Wednesday, October 30, 2019
BHS 455 (Computer & Information Systems) Module 2 SLP Essay
BHS 455 (Computer & Information Systems) Module 2 SLP - Essay Example Now the aim of this module is to select the better information system communication technology that will involve the data and information collection and processing areas. Here I will describe the information exchange procedure and its purpose. This research will also outline the key Inputs, Processes and Outputs that are used in the overall communication system. UHB (University Hospital Birmingham) is the healthcare organization I have selected for the assessment for which we are going to implement the information technology system. UHB (University Hospital Birmingham) Foundation Trust was honored a excellent ranking for excellence of service as well as outstanding for utilize of resources regarding the patients life safety, this rating is established by the Healthcare Commission yearly Health repot 2007. Here I will outline the main departmental and organization structure of the University Hospital Birmingham. This departmental division will provide a great help regarding the technology needs assessment and technology implementation areas. This will also help us to outline the important data and information areas from where we can access the data for the better organizational data and information utilize. The basic aim of development of health care management and handling system is to provide a better working platform to the business and managing the hospital in a better way. For the University Hospital Birmingham it is really essential, because for such huge business we need a system that can centralize the whole working departments and management areas. The manual management of such system is really difficult so we need a system with better management capabilities, so there is great need of inter-departmental communication for the effective management of staffing, resources, treatment, finances, and demand, need and supply. We have planned an information system structure that will comprise the organizational LAN (Local
Monday, October 28, 2019
Perception of Depression amongst North American and African Cultures Essay Example for Free
Perception of Depression amongst North American and African Cultures Essay Depression or ââ¬Å"Unipolar depression is another name for Major Depressive disorder. It is a mood disorder characterized by depressed mood, it often manifests in lack of interest in family, school and social life, changes in eating and sleeping habits, emotional and medical disregard for the self, difficulty in concentrating, and loss of interest in lifeâ⬠(Rush, 2007).à Just like any other pathological disease, it has risk factors, signs and symptoms, and a natural course. Like any other disease it can be treated with proper medical and psychological therapy. Yet it is not perceived as such by the community. à à à à à à à à à à à There is remarkable lack of awareness about depression in the communities, in spite of the staggering statistics about the disorder. Unipolar depression affects 7-18% of the American population at least once before the age of 40 (Kassler, McGonagle Zhao, 1994). In the United States alone, the number of females are reported to be suffering from clinical depression (Murray, 1997). It has also been observed that 2.5 percent of children and 8.3 percent of adolescents are depressed at any given time. These rates are considerably higher than the figure of the past decades (Depression Statistics Information, Internet). Yet, it has been found that only 20 percent of depressed people undergo medical treatment (Depression Statistics Information). This is caused by numerous reasons with ignorance or lack of concern and awareness about the disorder considered as the biggest suspect.à In fact, a United States surgeon general reportà in the Hispanic community states that less than 10 percent of the mentally ill people will ever approach a mental clinic (U.S. Department of Health, 2000). This is possibly the result of lack of concern on their part, or due to the fact that in the Hispanic communitys, non-medical methods ofà treatment for the depressed. It is imperative that we find out whether other communities also show a similar of lack of awareness and concern about depression. à à à à à à à à à à à Social Science medicine attempts to find cultural differences in the conceptual models of depression by an interviewed with North American immigrants and African Americans (Karasz, 2005) . His study demonstrated that Americans were more of the view that depression was a pathological disease of the body just like any other disease and required medical therapy. According to the author, the people from the African community were more likely to explain depression in terms of a social and moral problems and conformed to the belief that self management was the right way to deal with the issue of depression. à à à à à à à à à à à Different communities have different perceptions about the disease, people of certain cultures prefer going to spiritual healers rather than seek medical attention (Nayem, 2005). Some cultures prefer to treat this ailment with alternative therapies to allopathic ones.à Depression, though a serious and debilitating disease, does not command the same attention as other medical disorders like heart disease, Parkinsonââ¬â¢s disease, or even obesity. According to Pasacreta (2008) there has been little attention given to depression and its consequences when we compare it with other diseases. For example obesity has been associated with diabetes many times. Even though depression also has a similar association with type II diabetes, not many people are aware of this fact.à Since public concern is lacking in communities, many depressed people fail to come forward, and receive proper treatment. If this trend continues prevalence of depression will continue to rise. à à à à à à à à à à à Though the attitudes of different cultures may vary toward the disease, it does not change the fact that ââ¬Å"depression poses enormous costs for individual, family, and the societyâ⬠(Nayem F, 2005). Depression is a severe disease with far reaching effects, starting from the patient, who may inflict self harm, leading to a family life, which cannot function in the same way as before (Scott, 2003). There has been research demonstrating depression as a burrden to people, communities, and health services as the treatment is long term and the patient has little or no productivity to society (Nayem, 2005). This research further highlights the need to conduct a survey to assess the perception of depression across various cultures. à à à à à à à à à à à People are unaware of the magnitude of the problem and its economic implications. In certain cultures, inability to diagnose the disease or disregard of its seriousness lead to delayed medical opinion and treatment. Through this study, we will try to substantiate the various levels of awareness that different cultures have about the disease. The severity of depression usually gets aggravated if it is not treated promptly after diagnosis. This leads to a greater burden on the country. Scott (2003) echoed this sentiment when he stated ââ¬Å"In the National Health Service the cost of treating depression (à £887 million) exceeds the cost of treating both hypertension (à £439 million) and diabetes (à £300 million). However, here, the direct health care costs are dwarfed by the indirect costs (i.e. days lost from work owing to depression exceed all other disorders and the economic burden on family members and society is considerable). à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à North American and African cultures both differ in there perceptions about depression as a disease. Different cultures may feel that depression is a problem but western cultures are more likely to view it as a disease which needs medical therapy just like any other, whereas the people from the non western culture will perceive depression as more of a social and moral problem which requires self-management. There will generally be a lack of knowledge about depression as a disease in the non western community.à The false beliefs and stigmas will be more present in non western cultures as compared to their western counterparts. à à à à à à à à à à à How widespread is serious depression? According to Dr. Nathan S. Kline of the New York State Department of Mental Hygiene, ââ¬Å"it has been estimated that 15 per cent of the adult population of the United States has some degree of depression which is serious enough to be in need of treatment. This amounts to about 20 million people, which makes it not only the most frequent psychological disorder but also one of the most common of all serious medical conditions.â⬠Depression is so widespread that it has been called ââ¬Å"the common cold of mental disturbances.â⬠à à à à à à à à à à à Studies report that women outstrip men in suffering from depression by a ratio of about 2 to 1, though some claim that this is because women are more willing to admit that they are depressed. Depression afflicts all races and every social and economic level. While the malady is most common between the ages of sixty and seventy, it strikes all age groups and has been rising among persons in their twenties. Why do so many millions of persons suffer from depression? à à à à à à à à à à à Much study has gone into uncovering the root causes of mental depression. Flaws in human society constitute one main source of the problem. Illustrating an aspect of this are comments by Dr. John Schwab, of the University of Florida College of Medicine: ââ¬Å"Weââ¬â¢re in an era of change right now. Old values such as the old work ethic are being rejected and people are caught in an ideological vacuum. Kids see that the fruits of four hundred years of scientific progress may be more bitter than sweetââ¬âbut they donââ¬â¢t know what to put in its place, and consequently there is a sense of futility.â⬠Because of this, many disillusioned youngsters seek ââ¬Å"escapeâ⬠through drugs and other means. ââ¬Å"The search for highs among the young,â⬠observes Dr. Schwab, ââ¬Å"is often only a flight from the lows.â⬠à à à à à à à à à à à Also contributing to the rise in depression is ââ¬Å"supermobility.â⬠Families that keep changing their places of residence, hopping about from house to house and city to city, do not stay in one place long enough to build solid relationships with other people. A psychiatrist at the Massachusetts Mental Health Center wrote: ââ¬Å"Psychiatrists around Boston have been aware for some time of what is called ââ¬Ëthe Route 128 syndromeââ¬â¢ or in Florida ââ¬Ëthe Cape Kennedy syndrome.ââ¬â¢ It is found in young families who have moved too much, and its components are a husband too centered in his career, a depressed wife and troubled children.â⬠à à à à à à à à à à à Sometimes depression results when a person reaches a ââ¬Å"plateauâ⬠in his life after many years of painstaking labor. A hard-driving business executive may finally achieve the top position in his company, only to realize that he no longer has a goal in life. Housewives in their forties and fifties often suffer from what psychiatrists call ââ¬Å"empty nest syndrome.â⬠By this time their children usually have grown up, their husbands are at work for most of each day and they must face lonely hours in houses devoid of people. à à à à à à à à à à à What about the feelings of inferiority that often accompany depression? Here too the responsibility may rest with human society. How so? Because it is often at a tender age that children are made to feel unattractive. Their peers may ridicule them if they are unable to do what the majority consider the ââ¬Å"inâ⬠thing. If a youngster tends to be clumsy and uncoordinated, schoolmates and playmates can influence the child to believe that he ââ¬Å"canââ¬â¢t do anything right.â⬠Children of this type often combine the generalization: ââ¬Å"I am weak,â⬠with the value judgment: ââ¬Å"Itââ¬â¢s disgusting to be weak.â⬠Such youths are likely candidates for depression. Method à Participants à à à à à à à Approximately 40 students (20 western, 20 international) students from a Midwest liberal arts college will participate in this study. All of them would be selected using randomized sampling. Participants will be offered candy for the completion of the survey. Materials à The survey questionnaire will consist of questions related to assessment of knowledge and attitudes towards depression and a demographic data form. The survey forms will contain closed ended questions only. It will consist of 3 parts.à The first section will consist of demographic questions to gather information about the participants: How long have they lived here. Have they adopted the western culture of living or not. The second part will consist of closed questions. The participants will have to choose from the given options in the questionnaires. There will be questions that ask whether they consider depression to be a serious disease. Whether they believe it is a disease of the mind, body, or mind and body. Questions related to stigma would also be included for example do they believe mentally ill people are more aggressive than others? Do they believe mental illnesses are not as severe as physical ones? Do they believe depressed people can be cured with drugs only, or do they require social and community help? Moreover, to support the validation of the results of the survey, the review of literature to be utilized within the research shall show a specific scale of measure that is used by psychologists to identify the behavior of humans with regards to depression from different cultures all over the world. Procedure à à à à à à à à à à à It is imperative to find out exactly how different cultures perceive depression as a disease. The researcher plans on conducting this research. This research will deal with the perception of depression as a disease amongst western and non western cultures. The research will also look into the level of awareness in different cultures about the prevalence of disease in their societies. This research will try to substantiate if the perception of depression varies with different cultures.à To complete the said aim, the research will be conducted on campus.à Participants will be debriefed on the study being researched. The researcher would then have the participants sign a consent form before they participate in the study. After which, a survey kit would then be handed out to them and they would be given three days to return them back. Data analysis A one way ANOVA would be conducted to analyze the data. Since we have two independent sample populations and more than two variables. This will allow for the comparison of attitudes about depression for members of Western and non-Western cultures. Using the ANOVA we can calculate whether the stated answers have associations with either the western or non western societies. à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à References Depression Information and Fact Statistics (2008), Depression statistics and information, retrieved on February 13, 2008, from http://www.add-adhd-help-center.com/Depression/statistics.htm Haasen C, Levit O, Gelbert A, Foroutan N, Norovjav A, Sinaa M, et.al, (2007), Relationship between mental distress and acculturation among migrants, psychrische praxis, à retrieved on February 13, 2008, from the NCBI database on à à à http://www.ncbi.nlm.nih.gov/sites/entrez Karasz, A. (2005), Cultural differences in conceptual models of depression, Social Science medicine, 60, 1625-35, retrieved on February 13, 2008, from http://www.ncbi.nlm.nih.gov/pubmed/15652693?dopt=Abstractholding=f1000,f1000m,isrctn Kessler, R., McGonagle K,, Zhao S, et al. (1994) Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the National Comorbidity Survey. Arch Gen Psychiatry;51:8-19. Murray, C., Lopez, A.D. (1997). Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 349 Neem F, Ayub M., Izhar N, Javed Z, et al (2005). Stigma and knowledge of depression, Pakistan journal of medical sciences, 21(2) 155-158. Pasacreta. J, (2008), Depression: Is society taking the wrong approach? , retrieved on February 13, 2008, from http://www.helium.com/tm/646939/novel-approach-managing-depression Scott, J. (2003), Global burden of depression: the intersection of culture and medicine, The British Journal of Psychiatry, 183: 92-94, retrieved on February 13, 2008, from http://bjp.rcpsych.org/cgi/content/full/183/2/92 U.S. Department of Health Human Services, Office of the Surgeon General. Mental Health: Culture, Race, Ethnicity Supplement, A Report of the Surgeon General 1999.from: http://mentalhealth.samhsa.gov/cre/default.asp.
Saturday, October 26, 2019
The Battle of the Sexes Continue in The Revolt Of Mother Essay
The Battle of the Sexes Continue in The Revolt Of Mother à à à "Unsolicited opportunities are the guide-posts of the Lord to the new roads of life." This quote from Mary E. Wilkins Freeman's "The Revolt Of 'Mother"' exemplifies the independent and rebellious spirit of the main character, Sarah Penn. Because Sarah Penn's behavior is unorthodox for a woman of the nineteenth century, the author constantly compared her to similar historical figures. à à à à à à When Mrs. Penn is baking her husband's favorite mince pies, we become aware of the first historical relationship. The author described her face as "full of meek vigor which might have characterized one of the New Testament saints." The author continues to express that "however deep a resentment she might be forced to hold against her husband, she would never fail in sedulous attention to his wants." These statements show that Sarah is as loyal, passive, and loving as a pious saint. The comparison also points out her forgiving nature which allows her to be loving and cooperative with her husband despite any differences they may have. à à à à à à The second reference to a historical figure comes when Sarah calls to Adoniram, her husband, to stop his work and speak with her. When he repeatedly refuses to talk with her, she exclaims, "Father, you come here," in a voice which booms with authority. Even her stance is as regal as her inflections, for she stands in the doorway holding her head as if she were wearing a crown. Despite her original intentions, this dignified behavior doesn't last long. As she is expressing her feelings about her husband's new barn, her stance turns to that of a humble woman from Scripture. This sudden change in behavior represents her volatil... ...the man's world, she continues to do her feminine, domestic chores and tries her best to make Adoniram happy. This proves that she has fought the battle and was now ready to make peace. However, the peace making has to be on Adoniram's part. After Adoniram finds out about his wife's defiance, he goes out into the twilight and looks out over the fields. By observing nature, Adoniram is acknowledging the power and beauty of women, which enables him to decide to put up the partitions to make a more suitable house for Sarah. By respecting the feelings and opinions of his wife, he unites the woman's home and man's technology, and in a sense makes peace between man and woman in the battle of the sexes. à Work Cited Freeman, Mary E. Wilkins. "The Revolt of 'Mother.'" Responding to Literature. Ed. Judith A. Stanford. Mountain View: Mayfield, 1996. 555-567. Ã
Thursday, October 24, 2019
Theme of Forgiveness in Nathaniel Hawthornes The Scarlet Letter :: Scarlet Letter essays
Theme of Forgiveness in The Scarlet Letter "The public is despotic in its temper; it is capable of denying common justice when too strenuously demanded as a right; but quite as frequently it awards more than justice when the appeal is made, as despots love to have it made entirely to it's generosity." The Scarlet Letter (156) One of themes that Hawthorne conveys in The Scarlet Letter is that society is more willing to forgive people who ask for forgiveness with humility and generosity than those who demanded it as a right. This theme was conveys using Hester Prynne, a young women who committed adultery. This was considered to be one of the worst crime someone could commit in the Puritan society during the eighteen hundreds, where she resides in. As punishment, Hester was required to wear a scarlet letter "A" upon her garment in order for everyone to recognize her crime. Her society had condemn her, they believed that she "has brought shame upon all of us, and ought to die..."(59) Yet, as time went by, because of the way in which Hester carried herself wearing the scarlet letter, the symbol had taken a new meaning. Although, when the scarlet letter was first place on her bosom it was a symbol of Hester's crime, burden, seclusion, and shame. However, as a result of Hester's generosit y and humility the scarlet letter had come to symbolize Hester's strength, philanthropy, and gained her very high respectability in her society. "Let her cover the mark as she will, the pang of it will be always in her heart."(59). The scarlet letter was place upon Hester Prynne bosom as a punishment for the crime she committed; the letter A to signified adulteress. The letter A on her bosom was there as a reminder the townspeople, strangers and Hester herself of the crime she committed. Likewise, it was there to ensure that such a crime would not again befell upon their Puritan community. " "Drink, then," replied he, still with the same cold composure. "Dost thou know me so little, Hester Prynne? Are my purposes wont to be so shallow? Even if I imagine a scheme of vengeance, what could I do better for my object than to let thee live-than to give thee medicines against all harm and peril of life so that this burning Shame may still blaze upon thy bosom?
Wednesday, October 23, 2019
Electronic gadgets Essay
Technology has become a very important part of our lives nowadays. During the past few years, technology has evolved in many ways and is probably without a doubt better than ever before. People are always trying to find something new that will improve our lives dramatically. Some of the creations that have really changed our lives are the computer, telephone, internet and electronic mail, television, cell phone and voice mail. Everything has a positive and a negative effect on our lives and so does technology. Technology may be very helpful but it can sometimes be very harmful. In our modern society, people canââ¬â¢t see themselves without computers. see more:life without modern gadgets article Computers have evolved so much during the past years. They used to be bulky, expensive and not very reliable machine but nowadays there are fast, small and affordable and nearly every family has a computer. With computers you can browse over the internet and look for information about a subject instead of having to do read books at the library or read the newspaper. This image was selected as a picture of the week oâ⬠¦ Nowadays mostly everything is available on the internet. You can even do your Christmas shopping over the internet instead of having to spend a long time waiting at the malls. Electronic mails can be sent over a network and itââ¬â¢s much faster and takes up less time than to have to write a letter and then send it and the person would have to wait a day or more to get your letter. Cell phones are also very useful gadgets as people can reach you wherever you are. In case of emergency people can contact you even if youââ¬â¢re not at home. When you have a computer you can just store your files on your hard drive and it can be retrieved at any time. Itââ¬â¢s also much easierâ⬠¦
Tuesday, October 22, 2019
Discrimination1 essays
Discrimination1 essays The crossing of the Mississippi was a depressing experience for Indians and Women, the minorities, in the 1800s. The long and harsh journey over scourging desserts, rock-strewn mountains, and icy rivers caused sadness and despair to both groups of people. The first group of people that moved west was forced to leave their homeland, Georgia. These Indians had developed an admirable culture and were civil humans. They adopted the white mans ways by wearing their type of clothing, learning to read and write, and even practicing the white mans religion (295). Major William M. Davis even said, The Cherokees are a peaceable, harmless, people...(298). The man behind all of this turmoil for Indians to move west was President Andrew Jackson. He even said as an election slogan, that if you vote for me, Id make sure all those Indians are removed. Unfortunately he is elected and carries out his promise of the elimination. This treaty was known as the Indian Removal Act. By force the Indians were hauled out of their homeland to a foreign land with just the clothes on their back. After many loads of Indians were forcefully removed, the Indians wanted to move on their own peacefully. They started the Trail of Tears. During this long ex hausting trip, there was little food and the water was contaminated (299). By the end of this journey over 4,000 lives were over due to the grueling passage to the west (302). The women back in the 1800s were treated with a little more respect than the Indians, but clearly not equal to the male. After the faith of Manifest Destiny, a belief that Americans have the right to expand and explore across the entire continent, people started to head west. The funny thing about this was, the Americans had just pushed away the Indians, and now their following them out to the west, right after Jackson said they would not be disturbed ever again. What the ...
Monday, October 21, 2019
Rise and Fall of Protectionis Essays
Rise and Fall of Protectionis Essays Rise and Fall of Protectionis Essay Rise and Fall of Protectionis Essay 1995); work on global environmental commons; and the emergence of social exclusion as a concept of deprivation (Gore, 1996b). The spatial frame shift is likely to be linked to the re-introduction of a historical perspective, which is already becoming evident, for example, in analyses of the history of globalization of economic activity (Bairoch, 1993; Bairoch Kozul-Wright, 1998; Brenner, 1998). But with the rejection of grand narratives, bringing history back in should not presage a return to the old teleological historicism, but rather identify alternative situations and possible development paths, and thereby inform a RISE AND FALL OF THE WASHINGTON CONSENSUS 801 pragmatic commitment to progressive change in favor of present as well as future generations. The values which will glue together the new way of seeing the world are, like the methods of global analysis, as yet unclear. The most likely prospect is that we shall be blown into the uture facing backward, embracing a form of embedded communitarian liberalism, which seeks to reconcile the achievement of national, regional and global objectives, and to marry universal values with a respect for diversity. But this is still waiting to be born. NOTES 1. That is, a constellation of beliefs, values, techniques and group commitments shared by members of a given community, founded in particular on a set of shared axioms, mode ls and exemplars (see Kuhn, 1970). The term paradigm is used in this sense throughout this paper. . For an extended discussion of the importance of frames in policy analysis, see Schn and Rein (1994). o The notion of the frame is also pivotal in Amartya SenOs work on development evaluation, though he uses the term informational basis of evaluative judgements rather than frame. 3. For deeper discussion of these debates, and the role of international development agencies in them, see Arndt (1987), chapters 3 and 4. 4. This was a complex historical process. As Kuhn (1970) explains, the timing of paradigm shifts is in? enced not simply by scientià ®c and policy debate, but also broader political and ideological conà ®gurations. These broader changes, which include the election of conservative political leaders in the United Kingdom, United States and Germany in the late 1970s and early 1980s, will not be dealt with here. For a subtle account, which locates changes in development thi nking and practice within a broader counter-revolution against Keynesian economic policies, see Toye (1993). 5. For these two lines of argument, see various World Development Reports, particularly World Bank (1983, 1986, 1987). The last, as well as criticizing deviant policies, is an exemplar of the mobilization of East Asian experience to support key principles of a LIEO. 6. For an extended discussion of methodological nationalism, see Gore (1996a). 7. The term global liberalism is used here as shorthand for various types of LIEO, which may or may not allow a circumscribed role for national government intervention in market processes. 8. The term historicism is used here in the most general sense given by Popper (1960, p. 3). It does not imply that planning which aims at arresting, accelerating or controlling development processes is impossible, though some historicists would adopt this stronger position (Popper, 1960, pp. 44à ±45). 9. Exemplars are Rostow (1960) and Chenery and Syrquin (1975). 10. Lyotard (1984) sees the main criterion which is used to legitimate knowledge after the questioning of the grand narratives as performativity, which is understood as assessment of the performance of systems in terms of the best input/output relations (p. 46). 11. Various academic books and articles are associated with these policy reports. Key elements of Latin American neostructuralism, which developed as a response to the weaknesses of both neoliberalism and importsubstitution industrialization, are set out in Bitar (1988), Ffrench-Davies (1988), Sunkel and Zuleta (1990), Fajnzylber (1990) and Sunkel (1993), and are surveyed in Kay (1998). A Japanese view of the contrast between East Asian developmentalism and the Washington Consensus is set out in OECF (1990), whilst Okudo (1993) and JDB/JERI (1993) discuss the Japanese approach, focusing on two important policy mechanisms which diverge from the tenets of the dominant approach? two-step loans and policy-based lending. UNCTADOs reconstruction of East Asian developmentalism, which was elaborated independently of Latin American neostructuralism, draws on analyses of the Japanese development experience, particularly Akamatsu (1961, 1962) and Shinohara (1982), and key elements are set out in Akyz and Gore (1996) and Akyz u u (1998). 12. For an outline of this approach see, inter alia, Sen (1993), and an analysis of the limits of its moral individualism is made in Gore (1997). 13. For examples of a loose approach to poverty analysis based on the concept of sustainable human development, see UNDP (1995a,b); but Banuri et al. 1994) attempt to give a more rigorous specià ®cation of 802 WORLD DEVELOPMENT 15. There are some divergences between the East Asian and Latin American approaches. The latter gives more prominence to environment and democracy, is less committed to aggressive sectoral targeting (ECLAC, 1996, pp. 70à ±71; Ocampo, 1999), and has a more reà ®ned policy analysis of the process of à ® nancial integration than East Asian developmentalism (ECLAC, 1995, Part 3). But their similarities, and common disagreements with the Washington Consensus, are more striking. 16. For an interesting alternative interpretation of this fault line, see Yanagihara (1997) who contrasts an ingredients approach and a framework approach and seeks ways of synthesizing them. 17. To paraphrase Yanagihara and Sambommatsu (1996). the concept through the notion of social capital. An interesting recent development has been to link sustainable human development to the promotion of human rights discourse, which some see as an alternative global ethics to neoliberalism. The increasing incorporation of the voice of nongovernment organizations (NGOs) into or alongside UN social deliberations is also a? cting the SHD approach. A good discussion of some of the notions which animate these discussions is Nederveen Pierterse (1998). 14. It is di? cult to identify an African strand to the Southern Consensus, but Mkandawire and Soludo (1999) seek to develop an African alternative to the Washington Consensus, and UNCTAD (1998, part 2) has drawn implications of the East Asian development experience for Africa. REFERENCES Akamatsu, K. (1961). A theory of unbalanced growth in the world economy. Weltwirtschaftliches Archiv, 86, 196à ±215. Akamatsu, K. (1962). A historical pattern of economic growth in developing countries. The Developing Economies, 1 (1), 3à ±25. Aky z, Y. (1998) New Perspectives on East Asia. u Journal of Development Studies (special issue) 34 (6). u Aky z, Y. , Gore, C. G. (1996). The investment-proà ®ts nexus in East Asian industrialization. World Development, 24 (3), 461à ±470. Amsden, A. (1994). Why isnt the whole world experimenting with the East Asian model to develop? : review of the East Asian miracle. World Development, 22 (4), 627à ±634. Arndt, H. W. (1987). Economic development: the history of an idea. Chicago: University of Chicago Press. Bairoch, P. (1993). Economic and world history. Brighton: Wheatsheaf. Bairoch, P. , Kozul-Wright, R. (1998). Globalization myths: some historical re? ections on integration, industrialization and growth in the world economy. In R. Kozul-Wright R. Rowthorn, Transnational corporations and the global economy (pp. 37à ±68). London: Macmillan; New York: St. Martins Press. Banuri, T. et al. (1994). Deà ®ning and operationalizing sustainable human development: a guide for practitioners. 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