Monday, September 30, 2019

Baptism and High School Student Essay

My mom told be that when im with her tummy bear she’s always angry, can’t sleep well and eat lots of food. She was always fighting with my father that time. During my christening, they told me I have more than 20 Godmothers and Godfathers. Back when I’m months old, my mom said, she doesn’t like other people kissing me, except to all my Godparents, because she doesn’t like me to smell bad or even get dirty. She even told me that I cry a lot. She also told me that I only have 3 colors in all my clothes; pink, yellow and white. All my clothes are beautiful to me, I’m so clean and tidy. see more:survey questionnaire about tardiness I took a bath 3 to 4 times a day, every minute she puts powder on me . I’m so fit and sexy way back then because of my mom, she doesn’t want me to go outside and play with other children. Sometimes, I go out without their permission, just to play and bond with other kids . During my Nursery days, I always have my lunch box with me. They always put in it some cookies with a house drawn to it. But when I started to learn how to read, it was, Cream ‘O cookies . Then, during my Kinder days, I became a Twinkle Star in our Girl Scout. I was so shy and as I remember, I was so sick. Back then, if I’m not feeling well and my tummy is aching, I immediately throw up. I cry and cry because all I wanted that time is to go back home, I really hate mosquito bites. In Grade 1, during the Foundation day, our class presents a dance and I was in the back row because I don’t know how to dance. That’s my weakness, so I do everything, and practice a lot, then in grade 2, I was in the front row and became the leader of the group, and our principal was sitting in front of me. There was a point in my Grade 1 life that my teacher always gets mad at me, because I always bring attitude to school. It’s because at home, I am a spoiled brat, my parents always give me what I want . In Grade 6, I always make fights, I’m so bully and I am so confident in myself, because I am always a muse in our class . And in High school, there was a time, that some of the school leaders choose me to be their representative as Ms. Intrams. I became 1st runner up in the Ms. Girl scout of all entire Makati. I also became Lakambini SA buwan ng wika, which makes my mom proud. All about the that special event in my entire high school life, my mom is always there to support me. Even if the gown is expensive, she still bought it for me. And as I remember, she even registered me to one of this workshop, which is a ramp model. She wants me before to be an artist. Half a month of my 3rd year high school, I met a church that’s â€Å"Victory Fort†, that was the time I realize everything. What Christ did for me, â€Å"Salvation†. It made me realize how strong the Gospel is, the moment Christ sacrifice himself at the cross, to forget all our sins and to let us all live. God reveals so many things to me, and during March 23, 2013 I was baptized with the Holy Water. I was born again. I know the real Elaine, the real me. When I was in my last year of High school, it was the happiest year of my life as a high school student. All of my classmates are so close to me and we all wishes to have pictures together with all our teachers. And during our JS Prom, I felt so elegant with my dress, my friends were shocked with the way I dressed up. It was way too far from the real Elaine. Whenever I’m bored or nothing else to do, I just enjoyed playing chess with my siblings, friends or parents. The people involve in this church, they were the ones who let me see how important my life is, my body and they remind me what did Jesus Christ do to me just for me to live and how strong His Love, Mercy and Grace for us. God changed me, inside and out. 2 Corinthians 5:17 New International Version (NIV) Therefore, if anyone is in Christ, the new creation has come, The old has gone, the new is here! When I was in my last year of High school, it was the happiest year of my life as a high school student. All of my classmates are so close to me and we all wishes to have pictures together with all our teachers. And during our JS Prom, I felt so elegant with my dress, my friends were shocked with the way I dressed up. It was way too far from the real Elaine. Whenever I’m bored or nothing else to do, I just enjoyed playing chess with my siblings, friends or parents.

Sunday, September 29, 2019

Thorn Queen Chapter Twenty-Four

It tasted as bitter as always, but as I drank, Markelle lifted her eyes. There was nothing obvious in them, no wink, no expectation. Yet, somehow, I knew. I knew. It was the fake again. Satisfied that I'd swallowed it all, Abigail gave me a withering glance. â€Å"We need you cleaned up. That fool is coming for you again later tonight, and he did a number on that dress last time. He wants you looking good, though, so†¦Ã¢â‚¬  She gave a half-hearted shrug. Naturally, I couldn't tell her that my dress's rumpled and slightly torn state had nothing to do with Leith's sexual aggression, but, rather, an angry spirit bent on killing me. Markelle's eyes were downcast once more. â€Å"Should I get her a new dress?† â€Å"No. You've got to clean up too. Art's going to be here in a little while for you.† The girl flinched, but Abigail didn't seem to notice. But then, why would she? She didn't notice any of these girls, not really. And I knew what those words meant. Markelle's time had come. â€Å"I'll send in that freckled one, once she wakes up again.† I realized that she was me and that I should allegedly be going under. I sank back against the covers, blinking like I was trying to stay awake. The two of them left, Markelle giving me one last fleeting glance. There were a lot of things in her wide eyes as she looked at me. Fear. Hope. Anxiety. I exhaled once they were gone and sat up. Plan time. My muscles were still weak, but they reminded me more of what you'd feel after a hard run. What had Markelle said before? Twelve hours was the normal dose? I was at that point. The nightshade had to be significantly wearing off. Theoretically, my magic should be returning too and- â€Å"Why, hello,† I murmured. I'd sent my mind out into the room and had just barely-barely-felt the tingle of air and water. I wasn't going to be blowing anyone apart soon, but the magic was coming back. And when it did, these assholes were fucked. But I needed to wait this out. I wasn't going to jump the gun like I had with Volusian. Every minute brought the magic and my strength back. I had to use this downtime to assess the situation. Abigail was in the house still. Art and Leith were eventually coming back-together or apart, I didn't know. The one thing I felt confident of was that I did not want to face all of them at the same time. That meant Abigail had to be taken out first, but I was going to need help. In what must have been a little over an hour, Cariena slipped in with a pink silk dress. It reminded me of something Maiwenn would wear. Apparently, no one had gotten the memo that redheads don't wear pink. I stood up and took the dress from Cariena, promptly tossing it on the bed. She looked aghast that I'd gotten up without falling over. Considering all that had happened recently, I couldn't blame her. â€Å"Your m-majesty, what-â€Å" â€Å"Cariena, we're getting out of here.† â€Å"We can't!† â€Å"Oh, we can, and we are. Where's Markelle?† I had a feeling I was going to need an accomplice with a bit more boldness. â€Å"And Raina?† I rarely saw the third gentry girl around here and had no clue to her attitude, but she needed to be accounted for. â€Å"Raina's in her room. She was-disrespectful. And Markelle is preparing herself.† Preparing herself for a lifetime as a sex slave. I grimaced. â€Å"And Abigail?† â€Å"She's upstairs. Watching†¦Ã¢â‚¬  Cariena groped for the unfamiliar word. â€Å"†¦the television.† â€Å"Okay, okay.† My mind was spinning now. It seemed to be recovering faster than my body. â€Å"Here's the deal. I need a weapon. Is there anything you've seen that would work as one?† â€Å"We can't do this. We can't-â€Å" â€Å"We can,† I ordered, making my voice hard and fierce. This girl had been beaten into weakness, and if those shamans scared her, I would make sure that I-her queen-scared her more. â€Å"And you will obey me. You're my subject. You'll get out of this alive-I swear it. You'll see your family.† She was still scared out of her mind, but she gave a weak nod. â€Å"I see Abigail and the Red Snake Man carry weapons, but there are none around. I couldn't touch them anyway.† â€Å"Alright. We'll make do with†¦hey, is the garage attached to the house?† â€Å"Garage?† â€Å"Another building. One where they keep cars.† I recalled the garage but didn't know if it connected directly to the house. Surely she knew what a car was. She nodded. â€Å"Yes. They go in and out of it sometimes. It's attached to the kitchen.† â€Å"When you come down here, whose room do you pass first out there in the hall? Mine or Markelle's?† â€Å"Yours†¦Ã¢â‚¬  Cariena was clearly puzzled now. â€Å"Perfect. I know what we're going to do. Take me to Markelle.† There was a moment's hesitation, and I knew this was the turning point of whether she could help or not. The door was unlocked; I didn't need her. But if I didn't have her assistance, I'd have to knock her out to keep her out of the way. â€Å"This way,† she said at last. Markelle nearly threw herself into my arms when we walked into her room. â€Å"Your majesty! I knew you'd do it. I knew you could†¦Ã¢â‚¬  She wore a strappy little red sundress and had been applying makeup. Funny. I got dressed up like gentry royalty, and the girls here were dressed like human whores. â€Å"Shh,† I said. â€Å"We're not out of here yet.† I hastily whispered my plan to them. Markelle understood instantly, and although Cariena still seemed terrified, she also appeared determined. I returned to my room, body tensed for action as I waited for my plan to unfold. Pressing my ear to the closed door, I listened as Cariena's feet thudded up the stairs. Presumably she spoke to Abigail, but I couldn't hear anything. A few moments later, two sets of feet came downstairs, walked past my room, and went to Markelle's. I opened my door a crack to make sure the hall was empty. Next door, I could hear Markelle having the nervous breakdown we'd planned-saying she was afraid to leave, afraid to meet this man, didn't know what to wear†¦. Abigail, clearly irritated, began to scold her, much as she had responded to Leith's whining. I waited to hear no more and turned in the opposite direction, heading for the stairs. When I reached the main floor, I did a double-take. The house was beautiful, all new construction and designer decorating as befitted the neighborhood Art lived in. The gentry sex dungeon below us kind of detracted from the maple cupboards and crown molding, though. All the curtains were closed, the windows covered with iron grating, and outside I could just barely make out the Sleeping Beauty hedges blocking the windows too. Art's lawn maintenance had been about more than aesthetics. The patio drapes I'd so admired weren't laced with silver thread. It was iron. The garage was adjacent to the kitchen, just as Cariena had said. The top half of the door leading out to it had a window covered with more iron grating. I turned the doorknob. Locked. There were no signs of keys anywhere, which meant I'd have to do it the hard way. First, I double-checked the kitchen and living room, looking for any other weapon options. On a good day, I could have taken Abigail with my own fists. This was not a good day. Kitchen drawers revealed butter knives, nothing sharper. With a sigh, I returned to the garage door. This was it. The grating was loosely bolted, enough to keep it up and prevent the girls from touching it. Hoping I'd gained enough strength, I gripped the sides of it and tried to jerk it off. For a moment, nothing happened. Then, in one movement, it ripped from the wood. I froze, waiting to see if anyone downstairs had heard, but the deed appeared to have been performed fairly silently. The next part, I knew, would not be so quiet. I dragged a chair up to the door and then grabbed a smaller stool used to get into high cupboards. It was metal and had some heft to it. Would it be enough? I stood on the chair and swung the stool forward into the door's window. Yup. Enough heft. More than half of the glass broke. One more swing got the rest of it out, and I climbed through the hole into the garage. The whole maneuver was a bit awkward on my part; I wasn't in that good of shape yet. But, I made it through, incurring only a few cuts on my arms and legs. I knew, however, I was seconds away from Abigail's arrival. There was no way that breaking glass had gone unnoticed. Small patches of light streamed into the darkened garage from narrow windows as I peered around. Yes, it was a normal garage-albeit it one with a Jaguar in it. I guessed that was why Art had to keep the SUV in the driveway. Part of me wanted to go kick in the car's door, but there was no time. I had to assess the garage's other contents. Scattered tools. Bags of fertilizer. Art's gardening equipment. A heavy metal wrench held my attention for a moment, but then I decided I needed more leverage with my weakened state. I selected a shovel from Art's gardening stash, its scoop heavy metal and wooden handle sturdy. From inside the house, I could hear shouting. It wasn't going to take Abigail long to figure out where I'd gone when she saw the glass. Grateful for the darkness, I darted over to the side of the door that led into the house, pressing myself as flat as I could against the wall. There was a click as the door from the kitchen opened, but no one came out right away. I could picture Abigail standing there, looking around for any sign of me. After several heavy seconds, I saw a hand holding a blade-an athame-come out the door first, defensively positioned in case I came charging at her. That wasn't my intent, though. I wanted to get her from behind. She took one step out, still cautious and slow, looking around everywhere. I had to give her credit for that. She didn't just barrel forward; she knew I might be waiting by the door. And in fact, when she looked in my direction, that's exactly what I was doing. My shovel hit her in the side of the head before she could react. She crumpled to the ground, athame clattering against the concrete floor as it fell from her hands. I knelt down and immediately scooped it up and left the shovel. There was a bloody mark where I'd struck her, and her eyes were only half-open. My hand checked her pulse and found she wasn't dead yet. She was going to have a hell of a headache or concussion when she woke up-which wasn't something I could allow to happen any time soon. I left her lying there on the garage floor and stepped back into the kitchen. I opened a few cupboards and found what I'd hoped I would: the household's stash of medicine. Tylenol, multivitamins, et cetera. Behind them were a couple of prescription bottles. One I didn't recognize, but I thought it was some sort of heart medication. The other was Ambien, and I smiled. Just like me, a lot of shamans were insomniacs. I popped a pill out of the bottle, reconsidered, and grabbed a second. I then propped up Abigail and managed to shove the pills down her throat, with the help of a glass of water and some acrobatics with my fingers. â€Å"Payback's a bitch,† I said when her reflexes kicked in and she swallowed the pills the rest of the way. She wouldn't be waking up any time soon. I stepped back into the kitchen and saw all three gentry girls standing there and staring at me. Cariena and Raina looked afraid. Markelle, though she bore a red slap mark on her face from the confrontation earlier with Abigail, looked excited and defiant. I ordered them to carry Abigail downstairs and lock her in one of the rooms. I didn't know which way Art would enter the house and couldn't risk him finding her on the garage floor. Of course, if he did come in through the garage, the shattered glass was going to be a dead giveaway that something was up. Before they took Abigail away, I frisked her, hoping to find another weapon. Nope. Just the athame I'd already taken. I did, however, discover something nearly as useful: a set of keys. On the ring were several tiny keys, the ones that opened up the iron cuffs and bracelets the girls wore. Once they'd stashed Abigail away, I removed all the iron. Relief flooded the girls' faces, and I scowled when I saw the welts and bruises left from where iron reacted with gentry skin. â€Å"You should have your magic back,† I said, reaching for the phone. â€Å"We can use it when we get out of here. What can you guys do?† I was dialing Roland's cell phone, and the girls described their magic to me as the line rang. Cariena had a knack for helping plants grow, kind of like Shaya. Raina had some healing ability. Markelle could summon beams and balls of light. I disconnected when I got Roland's voice mail and promptly dialed Kiyo. â€Å"Son of a bitch,† I muttered. None of the girls' powers were going to help us. And honestly? It wasn't a surprise. If I were Leith and had wanted to catch girls who would make docile servants, I too would have picked ones with little or no offensive magic. Kiyo's phone rang only once before going to voice mail, meaning it was off or he was in the Otherworld. I hung up and prepared to dial my parents' home number. If Roland hadn't answered his cell, he likely wasn't home either, but I had to try. Before I could punch in the numbers, I heard the sound of keys at the front door on the far side of the house. I turned to the girls. â€Å"Downstairs!† I hissed. â€Å"Now!† Markelle looked like she would have stayed, but a stern glance from me sent her scurrying down with the others. Meanwhile, Art's voice rang through the house. â€Å"Abigail?† I'm not sure how he knew something was wrong. For all he knew, Abigail could have just been downstairs. Maybe it was just some sixth sense, but I heard him hurrying down the hall toward the kitchen, footsteps fast on the hardwood floor. I had a split second to react, no chance to find a hiding spot as I had with Abigail. Surprise was my greatest weapon now. As soon as he entered the room, I leapt on him with the athame. The thing that gave me a fighting chance was that he'd armed himself too well in his wariness, a gun in one hand and an athame of his own in the other. Full hands prevented him from fully deflecting my attack, though in many ways, the strength of his arms were more than good enough to block the worst of it. I got a swipe in on his face, however, gaining a fair amount of satisfaction in seeing the blood it produced. â€Å"You bitch,† he said, circling with me in the kitchen as we each sized each other up for an attack. â€Å"Where's Abigail?† â€Å"Taking a nap,† I said. I gave him a wicked smile, hoping I sounded stronger than I felt. With that one shove alone, I'd been painfully reminded that I was not in peak condition quite yet. I couldn't let him know how weak I was. â€Å"Don't worry. You can join her.† â€Å"I knew I shouldn't have let him keep you here,† Art growled. â€Å"I should have made him drag you back by your hair to your own fucking world like a caveman. But he was too afraid they'd find you.† â€Å"It's too late. They know I'm here already. See the phone? I got a call in just before you arrived.† A lie, but an effective one as it turned out. Art's eyes flicked to the portable phone lying on the kitchen floor. It had come open when I dropped it, and the battery lay nearby. With that slight distraction, I tried again, lunging toward him. I got a kick in-not as strong as one of my usual ones, particularly since I was still in that fucking gentry dress-but enough to throw him off-balance. He was still stronger and faster, though. He'd dropped the athame earlier and grabbed me with that free hand, wrenching my arm painfully to get me to drop my athame. In his other hand, he held the gun but seemed hesitant to use it. At last, his hand was too strong, and my fingers unclenched, releasing the blade and leaving me defenseless. Triumphant, Art slammed me back against the cupboard and tried to turn me around, probably to bind my hands. I'd noticed a glitter near his pocket earlier and suspected he had handcuffs on him. I fought him the whole time, refusing to turn around, and with only one hand free, he had a bit of difficulty in maneuvering me. â€Å"Stop struggling, or I'll blow your head off,† he yelled. â€Å"No one's coming, and you know it. Play nice, or there's nothing that Leith can offer me to keep you alive.† â€Å"I doubt that. Your whoring operation seems to bring in a lot of money. Are you going to give that up so easily?† â€Å"There are other ways to get gentry girls,† he grunted, still trying to shove me around and subdue me. The unfortunate thing was, he was getting closer. My strength was rapidly fading. â€Å"Other people will make deals. I don't need Leith or his half-breed whore to-ah!† I saw the chair before I saw Markelle. It was the one I'd used to climb through the garage door. Abigail had shoved it aside when she went outside, and now Markelle had snuck up and clobbered Art with it from behind. It was hardly a blow to render him unconscious, but it caused him to release me and stagger back. Markelle immediately scrambled away, but Art's attention wasn't on her. His eyes were back on me. Weak or not, I knew I had to use that opening to take him down. I surged forward again, fists ready and- He shot me. So help me, that bastard shot me. The bullet took me in the right shoulder, and I flew back against the cupboards, sinking down to the floor as my left hand instinctively flew to the wound to stop the blood. Art walked swiftly toward me, gun pointed down. â€Å"The next one goes through your heart,† he said. â€Å"Now turn around and put your hands behind your back.† â€Å"I'm kind of fucking bleeding here,† I snapped back. My shoulder was on fire, and I couldn't even really move my arm. â€Å"How much more incapacitated could I get?† His smile was bitter. â€Å"Eugenie, you won't be incapacitated enough until you're dead.† I saw Markelle come up behind him again. Her chair was gone, but her fists were out as she pounded him on the back, desperately trying to get him away from me. It was noble and tugged at my heart, but I wanted to yell at her to get the hell out of here. She was no more than a mosquito to him. With ease, he turned around and backhanded her, and I swear, she hit the floor harder than I had when I was shot. In those fleeting seconds, I snaked one of my feet out as hard as I could manage and hit Art in the shin. He stumbled, leg buckling, but didn't fall. The gun, however, did fall from his hands. It hit the floor with a clatter and slid far out of my reach-but not out of Cariena's. She'd apparently been standing on the far side of the kitchen this entire time. When the gun slid up to her, the timid girl didn't hesitate. She picked it up-screaming as her fingers made contact with the metal and polymers-and slid it back across the floor to me. I grabbed it. All the while, Art's eyes had been following the gun's journey, so when it came to my hand, he was facing me. I had the gun aimed in a flash, and while I wasn't a great shot with my left hand, I wasn't horrible either. No hesitation: I fired. The bullet bit into his chest, and he fell backward, blood immediately pouring from the wound. I'd hit the mark. Markelle and Cariena ran up to me, Raina following moments later. â€Å"Are you all right?† exclaimed Markelle. â€Å"Me?† I asked incredulously. â€Å"He smacked you across the room.† She shrugged. â€Å"They've done worse since I've been here.† Between the three of them, they managed to help me to my feet without putting too much pressure on the wounded shoulder. Raina attempted some of her healing magic-maybe I'd been too quick to dismiss their powers after all-and we found bandages to wrap the wound. Her power only lessened the pain; she could do nothing more extensive. â€Å"It's made of iron,† she said apologetically. Of course it was. Art would have had it loaded for wayward gentry. â€Å"It's okay. I'm fine.† We were back in the kitchen, and I was leaning against the counter, attempting to straighten the bandage. We were all kind of trying to ignore Art's body. â€Å"Okay. I can try to call for help again, but I think we need to get out of here on foot. I know where the gateway is, and it's kind of a long ways, but we should be able to-â€Å" â€Å"Eugenie? What's going on?† I'd set the gun on the counter while tugging my bandages straight, but in the blink of an eye, the revolver was back in my left hand, pointed toward the new addition in the kitchen. I knew the voice before I saw the face. How could I not? I'd been listening to that voice over and over this whole week, both sleeping and awake. A voice that was a contradiction because it promised love and devotion while only delivering pain and humiliation. I'd numbed out the worst of it with sheer will and the nightshade's effects. But now, pumped full of adrenaline, on the verge of escape and in control of my senses, the true magnitude of it all slammed into me. The horror. The terror. The helplessness. Emotion after emotion burned through me, but in the space of a breath, my mind immediately dispatched any feelings that wouldn't help me right now. That left only the dark ones. Rage. Fury. Malice. I tightened my hold on the gun and narrowed my eyes at the man I hated most in the world. â€Å"Hello, Leith.†

Saturday, September 28, 2019

Socio-Cultural Effect on International Students Dissertation

Socio-Cultural Effect on International Students - Dissertation Example .. 6 2.1. Background literature †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 7 2.2. Focal literature †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦... 7 3. Chapter 3: METHODOLOGY †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 9 3.1. Provisional research questions †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 13 3.2. Research design †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 13 3.3. Sa mpling †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 14 3.4. Data collection instruments †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦... 14 3.5. Data collection †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 14 3.6. Data analysis †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 15 3.7. Time frame †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã ¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 15 3.8. Ethical and Legal Considerations†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...16 4. CONCLUSION †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦... 16 5. References †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. ... countries for many reasons, and when they go to their new country, they have to deal with new beliefs, practices, mannerisms, and other components of the new culture. Some of the reasons for emigrating include work, school and marriage among others. However, the most challenging of these reasons for change is education. This is primarily due to the demands of day-to-day school life including getting decent grades to fulfil one’s dreams or sustain a scholarship, or the challenges of interacting with native students who may have pre-emptive misconceptions about foreigners. Moreover, the student is under pressure of learning more than the course content; for instance, one has to adopt the normal behaviours of natives, some of which may not be in line with their beliefs. In addition, the students have to familiarise with the native language and work on their accent when using English, which are the main language barriers and principal subjects of ridicule against foreign students. Finally, these students have to learn new places, including where to find utility services, go shopping, go for classes, and entertainment places among others. Canterbury Christ Church University has programs for helping foreign students settle in the new country including clear guidelines on requirements, process for course application, acquisition of student visas and others. However, the extent to which these forums help international students is not clear as many studies just focus on their availability. Background Information General According to BBC.co.uk (2009), the number of international students in United Kingdom universities has been on the rise, with over 48 per cent increase between 2000 and 2006. Moreover, students for beyond the European Union nearly doubled in a decade to

Friday, September 27, 2019

Marriage Paper Essay Example | Topics and Well Written Essays - 1500 words

Marriage Paper - Essay Example The subject of this study is a couple, Grace and Carl who have been married for sixteen years whom I consider to be my friends. I called Carl asking if I could meet them at their house knowing that they are both busy with their jobs and children, and requesting them to spare me at least thirty minutes for the interview to which they gladly agreed to. Carl and Grace are, a common couple who sought out to develop a relationship with each other looking out for attributes they considered important to a relationship. Though circumstances in their jobs brought them together, things did not come to them as a result of the situation but they both purposefully looked out for the things they wanted in a partner. The criteria they used in the development of their relationship are appearance, similarity, complementary, reciprocal attraction and matching hypothesis. These are evident as their answers during the interview will give light to what they think about themselves and their relationship. According to the couple, the primary measure they looked for in finding the right partner was physical appearance. Grace says she wants her partner to be good looking and well-dressed, meaning he is educated and has the means to provide for his personal needs. Carl on the other hand is just like any other man who sought to have a girlfriend with aesthetic qualities not only on the face and shape but on the inside as well. Both claim to have been physically attracted to each other the time they were introduced by mutual friends and they considered and hoped seeing each other again. Carl thought her new found friend might just be the perfect match for him because they are both independent and working on the same level of business so that he made the effort of taking Grace’s phone number to which the lady thankfully responded positively so that the former was able to get in touch with her in the following days. When they first dated, Carl and Grace found out that they have simil ar interests and beliefs. They both were involved in sports; Carl loves to play basketball while Grace plays lawn tennis. They are both active people, not wanting to be bound at home by a partner or any other thing like children and chores, not that they are not willing to do household jobs but they believe their lives would be more exciting and fulfilling if they have a variety of activities. Of course they also have their differences but they look at their distinguishing features on a positive light, finding them to be complementary of what the other lacks (Fitzpatrick). For instance, Carl loves food and loves to cook, which Grace praises so much because she claims not to distinguish a pan from a pot which is of course an understatement to her culinary knowledge. Carl on the other hand is the forgetful type of guy and is always thankful for having a loving wife who patiently finds time to work an extra hour listing her husband’s schedules and needed materials, arranging the m in a fashion that Carl could not just miss to notice. Carl claims to have found the notes placed by Grace in his wallet every now and then, reminding him of their children’s birthdays, schedule of activities and other meetings especially when work calls most of his time for travel, being a businessman. Deciding to get married was such an easy task for the couple at the time they agreed to stay together forever because they were so in love and found each other the right persons. Grace says Carl had all the

Thursday, September 26, 2019

Speech Essay Example | Topics and Well Written Essays - 2750 words

Speech - Essay Example for charting all of the pertinent information specific to their patients and single handedly act as the liaison between the doctors and their patients. One would think that it would be the nurses who receive upwards of a half a million dollars a year along with private offices and reserved parking spaces. This is in fact, far from the reality of how the health care industry works. It is not an uncommon scenario to find an E.R. with full occupancy of its bays while still more patients poor through the door via ambulance. These patients are often stuck in the halls on cardiac monitors or in wheelchairs as they wait for the next bed to hopefully open up. While there is always an E.R. attending physician, it is the many R.N’s and L.P.N.’s that juggle the mass of sick patients which most hospitals never seem to be at a loss for. Nurses are essentially on the front lines of the medical industry and are paid little more than laborers and in some cases, they are paid less than laborers such as auto mechanics. It is relatively normal for an L.P.N. to make in the neighborhood of $16.00 an hour while an R.N. can command about $26.00 depending on years of

Wednesday, September 25, 2019

Self. Consciousness and awareness Essay Example | Topics and Well Written Essays - 750 words

Self. Consciousness and awareness - Essay Example ?a thinking intelligent Being, that has reason and reflection, and can consider it self as it self, the same thinking thing in different times and places† (Locke, 9). Locke states that as far as the consciousness can be extended to some past action or thought, so far can the identity of the person reach – therefore he correlates identity of a person with his consciousness. It is clear that John Locke makes a distinction between body and consciousness (â€Å"a man† and â€Å"a person†). For him these two notions are not the same. Man accounts for body and spirit, and person accounts for reason and reflection. Locke says that if a person would remember some things from his past, he would not be the same person, but nevertheless can be the same man. A big role is played by memory in Locke’s idea of personal identity. To explain his theory about separation of man and person, Locke gives a few examples. He states, for example, that if a prince and a cobbler would change bodies than a personal identity would be where the consciousness is. Another example is if Heliogabalus would turn into a pig, he would be the same person, but not a man. If a parrot holds rational, self-aware conversations, then he is a person, but not a man. These examples confirm Locke’s theory on separation of body and self. (Locke, 8, 15) Locke believes that if the body dies, the self is transferred into a new body, but it remains the same self, and therefore – the same identity, because identity, according to Locke, is independent of body. Locke does not identify consciousness with substance. He gives an example of a hand, being cut off the body. At that point, it becomes separate from the body, the substance of the body has changed (it does not have one hand anymore), but the consciousness did not change, and this is the same person (Locke, 11) John Locke states that consciousness unites actions into the same person. It is consciousness that unites actions different in time into the

Tuesday, September 24, 2019

Effect of the Economic Downturn on a Manufacturing Company Essay

Effect of the Economic Downturn on a Manufacturing Company - Essay Example The essay "Effect of the Economic Downturn on a Manufacturing Company" talks about the economic problems in a manufacturing company and analyzes the actions of the management's team. The union, the main company's problem which strongly opposed the layoff of any employee, happened to guarantee their members job security, which was the main reason that nearly all the workers had joined up. A number of alternatives were suggested by managers during a brainstorming session, the most extreme being to lay off twenty percent of the workforce permanently. The least disruptive was to retain the full complement of employees and merely schedule them on a revolving four-day work week until the crisis is over and the company can return to full production. The management eventually decided to reduce the working hours of each production worker instead of laying off employees. They felt that dismissing workers from their jobs would be too disruptive, and before they could do so they would have to meet with the union members and negotiate who should be dismissed, according to the terms of their collective bargaining agreement. They expected stiff opposition and a possible court case if they were to insist on laying off people. Unfortunately, when the decision was implemented, many of the good employees lost interest in their jobs and filed for resignation when they were offered better-paying jobs by a competitor firm. The final decision achieved the objective to reduce labor costs by twenty percent.... A joint meeting of the executive and operations management committee was called, the finance manager briefed them on the need to reduce operations expense of which the labour cost is the largest, and the managers then brainstormed on the different alternatives that they felt were viable. Bounded rationality in the decision-making process Source: University of Portsmouth, 2005 The four best alternatives were as follows: Twenty per cent of the production employees across the board shall be laid off with two week’s severance pay. The managers should identify who are to be separated. Ten per cent of production employees shall be laid off, only from those departments that may be reduced, and some shifts reduced from the regular three to only two. Some departments may not be affected at all. Convince the employees to take a uniform fifteen per cent pay cut. In this case management will also take a pay cut to make up the difference from what employees save to what finance needs to ma ke up. Scheduled leaves will be given to the amount of the cut. Declare a four-day work week for all production employees, eliminating twenty per cent of the work hours and reducing production personnel’s pay by twenty per cent. There are a number of criteria that the management team considered in making the final decision. The top criterion is to absolutely reduce labour cost in production by twenty per cent. The number is not arbitrary. The finance department reasoned that twenty per cent of the production capacity is being suspended until demand picks up. Other than this, there are many uncertainties, such as the length of the suspension of operations, whether further reductions shall be necessary, and whether the firm will still return to full operations after the crisis

Monday, September 23, 2019

The strategic partnership for the delivery of Excellent Waste services Essay

The strategic partnership for the delivery of Excellent Waste services for the Somerset County Council (SCC) - Essay Example Wyvem needs to adhere to correct business procedures and procedures as failure to do so may lead to cancellation of the contract. Of much importance is the nature of the contract as it touches on a key service delivery area of the Somerset County Council. In the event Wyvem fails to observe the set standard in executing its duties in cycling of waste, environmental degradation in the form of pollution will occur. This can be a barrier to the success of the partnership. Customer focus is important in this contract because the customer is the final consumer. Wyvem cannot realise profits with out maximizing on sales from its products. The Household waste recycling centres will need proper and professional management, which will ensure customer satisfaction. Customer satisfaction largely depends on how customers are treated when they visit the centres, how their views and concerns are responded and acted upon and whether they perceive the management of the centres to value them. For the partnership to succeed Wyvem will need to restrict its operations and practice within the standard limits set in the contract. For instance, it can only obtain waste with in the rules set by Somerset County Council. The incentives offered by Wyvem must fall within the agreement just as the penalties Wyvem introduces to defaulters in the process of execution of its tasks must be within acceptable limits. The payment mechanism between the parties will hold as stipulated for in the contract / agreement and no matter the amount of profit Wyvem realises from recycling business, Somerset County Council is not entitled to claim extra benefits from Wyvem. Therefore adherence to the rules and regulations entered in the contract is necessary for the success of the partnership contract. The future of the contract largely depends on how keenly senior compliance officer plays his/ her role. As a senior compliance

Sunday, September 22, 2019

Organizational Controls Essay Example for Free

Organizational Controls Essay The case describes one of the most common problems that arise in cross-cultural business expansions without accounting for cultural and social differences across borders. Lincoln is a well established company with a great concurrent control system which enables it to move swiftly through processes and end up with phenomenal figures of efficiency and productivity. The control system at Lincoln is concurrent, although it can be argued that the system has certain similarities with the feed-forward control system. However, one thing is certain: the system is quick and flexible to change quickly which does not consist of the slowness of the feedback system. In particular such a system along with the different types of reward schemes makes Lincoln highly successful in the United States. It would be really difficult to find an organization comparable to Lincoln in terms of the amounts and kinds of rewards given to its employees. The different employee rewarding schemes are all tools and techniques which Lincoln has adapted to over the years because of the realization of the fact that employees in the US are highly motivated through pay-based rewards. (Susan Meredith, 2004) Essentially speaking it is this single factor which has contributed largely to the success of Lincoln in the US and the different kinds of pay-based rewards only seek to satisfy all kinds of people with different ideas and expectations for pay-based rewards. It should be understood by the management of Lincoln when they are transporting the US approach to other cultures that the cultures of different nations maybe and probably are entirely different from the American culture. It is not necessary that the same kinds of objects and pay-based rewards may drive them and motivate them towards high productivity. There are a lot of other intrinsic rewards available at the disposal of managers to use to meet the demands of the workforce. The same types of rewards may not work on different cultures due to the social and political circumstances of those nations. Employees may have different needs, which if met by the management, will motivate them to work harder and achieve levels of high productivity and efficiency. (Daft, 2001) The problem made by the management at Lincoln was to generalize that fact that pay-based and other monetary rewards will definitely motivate employees to achieve high productivity and efficiency. Instead, the operations failed due to the different cultures having different motivational factors, which obviously were not identified by the Lincoln management. The suggestion here to be followed by the management is to identify through research and internal mingling the factors that affect motivation and job satisfaction amongst the different cultures in which they have expanded their operations to and address specifically those issues to reap the same results as in the US. (Robbins, 2004) Employees would maintain their relationship and confidence in Lincoln only if the organization upholds it’s the expectations the employees and their unions hold from them. If Lincoln is unable to pay its US workers the bonus they deserve, Lincoln will be in deep trouble. The overall situation would go from bad to worse. It should be understood that the US employees had no share or tear in Lincoln’s expansions and that the losses arising as a result of the bad policies implemented in the new acquisitions was not transferable onto the US employees. Thus, Lincoln should not dishearten the US employees or risk the deterioration of employee satisfaction, morale and motivation which will affect Lincoln negatively in a significant manner. (Robbins, 2004) Therefore, I believe that Lincoln should borrow money to pay its US workers the bonus they actually deserve to take no risks in losing potential employees to its competitors or risk the loss of employee boost and motivation due to a break in expected promises.

Saturday, September 21, 2019

Canadian Blood Services IMC Essay Example for Free

Canadian Blood Services IMC Essay INTRODUCTION â€Å"Oscar Wilde once said that youth is wasted on the young. But investing in the future, the leaders of tomorrow, is more than just good business sense – it’s a necessity for survival and success† – Dr. Graham Sher, CEO of Canadian Blood Services (Pulse Magazine, 2012). Canadian Blood Services is a not-for-profit organization that operates across Canada, excluding Quebec. The objective of Canadian Blood Services is to encourage and receive blood donations through safe and secure methods to help Canadians who need blood transfusions (Canadian Blood Services, 2013). There is an increasing need for blood and blood donations across Canada. Of the current Canadian population, â€Å"the baby boomer generation remains the most loyal in terms of donating blood, while younger generations are significantly less likely to donate on a frequent basis† (Renwick-Shields, 2013). As the baby boomers age, Canadian Blood Services must find new ways to reach the younger generations, including the fastest growing segment, the Millennials. PROBLEM IDENTIFICATION How can Canadian Blood Services increase the number of BC Millennial whole blood donors by 20,000 by March 31, 2015? The target number of donors is based on the previous years’ statistics of Millennial donations (age 17-34), according the Canadian Blood Services data provided (Bird, 2014a). The target number is a percentage of half the total Millennial population of BC in 2012, as typically only half the population is eligible to donate (Renwick-Shields, 2013). The problem statement is specific to BC as a test market. The timeline is based on Canadian Blood Services’ fiscal year, beginning April 1, 2014 and ending March 31, 2015. KEY FINDINGS According to Canadian Blood Services, on average, every 60 seconds, someone in Canada requires blood or a blood product (2013). The demand for blood is not subsiding, increasing at a steady rate of 2% per year (Canadian Blood Services, 2013). To be an eligible donor, volunteers must meet many stringent requirements, including a minimum age of 17, sufficient levels of iron and hemoglobin in blood, and disclosure of health and travel history.

Friday, September 20, 2019

Transport In The Future

Transport In The Future Imagine that you wake up the morning and drink a cup of coffee and then enter your car and leave them free rein to take you to the headquarters of your business. Or imagine that you go on family leave, and you drive your car to the path of self-driving cars on the highway, and you press a button and then manages the throne, the direction of the other passengers and start playing cards or watching a movie with l And maybe your sweetie go to the city of Detroit, but it left you have enough leave to cut the trip from Dubai to Detroit. There is a technology jet will be able to take you across half the globe in about two hours so you can spend the weekend with this person dear to Qbaksahih that the technology is still far from enabling us to enter the machine-like trailer phone and move in a jiffy to another place across the other side of our world, most scientists agree that such a dream is not achievable. But we will see in our revolution in the travel allow us access to all parts of th e globe, and beyond the globe. The first changes started to occur already in regard to the most common and essential means of travel: the car. Car technology has become advanced to the point that some with three-dimensional maps include actual pictures to help you reach your kiss desired. There are also cameras installed on the cars allow us to see what is directly behind us and made us the warning signs of drowsiness, we drive a car or if we do not see the car parallel to us on both sides of the road as we move from the path to another. Also available control technology in speed according to the self-traffic conditions or weather, and a range of other entertainment devices. There is also a technology to sail from one place to another voice-and allow us to identify on the road. This says Karl Brauer, editor of Edmunds.com mail, which tracks the rapid developments taking place in the automotive world, that today there are systems for navigation will allow you to print the name of the starting point and the access p oint desired then is take you through the images and voice commands to your kiss, but it remains to be You must drive the car. He adds that this will change eventually, What will happen is that I am I will go to my car and I will set my hand and, to the complex markets, for example, will launch the car in the pre-programmed routes. It would be impossible to cars collide because each one of them know the site the other cars accurately. I can read a book or listen to music during this short trip. One of the great advantages of this system is that all cars will be subject to control through computer, so they can start at higher speeds to reduce travel time to half-time to be the norm. This technology is available thanks to the new radar systems and global positioning systems, which are provided by the car. And that talk of such technology after, as is the case with PDAs (P. de A), computers, video games and cellular phones. Such devices that can help you even if you decide to drive yourself, and wrote that the radar can predict that an accident is about to fall, says Brower. He adds: This technology will do what it takes to Tjnepk the effects of shock was the driver to push a chair back away from the wheel, or they closed the roof top slot to reduce the chance that you or your stuff flying out of the car. High .. Away The problem lies in vehicle travel in many countries of the world in road congestion. The population is growing steadily, and people are buying more cars, roads and reached their maximum expansion. What is the only place that can be resorted to? It is the sky! Does this seem a fantasy too? Nope. Not according to Dr. Paul Mueller, the inventor of the car bodies, he believes we will see a car like this is used in emergency services by police, ambulance and fire services within five years. Then expanded to include the use of commercial services such as parcel delivery service. Mueller is expected to reach these cars revealed in the public sector within 10 years, and we may begin to move our car to the plane, as does George Jitson in cartoon strips. Says MÃ ¼ller: It will start off in front of your doorstep, then you will be redirected automatically to the line of air. And maintain your vehicle at a fixed distance from other vehicles, everyone UNOMSA the same speed because the process is all geared-wire. Will move people from one place to another while reading a book or magazine or a newspaper or playing computer games or doing what they would like to do while being transported from point A to point B . It will be the maximum load of the car is heavenly six people, while the maximum distance will be 1200 km. Because these cars will move quickly revealed more than 500 kilometers per hour, it will go the distance from the city of Boston to Washington DC in less than an hour and a half.There will be no traffic jams. Not only that, but it would be a means of travel is completely safe, as he says MÃ ¼ller: the vehicle itself will be many details on that, incredibly, they will be equipped with several engines and several umbrellas, computers and multiple devices for global positioning. This will be supported by systems in Russia and Europe. Dr. Daniel Golden is expected to head the U.S. Agency for Space Administration (NASA) that is available for this type of aircraft the runway for about 25% of the population of the United States within 10 years and 90% of the population within 25 years. He adds Bruce Calkins is an executive working for Muller, said: Technology will be available that will allow the car revealed that fly on their own, and it will travel in this way is easier than driving a car. It would be possible for many of the flying cars that reside in the atmosphere at the same time without collision thanks to the initiative the way Heavenly Express. It saw the U.S. space agency and the Federal Aviation Administration that it is necessary to make the possibility of a normal person, led by a small aircraft, such as car bodies, likely applicable. Therefore, the two institutions developed a program my computer will allow anyone under the leadership of a small aircraft. Mueller said: I do not think people realize how much we are close to the possibility of finding the area of air is run entirely by computer. Initiative is the way celestial highway, once achieved, will not allow you any discretionary powers in their drive a vehicle in the air. The last thing we want is someone there lacks the expertise or the captain drunk. There is another reason why the launch of the car revealed possible, that he would not be necessary to invest any funds for the construction of new infrastructure. Muller says: The beauty of this idea that they would not need 50 years to build a network of highways, it is all in the end the equipment and software. We should remember here that the construction of new infrastructure is a problem faced by the development of trains, Mag Lev high-speed and extremely efficient. They rush at high speed high off the tracks in several inches, while remaining connected to them by the magnet. Says Ray Bilukwiyn Vice President Al Arti K. and Associates, one of the largest engineering design firms in the world, one of the reasons that may prevent the transport systems between the public and achieved in the future is the high cost of building new tracks. Bilukwiyn says: The government should provide funding. For this to happen, we need a generation of people say: I am tired of spending four hours in travel every day. Faster than a bullet Although the idea may be the heavenly car on the ground, but it will not solve the problem only travel over the average the distance traveled by buses and trains. But what about crossing the Atlantic Ocean to the other side of our world? Has made the U.S. space agency test engines running at speeds exceeding five times the speed of sound of planes and arrived in speed to the speed of Mac -15, or 15 thousand kilometers per hour. This technology will make the farthest reaches of the globe in only two hours away. Charles Mclinton former chief technology officer for a NASA Hyper-X in the center of Langley technology that hypersonic is boom five times in the future of transportation, it will revolutionize air travel. He adds: You can day breakfast in Boston, and lunch in Los Angeles. Imagine that you eat lunch in Boston and dealing with breakfast in Tokyo. You can today to receive the parcels sent to you the day before from many places in the world. Imagine that you receive the package at the same the day it shipped. We see astronauts today as they rampaged through space. Imagine being able to go to space travel portal and travel through space with the same degree of security that travel across the land. The technology that hypersonic five times could turn this dream to reality. Mclinton say that the engines that operate combustion technology that ultrasonic motor is the only effective and that exceed the speed of the speed of a Mac 5. He adds: On this level of speed, the aircraft flying at higher levels in the atmosphere. And if the plane was flying at speeds of Mac 10, it will fly at a height of about 30 km in the atmosphere, and the trip from New York to Tokyo, less than two hours. is likely to require these high speeds out of the atmosphere and then enter it in the vicinity of the place of access. One of the advantages inherent in traveling at higher speeds and higher on the paths is the presence of a greater number of airways that aircraft could travel through it. A further advantage for the design of aircraft faster than the speed of sound is five times higher reduction of noise means that aircraft can fly over the earth, as in the case of aircraft normal. And will become the technology ultrasonic high-speed is standard for air transport in the end. However, the Mclinton says it is likely that there will be military applications in the beginning before they develop the technology to the first plane-like spacecraft capable of being used again. The next stage after that, it will extend the reach of this aircraft for global military and civilian. Clinton adds: I think that this technology will be available for service within 10 years, while operations will take further development and commercialization of a longer time, about 50 years old will be more than sufficient to achieve this. The vehicles that run on combustion mode ultrasound bridge between the science of aviation and space exploration. Has become the aircraft speed ultrasound is high the next space shuttle, or, at least, a tool launch vehicles in space. Says Mclinton: The vehicle-speed ultrasound high is the next generation in aviation science, studies show that the launch systems developed from this pattern could have done everything that you do space shuttles and the additional advantages. Goshen does not exceed 1 / 5 weight shuttles regular and cost does not more than 1 / 10 of the cost. and that the risk is much less in terms of not more than 1 / 1000 of the risks as well as the usual high flexibility. These can generate speeds of vehicles to be launched outside the atmosphere, but would be able to launch or landing in any large airport because it is more secure than the rockets. Has become the key to this is the space tourism industry. The need for fuel But the scene is not without its skeptics. Many of them point out that we will continue to be dependent on fossil fuels. Whether its cars or cars or heavenly planes and combustion ultrasound, we are still in the communities dependent on oil. Says Tom Mast, author of more than a barrel: A concise guide to the oil shortage Over a Barrel; A Simple Guide to the Oil Shortage Our use of oil will be restricted during the 60 years since there will be cars and other media for transport fuel derived from oil for decades But we need to develop other fuels for vehicles that use ground fuels derived from oil at the earliest possible opportunity. We have not done enough efforts in this regard; problem is we do not do what is necessary. We still do not approach the issue with the seriousness required. The reason for our need for alternative forms of energy to ground transport such as cars and trains is the lack of models of vehicles until the aircraft that use alternative energy. There are no many options in this regard in the present. May become an effective source of hydrogen and capable of growth. However, currently requiring greater amounts of energy to convert it into fuel than those provided by us. Mast believes that the wave of the future will not be traveling in cars or planes divine the ultrasonic high speed, flying from New York to Sydney in two hours, but movement in the electric cars. Says Mast: hybrid cars working with electricity will have batteries larger enable the car from a distance of 100 km. Then youll be able re-shipped from your home. Studies have shown that most people do not drive their cars for more than 100 km per day. This means that it would bethe average person can use fuels not derived from oil in several days. But these hybrid cars will be equipped with operating electric tank of gasoline so that one can switch to if the need to travel for more than 100 kilometers. These vehicles like hybrid cars available in the market now. It will be more expensive but will not use gasoline at all. But if we start to use electric-powered cars, we will need to generate more electricity. This means: more fuel to generate more electricity. Well need to support network for electric cars because they can not go the same distance traveled by the vehicle fuel derived from oil. Mast believes that true innovation in the future will be in this area, vehicle of the future will be more efficient in terms of energy consumption. It will not fly in the air but will go longer distances, using less energy. And adds Mast said: the greatest inventions of the future will be in the area of energy storage. But how do we store energy in a car? At the wheel include the operating system enhances the kinetic energy? Or by using hydrogen? Or using batteries? Solution may be in other ways not thought of yet . Whether it is a car electric car or a plane or space jets or ultrasonic high speed, the forms of travel are going to change dramatically in coming decades. And will become the means of transport more efficient, faster and more far-reaching, and will become the world a smaller place than it is today. egad you satellite you and your family safely to the beach at 200 kilometers per hour. Helped the successful experience of the U.S. space agency to launch an experimental aircraft traveling at 5 thousand miles per hour, increasing hopes of a revolution in transportation in the future. There is no doubt that transportation plays a vital role in our lives may affect many of the decisions such as selection of site of the house where we lived and the places where we spend holidays. Scientists say NASA The plane pilot called X-err -43 make the world seem much smaller. The success of the experiment to some predicted that one day take a flight from Britain to Australia just two hours. But, apart from considerations of cost, the government is always concerned about the environmental impacts of such innovations, but it may hamper the use of technology that could harm the Earths environment. And does the future hold any revolutions on the means of transportation? What are the ideas? Is it possible for her to see the light of day? Flying cars The development of light aircraft technology will make it possible to acquire each individual car is a plane containing the cabin closed and heating system and a place for two people. Possible to separate the wings and complete the journey on the ground Can this car take off from a field or a highway and when you access can be separated wings are installed and complete the journey on the ground. Advanced engines and reduce costs as would maintain the environment. Does that happen? It is not unlikely. Pegasus face competition for the manufacture of light aircraft are already built cabins are closed, and some of the aircraft can travel at speeds exceeding 130 miles per hour for four hours. Says Bill Brooks, president of Pegasus that the cost of a combination of a light aircraft and a small car is about 30 thousand pounds sterling. But jumps to mind the possibility of accidents in the air. Usually prevent the Meteorological Agency of British light aircraft flying, and have allowed only during daylight hours and there must be a path to take off and landing as well as to learn to fly is not easy. There is also a question about the development of driving machines that can make the cargo safely. Rocket jet Use the James Bond rocket jet carrying on the back to escape from Castle France in one of his films. Luther, as the opening ceremony of the Olympic Games in Los Angeles in 1984. Rocket jet costly And you will be able to use rockets jet, the size of Asitwanti Diving bear on the back, short trips, perhaps to go shopping .Can also be used to clean the windows in the floors high and access to non-traditional concerts. Does that happen? Although there are models which, it is still hard to produce cheap copies of expensive and unreliable in practical uses. Taxis without drivers These can be controlled by the electronic transfer of passengers to cross paths fixed. Cardiff have tested the use of taxis that operate online Otser these cars and a speed of 25 miles per hour and walking path will be secured by fencing on both sides of the road to prevent accidents. There will be no waiting times for taxis, which will leave the stations and are used to pay the flight by using a prepaid card. And decreased consumption of those vehicles, which will be on the way to meter-wide and a half, for energy by 75% compared to the car and 50% compared to the bus. Does that happen? There is a good chance to appear in the future. Were tested in Cardiff, where he hopes to processors in the production of 160 of these vehicles to operate by 2006. Said Martin Lawson, CEO of Ultra that there was interest from other regions. Such as some airports. But the difficulty lies in convincing investors and political support of the project, in addition to the possibility of sabotage of vehicles. Environment-friendly cars Cars of the future will be less harmful to the environment significantly and will be equipped with devices to reduce future incidents. And can operate vehicles using reactor fuel waste. The cars will look more rotated by safety laws. And will be equipped with sensors to track pedestrians and other cars and airbags inside and outside. He may be the way to identify them by satellite, it might be possible to control traffic flow through the talk between the cars to regulate the traffic flow, which means the end of traffic jams. Does that happen? Society says that manufacturers and sellers of cars has already been developing fuel-cell vehicles. And expects the Assembly to see the models, including twenty years working on hydrogen will come out with only water. But it will be many years before the spread of new cars, and it will take a long time to bear the improvements that were introduced from both sides of safety and environmental effects. The technology used is still experimental. There are doubts about the conviction of car manufacturers and their ability to produce them. Maglev train outstanding Cut off the trains that use electromagnetic technology, the distance between cities at speeds of 260 miles per hour, twice the speed used by travelers in Britain. Maglev train is already in use in China Will run the train on the tracks above a certain electromagnetic cushion reduces grinding bars. Does that happen? Operates the first train of this kind already exist between the city of Shanghai and Pudding Airport in China. Was reached to this technology in Britain and held the line between Birmingham International Airport and railway station nearby. But was sacked in 1995 because it was not practical. But the costs of running this type of trains forced Chinese authorities to cancel the establishment of a similar line between the capital Beijing and Shanghai. There is very fast trains operating in Europe, Japan and the speed of the speed of approaching trains, but on the electromagnetic bars. Transition to the new era in more like universe to move into an era of imagination. Cars and aircraft flights into space and fuel electric, all that makes the future of travel and like an extension of the movie from the science fiction movies, but this future is much closer than we think or expect. Imagine that you wake up the morning and drink a cup of coffee and then enter your car and leave them free rein to take you to the headquarters of your business. There is a technology jet will be able to take you across half the globe in about two hours so you can spend the weekend with this person dear to your heart. Ive been around the computer and the Internet in advance to the world a smaller place by allowing us to engage with others in the information anywhere, anytime. It is true that technology is still far from enabling us to enter the machine similar to a trailer and move the phone in a jiffy to another place across the other side of our world, most scientists agree that such a dream is not achievable. But we will see in our revolution in the travel allow us access to all parts of the globe, and beyond the globe. The first changes started to occur already in place for the most common and essential means of travel: the car. Technology has cars are advanced to the point that some with maps of three-dimensional including images of real help you reach your kiss desired, there are also cameras installed on the cars allow us to see what b ehind us directly and warning signs that made us sleepy and we drive a car or if we do not see the car parallel to us on both sides of the road as we move from the path to another. One of the great advantages of this system is that all cars will be subject to control through computer, so they can start at higher speeds to reduce travel time to half the time required norm. This technology is available thanks to the new radar systems and global positioning systems, which are provided by the car. And that talk of such technology yet, as is the case with PDAs (P. de A.) computers, cellular phones, and can this device help you even if you decide to drive yourself, and wrote the radar can predict that an accident is about to fall . The beauty of the idea that they would not need 50 years to build a network of highways, it is all in the end the equipment and software. We should remember here that the construction of new infrastructure is the problem faced by developing trains Mag Lev high speed and the amount of efficiency. They rush at high speed high off the tracks in several inches, while remaining connected to them by the magnet. This idea is planned for one of the largest engineering design in the world, one of the reasons that may prevent the systems of mass transportation and achieved in the future is the high cost of building new tracks, and for that to happen, we need a generation of people say: I am tired of spending four hours in movement per day. Transport is the most important pillars of economic structure which is the essential foundation for the development of economic activity when any of our network I slavery and modem means of transport must find the economy of this state in very advance This was the development and transportation along with the evolution of man on this earth and increasing requirements of various commodities and complexity of economic systems. The idea of Transport stated that the man was carrying things on his back or withdrawn on the ground, has been found that the withdrawal of anything on earth will be easier in the case of the ground smooth, or if placed on the crawler and pull crawler itself, and then developed this idea to develop the veins wooden cylindrical bottom crawler for easy rolling and this idea is the main reason for the invention of the wheel. The pharaohs built the pyramids to withdraw blocks on the ground and put it in place with the work of special passages with a tendency to gain access to the alleged required. And then use the rights of animals in transport. Given the nature of the geographical conditions was credited with the invention of the ancient Egyptians sailing Almjaddavip and use of transport in the River Nile for more than five thousand age

Thursday, September 19, 2019

Red Badge of Courage Essay: Isolation -- Red Badge Courage Essays

Isolation in The Red Badge of Courage      Ã‚   Stephen Crane's literary technique has long been a matter of analysis and speculation. In The Red Badge of Courage Crane takes us into the life of a young man named Henry Fleming, who wants to enlist in the Army and fight in the war against the South. By using irony, similes, and symbols, Crane "paints" a vivid picture of what life was like for the fragile Henry Fleming. He opens our eyes to the vast reasons of separation for Fleming, and why he lived his life so independently. The precarious, vulnerable, and insecure Henry Fleming was isolated from more than just his family and his regiment; he was isolated from himself.    As the narrative, The Red Badge of Courage, opens, Henry and his mother are engaged in a quarrel about Henry leaving to join the Army. By going against his mother's wishes and disobeying her, he isolates himself from his family. This isolation is imperative to the way Henry lives his life during his time in the Army. Moral support is something that a family, especially a mother, provides for a child, but because Henry has disa... ...s effort.    Works Cited Bloom, Harold, ed.   Modern Critical Interpretations:   Stephan Crane's The Red Badge of Courage.   New York:   Chelsea House Publishers, 1987. Crane, Stephen. The Red Badge of Courage.   Logan, IA:   Perfection Learning Corporation, 1999. Gibson, Donald B. The Red Badge of Courage:   Redefining the Hero.   Boston:   Twayne Publishers, 1988. Wolford, Chester L.   "Stephen Crane."   Critical Survey of Long Fiction.   Ed. Frank N. Magill.   English Language Series.   Vol. 2. Englewood Cliffs, N.J.: Salem Press, 1991.   

Wednesday, September 18, 2019

Wicca Essays -- essays research papers

Wicca/Witchcraft   Ã‚  Ã‚  Ã‚  Ã‚  Wicca is an Old English word that means 'The Wise Ones'; or 'Keepers of Knowledge';. Wicca is one of the most ancient followings. Wicca is a Neo-Pagan following with many traditions that date to pre-Christian times. It is based on a deep respect for nature and the knowledge that we should not exploit it for our own gain. Wicca is not recognized as a religion by anyone other than its followers. Wicca is not a cult. Many Wiccans are independent and worship on their own or with a group of Wiccans, but they do not follow any one person. There are many types of Wicca, as many as 13 different traditions have been founded. One of the oldest unchanged traditions is the Strega Witchcraft. A witch named Aradia founded this tradition about 1353 CE. Two other large traditions include Gardnerian and Celtic forms. The Gardnerian tradition is based on the works of Dr. Gerald Brosseau Gardner. He researched much of the history of witchcraft and wrote The Book of Shadows with that knowledge. The Book of Shadows is used as the basis for ritual practice in the Gardnerian tradition. The Celtic Wicca is also a very old form. It is based on Celtic/Druidic practices and uses many of the Celtic deities, elements, and nature. Wiccans believe that both animate and inanimate objects possess a spirit, which forms part of the Whole, or 'The Cosmic Web';. The term spirit does not mean ghost, it means that which links something to nature so that it is rec...

Tuesday, September 17, 2019

Monday, September 16, 2019

Describe the Importance of Continuing Professional

Describe the importance of continuing professional development – Unit 206 – 2. 2 In all professions trends are always changing. Procedures and practices change. Research is always discovering new processes and learning strategies. It is important to stay on top of these changes within your professional field. Continuing professional development raises the standards of your skills set. To always be updating skills and developing knowledge and finding ways to do this is a positive attitude to take, to be successful at what you do and what will set you apart from the rest. In a school it is very important that it takes a keen interest in continuing professional development, it means its standards are likely to be high and would make it more appealing to parents seeking a placement for their child. In education and in the classroom it is important for all staff to be proactive in their own continuing professional development. In order to feel more positive and confident about their profession and to keep motivated and inspired by new ideas. It also means keeping up to date with the latest teaching techniques, regular reviews of procedures and practices, such as first aid and child protection. Most importantly is the benefit to the childrens education, it means they will always be receiving the most up to date and the highest standard of teaching, and using the latest equipment. It is equally important for employers to support and encourage continuing professional development for their staff, providing opportunities for teachers to develop their skills to create a better learning environment, and will enable every teacher and pupil to reach their full potential.

Sunday, September 15, 2019

Overuse Injuries

â€Å"Pain is temporary, pride is forever. † This quote represents what thousands of young athletes are going through daily. Many adolescents who are working hard to become the best in their league are now falling short due to overuse injuries. With childhood obesity increasing, U. S. citizens have overlooked the overuse injuries that affect the active youth. In 2003 more than 3. 5 million children under age 15 suffered a sports injury that required medical treatment, thats about one attended injury for every 10 players, and seventy-five percent of those injuries were the result of overuse (Hyman, 2009). Overuse injuries occur over a long peroid of time and occur after repetitive micro trama to th tendons, The human body has the tremendous capability to adapt to physical stress. However if the body is put under to much stress without the proper amount of rest injury can occur. The most common injury that occurs from this is an overuse injury these include tennis elbow, runners knee, and shin splints. There are three main factors that are contributing to young athletes getting an overuse injury. The first factor is that these young athletes are being trained by parents and coaches who have no background in sports. These inexperienced coaches are providing the young athletes with improper training techniques, which can result in injury. Another factor that is leading to overuse injuries is the amount of pressure being placed on the athlete by coaches and peers. Wether it is a coach teaching their athletes to play through the pain, or parents pressuring their children so they can live vicariously through them, the well being of these young athletes is getting overlooked. The final factor stems from the previous two factors. Coaches are pressuring athletes to become specialized meaning they only participate in one sport. While this alone is not an issue, whats wrong with this is they are being improperly trained year round and rarely are given the rest needed to stay healthy. In the article Overuse Injuries in Young Athletes Doctor James H. Johnson addresses one of the issues with sport specialization â€Å"Young athletes who specialize in just one sport may be denied the benefits of varied activity while facing additional physical, physiologic, and psychologic demands from intense training and competition’’(Johnson, 2005) The effects of the injuries are at first relatively minor. The athlete could get something like runners knee, which is inflammation of the knee joint. If allowed the proper healing time the pain will subside and the athlete can continue training. However if the athlete does not take the rest needed it could lead to getting stress fractures in the bone. These types of fractures can be extremely painful and may take months to fully heal. The effects of these injuries are serious for all athletes, but for the young growing athletes these injuries could lead to bigger problems. For example the stress fractures could effect the growth plate in some athletes. According to Overuse Injuries in Young Athletes the growth cartilage is most vulnerable to repeated micro traumas. This could lead to certain muscles developing faster than the bones they are attached to. Forcing them to attach to a different part of the bone, constricting it and not allowing it to grow properly(Johnson, 2005) Another damaging cause of overuse injuries is arthritis while overtime everyone will at one time get arthritis of some sort in the joints, for those athletes who have sustained many overuse injuries may obtain it at a much younger age. According to the article Until It Hurts many doctors find it very frustrating to see these types of injuries in athletes because with taking the proper precautions while training the risk of getting an overuse injury can be almost eliminated (Hyman, 2009). The treatment for overuse injuries depends on the specific diagnosis. For minor symptoms, reducing the intensity, duration or frequency of training brings relief. switching to a different workout schedule and cross training with other activities that allows the athlete to maintain fitness while the injured area recovers. This is very important for treating the early symptoms of overuse injuries. Working with a coach or teacher or taking lessons can assure proper training and technique. Paying particular attention to proper warm up before activity and using ice after activity may also help. Aspirin or other over the counter anti-inflammatory medications can also be taken to relieve symptoms. If symptoms persist, a sports medicine specialist will be able to create a more detailed treatment plan for the athletes specific condition. This may include a thorough review of the training program and an evaluation for any predisposing anatomic or bio-mechanical factors. Physical therapy and athletic training services may also be helpful. Overuse injuries are one hundred percent preventable, athletes need only take a few important steps to be able to train risk free. The first step is to not do to much to soon, when first starting a sport it is important to start slowly and allow the body time to adjust to that activity. It is best to start out with a warm up before the athlete starts training. starting out with stretches allows the muscles to relax more and it increases blood flow, which helps with support so not as much stress is being placed on the bones. The article Preventing Overuse Injuries, explains proper stretching technique, â€Å"Do not bounce with each exercise. Stretch until you feel tension but not pain†(Preventing overuse injuries, 2010) Stretching is key for a healthy work out, there are many different stretches that can be done. It is best to find stretches that are geared toward the athletes specific sport. Another key point is if any significant pain is felt during training stop. also it helps to do a cool down after training is finished followed by stretching again. If there is any soreness after training is finished the athlete should stretch that area out specifically and then ice it down and possibly take an anti-inflammatory. If athletes were taught these easy steps overuse injuries could be cut down drastically. References Hyman. (2009, april 07). Until it hurts. Retrieved from http://sportsillustrated. cnn. com/2009/more/04/06/youthsports. untilithurts/index. html Johnson, H. (2008, April). Overuse injuries in young athletes. Retrieved from http://www. hscoaches. org/docs/Over_use_injuries. pdfPreventing overuse injuries. (2010). Retrieved from http://familydoctor. org/familydoctor/en/prevention-wellness/exercise-fitness/sports-safety/-preventing-overuse-injuries. html

Saturday, September 14, 2019

Legal & ethical Essay

This essay is based on a case scenario and will critically analyse the ethical dilemmas that health and social care practitioner’s encounter with regards to: implications of consent, disclosure of personal information and maintaining patient confidentiality. The legal aspects of the scenario will be discussed in relation to the breaching of confidentiality and how the Data Protection Act (1998) can conflict with other legislation intended to protect patient’s rights. In addition it will identify the consequences of non-disclosure in comparison to disclosure without consent, whilst adhering to the General Medical Council (GMC) guidelines. Finally it will explain the scenario from a utilitarian viewpoint as well as deontological perspective. Please refer to appendix for case study. In the case scenario, Dr Gomez’s patient Bob is diagnosed with Human Immunodeficiency Virus (HIV), and has been advised to inform his partner Sue of his condition. Sue is seven months pregnant with their first child. However, on a subsequent visit to the clinic, Bob has indicated he has not notified his partner or previous sexual partners of his HIV status. Dr Gomez once again tries to persuade Bob to divulge his condition, he emphasises the importance of Sue being tested for HIV, and just as importantly the necessity to assess whether the baby is at risk. Meanwhile however, Bob is still adamant he will not notify Sue and says that if his HIV is disclosed to her without his consent he will discontinue his course of treatment, which he began on the previous visit. There are guidelines and legislation in place to assist the health and social care professional in making decisions. The law (GMC, 2001) states doctors are legally committed and duty bound to maintain their patient’s confidentiality. In this scenario the doctor is presented with both an ethical and legal dilemma. According to Sussex et al (2008) an ethical dilemma arises when there is no clear solution to a problem. The ethical dilemmas that Dr Gomez is concerned with are the wellbeing of Bob, Sue, the unborn child and Bob’s previous sexual partners and finally the legal dilemma is the possible breaching of Bob’s confidentiality by informing Sue of her partners HIV status. Gallant (2008) describes HIV as a virus which attacks the immune system, thus weakening the ability to fight infections and disease, eventually the body becomes incapable of fighting off infection and this is when the Acquired Immune Deficiency Syndrome (AIDS) develops. Gallant goes on to say there is no cure for HIV however, if the condition is  detected in the early stage, there is available treatment which help the infected person live a longer life than they would without intervention. Kourtis and Bulterys (2010) declare HIV can be transmitted through unprotected sex and also from mother to unborn child. From that information it could be argued that if the doctor did not inform Bob’s partner of his condition then it could have serious health implications to her and the unborn child. Thorne & Newell (2005) suggest that if the mother was already infected the virus could be spread to the baby through several ways, such as; via the placenta, during a virginal birth or when breast feeding. The GMC (2001) states that confidentiality is an important duty but not absolute, and they further outline the behaviour expected by medical professionals. In addition they state personal information can be disclosed without consent in exceptional circumstances such as, when disclosure is of interest to the public because they or the patient may be at serious risk. The National Health Service Act (2006), section 251 (Legislation 2006) mirrors the GMC by stating that confidentiality can be breached when a healthcare professional makes the decision to protect others, this is re-enacted in section 60 (1b) of the Health and Social Care Act (2001) (Legislation 2001). In addition Aidsmap (2010) indicates the Health and Social Care Act (2008) made changes to the Public Health (Control of Disease) Act (1984) by adding Part 2A. The article goes on to say the updated Act introduced what is known as the ‘all hazards’ approach in relation to public health powers. This means instead of specifying in law a list of infections to which public health powers can be applied, any infection could be subject to public health powers if the infection ‘presents or could present significant harm to human health’ and if the infected person ‘might infect others’ [Part 2A section 45G]. This implies Dr Gomez has a duty to breach his patient’s confidentiality and inform Sue of Bob’s condition. However, these afore mentioned Acts infringe article 8 of the Human Rights Act (1998) (Legislation 1998) which states patients have the right to have ‘respect for private life and family life.’ Leading on from that; it is vital that health professionals are aware of their legal, ethical and professional position as Mason et al (2002) implies confidentiality is at the heart of the code of ethics for medicine. For these reasons it is imperative professionals working in this field are aware that article 8 of the Human Rights Act (1998) can be cancelled out by both the Data Protection Act (1998) (Legislation 2012) and the Public Interest Disclosure Act (1998) (Legislation 1998). Eckstein (2003) indicates that the Data Protection Act (1998) (Legislation 2012) gives guidance on the use and storage of confidential information and also states the circumstances when confidential information can be disclosed in order to protect others so long as the action of disclosure can be justified. The Medical Protection Society (2012) states a justifiable reason for breaching a patient’s confidentiality would be when a patient has a communicable disease and is in jeopardy of putting others at risk. Legislation is not the only factor which influences decision. Hepworth et al (2011) indicates that it is important that professional healthcare workers understand they could intentionally or unintentionally be prejudiced by their own ‘personal’ values. The Oxford Dictionary (2001) defines ‘value’ as: the worth, desirability or utility of a thing, or the qualities on which these depend. Therefore before making a decision on what to do, Dr Gomez will have to ensure that his ‘personal’ values will not influence his decision or more importantly conflict with his patient’s values or legislation. Clarke (2000) cited in Holland (2004) suggests a doctor may feel responsible for his patient refusing treatment if he discloses without permission, as the patient is his first priority and must come first. At the same time Dr Gomez could equally feel a conflict of responsibility towards Sue and her unborn child, firstly because if she is not told of the situation and then at a later date she and their child are diagnosed with HIV, it would mean that their HIV status may be more advanced with the prolonging of treatment. Secondly the child may well have not transmitted the condition if there had been an early prognosis. On the other hand if Bob discontinues with his treatment it could have devastating and irreversible effects. As reported by The AIDS Beacon (2011), consequences of interrupting or stopping treatments can have a detrimental effect. They indicate those who interrupt treatment are more prone to opportunistic infections as well as HIV related illnesses such as shingles, Candida infections, and Non-Hodgkin’s Lymphoma, than those who had no treatment interruptions. Furthermore, they conclude patients with treatment interruptions have a slightly higher HIV-related death rate compared to those with no interruptions. According to the GMC (2001), Dr Gomez is duty bound to respect Bob’s right to choice in refusing treatment. Jackson (2006) implies two of the most important core principles when working in medicine are obtaining consent and respecting the patient’s autonomy. Whilst Beauchamp and Childress (2001) describe autonomy as being akin to self-governance, for example being able to understand, reason, deliberate and have the capability to independently choose. To apply their definition to this situation Dr Gomez should once again try to persuade Bob to confide in Sue, whilst informing him of and ensuring he understands the risks he imposes to her, the unborn child and himself if he discontinues treatment, thus empowering Bob to act autonomously through understanding, taking responsibility and control of his situation. Beauchamp and Childress (2001) further argue that some people fail to self-govern in some situations because of restrictions caused by illness, depression or ignorance. If after giving all this information to Bob and he still refuses to confide in his partner, it could result in the forcing of the doctor to act in a paternalistic manner, meaning that he will have to make the decision for Bob. This according to Jackson (2006) would infringe on Bob’s right to autonomy. Leading on from this, it is equally important the doctor should explore the reasons as to why Bob does not want to disclose to Sue. According to The Free Dictionary (2009) to give consent to something; means that the patient must agree to the medical professional sharing their medical history. Research conducted by Cameron et al (2005) suggests that a person with HIV, reasoning for withholding consent could be due to the fear of rejection by their partner, they go on to imply that a HIV impaired person is not withholding out of maleficence but rather that the patient may be trying to balance deontology with utilitarianism. Bernat (2008) states, Kant was the founder of the modern school of deontology and he goes on to define deontology as an ethical theory that the morality of an action should be based on whether that action itself is right or wrong under a series of rules, rather than based on the consequences of the action. Kant believed that we should never tell a lie no matter what the consequences. According to Morrison (2009) critics of Kantianism argue that deontology is inflexible as it means that an action is either right or wrong, with no ambiguity whatsoever for example; lying is always wrong, even if the lie is to avoid hurting someone’s feelings. Ross (1994) cited in Littleton and Engebretson  (2002), argues that deontology is insufficient to guide all decision making in ethical situations. Mill (2009) believes that utilitarianism is when a morally right act has to bring about the greatest happiness for the majority of people. Though he did express that if an act was carried out for the purpose of good intent but later that act concluded with a negative impact then it would be deemed immoral. Both utilitarianism and deontology theories have strengths and weaknesses. Williams a critique of utilitarianism (Smart and Williams, 1998) argues that happiness is an emotion which cannot be quantified or measured and that utilitarianism means any action could be deemed moral in the pursuit of happiness such as genocide, torture and killing innocent people. Holland (2004) states that when balancing the rights and wrongs of a situation it is known as performing a utilitarianism calculation. This process is achieved by considering both utilitarianism and deontological perspectives when making an ethical decision. Morrison (2009) states that Kant believed a moral person is one who would be honest and considerate and therefore he would argue that the doctor would also be acting immorally by wanting to disclose to Sue and thus breaking Bob’s rights to confidentiality. Whereas from and utilitarian perspective Mill (2009) would argue that Dr Gomez should breach Bob’s rights in order to protect Sue and their unborn child as it could be argued that Dr Gomez would be doing this for the greater good of many. In addition if Dr Gomez did not inform Bob’s partner of his HIV condition then he would also be breaching the General Medical Councils guidance, as stated previously. This failure could then lead to Dr Gomez being disciplined, as he is duty bound as a doctor to protect others from serious communicable diseases, which is a justifiable reason for breaching the confidentiality of a patient (GMC 2001). At the same time it could be reasoned Bob does not want to disclose to Sue because of fear of discrimination. The Terence Higgins Trust website (2012) states that a 2010 survey revealed 66% of the public believed that there is still a stigma attached to HIV. The findings go on to say that a huge majority of discrimination is found within the National Health Service, encountered from the likes of healthcare workers, dentists, general practitioners and hospital staff. It continues by saying HIV prejudice can compromise personal relationships and that fear and isolation can lead the infected person to mental health issues such as depression. The website  goes on to express that these findings are supported by a 2012 study which highlighted one in four HIV infected people had a current depressive disorder. The article further goes on to suggest that legislation such as the Equality Act (2010) (Legislation 2010) gives people living with HIV protection against discrimination but also argues that it does not always stop injustices, and when discrimination occurs it can be expensive to take legal action, especially with the current government cutting back on the legal aid budget. When it comes to making a difficult decision it could be argued that health and social care workers need the support of colleagues. Doctor Gomez may which to seek advice to help guide him in the situation, and the medical practitioner under the GMC (2001) guidelines is within his rights to discuss the situation with a colleague so long as this is done anonymously when consent is not given. This means that in accordance with the Data Protection Act (1998) the name, date of birth, gender, address and contact detail should remain confidential. However, Dr Gomez still needs to protect his patient’s wishes to confidentiality even when consulting with another medical professional for example, Bob’s General Practitioner (GP). Although HIV is infectious it would not be deemed as putting the GP at unnecessary risk by not disclosing, as universal precautions, such as protective gloves, are in place to protect individuals from infection, this indicates that if the GP follows these precautions they will be safe from contracting the infection (GMC, 2001). As previously mentioned HIV can be spread from mother to unborn child, this is another important reason why either the doctor or Bob need to inform Sue, for both her and the child’s health and safety. Porter et al, 2003, cited in Thorne and Newell (2005) convey the findings of a 2003 study, which indicated that two million women became newly infected with HIV mainly through heterosexual transmission and that 630,000 children acquired the infection mostly through mother-to-child transmission in the same year. The article continues by stating that without antiretroviral therapy the median time between primary infection and the development of AIDS is approximately ten years, and AIDS to death around two years. Thorne and Newell (2005) further states and highlights that the use of antiretroviral therapy substantially delays the progression of HIV and are highly effective in reducing the transmission from mother-to-baby. In addition it also recommends the baby be delivered  via an elective caesarean section, before the onset of labour and membrane rupture, furthermore it advocates the use of formula feed rather than breast feeding. Finally, Thorne and Newell (2005) reveal that since 1999 all pregnant women are offered the option of being tested for HIV as part of their antenatal care, again this emphasises the need for Sue to be aware of her partners condition so as she can make an informed decision as to whether or not she should be tested. If Sue has not contracted HIV yet, she is still at great risk of doing so as HIV is spread through infected semen (NHS Choices, 2012), she and Bob may well be having unprotected intercourse due to her already being pregnant; as it is not necessary for them to use contraception to prevent an unplanned pregnancy. All this suggest Dr Gomez would be advised to take the utilitarian perspective in the case scenario, as there would be too many consequences for him if he took the deontological approach. He could not legally or morally justify non-disclosure. Finally, according to Rowe et al (2001), who carried out a study, on behalf of the World Health Organisation, in order to identify any inequalities within the treatment of patients, suggest it would be advisable for the local authorities to perform a Health Needs Assessment (HNA) of the local community. They explain the stages as a process which describes the health of the population, highlights major risk factors and causes of ill health and identifies the actions which are needed to address these issues. Rowe et al go on to recognise Bradshaw’s taxonomy of needs (Bradshaw 1972, cited in McLachlan 1972) they convey these needs as ‘normative’, for example the medical definition of HIV. The ‘felt need’, such as the need to have advice on having safe sex, the ‘expressed need’ for instance seeking advice about safe sex and finally the ‘comparative need’, offering a service that gives guidance on safe sex, only to those of a legal age. Rowe et al go on to argue that HNA is an important way of identifying inequalities within the local community. This essay has critically analysed the ethical aspects of a case scenario which was based on the breaching of patients confidentiality. It reflects on the importance of consent and disclosure of confidential information and in addition it presents a balanced argument for potential harm of non-disclosure to all parties involved. Furthermore it has discussed and critically analysed the principles of legislation such as the Data Protection Act 1998 and the conflicts that arise through other Acts, in  particular the Human Rights Act 1998 and the Equality Act 2010. Penultimately this essay discusses how the use of the utilitarian and deontological perspectives can help an individual to formulate a legal resolution. Finally the case scenario emphasises the necessity for codes of conduct and legislation in a health and social care setting. These are in place to guide the professional to act in an appropriate legal and ethical manner.