Lost Essays - , Term Papers, Research Papers

Lost coming to back for something that isn't there you out of nowhere feel you do not mind anymore your once delicate emotions are hard as stone what's more, in your choices you are presently alone pages tore out of your book of life equivalent to being wounded with a butcher blade there's no course, don't have a clue who's the chief you feel alone, you feel so lost from an A to a C understudy you have turned the tore out pages have now been singed you lost your smarts and you lost your brain you understand stuck, an unrivaled kind everything sucks, yet at the same time you attempt to get yourself a plausible excuse some great dirrection should before long be found or then again you'll be six feet underground without an expectation, without a possibility your life is gone in one snappy look you picked an inappropriate entryway and must compensation the expense of being confounded, yet still lost you see a family member, you see a holy person this delightful sight makes you swoon love is overpowering, dread is far out you crush your friends and family, you hold them tight at that point everything out of nowhere starts to blur you end up in a totally different spot at that point a spooky figure approaches you however, his shading is RED, not BLUE your temperature rapidly starts to rise a pool of attacks your eyes you've known about this spot, you realize it well you're stuck down in the pits of hellfire the figure advises you to sin, at whatever point furthermore, not to confide in anybody, never he says to be mean, to talk in revolting words after all the word live is abhorrent spelled in reverse at that point, indeed, things blur in a rush everything at that point turns into all foggy another, brilliant light sparkles at you it's the sort of thing that makes you cry you wake to see the morning sun the dreams and figures you saw are no more it appeared to be so genuine, however I'm happy it's most certainly not since now I'm appreciative for what I have no should be frightened, it was only a fantasy simply calmly inhale, you should reclaim in spite of the fact that you can tell you're home by the morning ice you despite everything have no bearing, you are as yet lost Verse and Poets

United States Vs. India Essay Example | Topics and Well Written Essays - 750 words

US Vs. India - Essay Example The pace of joblessness as indicated by the CIA Factbook was 9.5% in 2009 and 9.1% in 2008 in India. When contrasted with the USA, the joblessness rate is fundamentally the same as for the year 2009 as the nation had 9.4% joblessness yet in 2008, the rate was 5.8%. The ascent in joblessness in the ongoing years in US has been brought about by the financial conditions and the sub-prime emergency. General Motors declared financial insolvency in 2009 and numerous different organizations which utilized a huge extent of the populace additionally shut down. Numerous organizations made lay-offs to diminish costs as their items were not being sold in the market. Numerous financial analysts state that the joblessness that the US faces is regular and will improve with time. The expansion rate in the US at buyer costs was - 0.7% in 2009 and 3.8% in 2008 (CIA, 2010). Interestingly, India had an expansion pace of 9.8% in 2009 and 8.3% in 2008 (CIA, 2010). The pace of swelling is extremely high in India when contrasted with the USA which was negative for the most recent year. This high swelling rate in India represents the popularity of items in the nation and the low rate in US represents the low interest and higher creation in the economy. The US is the biggest center of innovation on the planet with per capita GDP of US$ 46,900 where as the Indian economy has per capita GDP of US$ 3,100 starting at 2009 (CIA, 2010). Both these nations infer the greater part of the GDP from the administrations area and have financial progression arrangements. India has become a notable exporter of programming items and has an edge of low work cost. Albeit the greater part of the work power is independently employed in the farming business in India, however the division just records for 17% of the overall gain of the nation. The US just infers 1.2% of its complete income from horticultural part and 71 % of the income from the administrations division (CIA, 2010). USA has been struck hard by the overall monetary downturn and the nation itself

How Do I Get Over My Fear of Public Speaking

How Do I Get Over My Fear of Public Speaking Social Anxiety Disorder Coping Print How Do I Get Over My Fear of Public Speaking? By Arlin Cuncic Arlin Cuncic, MA, is the author of Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder and 7 Weeks to Reduce Anxiety. Learn about our editorial policy Arlin Cuncic Updated on October 13, 2019 Social Anxiety Disorder Overview Symptoms & Diagnosis Causes Treatment Living With In Children Dave and Les Jacobs/Blend Images/Getty Images Do you have a fear of public speaking? If so, exposure therapy is one avenue for gradually becoming used to public speaking and overcoming anxiety. Public Speaking Exposure Therapy Although exposure therapy is generally conducted by a therapist in the context of treatment such as cognitive-behavioral therapy (CBT), you can also practice exposures on your own as part of a self-help program. The premise behind exposure therapy is that you need to be exposed gradually to the situations that you fear in order to desensitize yourself and reduce anxiety. Standing up today in front of a huge auditorium and giving a speech would not be an example of exposure therapy. Instead, you would take small steps and accomplish small goals that give you confidence and build your strength to handle more difficult situations. Avoidance Behaviors When practicing exposures, it is important not to engage in what are known as partial avoidance strategies. For example, giving a speech but reading directly from your notes and never looking at the audience. Instead, you need to do everything that makes you afraid and nervous; but do it gradually as you become less anxious. One way to practice exposures is to do them in imagined scenarios before tackling the real thing. Doing exposures in real life is called in vivo, which you can build up to when you are ready. Fear Hierarchy Below is a sample hierarchy list of situations that you could progress through as part of your exposure training. Everyone will fear different types of scenarios so it is important to tailor the list to what makes the most sense for you. Remember that you want to start with the situation that causes the least fear and anxiety, and gradually work up to the most difficult scenario. Sample Hierarchy List Read a newspaper passage in front of a friend. Choose a passage that you think will interest a friend or family member and ask if you can read it out loud.Attend a lecture and ask a question. Scan the newspaper for upcoming seminars or lectures and attend one that interests you. Make sure to ask at least one question of the person giving the talk.Ask a question or make a comment during a work meeting. Instead of staying quiet, make a comment or ask a question. This is a great chance to prepare ahead of time so that you can develop confidence and overcome anxiety.Make a toast at a party. If you attend a dinner party, instead of letting the more outgoing guests monopolize the toast process, offer to do it yourself.Offer to present at a book club meeting. Join a book club, and when it comes time for someone to speak about a particular book, offer to do the talking.Give a talk at a school for career day. Offer to go to your son or daughters school for career day and talk about what you d o for a living.Take a class to give a presentation. Find a class that you can take that will require you to do an oral presentation.Take a drama class. Many shy actors took drama courses as a bid to overcome social anxiety. You can do the same and also use the experience as a stepping stone on your fear hierarchy.Take a public speaking course. Enroll in a course specifically about public speaking. Join Toastmasters. Toastmasters is a group designed to help build your public speaking confidence and overcome fears. The purpose of the fear hierarchy is to gradually expose you to feared situations. In order for exposure therapy to work, you must stay in the situations long enough that your anxiety decreases and you become desensitized to the triggering scenario. If you find that a situation is still problematic, stay with it until your anxiety is reduced before moving on to the next one. If your social anxiety, in general, is severe and self-help strategies are not sufficient to reduce your fear, consider contacting a mental health professional or your doctor for a referral. There are effective treatments for SAD, such as cognitive-behavioral therapy (CBT) and medication, that can make a difference in your life.

No Cure for Crohns Disease - 1607 Words

There is no known cure for Crohns disease (CD). However, several treatment options are available to relieve the symptoms associated with the disease, ranging from dietary modification to medication and surgery (Steinhart, 2012). Diet and Nutrition: Nutrition is an important factor for patients with Crohn’s disease, and plays a big role in the management of inflammatory bowel disease and its symptoms by maintaining general health during times of disease activity and remission (Filippi et al., 2006). The nutritional status of patients affects physiological processes including immunity and wound healing, and as a result can influence the occurrence of long-term complications arising from Crohn’s disease (Verma et al., 2000). Although no one dietary factor has been identified as a cause for CD, certain dietary factors may trigger the disease in genetically susceptible individuals, or trigger a disease flare-up in patients living with CD. Subsequently, physicians recommend diet modification as part of the treatment plan, with certain food items to be avoided in managing symptoms. Some patients may have intolerances to specific proteins such as casein, which is found in milk, and gluten, which is found in wheat. By elim inating those proteins from their diet, the patients have lower flare-ups and experience some relief from CD symptoms (Zachos et al., 2007). In clinical practice, patients may also be instructed to reduce their fiber intake through a low-fiber diet. This type ofShow MoreRelatedCrohns Disease is Inflammation in the Digestive System Essay709 Words   |  3 PagesCrohn’s disease is a life-long condition effecting victims of any age. It is considered a form of an inflammatory bowel disease that causes inflammation in the digestive system. The cause of the disease is unknown. The inflammation is due to the immune system attacking the healthy cells throughout the body’s gastrointestinal tract. The exact causes of Crohn’s disease remain unknown, but most believe that factors that contribute to the disease may include genetics, immune system, environment, etcRead MoreResearch Paper on Crohns Disease1064 Words   |  5 PagesResearch paper Crohns disease is an inflammatory bowel disease (IBD). It causes inflammation of the lining of your digestive tract, which can lead to abdominal pain, severe diarrhea and even malnutrition. Inflammation caused by Crohns disease can involve different areas of the digestive tract in different people. The inflammation caused by Crohns disease often spreads deep into the layers of affected bowel tissue. Like ulcerative colitis, another common IBD, Crohns disease can be both painfulRead More Inflammatory Bowel Disease Essay1452 Words   |  6 PagesThe term Inflammatory Bowel Disease (IBD) is a general name given to a few disorders that all fall under the category of inflamed intestines (they become red and swollen.) This is usually due to a reaction the body causes against its own intestinal tissue. The two most common types of Inflammatory Bowel Disease are Ulcerative Colitis (UC) and Crohn’s Disease (CD). Crohn’s disease can affect any part of the gastrointestinal tract; however, it more commonly affects the small intestine or colon. InflammatoryRead MoreSymptoms And Treatment Of Crohn s Disease1306 Words   |  6 PagesCrohn’s disease had a long way to travel before it was given its name. In 1913, Dr. Dalzid was the first to recognize that there was a disease that was different from intestinal tuberculosis (Dr. Crohn, 2009-2015). He noticed this difference, and had a hypothesis that this different disease could be caused by a different bacteria. His scientific guess was that this different disease was caused by mycobacterium (Dr. Crohn, 2009-2015). Yet, all of the test done on the tissue that was taken from patientsRead MoreCrohn s Disease And Its Effects On The Ileum And Colon1658 Words   |  7 Pages Crohn’s Disease David Layfield Anatomy and Physiology II BIOL 2402.23001 Prof. Glenn Kasparian Brookhaven College Farmers Branch, TX 3 May 2017 Table of Contents î ¿ ¿Abstract 2 History 3 Physiology 5 Treatment 6 Bibliography 9î ¿ ¾  Abstract Crohn’s disease is a kind of inflammatory bowel disease primarily affecting the ileum and colon. It was first defined in detail in a paper by Burrill B. Crohn and two colleagues, where it was differentiated from other generic bowel diseases. Although they proposedRead MoreCrohns Disease Essay1159 Words   |  5 PagesCrohn’s Disease was named after an American gastroenterologist, Dr. Burrill Bernard Crohn, in 1932. He and his colleagues discovered an abnormal pathogen, Mycobacterium paratuberculosis while studying a related disease, ulcerative colitis, which belongs to a larger group if illnesses called Inflammatory Bowel Disease (IBD). The discovery was made while studying the effects of ulcerative colitis in cattle and noticing the similar characteristics in humans. The infections had an abnormal responseRead MoreIntroduction to Crohns Disaease and Patients Diagnosis929 Words   |  4 PagesIntroduction to Crohn’s disease and patients diagnosis: The patient was presented to me with diagnosed crohn’s disease, in remission stage. Crohn’s disease is a chronic inflammatory disease of the intestines. Primarily, it causes ulcerations in the small and large intestines but has been seen to affect the digestive system anywhere from the oral cavity to the anus. The disease has no known cure but once the disease begins it proceeds to vary between periods of inactivity (remission) and activityRead MoreLiving With Crohn s Disease1126 Words   |  5 PagesLiving with Crohn’s Disease Sharon is a 17 year old young women, her mother noticed that Sharon had lost a significant amount of weight, and she looked pale and had dark circles under her eyes. Sharon was complaining of severe diarrhea, stomach cramps, and after battling this for weeks she was extremely tired. Her doctor conducted a standard physical exam, and interviewed Sharon about her general health, diet, family history, and environment. Her doctor performed laboratory tests of blood and stoolRead MoreThe Impacts of Crohns Disease on Daily Life722 Words   |  3 PagesAlthough people may believe that disease comes from germs and viruses around them, but with Crohn’s disease that is not the case. Crohn’s is an inflammatory bowel disease that affects the gastrointestinal (GI) tract. This disease can form, inflame, anywhere from your stomach to small intestine. Patients who struggle with Crohn’s usually would need a lifetime of care just to contain the disease; there is still not a cure, but it impacts their daily schedule. Crohn’s is a disease doctors are still to findRead MoreThe Role Of Nutrition Therapy And Crohn s Disease938 Words   |  4 PagesNutrition Therapy and Crohn’s Disease The Role of Nutrition Therapy in Crohn’s Disease According to the Crohn’s and Colitis Foundation of America, Crohn’s disease (CD) may affect as many as 780,000 Americans1. The exact time of the onset of the disease is unknown, but it often starts between the age of 15 and 35 for both men and woman. Currently, the diagnosis, etiology, treatment, and cure of CD remain undefined. However, recent research suggests that hereditary, genetics, and/or environmental

To Consider the Impact of Guilt across the Shakespeare´s...

To consider the impact of guilt across the play Both â€Å"Macbeth and â€Å"An Inspector Calls† by William Shakespeare and J.B. Priestley both explores the impact of guilt on their characters. For Shakespeare whose novel was set in Medieval Times and written in 1606 Jacobean Times, he writes the play for King James 1 of Scotland in order to gain patronage from King. However, Priestley (a socialist) whose novel was 1912 and written in 1945 (the end of WW2), he focuses on a capitalist family in Brumley just to promote the view of socialist to the audience in 1945. Despite the differences of the play, the overall impact of guilt are the same in both play but used in different ways. In this essay I will be focusing†¦show more content†¦Here we see Lady Macbeth calling dark spirits to take away her pureness and give poison just so she could have the power to kill the king showing us she has no guilt, which shows us the non-violent â€Å"female† traits are just as powerful as violent â€Å"male† ones. Also, At the beginning of Macbeth, Lady Macbeth tries to get rid of her guilt before it manifests. For example, Lady Macbeth says ‘Of direst cruelty, make thick my blood’ and ‘That my keen knife see not the wound it makes’. When she says ‘make thick my blood’ she is trying to remove her guilt so she King Duncan. Furthermore when she says ‘see not the wound it makes’, she does not want to be see her guilt and let it manifest so she fearful of her guilt and we can see this develop throughout the play. Lady Macbeth seems to be very sure of herself as if her guilt has been entirely been removed and she does not fear her guilt. For example, she says ‘And dash’d the brains out, had I so sworn’ and ‘But screw your courage to the sticking place, And we’ll not fail’. When she says had I so sworn she believes she would dashd the brains out and that suggests her guilt may have been removed and she is un able to feel remorse for her part in committing regicide. But, she says well not fail, showing that she is very clear and sure that she can carry out the deed. Shakespeare is linking this to the â€Å"Gunpowder Plot† just to

The Glass Menagerie What Sort Of Atmosphere Is Created and How Is It Achieved In The Opening Three Scenes Free Essays

There are many factors which can contribute to the pervading atmosphere of any play. But in this play there are peculiar, original ways in which Williams’s goes about this. The Glass Menagerie would seem like a harder play to create a dense atmosphere for because of the small amount of characters and the only one setting. We will write a custom essay sample on The Glass Menagerie: What Sort Of Atmosphere Is Created and How Is It Achieved In The Opening Three Scenes or any similar topic only for you Order Now A major difference in this play is evident directly from the beginning. This is the narration that the audience is given by one of the main characters, Tom. It is strange because once his narration is given, Tom jumps directly into the dialogue. This resembles very much a film, because with camera and voice over techniques the narration is made a lot easier. We also know that Williams started by writing screenplays and so this use of Tom would have come from his Hollywood experiences. The mood created by Tom is ambiguous and it depends on the reader. The social history which is described by Tom, â€Å"†¦ the huge matriculating in a school for the blind†¦ is in the negative while the vivid description of the play is written in a very melancholy but interesting tone, â€Å"†¦ it is sentimental†¦ † Williams gives very strict stage directions and this can only contribute to the atmosphere, even without lines being read. â€Å"Atmospheric touches and subtleties of direction play a large part†¦ † the opening description of the set and how it should be set out is one of the largest factors of atmosphere. Williams uses words and phrases such as â€Å"dark, grim rear wall†¦ † and â€Å"murky canyons of tangled†¦ inister lattice work†¦ † With directions like this, the modern director is obviously going to create a almost gothic picture of scary darkness, and it is because of these directions that atmosphere is formulated so easily. The fact that this is â€Å"a memory play† automatically gives atmosphere to the audience. Even Williams himself tells us that â€Å"this play can be presented with unusual freedom from convention† is allowing the director to cut the strings a little and maybe take the play into areas which might have a greater effect on the audience. A good example of this is found in the directions also, â€Å"memory is seated predominately within the heart. † The immotive and exaggerated nature of the play will no doubt transfer to the atmosphere. The use of the screen is also a large part of the atmosphere. It is a very unusual device and it is obvious that because of his film experience Williams has included the screen. So he is capable in some ways of being able to manipulate the play in similar ways to a film. For example, a film can suddenly cut to a completely different place, with different characters. The screen allows extra freedom with emotions. It also compliments very well the â€Å"memory† aspect of the play in which actions or scenery can be unnatural. It can be said that the screen has a symbiotic relationship with the memory, we know as humans that memory is not straightforward and direct, and that the mind can paint wonderful pictures. It is this sense of mind, which the screen adds to the atmosphere. How to cite The Glass Menagerie: What Sort Of Atmosphere Is Created and How Is It Achieved In The Opening Three Scenes, Papers

Islamic Banking Islamic Approach

Question: Describe and Discuss about the Case Study for Islamic Banking and Islamic Approach. Answer: Introduction The Muslim population covers nearly 25% area of the total world and the accounting system is also considered differently according to the Islamic approach. The Muslims have to manage the accounts according to the principal of the Islam and for this, they need a well determined system which is known as the AAIOFI. The Islamic accounting can be considered on the different level with different and specific meanings. In the first aspect, the Islamic accounting system may be affected by the religious aspects. By the religious impact, specifically Pakistan have to maintain their specific accounts and they also have to manage their financial aspects wisely. Secondly, the rules defined by AAIOFI may be different from the rules on the international level. Finally, the Islamic accounting system can only be imposed on those countries which are considered as the Muslim dominating countries. Pakistan followed all rules related to it, so these rules are also imposed on Pakistan too. By considering all these aspects, the AAIOFI can be imposed on the Islamic country (AAOIFI Team, 2015). The research paper shown below mainly covers the various aspects related to the development of the Islamic accounting system in Pakistan. Along with this, the findings related to the difference between the traditional and the conventional system of the accounting is also discussed thoroughly. The research paper also covers the literature review, appropriate research methodology, research questions followed by the conclusion and the recommendations. Literature Review The Islamic Accounting System and the AAIOFI are considered as the wide topic to be discussed. There are various researchers and the philosophers identified who present their individual views on the particular topic. In one of the journal, the author defined the cultural paradigm and the synopsis related to the cultural aspects thoroughly. According to the Stefana Dima, Dalia David and Pausiana, it is clearly defined that the AAIOFI possess some unique standards with them. The Islamic accounting system possesses the different views on the particular aspect. The Islamic accounting can be understood on the religious level. The Islamic identity can only be applied to the Muslim dominating country and the Islamic accounting may also possess the difference in aspects in comparison to the international accounting system. In short, this research paper will be helpful in reflecting the different perspectives related to the Islamic accounting in Pakistan. Similarly, in another research paper, the key players in the growth and development of the Islamic Accounting System in Pakistan are also defined on the wide level. In this research paper, it is also defined that the Islamic accounting system is also influenced by the Shariah Law, which is the most prominent law in the Pakistan and other Islamic countries. The Shariah laws are based on the Islamic teaching the learning standards and in fact, the banks and the organization in Islamic countries also believe in implementing the laws in the Islamic Accounting system of Pakistan (Yaquby, Eshaq, Barwari, 2015). Imtiaz Badshah, Frode Melvin and the Konstantin Timoshenko highlighted in their journal the role of religion in the accounting system. The author defines that there are various factors which can influence the Islamic Accounting system of Pakistan named as the legal system, economic and the political system, taxation, international and the political system, but the most dangerous system which is also least noticeable is the religious factor (Badshah, Mellemvik, Timoshenko, 2013). The religious factors affect the working strategy and the functioning of the Islamic Accounting System and in fact, the religious factors also play the important role in shaping the central government accounts policies too. As Pakistan is also considered as the Federal Republic of Pakistan, so Islam is also adapted as the State religion. By assuming these literature reviews on the individual level, the more clarity to the topic can be defined. Research Questions What growth and development have been identified in the Islamic accounting system since its initiation? What are the major differences observed between the traditional Islamic Accounting system and the conventional or the modern accounting system? Growth and developmental aspects of Pakistan The developmental aspects of the Islamic accounting system are discussed on the broader level. From the initial level to the top level, there are various changes which have been observed in the accounting system. There are various standards related to the AAIOFI are mentioned. But according to the growth perspectives and the adaptation by the government of Pakistan the standards are selected. In different years, well -defined system has been introduced. Like in 1997, the project for the improvement of the financial reporting and auditing has been introduced. In year 2001, the controller general of the accounts and the ordinance is introduced and in year 2004, the new accounting model has been introduced (Sharairi, Islam, Harun, 2013). The adaptation of the standards as per the requirement are helpful in changing the phase of the Islamic Accounting system in Pakistan. The new accounting model has possessed the various charts and the codes to define the recording of the transactions o f the financial years. This model makes the system more specific and prominent through which the requirement related to the cost accounting can be assessed. There are some specific standards of AAIOFI also which are adapted by the organizations of Pakistan. The State Bank of Pakistan (SBP) adapted some of the standards from the AAIOFI which are mentioned in the paragraph defined. The defaults in payment by debtors, Murbaha to the purchase orderers, Sales and leaseback, Mudarba and the Termination of the contract. As the various standards are defined in the AAIOFI, so it becomes essential for the organizations of Pakistan to select only those standards which are required by them. By this, the suitable structure of the organization can be managed easily. There are other improvements which have been observed in the Islamic accounting system. With the introduction of the accounting system in the Pakistan, the use of the traditional bookkeeping approach has also been reduced. Rather than this, the computerized and the technical methods are adopted to prepare the records and the accounts for the process to be completed. For the development and the growth of the organization, the AAOIFI also prepared some of the growth plans for the shareholders and the Islamic bank managers. By this, the managers and the shareholders also contribute in the coordinated manner and also provides the most advanced and the upgraded system for the improvement in the accounting system. In fact, the accounting system is totally based on the Shariah law and has also been influenced by this law only (Deloitte Global Services Limited, 2016). According to the developmental perspectives, the Accounting system developed and practiced in the Islamic state is divided into 7 major types. These systems are the Stable accounting, Rice farm accounting, construction accounting, Mint accounting, and sheep grazing accounting, treasury accounting and the warehouse accounting. The selected standards of the AAIOFI take into consideration as per the requirement. The development of the accounting system in these seven differently identified perspectives has been helpful in increasing the mode of transactions and defined the money processing in the short span of time. To explain the developmental aspects from the growth point of view, the basic difference between the two is defined below (Zawya, 2014). Traditional vs Conventional Accounting system The traditional system of the Islamic accounting system has been initiated through the well-defined system of managing the business and accounting in the country. The new methods of trading and growth are being identified with the help of the traditional system (Ashfaq, Younas, Usman, Hanif, 2014). But, to develop the appropriate and professional system of the Accounting in the country, it is essential to introduce the most advanced system of the conventional Accounting system. The newly developed conventional system is the only solution for the development and the growth of the Islamic accounting system in Pakistan. The major difference which can be discussed between the two is related to the changes in the operational aspects and sharing of the information. In the traditional system, the information sharing to the stakeholders is not considered as an essential process. But in case of the modern system, the stakeholders shows a wider knowledge of the investment (Islamic Banker Limi ted, 2016). This change is considered as the great source of development in the Islamic Accounting system of Pakistan.Similarly, the strategic approach of sharing the information among the stakeholder is also being considered important. In case of the traditional system, the management and the accounts department associate with an idea of accounting system, but in the modern system, all the departments are concerned with the accounts department (Mohamed, 2006). By this, the coordination of the accounts department with the other departments can be maintained thoroughly. Research Methodology Research Methodology is the strong pillar which will help in providing the suitable outcomes as per the requirement of the research. So, it is essential that the selection of the research methodology should be done in a well- defined manner. The quantitative approach is quite helpful and well suited in this scenario. So, the most suited type of research methodology is named as the quantitative type of the research methodology. For identifying the views of the different people in identifying the various standards related to the AAIOFI, it is essential to conduct the appropriate survey. The best method to present the quantitative research is to collect the data from the bankers and the employees who are working in the banks of Pakistan. They can able to provide the best suited and the result oriented data. The data can be gathered by preparing the suitable questionnaire or by preparing the appropriate forms which can be filled by the bankers to provide the suitable answers. After gathering the data, the data can be analyzed either by the primary data analysis or the secondary data analysis. In Primary data analysis, the various questions can be framed and the output can be shown by the various graphs and the pictorial presentation. The secondary analysis method uses the sources from the internet to define the standards of the AAIOFI in Pakistan. In contrast to adapt the quantitative data, it is essential to prepare a well-organized questionnaire so that the main aspects can be defined in a fruitful manner (Iasplus Team, 2014). Other than preparing the questionnaire, the other methods can also be adapted for the suitable quantitative analysis. For defining the appropriate aspects related to the research some of the questions are framed below: - What growth and development will be defined in the Islamic Accounting system? Effective increment in the cost. Modern technical improvement Categorization of the Islamic Accounting System Other Which system is the more suitable for Islamic Accounting System? Conventional system Traditional System Both May be conventional or Traditional What are the limitations related to the Islamic Accounting System? Limited to Islamic rules of Sheriah Approaches are different from other accounting system Can be applied by Muslim dominating country Other While doing the quantitative analysis, the mathematical, numerical and the statistical analysis of the collected data can be done thoroughly. The quantitative methods can easily be used for the descriptive and the experimental aspects of the process. The flexible process of analysis and the highly developed system for the data processing will be provided. By the help of this, the most suitable results can be generated on the large scale. Findings Through the findings, the major aspects related to the topic have been assessed. The findings cover the growth or the developmental aspects along with the role of the traditional and the conventional Accounting System in Pakistan. With the help of the charts defined in the methodology, it is also clear that the qualitative approach will be best suited for presenting the current aspects related to Islamic Accounting System Pakistan. Conclusion and Recommendations By studying the various aspects related to the Islamic accounting system i.e. AAIOFI, it is clearly shown that it helps in providing the various helpful aspects of the organization existing in Pakistan. But, according to the research, it is also clear that the institutes like the Audits and Accounts training institutes and the Pakistan Institute of Public Finance and the Accountants (PIPFA) do not prefer any course related to the cost accounting and the financial aspects. This reveals that in some cases, the Islamic organization also prefers the heterogeneous approach of the accounts rather than pursuing the homogeneous approach for the accounting system. The involvement of the Non-reliable and the Non- transparent account in the Islamic accounting system is continuously hindering the growth aspects of the organization. The development of the country is also hindered by this system and the new approaches for the growth are also difficult to recognize. The introduction of the new model of the accounting system is helpful in reducing all the major errors related to the accounting system in Pakistan. But, to continue the developmental aspects in the country, it is essential to adapt the modern methods and the techniques of the growth for the organization who are adapting the various AAIOFI standards. There are various aspects and the recommendations provided to implement the suitable Islamic Accounting System in Pakistan. Though the standards provided by the AAIOFI are broadly defined and highly appreciated by the western countries, but still some improvements are required for the development of the Islamic Accounting System of the Pakistan. The consistency in the growth and development of the Islamic Accounting system in Pakistan is required. For maintaining the consistency, it is essential to manage the integrity of the AAIOFI standards which are followed by the Pakistan. It is also recommended that the new approaches for the conventional system should also be identified, so that the implementation of the conventional system can become easier in reference to the Islamic Accounting system. If the appropriate implementation can be done, then the Accounting System will become more transparent and easier to understand. The drastic changes can be observed in the developmental aspect s of the Islamic Accounting system. By following these recommendations, it would become easier to change the actual stage of the Islamic Accounting system in Pakistan. Other than this, there are various minor changes which are helpful in making the Islamic Accounting System more vibrant and cooperative. Bibliography AAOIFI Team. (2015). AAOIFI official website. Retrieved from https://aaoifi.com/?lang=en: https://aaoifi.com/?lang=en Ashfaq, K., Younas, S., Usman, M., Hanif, Z. (2014, October). Traditional Vs. Contemporary Management Accounting Practices and its Role and Usage across Business Life Cycle Stages: Evidence from Pakistani Financial Sector. International Journal of Academic Research in Accounting, Finance and Management Sciences, 4(4), 104125. Retrieved from https://hrmars.com/hrmars_papers/Article_11_Traditional_Versus_Contemporary_Management_Accounting.pdf Badshah, I., Mellemvik, F., Timoshenko, K. (2013). ACCOUNTING FROM A RELIGIOUS PERSPECTIVE: A CASE OF THE CENTRAL GOVERNMENT ACCOUNTING IN ISLAMIC REPUBLIC OF PAKISTAN. Asian Economic and Financial Review, 03(02), 243-258. Retrieved from https://www.aessweb.com/pdf-files/243-258.pdf Deloitte Global Services Limited. (2016). Islamic accounting. Retrieved from https://www.iasplus.com: https://www.iasplus.com/en/resources/topics/islamic-accounting Iasplus Team. (2014, December 30). AAOIFI issues new accounting standard. AAOIFI issues new accounting standard. Retrieved from https://libguides.usc.edu: https://www.iasplus.com/en/news/2014/12/aaoifi-1 Islamic Banker Limited. (2016). AAOIFI Standards. AAOIFI Standards. Retrieved from https://www.islamicbanker.com/education/aaoifi-standards Mohamed, S. A. (2006). Islamic Accounting. CERT. Retrieved from https://www.ibfim.com/img/kmc/bookshoppe/islamic-accounting.pdf Sharairi, M., Islam, J., Harun, H. (2013). A History of the Development of Islamic Accounting Standards: An Investigation of the Influence of Key Players. 9th Asian Business Research Conference. BIAM Foundation, Dhaka. Retrieved from https://www.wbiworldconpro.com/uploads/dhaka-conference-2013/accounting/1394963123_104-Jesmin.pdf Yaquby, S., Eshaq, S., Barwari, S. (2015). AAOIFI SHARIA STANDARDS. BIBF. Retrieved from https://www.bibf.com/images/apps/Sharia%20Standards%20of%20AAOIFI.pdf Zawya. (2014, December 02). Accounting and Auditing Organization for Islamic Financial Institutions. Accounting and Auditing Organization for Islamic Financial Institutions. Retrieved from https://www.zawya.com/mena/en/company/1000227/

Market opportunities of IKEA in USA

Ancient Scottish myths and legends essays

Ancient Scottish myths and legends essays Since long before written records, cultures have been passing stories on down throught the generations by word of mouth. Stories for entertainment and some to answer meaningful questions. Luckily somewhere along the line people began to write their stories down, which gives us the chance to research and confer about them and what they contain. Mainly for entertainment purposes, ancient storytellers created the beings we know as monsters. These sometimes scary beasts came in many forms, such as giants, cyclops or even the seductive Baobhan Siths. Giants appeared in the story of "Lod the farmer's son" in which a boy, Lod, begins work as a cattle herder and ends up saving the cattle from a family of Giants, "He was not long in the thicket before the hillside shook with a mighty tread, a terrible giant came before him." The Baobhan Siths were female monsters that dwelled in the woods of the highlands, they were ghost-like vampires that would take the shape of beautiful women and invite men to dance with them so to drink their victims blood. In the story of "How Fionn found his Sword," a cyclops appears but does not make a big scene for he is only an inconsequential character in the story. One thing that is used many times in older stories is the idea of mystical creatures or beings. By using these creatures the author could explain things that were not so easily understood during this period of time. Characters who possessed magical powers such as elves popped up every now and then in these stories. One of these type of characters were the "Little folks" in the story of "The Piper of Keil," for example in this quote from the story, "In Kintire there is a great cave... long ago this cave was home of the little people." In the story "Thomas the Rhymer," Thomas meets a beautiful Queen, but she is an Elfin queen so he must do her bidding for so long if he is to kiss her as he wished. There was also the sighting of another Elf...

The calculations for the capital gains tax Case Study

The calculations for the capital gains tax - Case Study Example The calculations for the capital gains tax are shown in the appendix. From the calculations it may be observed that it is advisable to sell off the business building before 05th April 2008 as you can avail the indexation allowance and taper relief which are no more available. It may be noted that the indexation and taper relief are the allowanced granted by the government to provide for the increase in the asset value due to inflation (Chris Horne). In case you decide to sell of the property after 05th April 2008 you many have to pay higher CGT of 18,000. However in the case of the personal paintings since they have been acquired only in the year 2005 they do not stand eligible for any allowances and the capital gains will simply be the difference between the sale proceeds and the cost. Hence in this case it is advisable to sell the paintings after 05th April 2008 as the CGT on the chargeable gains can be paid at lower tax rate of 18 percent. Income from employment is subjected to income tax as well as Class 1 National Insurance Contributions NIC). Payment of the Tax and NIC are normally undertaken by the employer through the PAYE system. However the employee who has other incomes subjected to tax and whose tax is not fully paid by the employer may complete a tax return and pay the NIC. Contributions to NIC are being made by both the employer and employee. The employee has to make contributions to NIC at 11percent or 9.4 percent between the primary threshold limit and the upper earnings limit. A charge of 1 percent is payable for earnings above the upper earnings limit. No NIC is payable by the employee or employer on the earnings up to the primary threshold limit. Depending on whether the employee is within the State Second Pension (S2P) or whether he has contracted out using a final salary (FS) or money purchase scheme (MP) the rates of NIC payable on earnings are determined. Particulars Contracted in Within S2P Contracted Out Other than S2P Primary Threshold to Upper Earning Limit 11.0% 9.4% Above Upper Earning Limit 1.0% 1.0% As per the calculations shown in the appended income statement assuming that you have contracted out of the state pension scheme, you may have to contribute 9.4 percent of 23,760 i.e. 2233.44 towards the National Insurance Contribution. Additional Tax Burden on Cigarettes and Wines We understand that you and your wife are both heavy smokers and drinkers. Beware that the budget for the year 2008 has put additional tax burden on the cigarettes, wine, and beer to the extent of 0.14p on a bottle of wine, 0.4p on a pint of beer and 0.11p on a pack of cigarettes and to this extent the cost of these items would go up. We do hope you will revise your consumption of these items in view of increased burden on your income. Other Tax Credits The budget for the year 2008 has made the following changes in other Tax Credits for which you are entitled. Tax Credits 2007-08 2008-09 Child Tax Credit - Family Element 1,845 2,085 Working Tax Credit - Basic 1,730 1,800 Married Couple Allowance 2,440 2,540 We have provided

Argument essay on achievement gap Example | Topics and Well Written Essays - 750 words

Argument on achievement gap - Essay Example The issue needs to be resolved because despite of many efforts, an analysis of the different states in 2011 revealed that there were still five states in America where this achievement gap had increased since 2003. This analysis explained that an effective policy for overcoming this issue is needed in the country (Johnson 11; Lynch). The achievement gap is a matter of concern as it affects a large number of American students and this issue needs to be addressed with strong and effective strategies for the improvement of the educational system of the country. The achievement gap has been observed not only in primary and secondary schools but it has also been seen in children during their kindergarten years. A further analysis of achievement gap in minority groups has revealed that this gap is known to exist in schools even if the economic status of the all the students is the same. This means that each cause of an achievement gap is independent and it is not essential that students co ming from good economic backgrounds would be saved from this issue (Williams 26,27). According to an analysis done by the National Assessment of Educational Progress in 2007, it was seen that white students were better achievers in reading and math tests which were conducted in the fourth and eighth grade (Lynch). Thus, these surveys and reports indicate that the achievement gap is a grave issue and needs a thorough assessment. This is because considering the statistics of the immigrants in the country; it can be judged that this gap would rise if it is not tackled. This can be assessed as statistics reveal that from the year 2000 till the year 2050, the number of whites would reduce in the United States to 49 percent from 68 percent and the Latinos would form 40 percent of the America population. In a similar trend, the African Americans would rise by 1 percent whereas the Asian population would surge by four percent (Haller). The optimal way to overcome this achievement gap in the country is the formulation of effective instructions and interventions for the students. The achievement gap reduction can be achieved by providing improvement at three levels. These include classroom interventions, targeted interventions and intensive interventions. The most important of these is the classroom intervention where eighty percent of the students of the class learn. The students should be encouraged to learn and study and should be motivated to avoid failing in class. With this, the other interventions should also run side by side for students who are in need of them. For example targeted interventions should be carried out for approximately fifteen percent of the students who have failed to achieve good grades due to their socioeconomic status or due to having difficulties in learning English and reading. Intensive interventions should be saved for students who are not motivated despite of classroom and targeted interventions and do not seem to be interested towards the improvement of their education. These students should be handled individually by a team of instructors and psychologists. This three level process is the most optimal way to overcome the achievement gap in the country (Johnson 12,13). The program focusing upon interventions has not been practiced in the United Sta

Appraisal And Evidence Synthesis Of Two Reviews

Appraisal And Evidence Synthesis Of Two Reviews Select two reviews of your choice. One should be a Systematic Review and the other a Traditional Selective Review. Critically discuss the quality of your reviews with respect to a standard assessment tool suitable for reviews. The aim of a review is to give an overview of the primary studies of a particular subject and analyse them in a way, which is thorough, unbiased and reproducible, should it be repeated. about the gathering of the primary data that is being reviewed. A systematic review is a method of synthesising primary research and studies. It is based on having a clearly formulated question that uses systematic and explicit methods to identify, select and critically appraise relevant research, and to collect and analyse data from the studies that are included in the review (Cochrane Collaboration Glosasry, 2010). It also uses an objective and transparent approach for research synthesis, with the aim of minimizing bias. Statistical methods known as meta-analysis may or may not be used to analyse and summarise the results of the included studies (Wiesler McGauran, 2010). Systematic reviews differ from narrative reviews. A narrative review differs in that the question being answered is usually less specific and has a wider focus of interest (Cook et al, 1997). A narrative review may look more at the interaction of variables within a problem or the development and management of a problem, while a systematic review will usually focus on a specific and answerable question; therefore have a clear defined outcome that it is gathering evidence about. A narrative review summarizes different primary studies from which conclusions may be drawn in to holistic interpretation contributed by the reviewers own experience, existing theories and models with results having a qualitative rather than a quantitative meaning (Campbell Collaborative, 2001; Kirkevold, 1997). As with all types of research reviews both systematic and narrative need to be appraised for their relevance and value to the subject it relates. A number of tools have been developed to help with the process of critically appraising of research. For the purpose of this assignment, the tool that will be used was produced by the Critical Appraisal Skills Programme (CASP), defining questions and prompts to assess the review, based on questions developed by Oxman et al (1994). This is an appraisal tool that assesses three main issues; is the study valid? What the results are and whether those results help locally. The aim of this tool has been designed to answer these questions in a detailed and systematic manner. Furthermore, this tool has been selected as it has been specifically designed to support evidence-based practice in health and social care (Public Health Resources Unit, 2006) and therefore it forces the reviewer to also consider the perspective of the patient and it is of relevance to the articles that have been selected here. The systematic review to be used for this assignment is Gava et al (2009) Psychological Treatments Versus Treatment as Usual for Obsessive Compulsive Disorder. This review was chosen from The Cochrane Library, as the systematic reviews here have all been carried out using precise methodology, are updated in line with new research and are specifically intended to help anyone involved in healthcare, including patients (The Cochrane Collaboration, 2010). The narrative review to be considered will be Abramowitz et al (2001) Cognitive Behavioural Therapy for Obsessive Compulsive Disorder: A review of the treatment literature. This review was found in a search on the CINAHL database. The CASP tool to be used is specific to systematic reviews (PHRU, 2006); however it will be adapted here to also appraise the narrative review. The ten questions asked in the CASP tool will now be considered. Did the review ask a clearly focused question? Liberati et al (2009) stated that authors should always identify their report as a systematic review or meta-analysis. Although sensitive search strategies have been developed to identify reviews, inclusion of the terms systematic review or meta-analysis in the title may improve indexing and identification (Montori et al, 2005). Furthermore, the title of a systematic review should be informative making key information easily accessible to the reader. This should include reflecting PICOS approach (participants, interventions, comparators, outcomes and study design) providing key information about the scope of the review (Liberati et al, 2009). The systematic review used for the purpose of this assignment was Psychological Treatments versus Treatment as Usual for Obsessive Compulsive Disorder (OCD) (Review). This title failed to provide details of any participants or settings. The intervention and comparator are given as psychological treatments and treatment as usual, however, these had not been clearly specified and details of the outcome measure had not been provided either. Furthermore, the title simply stated review. Such terms do not enlighten the reader whether the review was systematic or whether a meta-analysis was performed (Liberati et al, 2009). Therefore, it has to be noted that the review failed to ask a clearly focused question. The narrative review of the Abramowitz et al (2001) study was Cognitive-Behavioural Therapy for Obsessive Compulsive Disorder: A review of the treatment literature. As with the systematic review this paper also failed to use the PICOS approach, nevertheless, as a narrative review summaries the research more generally, these details may not even be appropriate (Cook et al, 1997). In this review the intervention was specified as Cognitive-Behavioural Therapy (CBT) and it had been clearly indicated that this was a traditional review. Even though the question was not clearly focused, the author does provide the reader with an insight as to what the article contains. Did the review include the right type of study? The studies discussed in the systematic review included looking at any psychological treatment compared to any treatment as usual for adults with OCD, which appeared to be appropriate for answering the research question. All of the included studies were randomised controlled trials (RCTs) which appeared to be an appropriate study design with the focus being on the effectiveness of interventions (Hill Spittlehouse, 2003). However, by including RCTs only and excluding other forms of research, this may result on limiting the conclusions drawn in the review. This appears of particular relevance to healthcare where qualitative forms of data, such as patients experience of an intervention, should be considered of great importance (Petticrew, 2001). The studies discussed in the narrative review also seem to address the question as research carried out on CBT for OCD was drawn upon. It also stated that the review focused particularly on exposure and response prevention treatment. This decision appeared to reflect the authors own interest rather than a thorough search of the available literature, which may lead to some form of bias being introduced. The review draws largely upon RCTs and meta-analyses, which may be appropriate as the focus of interest was effectiveness (Hill Spittlehouse, 2003). However, limiting to the inclusion of only this research design and in a narrative review, it would seem that a range of research could have been incorporated easily as this review appeared limited from not having done so. As explicit details of each study used were not provided, other methodology could have been included but not clearly described. Did the reviewers try to identify all relevant studies? To help identify all potentially appropriate research, a thorough literature search must be conducted in order to carry out a systematic review. This involves not only searching electronic databases, but also checking the reference lists of any selected articles in order to identify further research (Greenhalgh, 1997b), searching for non-English language research and unpublished research ( Centre for Reviews Disseminations, 2008). This helps to reduce any bias in research that is published in non-English languages, as research showing significant results tend to be published in English journals. Furthermore, by having English publications only may have a greater impact on the results than there actually was. By searching a number of various electronic journal databases, reference lists, unpublished and ongoing research and also research in non-English language indicated that Gava et al (2009) attempted to conduct a thorough literature research. There were no details or information provided to indicate how the studies were obtained or how the search was conducted for the narrative review. Even though researches from other countries have been referenced, no indication has been given whether this was taken from non-English language publications. Emphasis has been placed on research into exposure and response prevention therapy and the authors own work has also been cited. This however places some aspect of bias on the review as the reviewer has a clear interest in the topic currently being reviewed. Did the reviewers assess the quality of the included studies? The Gava et al (2009) systematic review describes rigorous quality assessment. A pre-determined scoring system was used which should help to reduce bias by making quality criteria objective and unrelated to the outcomes of the research (Greenhalgh, 1997b). To help reduce the chances of any bias emerging, quality assessments were carried out by two authors independently. However, it must be noted that all articles were included regardless of their quality standard. Furthermore, it has been suggested that not all the authors made the method of randomisation used explicit and they were not always blind to the allocation. Abramowitz et als (2001) review does not mention any formal quality assessment. It must be noted that some informal judgements have been made. Furthermore, it has been noted that some of the research discussed in the review failed to be conducted to a high standard as reference was made to the use of control groups where comparison treatments used was known to be of no benefit to sufferers of OCD. This is unethical as participants allocated to the control groups would have received ineffective treatment which would have had an impact on the results as participants in these groups would have experienced higher anxiety levels and frustration making gains in the experimental group appear much higher. As narrative reviews do not normally employ pre-defined quality assessment tools, research included is likely to be of inconsistent quality and is more at risk of bias (Cook et al, 1997). If the results of the studies have been combined, was it reasonable to do so? Results of each study used can be combined in a systematic review to increase the sensitivity to significant results (Crombie, 1996). However, this should only be done when the studies and their results are similar enough to make the combination of findings meaningful (Crombie, 1996). The Gava et al (2009) review did combine the results of all the studies reviewed. The results of each study were presented in a forest plot showing the mean, standard deviation and confidence interval for each. Heterogeneity was also considered both by eyeballing the data and also by statistical analysis, which found no significant differences in the main analyses, but did find significant differences on some of the secondary analyses. General reasons for heterogeneity were discussed at the start of the paper, but the specific heterogeneity found was not discussed in great lengths. Furthermore, a weighting system was used to combine the results. This means that in the analyses stages studies displaying lower level quality were then given a lower weight making this an effective method for including such studies. The Abramowitz et al (2001) review did not combine the results of all the studies reviewed. In general terms the CRD (2008) state that the intentions of a narrative review is generally to provide a summary of relevant research rather than to synthesis or re-analyse. Furthermore, they also state that this could lead to further biased conclusions based on the reviewers own opinions rather than on stringent analyses that could be recreated by other researchers. How the results presented and what are the main result? In the systematic review, the results have been presented in the body of the text and also as in forest plots. CRD (2008) state that results should be expressed in formats that are easily understood. The most commonly used graphic is the forest plot as it provides a simple representation of the precision of individual and overall results and of the variation between study results (CRD, 2008). The results indicated that psychological treatments led to more improvements in OCB symptoms than did treatments as usual. Improvements in dropout rates, quality of life, anxiety and depression levels in both psychological and treatment were also taken into consideration. Psychological therapy was broken down further to look at the variables being expressed, the mean differences being calculated for continuous variables, but it also took into consideration and reported on the individual effects of CBT, Cognitive Therapy and Behaviour Therapy. Abramowitz et al (2001) review also discussed results for each study reviewed. This indicated that exposure and response prevention were both effective therapies for OCD. However, since no statistics had been used then it was not possible to assess how large and significant the results were without referring to the original research. The research presented tends to be interpreted in favour of exposure and response prevention therapy, even with the results appear to suggest little difference (JÃ ¼ni et al, 2001). The conclusions drawn here are based on the authors own opinions and could have been subjected to biased interpretation of results or detection bias (JÃ ¼ni et al, 2001). How precise are the results? The use of confidence intervals in systematic reviews gives the reader an idea of how precise the results can be considered to be (Hopkins, 2001). Confidence intervals describe the range within which a result for the whole population would occur for a specified proportion of times a survey or test was repeated among a sample of the population. Confidence intervals are a standard way of expressing the statistical accuracy of a survey-based estimate (Young Bolton, 2009). The confidence interval expresses the uncertainty around the point estimate, describing a range of values within which it is reasonably certain that the true effect lies; wider confidence interval reflects greater uncertainty (CRD, 2008). Where a 95% confidence interval is reported then we can be reasonably confidence that the range included the true value for the population as a whole. Formally we would expect it to contain the true value 95% of the time (Young Bolton, 2009). Although intervals can be reported for a ny level of confidence, in most systematic reviews of health interventions, the 95% confidence interval is used (CRD, 2008). Eight studies (11 study comparisons) were identified, all of which compared cognitive and/or behavioural treatments versus treatment as usual control groups. Seven studies (ten comparisons) had usable data for meta-analyses. These studies demonstrated that patients receiving any variant of cognitive behavioural treatment exhibited significantly fewer symptoms post-treatment than those receiving treatment as usual (SMD -1.24, 95%, CI -1.61 to -0.87, 1Â ² test for heterogeneity was not significant at 33.4%) (Gava et al, 2009). Different types of cognitive and / or behavioural treatments showed similar differences in effect when compared with treatment as usual. Results obtained for CBT on OCD symptoms exhibited that the overall mean difference (fixed effects) was in favour of psychological treatments (WMD -7.73, 95%, CI -9.92, -5.55). The 1Â ² test of heterogeneity was not significant at 33.4%. Results obtained for cognitive therapy on OCD symptoms exhibited that the overall standardised mean difference (random effects) were slightly in favour of psychological treatments (SMD -1.20, 95%, CI -2.66, 0.25). The 1Â ² test of heterogeneity was not significant at 74.2%. The overall treatment effect appeared to be influenced by differences in baselin e severity (Gava et al, 2009). Within the Abramowitz et al (2001) paper, there does not seem to be any confidence intervals apparent within, thus leaving us unable to analyse how precise the results, which are described within the paper truly are. In comparison to the systematic review, this approach appears to be highly less open; the author is able to narrate the results in however way they please for example they could suggest that they are highly significant or interpret them as equal to their own theoretical standing but without the need of referral to the original case, however there is no way a certain conclusion as to whether this has occurred or not be drawn up. Can the results be applied to the local population? Within the Gava et al (2009) paper, population details and setting for each study do not seem to be clearly apparent. Although a high percentage are noted as outpatient, a number of settings were not highlighted as to their location or setting. Due to this lack of knowledge, and that some of the studies could have been carried out in a inpatient setting, it would not be possible to ascertain a generalised result to the local population with information found in the inpatient studies. It was stated that the statistical data, or demographics, of the participants were of a similar and consistent nature however there was no in depth analysis or description of them. Due to this small fact, therefore it would not have been possible to state that these were similar to the local population. The duration of treatments described when provided locally was usually shorter thus it can assume some of the methods could not be provided within the local settings. Therefore, the generalisation of the results requires some degree of accuracy and precision for there are often vast and clearly significant differences between the sample and the settings used, here and the local population. Once again, within the Abramowitz et al (2001) review, there was no description of the population meaning that it was not possible to ascertain a generalised collaboration of results. Furthermore, as one of the studies had been carried out in an inpatient setting, then it would not have been possible to generalise these results within such settings. The duration of these studies are described as being of 60-90 minutes on a daily basis which frankly could not have been possible locally. Therefore it is vital that care is taken when attempting to create a generalised result from this review as things that appear to be insignificant, as such small details can be inevitably crucial elements. Were all the important outcomes considered? The Gava et al (2009) review discussed various outcomes as well as improvements in OCD symptoms. Also considered were the outcomes for anxiety symptoms, depressive symptoms, dropout rates and quality of life. These elements were not only likely to be of a high degree of importance to the service providers but also to the service users themselves. Service leads, mental health commissioners and policy makers / government officials may also be interested in dropout rates and reasons for dropout i.e. at initial assessment or at follow up appointment. Details of each therapy session missed, cancelled, failed to attend would be important as well. The narrative review also discussed various improvements in OCD symptoms with each intervention. Consideration was given to the distress linked with exposure therapy, as it would be an important factor for all parties concerned i.e. patient and their families, and also taking into account the supporting role of the carer while patient receives therapy. Abramowitz et al (2001) review state that a relatively large number of clients refuse participation in exposure therapy because of anxiety evoking elements of treatment (i.e. confronting feared stimuli). This places emphasis on the importance of understanding the rationale for exposure therapy, demonstrating mastery of case conceptualization, and providing the client with a convincing explanation of why confronting feared situations will result in long-term abatement of obsessions and compulsions. Should policy or practice change as a result of the evidence contained in the review? The current use of CBT for OCD is supported by the Gava et al (2009) review. Despite this, any RCT or other psychological therapy was unidentifiable by the author whilst other types of therapy did not fit the required format needed in order to carry out a RCT to the same quality that a CBT does thus meaning it has more controlled research in comparison to other forms of therapy. One criticism of systematic reviews is their bias towards certain methodologies for important research may not be included thus leading to biased conclusions. Further research is therefore needed to make comparisons between CBT and other types of therapy; it may be that a mixed methods review would have been carried out in order to do this effectively (Dixon-Woods et al, 2004) A biased review is also present in Abramowtiz et al (2001). In this case it is towards studies in support of exposure and response prevention therapy. No decision can be reached from this review for a thorough search to identify all research in the area -quality assessment and the clear display of results was not completed. Conclusions are more likely to be biased and not be representative of all the evidence in the field within narrative views for they do not follow a predefined and set methodology thus, narrative reviews are less likely to influence policy and practise. Conclusion It is evident that both methodologies consist of advantages and disadvantages. Systematic reviews use pre-defined methodologies with the intention of reducing bias making the results to appear more robust. Nevertheless a critique appears to be the evident over emphasis of RCT which is argued to find less generalisable results. On the other hand, narrative review results appear to be more generalisable and tend to be more flexible in the incorporation of other methodologies. However within these reviews, the scientific, pre-defined strategies are not employed, thus considering them to have a higher risk of leading to bias. To conclude, it appears that both of these reviews can be of significant help and are easily justifiable for use, depending on the question that the researcher is trying to answer and the point at which the evidence base is at in its development.

The Princess Bride Movie Review

Savannah Sheets 9th English 24 May 2012 The Princess Bride Movie Review â€Å"Hello. My name is Inigo Montoya. You killed my father. Prepare to die. † This is one of the many humorous lines in the movie, The Princess Bride. The Princess Bride is a romantic, action-comedy film and was directed by Rob Reiner in 1987. The plot of this movie is a fairytale narrated by a grandfather to his grandson full of action in attempt of getting a kidnapped princess back to her childhood love the day before her planned marriage with the prince.The main characters, Buttercup the princess (Robin Wright) and Westley (Cary Elwes) fall in love when they are just two young teenagers shown at the beginning of the story. Fate separates them for 5 years and soon brings them back together before she gets married to Prince Humperdinck. Westley, her childhood sweetheart, wears a disguise and follows 3 men who have kidnapped Princess Buttercup to get her back. His wits help him team up with the kidnappers and overcome Prince Humperdinck and his ‘army’.Westley is caught but soon escapes with the help of Fezzik the Giant and Inigo Montoya. They all jump out of the window and ride away on horses. Westley and Buttercup marry and live happily ever after. The Princess Bride is often compared to the movies Ella Enchanted, Spy Kids, and Stardust, all of which have different aspects of themes that were similarly incorporated in the movie. It took place in the fictional countries of Florin and Guilder, sometime between the establishment of Europe and after the manufacturing of blue jeans.The story reaches out mostly to the young adult audience, but would easily be satisfactory to people of other audiences as well. The events in the story are highly unlikely, but are well-structured and amusing to the viewers which help it to be easier to understand. The dialogue is meant to sound like the story was based from the medieval times, with a twist of comedy. Finally, the themes portray ed in this movie were that true love conquers all. Westley, even after all of the time spent apart, found his true love and in the end it all worked out with a happily ever after.Good versus evil is also a theme in this movie because Prince Humperdinck tries to marry Princess Buttercup knowing that she is still in love with Westley. Even though it was an arranged marriage, Prince Humperdinck tried to convince her that it would take time for them to fall in love, but they would eventually get used to it. Princess Buttercup has a nightmare which opens her eyes. She dreams about the marriage which is interrupted by who is known as â€Å"The Ancient Boo-er†. She tells Buttercup that she is a disgrace because she has power but isn’t using it to her advantage and is letting down the people of her country.

Economic Growth and Financial Development

There are three views about the relation between economic growth and financial development. First, financial development has impact on economic growth (i. e. Bagehot, 1873; Schumpeter, 1912; McKinnon, 1973; Shaw, 1973; Patrick, 1966; Goldsmith, 1969; Fry, 1973). Second, economic growth leads to financial development and that where there is economic growth financial development follows (i. e. Robinson, 1952). The third view, however, contends that both financial development and economic growth Granger cause one another.In the essay, our group focus on the first view which financial development will has passive influence on economic growth. During the year from 1955 to 1993, many scholars has study the relationship between financial development and economic growth. Along with the time goes, the theory that financial development will real promote economic growth has been more and more prefect. In the years between 1950s and 1960s, economists such as Gurley and Shaw began to stress the c redit markets and the importance of financial intermediaries, which they believed play an important role in economy. 5] They argued that tradition monetary transmission mechanism ignores the factor of financial structure and financial flow and only pays attention to the total amount of money and the connection of the output. In 1955, Gurley and Shaw bring up the development of financial institution is both a determined and determining variable in the growth process. (Gurley and Shaw, 1995, p. 532). Gurley and Shaw stressed that financial intermediaries exert influence on credit supply rather than money supply.In this way, financial intermediaries improve the efficiency of savings turning into investments and then affect the whole economic activities. They are the earliest scholars to study in-depth the relationship between financial and economic development in developing countries. Gurley and Shaw pointed out that the main access road of monetary policy transmission probably have di verted from money quantity, which is traditionally thought as the medium of exchange.Whereas, the â€Å"financial capability† of economy would has a closer relationship with the gross expenditure. They put forward financial development enhances the intermediation of loanable funds and therefore growth will be stimulated and they have a debt-intermediation view. The Debt-intermediation view establishes relations between finance and growth. First, economic growth would be associated with financial development, as external indirect finance provides surplus units with the capacity to spend beyond their earnings.Second, growth would stimulate and be stimulated by the â€Å"institutionalisation of saving and investment†; income grows, richer wealth-holders will increase their desire to diversify their asset portfolio. If financial innovation is such to accommodate this â€Å"diversification demand†, financial institutions can enhance their lending capacity and thus bo ost growth; the process becomes a cycle. Gurley and Shaw has earlier pointed that the growing importance of NBFI (non-bank financial intermediaries) when they discussed their activities about potentially serious problems for monetary management and monetary policy. 1] Subsequent analysis of the problems had to two results. [2] First, if the monetary authorities exerted control over the financial system through the operating of the financial markets, monetary management would not be undermined. [3] Second, which placed specific restrictions on banks, at that time the dominant financial entities, the growing role of NBFI was stimulated in part by the opportunities for intermediation created by monetary policy measures.These contributions stressed the relevance for financial â€Å"deepening† (mean financial development) of rising wealth and income, then attempts to control the activities of financial intermediaries. Wealth and income incent the demand for financial services. Res trictions and Controls on financial intermediaries create the stimulation for further financial intermediation by generatingâ€Å"quasi-rents† that risk among participants in financial and capital markets and reflect differences in information. 4] However, Gurley and Shaw do not address the issue of causality between financial development and economic growth. In 1966, Patrick make the causality issue is addressed, he posed theâ€Å"stage of development† hypothesis, where the direction of causality between financial development and economic growth changes over the course of development. [6] Two hypotheses are developed, one is Demand-following hypothesis: a causal relationship from real to finance and the other is Supply-leading hypothesis: a causal relationship from finance to growth.The supply-leading hypothesis supposes a causal relationship from financial development to economic growth, which means mature creation of financial institutions and markets increases the supply of financial services, and thus leads to real economic growth. Patrick suggests that initial development is spurred by supply-leading process, which gives way to demand-following process. He posed financial institutions and services emerge as demand for those services unfolds. The idea is that finance is passive in the growth process, but lack of financial institutions may prevent growth to occur.Financial institutions and their services precede the emergence of demand; government support is needed to finance and nascent modern sector, such as subsidized loans, information to small business and long loan durations. He points out the importance of finance in economic growth. The difficulty of establishing the link between financial development and economic growth was first identified by Patrick (1966), he argued that a higher rate of financial growth is positively correlated with successful real growth. [7] In his theory, commercial banks may issue banknotes and accept â€Å" easy† collaterals. Easy loan† can induce economic growth, for it can finance innovation-type investment, however, in fact it can also induce irresponsible borrowing. Since the important work of Patrick, that first postulated a bi-directional relationship between financial development and economic growth. A large empirical literature has emerged testing this hypothesis as the Patrick's (1966) problem remains unresolved: What is the cause and what is the effect? Is finance a leading sector in economic development, or does it simply follow growth in real output which is generated elsewhere. References: [1] de Oliviera Campos, R. 1964) â€Å"Economic Development and Inflation with Special Reference to Latin America† in Development Plans and Programmes Paris: Organisation for Cooperation and Development [2] Duesenberry, J. S. and M. F. McPherson (1991) â€Å"Monetary Management in Sub-Saharan Africa† HIID Development Discussion Papers no. 369, January [3] Friedm an, M. (1973) Money and Economic Development The Horowitz Lectures of 1972 New York: Praeger Publishers [4] Malcolm F. McPherson and Tzvetana Rakovski (1999) â€Å"Financial Deepening and Investment in Africa: Evidence from Botswana and Mauritius†, Copyright 1999 Malcolm F.McPherson, Tzvetana Rakovski, and President and Fellows of Harvard College [5] Liu Pan Xie Tao (2006) The Monetary Policy Transmission in China-â€Å"Credit Channel† And Its Limitations, Working Papers of the Business Institute Berlin at the Berlin School of Economics (FHW-Berlin) [6] Anthony P. Wood and Roland C. Craigwell Financial Development and Economic Growth: Testing Patrick’s Hypothesis for Three Caribbean Economies [7] Philip Arestis (2005) FINANCIAL LIBERALISATION AND THE RELATIONSHIP BETWEEN FINANCE AND GROWTH, University of Cambridge

The Cost Of Having A Baby - 2224 Words

The Cost of Having a Baby Tiffany Jones November 16, 2014 HCM 615 Health Care Finance Dr. Donald S. Brady There are many things in life are great gifts, and being a parent is one. Getting the news that you are expecting a child is a speechless moment. It is a very joyful occasion and everyone is happy about what to expect over the next nine months. Baby names start flowing and in every magazine you are looking at outfits and furniture and things of that nature. But has anyone stop to think about what is cost to have this baby? What medical expenses that will be incurred during this forty weeks process. The answer is no. No one probably really cares but the hospital and the insurance company. Now it’s time to take a look at some of the cost behind the blessing of labor and delivery. The amount that a mother will incur to have her bundle of joy will depend on many different factors. One may take into consideration where you live, whether there are any complications and whether mommy has a vaginal birth or a C-section. But just to take a glimpse inside this world, here are a few figu res that may surprise you. For prenatal care and delivery, the cost in some areas can range from about $9,000 to over $250,000 (Alfieri, 2012), which is quite a wide range, if not more. This is without the privilege of having insurance to cover. Even with the privilege of having health insurance, the majority of these expenses could be covered, but that’s not always the case. ItShow MoreRelatedMedical Ethics : Medical Ethical Dilemma Essay878 Words   |  4 Pagesme because it dealt with a baby in the neonatal intensive care unit (NICU) born at twenty-four weeks’ gestation, weighing nine ounces. I want to be a NICU nurse so I am sure I will be faced with an issue similar to this at some point in my career. 2. What are your feelings about this dilemma? Are you for or against? 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