Ethics Chapter 1 Quiz

Appendix 2 Instructions: Click on the box in front of your selected answer. When completed, save and post as an attachment. 1. Which term is used to refer to a subordinate group whose members have significantly less control or power over their own lives than the members of a dominant group have over theirs? a. minority group b. majority group c. stratified group d. social group 2. In sociological terms, a majority is the same as a a. numerical minority. b. numerical majority. c. dominant group. d. subordinate group. 3. Members of a minority or subordinate group . generally marry outside their group. b. become a part of the group voluntarily. c. are political equals of the majority group. d. share physical or cultural characteristics that differ from the majority group. 4. All of the following are processes that may create subordinate groups except: a. immigration b. extermination c. annexation d. colonialism 5. Which term is used by sociologists to describe a group that is set apart from others because of obvious physical differences? a. social group b. ethnic group c. racial group d. formal group 6. Which of the following is considered a racial group? a. Puerto Ricans b. Jews c. African Americans d. all of these 7. The U. S. has used skin color as the standard for race designation with a. two categories: Black and White. b. an elaborate system describing various combinations of skin color, facial features, and hair texture. c. a continuum of most Black to most White. d. a focus on cultural differences. 8. Which term is used to describe a group that is set apart from others primarily because of its national origin or distinctive cultural patterns? a. ocial group b. ethnic group c. racial group d. formal group 9. Ethnicity refers to a. racial differences. b. differences in physical and mental characteristics. c. cultural differences. d. citizenship. 10. Which of the following is considered an ethnic group? a. Puerto Ricans b. Irish Americans c. Mexican Americans d. all of these 11. Which of the following is NOT considered an ethnic group? a. Puerto Ricans. b. Italian Americans. c. Muslims. d. Polish Americans. 12. African American sociologist W. E. B. DuBois said in 1900 that the century’s major problem would be . class differences. b. the color-line. c. wars. d. poverty and disease. 13. Subordinate groups include a. Roman Catholics. b. women. c. deaf people. d. all of these 14. The concept of race is a. determined by blood type. b. predicated by skin shade increments. c. biologically based on genetically isolated groups. d. socially constructed. 15. Races can be clearly distinguished on the basis of a. skin color. b. blood type. c. genetic resistance to malaria. d. none of these 16. Traditional IQ tests tend to be biased against a. lower-class people. b. rural residents. . racial minorities. d. all of these 17. The hierarchical system for possession of wealth, prestige, or power is called a. ethnic groups. b. stratification. c. age. d. functionalism. 18. Which of the following theoretical perspectives tends to emphasize how the multiple parts of soci ety are structured to maintain its stability? a. conflict theory b. functionalist theory c. macrosociological theory d. labeling theory 19. Which of the following perspectives on race and ethnicity tends to emphasize group tensions between the privileged and the exploited? a. onflict b. macrosociology c. microsociology d. functionalist 20. The conflict perspective emphasizes a. social change. b. the redistribution of resources. c. the exploitation of minorities by dominant groups. d. all of these 21. Exaggerated generalizations about the characteristics of members of a group that do not recognize individual differences within the group are known as a. stereotypes. b. pluralities. c. scapegoats. d. self-fulfilling prophecies. 22. Stereotypes are applied to a. gamblers. b. lesbians. c. people with disabilities. d. all of these 23. In certain situations, we may respond to stereotypes and act on them, with the result that false definitions become accurate. This is known as the a. functionalist theory. b. exploitation theory. c. self-fulfilling prophecy. d. authoritarian personality 24. The formation of a subordinate-group-dominant-group relationship emerges through a. annexation. b. colonialism. c. migration. d. all of these 25. Which term refers to the physical separation of two groups of people in terms of residence, workplace, and social functions? a. assimilation b. amalgamation c. segregation d. pluralism

What Is Cheating?

If a survey was conducted to find out what most persons considered cheating in a relationship the majority of people would say, any sexual involvement with another person that is not your spouse or partner. The WordNet defines cheating as the act of being unfaithful to a spouse or lover. Adulterer, cheater, two-timer or â€Å"player† are all words that describe someone that cheats. These are all words to describe someone that is unfaithful, disloyal, dishonest and untrustworthy in a relationship. What really is cheating in a relationship? Cheating is not just an act of sexual involvement. Cheating is any emotion or act that is a hindrance to an exclusive and committed relationship. Dawn and David were married for five years with two kids. David had spent most of his time at the office while Dawn took care of the kids. David was in the real estate business so he was always meeting new people. One day he met a lady, Stephanie. Stephanie and David exchanged email addresses so that they can further discuss real estate business. An innocent chat that was supposed to be strictly business lead to something more emotional. Over a period of six months David and Stephanie developed feelings for each other. Every night and day he found himself constantly chatting to Stephanie. One night they both expressed that they truly loved each other even though they were in committed relationships. David got a divorce and started a relationship with Stephanie. In this incidence David and Stephanie did not have sexual intercourse. However, they developed a strong bond where eventually they fell in love. David spent most of his time chatting with Stephanie. Stephanie got to know his feelings and thoughts something that only his wife should be able to relate to. He isolated his wife and looked to another figure as someone he could communicate with. Some might say that expressing feelings through instant messaging and texting to another individual other than your spouse or partner is not cheating. Why? – Because they can’t see or touch you. How is this not cheating when eventually you are developing feelings for that particular individual? Cheating is developing an emotional bond with another person that is not your spouse or lover. Lust, a strong sexual desire. Yes, this is the word to describe what goes on in spouse’s or partner’s head when they attend a strip club or watch pornography. Some may find it fascinating and just simply fun to attend a strip club. They might consider this not cheating because they are just â€Å"hanging† with the guys or having fun. How is this not cheating when they are lusting after an individual that is not their â€Å"significant other†? If you lust after a guy or girl that you just saw walking down the street or have been working with for years, you are cheating. Cheating is lusting about someone that you are not committed to. Many persons would say that it hurts more to know that their wife, husband, girlfriend or boyfriend has â€Å"slept† with another person. They would consider this act truly cheating. It is when a sexual act is committed they betrayed. I want to know how they would truly feel if they knew that their significant other developed a bond with another instead of just â€Å"fooling around†. How would they feel if they knew that there was no sexual involvement but they still love them because of who they are? How would they feel if they said that they are leaving them for the girl/guy that works at the strip club? Will it be too late for them to realize that lusting and developing emotions are considered cheating?

Auditing in business world Essay Example | Topics and Well Written Essays - 1750 words

Auditing in business world - Essay Example This paper aims to discuss whether it is just to involve or blame the auditors for companies' failures or bankruptcies or even fraudulent activities. Are auditors really part of the blame-game or is the public just reacting on what they perceive as the auditor's failure to see and to report these bankruptcies and fraudulent activities' Is there really a gap on what the public expects auditors to do and to report and what the auditors are really tasked to do' According to Robert K. Elliot (1998), the purpose of the audit is to provide assurance that the investors and the stakeholders can rely on the information presented by management in the company's financial statements and that they are not taking on undue financial risk when they invest in such a company. The auditors' report, the ultimate output of the external auditor, is meant to communicate the various claims of the auditors. These claims are: that the auditors have complied with the required auditing standards, that they are independent of the company they are auditing and that they are stating that the balances of the company (as presented in the accompanying financial statements) are free from material misstatements and are thus, reliable to the outside readers and users. The website, www.abrema.net, defined expectations gap in auditing as "the gap between the auditors' actual standard of performance and the various public expectations of auditors' performance (as opposed to their required standard of performance)". The same website enumerated the various expectations of the public. These expectations include (but are not limited to the following): (1) that the auditors should have "prime responsibility for the financial statements" that they audited; (2) that auditors 'certify' the financial statements; (3) that when auditors provide a clean opinion, this means that the financial figures are accurate and free from error; (4) that auditors "should give early warning about the possibility of business failure; and (5) that auditors are "supposed to detect fraud". Another definition, according to Stanley Martens, is that this gap is "the difference between (1) what the public and other financial statement users perceive auditors' responsibilities to be and (2) what auditors believe their responsibilities entail" (2001). Mr. Martens went on to state that this expectation gap has been in existence for several years (even decades) now and may have stemmed from previous "well-publicized hearings" in a previous fraud case. Still another definition from Marianne Ojo is that is the expectations gap is "the difference between what users of financial statements, the general public perceive an audit to be and what the audit profession claim is expected of them in conducting an audit" (2006). In fact, there is also a distinction between the expectations of the audit profession of an external audit and the perception of the external auditor. Thus, even within the accounting profession, such an expectation gap exists. Components of Expectation Gap Www.abrema.net further divides expectations gap into the "requirements gap", where there is a difference between the actual performance of the auditor and what is required by the "current standards of the society" and the "feasibility gap", is the difference between "society's required standard

How Big Global Businesses Compare Research Paper

How Big Global Businesses Compare - Research Paper Example Such results buoyed by strong growth in sales in North America. Thus, the revenue grew to three point eight billion euros. Due to the last year of the considerable change and reinvention, it enabled the company to expect the upcoming 2015 year to be a year of execution with expects annual sales to grow in all sectors, networks, mapping services, technologies and patents (Huuhtanen, 2015). While Nokia holds thirty-nine percent of the world market, it still faces severe competition from such companies as Apple and Google, which entered the market with their high-end products in 2007. Organizational culture is an important factor that influences companies in various contexts. Thus, it is important for establishing competitive advantages and it also impacts on organizational performance. The interest in culture has led to the development of different models, which aim is to explain organizational culture and its relevance for organizations (Dauber, Fink & Yolles, 2012). It is assumed that there are three models of culture within organization, which are the artifacts, the values and the assumed values. Schein believes that artifacts of the company are its dress code, work process and organizational structure. Business goals and strategies as well as company’s philosophies are the espoused values, which should be supported by the way company performs its activities and how these activities are managed. All shared values within the organization constitute assumptions of the company. While using Scheins model, business are able to understand cultural elements o f their organization and be  able to analyze the relationship between assumptions and common business practices. Using models gives possibility to change the basic assumptions of a given culture and hence improve the effectiveness of the company as well (Madu, 2011). Thus, for Apple, the main competitor of Nokia Company, the model of culture includes people with their innovative approach to the development of

Process Analysis Essay Example | Topics and Well Written Essays - 250 words

Process Analysis - Essay Example This makes it hard to ignore a bad habit if its contents are still within your reach. Withdrawal of reinforcers means identifying and moving out the factors that trigger the bad habit, and encourage its existence. When bad habits are at their worst, this can make it very frustrating and complicated to quit. Similar to an addiction, the bad habit signals the brain and in your mind, the consequences you are receiving from it are good reinforcers, when in reality they are really hurting you in some way. On the other end, most habits start as early as childhood. Bad habits in children can happen more because of a lack in parental boundaries. Some bad habits develop as children. When the bad habit is not addressed properly, the mind sees no reason to stop the habit unless the individual makes the direct choice to quit. Although, the longer the habit goes on, the harder it is to let it go. Kids and teens need guidance and support from adults, whether it be family, friends, or teachers. When a bad habit such as becoming argumentative or lazy occurs, people gradually disregard that they are even doing anything bad, it becomes a natural part of their life, even when the bad habit leads to negative consequences. When kids and teens begin becoming lazy, argumentative, or start lying, if nothing is done to stop the habit it will reoccur whether they mean for it to happen or not, and will eventually happen subconsciously, taking a couple seconds or minutes until it is realized. It is almost as if the mind decides to complete the bad habit on its own, causing the individual to lose all control for the decision to complete the action, before it actually occurs. "Bad Habits: Why We Cant Stop | LiveScience." Current News on Space, Animals, Technology, Health, Environment, Culture and History | LiveScience. Web. 24 Aug. 2011. . Wood, Wendy, and David T. Neal. "A New Look at Habits and

Serenity in My Bedroom at Past Midnight Essay Example | Topics and Well Written Essays - 1000 words

Serenity in My Bedroom at Past Midnight - Essay Example I selected Khaled Hosseini’s The Kite Runner. I longed to travel to another culture, time, and place. I wanted to know about Afghan beliefs and practices, as well as their food, music, literature, and clothing. Mom prepared my favorite chicken sandwich with generous chicken breast strips and low-fat mayonnaise. She always puts diced onions, several slices of pickled cucumber, and tomatoes and used toasted wheat bread. I sat on my comfortable reading chair with sufficient light for my reading session. I took a moderate bite size of my sandwich and tasted the spicy, salty, sour mixture of the mayonnaise, pickled cucumber, onions, and pepper. The chicken tasted moist and fresh, as well as the tomatoes and crisp tomato. The cold wind rushed in spurts from my window. I sipped hot green tea for every bite of my oven-baked sandwich. The warmth of my green tea relaxed me further. The feel and smell of a good book refreshed my spirit. I prepared to embark on a long and wonderful journe y to a faraway place. â€Å"Some Good Things are Too Good to be True† But sometimes, good things come to an abrupt end, which began when I forgot to lock my door. My eight-year old cousin visited us this afternoon. Or rather, his parents left him overnight. They wanted some precious â€Å"us† time, and now I understand why. ... His shirt reminded me of a tire that ran on mud with stones and twigs sticking out. My mind somehow disconnected from my physical body, as it felt the horror of a good night saying goodbye. I saw my reading self as an image breaking into pieces, and I heard the clattering of the pieces on tiled floors. Then, I went back to the real world. I heard him whining about our outdated PlayStation and asked when we would purchase a suitable Xbox for his recreation purposes. And I smelled something else that did not register immediately in my nostrils. He had some green puke matter on his collar. I sensed his sticky hand on my arm, while he said that I was not listening to him. I felt sick to my stomach, and soon my sandwich tasted like iron. Heat rose to my neck. I must have turned into an eggplant by then. My perfect night laid in ruins, as I listened to him chatter about his computer games. Rhetorical Analysis I created these two different impressions of the same time and place through usin g the tools of description, narration, and example and illustration. Narration refers to telling about events and characters. I used narration to describe myself as a character in my own story and to narrate the events of my story. The first paragraph showed that I enjoyed classical music and set aside time for recreational reading: â€Å"I played Wolfgang Amadeus Mozart’s Piano Sonata No.16 In C Major to set the mood for my planned late night reading last Friday.† This paragraph also included my mother, who prepared an amazing chicken sandwich, one of my favorite comfort foods ever. Her preparation of my food and drinks indicated that she supported my reading sessions and that she was thoughtful and sweet. For

A global look at quality managemenr in universities Research Paper

A global look at quality managemenr in universities - Research Paper Example Universities across the world have been positing themselves as â€Å"world-class† in view of the market opportunities presented by globalization (Xavier and Alsagoff, 2013). In a global scenario, quality and perception of quality of a university is defined and determined by many internal as well as external mechanisms. In this context, quality of education has become a decisive factor while determining the management strategy for any university (Dobrzanski and Roszak, 2007, p.223). Xavier and Alsagoff (2013) have observed how universities present themselves as â€Å"world-class† to the global markets through many strategies, thereby attracting students from all over the world. Any examination of the quality of universities in global context will have to start with addressing the questions, what is defined by quality, and whether there are global standards of quality in education (Paradeise and Thoenig, 2013, p.189). Quality in the context of university education is ofte n defined as: Expression of significant range of educational effectiveness and reflection of a new approach in which need of systematic evaluation of undertaken activities is taking essential meaning including improvement and making endeavors towards accreditation which aim to confirm that all the standards of educational effectiveness are provided† (Dobrzanski and Roszak, 2007, p.223-4). Quality of university education can also be defined in terms of financial effectiveness, academic standards, and public usefulness as well (Dobrzanski and Roszak, 2007, p.224). ... This is an approach that ensures participation, plans long-term, aims at â€Å"customer satisfaction†, and brings benefits to all the academic and social stakeholders (Becket and Brookes, n.d., p.43). Fotopoulos and Psomas (2008) have studied TQM in the context of Greece and observed that any TQM model must have a â€Å"soft† and â€Å"hard† side, the â€Å"soft† side being a plan to address long term issues and related to â€Å"leadership, employee empowerment and culture† (p.151). The â€Å"hard† side on the other hand refers to â€Å"quality improvement tools and techniques† (Fotopoulos and Psomas, 2008, p.151). It is pointed out by Fotopoulos and Psomas (2008) that â€Å"there is no unique model for a good TQM programme and TQM is a network of interdependent elements, namely, critical factors, practices, techniques and tools† (Fotopoulos and Psomas, 2008, p.151). Yet, there have been a number of â€Å"TQM elements† id entified through various research projects and they are, leadership, strategic quality planning, employee management and involvement, supplier management, customer focus, process management, continuous improvement, information and analysis, knowledge and education, and TQM tools such as â€Å"flow charts, relations diagram, scatter diagram, control charts, pareto analysis, quality function deployment, design of experiments and so on† (Fotopoulos and Psomas, 2008, p.152-3). There are widely accepted quality frame works for universities other than TQM such as European Framework for Quality Management (EFQM) and SERVQUAL that approaches the issue from the customers' â€Å"perspective† (Becket and Brookes, n.d., p.43). The dynamics of the process of attaining

Six Organ systems Essay Example | Topics and Well Written Essays - 1250 words

Six Organ systems - Essay Example The skeletal system of the body is composed of bones which help in the normal posture in a human being. This skeletal system helps in different types of movement with the help of the muscular system. It is composed of bones to which are attached muscles, tendons and ligaments. The primary function of skeletal system is in the movement of different body parts and also in protection of the viscera of the body (Hall & Guyton 2006). Muscular system is the system which helps the bones to move in accordance to their contraction and relaxation. They also help in involuntary movements taking place inside the body. Muscular system is made up of muscles tendons and ligaments. Muscles are of three types respectively known as cardiac, skeletal and smooth muscle. These three types of muscles serve different functions in the body. Skeletal muscle are voluntary muscles which are under the control of the human beings whereas smooth muscles are not. Cardiac muscle are located in the heart which help in the contraction and relaxation of heart (Hall & Guyton 2006). Nervous system is a system which contains specialized cells located all over the body which help in all the bodily functions. The components of nervous system include the central nervous system and the peripheral nervous system. The central nervous system contains of the brain and spinal cord whereas the peripheral nervous system contains the neurons which help in connecting the body parts to the central nervous system. Both of these systems coordinate their activities together in order to produce the desired effect by the body (Snell 2004). A normal human being is gifted with five basic senses which have different functions. These five senses are named Taste, Vision, Hearing, Smell, and Touch. The smell of taste helps an individual to perceive taste of different substances through taste buds. Vision helps an individual to perceive the world through eyes i.e. see

Land Law - Dimensions of land Essay Example | Topics and Well Written Essays - 2000 words

Land Law - Dimensions of land - Essay Example The corporeal and noncorporeal components are known as realty to distinguish it from personalty. The latter being personal or movable property (Gray & Gray 2007). Thus in the eyes of law land is a multidimensional asset as discussed below. The first two dimensions of land: it is a two dimensional piece of earth with defining contours, features and limits of jurisdiction. Which is recognised by the registrars, conveyancers, surveyors and ramblers. However this definition too does not takes into account the low water mark area in the coastline. The three mile territorial area including water constitute land. However , even outside this three mile limit the channel tunnel subsoil upto the middle of English channel is called land (Channel tunnel act 1987). Thus land includes land covered with water as well (Gray & Gray 2007). 4-5The third dimension of land: A Latin maxim says that the one who owns land owns the heaven above it and the earth deep down to the centre. It certainly indicated three-dimensional nature of land but lacks practical wisdom. The indefinite extension of territory of land would mean an airplane passing over it causes trespass. Still some three-dimensional characteristics is to be accepted for land in statutory definition. A land can be held above surface and may be divided horizontally. Thus different owners can hold the titles of the land each holding a stratum of cubic surface above or below the surface layer of the earth (Gray & Gray 2007). The components of these three dimensions are (Wilkie 2006; Gray & Gray 2007; Dixon 2005): The word 'hereditament' in law means nature of right involved in ownership of land. land law is all about-not just the land (the soil, the grass, the trees, the buildings), but the rights that people may have in land. Thus, land is to be reclassified as including corporeal and incorporeal hereditaments. Ownership of land may equally include ownership of a house and ownership of a right of way over someone else's house (an incorporeal hereditament). The land law may be viewed from corporeal and incorporeal rights or by distinction between fixtures and chattels. The fee simple owner's right of air space: The owner's rights extend to such a height as is reasonably necessary for the ordinary use and enjoyment of the land. In Baron Bernstein of Leigh v Skyviews and General Ltd [1978] QB 479, Griffith J stated that it was necessary to balance the rights of an owner to enjoy the land against the rights of the general public to take advantage of all that 'science now offers in the use of airspace'. Where there is an interference with the legitimate rights of the fee simple

An essay about one of the subject listed, please read

An about one of the subject listed, please read - Essay Example The growing clamor for U. S. intervention cites the massacre of unarmed civilians, including women and children. The Assad regime is sinking to new levels of authoritarian brutality, with its use of helicopter gunships and arbitrary arrests. But it is to be kept in mind that when aerial bombing is ruled out, because of the risk of high civilian casualties, what remains is the prospect of American boots on the ground. With the unresolved quagmire of Iraq and Afghanistan looming in the background, the call for U.S. action is premature to say the least. Using a practical frame of reference, we must admit that, unlike Libya, Syria is not rich in natural resources. The only justification for America to send its troops into the midst of an escalating civil war is the humanitarian obligation. From the World Wars to the Balkans, Americans have done their share in sacrificing their lives for the cause of world democracy and justice. America consistently shoulders the major burden of all NATO commitments. It is time that other countries accept responsibility in ensuring peace. President Obama is correct in his stand to let the U.N. explore various other options in

Crooks and Curleys wife experience loneliness and isolation Essay Example for Free

Crooks and Curleys wife experience loneliness and isolation Essay In this essay I intend to write about why Crooks and Curleys wife experience loneliness and isolation and in what way they try to deal with these difficulties. Crooks is a nergro stable buck with a crooked spine. His eyes are described as the most noticeable feature on his face, brimming with knowledge of the injustice in life. His eyes lay deep in his head, and because of their depth seemed to glitter with intensity. He is also slim with a lean face, en-lined with wrinkles. His lips are also described vividly as very thin and pain-tightened. He covers up his intense eyes with large gold rimmed spectacles. Curleys wife is, of course a complete contrast, and is extremely pretty, thought sometimes try too hard. She had full, rouged lips and wide-spade eyes, heavily made up. She has done her nails carefully which doesnt seem very suitable for life on a ranch. Her voice is another thing that is commented on, as have a nasal, brittle quality. Crooks personality is somewhat of a mystery. His real personality is hidden by the racism of the time. He is hurt and shocked by peoples opinions towards him and so he feels the only way to get through life is to push back the same disgust to the other mean on the ranch. This heres my room. Nobody got any right in here by meI aint wanted in the bunk-house, and you aint wanted in my room. Crooks doesnt see that all his is really doing is stopping to their level thought, he just continues to treat others in the way he has been treated, and if he has a choice he just stays away from them. His personality would have developed differently if he had been born white, because his true colours are stunted by the racism against him. He teases Lennie, and takes pleasure in it, as though at last he is being able to do to someone else what has been done to him for his whole life, Crooks face lights with pleasure in his torture. The basic word to describe the personality of Curleys wife is a flirt, although as we get to know more and more about her we discover that this is not completely true. In this essay I will try to explain why she behaves like this, and whether in fact she behaves like this just for attention and is concealing something. The personality of these characters is perhaps one of the keys to the book. However different these character are they are linked through their loneliness and the fact they conceal their true personality. The are both considered quite low on the social scale but deal with this in very different ways as I will explain. As I have said, Crooks is bitter about being made to live along above the stable. He expresses this bitterness, and tires to explain to Lennie how loneliness is so disturbed that it drives you mad Ill tell you a get guys too lonely and he gets sick.dont make no difference who the guy is, longs hes with you. It must be a relief for Crooks to be able to share some of his problems with someone, and he must find it especially east with Lennie who probably will not understand, and will forget what he hears quickly. He is the only one who understands Lennie, besides George, and befriends him. He looks past Lennies mental handicap and Lennie looks past Crooks physical handicap. Curleys wife also finds it easy to talk to Curley. She is so overwhelmed by her loneliness, she seeks friendship from other men. She seeks out the friendship of Lennie for all of the others fear Curley and will have nothing to do with her. Think I dont like to talk to somebody ever once in a while? It is when she talks to Lennie that we discover a great deal about her past. She tells Lennie that she still dreams of what might have been, seeing herself as a potential film-star. However, in my opinion she has no acting talent, men (one from a travelling show, one who claimed to be in the movies) make her offers as a chat-up line. Her naivetà ¯Ã‚ ¿Ã‚ ½ shows in her belief that her mother has stolen a letter (from her contact in Hollywood) which was obviously never written; her immaturity appears in her instant reaction of marrying the loathsome Curley. It was a hasty marriage to Curley is just a failed attempt to escape from her own spiral of loneliness. When she chose to marry Curley it was all because of the wrong reasons and only to get away from her mother, one person who genuinely cared for her, Well I wasnt going to stay no place where I couldnt get nowhere. Now she find herself very line and she has no-one to talk to, I don like Curley. Desperate for companionship she does not find at home, she tries to find solace with the other men. They are uneasy about this, as they think her to be seriously promiscuous, and are fearful of Curleys reaction. Her inappropriate dress on the ranch and her manner brand her as a tart. She can not escape from this image and so she uses it so that she is noticed and can talk to people. Although in my opinion instead of being the mature and flirtatious female that the men see, she is in fact like a little girl yearning for her home. She even talks to people who she considers to be out of her league, but in a way this makes her a more tragic character, because unlike the others, even Lennie, she seems not to understand her limitations or she refuses to admit them. She treats those below her in an unnecessarily disdainful way. There is one point in the book when Curleys wife goes into Crooks room. Crook, as I have said, pretends that he wishes no one to come into his room seeing as he isnt allowed in the bunk house. However, when Lennie and then Candy come in we can tell that he was actually very pleased, It was difficult for Crooks to conceal his pleasure with anger. Candy and Crooks reacts to Curleys wife primarily disgusted. On their faces they scowl at her and appear to wish that she wasnt there. However as Curleys wife points out it is doubtful whether they really feel this, for they would not doubt have acted very different if they were alone, If I catch one man alone, I get along fine with him. But just le two guys get together and you just wont talkyoure all scared of each other. Curleys wife is very rude to Crooks and says, Im standing here talking to a nigger. I think her reaction is like this because she feels very powerful to be talking to someone as sad and lonely as herself, but who is looked down upon by others. She likes to use this rare power and so when Crooks finally cracks and stands up to her she does everything with her capable possibility to make him feel small and unnecessary. Listen, Nigger, she said. You know what I can do to you if you open your trap? This immediately makes Crooks turn into a no one. Every trace of a personality disappears, and he just answers in a monotonous voice. After she leave Candy says, That bitch didnt ought to of said that to you. And Crooks replies by saying , It wasnt nothing, you guys coming in an setting made me forget. Crooks obviously was so happy by having the company of some men that he forgets his place (in those times) and stood up to her. He then realised what he had done and remembered how he should have behaved. For that one small part of the story we saw the real Crooks, the one who is not concerned with racism, because for that very small amount of time he believe himself to be normal. Curleys wife though doesnt have a very suprising reaction to Candy (the old-swamper) and Crooks. I believe that she is angry because she just realised how messy her life is. She tries to stay calm and talk to them as thought they are beneath her, but all the time she realises that she is just as sad and lonely as them. She sees that they are the only people she can have a proper conversation with are, as she describes them a nigger, an a dum-dum and a lousy ol sheep. At one point in the conversation she says, Whatt ya think I am, a kid? and then she continues to talk about how she was nearly in the pictures. Of course, she is just a kid, who doesnt understand herself. He also wants to be part of George and Lennies dream. He said that he would work for free. He gives up on the farm dream when he realizes it isnt going to work out. Talk about this. Also say that crooks was nasty to lennie then nice. I would describe Curleys wife as a sympathetic figure. There is a very strong description towards the end of the book, just as she has been killed by Lennie, And the meanness and the planning and the discontented and the ache for attention were all gone from her face. She was very pretty and simple, and her face was sweet and young. Curleys wife has had a very unfortunate life. She made some wrong decisions and has been punished for them, by dying unhappy at such as young age. To all the other people on the ranch she is only important because she is the wife of Curley, and that explains why she is given no other name. They are scared of getting involved with her because of what Curley might do to them. No-one is ever actually interesting in her. I feel sorry for her that someone who has the potential to be so sweet and calm has lives such as sad life and has died before anyone knows her true colours. Crook, like Curleys wife has had a sad life for the later part of his life at least. Nothing will ever get better for him, because of his colour. The war Steinbeck talks about him is very controversial nowadays and would not be accepted. At the time that this book was written this language would have been more in use and so perhaps it would have been more acceptable, meaning that Steinbeck was not ware of its full impact. The fact that he portrays crooks as a unhappy and meaningful character must indicate that the author believes racism to be unfair, or else he would have been portrayed as evil, someone deserving what he got. Many upon reading this book may believe that the key issue is George and Lennie, but in fact this novel raises many questions about discrimination and loneliness.

Emotional Intelligence And Healthcare Leadership

Emotional Intelligence And Healthcare Leadership Development of emotional intelligence in healthcare has been slower to progress than in other industries. This paper defines emotional intelligence and describes benefits related to developing the attributes of emotional intelligence. It explores physician, clinical, ancillary, and administrative use cases documenting the benefits of implementing emotional intelligence awareness. In addition, it describes how emotional intelligence can positively impact healthcare executives in leading their organizations to retain talent, improve patient satisfaction and clinical outcomes. Emotional Intelligence Healthcare Leadership A lot of research has been conducted on the topic of emotional intelligence. Emotional intelligence is the capacity for effectively recognizing and managing our own emotions and those of others (Pharmaceutical Information, 2007). The Harvard Business Review (HBR) released a number of articles which examine emotional intelligence. As described in the HBR article What Makes a Leader there are five key components to emotional intelligence including knowing ones emotions (Self-Awareness), managing ones emotions (Self-Regulation), motivating self (Motivation), recognizing the emotions of others on the team (Empathy), and developing / handling relationships (Social Skills), (Goldman 2004). Publication of emotional intelligence research started in 1990 and since that time companies have been working to integrate emotional intelligence into their employee selection processes (Freedman 2010). This work started in non-healthcare related industries and is increasingly stressed in healthcare beh avioral development today. In an article by the journal BMC Medical Education, Emotional Intelligence is the set of abilities (verbal and nonverbal) that enable a person to generate, recognize, express, understand, and evaluate their own, and others, emotions in order to guide thinking and action that successfully cope with environmental demands and pressures(Birks, Mckendree, Watt 2009). Are emotional intelligence attributes just a performance metric fad utilized by senior leadership to stimulate change within the organization? Or does it lead to enhanced effectiveness of healthcare executives and the organizations they lead? One of the reasons emotional intelligence is critical to success is that it is effective in handling stress. Healthcare is a multifaceted, evolving and stressful environment. Managing the stress of change management in healthcare is a skill that healthcare leaders must acknowledge. A study was performed at a large urban hospital with professional midwives and obstetricians. It found that emotional intelligence is predictive of performance 66 percent of the time, of stress up to 24 percent and of stress management 6.5 percent of the time. This study found in examining senior leadership in relation to the focus group that emotional intelligence made the biggest difference in the supervisory and leadership roles (Freeman 2010). This provides indication that emotional intelligence actually is more important to recognize as one is in transition to higher management and leadership levels. Another study performed indicated that emotional intelligence can actually be improved throughout life. The study focused on supporting staff of a large healthcare center. It utilized an emotional intelligence test focusing on emotional sensitivity, maturity, and competence. This study measured the ability to respond to interpretation of human expressions with empathy and scored competency of self-control against age / maturity. Findings revealed that maturity of emotional regulation tends to be after the age of forty and that emotional sensitivity grows with experience (ie. age) as well. The study also found a significant difference in the perception of emotion intelligence between gender showing that both men and women have equal ability to increase emotional intelligence but that women tended to be stronger than men as it relates to empathy and self-regulation (Freeman 2010). This provides evidence that emotional intelligence is learned with experiences. Therefore healthcare leade rs can influence supporting staffs development of emotional intelligence in handling operational stress management. It is important to ensure the development concentrates on the right part of the brain to achieve successful results. Emotional intelligence training must focus on the limbic system which requires motivation, extended practice and feedback on behalf of the student to advance capabilities (Goleman 2004). Healthcare leaders need to recognize the importance of emotional intelligence competency in order to make it a part of their organizations culture. There are a number of case examples showing that healthcare executives believe that their own development of emotional intelligence is imperative to successful implementation of initiatives for their organization. For example in the Journal of General Internal Medicine, the Cleveland Clinic Lerner College of Medicine designed an exploratory study in order compare leaders and physician perspectives with respect to required leadership qualities. The purpose of the study was to gauge what is necessary to develop current and future leaders. This study centered on leaders that expressed interest in gaining new academics and leadership skills. They structured interviews to gather data from leaders and found that both developmental and established leaders agreed that knowledge, people skills, emotional intelligence and vision are all characteris tics required for leaders to be successful. The interviews indicated that healthcare poses unique leadership challenges and the complexity of healthcare institutions is greater than other industries with respect to training. Physicians tend to be far less willing to receive direction and collaborate on training necessitating the need for healthcare leaders to possess mature emotional intelligence skills; especially in areas such as empathy, self-awareness and self-restraint. The study provided evidence that leaders need and desire emotional intelligence training. Healthcare leaders admitted in the interviews that often one is promoted based upon academic and clinical accomplishments. Therefore they lack and desire training in other skilled leadership competencies such as emotional intelligence. The leaders agreed that knowledge is important however 70 percent stated that emotional intelligence was the most admired attribute (Taylor, Taylor, Staller 2008). Healthcare leaders agree that emotional intelligence is important element for leadership. But there is also evidence that leaders should promote development of emotional intelligence for their clinicians as well. A study published in the March 2011 issue of Academic Medicine highlighted a study performed by Jefferson Medical College of Thomas Jefferson University. It was established in order to quantify if there is a relationship between physician empathy and clinical patient outcomes. Researchers measured 29 physicians associated with 891 diabetic patients by utilizing the Jefferson Scale of Empathy as an instrument to measure empathy. The scale rated and provided a physician score on their empathy awareness based on the context that patient care requires a cognitive attribute that involves understanding and intention to help. After scoring the physicians empathy skills, the study compared them with the patients ability to control hemoglobin Alc and LDL cholesterol levels. The study concluded that good control of A1c and LDL levels was significantly better with patients associated with physicians having high empathy scores than with patient of physicians with low empathy ratings. This suggests that empathy should be a key component in overall physician competence (Jefferson University Hospitals 2011). As referenced in a research study documented in the Journal of the Royal Society of Medicine (JRSM), healthcare policy and practices are trending towards emphasizing the principles of patient-centered care. Providing patient-centered care is a multi-dimensional concept which addresses patients needs for information, views the patient as a whole person, promotes concordance and enhances the professional-patient relationship(Birks Watt 2007). There is a variance in the level of patient-centered care provided by professionals practicing within healthcare organizations. Healthcare executives are therefore interested in ways to improve patient-centered outcomes. Training professional staff on emotional intelligence generates self-confidence, sensitivity to patient needs and trustworthiness. These attributes can actually play a part in improving outcomes (Birks Watt 2007). Evidence of this is documented in JRSM where a study involving 30 physicians and 138 patients provided evidence that emotional intelligence plays a role in patient satisfaction. An extensive study involving 213 dental students found that perceived stress is lower when the student possesses higher emotional intelligence scores. Decreasing stress levels help to retain talent and quality nursing staff is extremely important in patient-centered care. A correlation between low emotional intelligence scores and nursing burnout and attrition was found based on study conducted on 380 nurses. It indicated that emotional intelligence can improve the working relationships within the healthcare culture; increasing the likelihood of retaining talent (Birks Watt 2007) A Clinical Connections journal article written by Erik Swensson, MD, FACS agrees with the premise that emotional intelligence improves healthcare culture. He emphasizes the continual challenge for physicians and leadership professionals to routinely coach and hold peers accountable. The article stresses the need for professionals to possess emotional intelligence skills involving self-awareness, self-management, social awareness, and relationship management. Healthcare professionals need to move away from protecting our own and towards helping our own, he stated. Emotional intelligence establishes a foundation for building a caring environment and establishing a culture of collaborative safety (Swensson 2012). The International Journal of Collaborative Research on Internal Medicine and Public Health suggests that making emotional intelligence a core competency for the healthcare professional will result in enhancing clinician-patient relationships. Patients feeling empowered, knowledgeable and in control of their healthcare tend to make healthy lifestyle modifications. Clinicians whom are trained in emotional intelligence skills can help patients with self-awareness, self-regulation, and motivation. This requires time to listen to patient concerns (ie. empathy). Enhanced relationships will thereby result in an increase in desirable health outcomes (Coelho 2012). Cultivating the patient-clinician relationship may affect a patients emotional intelligence on initiating legal action against providers because the patient is part of the care solution and overall more satisfied with the care provided. Research indicates that more satisfied patients are the less likely they are to take legal actio n. Therefore cultivating emotional intelligence may be a mechanism towards a reduction in healthcare legal cases and costs associated. Todays healthcare environment demands pay for performance. Healthcare executives need to expand their overall emotional intelligence competencies in order to recognize and expect these attributes in leaders and clinical professionals within their organization. Executives have to establish and take ownership for their culture. In doing so they must consistently demonstrate the leadership qualities they expect to be exhibited by their administrative and clinical staff. As evidenced in the studies described above executives will benefit by investing in their own emotional intelligence education and should extend it to all levels within their organization. Doing so will provide a caring culture, reducing healthcare costs, retaining talent, and motivating clinicians to provide excellence in patient care.

Eco Friendly Transportation Cycling Physical Education Essay

Eco Friendly Transportation Cycling Physical Education Essay Introduction Ecologically friendly is activities that are good for the environment, and cycling is a transportation of the use of the cycling which power by human with 0 pollution. Go green, recycling, eco-friendly, reuse, etc, these words are everywhere and what we see every day. To be an environmental person, how can we change the world by one man power? The public think that it is not changing a thing if only one person is being eco-friendly; however, every little helps the sick earth. Especially I am studying in the Bicycle town Nottingham, because it is the home of Raleigh, the largest cycle manufacturer in the UK. Make me interesting and reflective thinking in cycling to the environment which is connected. Helping the environment by cycling is a great way, either healthy or saving cost. In this essay, I will talk about the benefits and disadvantages of cycling, public using it as a transport in many different ways. Also, the influences of cycling to environment, relationship between bicycl e designs and environment will be discussed at below. In first paragraph, I will explain what a bicycle is, following with basic information of bikes. Then, the reasons of people choosing bicycle as a transport method will be discussed next paragraph. Also, many benefits will be suggested and supporting the advantages of cycling by survey and experts. However, there are some accidents and death rate can be found easily which makes cycling dangerous. Thirdly, public using bicycle as transport to work and school, supporting by organization Sustran. On the other hand, education sectors do not really recommend children cycling to schools. Follow by the traveling by bicycle, there is a trend that cycling is getting popular and use for travelling between cities even countries. At last, I will talk about cycling is improving the environment gradually. In additionally, bicycle designs are helping the cities day by day. At the same time, government designs bicycle renting in London to help t he public improving the air and quality in the capital. Finally, I will give a brief conclusion to end up this dissertation. Bicycle cycling and design What is Bicycle? A two wheels vehicle connected to a frame, controlled by a rider via the handlebar, powered by human. The definition of bicycle from Oxford Dictionary (2012) explained that a vehicle consisting with two wheels held in a frame one behind the other, propelled by pedals and steered with handlebars  attached  to the front wheel. As so many different type of bicycle in this century, a more relevant explanation of bicycle would be a vehicle consisting with at least two wheels held in a frame, propelled by pedals and steered with handlebars attached to the frame. As same as design, there was always starting with a basic, development, and outcome as final design. In the 18th century, the first bicycle was born in the Europe; this vehicle required balancing by the rider as a transport to go around. This invent became very popular and produced in huge amount quickly. According to the international bicycle organization (2013), the whole world bicycle production had reach 100millions in 1950 -2000. Now in 2013, bicycles produced more than 10 million and kept increasing. The range of bicycle usage was childrens toys, racing, general fitness, military, travelling, courier service and etc. As transportation, bicycle had been employed for bicycle commuting and utility cycling. For working, bicycle could deliver food or mail, police patrol. For recreating the bicycle, it could be mountain biking, BMX, physical fitness and for fun. Also for racing, such as track, time trial, tour de France, etc. Thus, different types of bicycle had been creating for different needs. Common types were mountain bikes, BMX, road bike and single speed, on the other hand fixed gear bike and folding bike were less common. Different designs fit different customers, some liked simple designs, and some liked functional designs. Bicycle was a human-powered transport which meant it need to power by the rider him/herself. Cycling was a very efficient and effective mode of transportation, and it was the m ost efficient human-powered land vehicle at the same time. Cyclist need to hold the handlebar and keep pedaling to keep the bike going forward, otherwise it will fall or crash when lost control. When designers designing, they always faced failure same as cycling, also there was always a reason for designing and cycling. Life is like riding a bicycle in order to keep your balance, you must keep moving.   By Albert Einstein Why cycling? Many people ride a bike for many different reasons. For the body, cycling could be done by people of all ages, from childhood to adult, when achy joints did not allow for more stressful exercise like jogging. For State of mind, cycling helped people to releaser stress. Regardless of if riding purely for pleasure or for a specific purpose, feeling relaxed and energized when you arrived the destination. For community, being out on the bike was good for the people around you as well. Cyclist was able to go to the place that they wanted to go and yet put one less car on the road. Cycling was a great eco-friendly way for fun, fitness and also to enjoy the fresh air. Matthew (2012) said that whether it was to boost the fitness, health or band balancing, or as an environmental choice, taking up cycling could be one of the best decisions. Thus, cycling gave people many benefits and experiences in many ways. Illinois Universitys researchers found that 5 out of 100 people improved in cardio-re spiratory fitness from cycling led to an improvement of up to 15% in mental tests. Because of cycling helped build new brain cells in the hippocampus- the region responsible for memory which deteriorates from the age of 30. According to University of Bristol, cycling helped boost the bowels, meaning the benefits of cycling extend deep into your heart. Dr Ana Raimundo said that helped decreasing the time which took food to move through the large intestine by physical activity, controlling the amount of water absorbed back into the body and leaving only the softer stools, which were easier to pass. On the other hand, Experts at University of Stanford found that riding bicycle frequently could protect humans skin instead of harming from UV radiation and reducing the signs of ageing. When flushing harmful toxins out, nutrients to skin cells and circulation through exercise deliver oxygen increasing circulation more efficiently. Also creating an ideal environment within the body to optim ize collagen production by exercise, it letting the skin created less wrinkles and heal faster. A test testing insomnia suffers to cycle for 30 or less minutes every day, insomniacs sleeping time increased almost an hour and fall as sleep time required go down to half. Professor Jim Horne from Loughborugh Universitys sleep research centre explained that the sunshine shine on the skin when doing exercise at outdoor, helped get the circadian rhythm back in sync, also riding the body of cortisol, the stress hormone that could prevent deep, regenerative sleep. Beating the illness by cycling, riding was the way to keep the doctor away. Chief dietician at St Georges hospital in London said medium level exercise made immune cells more active, and made them always ready to fight with bacteria. Researches also showed that people got less sickness if people cycle for 30 minutes five days a week. Group of scientists compared over 2400 identical twins and found those who did the equivalent of j ust three 45minutes rides per week were 9 years biologically younger even after discounting other influences, such as body mass index (BMI) and smoking. Dr Lynn Cherkas claimed that lower risk of cardiovascular disease been found on those people who exercise regularly, all types of cancer, high blood pressure and obesity. And the body became very efficient at defending itself and regenerating new cells. Cutting 50% risk of heart disease by cycling regularly. According to British Heart foundation (2013), around 10.000 fatal heart attacks could be avoided each year if people kept themselves fitter. About keeping fit, sports specialist found that bodys metabolic rate the efficiency with which it burns calories and fat, was not only raised during cycling, however for few hours after stop. One study showed that cyclists who incorporated fast intervals into their ride burned three and a half times more body fat than those who cycled constantly but at a slower pace. Apart from health, cycling helped people go to their destination faster in UKs major city. Research by Citroen showed that workers get to location in half the time of cars and commuting by bike in the UKs major cities. In fact, if driving for an hour in rush hour, drivers cannot go anywhere further in 30 minutes and average just 7mph, compared to averaging around 12-15mph while cycling. A study of 200 people carried out by the University of Bristol found that employees who exercised before work or at lunchtime improved their time and workload management, and it boosted their motivation and their ability to deal with stress. The study also reported that workers who exercised felt their interpersonal performance was better; they took less brake and found it easier to finish work on time. Unfortunately, study found nothing was linking between getting a promotion and cycling. Riding to work could save the money of transport, without the weather condition, cycling to work at less save you  £30 a month. Enjoying the fresh air before go to work, refreshed the mind and worked more efficiency. In the weekend, the whole family could go cycling together. Studies suggested that children were influenced by their parents exercise choices. Which meant if your kids saw you riding bicycle a lot, they thought it was normal and would want to follow. Replaced any other harmful dependency such as alcohol, computer and cigarettes, you were developing a positive addiction by riding bicycle. Result of positive addiction to cycling was became a happier and healthier person in life. Riding could be doing as much good as the actual exercise on the social side. Socialising released the hormone oxytocin helped you made friends and stay healthy. Naturally feeling good endorphin released when exercising and counters stress which made happiness. If you happy but tired? The best thing you could do was go for a ride. Even a few minutes of physical activity was a surprisingly effective refresh ing mind. A review of 12 studies on the link between exercise and fatigue carried out between 1945 and 2005 found that exercise directly cut down weariness levels. Nothing was better than cycling with partner. Many couples made one or two riding dates every week, helping release feel-good hormones, so after a ride, the couples would have a warm feeling towards each other. Appreciating the time you spent together and chat though cycling. However, there might be some disadvantages while many benefits had been found. With hundred of issues could be found to affect the cyclist while cycling. Riding on the roads next to aggressive drivers could be very dangerous. Wind, raining, heat, cold and hills etc, all these conditions affected the people who was riding and cause serious problem. According to the Fonant (2012), statistically cycling was generally considered to be more dangerous than travelling by car, much safer than riding a motorbike, and roughly as safe as walking. The actually values depended on whether counting accidents per mile, journey or hour, so the figures were quite variable. In practically, cycling felt a lot more dangerous it truly was. Also, choices of bike could make a huge different; a stable city bike felt more comfortable in traffic than a risky BMX bike. Bicycles were much more flexible than cars, so sometimes find quiet routes that avoid the busiest roads. Large cities and towns always published route maps which might helped. However, these cycle route were built by non-cy clist and so could be relatively useless and stupid, even sometimes they were more dangerous than the roads they ran along. Fonant (2012) claimed that the danger to cyclists on the roads decreased very much if there were more people cycling. Vehicles became more used to passing cyclists, and they were less surprised to see them. In additionally, the more car drivers thee were that also cycle, the more the motoring public would understand cyclists needs and fears. This phenomenon was known as the Critical Mass, also the name of demonstration bike riders that take place in towns all over the world. In the UK, drivers were very bad at passing cyclists, specially the elder people. For some reason they think cyclist were happy to have just a few inches of space. Drivers forgot that cyclist were balancing, and often needed to swerve to avoid potholes. Fortunately, being hit from behinds was a rare occurrence for a cyclist, so while there was a strong perception that there was danger in re ality this was not the case. Not a good experience with hitting by a passing car, the feeling would ever forget. The worst possibility to do was ride close to the kerb. Not only the cars would pass by faster and closer, but if the front wheel hits the kerb you fall off. More obvious to ride where the cars left hand side wheels have made the road better, and you would get a lot fewer punctures. As I mentioned, car drivers seemed not to like cyclists. Reasons were because driving was already a stressful and competitive activity, and cycling next to them got even worse. In practice a cyclist almost never would make the journey time longer of a car driver. A cyclist would be overtaken, only to overtaking back at the next traffic lights or queue. Car drivers also afraid that they might hit and injure a cyclist while driving on the road. Even divers were not worrying physically but in sub-conscious, something that modern cars did all that they could to remove, by insulating the car occupa nts from real world as much as possible. Except the car driver, weather was another problem for cyclists. Most of the non-cyclists thought that raining was the worst weather problem for cyclists, but since starting to ride a bike you would found out how much effort was needed to cycle into a strong wind. Comparing with climbing a hill, cycling was worse as the wind would often be against you for the whole journey, and sometimes it even turned so it was against you on the way back as well. To solve this problem, many regular long distance cyclists used traditional dropped handlebars. Drop bar allowed crouching down comfortably to reduce the frontal area. Wearing a windbreaker with an ultimate wind-resistance bicycle such as recumbent bike could help to go smoother. Some said raining just as much of a pain as wind, but less common thankfully. Although raining was not a big deal for the rider, the bicycle getting wet was not a good thing. The bicycle got wet without drying in a long te rm, causing rust and damage could be dangerous for the cycling activity. Riding with all wet outfit certainly was not a good idea, especially in winter when you wearing lots of layers and getting cold plus wet was horrible. In cold weather, wearing too many cloths for cycling would be clumsy which affected the reaction of the cyclist. Suggesting to wear windproof clothing than it would be warm enough even in freezing weather. To cancel the problem of sweat-induced moisture it was best to dress so that would be chilly at the beginning with, and soon warm up. At the same time, hands and feet were needed more attention as they getting to be the coldest part of the body. Try extra socks and windproof gloves, they helped more than ever. Furthermore, took great care in hot weather to keep drinking. Keep sweating without drinking water might lead to heat stroke, so just brought a bottle of water with you and drank it frequently. Apart from weather, the bicycle was one of the condition that cyclist needed to care about. Parking, maintenance, cost etc. When cyclist wanted to park the bike, made sure it was secure to beware of bike thief as bicycle parts were easy to uninstall. As the commodity price were increasing in all over the world, the cost of bicycle parts and maintenance were getting more expensive. Ensure the bike was in good condition before riding, otherwise any part loosed might cause accident. To reducing the cost of maintenance, bike owner might buy their own tools to fix the bike. Spending once on the tools was enough, instead of costing money on maintenance every time in shops. Transportation to work Bicycle commuting was the way that people go to work by cycling from home to the place they work. CTC (Cyclist touring Club)(2013) claimed that commuting by bicycle in the UK was becoming more and more popular. Cycling was one of the simplest ways to keep fit while saving money at the same time. Author of Cycling to work: a beginners guide Rory McMullan said that once you ride a bike few times, you would be surprised how easy and quick it was. Mandi (2012) suggested that though U.S. had seen 40 percent growth in bicycle commuters since 2000, their numbers had yet to surpass 1 million. Improving individuals health, wealth and standard of living were not the only reason biking to work; however the combination of more cyclists and less cars on the road could give the whole country a much-needed boost (Mandi, 2012). Many reasons and benefits could be found by cycling to work and school. Due to rising fuel costs and tire upkeep, the cost of owning a car increased nearly 2% in 2012. Accord ing to the Sierra Club, if American drivers were to make just one four-mile round trip each week with a bicycle instead of a car, they would save almost 2 billion gallons of gas. Cycling was widely cheaper than driving; also the cyclist was doing exercise at the same time. Lisa Callahan, MD, of the hospital for special surgery in New York City said that Bike commuting could be a very effective cardiovascular benefit. If you are overweight and start an exercise program, sometimes it is harder on your joints because of overweight, thus sports such as swimming or biking that was not pounding on the joints could be a good thing.On the other hand, riding to work did not even need to own a bike. Bicycle hire was available in London city centre so that workers could rent one and ride to work. Barclays Cycle Hire had more than 6000 bikes and 400 stations which could be found in central of London. University of Nottingham found that public transit riders were 6 times easier to receive from a cute respiratory infections. Fresh air did a body good, another study found a host of illness-causing viruses hidden in passenger seats and car, including E.coli, salmonella and campylobacter. Cycling was individual and fresh air came onto the face directly. When bicycle commuters arrived the place they work, parking the bicycle would not be an issue. Many company such as Apple and Tesco offered bicycle parking for employees. In American, hundreds of major companies had entered the American League of Bicyclists Bicycle Friendly Business program  and cities require commercial office buildings by law to offer some sort of bike storage.  Folding bikes were another useful option, as they could be packed into a bag and stashed easily under a desk or a closet. Evans Cycles had a program helped employee to cycling to work which called Ride2work. Ride2Work was a leading provider of the Governments cycle to work scheme, which promoted cycling through tax incentives to offer fantastic saving on the cost of a new bike and safety accessories.(EvansCycles,2012) The Ride2work plan could save at less 40% of retail prices without any extra cost to the employer. Any sizes companies could take part in the scheme which promoted much healthier journeys to work, and reducing congestion by offered a positive lifestyle benefit to employees. More than 10 companies already joined the scheme, such as Channel 4, Gatwick Airport, Toyot and Virgin Media etc. According to EvansCycle(2012), the cycle2work scheme works as an annual tax exemption which allowed employees to purchase bikes to be hired to employees as a tax-free benefit. And the cost of purchasing the bikes was recovered though salary sacrifice, which normally ran over 12 months. For employers, it prov ided a popular employee benefit at no additional cost, helping employees to save money, promote healthier journeys to work and meet CSR objectives and to save the cost of car parking. For employees, to save around 30%-40% on both bike and accessories, divided the cost over 12-18 months to make cycling more affordable, getting fitter, healthier and happier through cycling. Through this process, Ride2Work benefited employers and employees at the same time. Thus, there were no disadvantages to join it.   Additionally, cycling to school or university was a great activity for children. Transport ation- To school Cycling was an ideal from of transport for young people providing a healthy, cheap and environmentally friendly way to get about, together with a degree of freedom and independence (Sustrans, 2012). According data in the UK, a high proportion of children said they would prefer to cycle to school instead of taking public transport. Since walking was about 3 times slower than cycling, it was perfect for journeys to and from school which was too far to walk to and it an easier way to keep fit. The government suggested that young people should have a minimum of one hours moderate physical activity each day to keep healthy and help prevents serious illness in later life. Cycling to school regularly was a simple and practical way of achieving this. Sustrans safe route (2012) claimed that some family and school were worried about the speed and volume of road traffic. Cyclingblog(2011) said that almost all children had a bike of some sort yet it was estimated that less than 1% of school children actually cycle to school. In addition, surveys of school travel appeared to suggest that up to 50% of children would like to travel by bicycle, so there appeared to be an issue somewhere. Cyclingblog(2011) discussed that the main concern centre around the perception of UK roads being dangerous or active discouragement by school themselves. Parents were afraid of allowing school children to cycle to school; said fears were often illogical as the roads were not as dangerous as they were led to believe. Besides, cycling to school was not a necessary and only way on the same route that was taken by mum who drives kids to school by themselves. According to Bikeabilit y(2013), a victim of economic cuts, there were still cycle instructors our there working hard to teach children good cycling technique. Those children who lived within 2 miles of their school, particularly primary schools and this therefore offered the trained child cyclist the perfect experience that will increased over time and lead to better equipped adult cyclists. The problem of at what age should a child be allowed to cycle to school maybe a contentious one, however, with children cycling to school run there was clearly the opportunity of riding together as a group, which provided that extra safety in numbers. The other main reason cycling to school was taken up by so few children was the stance taken by the majority of schools, particularly infant and junior schools. Many schools discourage cycling through promotion of poor road safety advice and their lack of bicycle storage facilities. Schools could not legally ban cycling to school; they had no right to decide how people arrived to and from their home. What normally schools could do was ban bicycles from the school area or they could actually ban by not providing anywhere to park their bicycle securely and safely. The cost of installing bicycle parking stands was not challenging, once installed they need very little of maintenance and upkeep. The legal position was that schools were not liable for students travelling independently to or from school; that meant that a school would be liable for a student on a school-operated bus, but it was not liable for a student cycling on his or her own. Furthermore, schools were not liable for thef t or damage caused to bicycles on school grounds, just as schools were not liable for theft or damage to a students jacket theft in a classroom or the pencil case in their bag. Cyclingblog(2011) suggested that if more children cycling to school what was needed was a proactive attitude, better facilities at schools and infrastructure on the way to school along with continued cycle training. More importantly was parents to understand that cycling itself was safe and encouraging children to be active in an age when the TV or games console was the first point of call. Transport Travel Riding the bike to a location was popular in all around the world. Instead of travelling by airplane, train or ship, traveler who rode a bike has much greater fun and exciting experience. Many people became interesting with the idea of traveling by bicycle but did not know where to get started. The Adventure Cycling Association (2013) suggested that experienced riders know the simplicity of bike travel was one of its great joys, but to the curious newcomer this new world of possibility could appear confusing. Bicycle travel was attractive for many reasons; an exciting challenge that allowed people to explore new landscapes and cultures, built physical fitness, and experienced the joy of breathing fresh air and meeting new people in some point. The author of Lonely Planet (2012) said that bike travel gave you heaps of freedom, plus it was eco-friendly and a great form of exercise. No doubt travelling with bike was a forceful thing to do, so traveler must need a plan before started. Im portance of recognized the risks and time, because you could not take a year off to bike somewhere. Same any other way of trip, traveler must have to confirm that the time you allot was sufficient for the place you would like to go. Since bike had been traveling by people in recent years, there were plenty of bike routes maps on the internet and some provide by organization. Bike route helped a lot when you were planning the specific bike tour. Guide bike tour could be found as well if you preferred. Made sure to go where actually planned to go, not ride to a destination because of convenience or in passing. Self preparing before the trip was important as well. Helmet, cycling clothing, phone, snacks, water, passport (if overseas), backpack and etc. Depending on the place you traveling to, also the location and weather which would ride pass. If it was more than a day, you might need to check hotels, hostels or camping. Some organization set out maps that helped traveler to find a pl ace to stay at the end of every day journey, depending on how well the plan was. If you were biking across the desert, some tent and camping would be needed. And food, all of which was going to increased the weight of the pack. Make sure if you had a heavier load to carry, your bike could support it. To help you determine exactly how much could handle, taking some rides with predicted weight that would be carrying. The good thing about cycling was the cyclist did not need to be a superman to cycling around. However, training on bicycle before the trip would be a free insurance. The best to do was to be realistic about what people actually could do and create achievable goals. One of the pleasures of bike travel was that riding into progressively better and better shapes as you go. The varies of how far can you ride in a day depending on the overall fitness, personal goals, the style of touring and the terrain(Adventure Cycling Association,2013). With a bit of bicycle training, an av erage physically fit adult carrying more than 18 pounds of other gears on their bike could expect to travel at an average pace of 65 miles per day on roads and still had time to stop and enjoyed the view. With more gear about 35 pounds. The average pace to plan for should be lowered to 55miles per day. Also if the terrain was particularly flat or mountainous, the average would increase or decrease accordingly. Experienced bicycle travelers could ride further, but for most people, planning to exceed these averages had a tendency to increase the physical challenge and decrease the enjoyment. Always plan the time in the day and days off in the trip, for unexpected challenges and good opportunities. A bicycle tour certainly needed a good bike to ride on; many types of bicycle could be used for touring. Although some bicycle were specifically designed for touring, most quality bike could be customized for touring use, with the exception of road racing bikes, as they pay attention on weig ht saving and quick handling over durability and comfort. For conclusion, the choice of bicycle was based on type of touring and personal preference. Although cycling travel was a good activity, the death rate was surprisingly high in 2000. Most common cycling accidents were cyclist rode into the path of vehicle, motorist emerging into path of cyclist and turning across path of cyclist, child cyclist playing or riding too fast, etc. According to the survey done by DETR(Secretary state for the environment, transport and regions), deaths rate per billion journey of bicycle was 170. Reports showed those cyclist casualties in the UK; Killed, 170; seriously injured 3085, slightly injured; the sum of casualties was 19215. These figures only counted the numbers of cyclists who killed or injured in road accidents and were reported to the police, even when the cyclist was injured badly enough to be taken to hospital. The figure was not included cycling accidents what happened on other places instead of road. Rospa(2012) reported that around 15% of the cyclist killed and injured were children, cycling accidents increased as children grow older. Meaning there was a risk of cycling from kids to adult, even more dangerous until about the age of 60. On the other hand, most cycling accidents happened in urban areas where most cycling took places, more than half death or serious accidents occurred in urban areas. Data from The Royal Society for the Prevention of Accidents (2012) showed that more than 20% of cyclists killed or seriously injured were involved in collisions at, or near, a road junction, with T junctions being the most commonly involved. And roundabouts were particularly dangerous junctions for cyclists. Besides of personal casualties, cycling helped a lot for the environment. Eco-friendly Worlds major problem was pollution. Different modes of transport such as cars, buses, trams, trains and others caused noise pollution, heavy air pollution and depart massive carbon footprints. Organization such as Bicycle NSW Environmental Trust helped and promoted bicycle riding as an environmentally beneficial means of transport. Cycling did not require any fuel or emitted any poisonous gases; as well it had practically no carbon footprint. For a fresh air to breath and pure water to drink, a reduction in all those pollution levels was essential. Cycling was an environmentally as well as eco friendly mode of transport. Day by day, the cost of fuels was rising quickly. In such situation, cycling was a cheap mode of transport, ideal for short local trips and made up of our everyday journeys. According to European Environment Agency (EEA, 2003), the transport sector in the UK was both the fastest growing consumer of energy and the fastest growing producer of greenhouse gases. Air poll ution was not happening in a country but in globally, everyone had responsible for it and need to improve it as soon as possible. The national cycling charity claimed (CTC, 1991) that the main atmospheric pollants emitted by motor vehicles were hydrocarbons, carbon Monoxide (CO), Nitrogen Oxides, Ozone, particulates, acidic compounds and Carbon Dioxide, all of which had a detrimental impact upon the environment. These issues affected the world everyday and causing environment problems including global warming, acid rain and greenhouse effect etc. Driving a car had a seri

John Brown :: essays research papers

Born in Torrington, Connecticut on May 9, 1800, John Brown was the son of a wandering New Englander. Brown spent much of his youth in Ohio, where he was taught in local schools to resent compulsory education and by his parents to revere the Bible and hate slavery. As a boy, he herded cattle for General William Hull's army during the war of 1812; later he served as foreman of his family's tannery. In 1820, he married Dianthe Lusk, who bore him 7 children; 5 years later they moved to Pennsylvania to operate a tannery of their own. Within a year after Dianthe's death in 1831, Brown wed 16-year-old Mary Anne Day, by whom he fathered 13 more children. During the next 24 years Brown built and sold several tanneries, speculated in land sales, raised sheep, and established a brokerage for wool growers. Every venture failed, for he was too much a visionary, not enough a businessman. As his financial burdens multiplied, his thinking became increasingly metaphysical and he began to brood over the plight of the weak and oppressed. He frequently sought the company of blacks, for 2 years living in a freedmen's community in North Elba, N.Y. In time he became a militant abolitionist, a "conductor" on the Underground Railroad, and the organizer of a self-protection league for free blacks and fugitive slaves. By the time he was 50, Brown was entranced by visions of slave uprisings, during which racists paid horribly for their sins, and he came to regard himself as commissioned by God to make that vision a reality. In August of 1855, he followed 5 of his sons to Kansas to help make the state a haven for anti-slavery settlers. The following year, his hostility toward slave-staters exploded after they burned and pillaged the free-state community of Lawrence. Having organized a militia unit within his Osawatomie River colony, Brown led it on a mission of r evenge. On the evening of May 23, 1856, he and 6 followers, including 4 of his sons, visited the homes of pro-slavery men along Pottawatomie Creek, dragged their unarmed inhabitants into the night, and hacked them to death with long-edged swords. At once, "Old Brown of Osawatomie" became a feared and hated target of slave-staters. In autumn 1856, temporarily defeated but still committed to his vision of a slave insurrection, Brown returned to Ohio. There and during 2 subsequent trips to Kansas, he developed a grandiose plan to free slaves throughout the South. John Brown :: essays research papers Born in Torrington, Connecticut on May 9, 1800, John Brown was the son of a wandering New Englander. Brown spent much of his youth in Ohio, where he was taught in local schools to resent compulsory education and by his parents to revere the Bible and hate slavery. As a boy, he herded cattle for General William Hull's army during the war of 1812; later he served as foreman of his family's tannery. In 1820, he married Dianthe Lusk, who bore him 7 children; 5 years later they moved to Pennsylvania to operate a tannery of their own. Within a year after Dianthe's death in 1831, Brown wed 16-year-old Mary Anne Day, by whom he fathered 13 more children. During the next 24 years Brown built and sold several tanneries, speculated in land sales, raised sheep, and established a brokerage for wool growers. Every venture failed, for he was too much a visionary, not enough a businessman. As his financial burdens multiplied, his thinking became increasingly metaphysical and he began to brood over the plight of the weak and oppressed. He frequently sought the company of blacks, for 2 years living in a freedmen's community in North Elba, N.Y. In time he became a militant abolitionist, a "conductor" on the Underground Railroad, and the organizer of a self-protection league for free blacks and fugitive slaves. By the time he was 50, Brown was entranced by visions of slave uprisings, during which racists paid horribly for their sins, and he came to regard himself as commissioned by God to make that vision a reality. In August of 1855, he followed 5 of his sons to Kansas to help make the state a haven for anti-slavery settlers. The following year, his hostility toward slave-staters exploded after they burned and pillaged the free-state community of Lawrence. Having organized a militia unit within his Osawatomie River colony, Brown led it on a mission of r evenge. On the evening of May 23, 1856, he and 6 followers, including 4 of his sons, visited the homes of pro-slavery men along Pottawatomie Creek, dragged their unarmed inhabitants into the night, and hacked them to death with long-edged swords. At once, "Old Brown of Osawatomie" became a feared and hated target of slave-staters. In autumn 1856, temporarily defeated but still committed to his vision of a slave insurrection, Brown returned to Ohio. There and during 2 subsequent trips to Kansas, he developed a grandiose plan to free slaves throughout the South.

Breast Cancer Essay -- essays research papers

Breast Cancer: Risk Factors, Detection & Treatment   Ã‚  Ã‚  Ã‚  Ã‚  Among all American women who die when they are between the ages of forty and forty-five, the cause of death most likely to be listed on their death certificates is BREAST CANCER. Breast tumors are responsible for the greatest number of deaths among women, and breast cancer alone is the cause of almost one fifth of all cancer related mortalities. It results in the death of thirty seven thousand American women every year. Currently, there is no concrete answer as to how breast cancer is caused nor is their a cure for the disease. â€Å"Research over the past fifty years has narrowed the causes down to certain risk factors that are common amongst breast cancer patients. The disease can be detected somewhat early if one attends examinations. As for treatment, several methods have come into use, neither of them one hundred percent effective.† (Seltzer, 23)   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"The risk factors for breast cancer have been evaluated solely by researching the medical histories of those with the disease.† (Seltzer, 27) They have been assigned a specific order which ranges from greatest risk to the least amount of risk. The risk factors are having a family history of the disease, never bearing children, having a child after the age of thirty, having had a late menopause, age, obesity, and being a Caucasian. These risk factors are not however, totally conclusive. My mother, also being a victim of breast cancer had none of the above listed risk factors, but still developed the sickness. â€Å"Even if none of the risk factors applies to you, you must still be wary and attend regular examinations, because every woman is at risk.† (Subak-Sharpe, 42)   Ã‚  Ã‚  Ã‚  Ã‚  Early detection of breast cancer is the key to surviving the illness. Once the tumor has grown too much, it is often too late. â€Å"Large tumors interact with lymph nodes which interconnect with the breast, facilitating the spreading of the disease, which in almost all cases, leads to certain death.† (Link, 144) There are essentially two methods of detection with breast cancer. They are self examinations as well as Mammography’s. Self examinations are essentially done by women on themselves, feeling the breast while searching for a lump or abnormalities. It is recommended by the American Cancer Association that a ... .... â€Å"Even though some patients illnesses prove resistant, the treatment is forty percent effective.†(Link, 110) Side effects with Radiation therapy are rare but include rib fracture, radiation induced Pneumonia, and Pericardial effusion(fluid around the heart). These side effects are due to the radiations proximity with the lungs, ribs and heart. The alternative to Radiation therapy is Chemotherapy. Chemotherapy involves using drugs in the fight against malignant, or deadly tumors. Pharmaceuticals such as Antimetabolites, Alkalating agents, and Antibiotics. These drugs are basically designed to flow through the body’s circulatory system, and then search for and destroy cancerous cells. Chemotherapy has about the same success rate as radiation therapy.   Ã‚  Ã‚  Ã‚  Ã‚  In conclusion, breast cancer is one of the most deadly cancers known to women around the world. Risk factors show who may be prone to developing the sickness, and as time goes by, more detection and treatment methods are developed. Hopefully one day, a cure can be found to eradicate this, and all cancers, but until that day, women will still have to deal with the detection, and treatment of breast cancer.

History of Australian Cattle Dogs :: essays papers

History of Australian Cattle Dogs The Australian Cattle Dog was originally born in Australia. It was bred to help outback ranchers round up their cattle and to withstand the harsh outback conditions. The breed is loyal and devoted to its owner. The joy of owning an Australian Cattle Dog directly relates to the breed origin, why it was bred, the general appearance, its unique traits, simple diet and easy health care. According to Katherine Buetow in â€Å" The History of the Australian Cattle Dog† she states, â€Å"There is continuing controversy over which breeds were actually used in its development. One of the difficulties in researching the history of this breed is that there was a lot of experimentation going on in trying to find the perfect combination of dogs to make up the ultimate heeler that could live and work in the Australian outback †( 1). The Australian Cattle Dog was thoughtfully blended with several different dogs including the dingo, which is native to Australia, to heard cattle for ranchers on the Australian outback. Originally, ranchers let their cattle roam the outback for months or even years to fatten up before rounding them up and taking them to the market for sell. Since this round up could consist of hundreds of miles, they needed a dog that could go with them and survive the round up. This is when the Australian Cattle Dog was born (Sunset 1). The â€Å"Australian Cattle Dog† describes the breed as a unique blend of five different dogs. The breeds are the smooth-coated collie, Dalmatian, kelpie, dingo, and the bull terrier. This diversified blend that makes up the Australian Cattle Dog was obtained by many years of trial and error. There are the blue and red varieties called the Heeler or the Queensland Heeler. The heeler breed is designed to work with cattle, sheep, hogs, and fowl (Beauchamp 10). The trainability of the Australian Cattle Dog is a reflection of its intelligence and strong desire to please their owner. The breed can be taught to work without their owner’s supervision. They can also evaluate and solve complex situations on their own. The Australian Cattle Dog owner knows the breed for its incredible stamina, intelligence, and loyalty. This is why the Australian Cattle Dog naturally takes upon itself to be not only a protector but also a companion (Beauchamp 30). History of Australian Cattle Dogs :: essays papers History of Australian Cattle Dogs The Australian Cattle Dog was originally born in Australia. It was bred to help outback ranchers round up their cattle and to withstand the harsh outback conditions. The breed is loyal and devoted to its owner. The joy of owning an Australian Cattle Dog directly relates to the breed origin, why it was bred, the general appearance, its unique traits, simple diet and easy health care. According to Katherine Buetow in â€Å" The History of the Australian Cattle Dog† she states, â€Å"There is continuing controversy over which breeds were actually used in its development. One of the difficulties in researching the history of this breed is that there was a lot of experimentation going on in trying to find the perfect combination of dogs to make up the ultimate heeler that could live and work in the Australian outback †( 1). The Australian Cattle Dog was thoughtfully blended with several different dogs including the dingo, which is native to Australia, to heard cattle for ranchers on the Australian outback. Originally, ranchers let their cattle roam the outback for months or even years to fatten up before rounding them up and taking them to the market for sell. Since this round up could consist of hundreds of miles, they needed a dog that could go with them and survive the round up. This is when the Australian Cattle Dog was born (Sunset 1). The â€Å"Australian Cattle Dog† describes the breed as a unique blend of five different dogs. The breeds are the smooth-coated collie, Dalmatian, kelpie, dingo, and the bull terrier. This diversified blend that makes up the Australian Cattle Dog was obtained by many years of trial and error. There are the blue and red varieties called the Heeler or the Queensland Heeler. The heeler breed is designed to work with cattle, sheep, hogs, and fowl (Beauchamp 10). The trainability of the Australian Cattle Dog is a reflection of its intelligence and strong desire to please their owner. The breed can be taught to work without their owner’s supervision. They can also evaluate and solve complex situations on their own. The Australian Cattle Dog owner knows the breed for its incredible stamina, intelligence, and loyalty. This is why the Australian Cattle Dog naturally takes upon itself to be not only a protector but also a companion (Beauchamp 30).

Knowledge Development in Nursing Essay

A philosophy of nursing should be all encompassing, with its foundation based upon core values and beliefs, while building upon experience. Medicine is often comprised of controversial ethical dilemmas where we must be advocates. In a study that examined the relationship between nurses and physicians it was determined that â€Å"Differences in values, communication, trust, and responsibilities can precipitate conflict between nurses and physicians over ethical components of care. (Corley MC 1998) Developing ones theoretical knowledge and learning how to apply it successfully into their clinical practice is part of the evolving process. The evolution that occurs over the course of a career can be empowering. Hence, it is important to develop positive nurse-physician relationships to bolster confidence and grow from those interactions. The importance of positive nurse-physician relationships has been widely acknowledged (Baggs, 1989; Baggs & Schmitt, 1988; Eubanks, 1991; Fagin, 1992; Mechanic & Aiken, 1982; Prescott & Bowen 1985). Therefore, it is our obligation as professionals to mentor our peers, not only for ourselves, but our patients and families, as well. In an interesting illustration of self disclosure (Kim, H.S., 1999) a practitioner was able to identify the needs of a patient, but clearly had difficulty communicating the needs of the patient to the physician, although some of the difficulties appeared to be cultural in nature. The way we communicate with one another as practitioners, in addition to, how we collaborate and communicate with physicians has a direct impact on patient outcomes. As practitioners we are restricted in performing our jobs if we can not effectively collaborate with the physician. It is herein that the problem lies. The inexperienced or less assertive practitioner will often find it difficult to approach a physician when faced with perhaps the â€Å"Do Not Resuscitate† order that has yet to be signed. With that being said, approaching a family that needs to be educated on the implications of G-tube placement on their family member with prolonged intubatation and no signs of improvement can be daunting without interdisciplinary support. The more experienced practitioner’s clinical judgment is more easily verbalized  because he/she is comfortable in interdisciplinary collaboration, therefore the physician is more likely to involve them in the decision making process. For example in an ICU setting where often times the physician does not involve the practitioner in the decision making process or inform them when a decision has been made it generally creates one of three things. A. the nurse will continue to aggressively pursue the physician until an order is received B. resort to â€Å"slow codes†, or C. resuscitate all patients until told otherwise by the physician (Michael I Rauchman, BA). All of these things lead to negative outcomes for both the families and patients, and we as practitioners. â€Å"Future directions of the discipline are revealed when these linkages between philosophy, disciplinary goals, theory, and practice are strengthened† (McCurry, et al). It is for these reasons, we as practitioners must continually grow and develop through our experiences, always expanding our knowledge in the ever-changing profession we have chosen. Corley MC (1998). Ethical dimensions of nurse-physician relations in critical-care (The Nursing Clinics of North America) 1998 Jun; Vol. 33 (2), pp. 325-37. http://ehis.ebscohost.com.proxy.library.maryville.edu/ehost/detail?vid=19&sid=78745a3b-d950-4ea0-890c-4ee4ab4c4b46%40sessionmgr112&hid=101&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=cmedm&AN=9624207 ISSN#0029-6465 MICHAEL I. RAUCHMAN, BA Medical student McGill University Montreal, PQ RABKIN MT. GILLERMAN G, RICE NR: Orders not to resuscitate. N Engi J Med I 976; 295: 364-366 http://www.ncbi.nlm.nih.gov.proxy.library.maryville.edu/pmc/articles/PMC1875656/pdf/canmedaj01406-0055.pdf Expertise in Nursing Practice Caring, Clinical Judgment, and Ethics