Thursday, September 26, 2019

Recovery of economic loss in negligence Essay Example | Topics and Well Written Essays - 1250 words - 1

Recovery of economic loss in negligence - Essay Example The commercial contracts include provisions either to exclude or limit recovery of damages generally for loss of business, profits or revenue which are contingent upon the breach of contract. However, it was held that ‘consequential’ is not different, but synonymous to ‘indirect’ by the English courts. In Croudace Construction Ltd. v. Cawoods Concrete Products Ltd - [1978] 2 Lloyd’s Rep. 55 (C.A.), Parker J. of the English Court of Appeal considered the usage of the word â€Å"consequential† and determined that it was no different than the word â€Å"indirect†. It was held â€Å"indirect or consequential† do not exclude liability for damages which are the direct and natural result of the breaches complained of. . . . I do not think â€Å"intermediate† adds anything to the word â€Å"direct† and I do not think â€Å"consequential† adds anything to the word â€Å"indirect†. Therefore the position is that the loss of business, revenue or profit could be excluded under special circumstances known to the parties on proof of special circumstances and for damages contributed to by some supervening cause. In the case of Saint Line Ltd. v. Richardsons Westgarth & Co. [1940] 2 K.B. 99 (K.B.), Saint Line purchased a set of ship engines from Richardsons. The engines were unsatisfactory and Saint Line claimed against Richardsons for (1) loss of profit; (2) wages; and (3) superintendent’s fees. The contract between the parties contained an exclusion clause as to â€Å"indirect† and â€Å"consequential damages†. The Court found that the claims were not precluded by the clause because the claims arose â€Å"directly and naturally from the breach†. (Sidnel, 2010, p. 113-114) In the classic case of Perre v Apand Pty Ltd [1999] HCA 36, potato produced with â€Å"non-certified† seeds was infected and the grower was awarded damages for breach of implied conditions of the contract under the sale of goods legislation. Due to quarantine laws, the neighbours of the grower were not able to export their potatoes, because they were grown within 20 km of the known outbreak. The neighbours were successful in obtaining damages in High Court for the financial loss, though they could not sue for damages for negligence in respect of physical loss because there was no damage to this effect on the basis that physical harm is not a precondition to liability in negligence for economic loss. In the present case, there is physical harm as well as economic loss consequent upon the damages. (The University of Queensland) Pure vs. consequential economic loss As against the consequential economic loss discussed above, in the case of pure economic loss, the loss strikes the victim’s wallet and nothing else. According to Bussani & Palmer (2003, p. 4), there has never been a universally accepted definition of ‘pure economic loss’ and a number of lega l systems neither recognize the legal category nor distinguish it as an autonomous form of damage. The same act of negligence might cause physical damage to one and pure economic loss to another, and in the later case becomes non recoverable unless it is intentional. Prima facie, the cause and effect relationship may appear to be simple. But, the causation in one's breach of duty relating to the harm to a third person is very complicated. The position is aggravated further by the facts which vary from case to

Wednesday, September 25, 2019

Movie Carrie Review Example | Topics and Well Written Essays - 1000 words

Carrie - Movie Review Example On one hand, he understands that Carrie White's night of revenge is motivated by the brutality of her classmates. On the other hand, his exoneration of Carrie is equalled in his contempt for the boy-men, girl-women who torment her. King's truest sympathies are always with the high school rejects; they are not only victimized by the cruelty of the majority, but because of their status as pariahs they often possess a level of intelligence and sensitivity sadly missing in their more popular peers. Carrie becomes doubly pitiful, because ... she can only wait to be saved or damned by the actions of others. Her only power is her telekinetic ability, and movie eventually arrives at the same point: King seems most unfavorably inclined toward the superficially well-adjusted, popular student with an overly active libido and a underdeveloped value system. His class presidents, football quarterbacks, and prom queens bear an unmistakable resemblance to the street punks who attend the same school system as a stopover on their way to jail: both groups of adolescents have completely severed their bonds with childhood innocence. In their vicious lust to exploit sex, alcohol, and violence (for they inhabit an exclusively physical plane of existence), their behavior is modeled on an extreme conception of adulthood. They want all the pleasure of worldly experience, with none of the responsibilities. Thus, they are simply young versions of the corruption which animates King's adult society. Horror films like Carrie is, primarily, produced and consumed by men. Why should this be It would seem that the experience derived from horror fiction (as opposed to the experience of horror in "real life") is peculiarly fascinating to men, or rather to the masculine subject, i.e. the subject constituted as masculine through the particular nature of his/her experience, particularly in early childhood. For the masculine child, the movement away from the mother, expressed as it is through abjection and the passage through the Oedipus complex, seems to be more traumatic than for the feminine child. For the feminine child there remains at least a possibility of reunion with the mother through identification; also, the feminine subject is actively encouraged to retain links with the maternal semiotic through the cultivation of such qualities as "intuition." The masculine subject by contrast depends for his very identity on the effectiveness of his repression of the maternal semiotic and o f desire for the mother. Carrie is dominated by those images of waste, putrefaction and decay which can be associated with abjection: these are, so to speak, the staple of horror. When we think of "the horrid" we picture blood, corpses, the violation of bodily limits. Via these images horror fiction returns us to the scene of primary horror in the abjection of the mother, a scene which, however, particularly for the masculine subject, possesses fascination, the power of the taboo. Images of abjection lead the masculine subject back not only to the movement away from the mother but also to the original repressed desire for the mother, which returns with all the force of the repressed, of that which can be allowed no place in adult life. Carrie seems to be designed

Tuesday, September 24, 2019

Compare and contrast the views of Meyer and Bok on the issues of Essay

Compare and contrast the views of Meyer and Bok on the issues of medical professional lying to patients. State and explain the similarities and differences in their views - Essay Example the disclosure of bad news to patients is a very difficult process; hence, it is beneficial for medical practitioners to adopt a neutral mentality between always telling the truth and never telling the truth when disclosing information to the patient. Bok however, is firm on the viewpoint that it is necessary for doctors to sometimes lie to the patient when certain conditions are met. He however does not agree with Meyer’s statement that truthfulness is impossible. She perceives it as failure to differentiate between the truth from truthfulness. Though she disagrees with this statement, in my opinion some similarities with Meyer’s viewpoint exist. Meyer believes that the truth cannot always be clearly defined hence; it cannot always be presented to the patient (Meyer, n.d). In this case Meyer provides the example of conditions that are terminal at time of disclosure, however, may have a cure in the near future. It coincides with Bok’s example of telling the patient he has at least four months to live, instead of telling him that he will die in four months. The fact that he will live for four months is verified, however, the fact that he will die isn’t. Meyer believes that patients may ask for the truth meanwhile they do not actually want the truth and simply want to gain confidence from the good news. However, Bok believes it is an empirical fact that patients want to hear the truth about their condition and doctors have no right or justification to withhold information on the assumption that patients actually prefer it (Bok, n.d). Bok agrees with Meyers’s view that the truth may sometimes harm the patient. Meyer refers to this as ‘therapeutic privileged’. However, Bok believes that this claim by Meyer is exaggerated and benefits from telling the truth exist and are not given sufficient attention. Bok believes that telling the patient the truth allows him or her to decide what steps to take forward in his or her treatment process. She allows

Monday, September 23, 2019

The benefits&limitations&ethical implications of a research method in Essay

The benefits&limitationsðical implications of a research method in the context of a particular methodology - Essay Example In participant observation the researcher takes part or becomes involved in the existing activities of the community and document observations. Generally the observer assumes the role being explored (Flick, 2009). However, similar to other research methods, participant observation in the context of ethnography has benefits and limitations. This essay explores these strengths and weaknesses, as well as its ethical implications. Benefits and Limitations Participant observation grants the researcher the opportunity to explore phenomenon from the inside. They are valuable in ethnography when behaviours and thoughts can be identified and appreciated best in their natural situation or when the observer plans to explore social dynamics or cultural trend over a period of time. They generate a wide array of information or knowledge about the responses of individuals and provide researchers the opportunity to build theories from the information gathered (Hume & Mu, 2004). However, the key bene fit of participant observation for ethnography is that it produces an accurate understanding of how individuals perform their daily activities or tasks. It presents truthful knowledge of how individuals view cultural or societal processes, norms, and roles when studied methodically, which implies that the researcher is not only performing an observation but is also examining contexts, situations, or relationships with an assumption of how interaction or communication must be taking place (Kirby, 2000). Hence, participant observation within the context of ethnography is a field that must be known to all corporate or organisational professionals. A perfect example is how Gary DiCamillo, the CEO of Polaroid Corporation, acted when he took on the corporate position in the 1990s (Stacks, 2010, 191). Aside from interviewing the members of the organisation, he checked the different Polaroid sites, visited the control centres and facilities, and participated in dialogues about the company w ith managers and employees. Due to his continuous participant observation, he was able to discover the company’s strong and weak points, and to plan his future actions for Polaroid (Stacks, 2010, 191). In essence, according to Gummesson (1999), participant observation gives the researcher the chance to have a profound, compassionate, and culturally-sensitive knowledge of how individuals perceive the world. It is particularly valuable in the ‘exploratory’ phase of an ethnographic study (Myers, 2008), when researchers have an unclear or indefinite idea of what they are trying to discover or understand and an unclear idea of what they will find out. The major limitation of participant observation within the context of ethnography involves the amount of effort, time, and related costs it requires (Bryman & Bell, 2007). In addition, because participant observation generally requires only one researcher in a particular social situation, it is not easy to find out if ot her researchers would evaluate aspects similarly and it is not easy to determine how generally results may be related to other situations (Symon & Cassell, 1998; Collis & Hussey, 2009). Thus one of the major limitations of participant observation is reliability. In summary, the strengths of participant observation are as follows: the researcher is responsive to new ideas; it can analyse the deepest aspects of social processes or cultural dynamics; it assumes the role or perspective of

Sunday, September 22, 2019

Visual Description & Personal Analysis Essay Example | Topics and Well Written Essays - 1000 words

Visual Description & Personal Analysis - Essay Example There is almost a balance between the minimal subject matter in the top half of the painting (the sky itself) and the human-formed objects, clustered, in the bottom half of the painting. The overall mood of View up the Grand Canal Toward the Rialto,† is calm. It uses good linear perspective and a painterly style to emphasize the calm, ambient lighting and the typical day on the Grand Canal. Overall, I find this painting very pleasing in its natural treatment of the subject matter. It is also natural in terms of mood and lighting. I like the interplay between the nature and man made objects and I also like the treatment of both of these things: in a natural, everyday way. â€Å" View up the Grand Canal Toward the Rialto,† has an organic color palette and content that seems typical of Italian paintings of the time. Frances Guardi captured a cloudy, calm day on the Grand Canal and evokes similar feelings within the eye of the viewer. Adolphe-William Bougereau’s â€Å"Breton Brother and Sister† is a typical depiction of naturalized and glorified peasant life. Bouguereau’s peasants are presented as clean and noble, and they are usually arranged in poses that recall ancient Greek sculpture. â€Å"Breton Brother and Sister,† is no exception. The sister and boy are in peasant clothing, brilliantly formed with paint to suggest thick texture for fieldwork. Their faces are naturalistic and show little outward emotion, though their eyes suggest stories of hard work but also of love. The interplay of cool and subdued colors in the clothing compliments the natural background and atmosphere of organic peacefulness and serenity. In addition, the bits of more saturated color, such as the boy’s cap or the warm dress, unifies the many different colors utilized in the piece. Overall, the content of â€Å"Breton Brother and Sister† suggests a glorification of labor,

Saturday, September 21, 2019

It is difficult for the reader Essay Example for Free

It is difficult for the reader Essay This Boys Life, set in America in the 1950’s, is a compelling memoir by Tobias Wolff, whom recreates the frustrations and cruelties faced throughout his adolescence, as he fights for identity and self-respect. During this period of time, America underwent major changes in the political and economic spheres, which in turn were responsible for its social makeover. Society in this time was geared toward family; marriage and children being part of the national agenda. The 1950’s was also an age of male dominance, where even if women worked, their assumed proper place was at home. Throughout the memoir, the protagonist, young Jack Wolff, makes it difficult for the reader to feel much affection towards him, as his actions prove to be troublesome and unruly. However, as the memoir progresses, Jacks struggle reveal the reasons for his actions which sequentially shape his character, providing the readers with understanding and sympathy towards his inexorable situation. The fraudulent lies and deceitful ways of Jack can be frustrating upon the reader; though we come to realise that he does this in order to be accepted by the people around him. Jack also engages in fights  and unfaithfully betrays his best friend Arthur, although it becomes evident that he only does this in order to gain Dwight’s approval of him. The lack of a real father figure in Jack’s life has a profound impact on him and his desperate attempt to develop his identity, which further supports the readers’ emotions of sympathy towards him. Jack lies relentlessly in order to escape the grim circumstances of his childhood. His life is fuelled with emotional neglect and verbal abuse; Dwight, his indignant step father, being the foremost cause. He desires of transforming himself into the person that he truly  wants to be; an image he believes will help him to belong and to be happy. The lies he tells are a constant source of comfort for him, as he relies on them to provide stability and hope in his otherwise unstable life. â€Å"I couldn’t help but try to introduce new versions of myself as my interests changed, and as other versions failed to persuade†, demonstrates an essential part of Jack’s character, as he lies in order to fit in. His identity would change with the different people he met, in order to meet their expectations of him and to obtain their acceptance. This  greatly contributes to the sympathy felt for Jack, as he renders the reality that he finds so difficult to accept as a young boy. Among many other lies throughout the memoir, Jack has the intention of creating a new identity for himself. â€Å"It was truth known only to me, but I believed in it more than I believed in the facts arrayed against it. I believed that in some sense not factually verifiable I was a straight-A student†. At this point, Jack takes his re-creation of identity to a new level. Jack is completely aware of what he is doing, although he does not stop. His incessant lies and then believing that they are the actual truth continuously reoccur throughout the memoir. This serves to show his insecurity of who he was, and his imprudent belief that he had the ability to become something better than what he was. Jacks fabricated attempts to re-create â€Å"new versions† of himself, reveal his instinctive lying nature, thus contributing to the annoyance the readers occasionally feel towards him. However, it becomes clear that Jack is confused; he wants to belong. This misperception, and yearn to fit in explicates why feelings of sympathy by the readers towards Jack are inevitable. Jack is forced to live with his violent stepfather Dwight. Dwight cruelly exercises authority over Jack, in order to create a sense of dominance over him â€Å"Dwight would dump a pile of nuts on the floor of the utility room and put me to work with a knife and pair of pliers until he judged that I’d done enough for the night†. Because of this, Jack is determined to prove to Dwight, himself and the reader that he is not the person Dwight defines him as. Jack is not hurt by Dwight’s accusations that he is a thief and liar because â€Å"I did not see myself that way†. However, when Dwight calls Jack a sissy, Jack thinks of Arthur, who is his best  friend and the biggest â€Å"sissy† in school, and remembers how the word sparked the fight between him and Arthur. Dwight treated Jack differently for a few days; with certain deference â€Å"Dwight took the calls and explained that the papers had been ruined in a fight, adding that his boy Jack hung a real shiner on the Gayle kid. † This was the only time he expressed a genuine interest in Jack that bordered on admiration, rather than disgust. Dwight was always associated with hatred and negativity, but because of this certain deference after he fought, Jack felt a certain connection to him as a father figure. He felt as though he finally impressed Dwight, and even felt loved because of Dwight’s respect towards him. This discloses that Dwight’s actions had significant influence over Jack, as he continued to engage in these violent fights, in order to demonstrate his masculinity to Dwight. Jacks violent nature is driven by his belief that he has to prove his masculinity to Dwight. This attests annoyance within the reader; as Jack claims he â€Å"defined myself in opposition to him†, he ironically shares the traits of Dwight, such as violence and his desire to be regarded as powerful and masculine. However, Dwight’s deference towards Jack after he fought contrastingly draws sympathy for Jack from the readers, as it reveals his desire to belong; his desire to be loved. Jack’s friendship with Arthur plays a significant role in the re-creation of his identity. Arthur was recognised as a â€Å"notorious sissy†, and because of this Jack worried of the social implications it would consequently have on him by being friends with Arthur. â€Å"To put myself in the clear I habitually mocked Arthur, always behind his back, imitating his speech and way of walking, even betraying his secrets†, demonstrates Jacks desperation to acquire acceptance  from others, even if it meant denying a part of himself- a friendship- that actually made him happy at times â€Å"but I had withheld my friendship, because I was afraid of what it would cost me†. Jacks betrayal of Arthur imparts anger in the reader, as he attempts to impress people who are not his real friends. However his confused identity and lack of self-confidence justify his disloyal actions, particularly because of the circumstances he was faced with at such a young age. Parental neglect plays an important role throughout the memoir. This is first evident in  the text when Jack says â€Å"after all, he was in Connecticut and we were in Utah†, signifying the substantial physical and emotional distance between his birth father and himself. Fathers play an important role in their child’s upbringing and development. Due to this lacking in Jacks life, the responsibilities of growing up prove to be difficult for him, evident through his confused identity and troublesome ways. Furthermore, Rosemary’s ex-husband Roy plays a significant role in shaping the way Jack thinks and reasons, particularly from such a young and susceptible age. â€Å"I thought Roy was what a man should be†, reveals Jack’s naivety at  such a young age; as Roy, abusive and indignant, was in fact the complete opposite of â€Å"what a man should be†. Wolff is once again faced with a man, Dwight, who abuses him and sets a terrible example for him. His violent nature plays a major part in Jack’s development, which ultimately forms his identity. Dwight’s actions have such an influence that â€Å"Jack† writes about Dwight’s voice being ever-present in his head and own voice, even as an adult; even as a father. â€Å"I hear his voice in my own when I speak to my children in anger†. The sympathy felt by the readers for Jack is inevitable, as his brutal childhood is left with him for the rest of  his life. Although Jack makes it difficult for the reader to feel much affection towards him on some occasions, the abusive, neglectful and violent experiences he is confronted with at such a young and vulnerable age conveys a sense of understanding, which in turn rouse feelings of sympathy towards young Wolff. Jack lies constantly; whenever he is presented with the opportunity to. This frustrates the reader is some instances. Generally though, reasons for this are understandable, such as his confused identity due to the violent and emotionally unstable life he lives. The violent fights he associates himself with, and the betrayal of his  Ã¢â‚¬Å"best-friend† Arthur, leave the readers in a position to question whether his motives can be justifiable. However, these fights and betrayal are a reflection of his desire to be accepted by others, and the masculine, powerful man Dwight’s expects him to be. The lack of a real father figure largely affects Jack and all aspects of his character, from his deceitful ways, to his violent involvement in fights. Because of this, compassion and sympathy prevails over the occasional frustration felt towards Jack by the readers. In supposition, Jack is a helpless child seeking a happy life; an identity he is truly happy with.

Friday, September 20, 2019

The Health Industry Of Malaysia Health And Social Care Essay

The Health Industry Of Malaysia Health And Social Care Essay Obesity has emerged as a big issue in most countries. Countries such as Malaysia has identified this problem as one of the burden in health care system, which it has been linked to high mortality and morbidity related disease in many private and government hospital. Formally obesity is assume as a symbol of wealth, prosperity and health, but on this day it has been an enormous threat to the future generations where most of them died of complications due to overeating and not starve to death. The prevalence of obesity realted disease in this country has leading to a rapid increase of incident in chronic disease. According to Health Ministry statistics, heart disease is the third leading cause of deaths of patients in this country. If compared to the same statistics in countries that have developed as Western Europe, the United States and Japan, the leading cause of death in their country was cardiovascular disease. This clearly indicates that we were moving towards westernization in e xperiencing the same problem face by the developed countries. As we know obesity is a problem that will lower the quality of life and the leading causes of many chronic diseases in later life. Myres (2002) state that obesity is an excess of body fat that frequently results in a significant impairment of health. Unfortunately this problem should not be the cause of death if they have little knowledge about the disease and raising awareness about obesity. Thus it is not surprising the number of obesity has increase every year because of their ignorance and lack of public understanding about the cause of obesity. Working with an environment that tends to lead my patients become into obese has made me aware of my responsible to take part in battling this issue before it become into a heavy burden on my health care system. Over all my paper will not only focus on my patient, but also to the society as well on the consequences of obesity in term of health and economic cost that will indeed occur if there is no immediate action taken. Besides that, I will also explore in depth on how this issue can be a complication-related lifestyle and recommendations for re-appraise our own practices accordingly. Body Obesity is a condition where a person has excessive body weight due to accumulation of fat in the body. Obesity results when the size or number of fat cells in a persons body increases Myers (2004). Obesity is usually assessed by using Body Mass Index (BMI) and the level of obesity is a global standard of classification of respondents either underweight, ideal weight, overweight and obese. BMI is calculated by dividing a persons weight in kilograms by height (in M  ²). A BMI of 18.5 to 22.9 consider as normal, 23 to 27.4 as pre-obese and above 27.5 is to overweight (obese). According to BMI standards, individuals are said to be overweight when BMI is between 25.0->40kg / m ² (Ismail I S elt. 2004). Generally, from the observations that has been made on my patients founds that not all of them eat more than the amount consumed by their body weight was obese, but what is for sure those who are obese eating more than what is needed by their body and most of them who are obese are mor e significant to get the disease-related obesity than those with normal body weight. Listen Read phonetically World Health Organization estimates that by 2015, roughly 2.3 billion people in the world will have more weight and 700 million people worldwide will suffer obesity (National consumer Campaign 2010). More worsen, this phenomenon will continue growing into an epidemic and spread to most developing countries. Malaysia is a Southeast Asian country which has the second highest obesity in population. According to National Health Morbidity Survey (2006) found that 29% of Malaysian adults were overweight and 14% are obese, which mean 43% of Malaysian adults (or 2 in 5) are overweight. Compared with the 10 years back the survey reported that 17% (or 1 in 5) of Malaysian adults were overweight and another 4% were obese. Through the differences over the 10-year period, the increasing of overweight among Malaysians had clearly had jumped into 70% and more surprising obesity has risen to 250%. Thats why it has become a serious concern for the ministry to confronting this issue, which it has lea d to many chronic disease including renal failure in Malaysia. In my dialysis center, diabetes mellitus and hypertension were the main causes of my patients are been diagnosed with kidney disease and most of them also have excessive body weight. Although they have been diagnosed with diabetes and hypertension disease, many of them are still ignoring the daily diet and proper nutrition for them. As a result, mortality of chronic diseases becomes higher in my center. Causes Dealing with obesity, what actually cause the problem to occur? To answer these questions, we need to look at the factors that can cause obesity. According to health experts, based on the results of the study, obesity can be influenced by various factors. These factors are among genetic factors, gender, excessive eating patterns, lack of sports motion, emotion, and environmental factors. So far there has been no strong evidence and data available linking gender and genetic is the main contributors to obesity in my center. However through my experience which almost 10 years shows that obesity is more likely linked with the lifestyle and environment compared to other factors. Many experts believe that this factor does have a significant impact in contributor the cause of obesity in developing countries. Swallen KC, elt (2005) found the results of his research shows that obesity is closely linked with the unhealthy quality of life. WHO (2003) also noted that the leading factor are incre ased consumption of energy-dense foods high in saturated fats and sugars, and reduced physical activity. Thats why I find that excessive sugar intake in beverages and food will certainly lead to diabetes and if this problem is not treated immediately, patients may require dialysis to survive, because of kidney failure.Listen Read phonetically As the populations become urbanization, the increase in the standard of living and modernization in most countries is usually accompanied by increase in weight gain and obesity. Young people in socio-economic groups are more likely concerned with their career as demanding on hardworking has been a necessity in worldwide. At the same time, dependence on automated technology such as elevator facilities or modern transportation has reduce of their physical activity. In childhood obesity is already become a serious concern in Malaysia whereby obesity related complication also on rise among the them. According to Lim Y N elt. (2008) in 2006, the dialysis incident rate for age Genetic factors also play a big role in contributing to the risk of obesity where it can be inherited from the previous generation to the next generation in a family. Some individuals appear to be born with a genetic predisposition to obesity that is readily nurtured by our nations lifestyle (Thomas A. 2002). The most prominent feature of childhood obesity are other family members also face the similar problems and this usually is caused by a genetic defect called Lawrence Moon syndrome Biedl, syndrome. However, this doesnt mean that if there are families members who are obese and suffer from diabetes or hypertension, the other family members are not necessarily will get kidney disease. Implication Obesity is not a trivial issue. Its a health hazard. One of the major problems that will faced by the obesity children are insulin resistance and metabolic syndrome as stated by Kelishadi (2007) metabolic syndrome is also higher among the adult population in Asia. WHO (2002) as well reported that overweight and obesity also lead to adverse metabolic effect on blood pressure, cholesterol, triglycerides and insulin resistance. Risk of coronary heart disease, ischaemic stroke and type 2 diabetes mellitus increase steadily with increasing BMI. This clearly shows that the obesity is one of the primary factors causing of all this chronic disease and associated with increased risk of death. In Malaysia especially in the dialysis center, the epidemic of chronic diseases have been seen to increased rapidly than expected, which almost doubled over the last decade. I find that many of my patients have diabetes and hypertension before this and up until they had suffering from kidney failure. According to The Star (2010), there is over 14.9% of Malaysian population aged above 30 are suffer from diabetes and hypertension respectively which has increase from 8.3% in 1996. While 20.7% of adults aged over 18 will be at risk suffering from high cholesterol. Lim Y N elt. (2008) also stated that diabetes mellitus continues to be the commonest cause of renal failure and has been the cause of at least half of new dialysis patients since 2002. Hypertension was the second commonest known cause of renal failure at about 7%. However the main cause of death in renal failure patients is cause by cardiovascular disease which remained the main cause of the death in 2008, accounting for 29%. A ll of these scenario show that obesity is the commonest complication related to many chronic disease. As mentioned earlier this obese subjects also had a significant impact on the economy which, the government have to bear the increasing budget and long-term financial burden to organize the health programs and such medical treatment. According to WHO (2003), Obesity accounts for 2-6% of total health care costs in several developed countries; some estimates put the figure as high as 7%. The true costs are undoubtedly much greater as not all obesity-related conditions are included in the calculations. Cost to be borne by the patient to get dialysis treatment is also very high compared with other diseases as they requiring dialysis treatment for a lifetime. Kasemsup V elt. stated, in government perspective, the average cost for hemodialisis would be approximately 49 USD per session and total costs for access to HD (without erythropoietin injection) would range from 5,140 to 7,160 USD per case per year. Total costs for PD (without erythropoietin injection) would range from 4,640 to 7,280 USD per case per year. The estimates of costs for HD and PD are similar to costs for RRT in Malaysia. As well asListen Read phonetically health care today is also considered costing a lot of cost where as health care has been made as an economic activity. For young women, obesity becomes a problem serious enough, because of their desire to be perfect and slim is a dream for them. As a result, thousands dollars of money spent on diet, medications, and treatments for losing weight. As young men they are also afraid to be fat. For them, the fat man would be experiencing problems severe enough to attract the opposite sex. This of course will require a lot of money to be spent on a diet, buy slimming drugs and sports equipment just to reduce weight. Although they had to bear the burden in the battle against obesity and the disease, with the rapid economic growth and variety of health program organized by the government, has given them a better quality of life than the past.Listen Read phonetically Listen Read phonetically Policy Implementation of policy is very important in preventing this problem before it become into a catastrophic especially for the younger generation. Working in dialysis department has many advantages and potentials that can be done for patients to strengthen and maintain their healthy lifestyle. One of the programs in our policy here is health education, which it has a significant impact on their lifestyle. We always diversify the programs and measure they basic knowledge about the diseases and complication so they can make the wise decision to make changes in their cultural lifestyles and get help or counselling to deal with the problem of obesity. Greater emphasis on patient care also done through plan, organize, analyze and evaluate patients blood test results to determine the level of sugar and foods intake such as phosphate and potassium. The results of blood test are important to us to know their eating habits and thus the nutritional assessment can be made. The health system launched by the Ministry of Health Malaysia also very brave in implementing total transformation or make changes to the comprehensive strategy approach to combating the obesity of lifestyle. Promoting and improving weight management through programme Healthy Lifestyle Campaigns by the government has been running since 1991. However the most significant government policy in health promotion today is improving and focusing on the important of excercise, dietary habits and nutritional status under the National Nutrition Policy with the collaborations 10-year National Plan of Action for Nutrition from years 2006 to 2015. The government also has outlines the objectives, to plan and implement health promotion programmes and activities for the benefit of the community with a particular focus on youth. To fund and support sporting, recreational and cultural organizations to promote healthy lifestyles and healthy environments (Malaysian Health Promotion Board Act 2006). Recommendation Dealing to address the obesity should be made through the various aspects of approaches. Controlling eating and lack of exercise alone to achieve weight loss is not only the solution. From my past experience of public participation, it was found that the response of my patients and as well as the public to participate and understand the health programs that have been organized is very poor. The structure and guidelines with the goals, objectives and policies in form of a statement is often difficult to understand by them. As a result, their respond is very low in participation and certainly this implementation process will brings into questions on the effectiveness of health programs that can make aware of the community. Therefore, the existing campaign must be improved and intensified to convince them of the importance of health care. Health programs need to be restructured and reorganized in order to expand to the whole community, especially for the target group. Health policy shou ld be reviewed immediately in line with the increase of the disease and for a better outcome. To be more effective, I also recommend to my hospital for providing exercise facilities or fitness centres and free medical check up to attract them. Apart from that the Ministry must provide a large amount of expenditure for the purposes of promoting programs such as advertising programme, which its has own way in getting people excited about healthy lifestyle. The advertising programs that aim to reduce this burden also should be expanded and made easier for all levels of community to understand the message.Listen Read phonetically Listen Read phonetically But for the advertising of a variety of snack food products should be prohibited by the Ministry. Concerned about a toxic environment such as urban planning and junk food in schools only the act or the law alone can change the environment into a healthier and safer for the community. However, some of the contributing factors such as fat gene the thing that cannot change but of course they can work even harder to control their way of lifestyle. But what is the most important part of all is the involvement of all parties in addressing this epidemic become more wide. Listen Read phonetically Conclusion Generally, this disease has become a huge burden in my work place as well as in my country. With the available data, show that this issue frequently occur in developing country. By knowing the most common cause and incidence of the disease, we can understand how dangerous this scenario to the society. The high prevalence rate of this problem gave a lot of negative implications on health and economy, as the society are suppose to be the economic power and energetic generation in the future. However government has reinforced their strategy and target in combating this problem. Meanwhile health policy also should be reviewed immediately to improve for better public health outcomes. If these problems are not prevented from the very beginning can weaken the structure of society and become be a heavy burden on health care system as most young people will suffering many of the chronic disease. Therefore, obesity must be tackled as soon as possible before more and more Malaysians will experience it.