t matter if your family isn’t from multiple cultures. When you grow up in a society where there are many diverse cultures influencing your behaviour, your attitude, it shapes your personality and you as a person. This poem relates to many people around New Zealand, especially in South Auckland because we’re so multi-cultural and so many people have parents, partners, cousins, aunties and uncles from many different cultures. Even though I’m from Pakistan some people think I’m Indian and others think I’m from some Middle Eastern country. So in a way I could relate to this. I enjoyed reading this poem because the theme relates to everyday things and everyone gets stereotyped at some point in their life regardless of their culture, which is why we should define ourselves by our personality not culture stereotypes.

Regional Imbalance Essay

India is a vast plural country, full of diversities of religions, castes,languages, tribes, cultures, etc. A number of cultural and linguistic groups are concentrated in certain territorial segments, to which they are attached, emotionally and historically. As has been said that during colonial rule the administration was interested in economic exploitation of the country and not in its development; it encouraged various divisions based on religion, region, caste and language and did not pursue any plan or strategy for a balanced development of the country. These resulted in regional imbalances,and group identities. Subsequently, the independent India saw the rise of regionalism, linguism, separatism, etc. In this chapter we will read about the background, causes and nature of these phenomena and possible ways out to check them. All these are related and interconnected. A region is a territory, the inhabitants of which have an emotional attachment to it because of commonality of religion,language, usages and customs, socioeconomic and political stages of development, common historical traditions, a common way of living, etc. Any one or more of these, and above all widely prevalent sentiments of togetherness, strengthen the bond. This territory can coincide with the boundaries of a State, parts of State or even with more than one State. A sense of discrimination or competition on economic, political or cultural grounds, desire for justice or favour gives rise to regionalism. Depending on reasons,and related nature, regionalism can be manifested in many ways like demand for autonomy or powers for State,creation of new State, protection of language or culture of the region or separation from the country. By regional disparities or imbalances is meant wide differences in per capita income, literacy rates, availability of health and education services, levels of industrialisation, etc. between different regions. As already mentioned, these regions may be either states or regions within a State. In this regard in India there are enormous imbalances on various accounts. The exploitative nature of British colonial rule either created or accentuated regional disparities. The planning in independent India has also not been ble to remove these. As is well known, the British colonial administration was primarily interested in selling their products in Indian markets and taking away raw materials from here. In some cases they were also interested in establishing some industries to invest their surplus capital and use cheap labour. Keeping these needs in view, they introduced Zamindari system in some regions to get maximum land revenue. In some regions they favoured peasant proprietary system a nd improvement of agriculture to create markets for their products. As such, in agriculture there came up significant variations both in production relations and level of production in different states and regions. The pattern of urbanisation was based on the strategy of exporting primary products and importing finished goods. This laid the foundation for the emergence of port towns as the major centers of urban-industrial activities. Therefore, the growth of trade nd commerce in colonial India meant the creation of jobs and educational opportunities at coastal centers like Bombay, Calcutta and Madras and some princely states’ capitals. This also led to the emergence of some consumer industries in these enclaves and hence to the development of a merchant capitalist class. This gave these regions a head start over others where the vast tracts of agriculture had lost their traditional handicrafts and other small scale non-agricultural activities in the face of competition from the high technology associated with the modern processes of industrialisation. Another factor in the uneven regional development was the growth of the education system. The British imperialists had linked India to Europe via trade relations and the coastal areas especially around the ports of Bombay,Calcutta and Madras. To man the establishments in these areas modern education was introduced. An educated professional class, mainly lower paid government and commercial clerks, grew up in these areas. These regions also threw up an elite group of lawyers and other professionals who were involved on both sides of the independence movement. On the eve of independence interstate and inter-district disparities were quite sharp and widening. There were differences in the levels of per capita income and consumption, literacy, medical and health facilities, natural resources, population growth, infrastructure development,employment opportunities etc. The independent India, thus, was burdened with the task of removing these disparities. The need for the removal of regional disparities was well recognised by the leaders of the independent India. The Constitution of India, has made it mandatory for the government at the Centre to appoint a Finance Commission once at least in every five years. It was to examine the problems arising out of the gaps between the needs for expenditure and the availability of revenue and other such matters. Accordingly, the balanced regional development had become the declared goal of the Central government and of its two principal agencies — the Planning Commission and the Finance Commission. One of the objectives of planning was to restore the balance between various areas and regions. However, these institutions were to work within overall socio-economic infrastructure of the country and the developing political process. As has already been mentioned that because of the strategic position of the ruling class and adopted model of development right from the beginning,the development has been drifting away from the desired goals. Moreover, to begin with planning was primarily restricted to the national level. Hardly any attention was paid to the problem of regional disparities and the few measures that were taken, were adopted to deal with specific problems faced by certain areas having natural calamities. Thus, the problem of regional development in a national context did not get adequate attention of the policy makers. Some of the already developed regions enjoyed the privilege to develop further at the cost of the backward regions which continued to stagnate. The Third Five-Year Plan devoted some attention to the problem of regional disparities. Some efforts were made to identify the backward regions. Fourth plan onward, planners have increasingly emphasised this objective. Deliberate policy measures are being taken to improve the levels of living of the people in regions identified as backward. However, in practice, in spite of the increasing awareness of these aspects, very little has been achieved. While industrially backward regions have been identified by India’s Planning Commission, no such attempt has yet been made as regards regions which can be deemed to be backward from the point of view of overall economic development. Actually, the main focus of regional policy during the Indian plans has been on the dispersal of industry among the different regions of India. But, in spite of various attempts for industrialisation, agriculture continues to be the most important economic activity from the point of view of output and employment in most of the States in India. And within the agricultural sector, because of emphasis on immediate increase in production,inter-state disparities in per capita agricultural production have been on the increase. It is well known that in agricultural development policy, the green revolution and its impact has been confined to relatively small areas. Thus, the disparities in socio-economic conditions of the people have beenincreasing both within and between different regions of the country. Existence and continuation of regional inequalities both among States and within States create the feeling of neglect, deprivation and of discrimination. In a country which is multi ethnic and multi religious, with groups concentrated in states or regions, these disparities also become cause of social conflicts leading to political and administrative problems. In any case regional imbalances are a major cause of regionalism in India in many ways. The movements for creation of separate States in Jharkhand area of Bihar and West Bengal, Uttaranchal and Chattisgarh in Uttar Pradesh andMadhya Pradesh were because of underdevelopment of these regions in those States and a feeling of deprivation and exploitation among people. Finally,these areas were constituted as separate States in 2001. Similar movements are going on in Telengana region of Andhra Pradesh, Vidarbha region of Maharashtra, Darjeeling region of West Bengal and in some other regions. Apart from sense of deprivation in the neglected States or regions there also are grievances due to sectoral imbalances in States like lack of industrial development along with agricultural development. Because ofthis, on the one hand there have developed interests, particularly in rural areas of developed States, and on the other sectoral conflicts. Both these are encouraging regionalism in developed States. For example, in areas where Green Revolution was introduced and has been successful, thenew rich farmers class has become economically and politically important. They are now interested in perpetuating the concessions and facilities which were given to them. In spite of agriculture having become quite profitable they want subsidies to continue and income not to betaxed. These rich farmers in such States provide major social basis of regional parties. Another aspect of imbalanced development is that because of development only in limited areas, the work force from other States and areas, keep on fighting and winning transitions. Focus is on regional development and not on equivocal or equi-sectoral development. This leads to a major imbalance within a country’s economy and across state-wise economies.

Is the government justified in using capital punishment Research Paper

Is the government justified in using capital punishment - Research Paper Example The work that follows aims at showing that the government is not justified in using capital punishment to execute justice to offenders, though at some time it is necessary. Capital punishment is not the best method of dispensing justice to offenders. This is because it denies individuals of their constitutional rights. Various countries show their opposition to capital punishment and instead support a life sentence. A recent example is one portrayed by a number of Americans at Santa Cruz who voted against death penalty for a bombing suspect, Dzhokhar Tsarnaev, against whom the authorities issued a death penalty (Rankin 1). The opponents, according to Russ Rankin in the Washington Times said that it is an outdated, ineffective and wasteful method of dispensing justice. In 1972, the United States suspended the use of capital punishment following a decision by the Supreme Court. This is an indication that it is not the best method of dispensing justice to offenders. Although the state r e-established death penalty, its popularity and implementation is decreasing, with only a few exceptions (Rankin 4). The method, as Rankin points has not proofed to be the best method to deter crime. On the contrary, it costs taxpayers in a state more to execute death punishment than life sentence (Rankin 5). The government is not justified to issue capital punishment because many of them may go against the rights of those convicted. For example, Lindsey Bever reporting in ‘the guardian’ talks of a 62-year old man, Graham, wrongfully sentenced to death but escapes through being shipped to a prison in California. After the US criminal justice system reinstated capital punishment since 1976, many people have lost their lives. As Bever points, it is hard to know the exact number of people who died for crimes they did not commit. As Graham reveals, discrimination reins in the American criminal justice system where people with little crimes would face execution while others with brutal offenses would be spared. In most cases, those accused of capital punishment are poor and cannot afford to fight for their rights. This happens because the people cannot hire a lawyer for themselves unless there is a counsel provision for them and most of them fight for their rights without legal documents. This is why there is a lot of discrimination in handling these cases given that those unable to pay for the cost fail to get justice. It makes it hard to justify government’s issuance of capital punishment as there is no justice rendered to those convicted. Most of the governments practicing capital punishments go against the rights of the individuals as provided in the constitution. Every individual, even those convicted to an offense have a right to life and it is against the constitution for the government to issue a capital punishment against them. However, there are circumstances under which capital punishment may seem the best method to implement justice. Depending on the weight of the offense, a government or a court may choose to execute capital punishment on the offender. For example, following the Delhi gang rape several factors made the court term the rape worthy for capital punishment. First, the court argued that those who committed the offense did it in an extremely brutal and revolting manner which raised an intense and extreme annoyance to the society (Baxi 3). The court directly links this brutal nature of the violence to the quantum of annoyance on the society.

Online community management Research Paper Example | Topics and Well Written Essays - 250 words

Online community management - Research Paper Example If I were in its managerial position, I would have placed the loyalty of customers and credibility of the firm far above fear of negative publicity. I would have come out clean and let the customers hear from me directly the current crises facing our company and ask for ideas as to how to solve our problem. While considering the advice of the firm’s lawyers, security experts and banks, I would have still placed my shareholders firsthand in any decision making process that I would be involved in. wrong advice from external sources has often led businesses to their ruins. A good leader knows when to follow their instinct and to trust that what they are doing is the right thing. Target tried to calm its customers by giving false assurances to which it went back on. This was not such a bold move. Customers need to know the truth even if things are in turmoil. Giving them false assurances and going back on your word only breeds dissatisfaction and disloyalty. Critisism may be present when shareholders are hit with the devastating news but the reputation of the company of the company will be

Community Learning Disability Nursing Essay Example | Topics and Well Written Essays - 2750 words

Community Learning Disability Nursing - Essay Example This discussion highlights that aside from the physical and psychological punches are the psychosocial dilemmas of inequality in access not only to health care services but also in other resources. It then stipulates that learning disability nurses work to dismantle this barrier for the persons with learning disability to pass through to take up a gratifying life.This paper declares that  community nurses provide support on issues regarding their physical care needs, aging, and sexuality. Particularly the main responsibility of community learning disability nurse involves consultancy, assessment, treatment, training, care planning, health promotion, and promoting access to services. In addition to direct clinical and therapeutic role, nurses are involved with activities in delivering healthcare such as health promotion, health facilitation, teaching, and service development. It involves formulation and implementation of a written care plan, utilizing a structured approach with cont inuous evaluation and re-examination taking into consideration the collaboration with the family members and health team and the concept of person-centered planning.  As with any nursing health care delivery, utilization of a care plan is indispensable. Comprehensive assessment must be done in order to identify specific problems and sub-problems occurring which may not be ready recognized by the person with learning disability.... In addition Hall (2004) estimated it to be 25–30 per 1000 with mild and 3–4 per 1000 with severe learning disability in the UK. This number, though not alarming as it seem, deemed the necessity of learning disability nursing’s genesis in the clinical place and community. Gates and Barr (2009) provided a clear definition of learning disability nursing as they stated: â€Å"Learning disability nursing is a person-centered profession with the primary aim of supporting the well being and social inclusion of people with learning disabilities through improving or maintaining physical and mental health.† They comprehensively delineated the purpose of this profession to include the assessment of the health care needs of this population in order to aid them on their optimum level of independence. This task is achieved by the nurse by enhancing skills and competence required to meet the evolving needs of these people from birth to death and through collaboration wit h other agencies and associates. This branch of nursing does not focus only on clinical manifestations of physical health nor specific on mental health, but rather encompass the total well-being of a person in all aspects – physical, psychological, social, spiritual, and emotional (Gates and Barr 2009). Department of Health (2007) in UK reported that the incidence of wide range physical and mental health conditions among people with learning disabilities ceaselessly escalated. These are true to those in the population requiring special attention from biomedicine. Aside from the physical and psychological punches are the psychosocial dilemmas of inequality in access not

Food truck- Entrepreneur Interview and Reflection report Essay

Food truck- Entrepreneur Interview and Reflection report - Essay Example The entire process of learning involved with this module has made me to discover the possibility of effectuation as a suitable tool for advancing on entrepreneurial career, as well as providing important suggestions on how to come up with entrepreneurial skills (Price Institute for Entrepreneurial Studies, 2000). To start with, we are going to have an over view of Tullee’s restaurant which is a Caribbean restaurant located in the northern side of London. It was started in 2008 by Glen Watson who would like to expand the business so as to earn more income. Some of the segmented customers who buy from the restaurant include the local people most of them being working class. Other customers included those who came regularly came for lunch. After careful analysis we realized that most of the restaurant restaurants do not sell Caribbean food and this made us to start serving this food. In order to be competitive, our main focus was on the quality and the prices of food. The business intends to use social media as a way of connecting with the customers. Online orders will also be used where customers can make online orders through their mobile phones. Since the original owner of the restaurant used to have only one supplier, we intend to have several of them so has to increase the supplies. In order to attract new customers, we will provide best offers like price reduction and after sales service to win customer loyalty. For the case of customers who have been loyal, we will use them as referrals who will recommend us to other customers. We will also profile our cost structure appropriately so as to reduce costs as much as possible so as to maximize profits. Most of our valued resources will include: suppliers, employees and customers. According to Baron (2012), learning and reflection is a very important process in life. It

Fate or free will Essay Example | Topics and Well Written Essays - 1500 words

Fate or free will - Essay Example As he told me, he was only forced by his circumstances. I myself believe in determinism – that all events are ultimately determined by causes that are external to human will. These events, or the things that happen, even include human action. That man was hungry that is why he stole. It is therefore preposterous to think that he wanted to steal out of free will. There was an explanatory cause, or a cause that ultimately explains his action of stealing. That explanatory cause was hunger. Had he not been hungry, he would not have stolen the money. I am sure you understand and agree with me, Socrates. Socrates: You are right, and no man can ever separate himself from the appetitive and spirited parts as long as he is alive. Moreover, one should know that â€Å"For when [the soul] tries to consider anything in company with the body, it is evidently deceived by it† (Plato, Phaedo, 64c). Therefore, the soul is not free as long as it is with the body, as long as one is alive. This is the part of the soul that conforms to determinism. Socrates: Indeed, it was. However, it was not purely free will on his part, because the fact that he has within him and working at the same time – the appetitive, spirited and rational desires – may have in fact deceived him. What is human choice then? Me: Human choice is the action that results from being governed by external determinism and possessing internal free will – both existing at the same time. So, in short, what are you trying to tell me about that man, Socrates? Socrates: That he did make a choice that he could otherwise have refused or that he had the power to cancel, but that he did make this choice only after his appetitive desires have deceived him, human as he was. However, we cannot conclude anything whether he was a good man or an evil man. We can only say he was not wise

The Six Principles of Painting as Applied to Works of Art Research Paper

The Six Principles of Painting as Applied to Works of Art - Research Paper Example The paper "The Six Principles of Painting as Applied to Works of Art" will discuss the six principles and highlight artworks that use each of the principles. The first principle of art that Xie described was that of spirit resonance rhythm and breath. Xie highlighted that artists who qualified gave life to their art pieces. According to Xie, a painting needed to have life so that it could have an impact on the viewer. In his view, work that did not have any spirit resonance or rhythm was useless and dead. Symbolically, Xie described a viewer seeing the art of an artist as practically taking in the artist’s breath. One of the Chinese paintings that reflect this principle is Emperor Huizong’s artwork titled Auspicious Cranes. The work was 112.5 Ãâ€" 138.2 cm in size. It belonged to the Liaoning Provincial Museum in Shenyang. Emperor Huizong was a leader of his dynasty, but who exhibited an artistic talent. Despite the need to focus on leadership issues, he found time to practice the art. In this painting, he was striving to depict a poetic idea. An inscription on the painting depicted the idea he sought to communicate. The poem described how immortal birds appeared next to clouds in an effort to announce good tidings. In the poem, he highlighted that the birds arranged themselves in twos forming a noble arrangement. The painting depicted 20 white cranes, forming a design above the sky, which appeared as though it was just above the city gates. From the poem next to the painting, it became evident that Huizong.

Is Managed Care the solution to controlling Medicare costs or would Term Paper

Is Managed Care the solution to controlling Medicare costs or would this lead to limitations on the care that older Americans ca - Term Paper Example The solution that is being proposed in order to control the rising costs of Medicare is Managed Care. This is a controversial and questionable move due to the huge difference in the way that Medicare and Managed Care handle their members. Managed Care is described as a program that (The Basics of Managed Care, 1994), "1. ...refers, in general, to efforts to coordinate, rationalize, and channel the use of services to achieve desired access, service, and outcomes while controlling costs. 2. Risk-based managed care describes care from organizations that provide or contract to provide health care in broad/specified areas for a defined population for a fixed, prepaid price [where the managed care organizations (MCOs) are at financial risk to deliver the services for the fixed price]. Managed care organizations use various strategies to control costs. " Managed Care in theory sounds like a good thing. However, looking deeper into the way the program works shows that it will only increase t he cost of healthcare for most senior citizens because the program the program concentrates on preventive services and patient education in order to cut costs. There lies the problem with Managed Healthcare. How exactly to the proponents of this program expect this program to cut Medicare costs when it only rewards the patient for being and remaining healthy? There is no senior citizen on this planet who does not need some sort of current medical care for a preexisting or currently existing condition. So how exactly can this particular program cut the costs of Medicare for senior patients? The simple answer is that it can't. Medicare is necessary for retired citizens who cannot afford to pay for regular insurance coverage. They are of that age wherein illness is a common part of their lives and finding solutions or palliative care is already a norm, not an exemption. Once Medicare for the patient is placed under a Managed Care program, then Medicare will start to discourage people f rom seeking medical care unless it is absolutely necessary. But who is to say what is medically necessary for a patient and what is not? Senior citizens are understood to no longer be in the pink of health. They need medical attention most of the time. They may be willing to keep themselves healthy but their body may just not be able to cope. Managed Care will instead punish them for being sickly. These people will be limited to packaged medical services that may or may not cover their medical needs. Whatever happens, there will be a severe cost out of pocket for the patient. (Basics of Managed Care, 1994). According to Dr. Dudley Adams (2001), there is this preconceived notion that since Managed Care prepays for healthcare, then the quality of healthcare would improve. Mainly because services would concentrate more on preventing illness rather than treating it. However, there is no solid evidence that such a move would actually benefit Medicare patients who may already be under som e sort of medical care at the time that their Managed Care coverage takes effect. A closer look at the healthcare system in place for older Americans shows that the system is more fragmented than ever before. There is also a loss of the actual mission and vision of Medicare. Medicare was set up with the mandate to help out senior

Dwi case with multiple fatalities Essay Example for Free

Dwi case with multiple fatalities Essay Driving while being intoxicated is a serious crime. This becomes more serious when the charge is juxtaposed with multiple fatalities including DWI charges. These charges include underage driving, underage drinking, resisting against arrest and public damage. (Kar, 145) Such an incident took place in Middletown in 1999. This is a perfect example of the multiple fatalities while driving. Henry Bitchel was 15 when he crashed his 1966 Ford on a public telephone booth. The officer in charge booked the offence and tried to measure his blood alcohol level suspecting him being drunk. To this Henry resisted and thus offence was created against the law. However with the help of force the officer registered the blood alcohol level was placed in a much higher than the permissible level. (King, 126) Thus four major charges were lodged against Henry. The first was of underage driving without a valid license, the second charge was underage drinking as he was 15 years of age. The third was resisting arrest and it should be stated that Henry could have well done without this one. The last one was damage of public property in form of a telephone booth. The fifth and the main issue that was charged against Henry was the case of drinking while driving. (Lamb, 243-245) It should be noted that the law is enforced for the betterment of civic society and the good of the civilians. Therefore it is evident that the citizen should follow these rules. Otherwise, as in the case of Henry, there could be multiple fatalities including DWI charges and that is a must avoidable scenario. Works Cited: Kar, P; History of US Automobile Market (Kolkata: Dasgupta Chatterjee 2005) pp 145 King, H; Civic Fitness Today (Dunedin: HBT Brooks Ltd. 2005) pp 126 Lamb, Davis; Cult to Culture: The Development of Civilization on the Strategic Strata. (Wellington: National Book Trust. 2004) pp 243-245

Traditional Jews Essay Example for Free

Traditional Jews Essay Religion is a vast and distinct area of study. Many different cultures and groups have different practices, and within those cultures there are many sub-groups that are different than the majority. The Haredim are a Jewish sect that is basically a sub-group of traditional Jews that demonstrate many differences from the majority. Haredim have a different approach to death and the actual funeral procession of loved ones. Many other cultures will honor their dead by having a eulogy or some other type of ceremony. The Haredim like to invoke a different sense of devotion to passing ancestors. For instance, it is acceptable, among Haredim, for the Sephardi to sing the songs of his father and grandfather, to utilize the prayer rhythm of his youth. 1 This is essentially singing prayer songs to the father, if passed, and the grandfather, if passed during a funeral procession. These songs are supposed to honor the dead and at the same time elevate the dead to a type of saint-like status. After the deceased have had songs sung, it is time for a type of ceremony called the â€Å"Communion of Saints. † Here the Haredim invoke the â€Å"Communion of Saints† upon hearing of the death of an elder and attempt to have the Saints bless the body spiritually. The blessing is done to elevate his familiar saints and holy men, entering [his relative] in the pantheon of the believer, even to add a modest twist or two of traditional clothing to the standard garb. 1 The Haredim are known for their revering of elders upon death and their attempt at ascending those elders into a higher spiritual space. This is firmly established, according to their faith, by invoking the elder and finally invoking the â€Å"Communion of Saints† to assist in the transfer to the spirit world. Another aspect of death in Haredim society is the actual burial. The Haredim employ the hevra kaddisha, the Communal Fraternal Burial Society in Israel, is responsible for the reverential disposal of the dead in accordance with Jewish law for all Jewish citizens. 2 Once the arrangements are established by the hevra kaddisha, the burial must take place. A problem arises in the burial because it must occur as soon as possible. As the Jewish text suggests, The dead must be buried as soon as possible, as much out of respect for their corporeal integrity as out of concern that they should not pollute their environment. Texts devoted to establishing and commenting on the impurity of human remains are abundant, and the laws relating to this subject are very strict: people and utensils that have been in contact with a cadaver might become impure, as does the place where they have lain, thus being in the presence of a dead body can cause ritual uncleanness. 3 It is clear that the Haredim employed different rituals from other groups, but also maintained a bastion of traditional beliefs that secular Jews also follow. Haredim are a very distinct culture as compared to other sects of Judaism. One of the more shocking revelations about their culture is they actually do not support the established state of Israel. One of the first evidences of this non-support is how the Haredim view the chief rabbis in Israel. They do not recognize the Chief Rabbinate and have their own Rabbinic authorities. 4 This presents a problem in the Israeli Jewish community in particular. The Israelis are attempting to create a united front against other groups that oppose them in the region. Because of the lack of support, and since there is no doctrinal significance to the office of Chief Rabbi, voices are raised from time to time to abolish the whole institution of two Chief Rabbis, irreverently called by Israelis the Heavenly Twins. 5 Another way they reject the Israeli state is they look upon Israel as too secular. All the Haredim have in common a â€Å"total dedication to the Torah in its traditional form and believe that the secular world is best kept at arms length. 6 They have a stark rejection of Israel and do not actually need a Jewish state. They are fine the way they are and reject the secularism of the Jewish faith in general. The politicians in Israel have no impressed the Haredim throughout the years. They believe they are without structure and without promise for any group of people. One example is from the 1981 campaign [where] the two parties [created] satirical television commercials, which featured well-known Israeli comedians. Such commercials, according to the Haredim, were an expression of spiritual emptiness. 7 The Haredim stand firm behind their beliefs even against their own government. A final examination of the Haredim reveals some peculiar traits as compared to other cultures. One of the ways they are different from other Jewish sects is their devotion to a culture long gone. For instance, they continued to be known by the Yiddish names of their rebes towns — Satmar, Belz, Ger — places that existed no more. 8 Another distinct difference is in the attire that the Haredim men usually wear. One eyewitness recounted, the men wore the clothing of eighteenth-century Hasidim. 7 One of the remarkable characteristics of the religion is the offspring that are produced within the families. Some of the families have many children as compared to other groups. It actually makes sense why this occurs because, they produced large families — six, eight, even ten children — to begin to try to make up for the millions of murdered Jews. 9 The Haredim do portray some peculiar traits that may seem strange to other religions, but actually they are effectively helping their way of life live on in the future. The Haredim are a fascinating group of people with a very different religious perspective. They live their life true to their moral codes and should be respected as any other religion. Works Cited Cromer, Gerald. The Voice of Jacob and the Hands of Esau: Verbal and Physical Violence in Israeli Politics, 1977–1984. Jews and Violence: Images, Ideologies, Realities. Ed. Peter Y. Medding. New York: Oxford University Press, 2002. 149-164. Jacobs, Louis. The Jewish Religion: A Companion. Oxford: Oxford University Press, 1995. Sobel, Zvi. A Small Place in Galilee: Religion and Social Conflict in an Israeli Village. New York: Holmes Meier, 1993.

What is globalisation?

What is globalisation? Introduction The emergence of globalisation in the nineteenth century has brought about a change in the world. It has resulted in the elimination and diminution of barriers between countries, in order to aid the flow of goods, services, capital and labour between these countries. There have been various debates surrounding the concept of globalisation. The opening of the markets have been said to be a way of enabling the developed countries maintain their position of supremacy over the developing and less developing countries by allowing their big multinational companies exploit the resources of these other countries and keep the profit. (Lewis 2007). In spite of this, globalization has created a lot of new opportunities and for many nations and has required them to develop partnerships and bonds throughout the world which has played an important role in the success of some nations. Aim In a speech given by Nelson Mandela at the British Museum in 2000, he said â€Å"If globalisation is to create real peace and stability across the world, it must be a process benefiting all. It must not allow the most economically and politically powerful countries to dominate and submerge the countries of the weaker and peripheral regions. It should not be allowed to drain the wealth of smaller countries towards the larger ones, or to increase inequality between richer and poorer regions.†Cited in Lewis (2007).  Ã‚   The aim of this essay is to examine the impact of globalisation on domestic construction companies, their projects and services in developing countries. What is Globalisation Diverse definitions have been given to globalisation, depending on the context in which it is being used. The world has suddenly become a global village, where boundaries are being removed and organisations are free to envisage, design, create, purchase and sell products in other countries making the world interconnected. According to (Govindarajan Gupta, 2000), globalization is defined as the increasing economic reliance that exists among countries as seen in rising traverse relationship with the flow of goods and services. Cope (1999) sees the process of globalisation as â€Å"having two inter-related dimensions: scope (or â€Å"stretching†) and intensity (or â€Å"deepening†). On the one hand, the concept of globalization defines a universal process or a set of processes which generate a multiplicity of linkages and interconnectedness which transcend the states and societies which make up the modern world system. On the other hand, globalisation also implies intensification in the levels of interaction, interconnectedness or inter-dependence between states and societies which constitute the modern world economy† The International Monetary Fund (IMF) defined globalisation, as rapid economic incorporation countries around the world by the movement of goods, services and capital across borders. In the design and construction industry, globalisation means two major things; improved competition and improved opportunity (Russell J.S, 2000). Globalisation affects every design and construction firm both domestic and foreign. Globalisation is needed in countries to improve the relationship between these countries and to improve the economic stability of these countries. Globalisation in the Construction Industry The influence of globalisation in the construction industry is beginning to emerge; this can be seen from both external and internal factors within the industry. There is an increasing need for organisations to develop new strategies and ways of getting things done, as global competition is growing. Different organisations small, large, domestic and international are all going to be affected by this new way of doing things.  Ã‚  Ã‚   According to Cheah et al (2005), globalisation is bringing about new prospects for the construction industry due to the deregulation of industries and privatization of traditionally state-owned entities needing new construction or an upgrade of existing facilities which has attracted new key players from abroad. Externally, the clients are globalising. In order to serve them better and generate repeated business, engineering and construction firms have to elevate their agendas to the international level. Fundamental changes have to be made to project management techniques in engineering and construction companies if they are too maintain their standards and are to be successful in the global market place in the 21st century. Customers will expect lower costs, shorter engineering and construction periods, lower costs, shorter engineering and construction periods, high-quality materials and equipment from manufacturers anywhere in the world and prompt attention to their needs. Kini (2000). The construction industry is an important part of the development industry within an economy, particularly in an era where the rate of u urbanisation and resources continue to reduce. The construction industry plays its role in any economy as it uses materials and resources, changes the environment and affects the lives of the people living in the society. International Construction and Globalisation in Developing Countries According to Ngowi et al (2005), International construction has been defined, as when a company which is based in one country executes work in another country. Most of these companies are from advanced countries and go to carry out work in newly industrialised countries and least developed countries. Through globalisation, many doors have been opened for international construction in developing countries. Developing countries require specialized contractors for new infrastructure and buildings which their domestic construction companies might be unable to handle or do not have enough experience in the construction of such buildings. There are various explanations why construction firms expand into international markets. Some of these reasons include inactive domestic markets, development of new markets, economical utilization of resources and the realization of new prospects brought by the global economy (Gunhan and Arditi 2005). In taking international construction into consideration, there is a need to understand the risks and threats it involves. International construction is much riskier than domestic construction. The different variables which affect the international environment are not part of the domestic markets and create risk for international construction that would never be encountered in domestic conditions (Gunhan and Arditi 2005). A critical review of international business failure was done by Gordon and Arnold (1988) and White (1990) cited in Han et al (2005 p. 284). Some reasons why international business fails were pointed out and they include the following: Failure to develop a business plan. Lack of commitment from top management in the early stages of the venture. Lack of attention to the development of strategic links in the international market place. Failure to recognize the demands of operating in a multi-cultural business environment. Failure to weigh foreign requirements with respect to their social, legal, political and governmental procedures. Construction companies therefore must set up strategies in order to compete in the international market. Gunhan and Arditi (2005) carried out a survey of executives in charge of international construction in the United States to determine the most important strengths a company must have in order fully expand their business into the international market. Track Record The past performance of any organisation hoping to diverge from the domestic market to the international market is necessary. A firm or an organisation with a good track record can easily enter the international market, due to their past experience in form of reference from all their previous works. An experienced firm has a ready solution or a cheaper solution to a technical problem since it might have come across a similar problem in the past and has found a solution for it. It has exhibited through previous performances that it has the organisational and technical experience to overcome technical challenges that may come up in the course of a construction project Quak, 1991 cited in Gunhan and Arditi (2005 p.275). Specialist Expertise For a company to succeed in the international arena there is a need for specialist expertise. This gives the company a higher advantage due to the fact they have knowledge in areas that few companies can compete with them. According to Quak, 1991 cited in Gunhan and Arditi, 2005 â€Å"specialists technologies enable smaller companies to carve a niche for themselves in the international market by competing for specialist subcontracts or as a desired consortium partner† The use of new technology would enable domestic companies find jobs in sectors where expertise in that technology is needed. Project management Capability International projects tend to be in complicated circumstances such as; multiple ownership, elaborate financial provisions and different political ideologies. These projects are more difficult to manage than domestic projects as the risk involves are often numerous and less predictable. Stallworthy and Kharbanda 1983, cited from Gunhan and Arditi, (2005 p.276) There is often the need for a project manager who can handle both the business and technical side of the project. This would give the project manager an advantage, because he will be able to solve problems in all areas of the project. Influence of Globalisation on Domestic Construction Companies in Developing Countries The concept of globalization was brought about by the need for free trade between developed and developing countries. The ideology behind this was setup by the World Trade Organisation (WTO), and this was formed from the 1986 Uruguay Agreement WTO, (2004) cited in Lewis (2007) which says that â€Å"the international trading system should be: without discrimination- a country should not discriminate between its trading partners (giving them equally ‘ most favoured-nation or MFN status); and it should not discriminate between its own and foreign products, services or nationals (giving them ‘nationals( giving them ‘national treatment); Freer- tariff and non-tariff barriers should be reduced (removed) through negotiation; Predictable foreign companies , investors and governments should be confident that trade barriers will not be raised arbitrary; market-opening commitments are ‘bound in the WTO; more competitive-‘ unfair practices such as export subsidies and dumping products at   below cost be discouraged; more beneficial for less developed countries-they should have more time to adjust, greater flexibility, and special privileges.† The purpose of this was to establish competitive markets for trade for all goods and services, including those acquired in the public sector. Globalisation has an effect on the following sectors of the domestic construction sector of the economy: Project Size The size of a project plays a major effect in selecting who the key contractors for that project are going to be. The larger the project size is, the more out of reach it is for consulting and contracting firms in developing countries. Large projects which could be broken down in to smaller projects are given as one, making it available to only large transnational companies that have the capability in terms of staff, equipments and labour to handle such projects. These projects could be broken down into smaller project such that it would be available for local firms as well as the large transnational companies. Market Access Market access, has to do with goods and services, this entails that the goods and services which are coming into any country must be treated in the same way regardless of where they are from. In the construction industry, this entitles all consultants and contractors who come from less developed countries or developing countries to have equal opportunities with large firms to the same projects in developed countries. This actually never happens. According to Lewis (2007), the large companies have higher advantage than the smaller ones; in terms of enormous physical, financial, technical and human resources that the small firms do not have the capability to have. The large firms also receive support from their home government in many areas which is not available to the smaller domestic companies from developing countries. Consequently, the local firms in developing countries tend to be doubtful about the opportunities globalisation holds for them in developed countries; this is due to the advantages the large firms have over them. Under Pricing The need for growth in developing countries has brought about an invasion of overseas contractors and consultants in to developing countries. This has a negative impact on the domestic construction companies. Lewis (2007) explains that these foreign contractors are keen to get into that region, that they may take strategic decisions to make a loss in the construction of that project just to make sure that they win the contract. The local firms do not have the available resources to compete with them on that basis and therefore loose the contract. Opportunities associated with International Construction for Domestic Companies in developing countries The emergence of the new global economy has brought about extraordinary opportunities for growth in developing countries. Hans et al (2005) explains that at national level, the amount of international construction plays a big role in the nations trade balance. They also balance the growth of their company to contribute to their security through increased global activities and so to reduce the effect of the cyclic nature of their work load. The different opportunities associated with international construction for domestic construction companies include: Increased long term profitability One of the main reasons for expanding from domestic to international construction is for the increase in the long term productivity of that company. The expansion of these companies takes place when their own domestic markets are not doing so well and there is a need to expand into other countries which offer profitable opportunities for the company. The economic state of affairs of the most important countries often affect the economic situations of many other nations and this effect actually takes a lot of time before it reaches these nations. Expanding into the international market therefore, is a good way to survive the setbacks in a country and increase the profitability of that company (Gunhan and Arditi 2005). Ability to maintain shareholders return The ability of the domestic company to maintain its shareholders return creates the need for the company to be involved in international construction. This could be very useful for the company, for instance in times of economic recession in a country there is another country in which profit is being made by that company (Gunhan and Arditi 2005). Ability to take advantage of globalization and openness of market Globalisation has given the domestic construction companies an advantage of having open markets which gives the companies a lot of benefits. This increases the competition for a project because now both domestic and foreign companies are allowed to bid for the project. Even though globalisation has increased the competition within the geographical borders of countries, it also allows access into markets which were previously inaccessible. There is a need for construction companies to recognise this change in the environment. Sillars and Kangari, 1997 cited in Gunhan and Arditi, (2005 p.279) Ability to take advantage of privatization programs in emerging economies In developing countries, the amount of capital needed to achieve the rate of market expansion needed and this is often dependent on the foreign investment available to sustain a privatization programme. Miller, 2000 cited in Gunhan and Arditi (2005). Privatization is being seen as a way of creating opportunities for construction companies to carry out projects in countries, this is for both local and foreign companies. Key areas a domestic construction company must focus on in globalization In this new era of globalisation and free market trade between nations, changes will have to be made in companies in order to keep up with the new way of doing things. The thinking process of these companies has to be changed in order to compete with other companies. The following areas need to be taking into consideration in order to be a highly successful global construction company: Organisation The organisational structure of accompany is important in achieving global excellence. There would be a need to set up a system in which work will be done faster and would meet the clients needs. Information technology systems According to Kini (2000), if there is no effective Information technology (IT) system in the company, they would only be global in their names. The information system of the company should have the capability to provide all the companys offices with real-time access to data should be designed with hard ware and software that go well together, and should use incorporated software which will provide the information to the managers when needed. This would enable accurate information to be gotten by the project manager at any time and allow fast access to the information when needed. Thinking globally There must be division of work among engineers so that the time frame of the work can be shortened and work will go on consecutively. There is a need for a variety of specialist for different areas of engineering in order to be able to review the impact of change on any area in the design. According to Kini (2000), when thinking globally, the followings things must be put into consideration to access some certain issue: Division of work: There is a need for the project manager to establish how the work is to be divided in terms of the customer requirement, the manpower and expertise needed. Subcontractors have to be selected before the design phase of the project for specialist needs of the project. Key suppliers: The key suppliers should be located within the area with low manufacturing costs and convenient transport connections. The relationship between the suppliers should be one of partnership for mutual benefit in the project. The construction plan:   The construction plan should be checked before the start of the design. The design schedule needs to be developed with reference to the construction sequence; this would be used as the source of coordinating the design at the various office locations and placing orders with suppliers. Worldwide suppliers There is a need for the use of worldwide suppliers in order to get the best price available. The utilization of the global market place would enable the company get lower rates for labour and raw materials. There would be need to ensure that theses suppliers meet the requirements of the company. The project manager would have a choice in the selection of the supplier to be used and the performance of this supplier can be monitored. Global construction The company must be familiar with local construction methods and materials used in that area. Due to the varying site conditions, the need might arise to import some materials. There is a need for the participation of the local engineering company in the project to advise the project team on the use of these local materials and also in the hiring of skilled craftsmen within the project. This is to ensure that the maximum satisfaction of the client is guaranteed when the project is completed. Quality The whole aim of going through the steps listed above is to ensure that the overall quality of the project meets the clients expectation. There is a need for all members of the project to be aware of the clients needs for the project, this would enable them know the kind of standards to be achieved in the project.   Conclusion Globalisation has brought about new opportunities for construction companies. Globalisation holds the greatest opportunity and risk for domestic construction companies. This is determined by the strategies implemented by the company in order to ensure that they are affected by the positive effects of globalisation. In the global economy, both the domestic and foreign companies have to face competition in other to be successful. There is a need for contractors to understand the risk associated with globalisation such as political, economical, cultural and legal project conditions; theses can affect the goals set by the firm when dealing with a strategic market. However, for those domestic companies who are willing to enter the international market, globalisation holds new prospects for them as long as they have identified most of the risks and put in place strategies on how these risks can be mitigated. Therefore globalisation must be embraced by both foreign and domestic companies so that they dont left behind. Bespoke Form of Contracts: A Scourge or Necessity? Bespoke Form of Contracts: A Scourge or Necessity? Chapter 1 Introduction Research Rationale The use of standard forms of contract, FIDIC Red book (Red Book Engineer/ employer designed Contractor executed) was introduced in the UAE during the late 80s and early 90s, more specifically on Dubai Municipality infrastructure projects by the Dubai Municipality, later been transformed to RTA in 2006. Ever since FIDIC based bespoke forms introduced in the UAE, it has been used extensively in the construction industry, the Red book based FIDIC forms are extensively used in different types varying from lump sum to re-measurement contracts by many large organizations. Every project is associated with risk and is inevitable and the impact is spread across the project. Whilst the intention to introduce a standard form of contract was to achieve a balance in terms of risk sharing between the parties, conversely at a later stage clients started amending the standard form of contracts to safe guard their interests. Many such bespoke versions did not achieve the intended purpose as it became one sided due to the alterations. The one sided contracts, in other words i.e. by drafting partial contracts to safe guard the employers risks and financial positions will have a tendency to impact the construction cost. If the risk is high, the cost increases proportionally (Mohamed Hartman, 2000, p 15) UAE as a country has high potential and growth compared to the neighboring Gulf countries in the recent years (2003 2008), which led to many fast track infrastructure and building projects, most of those are innovative, having ambitious aspirations to become international land marks, having the common feature of shorter durations. One of the main reasons for adopting fast track projects was to reduce the financial burdens (loans and repayment period) and to minimize the risk for escalation due to the construction boom in the region. Also in a raising market, the cost of the construction was proportional to the duration of the project as the contractors were including the risk for escalation in their bids. A few examples for such land mark projects with shorter duration captured the attention are Burj Khalifa tower, Dubai Metro, Palm Island and Dubai Mall. The multinational construction interface between the parties and culture stipulated the importance of using standard forms of construction contracts in the UAE, one of the main reasons to use standard forms of contracts are the familiarity among the parties, which has been used across many developments worldwide, even practiced at courts, assumed to be understood by parties, the risks are apportioned in a balance way and understood by even the stake holders, reduced legal and construction cost. As mentioned above, one of such standard form of contract, FIDIC 1987 4th edition red book was introduced by Dubai Municipality in early 90s with amendments to the original form (bespoke version is called as Dubai Municipality general conditions of Contract), later been followed by many public and private sector clients in UAE. Many such amendments in the creation of bespoke versions of FIDIC forms have defeated the intended purpose of achieving a balanced version of contract By the mid of 2006, many clients started using bespoke versions of new FIDIC i.e. FIDIC 99 Contracts, however there is a significant difference between these two forms (FIDIC 1999 FIDIC 1987) of contracts in many areas. Like any other place in the world, the competitions in the construction industry among the contractors are very high in UAE also. Many clients in the region, whilst using open or selective tendering (as they invite tenders from their own tender pool), before and after the current economic crisis, do have the habit of awarding the works to the lowest bidder. In order to overcome the competition in the market, the contractors at times started under quoting the works, were trying to recover through variation and claims at a later stage. This situation resulted in arguments and disputes due to the wrong interpretation of the forms of contract used by different parties, in addition, the unbalanced and void bespoke versions contributed much to these kinds of disputes. Many such disputes were revolving around the poor interpretation and understanding of the variations clauses, leading to claims and disputes on fast track projects. The intended purpose of this dissertation is to identify The essential clauses needed to administer a contract The importance of making right interpretations while using contracts An overview of the bespoke versions of contracts Research Methodology A detailed analysis of Variation clause in Nakheel Conditions of Contract ( bespoke FIDIC 1987) and the possible interpretations by various parties to the contract, briefly stating the difference between 1999 1987 based forms clauses that relates to variation and varied work clauses. Identify the potential difference between the two bespoke versions i.e. FIDIC 1999 1987 4th edition Nakheel Conditions of Contract on major clauses. A case study on a dispute from ALDARs Conditions of Contract (bespoke of FIDIC 1999) on variations while using the bespoke versions of contract Proposed study chapters The intended study focus on the meaning of construction contracts, their existence and the different forms of contracts. The literature review is covered in the first four Chapters, Chapter 2 covers the use of different forms of FIDIC contracts, including a brief history of their start in the UAE, Chapter 3 focus on the essential clauses needed for the administration of any forms of Construction contracts, Chapter 4 an analysis of Nakheels conditions of contract (bespoke FIDIC 1987 4th edition) variation clause, the possible interpretations by different parties to the Contract, Chapter 5 a comparison between Two bespoke forms of Nakheels Conditions of contract (FIDIC 99 and FIDIC 87 4th edition) on major clauses, Chapter 6 a survey to identify whether the employers achieved the intended purpose by using bespoke versions, Chapter 7 analysis of the data collected ,chapter 8 recommendation. An overview of the construction Contracts Construction contracts are generally classified as Oral (when the act will not apply) or written (if the other criteria are met, the act applies). The form of written contracts are again classified into i. A simple exchange of correspondences; ii. A tailor made written agreement; iii. A standard form such as JCT,Fidic etc; iv. Standard terms and conditions of the business. Contract in broader term is defined or expressed as conformity between two or more person i.e individuals, businesses, organizations or government agencies to carryout, or to abstain from doing things in exchange for something of value. Contracts can be oral or written, using formal or informal terms. If one party to the contract fails to live up to its part of the bargain, there shall be a breach and certain remedies for solving this is available. The expressions of the contract who, what, where, when, and how of the contract describe the binding promises of each party to the contract. In other words the significance of the agreement becomes important only when a breach occurs by the counterpart and it becomes necessary to protect the right of the other party (http://law.freeadvice.com/general_practice/contract_law/contract_agreement.htm) and the breach of contract is recognized by the common law and the remedies are available as well. On the other hand, the strongest contract, in terms of enforceability, shall have an offer, acceptance with considerations for the exchange, the terms of such an agreement shall be without ambiguity, and is signed by the parties to the contract who has the proper capacity to enter into the contract. Weaker contracts can be classified as verbal agreements or contracts agreed by parties in direct violation of state or federal laws of the country. There are several aspects related to valid contracts; in fact, an entire course in law school is often devoted to contract law (http://www.wisegeek.com/what-is-a-contract.htm). John Adriaanse (2007) quoting Lord Diplock who classified construction contract as â€Å" the sale of goods, work and labor for a lump sum price payable by installments as the goods are delivered and the work done. Decisions have to be made from time to time about such essential matters as the marking of variation orders, the expenditure of provisional and prime cost sums and the extension of time for carrying out the work under the contract†. He also stated that â€Å"a construction contract is best described as a complex web of competing interests†. At the same time Charles.S. Philip (1999) defining contracts as â€Å"binding agreement between two or more persons or parties construction contracts are defined as agreements, oral or written, executed between Clients and Contractors for construction / maintenance work done for compensation†. In another definition â€Å"we must understand that a construction contract is merely a set of criteria, or expectations, t hat bind the contracting parties† (Gilbreath, 1992) The basic elements of a contract are an offer, acceptance of the offer with considerations. This can even be described as concurrence of wills or ad idem or meeting of the minds of two or more parties (http://www.alway-associates.co.uk/legal-update/article.asp?id=165).Consideration, on the other hand, makes sure that e that something is exchanged. In certain situations, the law requires the consideration to be adequate, which is, a relatively reasonable price, or ostensible, where even a Dirham will do. Contracts may or may not be enforceable by law. The good example is; the agreement between the parent and child cannot be enforceable by law whereas the agreement for a loan probably enforceable by law. On the other hand whether a contract is enforceable by law or not depends on many factors, the primary and most important factor being whether the parties to contract anticipated / intended the contract to be legally enforceable or not. Most of the construction contracts are bilateral contracts, some cases the unilateral contracts becomes bilateral with considerations. Contracts can be bilateral or unilateral. In a bilateral contract, each part makes promise or promises to the other party. A good example is while selling a home, the buyer promises to pay the seller AED 1 Million in return the seller agree / promise to deliver the title of such property. Where as in a unilateral contract only one party to the contract make the promise. A good example is the reward contract. X promise to pay a reward to Y if Y find Xs stolen car. Here Y is not obliged to find Xs stolen car, but X is obliged to pay the reward to Y only if Y finds Xs car. The consideration for the agreement is Ys trust on Xs promise or Y giving up his legal right to anything he wanted at the time he was in the process of finding of the car. Here, conditions precedent to Xs obligation to pay is the finding of the car, although this is not a legal condition precedent as technically no binding contract has arisen until the time car is found (because Y hasnt agreed / accepted Xs offer until he find the car, referring back to the basis of contract as it requires offer, acceptance and considerations), the terminology â€Å"condition precedent† is used in contract law to establish a condition of promise in an agreement. For example, If Y has promised to X to find the car, and X has promised to pay Y when the car was found, Xs offer has been considered as a condition attached to it, and an offer and acceptance have been occurred. This is an incident in which a condition precedent attached to a bilateral contract. In the construction industry, the significance of having a balanced contract agreement has become essential to avoid disputes and to facilitate a smooth administration during the construction period. According to Lord Lathams report 1994, â€Å"constructing the team†, construction is a very unique process, the construction industry is different than the manufacturing and other industries, each project is unique with its nature and conditions, having heterogeneous conditions and situations, however definition of Latham for contracts not limited here, but include the design activities, advise and other legislations (Adriaanse 2007) which specify many details that a construction contract should take care of. Chapter 2 The Importance of using Standard forms of Contract 2.1 Introduction The adversarial nature ([Cheung et al., 2006] and [Cheung and Yiu, 2007]) and inborn risks (El-Sayegh, 2008) of the construction industry contributes to the speedy developments of construction disputes. Construction disputes are originated by many sources (Cheng et al., 2009). One of the main sources is the lack of understanding on the Contracts. Deprived interpretation and poor understanding of the construction contracts make the contracts clauses ([Broome and Hayes, 1997], [Cutts, 2004] and [Styllis, 2005]) and legalese ([Cutts, 2004] and [Candlin et al., 2002]), which results in differences between the parties to the contract on their legal rights and responsibilities. It is to be noted that this statement is justified in a study conducted by Mohamad and Zulkifli (2006), where majority of the contractors reported about the problems in understanding the contract documents. It is to be concluded that contractors need to be well versed in the interpretation and understanding of claus es stated in contracts. Dispute resolution methods at the early stages of disputes are the soft-skill resolution technique, i.e. avoidance (White, 2002), which offers a practical approach to prevent the predictability of conflicts that may occur in a project by understanding the form of contract used. The main objective of dispute avoidance technique is to promote teamwork and to create a harmonious atmosphere (Cheung, 1999). Thus, a proper appreciation of the construction contracts to the stakeholders will prevent a dispute from rotting, although a total elimination may be impossible. The importance of this chapter is to make a improved insight into the need for clarity of contract documents. Furthermore, it will assist contract drafters and experts review and clarify the clauses of the contract form in an understanding way to the parties. After the parties understand and consent to the clauses stated in the contract, the parties would recognize their obligations and contractual rights as required in the contract. 2.2 The need for contract clarity The need for this research comes up out of many conflicts identified in the construction industry due to the usage of different versions of contracts with amendments. A good example is, the senior officials of a leading developer in Dubai alleged that false ceiling collapsed and burst the pipes above the false ceiling at the buildings were related to the supervision problem and lack of access to the project site by the engineers (Developer Eyes ‘supervision authority2007). The engineers were not allowed on site due to some health and safety construction complications at certain times. This resulted inadequate supervision for the works. The problem heated up although the standard contract form clearly points out that the engineer, as being responsible for the overall supervision and direction of the project. Additionally, the Engineers representatives had the right of access to the works and construction site of the contractor (Clause 23 of bespoke Form). An explanation for this dispute was, contractor misinterpreted the conditions of contract and also failed to understand the legal obligations outlined in the contract. Thus, the question of clarity of contract conditions in the contract must be resolved. In addition, the court usually try to find out the intentions of contracting parties using plain, ordinary and popular meanings of the words. Scott vs Wawanesa Mutual Insurance Company brought out the clarity issue to the court attention (1994). The judge held that if the language of an insurance contract is ambiguous, the contra proferentem doctrine applies, that is the rule against the party who impose the inclusion of the ambiguous clause in the contract. On the other hand, if the wordings are unambiguous, the courts would not give any different meaning from what is expressed in its clear terms, unless the contract is highly unfair or hold an effect contrary to the intention of the parties (Duhaime, 2007 Duhaime, L., 2007. Part 7: interpretation of previous termcontracts.next term Duhaime Law, Victoria, Retrieved 22 May 2008, from .Duhaime, 2007). Thus, clarity of contract clauses is very important for the construction industry too. This shows the importance of understanding the c ontract by the contracting parties. Besides, the legalese takes place in the contract. The use of highly formal and technical language in legal documents disturbs interpretation (Feinman, 2003). Legal drafters made most damage by shrouding the mysteries of contracts with complex language and technical legal terms (Cutts, 2004). The deficiencies of legalese are mainly due to the unnecessary length and complexity. Sometimes, there are more serious errors that go unnoticed (Hill, 2001) because the interpretation of the contract clause was not actually written or interpreted in the contract (Thomas et al., 1994). Legalese would result the contracting parties fail to appreciate the contractual rights and obligations in a project (Semple et al., 1994). In the end, it shatters the working atmosphere of the project (Wang and Yang, 2005), resulting claims and delay to the project delivery. 2.3. Understanding the importance of standard form Construction contracts are well written agreements duly signed by the parties to the contract to define their contractual positions, relationships and obligations (Zaghloul and Hartman, 2003). The conditions of the contract are critical to ensure that the parties are put up by rules and regulations (Semple et al., 1994). The reduced understanding of the construction contract usually lead to construction disputes, as highlighted by many researches such as ([Thomas et al., 1994], [Semple et al., 1994], [Broome and Hayes, 1997] and [Mohamad and Zulkifli, 2006]). It is simply because of the reason that the parties could not achieve their contractual expectations (Harmon, 2003). Dubai Municipalitys be spoke forms of contract was followed and amended by various developers in the UAE industry. The origin of the contract can be traced to FIDIC Red Book 1987 standard form of contract. It had several amendments and revisions over the years by many developers and private sector clients in the UAE. The latest version of this form of contract was formulated in 2001 (Dr.Sam, 2004). The old-fashioned language used in it makes it difficult to understand and make the right interpretations. This is mainly due to lack of clarity and use of legalese in the contract clauses. Table 1 and Table 2 give a summary of clarity and legalese problems identified in the contract clauses of this Form. 2.4 History of FIDIC and other Standard forms of Contracts used in UAE Industry The most brilliant designs for any civil engineering or building project would remain in the documents and paper unless turned into reality by operations. This transaction process requires i.e. from the design to the reality requires the selection of the contract that reflects the aspirations of the parties as well as the demands of the successful project. The essential skills required for a Contract Administrator is the selection and management of proper form of contract and for each project, both the key criteria needed to be considered and risks should be identified and allocated, before the selection of the proper form of contract. This can be done from a range of standard forms of contract. In the UAE, the FIDIC form of contract (red book) was introduced in the early 90s for the infrastructure projects by Dubai Municipality, later been followed by many major clients such as Emmar, Nakheel and Damac. The standard form of contract identifies the roles and responsibilities of the parties, their agrents and provides rules to protect direct parties from doing wrong. The selection of the form of contracts depends on various criteria such as the responsibility and position of the parties involved in the contract. For example, factors such as , magnitude and nature of the works, procurement method (Lump sum, Measurement, Cost reimbursement), Design responsibility ( whether by the Employer, Part by the contractor or fully by the Contractor), roles and relationships (Client, Contractor, Design team and Specialists), the type of cost control document used (such as bill of quantities, schedule of rates, priced specification or contract sum analysis),Payment method (stage, time rela ted, turnkey) and Time (Open, fixed, acceleration and Damages). (Martin Brook, third edition, p 33-44) The various such forms of contracts available are JCT written by the Joint Contract Tribunal, NEC New engineering contract, a form recommended by Michal Lathams report (1994) for the use of both public and private sector clients because of its flexibility and written in simple English, ICE provided by the Institution of Civil Engineers, GC/Works/1 for Government Contracts, ACA Project Partnering Contract- PPC 2000, FIDIC..etc. A brief history of the FIDIC form of contract along with available forms are described below as the dissertation is focused on the FIDIC, the most commonly used for both building and Civil Engineering projects in the UAE. The Fà ©dà ©ration Internationale des Ingà ©nieurs-Conseils (â€Å"FIDIC†) organisation was founded in 1913 by France, Belgium and Switzerland. The UK joined only in 1949. The first edition of the Conditions of Contract (International) for Works of Civil Engineering Construction was published in August 1957 having been prepared on behalf of FIDIC and the Fà ©dà ©ration Internationale des Bà ¢timent et des Travaux Publics (FIBTP). The form of the early FIDIC contracts was prepared in line with the fourth edition of the ICE Conditions of contract. One difference with the initially published FIDIC contract was that they were based on the design being provided by the Employer or his Engineer to the Contractor. It therefore became best suited for various civil engineering as well as to various types of infrastructure projects such as roads, bridges, dams, tunnels and utility works such as water, sewerage etc. At the same time it was not so suited for contracts having major items of plant that were manufactured away from site. This led to thought of having the â€Å"Yellow Book† (the traditional one is known as the â€Å"Red Book† it was called as Red book because of the red color of the cover page) published in 1963 by FIDIC for mechanical and electrical works. This had the provisions for testing and commissioning which was more appropriate for the manufacture and installation of plant. The revised (second edition) was published in 1980. The revised editions of both Red book and yellow books FIDIC was published in 1987. A most important feature of the revised edition of Red Book (or â€Å"Old Red Book†)was provision for the Engineer to act impartially while giving a decision or in any action which affect the rights and obligations of the parties, whereas the previous versions assumed this implicitly. Although this talk concentrates on the new FIDIC forms, it should be remembered that the Old Red Book remains the contract of choice throughout much of the Middle East, particularly the UAE. A new form of contract was published (known as the â€Å"Orange Book†) in 1995 for the use on projects procured as design and build or turnkey, dispensing with the Engineer, providing for an â€Å"Employers Representative† who, while determining the value, costs or extensions of times need to: â€Å"determine the matter fairly, reasonably and in accordance with the Contract†. However, in 1999 FIDIC published new versions of the Red and Yellow books together with a Green and silver Books called as the short form of contract and turnkey contracts respectively. One of the significant differences between the 1999 edition and 1987 4th edition was the arguably diminishing role of the Engineer; a fair interpretation is making the Engineer as an assistant to the Employer. The other differences between these two versions will be discussed in the following chapters of this dissertation. Chapter 3 3.1 The important clauses and terminologies needed contract administration and a comparison with the bespoke version selected for the dissertation work During the process of making bespoke versions of contracts by amending the articles of the standard forms shall be done with extreme care as they run the risk of damaging the consistency as well as the integrity of the contract and the other contract related documents. Most of the standard conditions of contracts are developed over many years and been highly complex to deal with the unforeseen problems and legal decisions including statute law and an ever changing world. The contract must state clearly the documents that are having the status of the contractual documents, following are the documents that shall be considered as the contract documents. i. The signed agreement ii. Tender iii. General and particular conditions of contract iv. Drawings v. Bills of Quantities vi. Specification vii. Schedules viii. Program There are certain clauses required in the contract to facilitate the smooth administration of any contracts. The following are the commonly found and essential clauses required in construction contracts between the employer and the contractor irrespective of the forms and types of contracts. A detailed analysis with its importance is analyzed in this chapter for the dissertation purpose. Possession the date by which the employer shall provide possession to the contractor of the site to enable the work to begin, In FIDIC 1987, the commencement of work is described under the clause 41.1. The commencement shall be given with in the period agreed in the appendix to tender and failure to provide possession to the site within a reasonable time is interpretted as the breach from the employer.(CEM course material, Construction Law, chapter..). Under FIDIC 1987, the employer will, with the Engineers notice to commence the works, give to the Contractor the possession of the site (E.C Corbett, FIDIC 4th Legal Guide, p 238-239). Failure to give possession is dealt under clause 42.1, under such circumstances, the Engineer shall, after due consultation with Employer and Contractor determine Contractors entitlement for extension of time and also the associated cost, which shall be added to the Contract price, notify the Contractor with copy to the Employer (E.C Corbett, FIDIC 4th Legal Guide, p 238-239). Hence this clause is essential while drafting an agreement or contract for the administration. Completion The date, by which the contractor shall have the obligation to finish the work, this can be extended under various provisions if the employer or his contract administrator / engineer grant extension of time. Under FIDIC 1987, upon substantial completion of the work, the Contractor serve notice to the Engineer with copy to the Employer for the taking over certificate, and if the work in the view of the Engineer is substantially completed, issue a taking over certificate with in 21days. This is a very essential clause in any form of contract as in the absence of a completion date in the contract; the contractor shall be required to finish the work only within a reasonable time(ref: John Uff..). Non completion this clause shall deal with the situations when the contractor fails to complete the work by the agreed completion date or the extended completion date. If the work is not completed within the specified time, due to any reasons that the contractor is not liable or any concurrent delays, the contractor get the benefit of having an extension time with associated costs. However for Contractors own delay, the contractor shall not be entitled for the entitled for any extension of time, the remedy available in the contract is to make payment to the employer as liquidated damages or penalty as mentioned in the contract. Hence it is very essential to have a non-completion clause in agreements and contracts. Liquidated damages / Penalty Liquidated damages are usually amount is fixed and genuine pre-estimate of the loss in cases of breach, easy to calculate on building or commercial projects, however not easy on infrastructure projects. Whereas penalty is also a fixed amount, the contractor needs to pay this if a breach occurs. However in UAE, the term penalty is applicable as the same is followed in civil court. Whereas, under the English Law, Liquidated damages are applicable, if the sum mentioned in the appendix to tender is penalty and not the liquidated damages, the Contractor under the English law can challenge it, however under the UAE Law Civil code, Article,.. the penalty is applicable. Most of the Countries penalties are not acceptable. Refer, for example, a few leading cases on penalties, Dunlop Pneumatic Tyre Company Ltd v New Garage and Motor Company Ltd [1915] AC 79, 86-87, where the House of Lords recognized the principles on how to decide a damage clause that is actually a penalty and thereby unenforceable. â€Å" This case was cited by the High Court of Australia in Ringrow Pty Ltd v BP Australia Pty Ltd [2005] HCA 71, section 12, and by the Supreme Court of Ireland in ODonnell v Truck and Machinery Sales Limited 1998 4 IR 191. The Supreme Court of Canada has adapted a similar approach in Elsley v. J.G. Collins Ins Agencies, [1978] 2 S.C.R. 916, 946, and does not allow for any recov ­ery of an amount exceeding the actual damage† (J.Frank McKenna (2008) Critical Path. Reed Smith, p1-6). Hence this clause is essential in a contract or agreement. Defects liability- The defects are to be rectified with the period mentioned in the contract. Failure to rectify the defects within a reasonable time will enable the employer to engage a third party to do the work and deduct the amount from the contract sum. Under FIDIC 4th edition, clause 62 deals with the defects liability period. The issuance of the defects liability certificates signals the completion of the Contract and under FIDIC form, such a certificate shall be issued within 28days from the completion of Defects liability period, in both forms of FIDIC 99 as well as in 87 including the bespoke versions, the defects liability period shall not be extended beyond 2 years from the taking over certificate (E.C Corbett, FIDIC 4th Legal Guide, p391-392). Variations any variations should be authorized by the employer before the contractor is entitled for the payment. Variations are common to traditional procurement path than the Design and Build system (Ashworth, 1998). In construction due to the complexity of construction works it is almost impossible to complete a project without changes to the plans or the construction process itself however good and the complete the design details are at the start of the project. Baxendale and Schofield (1996) define variation as any change to the basis on which the original contract was signed. Construction plans are formed form of designs, drawings, quantities and specifications earmarked for a specific construction site and Variations are imminent in any construction project due to various reasons from finance, design, aesthetic, geotechnical, geological, weather conditions to feasibility of construction. Hence it is essential to have a provision to instruct and ev