Qualitative Research Assignment Essay Essays

Qualitative Research Assignment Essay Essays Qualitative Research Assignment Essay Paper Qualitative Research Assignment Essay Paper 1. Was there a clear statement of the purposes of the research? Yes. In the article. the purpose of the research was to understand the experience of participants. their cognition about type 2 diabetes. and the factors of medicine attachment in Malaysia. Harmonizing to Susan ( 2010 ) . the five constituents of PICOT are population. issue. context. result. and clip. Harmonizing to Al-Qazaz et Al ( 2011 ) . the PICOT was presented by the research worker in the survey were. Phosphorus: Type 2diabetes patients with receiving of hypoglycaemic medicine. I: Identifying participants’ perceptual experience. and their cognition about type 2 diabetes disease and medicine. Degree centigrade: USM clinic of Malaysia. where the survey took topographic point. Oxygen: It helps people populating with type 2 diabetes to hold a diverse apprehension by associating with other people’s experiences. Thymine: March and April of 2009. Qualitative PICOT is a model to assist in explicating effectual clinical inquiry in a step-by measure mode ( Melnyk and Fineout. 2010 ) . 2. Is a qualitative methodological analysis appropriate? Yes. Qualitative research is to analyze a person’s behaviour and lived experiences related to what is being studied in the research ( Denzin and Lincoln. 2011 ) . The cardinal features of qualitative survey in this article included a little sample size. in-depth interview ( semi-structured ) . research worker affecting during interview. non comparings and non numerical. In qualitative survey. sample size are normally little that achieve in-depth apprehension of the experiences or feeling of the participants ( Polit and Beck. 2012 ) . Meanwhile. a semi-structured interview was used to roll up informations by gulling participants’ thoughts originating until no more new subjects emerging. Harmonizing to Polit and Beck ( 2012 ) . semi-structured interview can supply rich and elaborate information during phenomenon survey. In this survey. a phenomenological attack was used to depict the purpose of the research. It is to understand the experiences of diabetic patients in Malaysia. and research their cognition about the medicines that they have been taking. Harmonizing to Judith ( 2007 ) . qualitative research is characterized by its purposes to understand the experiences and attitudes of patients. In brief. a qualitative methodological analysis is appropriate to this research. 3. Be the research design appropriate to turn to the purposes of the research? Yes. Harmonizing to NCBI ( 2014 ) . a Phenomenological survey can likely research participant’s lived experience. beliefs about the efficaciousness of the medicine. side-effects of drug and participants’ attachment to the intervention government. By the square. in this article. the purpose is to understand the participants’ experience and research their cognition and medicine attachment related on type 2 diabetes. Therefore. phenomenological attack is appropriate to turn to the purposes of the research. The advantages of Phenomenological survey is to uncover patients’ beliefs and experiences by a flexible manner to research the respondents’ attitude. and leting deep understanding about cognition and feeling of participants ( Polit and Beck. 2012 ) . However. its restriction is that samples are frequently little set and the research workers are non trying to generalise the findings. 4. Be the enlisting scheme appropriate to the purposes of the research? Yes. The research worker recruited participants from USM clinic and who were diagnosed type 2 diabetes while taking on hypoglycaemic medicines through a convenience sampling. Harmonizing to HRDAG ( 2013 ) . convenience sampling is to enroll participants from a peculiar clinical scene during informations aggregation of a qualitative research. Furthermore. convenience sampling is easy and efficient to pull out the greatest possible information from the new instances in the sample. until there is no new informations could be obtained and the redundancy of informations impregnation was achieved ( Polit and Beck. 2012 ) . However. convenience sampling may non be a preferable sampling in qualitative research due to unable to convey out the most information-rich beginnings and the representative of the population ( Polit and Beck. 2012 ) . In this article. the information was merely obtained in one specific clinic. that would impact the credibleness of consequence. such as the inauspicious effects of medicine. and the satisfaction rates from wellness suppliers. It would be better if the research worker usage purpose trying into the survey. Purpose sampling is to take participants based on specific intents. and it is chiefly used in qualitative research ( Polit and Beck. 2012 ) . it can accomplish representativeness of the population and provide credibleness of the consequence. because the research worker will non merely concentrate on one clinic during enlisting of participants. 5. Were the informations collected in a manner that addressed the research issues? Yes. A semi-structured interview was developed for informations collection of the research. Semi-structured interview is a paper-based interview usher which contain open-ended inquiries and the participant to follows ( RWJF. 2008 ) . Furthermore. Semi-structured interview provide rich. elaborate information in the phenomenon survey ( Polit and Beck. 2012 ) . In the survey. the research worker has described in-depth interview to research patients’ beliefs and experiences. Besides. a consent signifier was signed by participants before interview. a direct Tell phone contact for set uping a clip of interview. Further more. all the interview has been audiotaped. and the research worker did line by line analysis and coding the information to place the cardinal subjects. The research worker interpreted to the participants who could non understand English during the interviewing by interpreting from a staff nurse to avoid prejudice that might impact the findings. In short. the informations collected were to the full addressed the research issue of this survey. 6. Have the relationship between research worker and participants been adequately considered? Yes. Qualitative research workers need to develop a strong relationships with participants in the survey to set up credibleness ( Polit and Beck. 2012 ) . In the article. all the participants were informed the intent of this survey. and a consent signifier was signed by each of them. The research worker besides made phone call to set up clip and topographic point that participants would wish to take for each interview. Besides. they are allowed to show their ain positions at the clip of interview. From the analysis above we can see the participants have been to the full respected by the research worker to derive their trust. Therefore. the relationship between research worker and participants has been adequately considered in this survey ( Al-Qazaz et al 2011 ) . However. there was no reference about reflexiveness by the research worker in this article. Harmonizing to RWJF ( 2008 ) . it described that reflexiveness is a procedure usage to exam researcher’s relationship to the respondent that refers to how the researcher’s values. beliefs. familiarities and involvements influence his/her research. It would be better if it is mentioned about how the research worker located herself or himself in the survey. the readers can place how it affect the information obtaining. that will derive the findings of the research to be more believable ( Polit and Beck. 2012 ) . 7. Have ethical issues been taken into history? Yes. In the survey. a regard for human self-respect was to the full presented based on informing the participants about the intent of survey. administering a consent signifier. and a direct phone contact before interview. The participants have been to the full respected by the research worker to profit every bit good as the individual’s rights. Besides. they are allowed to show their ain positions at the clip of interview. and the participants can take topographic point where they feel more convenience to be interviewed. It gave researcher a opportunity to research the depth-richness informations from participants. and heighten the participants’ liberty and namelessness in the survey. Further more. the survey was besides approved by the local moralss commission. In short. the ethical issues have been taken into the survey every bit good. There was no coercion could be found in the survey. However. the research worker did non advert about the confidentiality and how was data protected. Besides. they did non advert how many times participants understanding were checked before the consent signifier given. Harmonizing to Polit and Beck ( 2012 ) . it is described that it must cover with ethical issues if the surveies affecting human existences. because the human rights must be protected. 8. Be the information analysis sufficiently strict? Yes. In the survey. the research worker has described clearly that a transcript of 12 audiotaped in-depth interviews were dual checked for its truth. And the research worker identified the emerging subjects via line by line informations analysis and coding the relevant content informations into classs until the informations impregnation was met and no more new informations emerging from the interviews. Harmonizing to Polit and Beck ( 2012 ) . informations impregnation is a measuring of sample size that based on informational demands under the survey. It is to accomplish the cogency of informations analysis until no more new information can be obtained. However. the research worker failed to advert about member checking in this survey. It is non clear whether the research worker asked participants to reexamine and notice on the instance summaries or bill of exchanges of the research study. It will consequence the credibleness of the information. Harmonizing to Polit and Beck ( 2012 ) . member look intoing defined as the research worker confirm their informations truth by supplying a feedback to the participants during informations are being collected to guarantee that participants’ significance were understood. and it is for heightening proof of the research. Further more. the research worker mentioned their informations were analyzed by utilizing agencies of a standard content analysis model. Its purpose was achieved by a appropriate phenomenological design in this survey which have been discussed in inquiry two. Furthermore. the asperity and cogency can besides ensue in developing trustiness of qualitative research. and the five standard for rating the trustiness in the research include in credibleness. dependableness. confirmability. transferability. and genuineness ( Polit and Beck. 2012 ) . In the survey. a phenomenological design was conducted with a semi-structured interview of informations aggregation. and coding method for informations analysis. this can be sufficiently proved its credibleness. dependableness. and confirmability. Therefore. it can be said the information analysis of this survey is sufficient strict. 9. Is at that place a clear statement of findings? Yes. Four major subjects were clear stated in the survey which included ( 1 ) . Participants’knowledge about type 2 diabetes and its medicines ; ( 2 ) . Side-effects of medicines ; ( 3 ) . attachment issues ; ( 4 ) . relationship with household on wellbeing ( Al-Qazaz et al 2011 ) . Harmonizing to Polit and Beck ( 2012 ) . the research workers interpret the information by rereading. categorizing and cryptography. so developing a information analysis to indicate out the subjects into a incorporate whole. In this survey. the research worker used qualitative design to see progressively the transferability of the findings to reflect the true experiences of the participants. It is relevancy and accurately from the information. and give reader thought to the deductions of the survey for future research and pattern. Meanwhile. the research worker are in the best place to show their restrictions what they have been cognizant from the survey. Consequently. it told readers that the rese arch workers have done what they could make to vouch the findings were clearly and accurately every bit good. 10. How valuable is the research? The intent of qualitative research findings was described to research participants’ experiences to develop a specific nursing intercession for bettering a better results of patients. and as a potentially applicable grounds influencing in future pattern ( NCBI. 2011 ) . Overview this survey. a phenomenological attack that explore the purpose of the research. it is to understand the experience of participants. their cognition about type 2 diabetes. and the factors of medicine attachment in Malaysia. Besides. it allows a deep apprehension about cognition and feeling of participants ( Polit and Beck. 2012 ) . Furthermore. a semi-structured interview was used to supply rich and elaborate information during the survey for its cogency ( Polit and Beck. 2012 ) . Further. a convenience trying recruited participants and pull out the greatest possible information to accomplish informations impregnation for its cogency. Meanwhile. the ethical issues has been taken into history by the research workers to profit every bit good as the individual’s rights. On the other side. the research worker demonstrated their restrictions what they aware of the survey to heighten the findings more clearly and accurately. Sing quantitative findings. it is non generalizable that can be applied to full populations. nevertheless. it is generalizable in a manner this peculiarly pertinent to nursing pattern in which there is an outlook that scientific determination. and supply cognition about human experiences to readers for future research. Thus it can be seen. the research is rather valuable. Decision Critical assessment is a procedure to judge weather a research is usefulness or its findings are trusty ( Young and Solomon. 2009 ) . The Critical Appraisal Skills Programme ( CASP ) produced a simple critical assessment checklist usher people developing their accomplishments what they need to do sense of scientific grounds ( Burls. 2009 ) . All of above. by following the CASP checklist in quantitative research. it was presented a Randomized Controlled Trial Appraisal Tool. to measure the effectivity of intercession. a big sample size and a blinding to accomplish the dependability of the result and prevent prejudice. a intention-to-treat analysis to compromise the cogency of the survey. Furthermore. generalizability of the survey can be patterns in other states and helpful for farther survey. However. in qualitative research. the CASP is helped to understanding people’s lived experience and research participant’s experience of taking the drugs. beliefs about the efficaciousness of the drug. side-effects and the attachment of intervention government. A phenomenological method has been used in the qualitative survey through a semi-structured interview. convenience sampling and coding to uncover patient’s beliefs and experiences. and leting apprehension of the cognition and get bying schemes in which the quantitative research is unable to cover. More. in this qualitative survey. sample size is tend to be little. and the determination is non generalized ( Polit and Beck. 2012 ) . Both of research workers have considered cogency. findings. and its relevancy. However. in the qualitative article. if the research worker usage a intent trying method and reference about reflexiveness and member checking during informations aggregation. that will heighten cogenc y of the findings to be more accurate. Mention 1. Aveyard H and Sharp P ( 2009 ) A Beginner’s Guide to Evidence Based Practice in Health and Social Care Professions. Glasgow: Open University Press. 2. Al-Qazaz H. Hassali M and Sulaiman S ( 2011 ) Percept and cognition of patients with type 2 diabetes in Malaysia about their disease and medicine: A qualitative survey. Research in Social and Administrative Pharmacy 7: 180-191. 3. Bandolier ( no day of the month ) Intention-to-treat analysis ( ITT ) Available at: hypertext transfer protocol: //www. medical specialty. ox. Ac. uk/bandolier/booth/glossary/itt. hypertext markup language [ Accessed 5/92014 ] . 4. Chan Z. Fung Y and Chien W ( 2013 ) Bracketing in Phenomenology: Merely Undertaken in the Data Collection and Analysis Process? The Qualitative Report. Volume 18. Article 59. 1-9 [ online ] Available at: hypertext transfer protocol: //www. nova. edu/ssss/QR/QR18/chan59. pdf ( accessed 26/10/2014 ) 5. Denzin N and Lincoln Y ( Eds ) ( 2011 ) The SAGE Handbook of Qualitative Research ( 4thedition ) . Thousand Oaks: Sage 6. Human Rights Data Analysis Group ( 2013 ) Convenience Samples: What they are. and what they should ( and should non ) be used for [ online ] Available at: hypertext transfer protocol: //hrdag. org/convenience-samples-what-they-are/ ( accessed 3/9/2014 ) 7. LONDON SCHOOL of HYGLENE and TROPICAL MEDICINE ( no day of the month ) Qualitative methods utile for agribusiness. nutrition and wellness programmes. [ on-line ] Available at: hypertext transfer protocol: //ble. lshtm. Ac. uk/pluginfile. php/54407/mod_resource/content/107/ANH101/sessions/S1S2/ANH101_S1S2_040_010. hypertext markup language ( accessed 28/10/2014 ) 8. Melnyk B. M and Fineout-Overholt E ( Eds ) ( 2010 ) Evidence-Based Practice in Nursing A ; Healthcare: A Guide to Best Practice ( 2nd edition ) . United kingdom: Lippincott Williams and Wilkins. 9. MEDECINS SANS FRONTIERES ( 2007 ) A Guide to Using Qualitative Research Methodology [ online ] Available at: hypertext transfer protocol: //fieldresearch. msf. org/msf/bitstream/10144/84230/1/Qualitative % 20research % 20methodology. pdf ( accessed 28/10/2014 ) 10. Melling A. Ali B. Scott E and Leaper D ( 2001 ) Effects of preoperative warming on the incidence of lesion infection after clean surgery: a randomized controlled test. The lancet. 358: 876-880. 11. NCBI ( 2014 ) A phenomenological survey to research the experiences of Ugandan adult females that have undergone transvaginal ultrasound [ online ] Available at: hypertext transfer protocol: //www. ncbi. nlm. National Institutes of Health. gov/pmc/articles/PMC4175835/ ( accessed 1/9/2014 ) 12. NCBI ( 2011 ) Qualitative Research Findings as Evidence: Utility in Nursing Practice. [ on-line ] Available at: hypertext transfer protocol: //www. ncbi. nlm. National Institutes of Health. gov/pmc/articles/PMC3021785/ [ Accessed 13 Nov. 2014 ] . 13. Polit D and Beck C ( Eds ) ( 2011 ) Nursing RESEARCH Generating and measuring Evidence for Nursing Practice ( 9th edition ) . United kingdom: Lippincott Williams and Wilkins 14. Robert Wood Johnson Foundation ( 2008 ) Qualitative Research Guidelines Project Semi-structured Interviews [ online ] Available at: hypertext transfer protocol: //www. qualres. org/HomeSemi-3629. hypertext markup language [ Accessed 11 Nov. 2014 ] . 15. Robert Wood Johnson Foundation ( 2008 ) Qualitative Research Guidelines Project what is reflexiveness [ online ] Available at: hypertext transfer protocol: //www. qualres. org/HomeRefl-3703. hypertext markup language [ Accessed 12 Nov. 2014 ] . 16. Susan B. S. Fineout-Overholt E. Melnyk B. M and Williamson K. M ( 2010 ) Asking the Clinical Question: A Cardinal Measure in Evidence-Based Practice. The American Journal of Nursing. Vol. 110. No. 3. Available at: hypertext transfer protocol: //www. nursingcenter. com/lnc/pdfjournal? AID=982283 A ; an=00000446-201003000-00028 A ; Journal_ID= A ; Issue_ID= ( accessed 22/10/2014 )

Global Marketing Essay Example | Topics and Well Written Essays - 250 words - 1

Global Marketing - Essay Example Thanks to his established brand, his company managed to establish and maintain a standard marketing mix within which he operated. It is to be noted that the lack of significant competition at the time made him survive. However, with increased competition, variations became distinct, and his approach was no longer appropriate. b. The strategy currently in use by Levi Straus is rather a complex mix, whereby managers have the authority to standardize the marketing mix in respect to their specific local markets. Elements of marketing that Levi Straus changed are decentralizing the marketing responsibility to the local managers. He also introduced new styles for satisfying a variety of style preferences for the customers (Levitt, 1983). c. His new strategy has a high potential for profitability fostering growth of the company. Although the autonomy of managers is at the expense of economies of scale for advertising for instance, consumers’ needs are addressed more efficiently. d. The story shows deep insights on the effects of globalization. The assumption that standardization will result in a perfect market mix has been proved wrong. Rather the customization of styles to suit the customers is preferred. Well, the student shows comprehension of the subject in question. However, it is clear that they miss the point when answering the question of the elements of the marketing mix as used in different nations. A straightforward answer would have been more appropriate in that case. At that, the student fails to identify the most important information as required by the question. The student attempts to hit the bottom line of the questions, but their ways of supporting their notion falls short. Despite sharing deep insights in the questions asked, the student fails to support their arguments in a convincing manner. The result is that, although showing great potential of knowledge in the questions, the student lacks the ability to

Healthcare Management Essay Example | Topics and Well Written Essays - 500 words

Healthcare Management - Essay Example sponse to the impacts of the recession in that it targeted on saving and mobilizing creation of jobs in all sectors while also providing temporary assistance to people directly affected by the recession. Through the Act, people invested heavily in the healthcare sector thereby creating jobs and consequently leading to an improvement in the industry. The Act also compelled the Federal government to spend directly in the healthcare sector among several critical others such as education and energy. This is an award that was set up by the Congress in an attempt to raise awareness about the need for US companies to focus on quality management. The award is thus given to the companies that have observed and successfully implemented these quality management terms and systems. The awards are given to companies in several industries, among them being the healthcare sector. The award system has particularly been influential in facilitating improvement in the healthcare industry with notable areas of improvement being seen in the leadership, customer focus and human resource management and development. The Centers for Medicare and Medicaid Services (CMS) made a ruling on the implementation of this program which is the last Medicare pay-for-performance initiatives. Through this program, hospitals which perform poorly in reducing conditions and complications that patients acquire while undergoing treatment (secondary diagnosis), will have their inpatient payments funded by Medicare reduced. This ruling is meant to send a word of caution to hospitals on the need to improve their services and consequently lead to improved healthcare. It is expected that about 80 million Americans will be retiring within the next 20 years, which means that demand for primary care and other healthcare workforce will shoot drastically. This is, therefore, expected to prompt a demand for healthcare related employment opportunities thereby attracting more enrollment in education programs such as

Review Of Cruise Tourism And Malaysia Tourism Essay

Review Of Cruise Tourism And Malaysia Tourism Essay Cruise Tourism is one of the major growth areas of world tourism Peisley, 1992; Hobson, 1993; Cruise Lines International Association, 1995. According to the Economist Intelligence Unit: There seems little doubt that, by the turn of the century, cruising will be firmly established as one of the worlds major tourism industries with significant markets in North America, the UK, Europe and Asia. The total number of annual passengers will have reached 8 million plus Cruising is the fastest-growing sector of the international holiday scene (The Passenger Shipping Association, 2003). Cruise tourism can be defined as the use of ships for pleasure cruising and not merely for transportation (UNWTO, 1997). Ocean and coastal cruise tourism is unique in the manner in which it provides a combination of transportation, accommodation, entertainment, retail and destination services. Cruise liners can be regarded as floating resort facilities, which have the major advantage of seasonal repositioning. From its predominantly Caribbean base, cruise tourism has spread across the world, increasing ports of call in all regions. As well as this, river and canal cruising has grown rapidly, particularly in Europe and China. The cruise industry is growing, expanding and accessing new markets by, in part, bringing into reach a diversity of popular and successful destinations that are new for cruise tourism, by exploiting previously under-utilised ports (Younger, 2003). 2.1.1 The cruise industry The growth of the cruise market throughout the world, and perhaps more notably in the United Kingdom (UK) has been one of the most remarkable phenomena of the 1990s (Wild Dearing, 2000). The cruise industry is the fastest growing segment of the travel industry achieving more than 2,100 percent growth since 1970, when an estimated 500,000 people took a cruise. Industry estimates are that 13.5 million people took a cruise vacation in 2009, with a total of 14.3 million passengers forecasted to sail in 2010. (Cruise Lines International Association [CLIA], 2010). In early 2001, 64 new and larger capacity ships were in production, expanding passenger capacities by 35%. More than 50% of these ships are dedicated to the United States tourism market and are now operating throughout the Caribbean (Sparrow, 2004). The cruise industrys growth is also reflected in its expanding guest capacity. Nearly 40 new ships were built in the 1980s and during the 1990s, nearly 80 new ships debuted. By the end of 2009, over 100 new ships were introduced since 2000, with 12 new vessels on the way for 2010. (CLIA, 2010) These new vessels carry more passengers, more crew, generate more waste and consume more goods and services. 2.2 Theoretical Framework According to Weaver and Oppermann (2000), tourism is a complex phenomenon involving many actors and interactive factors. Some of the actors are tourists, tour operators, cruise lines and airlines. To be able to understand the complicated nature of the tourism industry, a system based approach is suitable. Leipers tourism model can be used as the theoretical framework as it views tourism as a form of a system in which there is an operational structure built up of interacting components. Leiper who was an early supporter of the adoption of a systems approach towards understanding tourism defined tourism as: . . . the system involving the discretionary travel and temporary stay of persons away from their usual place of residence for one or more nights, excepting tours made for the primary purpose of earning remuneration from points en route. The elements of the system are tourists, generating regions, transit routes, destination regions and a tourist industry. These five elements are arranged in spatial and functional connections. Having the characteristics of an open system, the organisation of five elements operates within broader environments: physical, cultural, social, economic, political, technological with which it interacts. The components of the tourism system are shown in the model below (fig 1.1). This whole tourism system approach helps to organise our knowledge about tourism and its relationship with cruises. Leipers approach was to try and understand destinations, generating areas, transit zones, the environment and flows within the context of a wider tourism system rather than seeing them as separate independent entities. In the model there are three interactive components: (i) the tourism generating region, (ii) the destination region and (iii) transit routes which link the two regions. It is evident that transport forms an integral part of the tourism system by linking the tourist generating and destination regions together. Collier (1994) classifies tourism transport on several bases (e.g. public or private sector transport, water/land/air transport; domestic and international transport and mode of transport). Cruise tourism is considered as a system in which cruisers and operators are major actors. The tourism-generating region and the destination region are linked together through cruising which is also a tourism product. This makes cruise ships a unique form of tourism transport. People go on a cruise more than they go to a place. And yet their major competition is not other forms of transport but real places. As Morrison et al. (1996: 15) put it: Instead of competing with the airlines, the cruise lines have become their partners and now compete with destinations, resorts, and other vacation alternatives. The cruise ship itself has become a floating resort providing the maximum possible leisure and entertainment facilities. However Leipers model has been criticized for being simplistic (Prosser, 1998). Prosser provided a more detailed model that, he claimed, represents more effectively the inner complexities of the tourism environment. 2.3 SWOT analysis for Mauritius SWOT is an acronym where the letters stand for Strengths, Weaknesses, Opportunities and Threats. It is a commonly used analytical tool in business environments that has become firmly established in the literature of strategic management (Evans, et al. 2003). A SWOT analysis is a useful way of assessing the situation that a destination faces in its effort to develop cruise tourism. . According to Weihrich (1982), the SWOT analysis is the process of analysing organisations and their environments based on their strengths, weaknesses, opportunities and threats. This includes the environmental analysis, the process of scanning the business environment for threats and opportunities, which is considered as external factors, and the organisational analysis, the process of analysing a firms strengths and weaknesses as internal factors. Internal factors Strengths Weaknesses A strategically located port in the Indian Ocean Capacity and Infrastructure constraints- too few berths Safe and wonderful tourism destination Cyclonic period during the months of November to May Pleasant climate practically whole year round Nautical constraints- For many big cruise vessels at the same time Variety of land-based and water-based attractions Poor maintenance of beaches and attractions A great variety of cultures Low awareness in the market about cruise tourism in Mauritius Relatively good basic structures(hospitals, roads) and a good transport system Mauritius considered as an expensive destination and not within the reach of many World class quality services by Tour Operators, Hotels, Restaurants, and Travel Agents. Poor service at the port and untrained staff Minimum formalities on arrival of cruise vessels Poor road links to certain location and place of interest Lack of industry cohesion No strategic plan at MPA and MOT level External Factors Opportunities Threats Estimated two million tourists by the year 2015 Seasonality of the industry Brand name- Ile Maurice un plaisir Threats by terrorists and Somalian Pirates The cruise market Potential is strong for Regional/ International growth Competition from other exotic tourism destinations Improvement of physical infrastructure including adequate parking facilities at places of interest and other recreational areas Likely increase in oil prices affecting cost of travel Political stability of market of origin Economic uncertainty- late bookings and close-to-home cruises to avoid expense on flying Air network expansion facilitating Fly-cruise concept Strong growth of European demand (German, French and Spanish markets) 2.4 Sustainable development issues of cruise tourism: Although a relatively new phenomenon, tourism has become one of the worlds largest industries in recent years. According to the World Tourism Organization (WTO, 2004), sustainable tourism development meets the needs of present tourists and host regions while protecting and enhancing opportunities for the future. In 2008, International tourism arrival reached there were 922 million worldwide, with a growth of 1.9% as compared to 2007. (WTO) Given its total significance, it is not surprising that the tourism industry has a substantial environmental impact. In particular, tourism development is associated with environmental problems like deforestation, soil or beach erosion, and coral ecosystem destruction. Since tourism development also tends to result in rapid urbanization, it can contribute to such problems as increased air and water pollution, as well as inadequate solid waste management (Baver and Lynch 2006, 5). The scale and gravity of these impacts tend to be amplified in the Caribbean, where the environment comprises some of the most fragile ecosystems on earth, including beaches, coral reefs, and tropical forests (Lynch 2006, 158). When sustainable tourism has been applied to the industry, more emphasis has been given to tourisms effects upon the environment and economy, rather than to factors related to its effect on communities (Hardy et al, 2002: 491) Cruise tourism is currently going through a period of revival with new vessels being launched and sailing to ever more exotic places. Criticisms Hunter (1997) argues that different interpretations of sustainable tourism are appropriate urder different circumstances. The study of sustainable tourism should not be a rigid framework, but an adaptive paradigm which legitimizes a variety of approaches according to specific circtimstances (Htinter, 1997: 851).

Stone Walls Of New England :: essays research papers

Introduction Stonewalls of New England are rich with history and archeologists are still trying to determine who may have built the first stonewalls or if our concept of when North America was first settled is wrong. Items of stone and metal lead archeologists to believe that the archaic period is when the Northern New England portion of America was first inhabited. There have been many different types of fences built in New England, natural debris, wood, and stone included. Stemming from these different fence types American ingenuity flourished and inventions arose. Agriculture was a big part of the fencing of America; the cultural differences of the colonists and the Indians also played a big role in the ideas of fencing and laws. Stonewalls are important to our culture as not only North Americans but also as humankind in general. Overview of the ancient history of New England The Wisconsin continental ice sheet retreated about 15,000 BC, causing the climate to warm, sea level to rise, and the habitat was changed from tundra to spruce-lichen. The Pleistocene mammals (mastodons, mammoths, and caribou) were attracted to the new habitat, this caused the Paleo-Indians or Big Game hunters to arrive armed with Clovis fluted point projectiles (Salisbury, 1982). Many sites have been found in New England that shows evidence of tool-making, ritualized inter-band exchanges and other non-hunting activities. By around 8,000 BC, the spruce-lichen forest was mostly replaced by pine and hardwoods, this evolved into other types of food causing the Paleo-Indian era to give way to the early archaic. In New England, early Archaic projectile points were found, these differ from the Paleo-Indian points because the archaic points are generally stemmed and notched for more effective specialized hunting (Salisbury, 1982). Salvatore Trento tells of one point found in Monhegan, Maine:   Ã‚  Ã‚  Ã‚  Ã‚  A tiny arrowhead or possibly a small dagger was recovered from an excavation of a rubbish heap by the island archeologist. A C14 test of the organic material associated with the deposited metal artifact gave an approximate date of 1800 BC. During the summer of 1975, William Nisbet of the Early Sites Research Society submitted a tiny fragment of the artifact to a laboratory for analysis. The results were shocking. The seemingly insignificant arrowhead was composed of copper in tin. There are no tin deposits in either the eastern of middle states of America. The closest mines are in Bolivia, but these were not worked in 1500 BC.

All About Blood Essay

1.) What is the significance of lower-than-normal hematocrit? Lower-than-normal hematocrit indicates anemia. People with anemia do not have enough hemoglobin, which is the oxygen-carrying protein in red blood cells. Iron, B12, and folic acid deficiencies, some medications, and pregnancy can cause anemia. There are also more serious causes such as problems with the immune system that cause destruction of red blood cells earlier than normal, chronic diseases including kidney disease and cancer, and problems with bone marrow found in leukemia and lymphoma (MedlinePlus:Anemia, 2012). What is the effect of a bacterial infection on the hematocrit? A bacterial infection, which raises white blood cell counts, may affect the hematocrit by lowering it. 2.) Compare the development of lymphocytes with the development of the other formed elements. Lymphocytes and the other formed elements are developed from pluripotent stem cells. The pluripotent stem cells generate myeloid stem cells and lymphoid stem cells. Myeloid stem cells start and complete their development in red bone marrow and give rise to red blood cells, platelets, eosinophils, basophils, neutrophils, and monocytes. Lymphoid stem cells begin development in the red bone marrow, but some are completed in the lymphatic tissues, where they give rise to lymphocytes. The B cell lymphocytes are began and completed in the red bone marrow and the T cell lymphocytes begin in the red bone marrow, but they mature in the thymus (Jenkins, Kemnitz, & Tortora, 2010). 3.) What is erythropoiesis? Erythropoiesis is the production of red blood cells or erythrocytes. It starts in the red bone marrow with a proerythroblast. The proerythroblast divides many times and produces cells that begin to make hemoglobin. A cell near the end of the development cycle ejects its nucleus and then becomes a reticulocyte. Reticulocytes pass from red bone marrow into the bloodstream. Reticulocytes develop into erythrocytes with 1 to 2 days after they are released from the bone marrow (Jenkins, Kemnitz, & Tortora, 2010). Which factors speed up and slow down erythropoiesis? Oxygen deficiency (hypoxia) detected by the kidneys increases erythropoiesis. This stimulates the kidneys to release more erythropoietin. It circulates through the blood to the bone marrow and speeds up the production of proerythroblasts into reticulocytes. Erythropoiesis slows down when there is sufficient oxygen delivery to the kidneys and tissues (Jenkins, Kemnitz, & Tortora, 2010). 4.) Explain what would happen if a person with type B blood were given a transfusion of type O blood. Type O blood carries neither antigen A nor antigen B and is known as the â€Å"universal donor† because of this. Therefore, there would be no negative reaction if a person with type B blood were transfused with type O blood (Jenkins, Kemnitz, & Tortora, 2010). 5.) During an anatomy and physiology exam you are asked to view white blood cells in prepared slides of standard human blood smears. Based on the observations below, what is the name and function of each WBC? a.) WBC has a round nucleus surrounded by a blue halo of cytoplasm with no visible granules. These are lymphocytes (T cells, B cells, and natural killer cells). Lymphocytes mediate immune responses, such as antigen-antibody reactions. B cells develop into plasma cells, which then secrete antibodies. T cells attack viruses, cancer cells, and transplanted tissue cells. Natural killer cells attack a variety of infectious microbes and certain tumor cells. b.) WBC contains dense blue-purple granules that hide the nucleus. This WBC is a basophil and makes up 0.5-1% of the total WBCs. Where there is inflammation, basophils leave the capillaries. They enter tissues, and release histamine and heparin. These substances make inflammatory reactions greater and are involved in allergic reactions. c.) WBC has a U-shaped nucleus and a bluish, foamy cytoplasm with no visible granules. These are monocytes, making up 3-8% of WBCs. They migrate from the blood into tissues, enlarge, and then become macrophages. Some become fixed macrophages and live in a particular tissue, such as the lungs and spleen. Others become wandering macrophages and gather at infection and inflammation sites. They gather at infection sites in large numbers and phagocytize microbes. They also clean up cellular debris after an infection. d.) WBC contains small, pale lilac granules and a four-lobed nucleus. This type is a neutrophil and makes up 60-70% of WBCs. Neutrophils arrive at an infection site the quickest of all WBCs. After they ingest a pathogen, neutrophils release chemicals to destroy that pathogen. These chemicals include lysozyme, hydrogen peroxide, and hypochlorite. Neutrophils also contain defensins, which are a protein that poke holes in the membrane of the microbe and kills it. e.) WBC contains red-orange granules and a two-lobed nucleus. This is a sample of an eosinophil and they represent 2-4% of all WBCs. Eosinophils leave the capillaries and enter the tissue fluid where they release enzymes that combat allergic reactions. They also phagocytize antigen-antibody complexes and fight parasitic worms. A high eosinophil count would most likely indicate an allergy or a parasitic infection (Jenkins, Kemnitz, & Tortora, 2010). 6.) Why would the level of leukocytes be higher in an individual who has been infected with a parasitic disease? A parasitic disease is a stressor in the body. It is a normal, protective response for the number of leukocytes to increase in this situation because the blood is producing more leukocytes to fight the parasite. 7.) In regions where malaria is endemic, some people build up immune resistance to the malaria pathogen. Which WBCs are responsible for the immune system response against pathogens? How do they function? Eosinophils are the WBC responsible for immune system response against pathogens. Eosinophils leave the capillaries and enter tissue fluid where they release enzymes. They phagocytize antigen-antibody complexes and fight parasitic infections (Jenkins, Kemnitz, & Tortora, 2010). 8.) What is the function of prothrombinase and thrombin in clotting? Explain how the extrinsic and intrinsic pathways of blood clotting differ. The extrinsic pathway of blood clotting occurs rapidly, within a matter of seconds. A tissue protein called tissue factor enters into the blood from damaged tissue cells outside (extrinsic) blood vessels. Tissue factor then begins a series of reactions that lead to the formation of prothrombinase. The intrinsic pathway occurs more slowly, over the course of several minutes. The activators of this pathway are in direct contact with blood or contained within (intrinsic) the blood. Again, after a series of reactions, prothrombinase is formed. Once the prothrombinase is formed it converts prothrombin (a plasma protein formed by the liver) into the enzyme thrombin. Thrombin, together with calcium ions, converts fibrinogen to fibrin threads and activates a clotting factor that strengthens the fibrin threads into a clot. A positive feedback cycle begins with the formation of thrombin. Thrombin activates more platelets, which increases the release of platelet phospholipids, which then increases the formation of prothrombinase. Thrombin also directly accelerates the formation of prothrombinase. The additional amount of prothrombinase accelerates the production of thrombin. The positive feedback loop continues and the fibrin clot grows (Jenkins, Kemnitz, & Tortora, 2010).

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