Wednesday, April 15, 2020

50 shades of Grey Analysis free essay sample

It is well understood that the mass media holds the power to reinforce dominant social understandings of males and females, producing discriminating social systems (Ott, 2010,p. 180). This is done through the media’s ability to abuse female chastity to be ideally pure and reserved. Consumers being known as the secondary audiences allow media messages to influence them and they would then disseminate the information (Ott, 2010, p. 220). Stereotyping can occur when a â€Å"misleading or simplified representation† is produced, usually by blending realistic aspects of life, material conditions and social roles (Ott, 2010, p. 180). These categories of gender stereotyping can be identified through the popular novel known as: Fifty Shades of Grey. Media’s continuous manipulation of incorrectly labeling what’s right versus what’s wrong has held dramatic consequences on the women of today. It’s seen as abnormal when a woman wants to be sexually active and explore her options with her sexual life. We will write a custom essay sample on 50 shades of Grey Analysis or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page While a man is given all the freedom in the world and doesn’t get judged; media and society place a strong emphasis on a womans chastity. As a result, as soon as a girl has been with more than two guys, she becomes â€Å"used†. Women are expected to fall into certain categories that society had created a thousand years ago, and if change doesnt occur, the world is going to continue to remain in that mindset. It’s not right, to judge someone’s character based on their virginity. When the author of 50 Shades of Grey, decided to do something new, she was heavily judged by everyone. This is due to how media portrayed woman to be, creating a tainted ideology of how they should act and think. Her message of why she wrote the book was obviously different, but it shows how the audience can misinterpret based on what media places as acceptable and unacceptable. Fifty Shades of Grey, is displayed as an erotic book but has gained popularity worldwide. It has been referred to as â€Å"Mommy Porn†, â€Å"The How to Manual†, and â€Å"Twilight for Adults†. There has been a lot of stigma attached to this novel and to the reader who dares to pick up the novel and read it in public. It is especially out of the ordinary for a girl to openly let people know that she’s into the mature subject matter. The book revolves around two main protagonists; Anastasia Steele and Christian Grey, fighting the battle of love. Anastasia is portrayed as a young college girl who comes off as very shy. Whereas, Christian is a well-known 27 year old business man, who is widely respected by many in society. The two lock eyes unexpectedly and like most books, end up falling in love with a slight twist. Anastasia, who met Christian by chance, was immediately head over heels for him. However, Christian had a side to him that no one knew about; a dominant side. After realizing that he was interested in Ana on a more sexual level he expresses his feelings to her. Christian states his intentions and introduces her to his fetishes and to a new lifestyle altogether. Ana agrees to his SM lifestyle with consent after losing her virginity to him. Christian being a businessman never mixes business with pleasure, resulting in him keeping non-exclusive relationships that are confidential and which allows him to be the dominant figure without fearing the consequences it entails. In modern day culture this is commonly referred to as â€Å"no strings attached†, â€Å"friends with benefits†, â€Å"a random hookup, and â€Å"non-exclusive†. Basically they would sleep together, but there were no feelings involved, but this only held true for Christian. The novel plays on tension over the nature of their relationship and the possibility of romance and love as well as Anas sexual explorations. The audience’s reactions to this book were surprisingly endless. Many were disgusted, angry, flabbergasted, and even went to the extent of burning the book. Without a doubt, this book pushes several boundaries and had many talking for days. The obvious stereotyping of men vs. women displayed in the book made people believe that the author was taking feminism backwards instead of helping to break the cycle of violence women endured in the past. Feminism is a movement to end sexism, sexist exploitation and oppression (cite) but this is exactly what the author is going against. We have come past the first and second wave of Feminism as we have already fought for our right to work, vote and reproductive rights. Many truly believe that we are in post feminism right now, but are we really? The author seemed to be reinforcing the stereotypes that women thought were long gone. A clear patriarchy can be viewed from their relationship as the womens interests are subordinated to those of men. It views women in a way that devalues them. Anastasia has only been with one man sexually. This is seen as a remarkable fact as many women today are not exactly virgins at first meet. We see that Anastasia looks at sex in a more positive light when she refers to it as making love whereas Christian refers to it has f***ing. The author seems to continuously reinforce false stereotypes against women as it is clear that the sexual object or sexual subject is Anastasia. She is identified as a sexual conquest to be persuaded and lusted over. Her only weakness was showing emotion of love for the man of her dreams. Christian is identified as the dominator, sexual subjectivity, in charge of the sexual encounter and his strength is not showing his emotion. Human emotion is a powerful concept because when emotion takes over, you have no control over how you feel and the outcome that follows. When someone allows that emotion to take over, your consciousness becomes cloudy and you justify irrational feelings. It can be referred to as a slight lack of common sense. Anastasia was in a similar situation when her emotions clouded her better judgment. Although she knew she deserved better she refused to accept it because of how intimate she felt with Christian on both an emotional and physical level. Call it love, call it lust, but needless to say she was vulnerable, and he took advantage of her so called â€Å"weakness of emotion†. Based on all the details of the book, the fantasies, how strongly the characters are displayed; one would expect the author to be a man. Those of you with that false conception are WRONG! The author’s name was Erika Leonard James; a 50 year old wife and mother who was working as a television executive before her huge success. It was appalling to find out that the author was a woman because it made me question how a woman could write a book against the empowerment of women. Erika was a very shy individual; like Anastasia as she portrayed herself in documentaries and interviews that were conducted about her wild fantasies. She stated that 50 Shades of Grey was her midlife crisis†. (cite) She had been so absorbed with working for her family’s satisfaction and happiness that there was no one making her happy. Her writing skills were her way of coping with what she was lacking in her reality. She wanted to put her fantasies into life by creating Anastasia; a character that exemplified her own traits but was able to find happiness in a way that Erika was unable to. Unlike most people, she did not view submission as a punishment but rather a sexual reward that was able to satisfy her in a way that her regular routines failed to do. Some women like submission and it is usually the woman who are displayed as shy, innocent, quiet and soft spoken. It is a type of lifestyle, in no means did she intend to portray this as â€Å"I am against feminism. † It’s a fetish for some people and this book has allowed a lot of individuals to come out and openly talk about their own suppressed desires. The author was taking feminism to another level; she was giving women the freedom to express their sexual desires. Many men put women on a pedestal and continuously compare them to an ideal character that does not exist! Women want what men want; freedom of sexual liberation. Feminism is not just about freedom of rights and equality within the workplace and society; but goes far beyond that. Many people misinterpreted Erickas literature as mocking femininity; when in reality she was opening new doors. There were many critics of this book and she stated that the negative feedback was of no surprise to her. A lot of people mocked the book and labeled it as porn for women. The media used the hypodermic needle approach and injected particular meanings into consumers. Media displays anything sexually related to be only experienced by men and it is not right for women to talk about their sexual desires openly. It is viewed as not â€Å"womanly† to display her sexual desires out loud or even to think about them. A flawed assumption that patriarchal culture holds is that the ideal women should be homely and innocent, blushing and shying away at the mention of words related to sex. This ideology has been painted in many people’s mentality resulting in judgments to be held and the labeling of â€Å"promiscuousness to be placed. How is it accurate for men to have the freedom to explore their sexuality but women to remain humble? Growing up and watching many TV series, makes it difficult not to have this mind set, but human ignorance couldn’t be colder. We grew up being exposed to women as modest and righteous versus sexually active and deviant. All or at least most guys would pick the modest women in the blink of an eye. It is absolutely heartbreaking to see an ignorant view being placed in all our minds growing up, because this isn’t right. It’s appalling how media can inject such false notions into us and let it take control of our lives. Media makes it seem that some views such as female sexuality cannot be changed because of the concrete mindset people have instilled. A lot of pressure is put on the younger generation as it is really hard to maintain these expectations that society deems as appropriate and inappropriate behavior. Living in the 20th century and holding values from the 18th century, is not going to get us anywhere. It is really easy for media teach us to isolate people who step out of the norm and participate in abnormal behavior. Media has us twisting the real meaning of the book into something that it is not because of the expressive ideas that are being portrayed that is socially unacceptable. Through careful analysis, it can be noted that Erika was not taking feminism backwards but forward with her exposure to exotic behavior, many women have decided to open up.

Thursday, March 12, 2020

Free Essays on Life on the Mississippi

After reading the selections from Life on the Mississippi, I couldn’t help but feel a little confused and let down. From our past readings, I had begun to appreciate Twain and his style of humor more and more only to be surprised by what I feel is a surprisingly dull book with nothing to really laugh out loud about. From the get go, I was expecting something more like The Innocents Abroad, or Huck Finn; what I got was facts, followed by boring recollections, toped off with more facts. If I was looking forward to reading this book from a historical sense, and had I been in the proper mind state, I might be able to say that I enjoyed it on some level, but because I had my expectations set on humor and some good, quick witted ribbings my opinion of this book found itself falling as the page numbers increased. Now I don’t want to outright bash the book and say it was no good, I simply want to say that I was caught off guard by its straightforwardness. I would compare it to this scenario. Take a master photographer like Anne Geddies, an artist who’s work is almost entirely children. If she was to take a photograph of a dying elderly man, no matter how esthetically perfect and pleasing it is to the photographic community, I still wouldn’t fit in the description of what is expected of her even though the work was done with the same skill and attention. One passage that illustrates my point perfectly is the beautiful description of the river captures in beautifully graphic detail. Twain speaks of what he sees as the natural beauty of the river and then goes beyond to speak about the underlying scientific values of such sights. The Twain that I enjoy reading is not the kind of guy who gets sentimental about such things, but makes fun of the guy who is sentimental of such things. There are some points in Life on the Mississippi that, to me, stand out where twain tried to make the book more attractive to the skeptical Twain read... Free Essays on Life on the Mississippi Free Essays on Life on the Mississippi After reading the selections from Life on the Mississippi, I couldn’t help but feel a little confused and let down. From our past readings, I had begun to appreciate Twain and his style of humor more and more only to be surprised by what I feel is a surprisingly dull book with nothing to really laugh out loud about. From the get go, I was expecting something more like The Innocents Abroad, or Huck Finn; what I got was facts, followed by boring recollections, toped off with more facts. If I was looking forward to reading this book from a historical sense, and had I been in the proper mind state, I might be able to say that I enjoyed it on some level, but because I had my expectations set on humor and some good, quick witted ribbings my opinion of this book found itself falling as the page numbers increased. Now I don’t want to outright bash the book and say it was no good, I simply want to say that I was caught off guard by its straightforwardness. I would compare it to this scenario. Take a master photographer like Anne Geddies, an artist who’s work is almost entirely children. If she was to take a photograph of a dying elderly man, no matter how esthetically perfect and pleasing it is to the photographic community, I still wouldn’t fit in the description of what is expected of her even though the work was done with the same skill and attention. One passage that illustrates my point perfectly is the beautiful description of the river captures in beautifully graphic detail. Twain speaks of what he sees as the natural beauty of the river and then goes beyond to speak about the underlying scientific values of such sights. The Twain that I enjoy reading is not the kind of guy who gets sentimental about such things, but makes fun of the guy who is sentimental of such things. There are some points in Life on the Mississippi that, to me, stand out where twain tried to make the book more attractive to the skeptical Twain read...

Tuesday, February 25, 2020

Comparison between the effects of globalization on the USA and Saudi Essay - 2

Comparison between the effects of globalization on the USA and Saudi Arabia economics - Essay Example Countries, which previously depended on their own resources for the production of goods and services, are now able to choose from one further option. They can purchase cheaper materials needed for production. Hiring cheaper or more highly skilled labor that is available in a different country is now a feasible option. Even simply buying finished products from different countries is possible due to globalization. While on the surface, this liberalization seems to help only the country that is able to avail these goods and services, this is not the case. It is true that the country importing the goods is able to take advantage of the lower prices of raw material, services, and products in the other countries. This country is most often a developed country. On the other hand, the country it imports these cheaper goods and services from are usually developing. This liberalization helps the exporting country as well. This is because these countries have excess of these goods and services. For example, many developing countries will have an excess of unskilled labors, and not enough employment opportunities for them. This would not only result in unemployment, but also an economy in recession. To be able to use this excess labor to fulfill the need for cheap labor in other countries is a considerable benefit to the developing country (Stallings, 2001). The liberalization that accompanies globalization can also result in several problems for the country, which need more immediate attention. For instance, the high growth that liberalization in trade will cause will result in that country’s carbon dioxide emission increasing inevitably. The emission of carbon dioxide (CO2) is an example of how this high growth in the world economy would be detrimental to the natural environment. Issues like global warming and pollution would only be aggravated due to this effect of globalization, and seems to decrease the importance of stressing on a high growth strategy. Another issue

Saturday, February 8, 2020

Corporate Financing Report Essay Example | Topics and Well Written Essays - 750 words

Corporate Financing Report - Essay Example The company's chief also stated that this is done to increase the value of business for shareholders and to utilize the cash which is lying idle. The article is about financial management, because according to the fundamental principle, any cash lying idle is decreasing its future value. Therefore, all cash must be earning some returns too keep up with the future value. On the other hand if you look at the article critically, there are some weak arguments in it. When the firm says that it want to diversify to spread the risk, it should be aware that recession hits all the business and they may not be able to cover the losses. Similarly, firm will also have to make deep analysis about the future value of their investment. They cannot just invest in anything but they should make sure that they investing at the right place where the firm is not using future value of their cash, in other words, returns on this investment or profits should be greater than inflation rate in the country. Only this way future value of their money will remain stable and writer should have discussed this point in his article. If you have been able to crack a continued trend in the market about inflation rate and interest rate, you should adjust your capital spending on the basis of these. You should always go for those assets which are going to give you more return than inflation rate. ... you 12% returns whereas inflation rate in your country is 13%, then you should not buy this assets because you will be 1% worse off or your money value will be decreasing over time. Similarly, you should go for those assets which are giving you returns of more than the inflation rate and in this way purchasing power of money will not be deteriorating. Similarly, you should borrow money to invest in capital expenditure, only if it is deemed that you'll get more returns than the interest rate. If you buy an asset giving you 5% return whereas you have borrowed money at the rate of 8% then you will not be benefiting from that purchase but instead you will be losing money. So, identifying the market trend, it is imperative that all capital spending should be linked with inflation and interest rate. Such expenditures should only take play if the returns of this spending are greater than the forecasted inflation and interest rate. References James Pethokoukis, Reuters, Written on 10 June

Thursday, January 30, 2020

The Bridge at Argenteuil Essay Example for Free

The Bridge at Argenteuil Essay The Bridge at Argenteuil by Alfred Sisley is a landscape painted during the French Impressionism period. This painting is located at the Memphis Brooks Museum of Art in the European to 1900 collection. The Memphis Brooks Museum of Art is the oldest fine arts museum in Tennessee and displays art from antiquity to contemporary. I chose this museum because it has art from different time periods. This museum, upon first impression, was well organized, and the different collections were relatively easy to find. I chose The Bridge at Argenteuil because Alfred Sisleys work is rarely studied. Alfred Sisleys The Bridge at Argenteuil is a landscape painting. It is oil on canvas and 15 ? by 24 inches. Painted in 1872, The Bridge at Argenteuil depicts a quiet, country scene. Toward the right of the painting, there are warm-colored houses on top of a small hill, while toward the left of the painting is a river, in which is a small sail boat. The grass in the foreground is reminiscent of wheat fields. There is a path that runs from the foreground of the painting out to the river, ending at a small dock, perhaps for fishing. There is a bridge in the background, seemingly tying the entire painting together. Because there is no action in the painting, this work seems to be a study in quiet and calm country life. Every object in this landscape seems to be connected. For example, the path in the foreground leads to the dock that connects with the river. The bridge in the background stretches from the land where the artist painted from, over the river, and to the shore on the other side of the river toward the left of the frame, connecting the two pieces of land. This painting clarifies that the countryside is peaceful and calm. Many artists choose to paint people, animals, and urban scapes. However, a few, like Alfred Sisley, choose to paint landscapes. Sisley recognized that country landscapes show the softer side of life. Sisley chose to look at the bigger picture instead of focusing on one thing in particular. By having the freedom that comes with not focusing on a particular subject, Sisley captured the essence of the natural world, a world that is peaceful, calm, and ever-changing. I believe this is what he wanted to show the world. The Bridge at Argenteuil is a study in the wonders of nature and how man and nature can exist in harmony. This work does meet the standards of perfection, inexhaustibility, and insight. Every object in the painting works with the others to create a scene that is calm and peaceful. Sisley painted in great detail, showing the perfection that exists in nature. For example, Sisley included different shades of blue in the river; the further I looked into the background at the water, the whiter it seemed to become. The white clouds seem to be moving from right to left, slowly covering a light blue sky. Sisley added these details to capture the ever-changing essence of nature. The work is insightful. This painting made me take a slower, second look at nature and how everything does balance out. For example, in this painting, every aspect of nature the sky, the water, and the land seem to have an equal part of the frame, they seem to be balanced. I could envision a triangle while looking at these aspects, with the sky being the top point, and the land and water being the bottom points. The Bridge at Argenteuil resists monotony because nature is always changing. For instance, the water seems clear, like it would be during the summer, but the grass is becoming brown, indicating that the season is moving toward winter. The sky is becoming overcast; this could be indicative of a colder breeze moving in. Because of these elements, it seems as though the season is in transition. This painting has and has not withstood the test of time. For instance, it has withstood the test of time because it was painted in 1872 and is still on display along with other famous and important works of art. It depicts a nature scene that is always changing and evolving, a scene that never becomes outdated. However, Alfred Sisley, as well as this painting, has not been studied extensively and is rarely analyzed, unlike other works of art of the late nineteenth century, such as Monet and Renoir. This gives the impression that this painting has not withstood the test of time. The bridge at Argenteuil has not only been painted by Alfred Sisley. Claude Monet, another impressionist painter, painted this bridge as well. However, there one major difference between the two paintings, although they share the same title. Sisleys The Bridge at Argenteuil depicts the bridge from afar, focusing more on the land and the water in the foreground. Monets The Bridge at Argenteuil focuses more on the water and a couple of sail boats, with the bridge off to the right side of the frame. Another important detail is that Monets painting of the bridge was created two years after Sisley painted the bridge. Therefore, Sisleys The Bridge at Argenteuil can be determined to be unique and original. Also because of the aforementioned reasons, it can be said that this painting could have influenced Monets painting of the bridge. Sisley also depicted a sail boat in his painting, like Monet did, although Sisleys sail boat was small and relatively insignificant, while Monets sail boats were the focus of the painting. This painting possesses not only international appeal because Sisley was a French painter, but universal appeal because people from around the world can relate to nature. This painting depicts elements in nature that can be found in any rural area. For example, it is a scene that focuses on a grassy knoll and a body of water. While looking at this painting, it seems as though it can be found in the United States, when actually, this scene was painted in France. This scene has universal appeal because people of all ages and cultures can relate to it. I chose Alfred Sisleys The Bridge at Argenteuil because it is an under-appreciated painting. It seemed calm and comforting, two feelings that most do not take the time to enjoy. The grass in the foreground and how it seemed to be swaying in the breeze sticks in my mind the most. The analysis of this work of art taught me how to appreciate the seemingly insignificant aspects of life. For most, including myself, life rushes by. Getting to work or school and finishing daily tasks keeps one so busy that no one ever has the time anymore to slow down and appreciate nature. Most take these aspects of life for granted. Analyzing this painting forced me to slow down and appreciate the beauty of nature.

Tuesday, January 21, 2020

Computer-Based Training :: Technology Essays

Computer-Based Training What is CBT? CBT or Computer Based Training is a difficult term to adequately define because it encompasses various modes of instruction and has evolved from the simplest definition, "The use of computers and multimedia technology for training"(http://www.unn.ac.uk/~buu504/comp_bt.htm). The best definition for CBT is from a 1995 text called Making CBT Happen by Gloria Gery. An interactive learning experience between the learner and computer in which the computer provides the majority of the stimulus, the learner must respond, and the computer analyzes the response and provides feedback to the learner (1995). Although this definition is quite dated, and CBT has evolved considerably since 1995, it adequately describes the key roles the computer and the learner have in the process. CBT (Computer Based Training) can encompass any type of training that involves a learner interacting with a computer. This means that Web Based Training, Interactive Distance Learning, and Intranet can also fall under the CBT definition. For brevity of this paper, we will only look at the CBT modules used on CD-ROM and LAN (Local Area Network). To expound on this definition, one must accurately define Interactive Learning Experience as it relates to training. There are many forms of interactive learning experiences in training. These would include: Interactive practice exercises to incorporate a skill Interactive case studies simulating situations in which the learner applies previously acquired knowledge Interactive role plays in which people can practice new behaviors, approaches, techniques Interactive drills in which learners can prove mastery levels and move along the learning continuum from familiarization to automatic operation and fluency Interactive tests in which the learner can interactively assess their own progress to demonstrate competence or achieve confidence in their own knowledge and skill (Gery, 1995). I would also add that along with the interactive learning experience CBT modules also have administrative qualities. Most CBT programs can register learners based on their status through particular career learning paths, as well as, store the learner's progress of the modules within a database. "There is a record keeping feature that can save time, maintain accurate training records, and diagnose training deficiencies" (Congram, 1995). CBT Advantages and Disadvantages Computer-Based Training modules have many advantages. First, there is the cost issue. For companies who have facilities on a national or even international scale, CBT is the most cost- effective way to train.

Monday, January 13, 2020

Success Of National Skin Centre Health And Social Care Essay

This study provides an overview of the ways a third health care establishment works towards success to go the top tegument Centre in this part. National Skin Centre is the mark establishment. I will analyse and portion in inside informations on the ways NSC work towards success and be a prima tegument Centre in this part. This includes the assorted new and improved services and comfortss NSC had introduced over the old ages, and the different medical instructions NSC promotes to farther heighten its prima border. Besides, SWOT analysis will be included to analyse how successful NSC is, with recommendations on what NSC can better on. The information gathered and included in this study are collected from NSC web site, NSC recent corporate reappraisals and other utile web sites. Introduction 1.10 About the study 1.11 Objective The aim of this study is to supply an overview of the ways National Skin Centre win in developing itself into the top tegument Centre in this part, and how NSC maintains its fight. 1.20 About National Skin Centre 1.11 Background NSC is a authorities reorganized establishment and a subordinate of National Healthcare Group ( NHG ) . NSC was established on 1 November 1988 after taking over the intervention of tegument diseases from Middle Road Hospital and is presently located in Mandalay Road. Before the edifice of NSC, the intervention of tegument diseases was a chief undertaking of Middle Road Hospital for several decennaries. Over the old ages, it had observed increasing patient burden which caused significant emphasis on the bing infirmary installations. Therefore, in order to function the patients better, the authorities decided to halt runing the infirmary for good and switch its activities and resources devoted to dermatology to a new Centre which is the current NSC. NSC operates as an outpatient specializer dermatological Centre with a squad of advisers who are experienced in handling complex tegument conditions in their clinics. As a third health care establishment, NSC non merely provides specialised dermatological services, it is besides responsible in developing medical undergraduates and graduate students and undertakes dermatological research. General clinics in NSC are divided into private and subsidised clinics, with both of them supplying same professional services. However, the differences between both of them are that, in private clinics, patients are greeted with better atmospheres and are given the luxury of personalising their interventions. Patients in the subsidised clinics, without the privileges stated above, pay lower cost due to the interventions they receive being partly funded by authorities through one-year grants. In entire, NSC handles about 1000 patients day-to-day. Besides dermatology, NSC has an external clinic, Department of STI Control ( DSC ) which concentrates in dermato-venerology due to increasing STI incidence. The lone public specializer STI clinic in Singapore is DSC which offers assorted services at subsidised charges. DSC besides offers medical preparation to undergraduates and postgraduates physicians. 1.12 Mission and Vision Their mission is to be the national and regional Centre of excellence for the diagnosing and intervention of tegument diseases. They are committed to supply cost-efficient and specialised attention of medical tegument conditions in a scene of clinically relevant research, quality instruction and patient safety. Their vision is ‘Adding old ages of healthy life to the people of Singapore ‘ . 1.13 Goals National Skin Centre aims to concentrate people who are specialized and interested in the field of dermatology into one establishment, supplying sub-specialization and be the taking Centre for research, interventions and geting accomplishments on different facets of tegument diseases. NSC besides aims to win in supplying good services for both their patients and staffs. For their patients, NSC will make its best to react and run into the lifting outlooks and demands of persons by supplying the highest quality of medical intervention in a cheaper manner. For their staffs, NSC will make its best to let them to work in a more hearty environment with assurance and dignity, and travel on to better themselves depending on their capableness. Body 2.10 Services and Comfortss Although NSC has established itself as the top tegument Centre in this part, it invariably introduces new and improved services and comfortss to heighten its quality services in a positive manner. One of the major factors that marked the success of NSC is that it is the first health care establishment in Singapore to travel paperless in 2004, by implementing the Electronic Medical Records ( EMR ) system. This system allows patient minutess to be done electronically, get downing with on-line patient assignment, self-registration booths, electronic medical recordings, physician order entries for interventions, research lab trials and prescriptions, charge and pharmaceutics operations. Due to the increasing patient burden in recent old ages, NSC faced jobs impacting the overall service degrees. So as a consequence, NSC hopes to better the service criterions to their patients and with EMR, and therefore, jobs were minimized. Besides being environmental friendly, it ensures decrease in waiting clip, information fluxing seamlessly across the full Centre, and decrease of medicine mistakes due to intelligent cheques for prescriptions. Overall, this shows NSC attempts in minimising job s faced and increasing overall service degree. In 2006, NSC brought in a few new services and introduced a new clinic. One of the services introduced was Fractional Photothermolysis, a optical maser service that helps better certain skin conditions while another service was the Photodynamic Therapy which is an alternate intervention for patients who are non suited to travel for surgery that involves the application of a photosensitiser and an energizing visible radiation for handling certain tegument diseases. NSC was the first in the part to present the Total Body Photography service, an advanced engineering designed for observing early phases of tegument malignant neoplastic diseases. NSC besides introduced extensions of clinical and intervention Sessionss such as Saturday forenoon clinics for non-subsidized patients every two months, and Tuesday and Thursday eventide for intervention Sessionss, due to increasing petitions from working patients and NSC ‘s attempts to cut down waiting clip. There is another successful serv ice provided by NSC, which is the joint telemedicine undertaking with IMH. This undertaking works by holding unrecorded audio-visual connexion which allows physicians to follow-up with IMH patients, therefore cutting down costs and clip while retaining high clinical criterions. In add-on, a new agreeableness, Mandalay Clinic Laser Suites which is the largest aesthetic dermatology clinic in the part, was opened to supply wide-range of dermatological attention for patients with the latest and widest scope of dermatology optical masers and other equipments. In the undermentioned twelvemonth, a figure of new services were added and upgrading of a clinic was done. The waiting country of Clinic B was upgraded to better work flow, comfort and privateness for patients, with an excess audience room to get by with the increasing patient figure. Besides betterment work, Mandalay Clinic brought in a new service called MiXto SX Fractional CO2 Laser which is the latest attack to laser skin resurfacing. This new optical maser allows faster mending procedure and enables patients to recover normal activities sooner. Besides, NSC is the first in South East Asia to present Non-cultured Cellular Grafting, a transplant process for vitiligo patients and is an advantage for those who failed other interventions, and is much safer, cheaper and lesser labours as compared to other organ transplant methods. Subsequently in the twelvemonth, NSC started a Thursday Skin Cancer Clinic to concentrate, early diagnose and dainty patients with skin malignant neoplastic diseases. The attention for skin malignant neoplastic disease patients was further enhanced by presenting Mohs Micrographic Surgery which is another service that NSC came in first to supply for patients in Singapore. This surgical service ensures best remedy rates and lowest opportunity of reoccurrence. NSC strives to supply better services and concentrate on their patients ‘ safety. As in mid 2008, clinic A had redevelopments to minimise falling hazard with non-slip floor coating, acquiring rid of sharps hurt with libertine and drum sander fixtures, and bettering exigency response system in the process and intervention suites. Due to an spread outing patient figure, there were an increased in figure of installations in clinic Angstrom to let better work flow and comfort. A new Cutera Xeo Platform Laser brought in by Mandalay Clinic, is an improved version of the old CoolGlide Laser and it has more than one uses for intervention of certain tegument diseases. Besides, to supply convenience for their visitants and staffs, NSC begins shuttle coach service to and from NSC and Novena MRT station, at regular intervals of 20minutes from 0730 to 1730 every weekday. On top of new services introduced, NSC besides opened a new Eczema Clinic to offer thorough quality attention for patient s enduring from different signifiers of eczema as eczema or dermatitis is the most common tegument disease that NSC handles. An Acne Clinic was incorporated by NSC in 2009 to offer quality attention for moderate-to-severe acne vulgaris patients due to it being the 2nd top tegument disease NSC handles. New services such as VTRAC Excimer Lamp, Cutera XEO Laser, and Wireless @ NSC were introduced. The VTRAC Excimer Lamp is used for handling psoriasis and vitiligo patients, and it completes the current assortment of phototherapy devices in NSC. Cutera XEO Laser adds on to the optical masers in Mandalay Clinic and it treats different vascular conditions including leg venas. Establishing Wireless @ NSC allows visitants to surf the net when they are in NSC. Last, DSC came up with assignment booking system to get by with the increasing patient burden and to cut down waiting clip. 2.20 Medical Education and Trainings Not merely did NSC seek to supply quality services, it besides seek to advance dermatology in this part, and heighten their staffs ‘ competence and NSC ‘s prima border. In guaranting that NSC would go on to heighten quality attention to patients, some staffs had the opportunity to travel abroad well-known dermatological Centres for developing advancement under the support of NHG HMDP ( Health Manpower and Development Programme ) . Experiences and cognition were gained from this fond regard which allows betterment in staffs ‘ soft accomplishments. Besides sending staffs overseas, there will be few sing experts from abroad coming to NSC each twelvemonth to portion their expertness with NSC ‘s medical staffs through treatments and learning Sessionss. These Sessionss allow staffs to derive cognition and therefore, assistance in hiking quality patient attention and the taking border of NSC in dermatology. As an Institution of Dermatology, Singapore ( IODS ) , NSC had been actively forming educational programmes which are known as one of the taking programmes in this part in advancing promotion of dermatology. Since the constitution of NSC, it is responsible in supplying dermatological instruction for undergraduates of National University of Singapore and abroad undergraduates. An Advanced Specialist Training Programme was offered to convey out the following coevals of skin doctors, holding advisers oversing on registrars and registrars are involved in academic activities. Upon go throughing, registrars can go associate advisers. Besides, NSC organized learning programmes in dermatology to upgrade professional criterions with different clinical processs and disease direction. For those abroad skin doctors who hoped to better their accomplishments in certain subspecialties, they will go to specialised fond regards about these subspecialties. Another programme NSC had been actively formi ng is the Continual Medical Education which includes wireless negotiations, seminars and forums to maintain up the professional competence of physicians. Not merely did NSC form seminars for physicians, druggists, nurses, research lab technicians, it besides organized public instruction to let the populace to hold better apprehension of different tegument diseases and therapies through NSC web site, public forums and books. 2.30 Internal Environment of NSC 2.31 Strengths Bing the first health care establishment in Singapore to travel paperless with EMR system, it shows the success of NSC towards accomplishing excellence in services. This system benefits NSC by increasing patient safety, reduces jobs faced and better overall service degree. Over the old ages, NSC ne'er failed to implement new services and comfortss, and better bing 1s. By making so, it shows NSC ‘s attempts in continually supplying better and more comprehensive services to patients. Some services serve as an alternate method or improved version for handling certain tegument diseases which may be safer and better for patients while some services may be a method used for handling more than one type of tegument conditions which overall helps increase the opportunity of handling patients and heighten NSC ‘s quality services. Besides, some of the services NSC offers are non offered by other tegument clinics in Singapore. This ensures the success of NSC as it will pull patients with complex tegument conditions for better and broad scope of interventions. For comfortss, NSC did upgrading by adding audience suites to get by with increasing patient burden, and presenting new clinics like for case, Eczema clinic as eczema or dermatitis is the top tegu ment disease seen in NSC for the past few old ages so it shows the demand for NSC to supply thorough quality attention to those patients enduring from different signifiers of eczema. [ Figure 1: Dermatitis ranking the first tegument disease seen over the old ages ] In add-on, continually enahncing overall services to patients will assist increase satisfaction and recommendation degree of patients towards NSC. From Figure 2 and 3 below, it shows patient satisfaction degree is every bit high as 86 % and 90 % of patients would urge NSC to others. [ Figure 2: Overall patient satisfaction degree ( % ) in 2009 ] [ Figure 3: Overall patient recommendation degree ( % ) in 2009 ] With continous attempt to enahnce quality betterment, NSC was awarded with assorted accreditations in recent old ages. One of the accreditations is ISO 15189:2003 accreditation of research lab, recognized internationally, and it reflects NSC research lab competency and highest quality criterions in transporting out medical proving for all applied trials. Next is the full accreditation which reflects NSC committedness to transport out highest criterions for all research and to supply complete protections to research workers. Last, Joint Commission International accreditation in ambulatory attention was achieved by NSC, the first state in South East Asia to have such award. It proves NSC had met those criterions designed to better patient safety and clincial quality. As a healthcare establishment, it is really of import for NSC to engage medical staffs who are qualified, trained and run into the minimal instruction requriements for the occupation so as to present quality attention to patients. NSC ever sees the safety of patients as greatest importance. All new staffs will have on-the-job preparation and must run into the criterion occupation demands to be certified before NSC confirms engaging them. These guarantee merely extremely qualified, experient staffs are being hired to heighten patient safety, quality attention and NSC ‘s repute. NSC is really active in forming instruction and research events in dermatology and venerology. The puting up of IODS strengthen NSC ‘s instruction and research activities, and their instruction programme is identified as one of the taking dermatology preparation Centre. NSC has been running several programmes such as Undergraduates Medical Education, Advance Specialist Training Programme, Upgrading Professional Standards and Continual Medical Education which help to promote promotion of dermatology in this part. IODS AIDSs in accomplishing NSC ‘s mission to be national and regional instruction Centre, and besides in advancing research in Singapore. 2.32 Failings The outpatient Centre operates merely on weekdays and during office hours which may be inconvenient for some pupils and those working. Although NSC introduced Saturday private clinic, but some on the job patients may still confront long waiting period for assignment because Saturday clinical session operates merely one time every two months and many working people will be line uping to book assignment for this session. However, for case, other tegument clinics such as Raffles Skin Centre, provides clinical session every Saturday forenoon, and Changi General Hospital dermatology clinic provides every Wednesday and Friday eventide Sessionss. Besides, certain subspecialty clinics in NSC operate merely one time a hebdomad which may be deficient and may take to long waiting period for assignments. For case, both acne and eczema clinics operate one time a hebdomad but both acne and eczema ( or dermatitis ) are the top two most seen tegument diseases at NSC. These patients, normally with moderate-to-severe acne or eczema would desire to follow-up interventions every bit shortly as possible but non being able to make so. This will once more ensue in long waiting period for many patients and defeat will necessarily happen. [ Figure 4: Top two tegument diseases seen at NSC over the old ages ] A SMS service to inform patients about how many patients are line uping before them and the estimated waiting clip is non provided in NSC. This service for patients upon enrollment is to inform them about the figure of patients before them so as to let patients to cognize about how long they have to wait and they can go to to other affairs alternatively of sitting there waiting aimlessly. For case, another healthcare establishment provides such service which allow their patients to be informed. 2.40 External Environment of NSC 2.41 Opportunities In Singapore, the chief dermatology specializer Centre is NSC. Although there are other dermatology clinics or sections out at that place, but it is unjust to compare a Centre with a clinic or section straight. This is due to the fact that a Centre is a large establishment with board of managers, direction squad, squad of staffs and several sections while a clinic or section merely has a little squad of staffs. So with NSC being the chief Centre that manages all types of tegument conditions and holding good repute in Singapore, it allows NSC to stay competitory and successful. NSC had many on-going and new research undertakings each twelvemonth, and these undertakings were supported by external research support and holding industry-sponsored undertakings. To go on spread outing its research web, NSC had coactions with external local and/or international companies. With the support and coactions, NSC will be able to rise its research capablenesss. Every twelvemonth at that place will be a few medical staffs being sent to abroad well-known dermatological Centres for advanced preparation and besides few sing abroad experts coming to NSC to portion their expertness and experience with staffs. Through these, medical staffs will be better equipped with cognition, experience and hands-on work which will further increase NSC ‘s taking border in dermatology. Therefore, it allows NSC to heighten criterions of quality service and attention to their patients which contributes to high satisfaction and recommendation degrees shown in Figure 2 and 3. Besides, with increasing quality service and attention, it consequences in an increase of patient burden over the old ages. [ Figure 5: Increasing patient attending over the old ages ] 2.42 Menaces Epidemics such as H1N1 and MRSA had pose menace to NSC operations. During these epidemics, NSC had to put costs on systems to guarantee patients and staffs safety, and had to take steps to guarantee NSC is safe. NSC will confront low staffs available as staffs may fall sick and quarantine which affects NSC work flow. Other than staffs falling ill, NSC will besides confront decreased in patient burden as some patients were ill, do non desire to maintain stepping out of house, or think that health care installations are non safe which consequences in appointment cancellation. Another possible menace would be the high outlooks from public and patients. To get by with the imperfect and of all time altering populating environment, outlooks and demands towards health care will therefore increase. Servicess provided by NSC are rated by patients and there are a few patients who may be unsated and may non urge NSC to others as it is non easy to run into every person needs with raising outlooks such as some patients expect high criterion of medical service at a low cost. Besides, although NSC has established itself as the chief tegument Centre with good repute, the populace may non merely take to travel NSC as some may transport the mentality of other private tegument clinics would offer better client services or would hold more experient physicians than public clinics. Recommendations Though NSC has set up itself as the top tegument Centre in this part, it should continually better the services to keep its fight. For the past few old ages, attempts of NSC seeking to cut down waiting clip for audience was observed but another job NSC patients faced was the long waiting period for assignment. I recommend that NSC increase the frequence of Saturday forenoon clinic and introduce weekdays flushing clinics. Besides, figure of operating yearss for those subspecialty clinics that are specialized in the top few tegument diseases should increase. Following, I would urge NSC to implement SMS services to their patients upon enrollment to inform them about the figure of patients before them and/or SMS services to inform those patients who are interested to be informed when their audience bend nears. This will heighten NSC service provided and maintain NSC remain competitory. Since services were rated by patients, a manner to cut down unsated patients is to invariably take the enterprise to roll up feedbacks from patients alternatively of patients lending voluntarily. By making so, I think NSC will be able to obtain more feedbacks and work on betterment if capable. NSC can besides seek to increase public consciousness of its betterments and freshly implemented services each twelvemonth, particularly those services that NSC is the first to offer in Singapore. This will let more people to be cognizant of NSC services, betterments, and cognize more about NSC. Decision In decision, NSC has established itself as the top chief tegument Centre in this part. With no similar tegument Centre in Singapore, it makes NSC the chief dermatological Centre and together with good repute among Singaporeans, it allows them to stay successful throughout the old ages. Despite being the taking tegument Centre, NSC still continues to work towards its end to accomplish excellence in all services by implementing and upgrading services and comfortss to supply quality service to their patients, and on the other manus, to keep its fight. Furthermore, NSC besides seeks to supply better quality attention to their patients by holding their staffs to better their soft accomplishments and cognition, and by affecting in advancing dermatology and conducting researches. Therefore, attempts of NSC working towards their end and success were seen. To stay successful and competitory, NSC can take advantage of their strengths and chances, and seek ways to better on their failings and support their menaces. I believe NSC will go on endeavoring to maintain itself successful, and maintain as the taking and top tegument Centre in this part in old ages to come.