Finance - Rivington Hospital Essay Example | Topics and Well Written Essays - 1500 words

Finance - Rivington Hospital - Essay Example ..6 Heating and Power Costs†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.6 Conclusion†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.6 References†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.7 Introduction The performance of any department can be evaluated in a number of ways, among which the fulfilment of budgets is considered vital. This report focuses on evaluating the performance of the laundry department based on revised budget estimates. The report begins by examining the effects of the existin g budget on the behaviour of the laundry supervisor. After this, it outlines the different criteria for the investigation of variances, including a redrafting of the memo and revision of the existing budget, before reaching conclusions. a) Effects on the Behaviour of the Laundry Supervisor There may be various effects on the behaviour of the laundry supervisor because of the imposition of the budget. The existing budget has several negative elements that could lead to the laundry supervisor reacting and behaving in an irrational manner. ... The second negative effect on the supervisor’s productivity is that the budget was prepared as if to pressurise her, rather than to motivate her, because despite the increasing volume and turnover of the hospital the budget was set in a rigid manner using the old budgeted activity levels. It is also important to note that the quality of the laundry department’s performance may be hampered from now on, as the supervisor might try to achieve the budget targets irrespective of whether quality is assured or not. Misrepresentation could also become a problem, as if her only objective is to meet the targets set out in the budget, she may attempt to fulfil them by adopting negative tactics. There are costs involved that will definitely increase because of growth in the activity level, which means the laundry supervisor will not have any control over them. Therefore, this could ultimately lead her to deploy negative tactics in the form of misrepresentation, falsification and po or quality control measures. b) Criteria for Investigation of Variances The criteria for evaluating whether variances ought to be investigated or not should be based upon the nature of the costs incurred by the different departments. The basic criterion is to divide them into controllable and uncontrollable costs. The controllable costs should be aligned with the actual activity level of the department, as they change according to variation in the activity level; therefore, they should be investigated if there is a significant amount of variation. In this way, Rivington Hospital has the choice of whether to use the absolute or relative method to investigate the negative variances. The other types of costs are uncontrollable costs, and are incurred

Bob Gonzalezs Life and Death of Marilyn Monroe, John Everett Millais Trust Me and William Powell Friths For Better of For Worse :: Compare Contrast

Bob Gonzalez's Life and Death of Marilyn Monroe, John Everett Millais' Trust Me and William Powell Frith's For Better of For Worse Art may be considered the reflection of one's emotions or an outlet of one’s creative thought. A person can display art, not only through music or dance, but also through the creativity of a play or drama. Bob Gonzalez's Life and Death of Marilyn Monroe is a great example of creatively organizing the inner thoughts of Monroe through the theatre. He went past Monroe's glamorous facade and showed the "behind the scenes" lifestyle. In addition to dramas and plays, art may also be expressed on the canvas. John Everett Millais (1829- 1896), president of Royal Academy, did well in demonstrating his creativity with oil paints. One of his recognized works is Trust Me. Being named the most illustrious member of the Pre-Raphaelite Brotherhood, Millais is a well-known Victorian Artist. William Powell Frith, too, was a renowned Victorian artist. For Better of For Worse was an oil painting with a double meaning. First, one could refer the title to the marriage vows. But as one further analyzes the piece, one notices that For Better or For Worse can also refer to the gap between the upper and lower classes. All in all, the artists in each of these cases had a story to tell using certain tools to show emotion. William Powell Frith (1819- 1909), like many before him, used the tricks of the trade to simulate a certain feel in For Better or For Worse. Wardrobe and the compositional unity are tools he used to make this painting tell its story and setting. Frith, first, chose a wardrobe worthy of the Victorian Era. All the men were dressed in classic suits, either black or navy blue with a white shirt. The women, too, were covered in the time-conventional, puffy dresses. But the women’s dresses came in assorted colors, unlike the men. Hence, the wardrobe matched the aristocratic, social norm of the time. A model of the lower class’ wardrobe matched the times stereotype. For example, the father, seemingly decrepit and tired, was in a ruined suit with holes in the pants and patches on the sleeves. His wife’s dress could not compare to the wonderful dresses of the upper class women.

Individual Assignment Owners

When the organization issues the inventory to its traders, it gets certain financial commitment as their uncial commitment, and this is known as the paid-in-capital. This type of economic commitment is not produced from the functions of the organization but it is the unwanted over the par equity of the inventory which the traders are willing to pay for the inventory they get from the company. Thus it is the amount compensated in on the financial commitment inventory by the inventory owners to the organization.It therefore symbolizes the Investors investment strategies, while the gained financial commitment Is the financial commitment which Is gathered from the earnings of the organization. Hence It Is very essential for the organization to divided these two types of economic commitment to ensure the traders about the functions of the organization and Its success. It is the undistributed earnings which continues to be with the company (Skies, Wastage, & Warfield, 2007).Paid-in or Earn ed Capital An investors decision to spend money on any company/firm relies on the ability of the company to produce ongoing earnings circulation and success, the policy about the results and the growth plans of the company. The gained financial commitment is produced from the functions of the organization and it is used to pay up the benefits with regards to both cash and inventory. It also shows the success of the organization gaining further financial commitment on the part of the traders.While the paid-in financial commitment Is only the unwanted over the par equity which continues to be set not causing the benefits due to the traders. Hence the gained financial commitment Is more essential to the trader than the paid-in-capital (Scott, 2003). Basic or Watered down Income per Share Earnings per discuss of the typical inventory are known as Primary earnings. They are owners by heavy average variety of stocks which are excellent at enough time (Skies, Wastage, & Warfield, 2007).Dil uted earnings per discuss are reports displaying the variety of stocks staying the discuss, should get, recommended inventory and sports convertible ties are worked out. The diluted earnings per discuss take the standard earnings higher by one step. The variety of stocks could improve at any example cause of the convertibility of some or all the investment strategies, decreasing the business's earnings which the individual discuss is eligible. This increases the rate between the cost and the earnings making the inventory appear more expensive.It is a typical practice that the organizations problem sports convertible recommended stocks, sports convertible ties or should get and the owners of these equipment enjoy the right of convertibility of their recommended inventory or ties into stocks of the typical inventory at a set cost and they can purchase the inventory at a mentioned cost. The diluted PEPS are gained by the benefiting organizations only while the organizations which have failures, review only basic PEPS, as the dilutes investment strategies would only review an improve on the gloomy that is the net failures revealed would improve.The equity of diluted PEPS is always reduced than basic equity and is more appropriate in financial commitment choices, since it indicates somewhat of a worst-case situation. An trader would certainly choose the diluted earnings to the standard earnings, as the former symbolizes the performance assortment, which is used for the statistic of the quality of the business's earnings per discuss (PEPS).

Hong Kong Health Care System - 3758 Words

Current Situation This report offers an evaluation of Hong Kongs health care system. In this section, three important strengths and four fundamental weaknesses are highlighted. Strengths Hong Kong has a relatively equitable health care system. Every resident has equal access to essential health care. The financial burden of health services is financed in an equitable manner, and health services are reasonably equally distributed by geographical region. Establishment of the HA brought steady improvement in certain aspects of quality and efficiency of services provided by public hospitals. The health care system is relatively cost effective. Hong Kongs health care system is relatively cost effective when compared to†¦show more content†¦Also the political feasibility of the status quo makes this option attractive. Implications for meeting objectives and for major stakeholders: The current health care system of HK suffers from several serious weaknesses, and it could get worse in the future if no changes are made. Maintaining the status quo will not meet the future objectives of managing the government budget for health care or targeting funds for those who cannot afford to pay themselves. Also, primary care and prevention services are becoming increasing important these days, and the current system does not address these areas very well. Doing nothing to change the system will forfeit the opportunity to overcome compartmentalization, improve quality and efficiency, meet the future needs of Hong Kong population, and manage overall health expenditure inflation. Under this option, the government treasury would be directly affected, since the rising demand for health care will necessitate increasing government funds for public health facilities. According to our projections, by 2016 public expenditures on health under the status quo may represent 3.4 to 4.0% of GDP and absorb almost 20% of total public expenditures. It may seem that other major stakeholders will remain unaffected; in the long run, however, the general public could be adversely affected. As the government spending for health care increases, less fund will be available for other important areas such as education orShow MoreRelatedComparing Hong Kong and United States Heath Care Systems1192 Words   |  5 Pageslt;Instructorgt; Comparing Hong Kong and United States Heath Care Systems The United States is currently in the process of a health care reform which will change the current private sector health care program into a universal healthcare system. A great example of a universal healthcare program is Hong Kong. There are other countries that have changed from a private to a public health care system, but Hong Kong has shown that they have done it best. When comparing Hong Kong’s healthcare system to the UnitedRead MoreHow Hong Kong is Dealing with the Aging1094 Words   |  5 Pageslife expectancy of Hong Kong people is being longer and birth rate is decreasing. Therefore, Hong Kong have already started kinds of policies and projects which are focusing on how to face the changes. The following contents are related with the concept the age-friendly and focus with the situation in Hong Kong. The essay is aimed at analyze with the features and barriers of age-friendly, as well as the suggestion for improvement. Define age-friendly According to World health organization (2007)Read MoreIntersection of Law and Ethics in Hong Kong1578 Words   |  7 Pagesrecent action taken by the Hong Kong Government to suspend new bookings of obstetric service from non-local pregnant women in public hospital, especially to those mainland women, in order to protect right of Hong Kong women. The sudden cut affects a group of mainland women with spouse as Hong Kong permanent residents and they complain the injustice phenomenon, that arise ethical dilemma to discuss which is the aim of this paper. Background The Hospital Authority in Hong Kong announced on 8 AprilRead MoreThe Various Market Expansion Systems of DKSH Hong Kong1208 Words   |  5 PagesDKSH Hong Kong Introduction For many, Hong Kong is considered to be a market that is at a crossroads for Asian consumers. To reach out to various customers, there has been a focus on utilizing specific tools that will determine the total amounts satisfaction. One of the premier organizations that are involved in these activities is DKSH Hong Kong. They are helping firms to identify and take advantage of new opportunities inside China. This occurs through different programs that they are offeringRead MoreMargaret Chans International Public Health Employees Provide Global Services605 Words   |  3 PagesInternational Public Health employees are an integral part of the health system throughout the globe. These workers play a large role in helping systems become more culturally appropriate and relevant to the idea of the health problems that not only states in the US face, but all over the world. Public health workers main goal is to identify the particular health care needs of individuals in a community or targ et area. There are many important people within the field of public health, however, very fewRead MoreAging Population and Government Intervention814 Words   |  3 PagesPart A: Rationale and Theoretical Review i) Background and formation of the issue According to the UN World Health Organization definition of aging over 65 years as elderly, when the population of a region or country, the ratio of the elderly more than 7%, referred to as aging society. ii) Give evidence to illustrate the influence of the global issue ïÆ'Ëœ The world’s population is ageing rapidly. Between 2000 and 2050, the proportion of the worlds older adults is estimated to double from aboutRead More Hong Kong Import Export Practices Essay examples1223 Words   |  5 Pages Export and Import Practices Hong Kongs cosmetic and toiletries market had an estimated value of $787 million in 2002. With little domestic production of cosmetics and toiletries, Hong Kong relies on imports from China, Japan, the United States, France, Singapore, Malaysia, and Taiwan. Industry sources expect import growth to continue in the coming years despite the economic slowdown in Hong Kong. The constant demand from mainland Chinese tourists will also drive the growth of imported cosmeticsRead MoreCulture And The Meaning Of A Good Old Age1532 Words   |  7 PagesBudhnarine 2014 â€Æ' Everyone must grow old one day. When that time comes and we are no longer able to care for ourselves, what will become of us? Will the future be good or bad to us in our old age? Does having a â€Å"good old age† depend on our culture and what part of the world we live in? In a study done by Project AGE, which was conducted between 1982 and 1988 in Africa, North America, Hong Kong, and Ireland. The reason for this project was to collect data on how different communities experienceRead MoreDomestic Robot1144 Words   |  5 PagesDomestic robots play an indispensable role in our future lives Introduction This essay aims at discussing domestic robots that may change the lives of Hong Kong people within the next 50 years by looking at possible future applications of science. In the bygone day, robots were used in industrial field and mostly not related to people. People rarely think that they would interact with robots. Nowadays, robots are covered in different fields, such as domestic. Domestic robot is a robot used forRead MoreTransnational Issues : Hong Kong And China1186 Words   |  5 PagesTransnational Paper: Hong Kong and China Transnational issues are conflicts that typically go beyond national boundaries. For the conflict between Hong Kong and China, this is not the case because Hong Kong is a part of China that is ruled under the â€Å"one country, two systems† principle, where certain distinct regions like Hong Kong and Macau would keep their own capitalist political and economic systems while still being a part of China. It is important to note, however, that Hong Kong and Macau were

Rhetorical Analysis Of Martin Luther Kings Speech

On August 28, 1963, Martin Luther King Jr delivered one of the most influential speeches in American history. America was in the thick of the Civil Rights Movement, and Martin Luther King Jr desperately wanted to mend the deep tear in our country. King stood on the Lincoln memorial, and impacted the nation with his words. King spoke about the injustices of segregation and discrimination of African Americans that was taking place in the United States at that time. In his first statement King wrote, â€Å"I am happy to join with you today in what will go down in history as the greatest demonstration for freedom in the history of our nation.† King was determined to unite as one, and cure our country of racial injustice through this speech, and†¦show more content†¦This note was a promise that all men, yes, black men as well as white men, would be guaranteed the unalienable Rights of Life, Liberty and the pursuit of Happiness. It is obvious today that America has defaulte d on this promissory note, insofar as her citizens of color are concerned. The inclusion of the Declaration of Independence was so vital in King’s speech, because there are so many people, in America, that live and die by it. Incorporating this allusion into the speech created a sense that people need to stand by their country and fight for the people inside it. King’s speech is also unique in a way, because of its emotional appeal to the audience, and the country. By creating a connection, and an emotional response, King is able to make his argument more convincing. King writes, Now is the time to make real the promises of democracy. Now is the time to rise from the dark and desolate valley of segregation to the sunlit path of racial justice. Now is the time to lift our nation from the quicksands of racial justice to the solid rock of brotherhood. Now is the time to make justice a reality for all of Gods children. King uses imagery, metaphors, and anaphoric language t o make his point very clear. Repeating, â€Å"now is the time†, shows how King, and the country, were ready for a change, and they were not going to wait any longer. King is comparing segregation to a dark, desolate valley, and racialShow MoreRelatedThe Rhetorical Analysis Of Martin Luther Kings Speech895 Words   |  4 Pagesfor change. Martin Luther King was a Baptist minister and social activist who spent countless years, fighting for a civil rights. It was on the date of August 28th, 1963, on the steps of the Lincoln memorial is where King made his leap of faith and spoke out on the injustice of African Americans. His dream for African Americans to be equal, appealed to the emotions of his audience. The desire to live a civil life and not be oppressed was felt by many. Martin Luther King delivered a speech that wouldRead MoreRhetorical Analysis Of Martin Luther Kings I Have A Dream Speech1230 Words   |  5 Pages Rhetorical Analysis Essay on Martin Luther King’s â€Å"I have a dream† speech Professor Hailemarkos Worke ENGL 102 Sefra Belay September 29, 2017 Rhetorical Analysis Essay In Washington DC, on August 28, 1963 was the day that Martin Luther King, Jr. gave his â€Å"I have a dream† speech. According to Kennedy X.J., et al. in their book, The Brief Bedford Reader, Martin Luther King was an American Baptist minister who became the first president of the Southern Christian Leadership ConferenceRead MoreRhetorical Analysis Of Martin Luther Kings I Have A Dream Speech724 Words   |  3 PagesRhetorical Analysis M.L.K â€Å"I have a dream† Speech On August 28th 1963, Civil Rights activist, Martin Luther King Jr. made his infamous â€Å"I Have a Dream† speech. In the speech, King confronts the mistreatment of the African American community and the lack of free will they contain in society. Throughout the mid-1900s, the Civil Rights Movement took place, influenced by centuries of cruelty towards the African Americans.. The most influential speech in the modern era was said in front of thousands ofRead MoreRhetorical Situation Analysis of Martin Luther Kings Dream Speech744 Words   |  3 PagesWashington D.C., Martin Luther King, Jr. delivered a 17-minute public speech to over 200,000 supporters of the Civil Rights Movement. King’s â€Å"I Have a Dream† speech was a response to continued racial bias nearly 100 years after the end of slavery and a call to action, meant to unify the country in the fight to end segregation. King used his time at the historic event to urge Americans, of all races, to work toge ther throughout the country to ensure equality for all citizens. Though King’s delivery ofRead MoreRhetorical Analysis of Martin Luther Kings I Have A Dream Speech810 Words   |  4 Pages Martin Luther King’s speech was made after the March on Washington on August 28, 1963. He delivered the â€Å"I Have a dream† speech on the Lincoln Memorial steps. He verbalized this speech to millions of people blacks and whites. This is one of the greatest speeches because it has many elements like repetition, assonance and consonance, pathos, logos, and ethos. Repetition in M.L.K.’s Speech Martin Luther King uses a lot of repetition in his speech. They are scattered throughout but veryRead MoreRhetorical Analysis of Martin Luther Kings I Have A Dream Speech852 Words   |  4 Pagesmesmerizing speech by Dr. Martin Luther King, Jr. It was delivered to the thousands of Americans on August 28, 1963, during the March on Washington. Aimed at the entire nation, King’s main purpose in this speech was to convince his audience to demand racial justice towards the mistreated African Americans and to stand up together for the rights afforded to African American under the Constitution. To further convey this purpose more effectively, King cleverly makes use of the rhetorical devices — ethosRead More Rhetorical Analysis of Martin Luther Kings I Have A Dream Speech987 Words   |  4 PagesIn a period of time where few were willing to listen, Martin Luther King, Jr. stood proudly, gathered and held the attention of over 200,000 people. Martin Luther King, Jr.’ s â€Å"I Have a Dream† speech was very effective and motivational for African Americans in 1963. Many factors affected Kings’ speech in a very positive manner; the great emotion behind the words, delivering the speech on the steps of the memorial of the President who defeated slavery. And not only was this message beautifully writtenRead MoreRhetorical Analysis of Martin Luther Kings I Have A Dream Speech1409 Words   |  6 Pages More than 40 years ago, in August 1963, Martin Luther King electrified America with his momentous ‘I Have A Dream’ speech, dramatically delivered from the steps of the Lincoln Memorial. His soaring rhetoric demanding racial justice and an integrated society became a mantra for the black community and is as familiar to subsequent generations of Americans as the US Declaration of Independence. His words proved to be a touchstone for understanding the social and political upheaval of the timeRead More Rhetorical Analysis of Martin Luther Kings I Have A Dream Speech1751 Words   |  8 PagesMartin Luther King Jr.’s â€Å"I Have a Dream† speech was made to thousands of people at the Washington Monument while facing the Lincoln Memorial on August 28, 1963. Dr. King called upon Americas to consider all people, both black and white, to be united, undivided and free. His rhetoric harkened back a hundred years past when the Emancipation Proclamation was enacted during Abraham Lincoln’s term as president which abolished slavery and allowed all people living in America to be equal and have equalRead MoreRhetorical Analysis of Martin Luther Kings I Have A Dream Speech1089 Words   |  5 PagesThe famous â€Å"I Have a Dream† speech delivered by Martin Luther King, Jr. at the historic March in Washington in August 1963 effectively urged the US government to take actions and to finally set up equality between the black and white people in America. Although there were many factors that contributed to the success of the speech, it was primarily King’s masterly use of different rhetorical instruments that encouraged Kennedy and his team to take further steps towards racial equality. King effectively

Deliberative Rhetorical Analysis Of Shallow Waters

Shallow Waters Water is an important resource that maintains life and is arguably the most substantial resource for the essence of life. As humans, we drink water to stay alive. Shift the perspective to an animal the requires water to live, fish for example, without being submerged in the water it would die. The importance of water is crucial to any ecosystem, and imagine an instance where man-made structures inhibit the natural world and could eventually tip an ecosystem out of control. There is a scientific text, based on research, written by the Western Environmental Law Center that argues how the instream flow of the Spokane River needs to be increased for the survival of the fish. They write to the Washington Department of Ecology†¦show more content†¦The tone of this paper has a sense of urgency and is wholly academic. The author does this for a reason, they are attempting to sound professional and knowledgeable about their argument. The firm is attempting to sway the audience in a w ay so they can understand that change needs to be made. The language that is used is extremely specific due to the fact the paper is based on its statistics, for example, â€Å"Ecology’s IFIM study for the Spokane River relied on habitat curves that were not tailored to the Spokane River.† (48) The statement is explaining the tool that is used to calculate inflow is not made to determine a large river, and this is followed by multiple diagrams explaining why this is true. They want the audience to understand that if change does not happen soon a huge issue can arise. Another point pertaining to ethos is that they are not simplifying anything for the audience. They know that the audience is filled with other scientists and professionals that know about the topic being discussed. The law firm also avoids simplification of the piece to get straight to their point. The firm knew that average citizens would not be reading this publication because it has nothing to do with their involvement in society. The information that is explained throughout the text is all connected to environmental science because of that is kept in the jargon used by scientists, another reason common people would not read

Benefits of Breastfeeding Free Essays

string(119) " the breast instantly after delivery, these uterine contractions are able to control the level of blood lost in birth\." Breastfeeding Module – HUG 2121 This essay will explore various factors within breastfeeding, it will focus on the long and short term health benefits of breastfeeding, for both the mother and baby it will also discuss the reasons why women chose not to breastfeed, especially within the western society. Contributory factors such as social, psychological, cultural and political all contribute to the reasons women chose to breastfeed or not. WHO (2011), suggests that breast milk provides the necessary nutrients for up to the second half of the infants first year , and it also promotes sensory and cognitive development, and protection from infections and chronic illness. We will write a custom essay sample on Benefits of Breastfeeding or any similar topic only for you Order Now Breastfeeding has been also promoted by various studies and organisations and is said to be the healthiest and most effective way of feeding your baby, it not only increases bonding with the baby, but it also helps the mother to keep track of their babies health. Dykes (2002:98) The world health organisation(WHO) recommends that â€Å"mothers worldwide to exclusively breastfeed infants for the child’s first six months in order to achieve optimal growth, development and health†. There are many advantages associated with breastfeeding your baby, such as low risk of child obesity, which in turn usually leads to type 2 diabetes  in later life and a low risk of acquiring other health problems such as eczema. Miller (1991:76). Breast milk also contains valuable antibodies from the mother that may help the baby resist infections, so this means the baby is not at a high risk of acquiring disease. There are various factors that influence the initiation and maintenance of breastfeeding, Earle (2002) recognises some of these factors, as the way the mother identifies herself, the fathers understanding on infant feeding, the personal factors involved and the sexualisation of breasts. The politics of breastfeeding is explained in detail by, Counihan (2008:467) stating that political obstacles include the â€Å"marketing practices of instant formula manufacturers†, and how such factors appear to have a positive impact on the choice women make in order to breastfeed or not. The article goes on to reflect breastfeeding rates in the UK; and the health benefits of breastfeeding for the mother as well as the infant. Despite attempts to reiterate to general public that ‘breast is best’, breastfeeding is still very much low in the western society (UNICEF, 2005). Protheroe et al (2003) discuss the issues behind this and explain the evidence that shows the health benefits of breastfeeding. Protheroe et al, (2003) also suggest that breastfeeding allows babies to have a better start in life than those who are formula fed. Due to both the short and long term health benefits associated with breastfeeding, Protheroe et al (2003) continues to argue that the main development of the infant is dependent on the nutrients breast milk provide. Breastmilk does not contain any extra ingredients that may cause the baby to have problems digesting it, so it is less strenuous for the baby. According to Allen and Hector (2005:42), they suggest that breastmilk is â€Å"uniquely engineered† for babies and that, it is biologically and naturally the correct way to feed babies. They also, argue that unlike formula milk breastfeeding has a vast number of health benefits for both mother and baby. Alexander et al. (2009:158) supports this claim and explains that breastfeeding provides a vast number of health benefits, â€Å"including protection against many acute and chronic diseases as well as advantages for general health, growth and development. UNICEF suggest that babies who are fed using breast milk substitutes have an increased risk of acquiring infections and diseases such as gastroenteritis, urinary tract infections, respiratory or chest infections, ear infections, and even childhood leukaemia and possibly sudden infant death syndrome, or cot death. Allen and Hector (2005:44) support this, and explain that breastfeeding â€Å"has been shown to be protective aga inst a large number of immediate and longer term health outcomes that are a significant burden on individuals, the health system and society. It is also suggested that babies who are breastfed are bound to have better neurological development. However, a study carried out by Holme et al (2010), aiming to establish the effect of breastfeeding on neurological development, does not support this study. They came to the conclusion that breastfeeding is not associated with intelligence quotient (IQ) and that â€Å"maternal and socio-economic characteristics† are particularly influential. Babies who are breastfed are also protected against diabetes mellitus. Whitney et al, ( 2010 ), breastfeeding is also associated with defending babies from long term ealth problems and disorders of the cardiovascular system as well as obesity, a very huge problem that most Western societies are finding difficult to control. Due to this factor alone, it is very important that breastfeeding is more w idely promoted and advised, with sufficient support systems for mothers who are breastfeeding or considering it. This will not only reduce the health issues associated with breastfeeding, but it will promote the health benefits involved. UNICEF (2011) suggests that there may be a link between breastfeeding and protection against multiple sclerosis, acute appendicitis and tonsillectomy. However, research within this area is still very limited, and nothing has been done to prove this may be true. Breastfeeding does not only benefit the health of the baby, but mothers who breastfeed have a reduced risk of multiple diseases and illnesses; such as, breast and ovarian cancer and osteoporosis. Breastfeeding also increases involution, whereby the mothers figure is most likely to return to normal, after pregnancy. Insel et al. (2009:538) support this, stating that breastfeeding stimulates uterine contractions, which aid in the uterus returning back to size. This is a very important factor to recognise especially for many mothers, due to the pressures associated with body image. If mothers are made aware of such benefits of breastfeeding, they may be more likely to breastfeed in order to promote the health and wellbeing of their baby and themselves, and maintain their figure. In addition breastfeeding means that mother and child are able to bond effectively; Insel et al. (2009:538) also state that if the baby is placed onto the breast instantly after delivery, these uterine contractions are able to control the level of blood lost in birth. You read "Benefits of Breastfeeding" in category "Papers" Additionally by consuming a healthy diet, the mother is also able to understand and monitor any possible causes of any allergic reactions, infections or illnesses the baby develops. Lauwers and Swisher (2010:428) explain that exclusively breastfeeding, the breastmilk coats the baby’s intestinal tract with components in the breastmilk that ultimately prevent foreign proteins from entering the baby’s system and causing any allergic reactions. Pryor (2010:4) also suggests that the role of breastfeeding is very important especially if a mother and baby are bonding. This study showed that babies that interacted more with their mothers, stayed warmer, and cried less. It was also found that, although there were some difficulties to measure, if there was early skin-to-skin contact, there is still a very high possibility that breastfed babies were more likely to have a good early relationship with their mothers. A study conducted by Riodarn et al, (1998 ), shows that, breastfeeding rates within the United Kingdom (UK) are the lowest in both the developed world and Europe. Additionally the Infant Feeding Survey, from 2000 to 2005, found that the number of babies who were breastfed within the UK increased by 7 per cent and in both Scotland and Northern Ireland the initiation rates were raised by 8 per cent and only 7% in England and Wales. Although the statistics show a small rise in the number of breastfeeding mothers in the UK the number is still very low. Studies have found that most women, who do breastfeed, are usually from upper-class families whereas most economically disadvantaged women and teenagers continue to bottle feed their infants. Bryant et, al (1999:79). Efforts to improve breastfeeding initiation and duration among low income women have been tried however no success has been met. Therefore, it is important that an effort must be made to address the reasons for this problem and to identify breastfeeding promotion strategies that will overcome the barriers that are negatively influencing breastfeeding decisions in these particular populations. A lot of the women from low socio economic backgrounds, who chose not to breastfeed, is not because they just don’t care, but mostly because they live in an unsupportive or work in a non supportive environment. Other reasons why they do not breastfeed are that in low income women, their reasons not to breastfeed are closely related to social and cultural beliefs. Various studies have revealed that main issues that women from low income societies face, are that they are modest and embarrassed and the restrictions on their lifestyles, also play a huge role. Hartley,et al (1996:87). Other women however complained of physical discomfort and inconvenience. Some studies also found that some economically disadvantaged women feel a lack of confidence in their ability to produce an adequate quality or quantity of breast milk Marcus (2007). Living in a particular society usually influences many of your life choices, so if not breastfeeding is the cultural norm, for people living in these environments then chances of them breastfeeding is low. NICE, also suggests that in the UK alone most factors that also contribute to women overall not breastfeeding apart from the influence of society and culture, is the lack of continuity of care in the health services, clinical problems and the lack of preparation of health professionals and public in general to support breastfeeding effectively. Health care professionals also have a huge impact on women’s choices to breastfeed. The WHO and UNICEF launched the Baby Friendly Hospital Initiative in 1991, in order to provide information, support and assessment for health care workers in order to promote and encourage breastfeeding. This programme is very useful especially to new mothers because another reason why the rate of breastfeeding is low in the country is because; some women just don’t have enough information about it. This programme not only allows health professionals to encourage mothers on their own, but to also have the government to back up what they are saying. Arnez, et al (2004:67). Fletcher,et al(2000:98) however also suggests that whilst some women do have the information and are educated on all the reasons as to why breastfeeding is better, most women however usually just do what their, peers, parents or friends do. This suggestion is also supported By NICE, who also note that â€Å"a pregnant woman considering how to feed her baby may be influenced, positively or negatively, by the experiences of her friends and family, messages in the media, and the advice of her midwife and GP. Adequate advice is especially important for mothers because, although the choice is ultimately theirs, it is important for health professionals to know that they have given the mother as much information as possible and support in whatever decision they make. Riodarn, (2005:83) For the mothers who do chose to breastfeed, some of them end up discontinuing in many cases the reason being is that the mother’s report of ‘insufficient milk’ Ham lyn et al. (2002:54). This reason of not having enough milk may be influenced by the baby’s behaviour, the input of health professionals, the views of family and friends, and the mother’s own self-esteem, as well as clinical problems with feeding. If the mother feels as if she is not producing enough milk to feed her baby, then she can easily change to formula milk because, the stress of her thinking that the baby is starving would pressurise her to doing so Fletcher, et al (2000:43). It is especially important in situations such as these, that health professionals play a huge role in supporting the mother, because they are various reasons that can lead to such problems, so advice and a health knowledge would be needed. In most cases women tend to think this way because breast milk digests faster than formula milk, so the baby becomes hungry more often. So the support and advice from health professionals would help the mother to understand and not worry about this problem, Hartley et al (1996:31). It is very rare for anyone to suffer from not producing enough milk however, this is one of the main reasons why most women stop breastfeeding. Miller (1996:50) Suggests that it is especially women from low income backgrounds that usually use this as a reason to stop breastfeeding. However this can be argued that this excuse can be used by all women. A number of investigators suggest that this, is a condition that â€Å"spans a bio psychosocial continuum from a rare physiological situation to a condition embedded in psychological and social circumstances† Kumar, (2008:72). This method of encouragement was shown to have the greatest impact on women’s choice to breastfeed. The baby friendly initiative hospitals also support this and statistics show that these hospitals had increased their breastfeeding rates by more than 10% by comparing the year receiving Baby Friendly accreditation with four previous years, before they had the accreditation. In teenage mothers the need of support to initiate breastfeeding is prevalent, in most cases this is due to the vast influence young mothers get from the media, and the pressure from society. Appearance also plays a huge role in most women who decide to either breastfeed or not Scott, et al (1999:12). Most young mothers think that breastfeeding will make them socially unacceptable and make their breasts saggy. Most teenagers follow the media very closely and celebrity culture, so when they see or hear about certain things that their favourite celebrities have done they tend to follow in those footsteps. Teenagers are not the only population that the media influences in this particular area. In 2001 breastfeeding obtained a large amount of negative and controversial media coverage, when a woman was removed from a Delta Airlines flight because she refused to cover her child whilst she was breastfeeding (Marcus, 2007). Last  year,  famous  media  icon, Barbara Walters commented to millions of viewers, that â€Å"a breastfeeding woman made her feel uncomfortable while on a flight, Curran  (2006). Attitude such as this can influence women to not breastfeed, because they may start to feel embarrassed doing it. Although these are the most reasons why women do not breastfeed, other reasons may include sore nipples, or the pressure on going back to work. In some cases women chose not to breastfeed because they feel, the father of the baby would benefit from bottle feeding so that he too can get some sort of bonding with the baby during feeding, Curran (2006:12). Women often complain that their partners do not get to experience the same bond they do whilst feeding, Hollander (1995). Other health benefits said to be associated with breastfeeding are that minerals such as iron are present and lower in breast milk than in formula, so the minerals in breast milk are more likely to be completely absorbed by the baby Kumar, ( 2008:70 ). However In formula fed babies, the unabsorbed portions of minerals can change the balance of bacteria in the gut, which gives harmful bacteria a chance to grow, Foster (1995:45) this can often can cause constipation and lead to harder odorous stools than breastfed babies. In cases where women find that breastfeeding makes their nipples sore, it’s very important for health professionals to give them the relevant support and education on how to treat this problem. Most sore nipples can be helped by changing how the baby is attached to the mother’s breast, so talking to someone who has had specialist training in giving women support and information on baby feeding, would help. Midwives, health visitor or other specialist are also able  to help the mother, however it’s important for the mother to know that this information is readily available to them. The stigma attached to breastfeeding especially in the UK, has caused a lot of women to be cautious about it compared to other countries. The WHO statistics show that women in Asia and Africa are more comfortable breastfeeding compared to the Western Society. This information shows that although the women in England live in a country where healthcare and information is easily available to them compared to developing countries, their surroundings influence their decisions greatly. However women from other parts of the world such as Asia and Africa, do not particularly have media influences. Other reasons why Western countries have less women breastfeeding may be because, they have the formula milk easily available to them and it’s more convenient to their lifestyles. Formula feeding your baby especially in Western countries seems to be more ideal because of most work schedules and time off work given after the baby is born. In western culture a women’s breast is very closely associated with sex, so in most cases when a women is seen to be breastfeeding especially in public this is deemed as inappropriate Marcus, (2007). Most men also do not want to see their partner’s breastfeeding in public, because of the confusion over sexual role of the breast. If we compare this attitude to other countries, most women and men have strict rules on sex exposure and attitude. For example in Africa the majority of women that do have children are married and the number of teenage pregnancies is very low, so already the type of women that do get pregnant are usually young and married. Their culture on pregnancy, marriage and breastfeeding is also in most cases taught to them from a young age and it becomes a part of their culture. If the women’s grandmother and mother, both breastfed their babies they teach the daughter to do so, and because this is something that is taught growing up, it becomes the right choice for them. Having strong cultural beliefs has shown to have a huge impact on people particularly from this population, because they do not want to seem rebellious if they chose to do anything different from what they have been taught. Hollander, (1995) So in other words in most non Western countries the option to choose between formula milk and breastfeeding your baby is rarely given. In western culture however, because individuals tend to do their own thing and the choice for them to breastfeed or not is there this gives, the mother opportunity to weigh out her options on what suits her and baby. If her everyday life requires her to be busy perhaps finding the time to sit down, and relax and feed may seem impossible. Breastfed babies eat more often than bottle-fed babies because the fats and proteins in breast milk are more easily broken down than the fats and proteins in formula, so they are absorbed and used more quickly Kumar, (2002:90). This then means that the mother would have to breastfeed a lot more than she would with formula, so in a fast moving environment again this may not be ideal. In past years the facilities to actually breastfeed within the UK were very few, if women wanted to breastfeed their babies they were forced to either go and do it somewhere private or stay within their homes. It was only in 2010 that an equality act was carried out and passed to allow women to breastfeed anywhere, and to get public places and work places to facilitate this. In other cultures image concern is not as high as it is in the western culture so there are less cautious about it. 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