Adult Learners in Higher Education and Training(Human Resource Essay

Adult Learners in Higher Education and Training(Human Resource Development) - Essay Example The main aim of contract learning is to make students learning centers in their own learning process rather than making teachers the center of learning. Therefore, the use of contract learning is to solve learning problems by reducing several differences between different learning groups. Learning contract aims at harmonizing learning environment for adults students with varied differences. Notably, learning institutions often receive learners from different backgrounds, interest, experiences, lifestyle, learning, and learning speeds as well as varied commitments. Thus, didactic teaching will aim at the middle (Knowles, Holton III, Swanson, 2012) will allow all these interests to be severed and catered for during the teaching process. This process often concentrates at the middle with the aim of pulling other ends. The lower end will be pulled towards the middle so that they are not left far behind while the upper end will be involved so that they are never bored during the leaning process. Therefore, the contract learning is a sure way of helping student meet their learning or educational needs on their own (Knowles, 1995). Developing learning contract need the teacher to have both cognitive and personal learning styles. Moreover, the teacher has diagnostic sense to enable personal learning and understanding of the teaching tools and needs of students Knowles, Holton III, Swanson, 2012. These tools enable the teacher to draw specific needs and objective of the contract learning process. Therefore, it is upon the teacher to formulated specific, clear, realistic, and understandable objectives of the contract learning. Knowles, M. S. (1995).  Designs for adult learning: Practical resources, exercises, and course outlines from the father of adult learning. Alexandria, VA: American Society for Training and Development

UK Employment Law Essay Example | Topics and Well Written Essays - 3000 words

UK Employment Law - Essay Example Under UK employment laws , an employee is one who is working under a contract of employment and the contract may be in writing, or it may be implicit subject to terms and conditions mentioned under the employment contract . Before the enactment of the Industrial Relations Act 1971 and the Employment Protection (consolidation) Act 1978, an employer had unlimited rights to dismiss an employee for any reason or for no reason with few exceptions . However , scenarios have changed a lot after introduction of the abovementioned legislations. Now, if an employer has terminated an employment contract of an employee either under unfair dismissal or under wrongful dismissal, an employee can seek relief under any of the following processes ; a claim can be made under common law for wrongful dismissal , or a claim can be made under ERA (Employment Rights Act) 1996 for unfair dismissal or a claim can be mader under Pt XI for redundancy or Pt II under ERA,1996 . Though , under UK law , an employer is legally entitled to dismiss an employee whenever he wishes and for whatever reasons, provided that he gives due notice in this regard but this right has to be used judiciously and without ulterior intention . If an employer has not conducted an intenral enquiry or not followed correct disciplinary procedures , then , an affected employee may approach the employment tribunal or courts in UK against his unfair or wrongful dismissal. If a person is dismissed unfairly due to his age on the allegation that he is very slow in his work, then, an affected employee may seek protection under s 4 of Equalities Act 2010. Any unfair dismissal due to direct discrimination by an employer will be held illegal under section 13 of the Equalities Act 2010.... o demonstrate incapability of the employee ,i.e., not able to perform the duty as anticipated under section 98(2) (a) of the ERA ; or if there is a misconduct on the part of the employee i.e., like declining to accomplish lawful commands of the employer or availing unauthorised leave without prior permission from the employer under section 98(2) (b) of the ERA; or if the employer is able to demonstrate that dismissal is due to redundancy under section 98(2) (c) of the ERA; or if there is a statutory illegality under section 98(2) (a) of the ERA; or on some other substantial reason under section 98(1) (B) of the ERA5 If a person is dismissed unfairly due to his age on the allegation that he is very slow in his work, then, an affected employee may seek protection under s 4 of Equalities Act 2010. Any unfair dismissal due to direct discrimination by an employer will be held illegal under section 13 of the Equalities Act 2010. Instances of direct discrimination include unfair dismissal o n the basis of the religion (being a Muslim, unfit to work in a bar), gender (being a woman not fit to work for certain types of jobs), and dismissal of an employee due to his old age. The following are the illustrations of unfair dismissal of an employee by an employer. Dismissing an employee as he asked for flexible working time; declining to acknowledge the working time rights by an employee and insisting to avail rest breaks ; dismissing an employee for his involvement in the trade union activity; making an employee to resign by offering the exact notice period ; dimissing an employee for his participation in legal industrial action for more than three months or less ; for providing jury service , requesting time off by an employee ; dismissing an employee for availing adoption leave ,

Possible theories for crime: Nature versus Nurture.

Possible theories for crime: Nature versus Nurture. Crime is a matter of popular interest and focus; it is everywhere you look from newspapers to cinemas. Criminal acts have the ability to repel and fascinate us at the same time. When violence occurs we want answers. One of the questions people often ask when hearing of a crime, whether it be burglary or murder, is why? What causes criminal behaviour? Unless we know what causes an act of violence it is hard to put it behind us. The search for the causes of crime continues to form the basis of most criminological studies. There are numerous explanations for crime; biological, economical, geographical, psychiatric, psychological, sociological. However, broadly speaking these causes generally fall into two basic schools of thought, nature and nurture, and while most of us will embrace notions from both sides, some criminologists tend to lean more in one direction than the other. Psychological theories of crime hold the view that individual differences in behaviour may make some people more predisposed to committing criminal acts. These differences may arise from personality characteristics, biological factors or social interactions. As there are so many theories for criminal behaviour this paper will focus on the biological and environmental factors, which may account for the growing social problem of violent and antisocial conduct. It was an urgeà ¢Ã¢â€š ¬Ã‚ ¦.a strong urge, and the longer I let it go the stronger it got, to where I was taking risks to go out and kill people-risks that normally, according to my little rules of operation, I wouldnt take because they could lead to arrest. Edmond Kemper (cited on http://www.crimelibrary.com) Where does this urge come from? Do we all possess it and if so, what stops some people from committing crimes, whether it be murder, as in this case, or something less, whilst others cannot control this urge. It could be said that criminals have no control over their impulses, whereas we do; no matter how angry we get there is something that stops us from taking this anger out on other people. According to Sigmund Freud (1856-1939) all humans have natural drives and urges repressed in the unconscious. More importantly he also claims that all humans have criminal tendencies. It is through the process of socialisation that these tendencies are curbed by the development of inner controls that are learned through childhood experiences (Eysenck, 1977). Maybe the thing that stops us is the thought of the punishment we would receive if caught, or maybe it is morality or social programming. It may even be that we are afraid that if we commit a crime and are caught, we risk losing the social bonds that we have with other people, as they will then think less of us. Humans are knowledgeable people who understand a great deal about the conditions and consequences of what they do in every day life (Farrell, Bowling, 1999). Once convicted of a crime and in court, there is an increased emphasis upon the free will and moral responsibility of the offender for their actions. However the conception of the offender being genetically at risk has now emerged. There have been numerous studies carried out on twins to determine whether genetic influences play a part in criminal behaviour. Christiansen (1977) reported on the criminality of a total population of 3,586 twin pairs from Denmark. He found that 52% of the twins were concordant for criminal behaviour for identical twin pairs, whilst 22% of the twins were concordant for fraternal twin pairs. These results suggest that identical twins carry some form of biological characteristic that increases their risk of becoming involved in criminal behaviour (McLaughlin, Muncie, Hughes, 2003). However, the thought that criminal behaviour is due to genetics poses many questions. At a personal level, people wonder about how much actual choice they have over their lives. Accepting genetic causes for their traits can relieve guilt about behaviour they want to change, but cannot. According to Gibbons (1968), the genetic theory indicates that inherited traits are specific in nature, i.e. so that a person inherits green eyes and blonde hair. However criminal behaviour is not specific, it covers a wide range of criminal activities from petty theft to mass murder. Also, many criminals engage in a range of these activities, not always one specific type of crime, therefore how can the genetic theory account for this variability? It could be suggested that criminals inherit general tendencies to break laws. However criminals do not break all laws, they obey to most. It is very difficult to demonstrate any feasible mechanism for the inheritance of criminality (Eysenck, 1977). A disorder such as Cystic Fibrosis is a disorder produced entirely by hereditary causes. The cause is known and understood and the presence of the disorder can be determined with accuracy. With this in mind, what kind of structure can be imagined to underlie the cause of crime? What is criminal in one country may not be criminal in another country; the purchasing of marijuana is legal in Amsterdam whilst illegal in many other countries. Also, what is a crime at one time may not be a crime at another time, i.e. it is a citizens duty to kill in war but outside of war it is a crime. People are able to understand the differences in situations like these. What some people do find difficult is the thought that a gene or chromosome may cause the difference between a criminal and a non-criminal (Eysenck, 1977). In a study carried out by Bernhardt (1930) on two groups of siblings, group one had both parents as none criminal, but criminality was among the grandparents or other close relatives, and the second group had no criminal parents or other relations. He found twice as high a crime rate among siblings in group one, than in group two, and postulated that this difference must be endogenously caused, as both groups of children grew up in non criminal homes. As can be seen from this study, it is difficult to eliminate environmental factors. There is always the possibility of direct influence from grandparent to grandchild. It may also be assumed that grandchildren of criminal grandparents are exposed to less favourable environmental influences via the intermediate parental link. Plus, the probability that the environment the parents create for their children is much the same as the grandparents created for the parents, is very likely. The biological side of criminal behaviour can be studied through mental patients. In a ten year follow up of criminality in Stockholm mental patients, Belfrage (1998) found new evidence for a relationship between mental disorder and crime. The study was carried out on 1056 mental patients with the diagnosis of schizophrenia, affective psychosis or paranoia. After they had been discharged from mental hospitals in 1986, they were followed up ten years later. It was found that of those who were forty years old or younger at the time of discharge, nearly 40% had a criminal record, compared to less than 10% of the general public. According to Soothill, Peelo and Taylor (2002), on a typical day, four mentally disordered offenders are admitted from the courts to Broadmoor hospital, Rampton hospital or Ashworth hospital on hospital orders. Also, about one offender a day is transferred after sentence from a prison service establishment to a hospital. However some criminologists regard biological evidence with alarm. Nelkin and Lindee (1995) believe that genetics, in relation to crime, deflects attention from the need for social reform, education and rehabilitation in tackling the violence in society. The study carried out by Komiya (1999) highlights the importance of environmental factors, such as families, schools and companies, concerned with the individual. This study was concerned with looking at the low crime rate in Japan in relation to the cultural background. It found that reasons for low crime rate were due to factors such as low unemployment, high educational standards, strict justice in relation to the control of firearms and drugs and the certainty of arrest, self-discipline and the high level of self-control. This latter is regarded as the strongest weapon for survival in Japan and they learn the value of self-control at a very early stage in life. It is the most important stage of socialization in Japan, whereas in Western countries a self of sense is most important. The socialization in Japan happens through/in families, schools and companies. In the family, children are under strict discipline. They learn to accept parental authority; therefore they are driven by parental expectations. There is lots of body contact i.e. bathing with parents. This is the opposite of Western families who encourage their children to have their own bedroom. In the school there are lots of regulations and children also have peers. The companies provide security i.e. lifetime employment, medical support, retirements benefits. For this, Japanese workers must accept strong informal social control by their company. As can be seen through this study Japan has a strong sense of security and an infinite number of repressive rules. These two elements act together to produce high levels of self-control, which acts as a strong force restraining people from committing crimes. The Japanese legal culture contributes to the prevention of crime by controlling the individuals behaviour. This is the opposite to the Western worlds emphasis on the permissive nature of rules and the relative freedom of action. According to Komiya (1999) this suggests there is a trade off between low crime rates and a strong awareness of freedom. If individuals have a strong sense of responsibility, a society can lower its crime rate without undermining freedom. It could be said that a persons environment depends to a certain extent on his/her own choice (Horwitz, Christiansen, 1983). It could also be that some individuals within certain areas are drawn into crime (McGuire, Mason, OKane, 2000). A case in which the latter may apply is institutional upbringing. There seems to be a stigma attached to children raised in an institute; they are labelled as social deviants. However it must be remembered that children placed in these institutes, before being removed to the institute, are already in a rather threatened situation. Therefore it should be expected that these children would show increased delinquency rates. However once a person is stigmatised by a label, the response is often to fulfil the label given and commit further acts of deviance. To take a quote from http://www.crimelibrary.com, I have several children who Im turning into killers. Wait till they grow up. David Berkowitz This illustrates how much of an impact the environment in which a child grows up in has later on in life. Reading this quote would definitely worry criminologists who believe that the environment shapes a person and influences later life choices. Some parents believe that by being harsh on a child will toughen the child up. Instead, it often creates a lack of love between parent and child that can have disastrous effects later on in life. If a child does not bond with his/her carers there is no foundation for trusting others later in life (http://www.crimelibrary.com). Bowlby (1957) carried out a study on 44 thieves at a psychiatric clinic. He believed that a long separation from the mother during the first five years of a childs life is a leading cause in the development of socially incapable, troublesome and delinquent personalities. Other studies claimed that the absence of the father might also create an equally dangerous risk (Horwitz, Christiansen, 1983). Andry (1955) found tha t the absence of the father was as equal a risk as the absence of the mother, and re-established the father as an equally important figure (Horwitz, Christiansen, 1983). Either way, both researchers found that parents are very important in the development of children. A criminal can often be heard blaming his/her actions on a number of traditional explanations; childhood abuse, genetics, exposure to traumatic events and perceived social injustices to name a few. However the problem with this is that many people have been exposed to one or more of these traumas, yet they do not turn to crime. Maybe it is an interaction of a number of factors. Yet in the case of Jeffrey Dahmer, who had an apparently normal upbringing, environment does not seem able to explain the behaviour displayed. If there is a genetic explanation, it is difficult to explain, as we do not see entire families of, in this case, serial killers. Another aspect of crime, which is of interest, is understanding how and why offenders stop committing offences. This is crucial for the development of effective crime prevention and criminal justice practises. Without a theory as to why people stop offending it is difficult to know which policies and practises are best needed to stop it. Some criminologists believe that by searching for the causes of criminality, the attention is taken away from the pressing task of crime management (McLaughlin, Muncie, Hughes, 2003). This essay has only just begun to skim over the causes of criminal behaviour. As can be seen it would be difficult to credit one theory for the explanation of crime, there is a continual interaction between both genetic an environmental factors; they are functionally interdependent. No one study carried out can be said to provide conclusive evidence for either genetic factors or environmental factors (Horwitz, Christiansen, 1983). However if genetics were to be seen as the cause of criminality, this would pose future problems; it may lead to genetic screening for the interest of risk assessment. This could lead to genetic discrimination, which could then lead to loss of employment or denial of insurance or other benefits (Rose, 2000). If crime were due to genes, the individual would not be to blame yet they would be punished through the mentioned ways. There must be something in the child himself which the environment brings out in the form of delinquency. This quote by Aichorn (Gibbons, 1968) demonstrates the importance of both nature and nurture acting together. Certain aspects of each theory help us to understand the criminals behaviour, and it is through this interaction that we are able to further our knowledge on criminology. Awareness of Students in Junk Food Consumption | Proposal Awareness of Students in Junk Food Consumption | Proposal Izyan Hanim Binti Ibrahim THE AWARENESS OF STUDENTS IN PUSAT PERMATA PINTAR NEGARA IN CONSUMING JUNK FOOD CHAPTER 1 INTRODUCTION INTRODUCTION World Health Organisation has stated that the dispersion of disease mainly is caused by the unhealthy eating lifestyle (As cited in CSE 2012). However, the adolescence really love eating junk foods including burgers, carbonated drinks, instant noodles, French fries, hotdogs, sweets, potato chips and biscuits (Arya Mishra 2013). According to Arya Mishra (2013), they have classified adolescence stage into three stages which early adolescence, ranging from 11-14 years old, middle adolescence, teenagers of age 15-17 years old and lastly late adolescence that have ages of 18-21 years old. Those stages are the most important stages in human life cycle because during early adolescence is the emotional management stage due to it is a puberty level. Moreover, in the middle adolescence is the try-and-error stage because teenagers tend to try many new things and experiences and last but not least teenagers will figure out his or her future plan during the late adolescence stage. The study has stated that wrong consumption of nutrients at this level will result a prolong impacts to them. Students of Pusat Permata Pintar Negara are the gifted students and their specialties should be preserved. This study will survey the awareness level of them in taking in the junk foods to make them realise how dangerous is the action. Students who live far away or without parents have higher tendency to consume or buy junk foods. A study has discovered that foods rich in nutrient have higher price index in marketing fields compared to the unhealthy foods like junk foods ( Deakin University 2008). Finally, this research project will reveals the frequency of those students in consuming junk foods from schooling session until living in the dorms session with others. Despite all of this, the researcher will investigate how the examination year will affect the frequency of their consumption towards junk food in order to enhance the cognitive level. BACKGROUND Junk foods are categorised as any types of meals that can be prepared in short time and does not require much energy to make it (Johnson et al. 2012). However, Escalante et al. (2004) has stated about the intake of beneficial nutrient decrease as the consumption of junk food increase in children’s meal. This is one of the implication the over exposed children to the junk food advertisement continuously in front of television. For instances, the advertisement that make a non-stop promotion is Koko Krunch, Coca Cola, Pepsi Co and biscuits. Yosifon(2006) also support this claim about the effect of advertisement in monopoly the young generation’s mind. In addition, World Health Organisation (WHO) has come out with a result those actions is one factor that contributes to the increase of statistical analysis on the Body Mass Index (BMI). Company of junk food will target the new generation as their marketing customers to exploit the profit (Yosifon 2006). Junk food is rich with salt, trans fat, sugar and many chemical contents as their preservative and addictive agent. Monosodium glutamate is the most well-known food addictive agent in junk food. Monosodium glutamate is one of a dangerous chemical that always being related with the development of cancer cell. As has been stated before, junk food is a food rich with fat. The consumption of high fat meals will make the signal of appetite-supress is being ignored and leads to increase of appetite and gaining weight (Johnson et al. 2012). Not to be forgotten, Johnson et al. (2012) also have made a study on the effect of junk food on brain. The study has proved that junk food can reduce the volume of brain. The reduction of brain capacity will lead to the neuro diseases. For students, the ability to memorise is important for the process of cognitive. So, the risk to be effected with Alzheimer’s disease should be lower by taking care of intake of junk food and aware with the intake of nutrients. 2 As conclusion, this research mainly wants to study the awareness of gifted students in the consumption of junk food and to determine whether examination year will affect the consumption of junk food in their diets. PROBLEM STATEMENT Teenagers are the main target for any company of junk food to be their customers. So, junk food has becomes one of their favourite food. Besides, the problem that has been observed by the society about this issue is the source to get this junk food can easily bought by the students and there is no restriction. For examples, many types of junk food can be bought from the vending machines, school canteens and the nearby grocery shop (Datar Nicosia 2009).As students; they should spend the money wisely. So, they eat junk food because it is affordable and cheap. However, obesity cases among the young generation is rising up and continuously year by year (Escalante et al. 2004). PURPOSE OF RESEARCH The purpose of conducting this research is to study the awareness level among students of Pusat Permata Pintar Negara in consuming junk food in their diets. Junk food contains many types of chemicals and the most well-known chemicals present in that food is monosodium glutamate. Monosodium glutamate can produce an addictive flavour that enhances the taste of the foods (Husarova Ostatnikova 2013). As students, the frequency of taking junk food will be investigated by the researcher and to determine whether the examination year for Form 5 student, that will facing Sijil Pelajaran Malaysia, will control them from taking the junk food. RESEARCH OBJECTIVES To determine whether students of Pusat Permata Pintar Negara aware about the intake of junk food. To study the frequency of students consuming junk food. 3 To investigate whether the examination year will affect their intake of junk food. RESEARCH QUESTIONS The research questions are: Does the students of Pusat Permata Pintar Negara aware about the intake of junk food? How frequent is the students consume junk food in their life routine? Does the examination season will affect the intake of junk food among the students of Pusat Permata Pintar Negara? RESEARCH HYPOTHESIS Alternative hypothesis, : The examination will affect the frequency of consuming junk food by the students. Null hypothesis, : : The examination will not affect the frequency of consuming junk food by the students. SIGNIFICANCE OF RESEARCH This research is mainly done because teenagers nowadays are known as junk food generation because there are many of them that take in junk food as their main dishes every day. So, this research is one of a step towards reducing the intake of junk food especially among the students. The significance of this research is to enlighten the society about the dangerousness of junk food in harming the health. Besides, this research will highlight the seriousness 4 level of consuming the junk food in diets of students. LIMITATIONS The samples of this research are just from a small population of Pusat Permata Pintar Negara which have a total number of students of. Due to small population, the sample used for this experiment will be a small sample size. The small sample size may not have a statistical support due to insignificant result of the finding for this research project. DEFINITION OF TERMS The definition of each main concept in the research is as follows: AWARENESS The awareness of students in Pusat Permata Pintar Negara in this research is about how they control the intake of junk food even they know its implication on health. Moreover, it becomes serious when students tend to chewing something during study or revise in the night. FREQUENCY The frequency of eating the junk food gives an idea to the readers about the number of consumption of junk food per day or per week. COGNITIVE The ability of students to understand their studies CONCLUSION The awareness of students in Pusat Permata Pintar Negara should be investigated through this research since they are the gifted students that need to preserve their specialities. Through this survey, maybe next research can study how to raise their awareness and decrease the consumption of junk food. 5 CHAPTER 2 LITERATURE REVIEW 2.1 INTRODUCTION Junk food is defined as any food that contains less in nutrients but rich in the inappropriate things such as the preservative and the additive agents. Junk food can contribute to obesity and encourages the eaters to skip their breakfast because of improper meals time (Gopal et al. 2012). The study by Gopal et al. (2012) has claimed about the bad effect of consuming junk food that the society does not realise is about the decreasing absorption of calcium in humans. Based on the survey by Gopal et al. (2012), their outcome of survey has shown that the biggest factor for the students to consume junk food probably is because of the taste of junk food itself. Almost 70% of the eaters agree with this factor and unfortunately almost half of them never care about the long-term effects. 2.2 CHEMICALS IN JUNK FOOD Chemical in junk food has a high glycaemic index and will suppress the appetite of the eaters. In addition, chemicals in junk food can higher the level of sugar more rapidly compared to other type of food (Vartanian et al. 2007). Monosodium glutamate, MSG, is a well-known chemical agents used in junk food and many studies has been conducted by using the animals as the samples to prove its effect on health. The usual experiment was conducted to study the implication on reproductive organs, central nervous system and adipose tissue (Husarova Ostatnikova, 2013). Overconsumption of junk food can reduce the size of lumen within age 30 and has a high risk to be attack by the coronary disease (Johnson et al. 2012). 6 2.3 METABOLIC SYNDROME Metabolic syndrome is defined as any disease that can lead to heart attack. For examples, high blood pressure, obesity, diabetes and obesity (Alberti et al. 2006). Husarova Ostatnikova (2013) has stated that chemical contents used in junk food can interrupt the metabolism process in humans’ body. â€Å"Junk food can increase the parameters of insulin, fatty acid and triglycerides in serum† (Husarova Ostatnikova 2013). They has been added that monosodium glutamate can increase the production of bile and the most dangerous element regarding this food addictive is it can change the structure of ovaries and fallopian tube. Besides, MSG can cause headache but the studied show there is no relationship between asthma and the uptake of junk food. Not only that, medical staff at Harvard University and University of Murcia can make the young men to distorted their reproductive system and development because the sperm produced will be the unhealthy sperm to fertilize with the ov um( Johnson et al. 2012). 2.4 PREVIOUS RESEARCH A study has proved that junk food’s nutritional content is approximately has zero content of nutrition. Furthermore, it has a large quantity of trans fat. Trans fat acts like the saturated fat which contributes to the increase in the statistics of obesity (Johnson et al. 2012). A statistical by World Health Organisation (WHO) shows that 2.8 million of humans were killed yearly due to the problems of body weight or obesity. This implication of junk food has been supported by British Heart Foundation (2014) that excess consumption of junk food will higher the risk of obesity. As the obesity has stated in an individual life, he or she will has a higher tendency to be infected by mane other diseases. The most common disease is the coronary disease. Not to be forgotten, illness that related to the obesity is high blood pressure, diabetes type II and development of cancerous cell. A recent article by Gutierrez (2014) states that junk food makes the eaters become addictive to it and the addictive level is like craving for heroin. In addition, the article also has claimed about the effect of over consumption of junk food will make the person will 7 refuse to the healthy meals and they prefer to starve themselves. When chemical content from junk food was entered the human body system, the biological content of brain will be deteriorated (Michelle 2014). It has been added that the entire body system will be interrupted especially the digestive system due to inappropriate digestive flow. A report by the Military Leaders for Kids (2010) has come out with a statement by the army that want all sources of junk food to be eliminated in school compounds either in canteens or vending machines. However, as a started step in order to remove the sources, conspiration between American Heart Association and the beverages companies was setting up to decrease 88% of the calories present in their product that will be in the school compound in United States. 2.4 CONCLUSION Consuming excess salt, sugar and many other unbeneficial needs to be controlled at the early age because obesity in young age will has a high probability to develop into adult obese (British Heart Foundation 2014). The awareness level of students in Pusat Permata Pintar Negara in consuming junk food should be studied so that next research can be conducted to find the appropriate ways in increasing their awareness. Students of Pusat Permata Pintar Negara are the gifted students that need to be preserved their intellectual level. 8 CHAPTER 3 RESEARCH METHODOLOGY 3.1 RESEARCH DESIGN Survey research method will be the research design for this study. 162 copies of questionnaires will be distributed among the students of Pusat Permata Pintar Negara, Universiti Kebangsaan Malaysia. The samples will be divided into three groups which is Form 4, Form 5 and Asasi Pintar students. Those groups have 54 samples each and a total of 162 students will be involved. There are three different levels of students because the researcher want to know whether the examination year will affect the consumption of junk food which is Form 4 students are not in examination year, Form 5 students are in examination year (Sijil Pelajaran Malaysia) and Asasi Pintar students are in the post-examination year. The questionnaire that will be distributed is from the Codman Academy. 3.2 RESEARCH PROCEDURE Based on Krejcie and Morgan table, the researcher can decide an appropriate number of samples. With the total number of population which is 280 students, Krejcie and Morgan table shows that the number of samples that should answer the Codman Academy questionnaire that will be distributed is at least 162 students. The result of the survey will have a valid result for the researcher to analyse. The questionnaire that will be distributed is taken from Codman Academy Junk Questionnaire Survey which already has its own validity. Therefore, pilot test is not necessary in this study . The questionnaire will be distributed among students of Pusat Permata Pintar Negara, Universiti Kebangsaan Malaysia. There are 15 questions involving questions on frequency of consumption of junk food by students of Pusat Permata Pintar Negara. The duration for collecting the questionnaires with the answers will be about 5 days. 9 The questionnaire will be analysed and the researcher will study on the frequency of consumption of junk food. In addition, the frequency of the Form 5 students for the intake of junk food will be compared with respondents from Form 4 and ASASIpintar students because the researcher wants to investigate about the effect of examination year on the frequency of taking junk food. 3.3 SAMPLE AND POPULATION 3.3.1 RESEARCH POPULATION The population for this research is the students of Pusat Permata Pintar Negara, Universiti Kebangsaan Malaysia that will answer the questionnaire. The total number for the population is 280 students including Form 4, Form 5 and Asasi Pintar students. 3.3.2 INCLUSION CRITERIA FOR THE STUDY SAMPLE The samples should be studying in Form 4 and Form 5 because they already pass the maturation stage in thinking skill. So, the answer can be more relevant and it is more valid to analyse it as the research result. 3.3.3 EXCLUSION CRITERIA FOR THE STUDY SAMPLE Students which are in Foundation phase or in Form 1 level cannot be selected to answer the questionnaire because some of them have matured but some of the students still have the immature way of thinking. So, the answer will be the irrelevant answers. The lecturers or teachers are excluded from the sample because the researcher want to study the awareness in the consumption of junk food among the students due to they are known as the junk food generation. 10 3.3.4 STRATIFIED SAMPLING METHOD The population will be grouped based on the age and the level of studying in school either the students are from Form 4 (16 years old), Form 5 (17 years old) or the post Sijil Pelajaran Malaysia candidates which are in ASASIpintar (18 years old). The sampling method will be conducted from each of the age of students’ ages. 3.4 INSTRUMENT 3.4.1 KREJCIE AND MORGAN TABLE This table gives the researcher a guideline in choosing the number of respondents needed for a certain number of population. The study will be conducted in Pusat Permata Pintar Negara which has a total number of 280 students including Form 4, Form 5 and Asasi Pintar students. So, a valid number of samples needed are 162 students. 3.4.2 CODMAN ACADEMY JUNK FOOD QUESTIONNAIRE Codman Academy Junk Food Questionnaire is taken as the questionnaire for this survey. The language used for this questionnaire is English language because it is a universal language. So, the respondents can answer the questionnaire without any obstacle due to language. 3.5 DATA ANALYSIS The result from the questionnaire will be analysed by using the statistics software known as SPSS. Results will be presented through frequency counts and other descriptive statistics. From the analysis, the researcher can get the statistical analysis on the result of the awareness of students in Pusat Permata Pintar Negara towards the intake of junk food. The hypothesis testing will be done by the researcher to make a decision. The decision is either to reject the null hypothesis or fail to reject null hypothesis. Microsoft Excel 2010 will be used to tabulate the data. 11 3.6 PRELIMINARY BUDJET 12 REFERENCES British Heart Foundation. 2014. Briefing: Junk food marketing to children campaign Husarova, V. Ostatnikova, D. 2013. JMED Research. Monosodium Glutamate Toxic Effects and Their Implications for Human Intake: A Review 2013(2013):1-11 Vartanian, L.R., Schwartz, M.B. Brownell, K.D. 2007. American Journal of Public Health. Framing Health Matters 97(4):667-675

Essay --

American Author, Edgar Allan Poe, wrote short stories that were completely different than any of the other stories you would hear during the nineteenth century. They did in fact though, have a great impact on people’s lives. Poe’s stories were mysterious, dark and sinister. People credit Poe with the invention of Science Fiction and Mystery genres. Poe had an impact on not only American Literature, but also on many writers through the years and even singers today. Those are some reasons why Poe should and is included in a school’s curriculum. It is said that Poe’s stories and poems were filled with terror, fear, death, murder, insanity, torture and the unknown because Poe experienced a large amount of tragedy in his life. His father was an alcoholic and left Edgar when he was young. Poe’s mother was also out of the picture at a young age due to dying of tuberculosis. His foster mother and his wife also died. Poe was born into poverty, he lived in poverty and he died in poverty. Poe wrote things that other writers found wicked. He wrote stories about human emotions in ways other than just being happy or in love. An example is â€Å"The Tell-Tale Heart.† It was considered â€Å"too vulgar† by many, but it was a true problem with people that he had no problem talking about it. â€Å"The Tell-Tale Heart,† is an emotional description of a furious narrator who had heard a man’s persistent heartbeat, still beating, after he had killed him. It is a horror story told from a first-person point of view. This story is famous for showing that a short story can produce such an effect on the reader. Poe always believed that any great literature must create a union of effect on the reader. It has to tell truth and suggest emotions. â€Å"The Tell-Tale Heart† re... ... too. Poe influenced artists such as The Beatles, Bauhaus, The Alan Parsons Project, The Cure and even Panic at the Disco! Poe was on the cover of The Beatles Sgt, Pepper’s Lonely Hearts Club Band. The Bauhaus have always had a dark tip to everything and anything they do. It is said that they definitely read â€Å"The Raven† in school. The Alan Parsons Project released a full album called, â€Å"Tales of Mystery and Imagination.† It was based off of Poe’s short stories and his poems. The Cure have always imparted a gothic romanticism in their music, they certainly took pages from Poe’s stories. Finally, Panic At The Disco may be very pop, punk, dance-dandy guys, but the way they dressed just screamed Edgar Allan Poe. For an author to be in a school curriculum, you do not have to just influence other writers. It is good to be able to inspire and influence all kind of people.

Mcdonald’s Is China Loving It Possible Solution

With China’s rapidly developing economy, the rising wealth of its middle-class and more Western fast-food chains infiltrating the nation, McDonald’s finds itself at a crossroads. The company must evaluate its current standing in the Chinese fast-food market and elect to either continue its present operations, hoping to maintain its second place rank to KFC, or implement new strategies to gain market share, meet the Chinese people’s expectations, and abide by governmental standards. The following alternatives will be evaluated to make a decision: 1. Base – Status QuoIn this scenario, McDonald’s will continue operating under its current strategies. New threats from competitors in China, including long-time rival KFC, Asian fast-food companies like Hong Kong’s Cafe de Coral, Taiwan’s Dicos Fried Chicken and Japan’s Ajisen Ramen, and emerging Western chains like Subway and Rainforest Cafe, would be ignored. Since its competitorsâ₠¬â„¢ menus focus on Chinese preferences for chicken and noodle dishes, McDonald’s will attempt to continue to offset that advantage by emphasizing quality and service. However, in the long run, McDonald’s operations would fall victim to China’s developing economy.In particular, China’s unionized workers would call for additional pay increases and inflationary pressures would cause material costs to rise. As a result, McDonald’s would be forced to increase its prices, as it had done in the past. In all likelihood, the price point for the quality of food offered would fail to live up to public and governmental standards. With competitors progressing in tandem with China’s economy, offering more luxurious casual dining environments and healthier menu options, McDonald’s would fall behind in the market. 2.Option 1: Efficiency, Convenience, and Environmental Responsibility. In this case, McDonald’s would augment its strategies to re main competitive with Western fast-food counterparts like KFC, Burger King and Subway, and Asian competitors like Cafe de Coral, Dicos Fried Chicken and Ajisen Ramen. McDonald’s would capitalize on the public’s demand for quick, convenient service at low prices and continue using its tier pricing model. The company would further exploit the wealth distribution in China by widening its target focus to include the increasing purchasing power of the lower-tier consumer in rural egions of the country. Chinese rural households account for over 60% of the total population. These households spend a larger proportion of income on food, compared to urban households, but as incomes rise, the proportion spent on food does not increase (see Exhibit 1). Thus, McDonald’s would focus on selling more products to more customers at lower prices. McDonald’s would incorporate healthier options in its menu, so to compete with Subway, a chain focused on fresh, healthy food, an d to address growing governmental concerns with an obesity epidemic.McDonald’s would also secure and sustain its locally-based supply chain and joint ventures, to maintain value and its business model, keeping competitors at a disadvantage. (page 8 lihua) (ultra modern cost efficiency) Despite the lack of formal legislation on environmental issues in China, McDonald’s would further emphasize its dedication to decreasing its environmental impact by repositioning itself as a market leader in environmentally friendly packaging, going beyond the established â€Å"no straw days† instituted in Hong Kong.This will highlight McDonald’s willingness to partner with its customers to decrease the use of plastic as well as reducing packaging costs. McDonald’s long-term goal would be to dominate the fast-food market as a dependable, responsible and valued brand. 3. Option 2 – Sophisticated Dining Experiences This option targets the higher-income segment o f the population. McDonald’s would recognize that individuals in this market have rising standards on the type of food and service they receive.Additionally, the amount of money these individuals spend on food, in proportion to growing incomes, is not increasing (see Exhibit 1). In order to retain these higher-income customers, McDonald’s will offer more luxurious ambiences and more amenities at its restaurants. McDonald’s would renovate current locations and build new locations in two ways, with both types offering the typical Western McDonald’s menu and options catered to Chinese tastes. One line of restaurants would encompass sit-down dining-rooms with waiter-service, which would mainly compete with Pizza Hut and Rainforest Cafe.The other line of restaurants, McCafes, would include sit-down dining spaces without waiter-service and offer wireless internet, calm music, and comfortable seating. The McCafes would compete directly with Starbucks. Delivery s ervice and car-side pickup options would expand throughout the country in both types of settings, to maintain sales volume. In addition, coupon partnerships with Internet companies like Taobao. com will continue to provide incentives for customers to dine at McDonald’s.The main risk in this scenario is that McDonald’s is completely revamping its identity as a true-fast food company. Consequently, the company may lose its second-place position to KFC, to justify itself as a luxury brand. 4. Option 3 – Fast Food Efficiency and McCafe Combination In this situation, McDonald’s would implement strategies from options 1 and 2. Tier pricing would continue, services and products would be tailored to the characteristics of the various provinces in the nation, and convenience, health, the environment, and luxury would be emphasized.As in option 1, McDonald’s would expand its operations in the more rural, Western provinces and renovate current locations in ur ban areas, to include the environmentally friendly and health-conscious menus and processes. In addition, a percentage of the urban locations would be transformed into McCafes, as mentioned in option 2. Drive-thrus, delivery service, and car side pickup would expand to all areas. Furthermore, McDonald’s would secure its local supply-chain, proceed with its joint venture structure, and continue coupon programs with Internet companies.IV. Critical Issues The following issues are significant considerations for McDonald’s, in order to make its decision: 1. Brand Perception: McDonald’s needs to convince its Chinese consumers that it offers a product worthy of the price it costs, that the products are special and luxurious, and that the company cares about its workers, the environment, suppliers and the health of consumers. McDonald’s must also address governmental concerns on safety and health, demonstrating that its products will not propose any detriment to China’s developing economy. 2.Impact on Market Share: Since KFC, its biggest competitor, entered the China market earlier than it did, McDonald’s must consider whether its new strategies will be able to surpass KFC in the fast-food market. McDonald’s must consider that as China develops, many new competitors will enter the fast-food market. McDonald’s strategies must be able to attract and maintain its targeted customer bases, and attract the consumers in competitors’ markets. 3. Long Term Sustainability: McDonald’s must consider whether its plan would have its desired affect to gain market share, maximize gross margin and cut its expenses.The company wants to ensure that it will maintain pricing power (charging more for fewer high-end product sales and charging less for more low-end product sales), improve consumer confidence in a rapidly changing economic environment, and continue to profit in the future. 4. Costs to Implement: McDonaldâ⠂¬â„¢s must consider the expenses associated with developing new programs and funding expansions. The company must be confident that future profits will cover implementation costs. V. Rubric and Methodology Score Key: 1 = Poor, 2 = Fair, 3 = Good, 4 = Superior, 5 = ExcellentBrand PerceptionImpact to market share LT SustainabilityCost to ImplementTotal Score Weight0. 40. 30. 20. 11. 00 Base**21141. 7 Option 144413. 7 Option 232222. 4 Option 354414. 1 **Base refers to current method. The ratings are based on a 1 through 5 scale with a score of 1 being poor and a score 5 being excellent. Weights for each criterion were assigned on an arbitrary evaluation of their importance. Brand Perception was considered most important (0. 4 weight) because most of McDonald’s problems regarding competition in China stem from a changing consumer perception of the McDonald’s brand.Impact to Market Share was considered to have the strongest secondary importance (0. 3 weight) because McDona ld’s main motivation for changing marketing strategies is to gain market share from its major competitor KFC as well as share from the increasing number of domestic fast food suppliers. Long-Term sustainability was considered to be less important (0. 2 weight) as in such a highly competitive market, McDonald’s may be forced to continuously alter the focus of its marketing strategy due the dynamic nature of the Chinese market. Finally, Cost to Implement was considered to be the least important (0. weight) as McDonald’s growth has been extremely robust and, regardless of the competition it faces, McDonald’s should be able to finance significant capital expenditures for the purpose of securing future growth. The option with the highest score should be implemented immediately. Base is included for comparison only. VI. Analysis of Alternatives Base Method: †¢Brand Perception – FAIR – Increasing awareness of the health risks of McDonaldâ€⠄¢s food, unfair treatment of workers, inconsistent environmental policy, and global perception of McDonald’s has reduced Chinese perception of the McDonald’s brand.The brand will continue eroding without action. †¢Impact to Market Share – POOR – McDonald’s will lose market share to KFC and an increasing number of domestic and foreign competitors offering diverse fast food and casual dining options. †¢Long-Term Sustainability – POOR – The dynamic changes in the purchasing power of Chinese consumers and the eroding brand perception will inspire them to purchase alternative products to those offered by McDonald’s. †¢Cost to Implement – SUPERIOR – McDonald’s will incur no additional costs than it is already incurring in the China market.Option 1: McDonald’s Concentrates on Efficiency, Convenience, and Environmental Responsibility. †¢Brand Perception – SUPERIOR – Increas ing supply chain efficiency, healthy food alternatives, clean/green/modern restaurant environment will make Chinese consumers perceive McDonald’s to be a vital, healthy, and responsible fast food alternative. †¢Impact to Market Share – SUPERIOR – McDonald’s will gain market share from KFC and other domestic and foreign competitors because its modern, energy efficient, and cost effective supply chain approach will allow McDonald’s to offer a superior product at a competitive price. Long-Term Sustainability – SUPERIOR – The efficiency of this new style of McDonald’s will enable it to keep profit margins higher during times of increased inflation and raw materials costs. This advantage will increase the sustainability of McDonald’s. †¢Cost to Implement – POOR – McDonald’s will incur significant capital expenditures costs to refurbish current restaurants, develop a more efficient supply chain p rocess, research healthier fast food alternatives that will prove successful in the Chinese market while maintaining McDonald’s brand identity as an American hamburger company.Additionally, McDonald’s will incur significant advertising expenditures as it campaigns to sell the new, green, and modern McDonald’s. Option 2: McDonald’s Concentrates on Sophisticated Dining Experiences †¢Brand Perception – GOOD – McDonald’s will increase the Chinese market’s perception of the McDonald’s brand by offering a more sophisticated dining experience worthy of higher prices and a continued characterization as a luxury brand. Impact to Market Share – FAIR – McDonald’s will enter a smaller and more specialized market with increased risks. While offering a more sophisticated and specialized food alternative will allow McDonald’s to charge a premium, there is a significant probability that this alternative will not catch on due to the increasing purchasing power of Chinese and ability to choose among casual dining competitors such as Pizza Hut and Rainforest Cafe.Long-Term Sustainability – FAIR – It is highly possible that the radical change in business plan suggested by option 2 will increase profits in the short-term as the new McDonald’s will be considered a novelty however, over the long-term, this novelty may wear off and significantly reduce the amount of returning customers. Cost to Implement – FAIR – McDonald’s will incur significant capital expenditures costs to refurbish current locations into more sophisticated casual dining atmospheres and significant advertising costs as the company campaigns to change the Chinese perception of McDonald’s from being a cheap and low class dining option to a sophisticated high-end establishment. Option 3: Fast Food Efficiency and McCafe Combination Brand Perception – EXCELLENT – McDonald’s brand perception will be maximized as it will offer a clean and green environment with fresh, fast, inexpensive, and healthy food in its flagship stores and a sophisticated and cool bistro cafe experience with interesting regional food options in its McCafe stores. †¢Impact to Market Share – SUPERIOR – McDonald’s will gain market share from KFC and other domestic and foreign fast food chains as it will offer a superior product at a lower price with an increasing corporate responsibility to have a low environmental impact.Further McDonald’s will steal market share from casual dining and coffee shop entrants as it works to make McCafe a market leader. †¢Long-Term Sustainability – SUPERIOR – Option 3 will foster superior sustainability through a strong brand perception of McDonald’s as a market leader in efficient and healthy fast food and cafe service. McDonald’s efforts to use its economies of scale to produce a very low environmental impact will keep its operating costs low and allow McDonald’s to price out the competition in the long-run while keeping margins high. Cost to Implement – POOR – McDonald’s will incur significant capital expenditures as it retools its supply chain and refurbishes its stores to operate more energy efficiently and with minimal environmental impact as well as advertising costs to convince Chinese consumers that it has corrected its prior missteps and has reinvented itself as a market leader in a new fast food space. VII. Recommendations Options 1 and 2 are not the best route for McDonald’s to pursue.In option 1 McDonald’s will seek to compete in only one market, the cheap fast food market. The more healthy, modern, and energy efficient approach will increase its brand perception, but at the opportunity cost of not exploring more casual dining marketing opportunities. By pursuing only option 2, McDonaldâ€℠¢s will compete only in the casual dining market but at the opportunity cost of the cheap fast food market that McDonald’s has been a world leader in.While option 2 will result in increased brand perception, the long-term sustainability of this option is unclear and may not justify the significant capital expenditures required to refurbish the company’s locations. While option 1 and 2 will both significantly increase McDonald’s brand perception, the increased costs of implementation and increased opportunity costs of foregoing other markets for a single market approach warrant that these options not be recommended.We recommend that McDonald’s pursue option 3 because it is a multi-segmented approach that utilizes McDonald’s current position as a market leader and focuses on expanding McDonald’s marketing footprint in the casual but sophisticated bistro/cafe space. Option 3, more than the other options, will increase McDonald’s brand pe rception and counter the growing sentiment in the China market that McDonald’s does not treat its workers fairly, does not offer healthy food choices, and does not strive to positively impact the environment.Following option 3 will reposition McDonald’s as a healthy and environmentally responsible fast food alternative. While this option will incur significant capital costs in the short-run, this option will allow McDonald’s to grow market share, price more competitively, and run a more streamlined operations that, in the long-run, will reduce operating expenses and lead to higher margins. As it will impact the problems McDonald’s faces in the case most effectively, we highly recommend that McDonald’s implement option 3 immediately. From HBS case, McDonald's Is China Loving it?

Preference of Patients Essay

In the medical profession, there are some issues that call for ethical appraisal. Although these issues might be provided for under the code of ethics of the medical profession, they have raised several controversial debates that have haunted the ethical foundation of the profession. One of such issues which have been a cause of controversy is the preference of patients. When we talk about the preferences of patients, what we are referring to is the choice of the patient after evaluating the health outcomes which might result from the treatment or refusal of treatment. There are several other issues that relates to this patient centered approach in the medical profession. Over the years, patients have been allowed to make some choices pertaining to the medical care. Generally speaking, some people are of the opinion that due to the availability of more information, some patients are not a novice to the medical practice and so should be allowed to make decisions about their treatment – of course, under the guidance of the physician and with correct understanding of the facts of the treatment. This approach is put in place in place in order to maintain a better, more flexible and less domineering environment. Thus the patient’s preference afeects the decisions about medical care as the doctor can not make some vital decisions. An example of the patient’s preference is the span of treatment, However, some people are of the opinion that due to the complex nature of the medical professions, patients should not be allowed to make decision that pertains to treatment procedures. This is informed by the fact that these patients might be fearful, not in their correct frame of mind and may be looking for a form of treatment that will be less painful to them. It is therefore concluded that the patient’s decision should not be regarded at that point in time as that may not be what they would have chosen if they were in their right frame of mind. This too like the other poses a problem. If we are to rely on this argument, then we are likely going to fall into trouble due to some issues associated with the absence of patient preferences. There is should be patient autonomy and patients have the moral and legal rights to make decisions that concern their health and medical conditions. Thus, no matter how we view it, the issue of patient’s preference raises a problem from both sides. If for instance we say that the patient needs not be consulted in making decisions about treatment, then we are neglecting the legal right and moral rights of the patients. However, it might be true that in some given situations, the preference of the patient poses a threat to the patient’s health condition. And so it is risky to follow such preferences as the patient’s decision makes him/her a threat to himself/herself. An example of this is refusal of treatment. Furthermore, there are some other issues that associated with the absence or expression of patient’s preferences. For instance, except in emergency cases or in cases where the patient can not give consent, it is mandatory for the physician to seek the consent of the patient before any form of test or examination is carried out on them. Another issue that has been of controversial debate is surrogate decision-making. Should this be accepted in the medical practice? We should also consider the issue of advanced directives in medicine? Should patients be allowed to issue advanced directives? Since the goal of medicine is to save and protect lives, how then will we account for a situation where a doctor issues an advance directive at the request of a patient? The question here is which is higher? – The purpose on which the foundation of the profession was based or the preference of the patients? In addition to this, should cultural or religious beliefs overshadow the goal of medicine? The Hippocratic Oath directs doctors/physicians to do whatever is in their power in making sure they save lives and help people in pains. As a doctor, should I not give blood to a dying patient in urgent need of blood because the patient’s religion does not believe in it? If I do this, I will be doing what I have made an oath to do but shouldn’t I consider the right of the patient? Should I not consider the wish of the patient? As a doctor, I am obliged to communicate the truth about medical conditions to the patient but what should I do when I consider that the patient can not in the right frame of mind to take the information? Should I just say what I have to say bluntly or should I be lenient by withholding some weighty aspects of the information? In the case provided, the physician must make a distinction between duty and sentiment or emotions. Although the patient might have made plans that the physician knows about, it is the doctor’s duty to communicate the extent of the condition to the patient. The physician should be able to realize that he/she is bound by duty and must seek to discharge his/her duties rather than appeal to sentiments. To start with, it will be unwise and professionally illegal for the physician to withhold information from the patient because the patient is embarking on a tour around the world. For all I care, the medical safety of the patient is the utmost and should be given the greatest consideration. The question to ask is who is to be blamed if the physician allowed Mr. R.S to travel without telling him the truth about his medical condition and in some way Mr. R.S dies during the trip? Should the physician, because he/she does not want to ruin the â€Å"big† plans made by the couple, decide not to fulfill what duty demands of him/her? Summarily, I think physicians should realize that they are dealing with the lives of people and thus should not allow sentiments in their practice. This is because some reasons are higher than others. Reference: L   Fraenkel, S T Bogardus Jr, and D R Wittink. Risk-attitude and patient treatment preferences Lupus, May  1,  2003 Edwards and G. Elwyn: How Should Effectiveness of Risk Communication to Aid Patients’ Decisions Be Judged? A Review of the Literature, Medical Decision Making, October  1,  1999 Practical ethics for students, interns and residents. A Short Reference Manual. Junkerman C and Schiedermayer D. Second Edition. University Publishing Group, 1998. Drane, J. F. (1985). â€Å"The Many Faces of Competency.† Hasting Center Report: 17-19.