Extending Hospitality to Travelers with Disabilities Essay Example for Free

Extending Hospitality to Travelers with Disabilities Essay â€Å"In terms of sampling, ODO narrowed its definition of an adult with a disability. â€Å"We wanted the disability to be permanent, and we wanted to cover the full range of physically limiting disabilities,† shares Turk. â€Å"But we didn’t want to include those with mental or emotional disorders. † Harris Interactive identified an ‘adult with a disability’ participant by using a variation of the 2000 U. S. Census questions. In the U. S. Census, a disability was defined as ‘blindness, deafness, or a condition that substantially limits one or more basic physical activities such as walking, climbing stairs, reaching, lifting, or carrying. ’† (Cooper, Schindler 2004) For purposes of the study conducted by Harris Interactive and Open Door Organization, the definition is sufficient. However, the inclusiveness or narrowness of the definition of disability must be pertinently elucidated during application of the result of the case study. 2. Analyze the research design’s various components. Identify any potential problems and explain the ramifications of these design issues. Identify potential strengths of the design. (a) Focus Groups – 13 participants for 2 session in ODO offices. An interim, preliminary step to â€Å"flesh out critical issues†¦. [to understand] the right language to clarify†¦. Issues† that is useful, efficient and effective. The participants are â€Å"in-house†, there is greater, maximum â€Å"control† of the group as they are very much accessible. The problem is that the â€Å"randomness† of the disabilities of the participants does not cover the entirety of the disability characteristics that will have to be studied. (b) Questonnaire Design by Various Participants From All Stakeholders (the hospitality industry, the other organizations interacting with disability issues) – this is a very good strategy, inspite of the trials and errors encountered in the question designing stages. The inputs of the widest range of stakeholders in disability issues will represent the best and the most profound aspect of the case being studied (c) Combination of Interactive Online and Telephone Interviews – this is also an efficient process because it can honestly and concretely reach out to the variable disabled person who might have limitations in one way or the other on either communication method. 3. What is a hybrid (dual-modality) methodology? What are the pros and cons of the hybrid methodology used in this study? The dual modality methodology utilizes two types of venue or means or tools to achieve results. In this study of ODO in analyzing the needs of persons with disability in their tour, travel and leisure, studying the respondent participants both via the internet and via the telephone is a comprehensive process. â€Å"It was important to use both to achieve a representative sample,† shares Laura Light, research director at Harris Interactive on the ODO study. 11 During analysis, Harris Interactive addresses the dual methodologies by weighting the data using a proprietary weighting process. â€Å"All Harris Interactive polls are weighted by demographics to ensure the sample is representative. But with online studies, we use propensity weighting as well,† explains Light. Online participants tend to be better-informed, so Harris Interactive uses responses to attitudinal and behavioral questions to weight online participants’ responses compared to those of persons they speak with by phone. Propensity weighting12 adjusts responses of an individual online participant based on national data about that individual’s likelihood to be online. † Generally, either way the proponent of the survey does not see the respondent. The interaction is conclusive only on the basis of what is typed online or verbally relayed on the telephone. So, there is still the possibility of limitation as to the astuteness of response maybe due to the attitude of â€Å"just getting over it†. Surveys are helped both by the concrete verbal or written response and the body language. The advantage though of utilizing the technical communication medium (internet and telephone) is that the survey is conducted expeditiously, in a wider scale. 4. Francie Turk had no prior experience with researching Americans with disabilities. Assume you have similar background; what would you have done in the exploratory phase of this project to become familiar with the frustrations and hurdles that adults with disabilities face when traveling? Compare your research process with what ODO did. What could ODO have gained from incorporating your methods? I will first conducted background research on disabilities and persons with disabilities. I will take one sample situation that persons with disabilities are involved with for background study. For example, grocery or supermarket activities that PWD’s are involved with. Then, I will utilize focus groups – at least within my state. Tedious it may be and a longer period will be required, focus group discussions would still be a more effective coverage of the objectives of the study. ODO will gather more comprehensive responses and results from personal discussions. 5. Brainstorm lists of potential hotel, restaurant, and rental car accommodations to be evaluated for adults with disabilities and create your own paired-comparison question. During a phone interview, how quickly could you cover this question? What are the advantages and disadvantages to using this measurement scale in the phone survey in comparison to using it in the online survey? The questions will have to further dwell on their experiences on space allocated and passage ways for PWD’s in hotel and restaurants. Also, the distinctive menu tools that they have been presented in choosing their meals. As far as hotel rooms are concerned, the participants will be made to deliberate on the added technology that rooms are accentuated with (like remote controls for lighting and air conditioning or heating) The survey will be conducted within 20 minutes maximum via telephone. Between the internet and telephone venues, the telephone will better serve the purpose because it is more live and more interactive. Reference: Cooper, Schindler Pamela S. â€Å"Open Doors: Extending Hospitality to Travelers with Disabilities†. Business Research Methods, 10/e

Taro (Colocasia esculenta) :: Botany

Taro (Colocasia esculenta) Breakthrough improvements in the major grain crops have increased world food production dramatically during the last twenty seven years. The advancements in grain production, however, have not brought significant benefits to areas where root crops are the major staples. Therefore, more emphasis should be directed toward such root crops as taro, which is a staple food in many developing nations of Asia, Africa, and the Pacific. Taro (Colocasia esculenta (L.) Schott), a member of the Araceae family, is an ancient crop grown throughout the humid tropics for its edible corms and leaves, as well as for its traditional uses. In the Pacific, the crop attained supreme importance in the diets of the inhabitants. Quantitatively it has become, and still remains, as the most important crop. Today the plant is widely used throughout the world, in Africa, Asia, the West Indies, and South America. Taro is of great importance in many places such as the Caribbean, Hawaii, the Solomons, American Samoa, West Samoa, the Philippines, Fiji, Sri Lanka, India, Nigeria, Indonesia, New Hebrides, Tonga, Niue, Papua, New Guinea, Egypt, and others. In these areas many people depend heavily upon taro as a staple food. More recently, taro was introduced by the U. S. Department of Agriculture to the southern United States as a supplement to potatoes. Taro constituted the staff of life for the Hawaiians when Captain Cook arrived in the islands in 1778. At that time an estimated three hundred thousand people in the islands lived chiefly on poi (a fermented or unfermented taro paste), sweet potato, fish, seaweed, and a few green vegetables and fruits. They used no grain or animal milk in their diet, and animal proteins were a rarity. Yet the good physique and excellent teeth of the Polynesian people testified to an adequate diet. Taro has played a similar role in the diet of the Melanesians and Micronesians, who ate boiled or baked corms and the leaves of taro. Young taro leaves are used as a main vegetable throughout Melanesia and Polynesia. They are boiled or covered with coconut cream, wrapped in banana or breadfruit leaves and cooked on hot stone. Thus, taro is one of the few major staple foods where both the leaf and the underground parts are equally important in the human diet. Within the last sixty years, investigators have confirmed the superiority of taro over other starchy staples.

Phil 235 Paternalism Essay

Paternalism in the Medical Profession Philosophy 235 EC: Biomedical Ethics â€Å"The only appropriate and realistic model of the Dr.? patient relationship is paternalism. Doctors are the medical experts; most patients have little, if any, reliable medical knowledge; implicit trust in one’s physician is essential to the healing process; and doctors have the responsibility for our health and therefore have the duty to make all the important medical decisions. † Critically assess that claim. The issue of doctor patient relationships has become more and more prevalent in our world today.It is hard to draw a clear line in deciding what the appropriate roles are of both the patient and the medical professional. The claim that the paternalistic model is the appropriate and most realistic model will be argued in this paper. This model states that the doctor is the one in complete control, making all decisions on behalf of the patient, and the patient grants the doctor this resp onsibility, obeying any orders. In this model, patients act as children, who are ignorant and unknowledgeable, and doctors act as parents, not only guiding the child in the right direction, but also, actually telling them what to do.Should doctors really hold complete responsibility for our health? Should they be the ones to make all the important medical decisions without patients having any say? This model will be argued in this paper in order to critically assess whether it should be dominant in our present society. â€Å"The traditional view held by physicians themselves was that the physician is the captain of the ship, and that the patient has to follow orders. † This view has only been strongly believed since the 19th and 20th century, when medical professionals were granted almost complete control over all decision making by their patients.Before that time, going to see a doctor was perceived as a last resort, and many would ignore their doctor’s advice altoget her. Over time, this view has shifted and society began to believe that physicians â€Å"knew best, and therefore had not only the right but also the duty to make the decision. † Today, less and less citizens are continuing to agree with this point of view, and instead other doctor patient relationship models have emerged and been identified by Robert Veatch: the engineering model, the priestly model, the collegial, and the contractual model.The three alternative models to the priestly (paternalistic) model have emerged from a more contemporary perspective. The engineering model states that the relationship between the two parties would be nothing more than the doctor simply presenting the patient with the diagnosis, prognosis, and treatment options. Any decision as to which route to take is left entirely up to the patient. As the textbook explains, the doctor is nothing more than an â€Å"applied scientist†, or a â€Å"plumber without any moral integrity†, sinc e ethics and values do not come into play in this relationship.Although I do not entirely agree with this model, the responsibility is lifted off of the physician, and the patient is given freedom to decide. This would follow the argument of self-determination, as said by Dr. Ornstein. This is the belief that all people who are competent should be the ones in control of determining their own fate. Society has not always believed or relied on medical professionals. In fact â€Å"until well into the nineteenth century, the physician was seen as a figure of last resort. † They were deemed useless and even harmful.With this in mind, I wonder why in our day and age, we would rely even more on physicians than we did in the past? Today, we have the privilege of finding out almost anything we need to know within minutes via the Internet, and that is why sometimes, it is the patient that knows more than his own doctor. It is important that patients assume some level of responsibility for their own health, instead of relying on doctors, and the engineering model would display that type of behavior. That is another reason why I oppose the claim that paternalism is the ideal relationship between doctor and patient.Another alternative model identified by Robert Veatch, is the collegial model. This theory emphasizes that both parties are connected through common goals and interests, and that each acts as an independent equal. This model would suggest that the parties work together, and therefore the responsibility is divided equally amongst the patient and physician. There is collaboration here, engaging in activities, which are satisfying to both, and demonstrating an adult-adult relationship, because no one party has greater control over the other.This model goes hand in hand with the partnership model, which expresses that health care professionals and their patients act as partners or colleagues in the pursuit of the shared value of health. There is mutual partic ipation in this model, which demonstrates that, unlike the paternalistic model, the patient can help come to a medical decision. This model stresses, â€Å"the patient uses expert help to realize his ends. † This expert help can come in many forms, and as I have previously mentioned, today society is exposed to numerous modes of gathering any type of information that is of interest.It is of course obvious that the physician has a stronger medical background and is more competent in that field, but that does not diminish the participation or contribution of the patient. With that being said, it is my opinion that the paternalistic model has clearly outgrown our culture, when there are models such as the partnership or collegial model, which are more in sync with our world today. Finally, the third alternative to the paternalistic model is the contractual model.This model is similar to paternalism, in that it questions the assumptions of equality, however it differs in that the re is a â€Å"contract† between both parties, leaving each with their own dignity and moral authority. What is crucial about this model is that it does not neglect the fact that there is an obvious difference in the degree of knowledge between the patient and the physician. Instead of focusing on that discrepancy, the model concentrates on the agreement between the two parties to exchange goods and services and the enforcement of that by government sanctions.In other words, this model compromises between partnership and the reality of medical care, and according to Veatch, is the only realistic way to share all responsibility, while protecting various parties in health care. For example, both parties are freely entering this contract, and therefore are both given the right to leave it, given proper notice. However, while partaking in the contract, there are duties and obligations of each, which may neglect virtues of benevolence, care and compassion, which we do see stressed in other models.Leaving aside the three alternatives to the paternalistic model, there are several other arguments, which come to surface, when critically assessing the above-mentioned claim. The first is that doctors must act like parents because patients know much less than doctors do. This emphasizes the idea that the doctor patient relationship should be one of paternalism. This argument takes into account two different prototypes. The first is the parent-infant relationship, where the parent is the doctor, taking on an active role and the infant is the patient, taking on a passive role.In this case the patient is extremely dependent on the medical professional. The second is the parent-adolescent child relationship, where the physician guides the patient in the right direction, and the patient co-operates to the degree of obeying. Both suggest that the patient has no responsibility, and that the duty and obligation of all decisions rest on the shoulders of the physician. This p roposes that patients are ignorant and unknowledgeable and given the opportunity to make their own decision, they would not be able to.It is likely that doctors know more than the average member of society, however, this is not to say that they are infallible, mistakes can happen. As Professor Ornstein has stated, we cannot choose our fathers, but we can choose our doctors, and in my opinion there is no connection where the two should be related. If a patient feels they should seek out a second, third or fourth opinion, that is their own right. Unlike the ability to seek out a second, third or fourth father. We do not have this option.It is possible and even probable that doctors will differ in their views, and each may guide their patient down a different path. Although a relationship between a physician and a patient should be based on a degree of trust and loyalty, if there is any sort of uncertainty, patients should not feel the pressure of following a path they do not believe i n. Getting another opinion is not disloyal or disrespectful; it is a patient’s right. Additionally, today more patients recognize that it is unfair for doctors to take complete responsibility for our welfare, as we are exposed to so much free medical information.It is my opinion that it is the patient’s duty to also act responsible for his or her own welfare. Another argument that I have come across to oppose this claim is that doctors may be experts in medical matters but there may be other factors to take into account, such as ethical issues, when making a decision. Each doctor has taken an oath, to save lives. This is their main concern, and their main goal for each patient. One must wonder, whether or not this is always ethical. As Professor Ornstein has suggested, do we save someone who as a result must live the rest of his or her life in agonizing pain?Or do we relieve them of that pain, and simply allow them to pass away? This is an ethical issue where many doct ors may have opposing points of view, and may decide that their job would be to save the patient. That would be a paternalistic instinct however; medical decisions should not be purely medical all the time. There are always other factors to consider such as the medical conditions of the patient, their preferences, the quality of life and the socio economic conditions. Each, of course, is given a weight dependent on the specifics and circumstances of the case.In the case of a patient who is experiencing excruciating pain, the doctor may come to the conclusion that the best option would be to remedy that pain with medication. It is important to note, that this paternalistic act is ignoring all ethical issues and only taking medicine into account. Opposing this notion would be to consider how this medication might cloud the patient’s judgment, or recognizing the patient’s preferences prior to formulating a medical decision. Doctors might be experts in medical matters, but the other factors, which are necessary to take into consideration, deem the paternalistic view inadequate.A final argument against the paternalistic view is that physician-patient interactions are negotiations. Viewing the interactions as negotiations, is in itself opposing paternalism because the patient is given some level of autonomy to take part in the decision making process. The goal is to reach a mutual agreement. In order to do so, there are certain steps that must be followed. Firstly, the negotiation should involve adequate disclosures by both parties. This is necessary, so that values and objectives are clear, and a fair negotiation can take place. Secondly, the negotiation should be voluntary, meaning uncoerced.Neither party should feel threatened while entering into the negotiation process. And finally, the solution should be one of mutual acceptance. Of course there are occasions where negotiation is not possible, and that would be for example in the case of an emerge ncy, when the physician needs to save the patient without negotiating beforehand. In that case, the medical professional may act in a paternalistic way, however if there is a competent patient, negotiation is possible and can often be characterized in terms of any of the above-mentioned models (parent-child, friends, partners, etc. ).The aspect that the relationship is seen as a negotiation counters the paternalistic view, in that the patient is given choice. If the patient chooses to give up his autonomy, and lay his destiny in the hands of his physician, that is his preference, unlike the paternalistic model, where that is not a choice, but the only way. The paternalistic model is not the only realistic relationship between doctor and patient. â€Å"As a normative model, paternalism tends to concentrate on care rather than respect, patients’ needs rather than their rights, and physicians’ discretion rather than patients’ autonomy or self determination. As I h ave mentioned previously, there are many other factors that must always be taken into consideration when dealing with a patient. Autonomy, self-determination, and respect, are surely incredibly important when dealing with a patient, and paternalism ignores those factors. The above-mentioned arguments, and alternative relationship models, clearly oppose the claim that paternalism is the only appropriate relationship. As I had asked the questions: Should doctors really hold complete responsibility for our health?Should they be the ones to make all the important medical decisions without patients having any say? I believe the answer to both questions is quite clear, that the responsibility should be shared, and the patient, if capable, should take part in the decision making process. That being said, paternalism is not the most appropriate model and no one relationship trumps another. Instead, all must be taken into account depending on circumstance.

The Industrial Revolution Essay - 663 Words

The Industrial Revolution. The industrial revolution took place in the late 18th century, and the most changes were in the fields of agriculture, transportation and the country’s economic growth. It then spends widely throughout Europe, North America and the rest of the world. First of all, the industrial revolution was an enormous time in the history. The employment was on a rise and reached a peak. It also lead the rural-urban migration by the people in search of good jobs, better standard of living, education and so on. The huge buildings corporations attracted people towards it. The number of cities with populations more than 10,000 in England rose at the end of the century 19th. The technological change made the growth of†¦show more content†¦Industrial revolution brought a drastic change in the infrastructure and architecture. New towns were established and industries became bigger with the increment in their production channel. It leads the creation of a well-organized system of transportation with the adoption of steam engines. It also provided employment to 100 of the skilled workers with a good pay. The beginning of the industrial revolution brought the overall improvement towards the standard of living of the working people. It also encouraged the health and specialized hospitals. More than 80 specialized hospitals were opened to public in the year of 1780-1820 were health became the object for concern, not only the poor but for the nation. The revolution affected the modern machines where the invention of new machines such as spinning, jenny and power loom that permitted increased the production with smaller expenditure of the human power and energy. It leads to the development in transportation and communication as the application of science to the industry. A new organization of work known as the factory system, which entailed increased the division of labor and specialization of function. 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