Comparing Two Shows Essay Example | Topics and Well Written Essays - 1000 words

Comparing Two Shows - Essay ExampleThe order of battle has had a precise successful run, it is presently in its tenth part season, this goes to show how popular the show has been thus far. There are six main characters and each of them has their own traits. Almost all the characters have traits which would make them regard funny, it is a sitcom and the characters must appear funny to be able to convince the audience. (Television and Gender Roles) Everybody love Raymond is another very popular TV show which has been very swell up liked and followed. (Everybody loves lazy stereotyping of male roles)The concept of Gender roles must be notice in this serial, Debra the married woman of Raymond is always in the kitchen qualification food either for her husband or for her family, this goes to show that women are always in the kitchen spending their time cooking for their families. Marxist feminism also comes into run for here, Karl Marx argues that women must be paid for domestic lab or this is what Marxist feminism is all about. Another very important thing which must be noticed in this show is that Debra is the one who always packs the lunch of her children Raymond never stirs to do this. It goes to show how irresponsible at times men are towards their families. The gender roles presented in these serials are presented very rightly after doing comprehensive research. (Gender and Media Representation) Gilman called herself a humanist, she was deadly against exploitation of women, our society is still following the patriarchal ways and exploiting the women. She was not very comfortable accepting the theory of evolution laid down by Charles Darwin, the theory of evolution portrays man in the driving seat and gives less sizeableness to women. Both the sexes are equally important and no favoritism of any sort can be done. She argued that women had to rely excessively on their sexual assets, they had to disport their husband to ensure their survival, this is very true and beyond the pale. What a pity this really is. Grounded for life is another very popular TV show which is well liked by the audience. In one episode the husband decides to buy a car without even bothering to ask his wife, marriage is an institution and it is the right of the wife to be well informed about all the decisions made by her husband. This again reflects the reality there are countless husbands who do not bother asking their better halves before making an important decision. Dad goes to work and Mom takes care of the household chores, it is unimaginable if a man packs lunch for his children, it is unacceptable if a man does the dishes. It is incorrect if a man asks his wife before making a big decision, buying a car is quite a big decision and a wife must know of this big decision before hand. Perkins Gilman was a very famous American sociologist who wanted to conduct about change in the society, it is our duty to share the workload with women, and it is not a man s world anymore. Women must be given rate and their workload must be shared. It is very important to understand the responsibilities of living in a family, gender stenotypes must be abolished and we must awake to a new and a better world. Our society is becoming more and more men-oriented society, women have never been given enough respect and this is perhaps why so many marriages never workout. In a relationship both the partners have to make sacrifices and both should complement each other but this can tho happen when there is perfect understanding and coordination between the pair of

Challenges Facing the Development of Social Enterprises in China Essay

Challenges Facing the Development of Social Enterprises in China - Essay ExampleThis essay stresses that the development of the social enterprises is hindered by the challenges regarding attracting, retaining, and growing talents. With the social enterprise sector being young compared to other countries across the world, they can only achieve growth by ensuring that new ideas are not bad(p) in order to create growth opportunities to the enterprises. Many of the multinational organizations have been able to thrive in the markets because they have experienced workforce which is able to lead the rest of the subordinates. However, in China, the social enterprises are young. Therefore, the managers do not have the necessary skills to guide the young generation working in these enterprises on how to reboot their talents in order to make a difference in the organization.This report makes a conclusion that The complexity of registering a social enterprise has made it sullen for them to expand to other areas, an aspect that would enable them to increase the number of beneficiaries. Many of these enterprises are located in urban areas. With lack of support from the government and umpteen registration hurdles, the enterprises have been unable to open up various subsidiaries in the rural areas in order to help more people. In addition, constant inherent wrangles regarding the best places to establish these branches have been affecting the progress of these institutions in China. The reason is that there are no effective internal mechanisms to solve these issues.

Revised Resource requirements Essay Example | Topics and Well Written Essays - 750 words

Revised Resource requirements - Essay ExampleRevised Resource requirementsMost all-important(a)ly, though, the entire cost of new resources must not exceed the initial $3.5 million mark set aside for the whole project. Information about how past projects of the kind handled the problem of floods will be important in alleviating the menace and stemming cases of a project creep. In light of the new changes to resource requirements occasioned by the flood possibility, the cost of investment will likely go up past the $3.5 million mark.In order to keep the cost of investment low, the project team will need to carry out a painstaking re-evaluation of the new requirements, especially those that revolve round control of floods. Specifically, the team will need to re-draw the Work Breakdown Structure (WBS) to include flood disaster control activities alongside the original resource requirements. A comprehensive WBS that includes flood clearance and restocking of damaged materials will prov ide an accurate picture and inclination of the actual resources needed for the Mobile Cancer Screening project.Estimation of the amount of resources will enable the stakeholders to take stock of the additional costs and set up control measures to avoid a project creep (Kousholt, 2007). More effort will be needed to control the disaster and set the project on the path to success. Proper estimation of the additional effort will enable the project manager to deploy the right amount of resources for a time-cost trade-off in order to retain quality.

Theories of counseling and psychotherapy Essay Example for Free

Theories of counseling and psychotherapy Essay1.1 Defining the Core Constructs of Adlerian Therapy.When Gina says she is determined, Dr. Carlson asks her where her determination is directed. What is his tendency?Gina responds with happiness. Her own and her two boys. His intent is to get her to focus on the good and the progress made. He trying to scaffold the sessions sceptical to determine more information and to promote customer egotism awareness. His intent is as well for her to see the goal setting nature she internally is projecting. He is demonstrating a life style assessment and the faculty for 1 to control where they want or see themselves. The use of open ended questions allow Gina to elaborate to gather more information.Why would Dr. Carlson tie Ginas motivations back to her parents?Dr. Carlson is pastime Adlerians theory that our future choices are driven by past experiences. By tying Ginas motivations to her parents he is to showing her future behavior decisi ons were model by mother and father by dint of actions that she witnessed as a child.What basic life tasks does Gina describe in this footage?Gina describes the life tasks of occupation,love and kind interests. Happiness,eventually a committed alliance and that her boys grow up to be happy and make good choices. Gina is demonstrating achievement of HIs intent is to scaffold the sessions questioning to determine more information and to promote client self awareness. He is also trying to activating the goal setting nature she internally is projecting. He is demonstrating a life style assessment and the ability for one to control where they want or see themselves. The use of open ended questions allow Gina to elaborate to gather more information.,competence and mastery. Theses are three of the life style components Alder speaks about in his theory.1.2 Conceptualizing Clients Using Adlers Holistic ApproachDr. Carlson identifies patterns in Ginas early recollections. What do these p atterns tell us about Ginas private logic? Ginas private logic depends on what she viewed in her surroundings that she remembered. The lifestyle she was exposed to allowed her to develop her own compass to live by. It is hard to remember for her only Gina realized she had been doing things for herself to make herself happy rather than anyone else. Such as her obtaining the top ten in her class.Dr. Carlson suggests that Gina is almost selfish to a fault. What part does selfishness play in wellness and pathology, according to Adler? According to Alder, being selfish in regards to wellness and pathology, is natural. We are to become a contributing part of a larger social system. Gina is adapting to basically meet her needs and the needs she thinks are qualities of a good parent. Her feeling that is her responsibility to raise her children and a home is all on her and not letting her husband help is not really a good thing but a coping mechanism she has developed to handle situations. 1.3 mind and Treatment in Adlerian TheoryIn his clip, Dr. Carlson focuses on Ginas early recollections. What important assessment information is he seeking through his questions?Dr Carlson is seeking through his questioning the understanding of her lifestyles and how she viewed the world through asking her to elicit her memories of her siblings. He can also be trying to get a view of the family dynamic through using these types of questions.What elements of the treatment process can you identify in this clip? I can identify phase two, lifestyle assessment as a child, understanding of the person and the problem. Family constellation,birth order and earliest recollections priorities and ways of behaving are indicators of this phase.1.4 Adlerian Therapeutic Techniques (Written case study)In what ways might an Adlerian therapist ask Steve to Act As If? AnAdlerian therapistss may as Steve to Act as if as followsOpen questioningPurposeful questioningBy using questions being with what an d how a guidance can elicit a response leading toward understanding or self awareness,self motivation and a level of self disclosure.ReferencesSeligman, L., Reichenberg, L. W. (2014). Theories of counseling and psychotherapy Systems, strategies, and skills / Linda Seligman, tardily professor emeritus, George Mason University, Lourie W. Reichenberg, licensed professional counselor, Falls Church, Virginia.

Definition Essay Essay Example for Free

Definition Essay Essay ambition a strong desire to do or to achieve something, typically requiring ending and hard work. Many people have different ambitions in life so the word ambition would have different definitions, depending on whom you ask. To me ambition is a burning urge and desire to achieve your goals or succeed. Ambition applies to dedication, motivation and time. I have many ambitions to achieve in a set extremity of time. For example my education, I would like to complete my Bachelors in Electrical Engineering within four years. Within time motivates me to achieve my ambitions of obtaining that bachelor degree. Ambition in other words is the motive force needed to propel all of us to work towards our set cherished goals. It is the dynamic inner force that has guide people from all walks of life to cleave to a new path, set a new vision and fight through hurdles to win with honor. emphasize and try again. You have to fail early to be able to succeed.As Bruce Lee once said you have fall down 7 generation get up 8. That never-say die attitude is ambition. Many athletes in the collegiate level have a desire to be eligible to play their vaunt and benefit a living off of it. Nothing is handed to a person, they work their buttocks off and put in countless hours of practice and vanity into what they do. Acknowledging the hard work and struggles that an athlete goes through shows their desire and passion for what they do and why they love it. Ambition is built into a person, a person who wants to establish successful and to be able to provide for not only their selves but for their family. My personal ambition is contingent on my professional aspirations. My personal ambition is to be able to give back to my parents for all they have done to support my sister and me. I have always had the ambition to be able to make enough to support for them in the future and give them anything they want. My ideal happiness is to pay off the mortgage for the house and see the happiness in some(prenominal) of their faces.The desire to depart successful and to be able to provide for my parents applies to myuncle who is also an electrical engineer that lives in California. My uncle is able to provide for his two kids and his stay at home wife. They own a 5 bedroom house in San Diego and they are living luxurious. Seeing my uncle being able to provide gives me the ambition to become successful as he is and do the same. Obviously, ambition here has a healthy role to play. Engineering has always been my forte. I love designing and mental synthesis and to be able to do it with electricity is humbling. 4 Years of my life is required to be eligible for my bachelors and it is something that I am looking forward too. Having the charge of my uncle and other successful peers gives me a sigh of relief and eagerness to finish and be able to hold that diploma in the end keeps me going. Risking countless hours of studying, all-nighters, and no soci al life will be financially rewarding in the end.I have to stay humble. My parents expectations did affect me because I saw how hard they worked to aim me up and make my life easier. My family has nurtured me in a respectable way of life. That is why I have chosen to become an EE because it fulfills my ambition and is please to my parents by me making a decent living. Therefore, one of my ambitions will be achieved because EE blends an ethically satisfying job and a healthy contentment to my life. organism able to travel and experiencing new outcomes will be a blessing in disguise. Accomplishing my short term and long term goal will be something I look forward to in life.Once those goals are fulfilled, new goals will be made and the ambition to accomplish those goals will take way. Ambition is a powerful word that has a powerful meaning in my life. A brief description on ambition is to be able to accomplish what is desired. I have an ambition to accomplish my goals and to be able to provide for my parents and myself. My ambition to become successful in life takes place in my heart. If I work hard for what I want, then Ill be able to take pride on for what I worked for. Ones action should be directed towards the nations prosperity. I should strive hard honestly, sincerely and with dedication to achieve it. The hard work should pay off and the journey to my bachelors degree should be a tough battle, nothing is given but is earned.

African American English Essay Example for Free

African American side EssayWhen it comes to arguing whether African-American English/Ebonics, enriches or contaminates bar English, most of the negative wraith that African-American English gets comes from an educational stand point. One argument teachers, who do not believe in using Ebonics, wasting disease is that there is no mail for Ebonics in the class room. Stacey Thomas, in her article Ebonics and the African-American Student Why Ebonics Has a Place in the Classroom writes that teachers can use Ebonics as a way to facilitate the learning of Standard English to African American students. In order to use Ebonics as a vehicle to teaching Standard English, teachers must be bilingual meaning they most know both Ebonics and Standard English. Thomas states, once students see and comprehend the differences between Standard English and Ebonics in terms of structure and syntax, they display a greater understanding in Standard English, and as a result, decrease their use of Eboni cs Ebonics and the African-American Student (6).In other words, by working on activities where students have to compare both Ebonics and Standard English, students knowledge of Standard English is increasing and their use of Ebonics is decreasing. Another arguments teachers use against Ebonics is that it obstructs the academic potential of African-Americans. Thomas goes further on by stating the Oakland school board Ebonics issue. In 1996, the Oakland, California school board started using Ebonics as a way to teach to African American students whose grades were lower than other ethnicities.As a result of using Ebonics as a vehicle to teaching, Thomas states, the Oakland schooltime Districts use of Ebonics in the classroom, and the students performance in interpret and wring has improved the students have tested above district averages there was a in reading and writing skills Ebonics and the African-American Student (6). So not only is the teaching of Ebonics facilitating school w ork for students, but it is also increasing their grades. Ebonics, a language that is sterile as ignorant and uneducated, is now becoming a great tool for educating students.

The Introduction To Medical Tourism Tourism Essay

The Introduction To health check checkup touristry Tourism EssayA patient going to a different country for either urgent or elective health check procedures is called checkup examination tourism. medical exam exam tourism is a term that has risen from the rapid growth of an sedulousness, w present population from all approximately the man be traveling to separate countries to obtain medical, dental, and surgical c ar, while at the alike(p) time touring, vacationing, and fully experiencing the attractions of the countries that they argon visiting. Medical tourism is next booming orbit in India as information technology. Patients going to a different country for either urgent or elective medical procedures argon fast comme il faut a worldwide, multibillion-dollar patience. The reasons patients travel for intervention vary. Many medical tourists from the United States argon seeking treatment at a quarter or sometimes even off a 10th of the cost at home. From Canada, it is often people who are frustrated by long retaining times. From Great Britain, the patient providet wait for treatment by the content Health Service but also cant afford to see a physician in private practice. For others, go a medical tourist is a chance to combine a tropical vacation with elective or elastic mathematical process. And more patients are approach path from poorer countries such as Bangladesh where treatment may not be available. Medical tourism is actually thousands of years old. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, Asklepios, at Epidaurus. In Roman Britain, patients took the waters at a shrine at Bath, a practice that continued for 2,000 years. From the 18th vitamin C wealthy Europeans travelled to spas from Ger more to the Nile. In the 21st carbon, relatively low-cost jet travel has taken the industry beyond the wealthy and desperate. Countries that actively promote medical tourism include Cuba, Costa Rica, Hungary, India, Israel, Jordan, Lithuania, Malaysia and Thai discharge. Belgium, Po lend and Singapore are now entering the field. S placeh Africa specializes in medical safaris-visit the country for a safari, with a s snarfover for formative surgery, a nose job and a chance to see lions and elephants. Health tourism is another name or synonym for medical tourism. However it is sometimes apply in the context of wellness, where people are looking to make healthy lifestyle choices such as eating better, practicing yoga or undergoing spa treatments. Medical Travel is another name or synonym for medical tourism.Medical Wellness and SpasMedical Spas and Wellness is sometimes called Health Tourism. Medical Wellness and Medical Spas oblige be line up an accepted industry in spite of appearance health tutelage. Peoples wellness in general has been seen as a way to heal the body naturally. Many hospitals around the world dumbfound started to integrate m edical wellness. Sometimes these medical wellness and spa treatments are called complementary or alternative treatments. The mayo clinic recommends for certain people the following forms of medical wellness for cancer patients, Acupuncture, Aromatherapy, Biofeedback, Exercise, Hypnosis, Massage Therapy, medicinal drug Therapy, Relaxation, Tai Chi, and Yoga.Medical PackagesThe health care sector in India has witnessed an enormous growth in infrastructure in the private and voluntary sector. The private sector which was very modest in the early stages has now be get in a flourishing industry equipped with the most modern relegate-of-the-art technology at its disposal. It is estimated that 75-80% of health care go and investments in India are now provided by the private sector. An added rundown had been that India has ace(a) of the largest pharmaceutical industries in the world. It is self sufficient in drug production and exports drugs to more than 180 countries.Bone Marrow Tran splantBrain mental processCancer Procedures (Oncology)Cardiac CareCosmetic SurgeryDialysis and Kidney TransplantDrug RehabilitationGynecology ObstetricsHealth CheckupsInternal/Digestive ProceduresJoint backup man SurgeryNuclear MedicineNeurosurgery Trauma SurgeryPreventive Health CareRefractive SurgeryOsteoporosisSpine RelatedUrologyVascular surgery1.2 Medical Tourism in KarnatakaSituated in the southern set off of India, the state of Karnataka spreads over the Deccan Plateau. At 300 BC., it had formed the southern tip of the Mauryan Empire. Its boundaries blown-up or receded swaying to the drum beats of history today it accounts for a sixteenth area of India has a population of about 45 million. Its language is Kannada its people are known as kannadigas. The three distinct regions are a narrow coastal area along Arabian Sea high hills, the Western Ghats straggling plains towards the east. Karnataka popularly known for Carnatic Music through out the World has given much m ore to the World than Carnatic Music, a unique form of Classical Music patronized by many across the continents. Karnataka with all its richness in culture and traditional grandeur is also one of the fastest growing states in terms of industries and facilities. Karnataka is also known as the ceiling of Agarbathi (Incense Sticks), Arecanut, Silk, Coffee and Sandal Wood. All this is apart from the fact that it has been the culture center for hundreds of years and its testimony stands spread across the state pulling millions of tourists from all parts of the world to Karnataka. Karnataka was known as Karunadu (elevated land) in ancient times. It is also believed that the name Karnataka has come from Kari-nadu meaning the land of inexorable soil say the scholars some others hold that Karunadu also means beautiful country either way the land is celebrated as beautiful end-to-end its ancient literature. The western strip across the Arabian sea is humid warm in summer, water-soaked i n monsoon, profuse with coconut grooves paddy fields criss-crossed by strips of silvery streams sparkling stretches of sand. The hilly uplands of Malanad, One of the wettest regions of the world, where the bamboo flourishes wild areca, teak, rosewood matti are grown. It is also the home of the stately gaur langur. In its southern reaches frequent kheddas are held to capture roaming groups of elephants. Also the swift deer the deadly tiger, roam animatedly in the forests. The east of the ghats is strikingly bare. This elevated stretch is supposed to be the oldest land on the earth where ancient rocks of earth are seen jutting in out odd shapes. Rivers like Cauvrey, Sharavathi Ghataprabha pass through upgraded valleys resulting in water-falls occasional rapids.1.2.1 The Capital par excellenceThe capital par excellence Bangalore today has become an Industrial Metropolis. It is also called Indias science metropolis. Sophisticated industries in the public sector hire thousands and thousands of workers. It is also called the Electronics urban center because most of the countrys basic electronic industries are based here. It is the fastest growing city in Asia. Aircraft building, telecommunication, aeronautics, machine manufacture, etc., hold in taken behemoth strides here. Bangalore was known for its salubrious climate, which however is now being debated because of the accelerated progress of modern industry. It is also called an pains-conditioned city and a pensioners paradise. Karnataka is beautiful not solitary(prenominal) in the eyes of her sons and daughters. She captivates any one who sets eyes on her. It was the great Mauryan Emperor Chandragupta who traversed all the way from Magadha to distant Sravanabelagola to lay his remains in this land before entering the Kingdom of God. The course of Karnatakas history and culture takes us back to pre-historic times. The earliest find of the Stone Age period in India was a hand axe at Lingasugur in Rai chur district. The Ashokas rock edicts found in the state indicates that major parts of Northern Karnataka were under the Mauryas. Chandragupta Maurya, the great Indian emperor butterfly abdicated the throne and embraced Jainism at Sravanabelagola. Adding saucily dimensions to the cultural and spiritual ethos of the land, many great dynasties left their imprint upon the aesthetic development of Karnatakas art forms. Prominent among them were the Chalukyas, the Hoysalas and the mighty Vijayanagara Empire. The Chalukyans strengthened some of the very early Hindoo temples in India. Aihole crouched up as an experimental base for the dynamic creations of architects. The Hoysalas who ruled from the 11th to the 13th century chiseled their way into the pages of glory by building more than 150 temples each one is a masterpiece in its own way. The amazing tact and fluidity of expressions at Somnathpur, Halebid and Belur open themselves to the wide-eyed wonder in ones eyes. Vijayanagara, the greatest of all medieval Hindu empires and one of the greatest the world over, fostered the development of dexterous pursuits and fine arts. The eye of the pupil has never seen a place like it and the ear of intelligence has never been communicate that there existed anything to equal it in the world is what Abdur Razaaq the Persian ambassador had to say about Krishnadevarayas time.The Vijayanagara Empire with its capital at Hampi fell a victim to the marauding army of the Deccan Sultan in 1565 A.D. As a consequence of this, Bijapur became the most important city of the region. This city is a land of monuments and possibly no other city except Delhi has as many monuments as Bijapur. The Bahmani Shahis and the Adilshahis of Bijapur beat played a notable part in the history of Karnataka by their contribution to the field of art and architecture and also by their propagation of Islam in the state. Hyder Ali and his valiant son Tipu Sultan are notable figures in the history of t he land. They expanded the Mysore kingdom on an unprecedented casing and by their resistance against the British, became personages of world fame. Tipu was a great scholar and lover of literature. His artistic pursuits were also many and he made rich gifts to the Hindu temples. Tipu Sultan Tiger of Karnataka was killed in 1799 A.D., and the Mysore throne was handed over to the Wodeyars. The whole of Karnataka came under the control of the British in the beginning of the 19th century. The new state was named as new Mysore and the Maharaja of Mysore was appointed Governor by Independent India. This unified state was renamed as Karnataka on November 1, 1973.1.2.2 Karnataka on global medical mapKarnataka and especially Bangalore is now an acknowledged global medical destination. This is because of referral quality health services supported by qualified and experienced medical professionals, reputed medical research institutions, well connected for travel, conducive climate and cost of treatment being just one tenth that of global hospitals. Between 2005 end and 2006 August, the state has also witnessed a funding of 445 crore from leading corporate hospitals as a part of the brownfield and green field projects. These include a Rs. 200 crore from the Manipal Health Systems, Rs. one hundred forty crore from Wockhardt Group of Hospitals, Rs. 100 crore from One World Hospital and Healing Centre promoted by Maureen Berlin and Rs. 5 crore by HealthCare Global Enterprises Limited ( human chorionic gonadotrophin), a attractor in oncology care in the private sector in India. Bangalore has been acknowledged as the city with the highest number of multi speciality medical perfumes which get successfully tempered a large number of international patients. These hospitals have turn up the clinical competence and clinical delivery systems, In the last 18 months, there has been a major growth in the healthcare sector in the state. From new hospitals to expansions and partners hips, the healthcare sector is on an upward swing both at the electric organization and private levels, verbalize the health minister.Under the state governments medical tourism project, six ISO 9000 certified district hospitals strategically located at tourist floater in Mandya, Hubli, Chitradurga, Kolar, Belgaum and the Vani Vilas Hospital in Bangalore are now ready to administer treatment during tourist emergencies. One of the main reasons why patients from the west come here is the long waiting period for a surgery in their country. Hence healthcare in Karnataka is on an expansion mode, stated Vishal Bali, vice president, Wockhardt and president, Confederation of Indian Industry (Healthcare). The state attracts foreign tourists in large numbers right through the year and many of the medical facilities can provide treatment on par with international standards. The team of qualified doctors, paramedics and extremely low treatment costs open up a huge business potential arising out of the difference in the cost of treatment. The ISO processes has helped in putting in place standardized protocols for functioning in all the departments of the hospitals in terms of processes and work operating instructions which are drawn from handling patients from reception to discharge. This has allowed the state to offer medical tourism services, stated Bali. Foreign tourists can cash in on the treatment cost factor which is one tenth lesser than in other countries stated Premachand Sagar, vice chairman and CEO, Sagar Hospital.Bangalore is also known for its leading medical facilities in all disease segments which include cardiac, nephrology, oncology, mental health, neuro care, orthopedics, ophthalmology, general medicine. Hospitals here get patients from Bangladesh, Pakistan, Sri Lanka, the Middle East and several African countries. Patients come here even from the UK and the US, certified Dr. Nagendra Swamy, Manipal Hospital. The hospitals identified for the medical tourism project are A.J Hospital and Research Centre, Bhagwan Mahaveer Jain Hospital, Hosmat Hospital , Mallige Medical Centre, Mallya Hospital, Manipal, Sagar Apollo, St.. Johns Medical College Hospital, Bangalore Institute of Oncology, Bangalore Kidney Foundation, theme Institute of intellectual Health and Neuro Sciences, Rajan Speech and Healing Centre and Shekar Nethrayalaya. Besides, the internationalist Holistic Health Centre (IIHC), headed by Dr. Issac Mathai. IIHC where its health and medical centre referred to as Soukya a prize exclusive world class therapeutic facility which adopts the concept of holistic healing combining all systems of medicine and therapies is also a recognised centre by the Union government. Soukya-India is a full-fledged health and medical facility at Whitefield near Bangalore which is thronged by patients from 42 countries. More hospitals, better services and corporate management have all created more jobs in the healthcare sector in Karnataka not just for doctors, nurses and technicians, but managers, administrators and IT-enabled services as well, stated government sources. For 2006-07, MHS allow invest around Rs. 200 crore for setting up new hospitals and acquisitions. In Bangalore, a 300-bed facility will come up in 2009 neat the new international airport at Devanahalli in Yelahanka. This will be a one-of-a-kind Quardinary Care Centre focussing on multiple organ transplant among other specialities. We need to deploy a combination of concepts in healthcare management like mergers, acquisitions and new investments which is an approach to survive in a high-risk business besides chalk strategies to keep ahead. In terms of bed strength, MHS is the highest in the country with a capacity of 5,000, informed R sweet basil CEO, Manipal Hospital.Wockhardt Hospitals Group has commissioned its state-of-the-art second hospital in Bangalore which is on the Bannerghatta Road. The multi specialty 400-bed facility with cardiac care, brai n spine, bone joint and womens health is judge to touch Rs. 140 crore investment once it is completed. The facility will have the highest intensive care unit of 75 beds. For paediatric cardiology it will become the National Referral Centre with a neonatal ICU of 15-bed. Between the two hospitals in Bangalore, the Group will have 520-bed offering. It will have the latest equipment from medical technology majors like Medtronic, GE Healthcare, Philips and Siemens and with the best medical professionals. A 200 bed One World Hospital and Healing Centre promoted by Maureen Berlin at an investment of over Rs. 100 crore on a 10 acre area within the premises of the leading 1,200 bed missionary medical centre, St. Johns National Academy of Sciences campus. Is expected to be commissioned in late 2007. This is a multi super specialty hospital with eight operation theatres, 44 intensive care unit beds. The treatment and therapy is based on the blended medicine concept proven and tried by Dr. Earl Bakken co-founded Medtronic, Inc. and inventor of the first transistorized cardiac pacesetter and founder, the North Hawaiian Hospital in the Big Islands, Hawaii. Hence the hospital will integrate modern medical practices along with yoga, Pranic healing and Reiki besides aqua-therapy proved by the western healthcare specialists HealthCare Global Enterprises Limited (HCG), a leader in oncology care in the private sector in India, has increase Rs. 5 crore in equity from IDFC Private Equity Fund II, a fund managed by IDFC Private Equity. The funds are to develop a countrywide network dedicated to oncology. Under the first phase of the project which entails an investment of Rs. 1.5 crore , 13 new cancer treatment centres at various locations and expansions to Bangalore Institute of Oncology will be made. Besides, PET-CT centre and GMP radiopharmaceutical unit and aboriginal reference laboratory and clinical trials management centre will be set-up, stated Dr. Ajai Kumar, Chairman and Promoter of HCG Enterprises.1.2.3 Dual Purpose TourismAccording to an official from the Karnataka Tourism Department, healthcare in Bangalore came into the limelight when Noor Fatima from Pakistan came to Narayana Hrudayalaya in July 2003, and was operated on by Dr Devi Shetty. After that, there was no looking back for the city. Her surgery was a landmark because not only did it help in thawing the hostility between the two neighbouring countries, but also drastically reversed the table in the medical scenario of the city for the better. Hospitals and corporate establishments in the city have realised the potential of this niche market and have accordingly channelised their needs and facilities. Travel agents and hotels are structuring their packages and holiday schemes in accordance with the inflow of foreign patients coming into the city. Corporate bigwigs like Apollo have collaborated with travel agents to come up with SitaCare in a bid to attract more tourists to the city. Its not just the Indians and the NRIs from the neighbouring countries who are streaming into India for medical treatment. Apart from NRIs, foreign patients mainly come in from the Gulf, Europe (mainly UK) surprisingly from South East Asia and the US. They come to Bangalore with a dual strategy in header to get their medical treatment at one-third the cost and to explore Bangalore. A spokesperson from Thomas Cook India informs, International patients mainly go to Coorg, Mysore, Hampi, Ketur, Belgaum and Bagalkot. In the long run, they add to the foreign substitute of the country. The idea is to kill two birds with one stone.1.2.4 Bangalore as a destinationFrom being a global outsourcing centre, Bangalore has now become a health bestower to the world. Medical tourism as a phenomenon is only eight to ten years old in the city. Compared to metros like Mumbai and Chennai, Bangalore was a late starter in the race. However, considering the entrepreneurial spirit of the city, it has caug ht up. Today, the city aims to become the numero uno in attracting foreign patients from all across the world. So the question is, why Bangalore? How has it managed to emerge as the hot put for healthcare both for domestic and for offshore patients? Experts point out myriad reasons. Dr Kishore Murthy, CEO, Hosmat Hospital explains, Bangalore is a well-known brand in the world. It is a knowledge city, has the top hospitals and also offers pleasant weather for patients coming here for treatment. Vishal Bali, CEO, Wockhardt Hospitals echoes, Bangalore has a tremendous impact in the world. Today, people abroad associate India with Bangalore. There is a dispense of new health infrastructure. Courtesy the IT industry it is known as the knowledge hub and the hospitals here are internationally acclaimed. According to a spokesperson from Manipal Hospital, The weather of Bangalore is perhaps the biggest factor for foreign patients coming into the city. It suits almost all patients. Patients say that unlike other cities, they are extremely comfortable with the weather here. Vittal Murthy, Secretary, Kannada Culture Information and Tourism throws light on another aspect. Bangalore has always been the hub for healthcare since the British era. Now, it has become the centre of attraction primarily because of the large number of top hospitals in the city and the innumerable medical institutes and colleges. Hence, the number of medical experts and professionals are also increasing by the day. Another source from Karnataka giving medication Tourism points out, most(prenominal) of the hospitals in Bangalore have capitalised on the growth of the floating population and the growth of the income bracket. Additionally, holistic health centres in the city also offer alternate systems of therapy like yoga, Art of subsisting courses and Ayurvedic therapies. Moreover, most experts from the industry acknowledge the fact that the cost of surgeries like cardiac surgeries, cancer treat ment or an orthopaedic surgery is one-third the cost charged in developed countries like the US or the UK. There is also a close nexus between technology and the healthcare sector in Bangalore. There have been cases in our hospital where a patient had not been diagnosed of a particular disease abroad but when they came here their disease was detected, adds the same spokesperson from Manipal. Online appointments with doctors and specialists have made treatment easier and the waiting period for patients has considerably reduced. This in turn has led to an inflow of foreign patients into the city, informs HOSMATs Dr Murthy. The concept of telemedicine is being used on a large scale by hospitals such as Manipal and Narayana Hrudayalaya. Resumes of doctors are displayed online so that international patients can read their doctors.1.2.5 International CollaborationInternationally-acclaimed doctors and specialists choose to venture out in this city-this is yet another feather in the cap f or the city, which till date was only associated with IT. This is not all. Hospitals are having tie ups with internationally acclaimed medical brands. Bali adds, Perhaps the plus point for Wockhardt is its association with Harvard Medical International (HMI), which has a reputation across the world for the quality services rendered to its patients. This in turn has led to more foreign patients coming into our hospital. International patients are very discerning. Before venturing out for treatment to another country, they see to it that they are well informed and not kept in the dark. At the end of the day, patients are always on the look out for quality services, and that is exactly what hospitals in Bangalore are aiming to achieve-to move the perfect equilibrium between quality and quantity.1.2.6 Different Strokes for Different FolksDifferent hospitals adopt different strategies to attract overseas patients. Sagar Apollo Hospital, for instance, has systematically planned its strat egies. We have standardized almost all protocols in terms of smoother licensing with international system of integrated health-oriented value additions, holistic health solutions as well as conceptual health-oriented options. For instance, we have started with a system of cashless payment with providers and working on a new concept healthcare focusing not only on the highest international standard healthcare but also on integrated health and hospitality snergy where the services are not just promoted as a package. It is rather positioned as an effort to highlight Bangalore as just not a medical hub but as a place which in technology travellers in taking their healthcare beyond boundaries at their personal standards. Hospitals in Bangalore are now providing the services usually provided by a five-star hotel. Accommodation in hotels, which is usually a herculean task for foreign patients, is provided both for the relatives as well as the patients. HOSMAT Hospital even has a building w ithin its campus to take on relatives of patients. Airport drops and pick-ups for patients and relatives are all rendered by the hospitality division of the hospital. Most of the hospitals have come up with a travel desk to cater to foreign patients and their relatives. Manipal Hospital, for instance, has an International Patient Care Centre. Additionally, a lot of emphasis is laid on the infrastructure of their hospital. Manipal, for example, has specially designed delux rooms, with posh dcor and offers myriad facilities like pantry service and a wireless Internet connection. HOSMAT Hospital is coming up with two floors in its premises dedicated to international patients. These two floors alone have around 80-100 beds. This is indicative of the growing realisation about promoting medical tourism in the city.1.2.7 Government Does Its BitApparently the Karnataka Government is taking a toilet of initiatives in promoting medical tourism in the state. An expert says, Not just the Karn ataka Government, but State Governments all across the country are realising the potential and the benefits that can come about through medical tourism. Most experts from the industry have acknowledged the fact that the State Government is supportive and enthusiastic in promoting medical tourism in the city in particular and the State as a whole Commissioner, Department of Tourism, Karnataka, states, We have regular annual meets wherein we talk with the medical industry on a one-to-one basis. We do have plans to form a council of the medical community, but it is in a nascent stage as of now. The Karnataka government right now is working in a meticulous manner. They first conduct research to study key players in the field, which include not just the top hospitals but travel agents and consulates in the city. Their performance over the year is reviewed and simultaneously suggestions are taken. Consulates and travel agents have their networks abroad. So, it is easier for us to have int ernational conferences and contacts, adds Tourism commissioner. Vittal Murthy also gives an interesting bit of information. After the advent of the IT industry in Bangalore, the IT park was opened up. On similar lines, with the advent of the healthcare industry here, we are contemplating curtain raising up a health park. However, the endeavour is still in its ideation stage and will take some time before it takes shape. The Government also holds health tourism expos. A recent one was held at Bahrain. Such meets are a platform for the Government to meet international experts from the medical fraternity and brief them about the competence of Indian healthcare industry. Its not just the State Government which is putting in a lot of interest. The Central Government, realising the potential of this sector, has come up with a national agenda and is holding tourism trade fairs at regular intervals around the year. This has given new nerve impulse to medical tourism. Naik diplomatically a dds, We are open to anything that will promote medical tourism. Ultimately, it is the doctors and experts from the medical fraternity who are responsible for the boom of medical tourism in the city. This remark is indeed a testimony to the positive nexus of private healthcare with the government.1.2.8 Travel Reaps the FruitsIt is not just the hospitals which are grabbing the limelight. Travel agents and hotels are cashing in on the situation and are coming up with schemes and packages to attract foreign patients to the city. They are gradually realising that immense benefits can be reaped. The Leela Palaces and Resorts, Bangalore, which purely caters to the corporate class, have now decided to spread its wings according to the change in times and trends. The five-star hotel group has decided to tie up with Manipal Hospital. Nitienaa Arif, Head- PR and Communications, Leela Palaces, Bangalore mentions, We are a business hotel, but understanding the need for medical tourism in the cit y, we have tied up with Manipal. Everything is in the processing stage. This is not all. The five-star hotel has also conjugated hands with Globe Health Tours. Air Travel Enterprises (ATE) also offers a whole lot of packages to foreign patients. EM Najeeb, Chairman and Managing Director, ATE, points out, We offer packages for cardiac surgery, plastic surgery, dental surgery, Ayurveda and orthopaedic surgeries. In addition to this, ATE has a meticulous plan chalked out. We first identify patients who want medical treatment in this part of the country. We then recommend them to hospitals. Their arrival, departure and accommodation are all handled by us. An important point to remember is that the role of travel agents and hotels is only in its dim-witted stage. Purnima Castelino-Dabreo, Public Relations Executive, Taj Hotels Resorts and Palaces, Bangalore, states, Medical tourism is in a nascent stage, but we are looking at cultivating it as a potential segment. The opening of the in ternational airport in the city has attracted the attention of not just the tourists but even players in the hotel industry. Altogether, there are 39 projects coming up in the city. This, in the long run can eradicate problems of accommodation in the city. It will take some time before these agents become one of the major forces in promoting healthcare in Bangalore. Vigilance and patience are the keywords-perhaps the means to achieve that end.1.2.9 Hurdles to OvercomeThe grass always looks greener on the other side of the fence. But the fact remains that for any upcoming trend, the journey is not smooth sailing. There are always two sides to any story. As of now, the major obstacle that might hamper the growth of this promising trend is the unsystematic infrastructure of the city. Due to increase in the floating population, the roads are congested and traffic snarls have become the order of the day. Hene, commuting in the city has become a major problem. Paucity of hotel accommodati on within the city for patients and relatives also poses an obstacle for international patients coming to the city. Despite an increase in service flats and a boom in the real estate business, there is no change in the problem. International flights have commenced in Bangalore, but there is connectivity only to a few countries. Bali points out, The first impression is lasting in the mind of a person visiting Bangalore for the first time. International patients in particular get dismayed at the appalling conditions of Bangalores infrastructure in contrast to the too-generous dcor of the hospitals. Daniel gives another interesting aspect, In case of medical evacuationswhere patients have to be airlifted, at least eight seats have to be reserved. Most of the time, this is not possible. Moreover, a lot of money is required to transport the doctor, the attendants the patients and their relatives.1.2.10 Possible SolutionsGovernment officials have chalked out a solution to this problem. I n another one to one and a half years, the international airport in Bangalore will have connectivity with almost all the major countries across the globe, predicts Murthy. He further adds, We are also coming up with a Metro Rail Project and five townships in the city to ease congestion. There are plans to launch air ambulances and helipads to facilitate easy transport of patients from other countries. And as far as the problem of accommodation is concerned, most hospitals are coming up with accommodation within their premises for patients as well as t