Adventure Essay The Trip - 1353 Words

Preface â€Å"Shahkam, hurry! We mustn’t be seen! † My mother said in an undertone. â€Å"Wait, mama! I need my necklace!† I replied. â€Å"You needn’t a necklace, Shahkam. You are a boy!† â€Å"But mama, it is a gift! From the King! And I’m sure people in Canada wear them!† I pleaded. â€Å"No! We must leave! We can’t afford to miss the ship. It’s our only chance to get out of Iran!† She sounded irritated. â€Å"And sit in a refugee camp for a year.† I said testily. Then my tone changed. â€Å"Can we at least say goodbye to Grandmamma?† I sobbed. â€Å"We can’t. But she left us a note.† She held out a battered envelope addressed â€Å"Farah and Shahkam†, and I began to sob harder. â€Å"Shh†¦Ã¢â‚¬  She said as she raised her finger to her lips, then put her hijab back over her†¦show more content†¦My heart was pounding hard against my chest. I didn’t want to fall. I pushed harder towards the middle before I was pushed forward. Thankfully, we were in the middle, although people either side of us were stumbling at the edge. We were pushed through, entering the side of the boat. I let out a sigh of relief and we were escorted down a hallway. The interior of the boat had a strong, bitter smell, causing a burning sensation inside my nose, continuing down the back of my throat deep into the pit of my lungs. A large man was guiding us down the hall, taking us to our dormitories. We walked, and walked, and walked, the boat was like a labyrinth. Eventually, we reached a large room, with a huge iron door. The man stopped at the door and beckoned us forward, through to the room. It was dark and dank inside, and there was no furniture, only old, soggy looking mattresses. The man roughly cleared his throat before speaking. â€Å"My name is Amjad. While you are on this boat, you will stay here. Meals and amenities will come to you.† *** I had no idea how many days I had been on the ship when it happened. It was just like any other time. All the other children around me sat, crying with hunger pains, their mothers telling them to hush. I was filthy, and my eyesight felt weak from being in the dark so long. I was lying on a mouldy mattress, thinking about whether or not breathing in the spores would affect me, when the ship rocked sharply overShow MoreRelatedRalph Waldo Emersons Nature Analysis708 Words   |  3 Pagesto value the idea of having the freedom of it and to realize there is more to life than what you are living. In the essay, â€Å"Nature†, by Ralph Waldo Emerson he finds himself challenged by the honesty of nature, which compares to Chris McCandless adventure in the book, Into the Wild, by Jon Krakauer. First, one must enjoy things as how they come. Emerson explains this feat in his essay by shadowing there is more than what meets the eye to nature. His purpose for thinking this is shown in this, â€Å"NatureRead MoreLiterary Analysis of Into the Wild1669 Words   |  7 PagesSince he was young, he enjoyed a life of adventure and action. According to the article This Is Your Brain on Adventure by Florence Williams, risk takers have three major emotional ingredients: desire for adventure, relative disregard for harm, [and] impulsivity. These assertions are persuasive because McCandless possess all these characteristics and he demonstrates them throughout the book. In Detrital Wash, Krakauer describes McCandlesss adventure throughout the United States and Mexico.Read MoreTravel, A Part Of Education1111 Words   |  5 PagesJaykumar Poddar Professor Shubhamitra Adhikari Academic Writing 28 August 2014 Travel â€Å"TRAVEL, in the younger sort, is a part of education, in the elder, a part of experience.† (Francis Bacon). People travel for different reasons; they travel for fun, adventure, learning, worshipping, etc. People from different age groups have different motive behind traveling. Children travel to have fun or learn something new. Whereas adults travel to experience different things. Either ways everyone gets to learn somethingRead MoreTravel, A Part Of Education1111 Words   |  5 PagesJaykumar Poddar Professor Shubhamitra Adhikari Academic Writing 28 August 2014 Travel â€Å"TRAVEL, in the younger sort, is a part of education, in the elder, a part of experience.† (Francis Bacon). People travel for different reasons; they travel for fun, adventure, learning, worshipping, etc. People from different age groups have different motive behind traveling. Children travel to have fun or learn something new. Whereas adults travel to experience different things. Either ways everyone gets to learn somethingRead MoreThe Damnation of a Canyon Essay1004 Words   |  5 Pagesused really good arguments and view points to support his case, I support his essay. He maintained giving us many examples of how the canyon used to look like. Abbey used his experiences like when he and his friend made a float trip in little rubber rafts down through the length of Glen Canyon, or when [he] worked as a seasonal park ranger. He was mainly targeting the general people that experienced nature life. The essay starts off with Abbey feeling that [he was] in position to evalu ate the transformationRead MoreAbsent And Ill Behaved Mothers1427 Words   |  6 Pagesbeen examining thus far and the young adult literature that I have experienced prior. More often than not, the mothers in our favorite childhood tales are given a negative reputation, whether that is dead, non-existent or demented and evil and this essay explores the multiple effects that may result in tales from negative impacted mothers. For instance, a tale may have the mother’s existence removed altogether to have the main character (typically a child) embark upon their own journey with no parentalRead MoreAnalysis Of Farther Away By Jonathan Franzen1470 Words   |  6 Pagessomething that was valuable to you often results in feeling grief –and everyone manages it in their own way. What’s important is that in the end, you understand yourself, your emotions and you let go. In Jonathan Franzen’s essay called ‘Farther Away’, the author is describing his trip to an isolated island where he goes to escape, tired and bored after his long book tour, with the help of which he was trying to ignore his feelings and inner problems. Jonathan goes to see some rare types of birds, whileRead MorePeter Hessler and China702 Words   |  3 Pagesfellow Peace Corp. volunteer were placed in Fuling, and poor town on the Yangtze River in rural China. River Town is more or less a journal of what it was like being in Fuling on a day to day basis. He illustrates his experience through stories of trips he took, people that he became close with, and situations that required an open mind. Peter’s job was teaching English literature at a small college in the town; and through this was able to learn both about the tightly controlled nature of being aRead More Analysis of A Description of New England by John Smith Essay646 Words   |  3 PagesThe purpose of this essay is to compare and contrast both authors and their books. John Smith wrote about the wonderful place the New World was, on the other hand, William Bradford wrote about the realities and difficulties of the New World. In â€Å" A Description of New England †, Smith starts by describing the pleasure and content that risking your life for getting your own piece of land brings to men. On the other hand, Bradford reminds us how harsh and difficult the trip to the New World wasRead MoreChina: A Reflective Essay1129 Words   |  5 PagesChina: A Reflective Essay Standing atop the highest peak of the Great Wall in Beijing, China after nearly two hours of climbing up the uneven, ancient stairs, I couldn’t help but to think about my life and all the decisions I have made thus far. Drenched in sweat and gasping for breath through the thick, heavy, polluted air, I stood quietly in amazement. I was not only speechless because I had actually braved the nearly 7-mile climb but also because of the picturesque landscape that surrounded

Essay on Moral Conflict in Antigone - 1349 Words

The major moral conflict in Antigone by Sophocles is the conflict over which value is most fundamental. The play presents the moral conflict over whether the gods law or the citys law is more powerful. This seems to be the most prominent theme. The conflict arises mainly between the tragic heroes Antigone and her uncle-in-law Creon, King of Thebes. The city of Thebes had been through a war in which Antigone and her sister Ismene have lost both of their brothers to it, Eteocles and Polyneices. Eteocless fighting for Thebes was buried and honored as a hero. (lines 24-26) Polyneices was left unburied and dishonored because he is considered an enemy of the city. (lines 27-32) Creon edicts that whoever broke the law by burying†¦show more content†¦(line 89) When a messenger comes to Creon, bringing the news that Antigone has buried her brother, he begins his arguments why Antigone has broken the law. He begins by stating that a man shows what he is made of by his skill in rule and law. In other words, the law is everything and as a ruler, he must do everything for his country. He considers Polyneices an enemy of the city and a threat to the security of the city as well. Thus Polyneices will be called a traitor in life and in death and dishonored. The scene when Antigone and Creon face each other is the opportunity for both to defend themselves. Creon questions Antigone. She bases her responses on that the city laws proclaiming her as illegal are not the laws of Zeus or laws proclaimed by gods, but rather, laws made by a man that one day will also die. She will honor her brothers death because this is what the gods have proclaimed for all mankind. (lines 460-463) In the dialogue between Creon and Antigone she also defends herself when he questions her as to why an enemy should be honored. She responds by saying she loved her brothers and her family, and they are not her enemies. Creon also asked Antigone why she was the only one defying him. She answers him by saying that there are many others who do not speak out because they fear him. (lines 508-509) Antigone offers one last argument in stating that she loves her family and will welcome death because sheShow MoreRelated A Comparison of Moral Conflict in Antigone and A Dolls House1479 Words   |  6 PagesConflict Between Individual Morals and State Laws in Antigone and A Dolls House  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚        Ã‚  Ã‚  Ã‚   Mother, should I trust the government?   Or should I trust myself?   This dilemma is a common one in a great deal of literature.   In Antigone and A Doll’s House, the main theme is the question of whether one should be true to oneself or true to one’s state or society.   Should Nora (in A Doll’s House) and Antigone (in Antigone) â€Å"follow the rules† and do what the state and society want them to do orRead MoreEssay on Antigone Conflicts856 Words   |  4 Pages Conflicts in Antigone nbsp;nbsp;nbsp;nbsp;nbsp;There were three basic conflicts that caused Antigone and Creon to clash as violently as they did. First, was the conflict of the individual versus the state, in which Antigone represented the individual and Creon the king, the state. The second conflict can be described as following ones conscience and ideals versus following the law strictly. In this conflict Antigone makes decisions based on her conscience and ideals while Creon is the strictRead MoreEssay on Antigone1426 Words   |  6 Pagesimprudent judgments will ultimately suffer from the consequences of their actions. In Sophocles Antigone, these prejudices notably surface in the form of paternalism as demonstrated through Creons government, highlighting the importance of gender roles throughout the play. Therefore, analyzing the motif of gender roles and its effect on the definition of justice through the perspectives of Ismene, Antigone, and Creon enables the audience to understand how Sophocles macroscopic analogy to humanitysRead MoreAntigone - Paper 131697 Words   |  7 Pagesepic play, Antigone, are both very strong personalities, which naturally leads to conflict. Antigone and King Creon both have very intense beliefs and roles in this play that oppose each other, and although there is a family tie, will lead to an imminent tragedy. Antigone is a young women who believes in the loyalty of her family and fears no one and nothing. She is willing to give up her bright future and her life and disobey the edict of her uncle and bury her deceased brother. Antigone displaysRead MoreTheme Of Conflict In Antigone973 Words   |  4 Pages851) 28 September 2017 Moral Conflict and Internal Change in Antigone Beliefs are not always based on facts that you would find in a textbook-they are something that one believes is true. When I first read Sophocles’ play Antigone, my initial impression of Creon was that his beliefs of the law and the state were rational because of his role as a ruler. But as the play progressed, I began to disagree with his behavior and his values because he only focused on his own moral beliefs rather than consideringRead MoreEssay on Analyzing Antigone and Creon1313 Words   |  6 PagesSophocles play titled Antigone, embellishes the opposing conflicts between Antigone who stands for the values of family, and Creon who stands for the values of state. Sophocles explores the depths of Antigone’s morality and the duty based on consequence throughout the play, as well as the practical consequences of Creon who is passionate and close-minded. Although Antigone’s moral decisions appear to be more logical and favorable than Creon’s, a person al argument would be that both characters’Read MoreThe Production Of Antigone By Peta Tait Essay1708 Words   |  7 PagesThe production of Antigone by Company B reviewed by Peta Tait is correct in multiple instances even though the production has an incorrect central conflict. Company B’s production is correct when Tait explains how it portrays why Creon did not bury Polyneices’ body and just left it out to the animals instead (71). The production is also correct when implying why Creon treats Antigone and Ismene badly as if they have the dignity of animals (73). By looking at Sophocles’ Antigone, it portrays CreonRead MoreAn Interpretive Analysis On Conflicting Self Reassurance1337 Words   |  6 Pages Antigone: An Interpretive Analysis on Conflicting Self-Reassurance Antigone is a complex, yet debatable play, written by Sophocles somewhere around 442 BC. Chronologically, it is the third of the three Theban plays, but was the first to be written. In addition, Antigone was also one of the most famous tragedies ever to be written. The setting of the play is set in front of the Palace, Thebes, and Ancient Greece. Though most Greek playwrights were from Athens, their plays areRead MoreAntigone : Human Law Vs. Divine Law1418 Words   |  6 PagesLauren Wolfson Professor Neil Scharnick THR 3270 History of Classical Theatre 30 November 2016 Antigone: Human Law vs. Divine Law The most prominent theme in â€Å"Antigone† by Sophocles is the conflict of divine law vs. human law; it is the driving force behind the entire play. It is an issue of which law is the right law, and if Creon s and Antigone s acts were justifiable. It is also a question of what motivates them both to act as they do and if they were predestined to their fates dueRead MoreAntigone : A Complex, Yet Debatable Play1343 Words   |  6 PagesAntigone is a complex, yet debatable play, written by Sophocles somewhere around 442 BC (Johnston). Chronologically, it is the third of the three Theban plays, but was the first and also one of the most famous tragedies ever to be written (Sophocles). The setting of the play is set in front of the Palace, Thebes, and Ancient Greece, though most Greek playwrights were from Athens, their plays are hardly ever set there. (Sophocles). It begins with the death of two brothers, Polyneices and Eteocles

Reflective Questions for Managerial System - myassignmenthelp.com

Question: Write about the Reflective Questions for Structural and Managerial System. Answer: An organizational system comprises of four sub systems namely technical system, cultural system, structural system and managerial system. The technical system includes basic equipments and techniques that are necessary for the production process. The structural system includes the policies and procedures of an organization that are to be followed by the organizational employees (Cabri and Blake 2016). The cultural system comprises of the relationships between the employees and their behavioral patterns. The managerial system comprises of the activities related to directing, controlling and organizing the organizational activities towards the achievement of the objectives of the organization (Davis et al. 2014). I view organization as a combination of several sub systems. The processes within an organization cannot work alone instead, the processes are dependent on each other. For instance only technical system is not enough to generate desired outcome. Human resources are necessary to control the technical system and to manage the operations of an organization in order to obtain desired results. A single system when alone is incomplete and incapable of producing desired outcomes. All the elements within an organization are inter- related and inter- dependent upon each other (Dalpiaz, Giorgini and Mylopoulos 2013). Socio- technical system is a combination of social and technical processes. A socio- technical system is a combination of computer, software, business processes, organizational rules and human resources. Any changes in the social element can have a drastic impact on the technical activities. For instance, in case less efficient human resources replace the more efficient human resources involved in the technical processes, then the technical activities tend to slow down or create more errors (Bowker 2014). Therefore, it is necessary to maintain a balance between social and technical aspects of an organization. The socio- technical system involves several approaches such as organizing the processes, flattening the hierarchy, utilizing teams for managing activities, allowing the customers to decide the performance and rewarding the performance of the team. I believe that organizations are an open system that interacts with the environment. An organization does not exist in vacuum due to which the success of an organization is dependent upon the way it interacts with the environment. The success of an organization is largely dependent upon the interaction between its internal employees as well as the interaction with the outside customers (Jones, Artikis and Pitt 2013). I believe that efficient socio- technical systems are necessary for the success of an organization. No organization can achieve its objectives without establishing a sound socio- technical system. For instance, socio- technical system has been efficiently used by Toyota. Toyota has efficiently utilized the socio- technical system approaches along with lean production principles. The company has used the work design model that has helped the company to understand the organizations work practices and its impact upon the performance of the employees. The company has conducted several surveys through which it has come to know that the middle management in the company is necessary for the implementation of the lean system that helps in the utilization of social and technical systems (CORPORATION., 2017) Toyota Motor corporation was founded in the year 1937 by Kiichiro Toyoda as a multinational automotive company. The company has its headquarters in Aichi, Japan. Toyota is the largest automobile manufacturing company in the world. The company has a wide product line that comprises of cars, buses, motorsports, electric vehicles and is also involved in several non- automotive activities such as aerospace, robotics and philanthropy. The company has been manufacturing superior quality vehicles since 75 years and has a world- wide presence. The company has efficiently utilized its socio- technical system and the lean production system in order to achieve the desired outcomes (CORPORATION., 2017). The companys organizational structure is based upon its varied business activities all over the world. The company efficiently utilizes its structure to achieve its aims and objectives. The company has its structure linked with the Japanese traditional business structures (CORPORATION., 2017). The company has efficiently used its organizational structure in order to improve its operations and capacity utilization. Toyota follows global hierarchy, geographical divisions and product- based divisions as its organizational structure. The company has vested the decision- making power in the hands of the regional and business unit heads. The business unit heads are responsible to report to the headquarters of the company in Japan. The company also has eight regional divisions and each of the units heads report to the companys headquarters (CORPORATION., 2017). The company also has four divisions according to its products that supports the brand development and improvement in the product li ne. The managerial sub- system in my organization that is Toyota is highly effective in improving the efficiency of the organization. For example, the TPS (Toyota Production System) of the organization utilizes several conversion processes in order to motivate changes at group levels. The immediate supervisors are responsible for managing conflicts and sustaining the change within the organization. The TPS ensures that all the sub- systems of the company work together towards the achievement of the organizational objectives (Koukoulaki 2014). TPS motivates the suppliers of the company to involve kaizen without affecting the stable procedure. The company does not expect its suppliers to follow their values and principles but they are required to abide by certain basic principles of the company. The TPS system of Toyota ensures that there is proper coordination and integration among the managerial sub- systems. The management and the production system of the company work closely in order t o obtain the desired results. The human resources within the organization are responsible for ensuring proper quality production and minimizing the defects. Therefore, I would like to conclude that the various divisions of the company and the human resources of the company work together in order to achieve the desired results. Human resource interventions are very important in improving both individual and team performance. Human resource interventions help in improving inter- personal skills. I have personally participated in HR interventions that aims at improving inter- personal skills especially team- building. Firstly, the hierarchical decision- making system is removed from an organization (Saurin and Werle 2017). The power of taking decisions are no longer vested in the hands of only higher authorities instead, the focus is on the groups are prepared that have the proper understanding of the organizations aims and objectives. The employees from various departments form a group and discuss regarding the important topics. The employees are engaged in the decision- making process in order to obtain better ideas. In order to build trust among the employees, open communication is encouraged within the organization. This creates an environment of mutual trust and co- operation (Edel et al. 2017). The mana gers are required to slowly build the trust among its employees and reduce the unwanted competition within the organization. Some amount of competition is good for an organization but beyond certain limit, the competition becomes harmful for the organizations. Collaborative conditions are very useful in improving the team spirit and communication and help the employees feel important for the organization. An employee invests his or her skills, abilities, knowledge and time for attaining the objectives of an organization therefore, the employers are also required to work for the overall development of the employees and help them achieve their career goals. This can be done by providing employee benefits and other facilities to the employees in order to help him or her work efficiently. The employees are provided the opportunity to take active part in the decision- making processes. This has helped in making the employees feel important to the organization and has also helped in incre asing the loyalty of the employees towards the organization. The two types of HR interventions are as follows: T- groups: I have chosen T- group because it is the type of group training wherein the participants learn about themselves by interacting with each other. This process uses the process of feedback, role playing and problem solving techniques. A T- group meeting does not have a specific agenda and goal instead, the participants are encouraged by a facilitator to express and share their feelings and emotions in exchange of actions and words of the other participants (Guest 2015). The major focus is on expressing the emotions rather than obtaining any conclusions. The members of T- group develop inter- personal skills and self- understanding. Since ages, the organizations have been using this method for the purpose of building teams and implementing corporate culture. This process involves openness and helps the members to adopt a positive attitude towards the achievement of the objectives. Team building: I have chosen team building because it involves a group of activities that help in enhancing the social relations and defining the roles within the associations that involves collaborative tasks. This concept is completely different from that of team training as it aims at exposing and addressing the the inter- personal issues within a team. It helps in improving the performance of the entire team as it is aligned towards the goals and involves building efficient working relationships among the members (Martin, Carron and Burke 2016). It also aims at reducing the ambiguity among the team members in term of role and responsibilities and helps in finding solutions to the issues faced by the team. References: Bowker, G., 2014.Social science, technical systems, and cooperative work: Beyond the great divide. Psychology Press. Cabri, G. and Blake, M.B., 2016, June. 14th Adaptive Computing (and Agents) for Enhanced Collaboration: Adaptive Approaches for Socio-technical Systems. InEnabling Technologies: Infrastructure for Collaborative Enterprises (WETICE), 2016 IEEE 25th International Conference on(pp. 1-2). IEEE. CORPORATION., T. (2017). Toyota Global Site | History of Toyota. [online] Toyota Motor Corporation Global Website. Available at: https://www.toyota-global.com/company/history_of_toyota/ [Accessed 14 Aug. 2017]. Cummings, T.G. and Worley, C.G., 2014.Organization development and change. Cengage learning. Dalpiaz, F., Giorgini, P. and Mylopoulos, J., 2013. Adaptive socio-technical systems: a requirements-based approach.Requirements engineering,18(1), pp.1-24. Davis, M.C., Challenger, R., Jayewardene, D.N. and Clegg, C.W., 2014. Advancing socio-technical systems thinking: A call for bravery.Applied ergonomics,45(2), pp.171-180.] Edel, M.A., Hlter, T., Wassink, K. and Juckel, G., 2017. A comparison of mindfulness-based group training and skills group training in adults with ADHD: an open study.Journal of attention disorders,21(6), pp.533-539. Guest, D., 2015. Team building, team challenges.Appita Journal: Journal of the Technical Association of the Australian and New Zealand Pulp and Paper Industry,68(2), p.87. Jones, A.J., Artikis, A. and Pitt, J., 2013. The design of intelligent socio-technical systems.Artificial Intelligence Review,39(1), pp.5-20. Koukoulaki, T., 2014. The impact of lean production on musculoskeletal and psychosocial risks: An examination of sociotechnical trends over 20 years.Applied Ergonomics,45(2), pp.198-212. Martin, L.J., Carron, A.V. and Burke, S.M., 2016. Team building interventions in sport: A meta-analysis. Saurin, T.A. and Werle, N.J.B., 2017. A framework for the analysis of slack in socio-technical systems.Reliability Engineering System Safety,167, pp.439-451.

Cost Of Medical Decision Making From Non Medical Managers - samples

Question: Discuss about the Cost Of Medical Decision Making From Non-Medical Managers. Answer: Introduction. Procedures of clinical making decision is the essential in our day to day clinical exercises. The processes involving interactions of applications of biomedical and clinical problems solving, knowledge, probability weighing and several outcomes, and to balance risk-benefits. Crucial tasks are balancing personal experiences and common knowledge(Hajjaj, et al., 2015). Evidences based medicine protocol provides the path to physicians allowing them in making comprehensive therapeutic decision with elements of self-confidence instead of based on individual experiences. Making clinical decisions is processes and to make an informed judgments about the treatments essential for the patients(Hardy Smith, 2009). Making decision processes are complex involving numerous significant steps in which patients involvement is essential(Hajjaj, et al., 2015): Cost of clinical decision-making is defined in different ways depending on different referenced article. According to (Hajjaj, et al., 2015), it is defined as the utmost essential parts of a clinical practices, it permits the medical practitioners in making scientific, logical and valid decisions in regard of the care implementation and planning of the intervention. In any clinical situation, where patients presents their medical complications, the initial sequence of actions by the healthcare specialized requires logical clinical making decision. Consequently, the significance of the clinical making decisions are dominant when it arises to the healthcare industries(Stevenson, et al., 2012). Even though, it requires to be considered that this kind of particular actions are complicated and any single mistake while making critical clinical decision mat cost the patients even their lifes(Stevenson, et al., 2012). Henceforth, decision making in clinics may be reflected as the foundations based on which the treatments recovery and delivery of patients will be carried on. Conversely, typical misconceptions when clinical making decisions are discussed, are that it depend on the self-control of the healthcare professional, like the doctors, nurses or so on(Park Yabuuchi, 2016). Nevertheless, the clinical decision-making are parts of health care that are most influenced sectors, in both by external and internal factors. The literature review focusses on the cost in decision making. Introduction to nonclinical influences. Even though clinical decisions making, most of them are based on formally or traditionally clinical criteria for making clinical decision, they are furthermore affected by a broad range of nonclinical aspects, such as, the socio-economic conditions of the patient. Some effects cannot be distinguished whether it fall in nonclinical or clinical factors, for instance, adherence of the patient. Adherence of the patient may fall in clinical factor, but then, if associated with, such as, regular absenteeism from the follow-up appointment, it is then taken as nonclinical influence. Patient age could be considered to be a clinical rather than nonclinical influence because it is associated with physical ability and other co-morbidities. Likewise, the age of the patients may be a nonclinical effect because of the associated nonclinical features, such as transportations problem in the ageing, making follow-up appointment much problematic(Hajjaj, et al., 2015). Consequently, sometimes it is impossible to classify every effects on clinical decisions into either nonclinical or clinical, since there exists an overlap in the two. Artificial descriptors of nonclinical influences on clinical making decision can be used so as to focus thoughtful on a broad aspects of clinical medicines. The following are some nonclinical effects on clinical making decisions: Factors related to patient. These factors involves: concerns and worries of the patient, attitude and behavior of the patient, wishes and preferences of the patient, gender and age of the patient, and other individual characteristics. Race of the patient, patient's socioeconomic status and also adherence to treatment or inappropriate behavior of the patient that may influence adherence such as chaotic life style. Physician-related factors These may involve; physician's professional interaction like interaction of staffs and colleagues within clinics, time constraint and work overload of physician in the clinic, personal characteristics of physician like race, faith, culture, age and gender. Practice-related factors These type of practices such as public or private, practices size, practice organizations, geographical locations, and accessibility of health resources Literature review. The main purposes of the literature reviews are to help in understanding what other researchers and writers have documented about the importance of the economic and social cost in medical decision making from non-medical managers. Int this part few factors mentioned above are examined. Factors related to the patient The socioeconomic status of the patient The socio-economic status of the patient affects way the decisions are made in the managements. In many countries, being alert of the socioeconomic status of the patients, let say the patient have a low socio-economic may influence primary care physician to change his/her managements plans to outfit the patient with financial difficulties(Bernheim, et al., 2008). The influences of socio-economic status can lead to non-standard treatments or the patient may receive less than ideal. The ability of the patient to pay and the cost of care influences the therapeutic plan of the physician. Patients having a socio-economic status having the ability to carter the cost of health facilities are possibly able to have more medical tests as compared to patient with a low socio-economic status(Scott, et al., 2016). Physician may change his/her prescription strategies, shifts to an inexpensive drugs within therapeutic classes or they tend to shift to an alternative drug which is insured(Huttin Andral, 2010)(Hajjaj, et al., 2015). Even amid patients who are insured there may exists some with insurances plan which may give a coverage which is limited(Huttin Andral, 2010)(Shi, 2013). This socio-economic status disparities may decrease the qualities of patients care and result in unwanted consequences. The age of the patient. The age of the patients can affect cost of clinical management decisions. Physician is probably in categorizing the grievances of aged persons as ordinary or age related instead of the signs of diseases(Haug Ory, 2007). A cross-sectional study(Little, et al., 2005) of two universal practices found that aged persons are not as much of younger persons to be offered health promotions advices. The gender of the patient The gender of the patient plays an deceptively inappropriate roles in clinical making decisions. For instance, women receives more physical examination test, drug prescription, blood pressure check, laboratory test and return appointments as compared to men. Women similarly have more physicians visits per a given period of time and more services per visit(Verbruggei, et al., 2011). Physician typically perceives that the complaints of women are more possible to be affected by emotional factors and furthermore, women makes extreme demands on the time of the physician(Hajjaj, et al., 2015). The adherence to treatment of the patient The views of the adherence to medications to the patient by the physician is other essential factors which might influence management making decisions(Piette, et al., 2014). Physician might be more unlikely to treat patient who he or she suspects would abandon to treatments(Bogart, et al., 2016). The attitude and behavior of the patient Occasionally physicians may encounter patients who are rude, aggressive, demanding, violent or patient seeking secondary gain. These kind of patients visits their doctors or nurses more often than normal, receives extra prescription, having extra tests prepared, and they are referred to specialists more frequently(D Tabenkin, 2011). Other patient-related influences Management policies There are some weight put on insurance companies, hospitals, physicians and employers in considering cost when do provide care to patients. Here, there exist risks that the pressure might results to decrease in the general value of healthcare. For instance, resources constraint in ICU (Intensive Care Units) may lead in early release of patient and these may be related to an improved mortality rates(Murray, 2010). The decision making of the manager may differ from one person to another or from healthcare to another to another due to variances in treatment policies and healthcare systems(Hajjaj, et al., 2015). Physician personal characteristics The physicians decision making processes may be affected by his or her own personal characteristic. For instance, the characteristics of the doctors or nurses determines, as a minimum in parts, their approaches to patients managements. Physician can be categorized(Eisenberg, 2000) as either oriented towards health maintenances or interventionists. Health maintenance physician is patient-oriented, while Interventionist physicians are disease-oriented. In general, the health maintenance-oriented physicians are prepared in observing the situations, but, the interventionist is inclined toward immediate actions(Hajjaj, et al., 2015). The ethnicity, age and gender of the physician plays a role in decision-making Research Question, Aim/Objectives and Sub-goals Research Objective: Statistical analysis based on different hospitals data base to find out the economic and social cost in medical decision making from non-medical managers mainly those relate to patients characteristics. Research Question: What are some nonmedical Characteristics of the patient that contributes to collective medical decision making? Theoretical Content/Methodology Method Here, the observations was taken in French cancer centers in medical decision making at which nonstandard gears involves some improbability were debated on May to July 2014(Thmis, et al., 2016). Verbal statements of the physicians and predefined background parameters was collected with a nonparticipants observational approaches. Nonnumeric information collected in the forms of open notes was then coded for quantitative analysis. Multivariate and univariate statistical analyses was performed. Hypothesis: Contribution to the knowledge gap in healthcare management to highlight the loop holes of administration by non-medical managers. - Analysis of data through various aspects to improve the administration role in healthcare management by discussing decision making techniques. Results, Outcome and Relevance The final samples of records of the patient included and discussed where n=290, nonmedical characteristics was stated as n=95, that is 32.8 percent of the eccentrics. There were n=66 (that is 22.8 percent) of these cases characteristics resembled to demographics. Psychological information in 11.7 percent (that is n = 34), and relational information in 6.2 percent (that is n = 18). The patients age and his/her congeniality was found to be more frequently stated characteristic. In 17.9 percent of these eccentrics debated, the concluding decision was delayed: the outcomes were completely related with the nonmedical characteristics of the patient and with indecision about the outcomes of the therapeutic options available. Amongst completed case-records planned for debate at the medical decision making process meetings, two hundred and ninety patients cases was involved in the analysis. The cases was excluded were two hundred and forty two cases that did not meet the included criteria either due no argument was needed about the medical managements or is due to removal of the agenda of the medical decision making process. The issues to be discussed at future session can be included since main medical data was absent or a better method to collect the data was not used. The mean age of the patients used was 61.1 having a standard deviation of 14.3. The gender of the patient used were: male were 118 representing 41.8 percent while female were 164 representing 58.2 percent. Project Planning and Gantt chart. Gantt charts arranges different activities or events in synchronism and associates respectively tasks with its precedency and time. It displays activities or events as timed bars and graphically visualize the sequences of those activities/events(Bryan, 2016). TIME Activities Week 1 Week 2 Week 3 Week 4 Week 5 Research Design Layout Develop Finish Conclusion The deficiency of sympathetic of nonclinical affects by the physicians while assembling management decisions might possibly results into suboptimal individuals patients care. Nonetheless physician can try acting in a evidence based, rational and professional manners, they furthermore, must take into consideration in the unique circumstance of individuals patient in his or her clinical practices and respects the value of the patients and beliefs. Treatments policy promotes managements of all patients similarly deprived of differentiating between them since of religion or race, sexual orientation, age and gender for ensuring provision of the highest qualifies healthcare to any patient. From the literature review, it indicate that one of the highest challenge clinical medicine encountered in the current centuries are developments of strategic that can integrate and acknowledge significant nonclinical effects with evidence-based medicines deprived of affecting the standards of complete healthcares(Hajjaj, et al., 2015). Physician cannot be able to practice true evidence-based medicine unless nonclinical effects on decision making are understood, documented and cooperatively taken into account during the process of cost of clinical decision making.. References Bernheim, S., Ross, J., Krumholz, H. E.H., B., 2008. Influence of patients' socioeconomic status on clinical management decisions: a qualitative study.. 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