Tuesday, April 7, 2020
Innovation Enterprise and Winning the Bid
Executive Summary The business name for the company is ââ¬ËEvent Pace Groupââ¬â¢. Event Pace Group is an entrepreneurship company that is involved in provision of diverse products and services for the event industry.Advertising We will write a custom essay sample on Innovation Enterprise and Winning the Bid ââ¬â Business plan specifically for you for only $16.05 $11/page Learn More The company is situated in United States of America, and it innovates products and services in the event management industry that include festivals products and services, events and conferences services, product launch services, press conference services, corporate meetings and conferences, marketing services such as road shows, and grand opening events. Other services that the company specializes in include concerts, fashion shows, commercial events, and film premieres. The success of the company has largely been motivated by the growth and development of the event industry in modern world. The global trends show that, the events industry, just like tourism industry, is experiencing high demand and its potential in the future is promising. As a result, the company has built its success based on this realization, together with the desire to provide innovative products and services for the events industry. Products and Services As seen earlier, Event Pace Group Company has varied products and services, which are sold to multiple event organizers. But in this case, Event Pace Group Company has developed a software product known as ââ¬Ëi-EventSoft plannerââ¬â¢, as a product, and intends to sell the product to interested event organizers and companies. The event industry can use this software product to increase its operational efficiency and at same time increase its revenues and profit levels. The motivation of the company in developing this product is guided by the increasing digitalization of the society, whereby information technology is becoming important in society. The society is moving towards technology and people are finding it convenient when an efficient technology is used. Some areas the technology can be useful in the event industry is in the client product and service ordering, visitor and client registration, payments, customer management services, and many more. At the same time, an efficient technology is likely to eliminate the workload and inefficiencies brought about by paperwork and manual process of registration and ordering.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More In similar manner, an efficient technology is likely to centralize operations of an organization thus enabling the organization make its work faster, efficient and product with reduced errors or inconveniences. In modern world, competition and customer demands and needs force companies to be constantly innovative with regard to identif ying the best strategies to address numerous consumer needs in the most satisfying way (Bridge, Oââ¬â¢Neil and Cromie, 2003). As a result, the new software product is as a result of addressing the needs in the event industry which cannot be ignored. Globalization is responsible for the many changes taking place in the world. Clients in the event industry are no longer concentrated in one particular geographical area but are likely to be spread in different parts of the world. As a result, addressing the needs of both local and international clients, event companies have to utilize the most efficient technology. Ticketing in event industry has become one area technology can play great role. It is both important to event promoters and consumers in the industry (Whittingdale 2008). With an efficient technology to support ticketing in the industry, both event promoters can benefit from increased tickets sales, increased market share and also can ensure efficient accounting in the ind ustry. It is recognized that, with appropriate technology to change the way services are provided in the event industry, purchasing behavior of consumers is likely to change as consumers find the whole process of seeking information and making final decision of purchase more convenient, faster and effective. Therefore, the aim of Event Pace Group is to introduce the software product to the market and enable players in the industry promote efficiency and increase revenue. History and Position Company Mission The mission of the Event Pace Group Company is to initiate products and services that drive market and bring satisfaction to the clients based on quality and innovation. In this endeavor, the companyââ¬â¢s vision is to be the leader in event industry in terms of developing quality products and services that meet needs of diverse client base. Management Team Event Pace Group Company was established as an entrepreneurship company, of two college friends; Jack and Peter. Given th e size of the company, which at the moment is relatively small, management functions are carried out by the two partners. Apart from the two partners, the company has hired part-time services of two IT experts, two marketers, a receptionist, and one financial officer, who also double as account for the company.Advertising We will write a custom essay sample on Innovation Enterprise and Winning the Bid ââ¬â Business plan specifically for you for only $16.05 $11/page Learn More Both James and Peter have undergraduate degree in Hospitality Management, and professional training in public relations, marketing and event management. Furthermore, those hired in the organization have professional qualification with experience of over two years. Nevertheless, the company intends to increase its workforce as it continues to grow and more growth opportunities are identified. Products and Services The company has specialized in providing variety products and ser vices such as: festival products and services, events and conferences, product launch, press conference, corporate meetings and conferences, road shows and grand opening events. Also, the company facilitates concerts, fashion shows, commercial events, and film premieres. Apart from these services, the company has come up with a new software product known as ââ¬Ëi-EventSoft plannerââ¬â¢ and intends to market the product to event organizers. The company sells its products and services to a number of clients in major cities of USA involved in event management. Business Structure Event Pace Group Company started as an informal partnership arrangement between two friends before it was officially registered as a partnership entity three years ago. As a result, the business entity is recognized as a partnership form of business in USA. Since its establishment, the business has continued to grow in terms of innovations and sales, from the initial two services it provided to its client s to the current position where it provides numerous products and services. The business structure of the company does not intend to change from its partnership nature, although in the future, the company may incorporate more partners as far as growth and development of the firm may necessitate. Market Research Economic and Social Factors USA is a diversity society in that, the country has diverse population which is likely to embrace the idea of tourism and related leisure activities (Down, 2010). Tourism and related leisure activities in the country and around the world has been growing. Moreover, event planning and management has been growing in an attempt to response to growth in tourism and related events activities. With increased disposable incomes and increased consumption of leisure products, hospitality industry has been growing in the country attracting both local and internal clients. Sometimes companies have found themselves overwhelmed by the number of visitors and as a result, planning has not been easy.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Good economic position of many clients, coupled with overall improving economic conditions in the country, have ignited a unique desire for increased tourism and leisure activities, a fact that sound good to the event industry. Both old people with enough retirement benefits would want to spend on tourism consumption and leisure, while young people have more money to spend on vacations. These entire promising economic situations require event managers and planners to have adequate preparation of serving diverse clients more appropriate and efficient. This is what motivates the use of technology in the planning of events in the industry. At the same time, many people especially clients in the hospitality industry are finding it appropriate to order and search for information through internet. This shows that more and more clients are likely to be uncomfortable with traditional methods of making orders, having the ticket and paying for the money since many of them do not want to trave l frequently to acquire search things. What many consumers are looking for is a situation where they are able to do everything at the click of their computers before making final step of visiting a particular hotel, restaurant or tourist destination when all formalities have been completed. Therefore, given the economic and social situation of the current consumers, the designed software is likely results into numerous advantages. Therefore, the motivation to design ââ¬Ëi-EventSoft plannerââ¬â¢ software originates from two concerns: first, the majority of young people and even middle aged people in the country have embraced tourism and related events in large measure and as a result, event industry is experiencing growth that require the industry to respond to the numerous issues it face more effectively. Second, there is increase adoption of technological software in diverse industries and primary aim for such has to do with increased use of technology and digitalization of t he society. Therefore, event industry cannot be exceptional in this revolution. Competitive Environment Service sector and especially event management industry is growing (Shone and Parry, 2004). There is increased provision of services and products by diverse firms. Trends in the past have shown that, majority of players in the event industry tend to concentrate a lot on providing services and products that lack technology orientation. But given the way modern society is moving, technology is becoming fulcrum in the functions and activities of modern firms. Technology is perceived to have numerous benefits that players cannot ignore (Allen, 2002). Moreover, efficiency and maximum satisfaction in the industry seem to lie in the use of appropriate technology. It is within this understanding that, technology has become an area for competitive advantage and companies or organizations with the most efficient technology are likely to have an edge over their competitors. The company has c onducted analysis of the competitive environment and found out that only two companies provide software similar to this one, but their software has less features/packages as the ones intended for ââ¬Ëi-EventSoft plannerââ¬â¢. Therefore, our company aims to enter this unexploited market through its unique product it aims to sell to event organizers. In order to create a strong competitive position in the market, as compared to the already existing players, Event Pace Group Company aims to give quality and innovation priority, without forgetting good customer service management. Long-term Opportunities Tourism and consumption of leisure activities remain dominant areas experiencing growth in the modern world. As this happens, there is increasing need for efficiency and proper function and execution of services. The traditional systems of customer services in the industry which in most cases are manual have become inefficient and tend to bring about inconveniences to many clients . Furthermore, event organizers and hospitality owners tend to receive less revenue since the accounting systems are not efficient enough. Lastly, information sharing in the industry remains poorly organized and this is likely to affect provision of services. As a result, there is need for a technological device that can guarantee efficiency, appropriateness and satisfaction (Haran and Kumar, 2006). Market Description USA has a high population and more people such as tourists and shoppers continue to come to the country. At the same time, reports in the media have pointed to increasing employment for the population labor force, a situation that sees income for many people increase. The increase in income is likely to see many people spend extra income on tourism and leisure activities. At the same time, the high population is likely to increase its consumption rate of tourism and events related products and services. Target Customers USA boasts a population that is highly educated, has enough income to spend on luxuries, and her people are informed in many aspects. Consumerism in the country is on the rise, especially in tourism and service industry. People tend to buy more services available in diverse sectors of the economy. As a result, tourism and event industry is likely to grow as more people spend on vacations, concerts, and tourist destinations. But who are likely customers of the company with regard to the new product? The company targets event organizers and companies. These are companies with capacity to have many clients from different parts of the world. There services are likely to be multiple and also past experiences have indicated the companies experience problems in key areas such as; ticketing, ordering, and payment. Market Opportunities Market for ââ¬Ëi-EventSoft plannerââ¬â¢ is likely to be boosted by the high number of current customers, both in events and hospitality industry. Tourism industry is increasing together with events pla nning and organizing. Consumers are spending more for concerts, vacations, tourist destinations, and all other leisure activities Therefore, the market opportunity for this software product likely to come from event organizers in many states and cities of USA. On a broader view, the company intends to use technology in marketing the service, and this may attract event organizer clients from outside the country and this will be the reason to establish market opportunities in other countries. Furthermore, more studies will be done to establish the potential of learning institutions such as universities, colleges, and high schools on their ability to provide more new market opportunities for the software. Competitive Analysis Only two companies have been identified to provide this kind of service. However, as it was seen earlier, the two companies have concentrated software that has fewer features. Moreover, the companies are yet to expand to other markets in the country the way Event Pace Group Company intends to do. The identified strengths of these two companies include, the fact that they are much older than Event Pace Group Company, hence have succeeded in building a strong brand name in the market. Moreover, the companies seem to have more staff, especially IT designers, who have helped them to offer some captivating products and services. On the other hand, major weakness of Event Pace Group Company lie in its inadequate resources to venture in more research and development for products and services. However, the strength of the company as compared to its competitors appears to be in identifying innovative ideas and turning them into unique and captivating products and services for event industry. Business Strategy Advertising and Promotion Advertisement and promotion are crucial for success of any product or service in the market, especially for the new products and services (Hatten, 2011). Given that this is a new product, which may require recognition i n the market, the company intends to use a number of advertisement and promotional strategies. The major strategies to be used include public relations, establishing and operating shop front, using internet and social media, press advertising, and association with known companies. Public relations will involve the company giving continuous captivating and exciting information about the new product and evaluate response of clients. Shop front will involve the company establishing a shop front. Internet and social media are rising as critical avenues to carry a successful advertisement campaign. Therefore, the company will create a website where it will advertise the product. Through this, the company hopes there will be faster diffusion of the innovation, hence increasing the chances for its acceptance. Pricing It is understood that pricing strategies adopted by any company are informed by aspects such as objectives of the company, characteristics of the customer base for the company , intensity of competition in the market place, and characteristics of the product (Smith and Smith, 2011). As a result, price is said to reflect value for the customer. Moreover, in events industry, apart from having consideration for cost-based pricing, there is need for greater consideration of value-based pricing that enhances sales and maximizes returns on investment (Rogers, 2001). In order for the service to establish a strong customer base that the company intends to build and maintain, two pricing strategies will be adopted. The first strategy is the relationship pricing, where the intention is to establish and encourage long-term relationships with event companies, which can be used for future deals (Hoffman and Bateson, 2010). The second pricing strategy is the penetration pricing strategy, whereby, the company will price the product with intention of penetrating the market more easily and at faster pace (Hoffman and Bateson, 2010). Forecasting Sales Forecast ($) Year One Year Two Year Three Revenues from the i-EventSoft planner 425 000 600 000 800 000 Revenues of other services that utilize i-EventSoft planner 220 000 340 000 500 000 TOTAL 645 000 940 000 1 300 000 Cash Flow Projections Sales Less cost of sales Gross profit Less expenses Net income before tax Provision for taxes Net income after taxes Year One 2, 400, 000 2,000,000 400,000 280,000 120,000 40,000 80,000 Year Two 3,000,000 2,300,000 700,000 320,000 380,000 70,000 230,000 Year Three 3,700,000 2,500,000 1,200,000 500,000 700,000 200,000 500,000 References List Allen, J., 2002. The Business of Event Planning: Behind-the-scenes Secrets of Successful Special Events. MA: John Wiley and Sons. Bridge, S., Oââ¬â¢Neill, K., Cromie, S., 2003. Understanding Enterprise, Entrepreneurship, and Small Business. NY: Palgrave Macmillan. Down, S., 2010. Enterprise, Entrepreneurship and Small Business. NY: SAGE Publications Ltd. Haran, A. K., Kumar, A., 2006. Corporate Entrepreneu rship: Strategic Imperative for Growth. New Delhi, India: ICFAI Books. Hatten, T. S., 2011. Small Business Management: Entrepreneurship and Beyond. OH: Cengage Learning. Hoffman, K. D., Bateson, J. E., 2010. Services Marketing: Concepts, Strategies, Cases. OH: Cengage Learning. Rogers, S. C., 2001. Marketing strategies, Tactics, and Techniques: A Handbook for Practitioners. CT: Greenwood Publishing Group. Shone, A., Parry, B., 2004. Successful Event Management: A Practical Handbook. OH: Cengage Learning EMEA. Smith, T. J., Smith, T., 2011. Pricing Strategy: Setting Price Levels, Managing Price Discounts, Establishing Price Structures. OH: Cengage Learning. Whittingdale, J., 2008. Ticket Touting: Second Report of Session 2007-08, Report, Together with Formal Minutes, Oral and Written Evidence. UK: Stationery Office. 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Monday, March 9, 2020
Police Force essays
Police Force essays Twenty-seven uniformed officers witnessed this incident from various law enforcement agencies. None of the officers (those individuals who are supposed to protect citizens) made any effort to stop this abuse.(LA Times March 19, 1991 p. A20). The level of escalation even went so far as to call in a police helicopter! (Ironically, the lights from the helicopter actually improved the lighting for the videotape.) The King beating brought complaints from the Mayor of Los Angeles Tom Bradley and national attention from civil rights leaders. Many believed the beating was racially motivated and extended from a pattern of abusive behavior by police towards blacks. (McDonald 1991) This act of violent behavior from police officers has brought many questions to the national table, such as: Is police brutality on the rise? Is the police hiding behind their badges? How does the public view police brutality? How can we raise public awareness? Is police brutality on the rise? This is an importan t question to ask ourselves and the police departments. A study in seventeen counties in Northern California indicated that in the past two years excessive force and neglect has resulted in at least seven deaths and fatal injury. (Saari, no date) In fact a nine-month period from August 26, 1996 to June 29, 1997 seven citizens died as a result of police brutality. Sonoma County California currently has the highest rate of custody deaths in the bay area (Saari). In many cases the situation (according to police accounts) has rapidly escalated to a point where police feel the need to use deadly force. Many of those committing crimes are mentally ill. The Sonoma County Alliance for the Mentally Ill advises that police officers in confrontations with people experiencing psychiatric episodes: Speak calmly and quietly Slow down the pace Be willing to repeat yourself Do not try to hurry a resolution This increase i...
Friday, February 21, 2020
Protecting Personal Information Essay Example | Topics and Well Written Essays - 750 words
Protecting Personal Information - Essay Example But there are many concerns which consumers must consider if they want to enter into protected and secure transactions with the seller companies without any security risks involved. They must watch what PII they are going to share with the companies online. Companies might ask them to give their PII like name, address, phone number, e-mail address, spouseââ¬â¢s name, name of parents and children, social insurance number, bank account number or credit card number. Consumers should make sure that the seller companies have a privacy policy mentioned on their websites and that the security of their credit cards or any other mode of payment is also guaranteed. If the credit card number has been given, then the statement must be checked regularly so as to make sure that there are no unknown charges that are not in the consumerââ¬â¢s knowledge. It is also a sensible idea to keep a copy of all agreements, transactions, and communications that have been carried out with the online vendo rs so that a proof is always there in case of complaints- minor or severe.Two of the many laws regarding identity theft are discussed below:Computer Fraud and Abuse Act (CFAA)CFAA was designed in 1984 and deals with penalties for the intruders who gain access to sensitive information stored in a computer without authorized access. Computers have to be protected when the consumers carry out commercial activities, engage in cross-border e-commerce, and make online business transactions and email communications with online traders.... It is also a sensible idea to keep a copy of all agreements, transactions and communications that have been carried out with the online vendors so that a proof is always there in case of complaints- minor or severe. Laws and Legislation Two of the many laws2 regarding identity theft are discussed below: Computer Fraud and Abuse Act (CFAA) CFAA was designed in 1984 and deals with penalties for the intruders who gain access to sensitive information stored in a computer without authorized access. Computers have to be protected when the consumers carry out commercial activities, engage in cross-border e-commerce, and make online business transactions and email communications with online traders. The Act applies penalties upon the identity thieves starting from 10 years to 20 years of imprisonment. Health Insurance Portability and Accountability Act (HIPAA) This law was passed in order to eliminate the menace of identity theft. The need for secure online networks initially arose when issu es like computer viruses and internet fraud posed a threat to the security and privacy of data stored on online servers and health records. HIPAA was passed by U.S. Congress on August 21, 1996. It deals with the privacy issue of the consumerââ¬â¢s data and presents Privacy Rule which ensures fines and punishments for fraud and violation of the rule. Ethical, Moral and Social Issues It is important to educate the users of internet and computer systems about ââ¬Å"intellectual property rights issues, privacy/ surveillance issues, access to data issues and issues of human-computer interactionâ⬠(Stahl, Carroll-Mayer and Norris, 2006, p.298). They should know that
Wednesday, February 5, 2020
Stats16 Essay Example | Topics and Well Written Essays - 1250 words
Stats16 - Essay Example Answer True False à Question 5 à If other factors are held constant, then increasing the sample standard deviation will increase the likelihood of rejecting the null hypothesis. Answer True False à Question 6 à If all other factors are held constant, increasing the sample size from n = 25 to n = 100 will increase the power of a statistical test. Answer True False à Question 7 à By selecting a smaller alpha level, a researcher is ___. Answer a. attempting to make it easier to reject H 0 b. better able to detect a treatment effect c. reducing the risk of a Type I error d. All of the above. à Question 8 à The critical boundaries for a hypothesis test are z = +1.96 and -1.96. If the z-score for the sample data is z = -1.90, then what is the correct statistical decision? Answer a. Fail to reject H 1. b. Fail to reject H 0. c. Reject H 1. d. Reject H 0. à Question 9 à Increasing the alpha level (for example, from ? = .01 to ? = .05) ____. Answer a. increases the pr obability of a Type I error b. increases the size of the critical region c. increases the probability that the sample will fall into the critical region d. All of the above à Question 10 à In a hypothesis test, an extreme z-score value, like z = +3 or z = +4, ____. Answer a. is probably in the critical region b. means that you should probably reject the null hypothesis c. ... concluded that a treatment has no effect when it really does d. concluded that a treatment has an effect when it really has no effect à Question 12 à A Type I error means that a researcher has ____. Answer a. concluded that a treatment has an effect when it really does b. concluded that a treatment has no effect when it really has no effect c. concluded that a treatment has no effect when it really does d. concluded that a treatment has an effect when it really has no effect à Question 13 à A researcher risks a Type I error ____. Answer a. anytime H 0 is rejected b. anytime H 1 is rejected c. anytime the decision is "fail to reject H 0" d. All of the other options are correct. à Question 14 à A researcher conducts a hypothesis test to evaluate the effect of a treatment. The hypothesis test produces a z-score of z = ?2.60. Assuming that the researcher is using a two-tailed test, what is the correct statistical decision? Answer a. Reject the null hypothesis with ? = .05 but not with ? = .01. b. Reject the null hypothesis with either ? = .05 or ? = .01. c. Fail to reject the null hypothesis with either ? = .05 or ? = .01. d. cannot answer without additional information à Question 15 à A researcher uses a hypothesis test to evaluate H 0 ? = 80. Which combination of factors is most likely to result in rejecting the null hypothesis? Answer a. M = 85 and ? = 10 b. M = 85 and ? = 20 c. M = 90 and ? = 10 d. M = 90 and ? = 20 à Question 16 à A researcher uses a hypothesis test to evaluate H 0 ? = 80. Which combination of factors is most likely to result in rejecting the null hypothesis? Answer a. M = 85 and n = 10 b. M = 85 and n = 20 c. M = 90 and n = 10 d. M = 90 and n = 20 à Question 17 à A researcher uses a hypothesis test to evaluate H 0 ?= 80. Which
Tuesday, January 28, 2020
Patient Satisfaction in Chamber Setting
Patient Satisfaction in Chamber Setting Patient Satisfaction in Chamber Setting in Bangladesh measured by Patient-Doctor Relationship Questionnaire (PDRQ-9 Bangla) Abstract Background: Assessment of patient satisfaction is crucial but there is significant lagging in this sector. Patient satisfaction is an important indicator of health care quality as well as a predictor of treatment adherence. The Good patient-doctor relationship is considered as an integral part of the patient satisfaction. In Bangladesh, this domain is yet to be explored in a large scale. Aim: It was aimed to look into the patient satisfaction level in chamber setting in Bangladesh measured using the patient-doctor relationship questionnaire (PDRQ-9 Bangla). Methods: PDRQ-9 is a short yet excellent tool for assessing the patient-doctor relationship. The data collection was done in private chamber setting by the PDRQ-9 and analyzed. Results: Though the result was not completely in line with the existing literature, the PDRQ-9 was found to a useful and brief measurement tool in the context of the patient-doctor relationship. Conclusion: Large-scale research in this particular aspect of patient satisfaction in future may provide a more succinct result. Keywords: PDRQ-9 Bangla, Patient Satisfaction, Chamber Practice, Doctor-Patient, Bangladesh. Introduction Being as old as the civilization the field of medicine is evolving rapidly [1] but there is a significant lagging in the assessment of patient satisfaction which is considered as equally important as other health measures and a significant indicator of efficiency of health care delivery [2]. As stated by Lender et al. patient satisfaction may be defined as positive evaluations of distinct dimensions of health care [3]. A parallel interaction is present in between patient satisfaction, continuity of care, accessibility of treatment and physician, as patient prefer the availability and accessibility of the same physician. The measurement of patient satisfaction is thus useful is assessing the quality of care and also subsequent health-related behaviors and adherence to treatment, at the same time knowing the patient priorities would facilitate the improvement of patient experience [4,5]. Thus patient satisfaction might be considered as an indicator of institutional performance as well as patient`s wish to become more compliance and recommendation for others, which are all related to the socio-demographic condition, the health status of community and more over Patient-Doctor Relationship [6,7,8]. Patient-Doctor Relationship, a dynamic, vital yet complex interpersonal relationship which has been put under the microscope for quite a long over the century and this mutual relationship is intermingled with the idea of patient satisfaction, compliance with treatment and eventually driving the treatment outcome [9]. Over the time the concept of patient-doctor relationship has evolved a lot and currently, patient-centeredness is the most preferred by the patients hence the health care provider focuses of patient autonomy and more emphasis over patient satisfaction [10, 11, 12]. Despite being widely advocated, the practicality of patient-centered model is yet under consideration on the basis of time constraint in consultation as the physician has to perform the daunting task of providing comprehensive, coordinated yet satisfactory to the patient and above all make sure the accessibility of the care [13, 14]. Whether being psychiatric or non-psychiatric patient it is reported that succ essful and both way, a perfect relationship between patient and physician is crucial for the adherence and better outcome of treatment [15]. For assessing the patient-doctor relationship, a brief, concise yet having excellent psychometric characteristics scale has been developed and validated known as the 9-item patient -doctor relationship questionnaire (PDRQ-9) [14,15,16, 17,18] which essentially evaluates the therapeutic aspect of the patient-doctor relationship based on the perspective of the patient in the primary health care setting [14,15]. PDRQ-9 gives the opportunity to quantify the communication, level of satisfaction and availability in dealing with the physician in regard to patient`s point of view [18]. Initially validated by Van der Feltz-Cornelis et al. this is to be reported that there is internal consistency among the items of the scale [17] and later was to validated by multiple researchers [14,15,16,18]. Bangladesh, a developing country having about 160 million people and achieving the health-related goal of MDG but lacking significantly in regard to conceptual similarity in health services between physician and patients, hence there exists violence against the doctor and lack of compliance with treatment and eventually patient satisfaction [1,9,19-20]. But unfortunately, there is little to be found in terms of literature regarding the patient satisfaction and patient-doctor relationship. So the authors aimed to look into the patient satisfaction level in public hospital and private chamber setting in Bangladesh measured using the patient-doctor relationship questionnaire (PDRQ-9 Bangla). Methods Setting: The data collection procedure was carried out in 3 different hospitals by 3 different physicians. Instrument: The Bangla version of 9 item based Patient-Doctor Relationship Questionnaire (PDRQ-9) was used as the tool for questioning patients which have 5 points Likert-type scale from 1: not at all appropriate, to 5: totally appropriate. Design and Subject: The study was carried out in the outpatient department of Dhaka Medical College and some private chambers in the city of Dhaka over the period of January 2016 to December 2016 from 214 patients with the Bangla version of Patient-Doctor Relationship Questionnaire (PDRQ-9) with purposive sampling. The filling out of the questionnaire was totally voluntary and completed by the participant themselves and assistance weas provided to respondents who were not able to understand any question. Patients who were willing to participate and able to understand Bangla were included in the study and patients who were not willing were excluded. After proper collection of data, the analysis was done by SPSS 16 and Microsoft Excel 2010. Data Collection Method: Self-reporting PDRQ-9 Bangla questionnaire and providing assistance when the patient could not understand the questionnaire. Results Table 1 [VM1] Demographic Variables Age Completed years Percent Gender Gender Percent 14-25 29.3 Male 40.2 26-35 26.9 Female 59.8 36-45 20.7 Religion Religion Percent 46-55 10.7 Islam 93 56-65 11.7 Sanatan 7 Mean Ãâà ± SD (Range) 37Ãâà ± 9.92 Marital Situation Status Percent Residence Area Percent Unmarried 19.9 Urbane 57.8 Married 78.7 Suburban 14.3 Widow 0.5 Village 28 Divorced 0.5 Educational Qualification Status Percent Occupation Status Percent Below SSC 40.9 Student 32.2 SSC 16.2 Service Holder 16.4 HSC 18.8 Business 7.5 Graduation/ Equivalents 12.3 Housewife 23.8 Post graduation 11.7 Others 7.9 Monthly Family Income Taka Percent Family Family Type Percent 1.73 Nuclear 52.8 5000-10000 10.98 Joint Family 45.8 10000-15000 15.03 15000-20000 12.14 20000-25000 13.29 25000-30000 24.28 >30000 21.97 Demographic Picture of the Respondents. In this study, authors considered age, gender, religion, residence, educational qualification, monthly income, marital status, occupation and family type as demographic variables. Age of the respondents was found Mean Ãâà ± SD (Range): 37Ãâà ± 9.92 (14-65) years; 40.2 % respondents were male and 59.8% female; 57.8% resided in urban area where as 14.3% in suburb and 28 % in village; 78.7% were married and 19.9% were unmarried; 52.8% belonged to nuclear family and 45.8% were from joint family (Table 1). Table 2: Level of satisfaction in regards to item wise responses (n=214) Statistics Q-1 Q- 2 Q- 3 Q- 4 Q-5 Q- 6 Q- 7 Q- 8 Q-9 Mean 4.29 4.35 4.50 4.17 4.44 4.23 4.31 4.28 3.86 Median 5 5 5 4 4 4.5 5 5 4 Mode 5 5 5 5 5 5 5 5 5 Std. Deviation 0.99 0.99 0.85 0.97 3.53 0.91 1.02 1.06 1.17 Minimum 1 1 1 1 1 1 1 1 1 Maximum 5 5 5 5 5 5 5 5 5 The level of satisfaction among the Respondents. Among the 9-items of the PDRQ-9, there was a general trend of the mean being about 4.17 to 4.50. The lowest mean was found in the 9th question I find my physician easily accessible which was 3.86. I trust my physician the 3rd item had the highest mean of 4.50. The Standard deviation for the items was around 0.99 to 3.53. 5th question My physician is dedicated to help me had the highest standard deviation of 3.53 (Table 2). Table 3: Distribution of responses of PDRQ-9 Bangla items not at all appropriate somewhat appropriate appropriate mostly appropriate totally appropriate Total Item F (%) F (%) F (%) F (%) F (%) F (%) Q 1 4 (1.87) 11 (5.14) 26 (12.15) 51 (23.83) 122 (57.01) 214 (100) Q 2 2 (.93) 16 (7.48) 20 (9.35) 43 (20.09) 133 (62.15) 214 (100) Q 3 3 (1.40) 3 (1.40) 24 (11.21) 37 (17.29) 147 (68.69) 214 (100) Q 4 4 (1.87) 10 (4.76) 30 (14.02) 71 (33.18) 99 (46.26) 214 (100) Q 5 2 (.93) 15 (7.01) 22 (10.28) 71 (33.18) 103 (48.13) 214 (100) Q 6 2 (.93) 6 (2.80) 40 (18.69) 59 (27.57) 107 (50) 214 (100) Q 7 3 (1.40) 17 (7.96) 19 (8.88) 47 (21.96) 128 (59.81) 214 (100) Q 8 6 (2.80) 14 (6.54) 20 (9.35) 49 (22.90) 125 (58.41) 214 (100) Q 9 8 (3.74) 19 (8.88) 58 (27.10) 39 (18.22) 90 (42.06) 214 (100) Distribution of responses. Among all the 9 items and 5 responses, there was an overall tendency of answering the 5th option totally appropriate by the respondents as evident by the frequency ranging from 42.06% to 68.69% which were the highest for all the 9-items. Not at all appropriate had the lowest frequency ranging around 0.93% to 3.74%. Other three options had all most equal distribution though a greater tendency for the mostly appropriate was observed (Table 3). Discussion Patient-Doctor Relationship is a strong indicator of patient satisfaction as well as the predictor of treatment adherence and quality of health care. Patient satisfaction, on the other hand, depends largely on the availability of care and caregiver. Patient-Doctor Relationship Questionnaire-9 (PDRQ-9) is a brief and excellent tool for assessing the quality of patient-doctor relationship on the regards of patient`s experience and therefore a useful instrument for measuring patient satisfaction. Originally developed by Van Der Feltz-Cornelis et al. in 2004 it was based on Helping Alliance Questionnaire of Luborsky (HAQ), a scale that measures the therapeutic alliance in psychotherapy [17]. Later, numerous attempts were taken to validate PDRQ-9 in different languages. In AdÃâà ´an et al. validated the Spanish version and Mergen et al. in 2012 validated the Turkish version, in 2014 Zenger et al. validated the German version of PDRQ-9 and in 2016 Arafat validated the Bangla version wh ich was the tool for this particular study [16, 17, 18, 21, 22]. On demographic basis Age of the respondents was found Mean Ãâà ± SD (Range): 37Ãâà ± 9.92 (14-65) years which was close enough to the Bangla validation study where Age of the respondents was found as mean Ãâà ± SD (range): 35.6 Ãâà ± 10.71 and also with Nigerian version where mean age was 40.12 but not consistent with the German validation where Mean age was 50.58 for men and 50.87 for women and also in this particular study 52.8% respondents belonged to nuclear family and 45.8% were from joint family which also aligned with the Bangla validation study where 52% had nuclear family and 48% belonged to joint family environment [16, 18]. 40.2 % respondents were male and 59.8% female which was not in line with the Bangla version where 62% were male and 38% were female but was close to the Nigerian validation where male sex frequency was 47.6% and the female was 52.4%[15, 18].The origin of the respondents which in this study was 57.8% from an urban area where as 14.3% from suburb and 28 % from the village, but in the Bangla Validation version 64% lived in town, 16% in mini town, and 20% in the village [18]. On the 9-items the Mean was found 4.29, 4.35, 4.50, 4.17, 4.44, 4.23, 4.31, 4.28 and 3.86 respectively which were not consistence with either the original Dutch or later validated Spanish, Turkish, Nigerian or Bangla version [15,17, 18, 22] but the German Validation study showed means of the 9-items which were almost similar to this study[16]. It was seemed to be found that the respondents chose to answer mostly appropriate in this particular study. However, as observed by Arafat SMY most of the people in Bangladesh has the perception that, the role of the physicians here are motivated by financial gain only and thus not fully justified which often lead to violence against doctor as well as the health services providers which do not completely fit with the result of this particular study [9]. Also, the doctor leads a hectic life in this country and the overwhelming number of patients per physician also make it difficult to provide quality and patient-centered care [1]. The overall result of the study might not reflect the picture on basis of the currently available literature in this context. Limitations of the Study The majority of the data was collected from private chamber setting which might have been the cause of a result not in line with the other articles. Moreover, in some respondents assistance was provided to fill out the questionnaire. Conclusion The result from the analysis indicated a better level of satisfaction among the patients which was not quite in line with the premeditated concept of the authors as it did not fall in line with the available data. Despite this fact, the Bangla validated the version of PDRQ-9 was found as a very helpful as an instrument for assessing the relationship between patient and doctor in a very short time and both in public and private health care facility. As the scale bears only patients perspective it was very proficient for measuring patient satisfaction. In a developing country like Bangladesh, future large-scale studies to substantiate the findings of this particular study and further evaluate the patient satisfaction on the basis of patient-doctor relationship may provide a clearer picture. References 1. Andalib A, Arafat SMY. Practicing Pattern of Physicians in Bangladesh. International Journal of Perceptions in Public Health. 2016;1(1):9-13. 2. Linda .MS P, editor. PATIENT SATISFACTION SURVEYS FOR CRITICAL ACCESS HOSPITALS. First ed. 1607 West Jefferson Street Boise, Idaho 82702: 2001. 3. Linder-Pelz S. Toward a theory of patient satisfaction. Social Science Medicine. 1982 Jan;16(5):577-82. 4. Raivio R, Jà ¤Ã ¤skelà ¤inen J, Holmberg-Marttila D, Mattila KJ. Decreasing trends in patient satisfaction, accessibility and continuity of care in Finnish primary health care a 14-year follow-up questionnaire study. BMC Family Practice. 2014 May 15;15(1). 5. Paddison CAM, Abel GA, Roland MO, Elliott MN, Lyratzopoulos G, Campbell JL. Drivers of overall satisfaction with primary care: Evidence from the English general practice patient survey. Health Expectations. 2013 May 30;18(5):1081-92. 6. Konà © Pà ©foyo AJ, Wodchis WP. Organizational performance impacting patient satisfaction in Ontario hospitals: A multilevel analysis. BMC Research Notes. 2013;6(1):509. 7. Jackson JL, Chamberlin J, Kroenke K. Predictors of patient satisfaction. Social Science Medicine. 2001 Feb;52(4):609-20. 8. Rahmqvist M, Bara A. Patient characteristics and quality dimensions related to patient satisfaction. International Journal for Quality in Health Care. 2010 Feb 3;22(2):86-92. 9. Arafat SMY. Doctor Patient Relationship: an Untouched Issue in Bangladesh. International Journal of Psychiatry. 2016 Jul 16;1(1):2. 10. Kaba R, Sooriakumaran P. The evolution of the doctor-patient relationship. International Journal of Surgery. 2007 Feb;5(1):57-65. 11. Ridd M, Shaw A, Lewis G, Salisbury C. The patient-doctor relationship: A synthesis of the qualitative literature on patients perspectives. British Journal of General Practice. 2009 Apr 1;59(561):116-33. 12. Bensing JM, Tromp F, van Dulmen S, van den Brink-Muinen A, Verheul W, Schellevis FG. Shifts in doctor-patient communication between 1986 and 2002: A study of videotaped general practice consultations with hypertension patients. BMC Family Practice. 2006 Oct 25;7(1). 13. Little P, Everitt H, Williamson I, Warner G, Moore M, Gould C, Ferrier K, Payne S. Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. BMJ. 2001 Oct 20;323(7318):908-11. 14. Porcerelli JH, Murdoch W, Morris P, Fowler S. The Patient-Doctor relationship questionnaire (PDRQ-9) in primary care: A validity study. Journal of Clinical Psychology in Medical Settings. 2014 Aug 9;21(3):291-6. 15. Aloba O, Esan O, Alimi T. Psychometric qualities of the 9 item patient doctor relationship questionnaire in stable Nigerian patients with schizophrenia. Journal of Behavioral Health. 2015;4(4):112. 16. Zenger M, Schaefert R, van der Feltz-Cornelis C, Brà ¤hler E, Hà ¤user W. Validation of the patient-doctor-relationship questionnaire (PDRQ-9) in a representative cross-sectional German Population survey. PLoS ONE. 2014 Mar 17;9(3):e91964. 17. Van der Feltz-Cornelis CM, Van Oppen P, Van Marwijk HWJ, De Beurs E, Van Dyck R. A patient-doctor relationship questionnaire (PDRQ-9) in primary care: Development and psychometric evaluation. General Hospital Psychiatry. 2004 Mar;26(2):115-20. 18. Arafat SMY. Psychometric validation of the Bangla version of the patient-doctor relationship questionnaire. Psychiatry Journal. 2016;2016:4. 19. Uddin MS, Ahmed MSR, Arafat SMY. Does mind exist in physicians mind? A brief phone survey in Bangladesh. International Journal of Neurorehabilitation. 2016;03(06):234 20. Arafat SMY, Uddin MS, Chowdhury EZ, Huq N, Chouudhury SR, Chowdhury MHR. Demography and Diagnosis of Patients Received Emergency Medical Service from Two Private Psychiatric Hospital in Dhaka City. Int J Neurorehabilitation. 2016;3(6):240. 21. Mergen H, Van der Feltz-Cornelis CM, KaraoÃâÃ
¸lu N, Ongel K. Validity of the Turkish patient-doctor relationship questionnaire (PDRQ-Turkish) in comparison with the Europe instrument in a family medicine center. Healthmed. 2012 Feb;6(5):1763-70. 22. J. C. Mingote A, B. Moreno J, R. Rodrà guez C, M. Gà ¡lvez H, P. Ruiz L. Psychometric validation of the Spanish version of the Patient-Doctor Relationship Questionnaire (PDRQ). Actas Esp Psiquiatr. 2009;37(2):94-100. [VM1]Please enter the title of the Table 1. Also tables should be below the mentioned text. Copy the text of table 1 before the table. It goes for every table subsequently.
Monday, January 20, 2020
Andy Warhol :: Biography Biographies
andy warhol1 Biography On August 6, 1928, Ondrej and Julia Zavacky Warhola gave birth to their son, Andrew Warhola, in Forest City, Pennsylvania. Ondrej and Julia came to the United States from Czechoslovakia where he worked as a construction worker. The family later moved to Pittsburgh where Andrew suffered from several nervous breakdowns throughout his teen-aged years. Overcoming this he graduated from high school and enrolled in the Carnegie Institute of Technology where he graduated in 1949. After graduation he lived in several Manhattan apartments and met Tina Fredericks, the art editor of Glamour Magazine. His early jobs for the magazine were several drawings. Andy drew shoes as an assignment in 1949 for an article named, ââ¬Å"Succes is a Job in New York,â⬠and the credit mistakenly read, ââ¬Å"Drawings by Warhol.â⬠Andy soon changed his surname to Warhol. Andyââ¬â¢s other work included drawings for advertising in various magazines, such as Vogue and Harperââ¬â¢s Bazzar, book jackets, and holiday greeting cards. As his work grew so did his fame, and in 1952 his first solo exhibition was held at Hugo Gallery featuring his drawings to illustrate stories by Truman Capote. Soon he was designing sets for theatre groups, publishing his own books, and beginning to paint. In 1960 his first paintings were based on comic strips. Using the Dick Tracy comic strip, he designed a window display for Lord and Taylor. At this time major art galleries around the world were beginning to notice his work. In 1962 his paintings of dollar bills and Campbell soup cans were included in an important exhibition of pop art, The New Realists, which was held at Sidney Janis Gallery in New York. After three years of painting Andy dived into a new medium of work and began making his first film with his assistant Gerald Malanga. He also produced am album for the band, ââ¬Å"The Velvet Underground and Nico.â⬠He was working with multimedia and a show soon developed, which featured ââ¬Å"The Velvet Underground and Nicoâ⬠center stage with Andyââ¬â¢s films projected while colored lights of images fell over the band. Because of the publicity from the show more of Andyââ¬â¢s films began to be seen and shown in commercial theatres. On June 3, 1968 Andy was shot by actress, Valerie Solnis, who appeared in Andyââ¬â¢s movie, ââ¬Å"I, a man.â⬠He survived the shooting after spending two months in the hospital.
Sunday, January 12, 2020
Great Expectations Paper Essay
When an individual loves someone else, it is difficult to let the person go or accept his/her return, because of the poor decision that one person made to leave his/her loved one. However, since the person already left, is it worth the pain and agony in the end to accept that person into the hurt individualââ¬â¢s life once again? In his Victorian Literature novel, Charles Dickens satirizes the Victorian Era multiple times within Great Expectations. For example, in the 1800ââ¬â¢s the masculine class were the regulators of the family and werenââ¬â¢t aggravated by women, but in this novel the females obtain the upper position, like how Mrs. Joe overpowers Orlick. Charles Dickens named the novel Great Expectations, because its means that an individual is positive that something significant will occur with no warning if the individual wants it bad enough, but in English Victorian society, achieving expectations meant that someone was destined to collect vast sums of riches and success. Throughout Pips three stages in the novel Great Expectations, Charles Dickens utilizes the character of Joe, who out of compassion and sympathy demonstrates that suffering is a sacrifice one is willing to endure for the love of another individual, and how this idea changes what Pipââ¬â¢s views, personality, and values are at the end of his high expectations. During Pipââ¬â¢s first stage of expectations, Joe explicates that he suffers greatly because of Orlick, Mrs. Joe and Pip, but only wishes to steer Pip in the right direction and to have given enough ââ¬Ëloveââ¬â¢ to change Pipââ¬â¢s views and expectations. First, Orlick takes Joe by surprise when he starts to get angry and jealous of Pip and tells him ââ¬Å"No favoring in this shop. Be a man!â⬠(15.65), but because Joe wants no trouble he lets him have the day off which makes Mrs. Joe terribly angry. Additionally, when Orlick offends Mrs. Joe, Joe defends her even though she was mad at him, because he loves her and is willing to suffer through Orlicks harsh words. Pipââ¬â¢s troublesome behavior at the table is brought to attention when Joe states, ââ¬Å"You and me is always friends, and Iââ¬â¢d be the last to tell upon you, any timeâ⬠¦But such as a most uncommon bolt as that!â⬠(2.8) Pipââ¬â¢s actions got Joe in trouble while he was trying to help P ip, because the helpful advice made Joe ignore Mrs. Joe and which made him have to face consequences such as being ââ¬Å"pounced onâ⬠and ââ¬Å"knocked [in] his head for a little while against the wall behind himâ⬠(2.8). Also, it expresses how Joe dealt with Mrs. Joeââ¬â¢s and Pipââ¬â¢s spiteful behavior all because he cared for them and was compassionate to all people. Pipââ¬â¢s behavior shows readers that as a child he didnââ¬â¢t have any expectations but eventually set the bar higher which was not what Joe truly wanted to happen. This helps readers understand how having sympathy and a good heart doesnââ¬â¢t always payoff at first, but latter lets people become the best of friends in the long run, like Pip and Joe. While sitting by the warm fire at night Joe explains to Pip that ââ¬Å"When [he] got acquainted with his sister, it were the talk how she was bringing him up by handâ⬠¦. [And] how small and flabby and mean he wasâ⬠¦Ã¢â¬ and how he ââ¬Å"â⬠¦would have formed the most contemptible opinion of himself self!â⬠(7.38) which makes Pip start to cry because he felt ashamed by how he acted, but grateful that Mrs. Joe and Joe stayed with him. At that time Pip, a commoner, didnââ¬â¢t care about anyone and just wanted to do what he wanted, although it made him look bad and unkind. In the long run Pipââ¬â¢s disobedient attitude and Joeââ¬â¢s loving heart was worth it because he and Joe became best friends which was held together by a strong bond of love. Lastly, Joe was affectionate and loving towards Pip even when Pip was cruel to him which shows readers the sacrifice Joe endured with Pip. The forfeit Pip watched Joe go through changed him because it made him want to do something more and become someone higher who wont have to deal with pain and sacrifice. In conclusion, Pip starts to change into the gentleman he wants to become while Joe is still remaining at is side, longing for his ââ¬Ëold chapââ¬â¢. During Pipââ¬â¢s second stage of his expectations Joe sacrificed his dignity and friendship for Pip, because he felt sympathy towards him which makes readers wonder if Joe gave Pip enough ââ¬Ëloveââ¬â¢ to not make him leave his dear friend, Joe, and change his personality. To, begin, Joes love is tested and questionable when he tells Pip, ââ¬Å"But if you think as Money can make compensation to me for the loss of the little childâ⬠¦and ever the best of friends!â⬠(18.116). Pip is shocked by how much he means to Joe, but still but doesnââ¬â¢t see how much Joe really loves him. Pip deserts Joe ââ¬Å"whom he was so ready to leave and so unthankful toâ⬠(18.115), and thinks to himself ââ¬Å"Iââ¬â¢ll see you againâ⬠â⬠¦and ââ¬Å"Iââ¬â¢ll feel the loving tremble of your hand upon my arm, as solemnly this day as if it had been the rustle of an angelââ¬â¢s wing! â⬠¦ ââ¬Å"(18.115), which proves that Pip has not realized that this decision mak es Joe sacrifice and suffer all the more. Furthermore, Joe had to scornfully respect his decision to leave and become a gentleman and bear the loneliness while he was away, but still loved him and waited for when Pip realized he should go back to Joe. Moreover, Pip changes his view on his future when Joe explains that ââ¬Å"Divisions among such must come, and must be met as they comeâ⬠¦ You and me is not two figures to be together in London; nor anywhere else but where is private, and beknown, and understood among friends.â⬠(27.246) Likewise, when Joe is in London with Mr. Wopsle he wants to put pity on Pip and explain to him that they are different people in separate worlds and he wants to show Pip how it hurts when people leave their loved ones. Joe thinks he has sacrificed enough and wants Pip to come back, but now Joe realizes that they are separate people with different expectations. Additionally, Pip and Joe are still great friends; however their breaking relationship hurts Pip and makes him want to restart his life and be with Joe, but he still stays a gentleman. All in all, Joe leaving Pip just as Pip did to him, once again creates Pip to think differently and regret some of his decisions in the past. Throughout Pipââ¬â¢s final stage of expectations, Joeââ¬â¢s compassionate attitude is expected to make Pip change his values and stop Joe from suffering, but makes Joe ponder if he gave Pip enough sympathy to make him come back to him. Firstly, after Pipââ¬â¢s benefactor, Magwitch, dies Pip starts to become ill and also gets arrested because of his debt. While sitting back at his house Pip starts to realize that he always has someone there for him, Joe, and expresses his regret by saying ââ¬Å"O Joe, you break my heart! Look angry at me, Joe. Strike me, Joe. Tell me of my ingratitude. Donââ¬â¢t be so good to me!â⬠(57.388). This statement said by Pip when Joe is by his side, expresses the point that even though Pip did wrong, Joe will always be there to comfort him and make him feel better, and that Pip thinks he should not be treated good by Joe at this point. Furthermore, Pip now understands, ââ¬Å"There was no change whatever in Joe. Exactly what he had been in my eyes then, he was in my eyes still; just as simply faithful, and as simply rightâ⬠(57.389), which proves that the compassion from other individuals do change peoples values and outlooks on all things in life and expectations. Likewise, Pip appreciates that Joe was faithful to him even though endures suffering because of his high expectations and dire choice to be a gentleman. Moreover, since Pip ââ¬Å"â⬠¦soon began to understand that the cause of it was in [him], and that the fault of it was all [his].â⬠(58.395), he started to feel for his dear friend Joe, again as he once did and wanted to have never of met his benefactor that lead him to leave Joe. This connects to the main point because it finalizes how love is stronger then the pain someone causes another person and how it can shape an individual in different ways. Additionally, when the shameful Pip says, ââ¬Å"Donââ¬â¢t tell him, Joe, that I was thankless; donââ¬â¢t tell him, Biddy, that I was ungenerous and unjust; only tell him that I honored you both, because you were both so good and true, and thatâ⬠¦ I said it would be natural to him to grow up a much better man than I did.â⬠(59.404), it shows Joe and Biddy how much Pip is truly sorry for the choice he made and, reluctantly, they responded with, ââ¬Å"God knows as I forgive you, if I have anythink to forgive!â⬠(59.404). All in all, Joeââ¬â¢s compassionate and sympathetic heart pays of and lets him forfeit no more, which proves the point that suffering is a sacrifice one is willing to endure for the love of another individual even if the other person doesnââ¬â¢t see the good you are doing until the end. In conclusion, all of the suffering and sacrifice Joe endures, because of much love and compassion he has for others in Great Expectations did prove to make his ââ¬Ëdear old chapââ¬â¢ Pip reconsider his views, personality and values towards life and his own expectations. The significance in this novel is that sacrificing yourself out of sympathy is a step anyone should be willing to take to have an even stronger bond within the relationship. The idea of sacrifice and suffering for another individual is in the real word, like how a mama bear feeds her cubs before herself, because she cares for them, and just like how Joe suffers and hates being away from ââ¬Ëhis cubââ¬â¢ Pip. All in all, without sacrifice and suffering people wonââ¬â¢t have as much compassion for each other and would not endure the pain if they didnââ¬â¢t truly care for them.
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