Thursday, October 31, 2019

Different Proportion of M&M Candies in Each Colour between Two Sample Research Paper

Different Proportion of M&M Candies in Each Colour between Two Sample Proportions - Research Paper Example There were 1535 blue candies in the bag out of 7356 candies and the proportion of blue candies is 0.2087. The 95% Confidence Interval is (0.1994, 0.218). There were 1587 orange candies in the bag out of 7356 candies and the proportion of orange candies is 0.2157. The 95% Confidence Interval is (0.2063,0.2251). There were 1320 green candies in the bag out of 7356 candies and the proportion of green candies is 0.1794. The 95% Confidence Interval is (0.1707, 0.1882). There were 925 yellow candies in the bag out of 7356 candies and the proportion of yellow candies is 0.1257. The 95% Confidence Interval is (0.1182, 0.1333). There were 990 red candies in the bag out of 7356 candies and the proportion of red candies is 0.1346. The 95% Confidence Interval is (0.1268, 0.1424). There were 999 brown candies in the bag out of 7356 candies and the proportion of brown candies is 0.1358. The 95% Confidence Interval is (0.128, 0.1436).The sample size in estimating the proportion is 438. In testing w hether the given sample proportion of blue candies (0.2087) matches with the population proportion 0.24 of blue candies. The hypothesis is rejected (Z=-6.291) since the observed value is less than the expected value -1.96. Hence there is a significant difference between the sample proportion and population proportion. In testing whether the given sample proportion of orange candies (0.2157) matches with the population proportion 0.2 of orange candies, the hypothesis is rejected (Z=3.3754) since an observed value is greater than the expected value 1.96. Hence there is a significant difference between the sample proportion of orange candies and population proportion of orange candies. In testing whether the given sample proportion of green candies (0.1794) matches with the population proportion 0.16 of green candies, the hypothesis is rejected (Z=4.5492) since the observed value is greater than the expected value 1.96.

Tuesday, October 29, 2019

Wild Planet Case Study Example | Topics and Well Written Essays - 500 words

Wild Planet - Case Study Example As the report highlights  family and important groups affect the perception, wants and basic value of kids, such that they keep the practices of the groups in which they were brought up in. Wild Planet marketers evaluate cultural shifts in regard to demand for toys in a bid to remain competitive in the market. This helps in determining which cultural setups demand toys and which do not, so that toys are not offered to cultures that do not need them.From the study it is clear that  high quality and nonviolent toys are produced and marketed by the company, responding to the current need for creativity and innovativeness. In so doing, social classes have to be considered and well incorporated in product development so that the demand is fully met. These social trends are fundamental in determining consumer behavior. There are those consumers that buy products because they are expensive, while others go for the cheaper products. Social determinants like income, education and wealth i nfluence purchase processes. Wild planet needs to identify the characteristics of the various markets it serves in marketing the toys and selling positive play experiences.  Individual buyers consider their personality in making purchase decisions. The age and life of a buyer influences that person’s buying behavior. Standard of life is also significant when it comes to purchase decisions.  Personalities that attach toys and related products to their lives are likely to buy more than those who do not.

Sunday, October 27, 2019

Independent Practice Issues And Independent Midwifery Nursing Essay

Independent Practice Issues And Independent Midwifery Nursing Essay The founder of modern nursing has rightly quoted that nursing is the care which puts the person in the best possible condition for nature to either restore or preserve health or to prevent or cure injury. Nursing has its own entity and ethics which makes it a profession. In response to the rising health needs, the need for independent nursing is the demand of the hour. This concept is readily formulated and implemented in developed countries. This has helped in meeting the consumers demand for health benefits. During the twentieth century, the nursing profession has undergone immense change. Nursing has progressed from an occupation to a fully licensed profession, with members that provide a broad range of services independently, and in a variety of professional relationships with other providers. This evolution has changed how nurses are educated, clinically prepared, and how they perceive their role. Starting with turn-of-the-century debates concerning the appropriateness of professional nursing practice, registered nurses began assessing not only their licensure status, but their roles related to other professionals. In the early years of the nursing profession, it was generally believed that nurses served and cared for their patients by assisting physicians. However, the perception of nursing often varied dramatically from its practiceThe role of the public health nurse, as it developed earlier in this century, was often independent, with nurses working with families of patients with tuberculosis or other highly contagious diseases and providing a broad range of interventions, both health- and socially-focused. Definition of independent nurse practitioner Wikipedia Definition, An independent Nurse Practitioner(INP) is a registered nurse who has completed specific advanced nursing education (generally a masters degree) and training in the diagnosis and management of common as well as complex medical conditions to provide a broad range of health care services. American Academy of Nurse Practitioners: An Independent Nurse Practitioner is referred as advanced practice nurse has a masters degree in nursing in the specialized area of her/his interest and licensed to practice in her/his state. The International Council of Nurses defines INP: A registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice. PHILOSOPHY OF INP The core philosophy of INP is to provide individuals care to patients of all ages. Its care focuses on patients conditions as well as the effects of illness on the lives of the patients and their families. INPs make prevention, wellness and patient education priorities. This means fewer prescriptions and less expensive treatment. Informing patients of their health care and encouraging them to participate in decisions central to the care In addition to care, INPs conduct research and are often active in patient advocacy activities. Standards required for practice of midwifery Midwifery care is provided by qualified practitioner, who is registered Midwifery care occurs in a safe environment with in context of family, community and system of health care. Midwifery care supports individual rights and self determination with in boundaries of safety. Midwifery care comprises of knowledge, skills and judgment that foster the delivery of safe, satisfying and culturally competent care. Midwifery care based up to knowledge, skills and judgment which are reflected in written practice guidelines. Midwifery care is documented in format that assessable and component. Midwifery care is evaluated acc. to an established prog. For quality management that include a plan to identify and resolves problem. Midwifery practices may be extended beyond the set competences to incorporate new procedures, that improves care for women and their family. HISTORICAL DEVELOPMENT OF INP Nurse practitioners have provided a healthy partnership with their patients for more than 40 years. INP role originated as one strategy to increase access to primary care. The following are brief historical background of INP. The nurse practitioner role had its inception in the mid-1960s in response to a shortage of physicians. The first NP Program was developed as a masters degree curriculum at the University of Colorados School of Nursing in 1965, founded by Loretta C. Ford, a nursing faculty member and Dr. Henry K. Silver, a pediatrician. Programs were developed across the country to provide additional education for experienced nurses to enable them to provide primary health care services to large underserved populations. The first programs were in pediatrics and they soon spread to many other health care specialties. During 1970-1971 Federal Legislation recommended Certificate Programme for nurses to deliver primary health care. Gradually certificate programme shifted to masters degree In response to health care reform in 1990s 3 INPs programmes were developed to meet the demand of primary care services. By 1994, 248 programme centres were developed for INP in US. In 1995, 49000 nurses were employed as INPs. American Academy of Nurse Practitioner in 1993 developed standard and guidelines for practice of INPs which are still followed. Today 200 universities and colleges are offering INP programme all over the world. 70,000 nurses are working as INP in US. Development of Independent nurse practitioner (Independent Nurse Midwifery Practitioner) development in India The Indian Nursing Council (INC), the parent body of the nursing councils in the country, has rolled out an initiative, which is in the early implementation stage, and has been forwarded for approval to the Union Health ministry. Independent nurse practitioners trained in midwifery has been introduced to bring down the high Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in rural areas. The National Population policy 2000 includes reduction of maternal and infant mortality as one of the socio-demographic goals to be achieved by 2010. The single most important way to reduce maternal death in India would be to ensure that a skilledhealth professional is present at every birth. Skilled care during childbirth is important because millions of women and newborns develop serious and hard to predict complications during or immediately after delivery. Skilled health professions such as doctors or nurses who have midwifery skills can recognize these complications and either treat them or refer women to health centers or hospitals immediately if more skilled care is needed. So, in order to ease the impact of the shortage of gynaecologists in community health centres, INC performed a pilot study for the Independent Nurse Practitioner Project in West Bengal at SSKM Hospitals female medical and surgical wards. The project provides an 18 months training in midwifery, besides an additional training in emergency obstetric care to candidates who have completed their BSc in nursing and have two to three years of clinical experience in ob-gyn wards to take care of ANMS in rural sector. These nurses are called independent nurse practitioners as they are trained to prescribe medicines following approved protocols and take decisions independently in absence of gynaecologists. 2 of the 4 trainees have been assigned to a CHC to manage obstetric cases. The results of the pilot study has been submitted to health ministry and the government of India is currently examining the proposal to extend this project all over India. INC is finalising a curriculum with senior obstetrics and gynaecologists for the training of independent nurse practitioner module. Explains T Dileep Kumar, president, INC, In rural areas, though a community health centre should be manned by physician, surgeon, paediatrician and gynaecologist, the community health centre is usually found facing a shortage of gynaecologists. Its in such a scenario, that the role of independent nurse practitioner gains importance, here, Auxiliary midwives are trained. Independent nurse practitioners should be regarded as a part of solution for improving quality, access and cost of care and continuing education. BASIC requirements of Independent nurse midwifery practitioner Becoming Independent nurse midwifery practitioner is one of the important challenges as it needs specialized qualification. The basic requirements are mentioned below: Basic nursing education Registered nurse Advance Nursing Certification (Master Degree in Obstetics and gynaecology nursing) Collaboration with any hospital/agencies for referral and reimbursement Areas of practice Independent nurse midwifery practitioners work in a variety of settings, including: Community Clinics and Health Centres Nurse managed centres private practices (either by themselves or together with a physician), hospitals, nursing homes, birthing centers. Womens Health Clinics Home health care agencies/Home Nursing Schools or colleges based health clinics They often provide care to underserved populations in rural areas or inner-city settings. What Independent nurse midwifery practitioner can do? Midwifery nurse practitioner is a registered professional nurse, with a current license to practice, who is prepared for advanced nursing practice by virtue of knowledge and skills obtained through a post-basic or advanced education program of study acceptable to the State Board of Nurse Examiners. She is prepared to practice in an expanded role to provide primary care to women, to well-woman related to reproductive health, conduct annual gynecological exams, provide education regarding family planning, and provide menopausal care. She provides care in a variety of settings including, but not limited to homes, hospitals, institutions, community agencies, public and private clinics, and private practice. She acts independently and/or in collaboration with other health care professionals to deliver health care services. She conducts comprehensive health assessments aimed at health promotion and disease prevention. She is capable of solo practice with clinically competent skills and are legally approved to provide a defined set of services without assistance or supervision of another professional. Midwifery practitioners are specialists in low-risk pregnancy, childbirth, and postpartum. They generally strive to help women to have a healthy pregnancy and natural birth experience. They are trained to recognize and deal with deviations from the normal. Midwifery nurse practitioners are uniquely qualified to resolve unmet needs in primary health care by serving as an individuals point of first contact with the health care system. This contact provides a personalized, client-oriented, comprehensive continuum of care and integrates all other aspects of health care over a period of time. Their focus of care is on health surveillance (promotion and maintenance of wellness), but it also provides for management of complications in order to maintain continuity. Midwifery practitioners refer women to general practitioners or obstetricians when a pregnant woman requires care beyond the their area of expertise. They are trained to handle certain more difficult deliveries, including breech births, twin births and births where the baby is in a posterior position, using non-invasive techniques. Nurse-midwives work together with OB/GYN doctors. They either consult with or refer to other health care providers in cases that are outside of their experience (for example, high-risk pregnancies and pregnant women who also have a chronic disease). Many studies over the past 20 30 years have shown that nurse-midwives can manage most perinatal (including prenatal, delivery, and postpartum) care, and most of the family planning and gynecological needs of women of all ages. Nurse-midwifery practitioners have improved primary health care services for women in rural and inner-city areas. SCENARIO OF MIDWIFERY IN USA INDEPENDENT MIDWIFERY PRACTICE It is the position of the American College of Nurse-Midwives (ACNM) that midwifery practice is the independent management of womens health care, focusing particularly on common primary care issues, family planning and gynecologic needs of women, pregnancy, childbirth, the postpartum period and care of the newborn. The practice occurs within a health care system that provides for consultation, collaborative management or referral as indicated by the health status of the client. Independent midwifery enables certified nurse-midwives (CNMs) and certified midwives (CMs) to utilize knowledge, skills, judgment, and authority in the provision of primary womens health services while maintaining accountability for the management of patient care in accordance with ACNM Standards for the Practice of Midwifery. Independent practice is not defined by the place of employment, the employee-employer relationship, requirements for physician co-signature, or the method of reimbursement for services. Nor should independent be interpreted to mean alone, as there are clinical situations when any prudent practitioner would seek the assistance of another qualified practitioner. Collaboration is the process whereby health care professionals jointly manage care. The goal of collaboration is to share authority while providing quality care within each individuals professional scope of practice. Successful collaboration is a way of thinking and relating that requires knowledge, open communication, mutual respect, a commitment to providing quality care, trust and the ability to share responsibility. SCENARIO OF MIDWIFERY IN UNITED KINGDOM Independent Midwives UK represent the majority of independent midwives in the UK. The organisation is committed to improving maternity provision for all women in the UK and is working with other support, service and professional groups, including the Government, to achieve that objective. Independent Midwives UK also provides professional advice and mutual support for independent midwives. The former Independent Midwives Assosiation has recently become Independent Midwives UK, an Industrial and Provident Society. The new organisation is a Social Enterprise and with Government support, Independent Midwives UK is working towards making Independent Midwifery available to all women who are entitled to NHS maternity care. Independent Midwife Independent Midwives are fully qualified midwives who have chosen to work outside the NHS in a self employed capacity. Independent midwives fully support the principals of the NHS and are currently working to ensure that all women can access gold standard of care in the future ( LINK). The role of the midwife encompasses the care of women and babies during pregnancy, birth and the early weeks of motherhood. Qualification and regulation of midwives Midwifery is the most securely regulated profession in the UK. All practising midwives must adhere to the Midwives Rules which are enshrined in the 1902 Midwives Act of Parliament and subsequent amendments. All independent midwives have undertaken full midwifery training and are subject to annual supervisory visits and equipment checks. In line with the requirements of our regulatory body, the Nursing and Midwifery Council, we are required to ensure that our clinical practice is up to date and that our actions are within our sphere of competence. Role in emergency conditions There are very few genuine emergencies during childbirth; this is why research has shown that for most women homebirth is at least as safe if not safer than hospital birth. As the experts in childbirth, midwives are trained to recognise any early warning signs that things may not be progressing normally and to take appropriate action. If the unexpected should happen, all midwives are trained in emergency resuscitation of both mothers and babies Independent Midwives carry all the necessary emergency drugs and equipment and these are checked on a yearly basis by a supervisor of midwives. Emergency equipments Independent Midwives carry all the necessary emergency equipment to ensure that if a baby is born needing resuscitation, this can be performed. For example: oxygen, suction, bag and mask. All midwives are trained in emergency resuscitation. Independent Midwives also carry emergency drugs in case a woman is bleeding heavily. They update ourselves on a yearly basis in emergency neonatal resuscitation and many of us have attended emergency skills workshops tailored for independent midwives attending homebirths. It is a requirement that our equipment is checked on a yearly basis by a supervisor of midwives. As Independent Midwives, often working alone and mainly facilitating homebirth, we are very conscious that we need to be completely up to date with all the necessary skills should an emergency occur. Charges for services As Independent Midwives are all self-employed they are all able to choose what they charge. Independent Midwives have to cover all their own costs such as training, equipment and travel. Rates may vary in different areas of the UK; currently a complete package of care will cost you between  £2000 and  £4500 (approx). Most Iindependent Midwives will want to receive payment in full by the time you are 36 weeks pregnant but if you have genuine difficulties in paying please discuss it with your Independent Midwife as most can offer flexible payment plans. Credentials to become a midwife Becoming an independent midwife can seem a daunting challenge but many midwives have taken the leap and few regret doing so. Once a midwife has completed an approved programme of education and is registered with the Nursing and Midwifery Council, (NMC) she/he may practice where ever she/he chooses to in accordance with NMC rules. In the UK that could be in the NHS, the private sector, with an agency  or as an independent self employed midwife. If a midwife chooses to be self employed she is regulated by the NMC midwives rules and standards, and must adhere to the same statutory obligations as an employed midwife. SCENARIO OF MIDWIFERY IN AUSTRALIA Midwives in Private Practice (MIPP) For centuries midwives have worked among their communities providing care to women. Historically midwives have held a philosophy of care based on the belief that pregnancy is, basically, a healthy process and a normal part of life, growth and development. It is this belief that guides the way in which midwives in private practice work. Midwives choosing to work privately, rather than being employed by hospitals and other institutions, do so because it allows them to be flexible about the care they provide. That is, the care offered will be in partnership, directed primarily by the wishes of the women and their families. The private practitioner midwife is able to provide continuity of care to the families who have chosen to use her services. During the pregnancy, the woman and her family develop a friendly supportive relationship with their midwife (in some cases eg homebirth, the care is shared by two midwives). On the day the baby is born the midwife remains with the woman throughout the entire labour. There are no shift changes that require the midwife to leave. During the first week of the babys life the same midwife visits each day until the baby has settled into a feeding pattern and the parents feel confident in caring for their new baby. Some midwives in private practice choose to work in specific areas. For example, some may offer postnatal care, or advice with difficult breastfeeding problems (Lactation Consultants) or Maternal and Child Health (MCHN). In addition, some midwives are skilled and have qualifications in complementary areas such as acupuncture, counselling, naturopathy, chiropractic, massage or homeopathy. The range of services provided: Pre-pregnancy advice Advice about birth options Childbirth education classes Sibling preparation classes Continuous midwifery care during pregnancy Preparation for and attendance at births in an appropriate environment of the parents choice Postnatal care following birth at home, birth centre or hospital Separate postnatal care for women who want private midwifery care for this period only or who are discharged home early from hospital Lactation consultancy Acupuncture and Chiropractic Referral to and advice about other health professionals such as medical and natural health practitioners, eg obstetricians, paediatricians, GPs, chiropractors, osteopaths, naturopaths, homeopaths Some midwives have a special interest and expertise in supporting women in special areas such as vaginal birth after caesarean section (VBAC), breech births, water births and postnatal depression. SCENARIO OF MIDWIFERY IN INDIA Prof. Uma Handa (ex Consultant Midwife, UNICEF) has a BS and an MSc in Nursing with specialization in obstetrics and gynecology. She has worked in the field of nursing since 1974, in nursing educational institutions in both the conventional and distance system, as well as in national and international health agencies. Countries in which she has worked include Sri Lanka, UK, Bangladesh and South Africa (University of Namibia-UNAM). She has received many special awards throughout her career. Umas present goal is to promote independent midwifery practice in India to encourage mothers to go through natural childbirth and so that unnecessary medical and surgical interventions can be prevented. Organizations she is member of: Nursing Research Society of India (Founder), Trained Nurses Association of India (TNAI), White Ribbon Alliance India (WRAI), Society of Midwives, and Executive Committee member Birth India. Issues in independent nurse practice Nursing has been thought to be a part of the medical team where all professionals provide input to build the best care of the patient but now times have changed nurses have developed themselves as independent professionals with a unique body of knowledge. The nurses could not document that they hold a patients medications based on nursing judgment. Such an instance might be when a patient had hypotension from pain medication and thus the morning anti-hypertensive is held. Instead, they need an order from a physician to hold such medication. Further, something like Tylenol on a patients medication record ordered for fever could not be administered by the nurse for a headache if the patient requested it because that would be practicing medicine without a license.   A nurse cannot order a social services consult, flush a urinary catheter should it become clogged, refer a patient for diabetes education, etc., etc., without an order from the supervising physician. Although they were trained to recognize these things, they carried an independent license, sat for an examination to obtain that license, and had years of education. Perhaps nurses really could not do any of these things without a supervising physician to tell them? Physicians, are critical components of the health care team there is no doubt, but why send a nurse to school and give him/her an independent license, scope of practice, and make them answerable to a board of nursing but then limit their usefulness. In the early years of the nursing profession, it was generally believed that nurses served and cared for their patients by assisting physicians. However, the perception of nursing often varied dramatically from its practice. During wars and times of crises, nurses worked with and beside physicians conducting surgical procedures, diagnosing care, and prescribing treatments and drugs. The role of the public health nurse, as it developed earlier in this century, was often independent, with nurses working with families of patients with tuberculosis or other highly contagious diseases and providing a broad range of interventions, both health- and socially-focused. During the twentieth century, the nursing profession has undergone immense change. Nurses have developed themselves as independent professionals with a unique body of knowledge. Nursing has progressed from an occupation to a fully licensed profession, with members that provide a broad range of services independently, and in a variety of professional relationships with other providers. This evolution has changed how nurses are educated, clinically prepared, and how they perceive their role. But, there are certain issues in independent practice: Curriculum for independent nurse practitioner development: Early nurse practitioner training involved nondegree, certificate programs of one year or less. Today the nursing community strongly supports masters degree preparation for entry-level practice. Although the level of education is higher, the focus has remained the same: Nurse practitioner programs emphasize primary care, preventive medicine and patient education. However, physicians offer a different service to patients. With five years of medical education and three years of residency training, their depth of understanding of complex medical problems cannot be equaled by lesser-trained professionals. Prescriptive authority. Nurse practitioners have the authority to prescribe and can write prescriptions (including ones for controlled substances) without any physician involvement. However, some believe that there should be collaborative prescribing agreement between nurse practitioners and physicians. Public view of nursing: Many articles in nursing as early as 1928, speak to the concerns about nurses. Nice girls, dont do nursing!. If you have a strong back and weak mind, be a nurse The publics images of nurses has not essentially changed since nursings inception. In public opinion, nurses are identified as a means for decreasing the cost of health care. She is considered as a highly trained professional who is providing an alternative to the expensive primary care physician. They wonder that can she do anything that a primary care physician can do. They are reluctant to recognize nurse practitioners as primary care providers. Areas of practice: Nonphysician providers have historically thrived in settings where physicians were unavailable places they were unable or unwilling to go, It remains to be seen if independent nurse practitioners will be economically viable in areas of physician oversupply. Quality of care: Many studies show that patients have a high or very high level of satisfaction with NP Services. Regarding measurement of diagnosis, treatment, and patient outcomes, several studies indicate that the quality of care provided by NPs is equal to that of physicians. Cost effective care: Nurse practitioners provide a cost effective care. One study compared the costs of care for two primary care problems and found that the cost of care given by NPs was 20% less than the cost of care given by physicians. At the same time, some argue that, without ready access to supervising physicians, nurse practitioners are likely to order more tests and consultations and be quicker to admit patients to the hospital, thereby driving up health care costs. Insufficient evidence-based practice and nursing research There is a need of promotion of evidence-based practice and nursing research so that with a sound knowledge base, the nurses will be able to function more independently. Establishment of policies on the use of evidence in practice is required. Nurses with a Masters degree should be encouraged to provide evidence, read nursing research and use evidence to improve or change nursing practices. An academic atmosphere should be created in the workplace. An information system and library should be provided. Multidisciplinary research should be encouraged. At the hospital, there should be a person who is responsible for nursing research activity including fund seeking for research and building of research network. Nurse educators should develop a short-course training on evidence-base and research or to supervise research activity. Resources such as journals and books can be shared. Joint research between nurse educators and clinical staff should be encouraged to strengthen the capacity of both groups and improve education and practice. The INC can be a part of nursing research development. The INC should set nursing research priorities in collaboration with nursing and non-nursing organizations to provide research funds and promote nursing activities for policy formulation. Establishment of a nursing research information system is encouraged to monitor research work, areas of research and researchers. Dissemination of nursing research and models for best practices should be established. Need for establishment of a continuing nursing education system Continuing education is an informal study or activity to gain knowledge and learn about new technology. Lifelong education is essential for self-development, knowledge-building and learning. Continuing education stimulates nurses to keep up with new knowledge and technology, to increase their skills and competency, and to be able to contribute to the health care team. The existing continuing nursing education programmes should be strengthened or new units established. The appointment of responsible persons for continuing education activity is needed. Continuing education programmes should get approval from the INC so that nurses can develop increased competency to work independently. Need to establish a quality assurance system for the nursing service A quality assurance system comprises vision, mission, objectives, strategic and operational plans, nursing service activity, nursing manpower management, roles and responsibilities, nursing standards, nursing indicators, nursing research, nursing administration and management, resource allocation and financial support. The objective of this system will be to ensure quality care and nursing outcomes as expected by clients (less suffering, shorter duration of hospital stay, and reduction of health care costs, infection, complications and mortality), and according to professional standards. It also indicates the commitment of the care provider towards providing the best care to consumers. Successful development and implementation of the system depends on the commitment of nursing leaders, hospital administrators, mutual goal-setting, participation of all personnel in the process, continuous quality improvement and good communication. The role of the INC in regulating nursing practice should be strengthened by amending the Nursing Act to include maintaining of registration of qualified nurses, renewal of licence, and setting up a nursing service and nursing education accrediting system. If possible, a hospital QA system should have nursing as an integral part and involves nurses in a surveyor team. Thus, this will help ensure the quality of services provided by independent practitioners Lack of involvement of nurses in health and nursing policy formulation and planning There is insufficient involvement of nurses in healt

Friday, October 25, 2019

The Age of Innocence :: Age of Innocence Essays

The Age of Innocence   The Age of Innocence, by Edith Wharton, contains many flat, static characters representing Old New York society. At the apex of that society is Mr. and Mrs. Henry van der Luyden. As the narrator describes, their appearances are rare, but yet these few appearances provide more than enough information for the reader to "know" the characters. This information comes from several sources. The first is the narrator, when most of Old New York society is described. The second reference involves Newland Archer and Mrs. Mingott’s seeking of approval of the van der Luydens and the exchanges that took place. The final instance is the rare occasion of a dinner at the van der Luyden home and the occurrences here. From the information here, readers develop a complete picture of the van der Luydens. At the end of chapter VI, the narrator describes the hierarchy of Old New York. The last family described is the van der Luydens. The narrator writes, "†¦the van der Luydensâ⠂¬ ¦stood above all of them" (50). The narrator blatantly tells us that the van der Luydens are the highest "ranking" family of Old New York society. Just previous to this, the narrator informs the reader that they descended from both British and French aristocracy, supporting the fact that the van der Luydens are the most revered family. Next the narrator makes it known to readers that "[Mrs.] and Mr. van der Luyden were so exactly alike†¦ neither had ever reached a decision without prefacing it by [a] mysterious conclave" (52), this conclave being, "I shall first have to talk this over with my husband/wife." This shows that, one, the van der Luydens cannot be characterized separately for they are exactly alike, and, two, they consult each other before making decisions. Once again the narrator brings forward, quite openly, information about said characters. The narrator’s informing the reader of such facts sets up the reasoning behind the character’s motivations, and the reactions of other characters. One of such instances involves Archer and Mrs. Mingott’s seeking of the advice of the van der Luydens. First, it is important to note that double-checking one’s plans, as Archer does here, indicates the high status of the van der Luydens. Archer and Mrs. Mingott’s having to ask another family for the "proper" thing to do proves their dominance over society and that they are the experts of "good form.

Thursday, October 24, 2019

A reasoned evaluation of the strengths and weaknesses in Marxism, Functionalism and Feminism

A sociological theory is a set of ideas that provide an explanation for human society. In undertaking an accurate interpretation of three sociological perspectives, I will make a reasoned evaluation of the strengths and weaknesses in Marxism, Functionalism and Feminism. From the three chosen sociological perspectives I will also look at their individual views on religion and the family. SOCIOLOGICAL PERSPECTIVES MARXISM Marxism named after its founder Karl Marx (1818 – 1883) is very famous and influential. Marx regarded people as both producers and the products of society, he believed since people made society, only they can change it. He argued that ‘man makes his own history'. Marx believed that the rich would get richer (bourgeois – ruling class) and that the poor would get poorer (proletariat – subordinate /working class). He proposed that the proletariat would revolt in anger, leading to a revolution, resulting in the disappearance of the social class system and that people would live in a more equal society. Max Weber (1864 – 1920) agreed with Marx, however he also stressed the importance of status and power (i.e. an individual may be poor but have high status, such as a teacher). His views on religion differed to that of Marx too, arguing that it could be a source of conflict and change rather than a source of stability or social control. Key Names: Mark, Eng els, Young and Taylor. FUNCTIONALISM Society is viewed as a system, that is, as a set of interconnected parts that together form a whole. Functionalists believe that society has basic needs, which must be met if it is to continue to exist. It believes the concept of function i.e. the function of the family is to ensure the continuity of society by reproducing and socializing new members and the function of religion is to integrate the social system by reinforcing common values. Key Names: Durkheim, Merton, Murdock, Malinowski and Parsons. FEMINISM The basic assumption shared by all feminists is that women suffer certain injustices on account of their sex. Feminist sociology, stresses the importance of gender divisions in society and it portrays these divisions as working to the overall advantage to men. Although feminists are united by their common desire for sexual justice and their concern for women's welfare, there is actually a wide spectrum of ‘feminisms' (Mitchell and Oakley, 1986). These can be divided into four broad ‘tendencies': liberal, radical, Marxist/socialist and Black. STRENGTHS MARXISM Critical of Capitalism. In favour of the average person in society. Economic base or infrastructure and Political/Ideological superstructure. Social Structure (Macro Approach). FUNCTIONALISM Functional Imperatives: Goal Attainment, Adaptation, Integration and Latency. Functional sub-systems: Economic, Political, Family and Religion. FEMINISM Has done a lot to improve things for women over the years. Focuses on male/female relationships. Looks at laws needed/ used to ‘redress' male/female power balance (equal legal protection and social rights). WEAKNESSES MARXISM Too many inconsistencies and interpretations of Marx's work. Unscientific (the ‘Faith of Marxism' – Popper). Conspiracy theory (especially aimed at instrumental Marxists). Communism does not appear about to happen. Forms of (non-economic) conflict (gender, ethnic group) ignored in favour of economic conflicts. Left Functionalism (‘Marxism is little more than a form of Functionalism that replaces the interest of ‘society' with ‘ruling class' – Jock Young). Modern society is more complex than Marx predicted. Comparatively dated theories. Critics: Popper, Weber, Young (‘Left Idealism'), any New Right Theorist, Social biologists and Radical Feminists. FUNCTIONALISM Functionalists find it hard to explain rapid social change. They believe that ‘if something exists it has a function. It has a function because it exists'. The belief that non-human things like ‘society' can have human qualities such as ‘needs and purposes'. Over-emphasis upon the ‘beneficial' aspects of institutions and structures. Believing that society revolves around family unit – but not willing to recognise that not all people worldwide – belong to a family unit – yet function well. Critics: Marxist Sociologists, Radical and Marxist Feminists. FEMINISM Women – like working class men – are at a fundamental economic disadvantage; although Feminists refuse to see that. Legal changes mainly benefited middle class women. Legal equality not the same as status equality. Ignores study of social structural factors (e.g. class). Feminism geared towards middle class feminists (Bourgeois). Men are seen as the ‘enemy' (Marxist Feminism). Critics: Radical Feminists and New Right of Liberal Feminists and New Right, Marxist/Socialist Feminists of Radical Feminists. STRUCTURAL VIEWS ON RELIGION AND THE FAMILY Religions, families and societies have been around for a very long time. Unsurprisingly, we find family units and religions present in all known societies, and consequently, families and religion have a social impact. Everyone has their own view of what religion and the family consists of. These pre conceived ides are mostly to do with our own backgrounds, culture and life experiences. There is a lot of disagreement among sociologists about the roles of religion and the family within society; we will look at three sociological perspectives: RELIGION MARXISM In Marx's view, ‘Man makes religion, religion does not make man'. In other words, religion is the self-conscious and the self-feeling of man who has either not found himself or has already lost himself again. ‘Truly liberated individuals have no need of religion'. Thus, if the alienation and exploitation associated with the classes are eradicated, and people are freed to develop their human potential and find themselves, as in a truly socialist society, religion will no longer be needed and will cease to exist. Marx and Engels believed that religion represented a protest against a dehumanising social world and human alienation, it also leads people into false hopes and direction, along with the ‘solutions' it promises that are illusory. It obscures and distorts the true nature of reality in ways that benefit the ruling class. Marx anticipated that when a classless society was established, religion would disappear. FUNCTIONALISM Whereas Durkheim sees religion as an expression and celebration of people's sociality. Religion creates order and stability in society; it can be an agent of socialization and create a sense of social solidarity. Malinowski accepted like Durkheim that religion creates social solidarity but he believed that religion is a response to peoples needs during stress (e.g. birth and death). Parsons believed the role of religion served two functions, one to provide guidelines (behaviour in society) and the other is to answer ultimate questions. FEMINISM Religion is seen as an instrument of oppression, as a product of patriarchy rather than a product of capitalism. Religion is used by oppressors (men) to control the oppressed group (women), and it also serves as a way of compensating women for their second-class status. In most typical religions of the last millennium women are subservient and secondary to men (i.e. Catholic church and Muslims). THE FAMILY MARXISM The Marxists position asserts that the nuclear family is not universal but a product of capitalism and that the family is an exploitative institution. Murdock's theory is critised because he didn't consider that other social institutions could have performed the functions and he does not examine other alternatives to the family. In Engels theory he suggested that the main reason that the family developed was to solve the problem of inheritance, also that the family was the most efficient device for insuring legitimacy of the proposed heirs. Engels theory was largely based on a flawed interpretation of the family by Anthropologist, Lewis Morgan (1900). FUNCTIONALISM A strong supporter of the family is the Functionalist. Their belief is that the family is the ‘cornerstone of society'. A study was conducted on the family, studying 250 societies by George Murdock (Social Structure 1949). In his study, he concluded that the ‘nuclear family is a universal human social grouping †¦. It exists as a distinct and strongly functional group in every known society'. Murdock identifies four basic functions that the family performs: sexual, reproductive, economic and educational. Fellow functionalist Talcott Parsons would largely agree with Murdock's theories of the family. FEMINISM Feminists' criticise the family as the focus on the exploitation of women by men, they argue that men dominate family relationships. Radical feminists argue that in it's most extreme form this means oppression and violence (Russell Dobash, 1980). Evidence to suggest that women are dissatisfied in their family life is portrayed in the rise of divorces filed by women. Parson's theory of the family being a safe haven is more myth than reality for families today. Feminist Margaret Benson focuses mainly only the point that women are a source of cheap labour, as the housewife is unpaid for her work. In the family women are primarily seen as a housewife and mother, and in this environment men are given the control over women's sexuality and fertility. EVALUATION The different aspects of religion have a social impact and must be measured. Through out history there is considerable evidence to support Marx's ideology, that religion maintains the existing system of exploitation and reinforces class relationship, thereby keeping people in their place (consider the Islamic world). However, conflicting evidence suggests that religion does not always legitimate power (Catholicism – Pope – Rome). Whilst Feminism implies that religion and belief systems are an instrument of manipulation for men to use on women; although I believe this theory to be the case for some religions but not all. It can vary from religion to religion, for example women cannot become priests in the Roman Catholic or Greek and Russian Orthodox churches, but in the Jewish faith women can become rabbis and do not sit apart from men. Contrary to Marxist views that religion suppresses people' attempts to change their situation, religion can sometimes provide an impetus for change (Queen Mary – Catholicism and Queen Elizabeth I – Protestant). The Functionalist perspective of belief systems and religion does not vindicate for the dysfunctional aspects that the unruly force of religion can manifest (i.e. war in the name of ‘Religion'). The subject of the family and how it is defined is extremely difficult to determine. Marxists position asserts that the nuclear family is not universal but a product of capitalism and that the family is an exploitive institution, and that it was the simplest solution for insuring legitimacy of proposed heirs. Whereby Functionalism is a strong supporter of the family, believing it to be the ‘cornerstone' of society. Feminists' criticise the family as the focus on the exploitation of women by men, they argue that men dominate family relationships. CONCLUSION Everyone has their own view of what religion and the family consists of. These pre conceived ideas are mostly to do with our own backgrounds, culture and life experiences. I find it difficult to subscribe to one theory over another as Functionalist, Marxist and Feminist theories can be interpreted in many different ways. Consequently each theory's perspective will work for their interpretation of religion, the family and society. The three theories are not too dissimilar to the three main Political Parties (Labour, Conservative and Liberal) in Britain; each has it's own agenda, but are all are equally as devious! I am more inclined to opt for the Feminist and Marxist theories as they seem more plausible and are more comparative to past history and present day findings. I also believe that as societies cultures change through time, so will our definition of family, religion and society.

Wednesday, October 23, 2019

Investment Essay

Stock investment is a game of chance as the prices of stocks can be determined through consideration of various components of market. A major concern in stock investment is consideration of available information by investors. Value investing and random walk theory provides mechanism of determining performance of stock investment. Value investing has three main characteristics of financial markets as is described by Bruce C. N in his book. First, the price of stocks is subject to significant movements in financial markets (Greenwald Bruce C. N. , Judd Kahn, et. al. 2001). There are certain impersonal forces that determine price of securities at any moment attracting value buyers to invest in stock markets. Second, despite gyrations in prices of financial securities, many investors have fundamental economic values relatively stable and measured with reasonable accuracy by diligent investors. This means there is a difference between intrinsic value of securities and current price at which a stock trades in the market. Although value and price of financial securities may be identical, there is a difference between the two. Third, in the long -run, buying of financial securities when their market prices are lower than intrinsic value leads to higher returns. These three conditions are major considerations by investors in stock market especially during the period of economic hardships. In 2008, stocks markets were adversely affected by economic down turn whereby the prices of financial securities fell. The end of recession led to a strong surge of stock prices and this critical area affects decisions of value investors and random walkers. Accounting for price surge and fall of stocks by value investors and random walkers is based on fundamental analysis described in the books of Bruton G. Malkiel and Bruce Greenwald. Investment approach I financial markets use existing economic information relating to financial statements of a company and any other relevant information about the affairs of the organization. The fall of security prices in 2008 can be linked with information provided in relation to affairs of stock markets. A major analysis in the concept of financial markets is the concept of top down approach in which the prevailing microeconomic conditions determine price of financial securities. The stage of business cycle in the economy is very important for value investors as information relating to future expectations of price changes is determined. Stock selection model in this aspect of microeconomic conditions is made in a way that ensures stocks of a selected company outperform its peers in industries. The objective of stock market investors is to make more money out of their investment portfolio. Economic down turn caught many investors unaware and price fall of shares was a major threat. The fall of stocks price is attributed to collapse of financial institutions and increased prices of commodities. Investing in financial securities is a mechanism of putting surplus money at disposal by an individual or corporate into investment portfolio such as stock markets in anticipation of higher returns. Increased prices of other commodities leave individuals with less money for disposal. This means that the demand for financial securities decreases thus has an effect in price of stocks. Financial institutions play a very important role in financial markets as they finance value investors. Recession in 2008, made it hard for investors to access loan to invest in financial markets. The economic down turn thus made prices of stocks to fall making investors lose a lot of money. Strong surge of stocks price in 2009 was attributed to changes in economic performance. Random walk down street written by Burton Malkiel is one of the best investment literature used by investors to make wise decisions. The critical concept raised in this article is the issue of price movements. Price of financial securities has no memory and thus investors cannot rely on past and present prices to predict future performance of stocks market. However, relying on information provided by financial analyst or experts is of essence in the aspect of stock investment. Malkiel maintains that, buy and hold strategy is the best policy in the event of price surges as it outperforms attempts of timing markets in returns (Malkiel Burton, 2007). Consequently, in risk adjusted returns, the concept of buy and hold strategy is not credible. In this aspect buy and hold strategy is more of guesswork as it has little impact in compensating risk associated with continuous investment in stocks market. Efficiency of market is another concept used by investors in the event of stocks price fall like in 2008 and strong surge for stock price as was experienced in 2009. Financial markets are to some extent predictable but this should not be considered as a symptom of inefficiency or irrationality. Predictability of stocks market is the concept behind capitalism as was argued by Andrew a professor in finance. Investors make high returns from efficient markets because information about stocks price is provided through research and constant innovation. The strong surge of stocks price is an element of investment in which many organizations strife to maintain competitive advantage.

Tuesday, October 22, 2019

Free Essays on Motivational Skills

Motivational Techniques There are people out there in the workforce that believe they are obligated to do their best at their job simply because that is what is expected from all of us as humans. On the other hand there are those out there that want to only do as much as they can get away with doing. No matter which one of these employees you are or are working with companies and employer’s need to understand the concept of motivation. Motivation comes in many forms such as money, benefits, or simple recognition within. Motivation also leads to higher productivity and profit and that is what we are all looking for in business. The key to unlocking peak performance from your work force is the concept of human motivation. And the key to motivation revolves around one fundamental principle: â€Å"What’s in it for me?† (WIIFM). We’ve all been socialized to believe that only â€Å"selfish† people consider â€Å"What’s in store for me.† When in reality all people a re motivated first by self-interest. The word selfish is used as a negative label for someone’s perceived behavior. Understanding the concept of self-interest is perhaps the only way we will understand our need to achieve. Self-interest or feeling good about your self is a fundamental ingredient of motivation. When you work an extra hour, not on the clock, you are doing it for one real reason. It makes you feel good to either get the job done well or to help someone else. In the end you might get some sort of recognition in the company but usually you will not stay an hour extra today to get a gold star in two weeks from now. Dr. Gerald Kushel, author and professor emeritus, has stated in his book Reaching the Peak Performance Zone, there are several variables involved in motivation. Among them are intensity, durability, context and value (reward). Motivation intensity has a big part in how hard someone will work for his or her reward. If an employer offers a reward that ... Free Essays on Motivational Skills Free Essays on Motivational Skills Motivational Techniques There are people out there in the workforce that believe they are obligated to do their best at their job simply because that is what is expected from all of us as humans. On the other hand there are those out there that want to only do as much as they can get away with doing. No matter which one of these employees you are or are working with companies and employer’s need to understand the concept of motivation. Motivation comes in many forms such as money, benefits, or simple recognition within. Motivation also leads to higher productivity and profit and that is what we are all looking for in business. The key to unlocking peak performance from your work force is the concept of human motivation. And the key to motivation revolves around one fundamental principle: â€Å"What’s in it for me?† (WIIFM). We’ve all been socialized to believe that only â€Å"selfish† people consider â€Å"What’s in store for me.† When in reality all people a re motivated first by self-interest. The word selfish is used as a negative label for someone’s perceived behavior. Understanding the concept of self-interest is perhaps the only way we will understand our need to achieve. Self-interest or feeling good about your self is a fundamental ingredient of motivation. When you work an extra hour, not on the clock, you are doing it for one real reason. It makes you feel good to either get the job done well or to help someone else. In the end you might get some sort of recognition in the company but usually you will not stay an hour extra today to get a gold star in two weeks from now. Dr. Gerald Kushel, author and professor emeritus, has stated in his book Reaching the Peak Performance Zone, there are several variables involved in motivation. Among them are intensity, durability, context and value (reward). Motivation intensity has a big part in how hard someone will work for his or her reward. If an employer offers a reward that ...

Monday, October 21, 2019

The Poetics of Popular Music Essays (770 words) - Natalie

The Poetics of Popular Music Essays (770 words) - Natalie 1247555 The Poetics of Popular Music November 25, 2014 Whats in a name? To name something is a way to identify. However, what this means depends on the meaning of names, the meaning of identity, and the relation between the name and the thing named. If there was a song that could have a strong meaning with a persons name in the title what would it be? A song titled by a persons name would give much more dept and value to its title, such as the song Natalie by Mars/Lawrence/Hernandez/Levine. The reason why I chose this song is because we see Mars telling a story of his revenge about a gold digger named Natalie. She stole his money and left him broke, in which this would be the perfect song to analyze the title and its correlation to the composer. Natalie is a woman who Bruno started dating and fell in love with her. He eventually found out that she was a gold digger who ran out on him. The speaker added this name, because he wanted the readers to know the person that he was in love with, until he finds out her true colors. Although Natalie played with his emotions, the writer describes the situation with a positive tone; for example when he tells us that I spend a lifetime in jail (yeah, that's what I'll do)/ I'll be smiling in my cell (yeah, thinking about you) (32-33). The composer is admitting that he doesnt care about the consequence of murdering Natalie; As long as he can get his revenge on her, hell be happy to spend the rest of his life in jail, knowing shes long gone. I realize that the writer uses a technique in the song, which is the synecdoche of lines. This method changes the way you interpret the song, because the speaker uses words that refer to the whole thing. A lyric that illustrates well this situation is But when I put my bet on her/Little Miss Snake eyes ruined my life (10-11). Here Bruno uses the words Snake eyes, in which getting snake eyes in a game of dice results in a loss and also it has been associated with people who possess traits of dishonesty, betrayal and treachery. For that reason the speaker used th ese words to refer to Natalie, for which these are quality she seems to have. Word count: 353 words Lyrics Oh, I never done this before Never wanna do this again Wrong turn on a dusty road I did it to myself, I can't pretend Well, I learned just a little too late Good God, I must've been blind 'Cause she got me for everything, everything, everything, alright Like my daddy I'm a gambling man Never been afraid to roll the dice But when I put my bet on her Little Miss Snake eyes ruined my life She better sleep with one eye open Better make sure to lock her doors 'Cause once I get my hands on her, Imma oh Natalie she ran away with all my money And she did it for fun Natalie she's probably out there thinking it's funny Telling everyone Well, I'm digging a ditch For this gold-digging bitch Watch out she's quick Look out for a pretty little thing named Natalie if you see her tell her I'm coming She better run The good lord better bless your soul 'Cause I done already cursed your name Don't matter which way you go Payback's gonna come your way You'll be begging me, please, please, please And now I look at you and laugh, laugh, laugh While you sit there and cry for me, cry for me, cry for me all night I spend a lifetime in jail (yeah, that's what I'll do) I'll be smiling in my cell (yeah, thinking bout you) Can't nobody save you now So there ain't no use in trying Once I get my hands on you, Imma oh Natalie she ran away with all my money And she did it for fun Natalie she's probably out there thinking it's funny Telling everyone Well, I'm digging a ditch For this gold-digging bitch Watch out she's quick Look out for a pretty little thing named Natalie if you see her tell her I'm coming She better run I should've known better (I should've known better) 'Cause when we were together ('Cause when we were together) She never said forever (She never said forever) I'm a fool that

Sunday, October 20, 2019

Nauseated vs. Nauseous

Nauseated vs. Nauseous Nauseated vs. Nauseous Nauseated vs. Nauseous By Maeve Maddox A reader sent me this request: Would you please do a blast-out about the word nauseated versus nauseous? The noun â€Å"blast-out† is new to me, but I presume it means something like the following: a strongly worded admonition to English speakers to get the difference between these two words straight once and for all, blast it! The more I research usage and write about it, the less inclined I am to blast out about anything, especially word pairs like nauseous and nauseated. The supposed distinction is that people are nauseated, whereas nasty, disgusting things are nauseous. For example, women in the early stages of pregnancy often feel nauseated. A stagnant pool of foul-smelling water is nauseous. The OED gives two definitions of the adjective nauseous: 1. Of a thing, causing nausea. 2. Of a person, affected with nausea. For at least 179 years, English speakers have been using nauseous in the sense of â€Å"feeling the urge to throw up†: In speaking of the effect of bloodletting, Mr. Lizars says that ‘the patient feels nauseous and sick even to vomiting’. (OED citation dated 1836). A search on the Ngram Viewer of â€Å"feel nauseated† and â€Å"feel nauseous† shows a convergence of both terms in 2000. In popular usage, nauseous is frequently used to mean nauseated, whereas nauseating has largely replaced it to describe disgusting objects or odors: Drivers of General Motors popular Chevrolet Cruze sedan are complaining that the vehicles new car smell is a  nauseating stench. Everyone’s entitled to defend a preferred usage, even one that’s clearly headed for extinction. One of my own language peeves is to hear the word disinterested in a context that calls for uninterested. In my heart-of-hearts, I know it’s a distinction that goes unobserved more often than not, but I’ll continue to observe it in my own writing and to recommend it to others. Speakers to whom the distinction between nauseous and nauseated is important should observe it in their own speech and writing. Insisting that everyone do it is futile. Like civil public discourse, careful language has become a minority value. Those who care about it don’t need to be blasted; they need only to be informed. Related Articles What To Do About Non-standard English †Disinterested† Is Not the Same as â€Å"Uninterested† Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Misused Words category, check our popular posts, or choose a related post below:100 Idioms About NumbersHomonyms, Homophones, Homographs and HeteronymsComma Before Too?

Saturday, October 19, 2019

Proposal assignment Essay Example | Topics and Well Written Essays - 750 words - 1

Proposal assignment - Essay Example Additionally, the effectiveness of learning support services is determined by outcome. The outcome resulting from the learning support services offered within the college of business have registered a high outcome of a registered 81.3 percent student retention rate. However, with necessary modifications, the college can further meet its objectives of attaining higher retention rates among graduates, diversify the learning services it offers and produce graduates equipped with necessary skills to face the competition in the outside world. As the associate dean of undergraduate business studies, it is essential that you embrace the fact that the learning support systems offered by the college need to be expanded and diversified. This is to ensure that new areas of student’s needs introduced by modern learning methods are addressed (43). The college of business offers learning supports services that meet the students financial, social and technological needs that in turn affect how learning services are delivered influencing student’s outcome. An analysis of learning support services offered to in -campus students and those offered to distance learning student’s shows major differences. While in campus students have the advantage of enjoying learning support services that address the three key areas of learning, distance learning students tend to benefit from technologically oriented learning support services only. This is a violation of student’s needs since the mode of learning does not change the student’s learning needs. The college of business, university of Houston offers learning support services in terms of tutoring, workshops and guidance and counseling programs. These services are structured to meet the institutional learning goals. Naturally, students can only benefit from these services if they are tailored to meet their specific needs. In-campus students can

Friday, October 18, 2019

E-mails to Different Type of Readers Essay Example | Topics and Well Written Essays - 750 words

E-mails to Different Type of Readers - Essay Example And here is where I will need your huge help, as always. The fifteen university libraries have agreed to place their orders a month prior to the delivery date. This is for them to fully ascertain the number and specification of bookshelves required for their new acquisitions. Thus, I will only be able to put the additional orders a month before they are delivered to the libraries. I will be forwarding them to you as soon as the customer places their orders to give you time to source your inputs and manufacture. For purposes of quality control however, I would like the bookshelves to be delivered in our warehouse 25 days after they are ordered. I hope that you can bear with this change. I sincerely appreciate the mutually beneficial partnership your company has with Custom Furniture. The first year of our partnership has gone well without any problems. Thus, I was surprised to receive a complaint from our warehouse manager regarding Order Number 15647 which was delivered two days ago. The desks delivered did not comply with the specifications spelled out in the order form sent to you last month. Due to this, Custom Furniture wishes to return these desks to you and we require a replacement as soon as possible. We have already informed the customer about the delay and they are only willing to wait in within a week for the desks to be delivered. Thus, we want to receive the order after six days at the latest. Our company also wants the 20% discount in the order price as stipulated in our memorandum of agreement in cases of non-compliance with the specification. I hope that this matter can be sorted out as soon as possible. I will be waiting for a response from you. Thanks. Sincerely, Your Name Your name@exe.custom-furniture.com To: marshaellington@hues.com Cc: Bcc: Subject: Important: Rush Orders Dear Marsha, Our company will need 50 pieces of BlueRidge fabrics for conference room chairs within the week. I understand that it will put much pressure on you to source this rush order but Custom Furniture will be willing to offer 5% above the price in order to compensate for the inconvenience. Thank you so much and I will be waiting for your prompt and favorable response. All the best, Your Name Your n

Thomas Jefferson Essay Example | Topics and Well Written Essays - 250 words - 3

Thomas Jefferson - Essay Example s notes that Jefferson was not a reflective political philosopher,  and the efforts Jefferson made at  political  philosophy were, in most cases, embarrassingly  shallow  and sometimes quite naive (1997). Secondly, although Ellis (1997) accepts the fact that Jefferson was a brilliant political theologian and  visionary, he does not leave out the point that the qualities of Jefferson displayed in his book were those of an  irrational  and outrageous political  personality. Ellis, in his article, argues that Jefferson was first to come up with the idea that peoples deepest  personal  longings were, as a matter of fact, achievable in his book, but then went ahead and suggested opposing principles in a way that hides their incompatibility. According to Ellis (1997), Americans saw Jefferson as a reassurance to them because of his many achievements, and any criticism was not welcome. In his book, Jefferson included some of his most memorable statements about the things he believed in  especially  in the political and social front (1995). However, Ellis (1997) points out that there are many ways that Jefferson failed to  bear  the full implications of his beliefs and  vision  about racism, slavery, and sexism, and wants to expose the underlying contradictions of Thomas Jefferson’s failure. From Ellis’ point of view we can conclude that no matter how influential and powerful a person is, there is always something to criticize him

Medic Law Essay Example | Topics and Well Written Essays - 1000 words

Medic Law - Essay Example The Mental Capacity Act 2005 does not provide adequate safeguards for incapacitated patients when determining what is their best interest. The act states that; `` decision made or an act done under this act for or on behalf of a person who lacks capacity must be done, or made, in his best interest, ( Section 1 (5) MCA). ’’ Despite, section 4 of the mental capacity act that sets out the checklist that enumerates elements which should be considered when determining the best interests of a patient does not bring the clear meaning of this concept at all. Also, the statutory checklist does not bring forth the clarification on how the various elements will be well-adjusted throughout the progress and assessment of best interest. In the view of making the decision, best interest is frequently contrasted to the surrogate judgment standards; although the previous is believed to set objectives’ benchmarks for making decisions on behalf others. The factors that are in the checklist are not extensive in most cases and so extra elements should be well-thought-out. This is because the checklist considers has five main elements that should be considered in deciding the best interest of a patient. Finally, the mental capacity act does not provide the meaning of best interest and also the term is not included in the mental health act yet this two acts activities go in hand. The purpose of legal regulation of assisted conception and embryology within the United Kingdom is broadly perceived, it assists a social goal. First, regulation is supposed to guarantee the end users that are both the health care providers and the patient that the service will fully suit their needs and it will not lead to moral and cost concerns. In essence, the regulation is all almost dealing with control. Embryology and assisted conception in the UK are regulated by Human Fertilization and Embryology Act 1990. It regulates the profession of medicine, it also controls the collected information as a result of assisted conception, administering techniques, and lastly manages the relation which follows when their children who are born through assisted conception. The Human Fertilisation and Embryology Act 2008 has laid down the regulations which will govern the operation in treatment and research though in this sector of medicine all ethical

Thursday, October 17, 2019

Preventing a brave New World WK5 assignment Essay

Preventing a brave New World WK5 assignment - Essay Example He argues that whatever scientists call ‘therapeutic cloning’, is the use of embryos as a font of tissues (Kass, 2001, p. 327). He also offers some reasons against cloning which covers both reproductive and therapeutic cloning. In his arguments against cloning, Kass advocates for ethical practice in biomedical projects. His views however, may face some challenges. In this essay, the discussion will cover Kass’ reasons for advocating for a ban on human cloning, and the strengths and weaknesses of his argument. Kass’ Reasons against Human Cloning Kass has four reasons against human cloning. That the process of cloning humans is unethical, because the child to-be is used in an experiment that subjects him or her to risks of developmental and bodily abnormalities. That cloning threatens individuality and confuses identity. The clone is made from a genotype that has already lived. This denies the cloned individual his or her individuality. The process of cloning results in an individual that could be a twin to the person he/she should refer to as a mother or a father. It means the clone’s relation to the parent is confused. That cloning is a way of turning procreation into manufacture, and that it is a major form of child abuse and parental tyranny (Kass, 2001, p. 324-328). Strengths of the Argument Evidence shows that cloning is very risky and expensive. According to Sharma (2007), cloning is inefficient and 90% of attempts fail. Cloned animals have been found to have high rate infection, carcinoma, low immunity levels and some disorders. Even Dolly sheep suffered some abnormalities when it was five years old (Gupta, 2004, p. 256). Evidence also shows that cloned animals’ genomes are compromised and some of them behave abnormally. They also suffer from congenital abnormalities due to programming errors. Some cloned animals die young (Sharma, 2007, p. 167). The concept of cloning supports the argument on identity and individu ality. The process involves removal or deactivation of a nucleus from an unfertilized egg and introduction of a somatic cell nucleus from a selected adult (Levine, 2009, p. 9). This means that the cloned individual will not have the natural genetic distinctiveness and independence. Procreation has indeed been turned into a manufacturing process. Levine indicates that cloning technology already has commercial uses with many private companies and academic scientists owning various patents. These patents cover various elements of derivation of human embryonic stem cells, and nuclear transfer technique (Levine, 2009, p. 144). Weaknesses of the Argument Different people have different views on what is wrong or right. Arguments against cloning, therefore, that procreation has been turned into a manufacturing process, that cloning leads to the production of abnormal babies, and that the cloned individual may lack identity and individuality; may all not be considered unethical by some peopl e. Some may argue that malformed, unhealthy and abnormal children are born every year due to various factors. Some may argue that Kass’ arguments do not consider the goodness of well-being. Some may argue that considering the advantages of well-being over disadvantages could be more appropriate (The President's Council on Bioethics, 2002). Conclusion Cloning should be banned based on the reasons given by Kass. Apart from

See instructions Movie Review Example | Topics and Well Written Essays - 750 words

See instructions - Movie Review Example Sykes confirms that imprisonment leads to hurtful deprivations of liberty, goods and services, heterosexual relationships, autonomy, and security that attack prisoner’s self-image and produce further produce physiological and psychological problems. The prison warden faces the issues of dealing with the complaints of the prisoners and helping them get what they need to feel better that contradict the punishment for their bad behaviors and the problem of preparing some of them for reintegrating into their communities when they lack sufficient preparation and rehabilitation inside prison and have no means of accessing necessary social and health care support and other resources outside it. Sykes confirms that imprisonment leads to deprivation of goods and services that affects prisoners physiologically and psychologically. He believes that depriving people of goods and services aggravate prisoners because they live in a culture where material possessions define the worth of people (69). In Solitary Nation, prisoners talk about getting more food or more things into their cells, even â€Å"cookies and milk,† as prisoner Peter Gibbs requests. They mention getting crazy because of having nothing in these solitary cells (Solitary Nation). Depriving inmates of goods and services that non-prisoners have affects them physiologically because they feel that they are not getting enough to get by in prison, while depriving them of services that define a citizen’s concept of a good life results to a â€Å"painful loss† (Sykes 68). Their impoverishment heightens their physical and psychological insecurity. Solitary confinement reduces what little sense of indep endence they have because they cannot afford and access many goods and services. Aside from deprivation of goods and services, prisoners also feel the hurtful process of losing heterosexual relationships. Sykes believes that losing contact with females from the outside world only

Wednesday, October 16, 2019

Preventing a brave New World WK5 assignment Essay

Preventing a brave New World WK5 assignment - Essay Example He argues that whatever scientists call ‘therapeutic cloning’, is the use of embryos as a font of tissues (Kass, 2001, p. 327). He also offers some reasons against cloning which covers both reproductive and therapeutic cloning. In his arguments against cloning, Kass advocates for ethical practice in biomedical projects. His views however, may face some challenges. In this essay, the discussion will cover Kass’ reasons for advocating for a ban on human cloning, and the strengths and weaknesses of his argument. Kass’ Reasons against Human Cloning Kass has four reasons against human cloning. That the process of cloning humans is unethical, because the child to-be is used in an experiment that subjects him or her to risks of developmental and bodily abnormalities. That cloning threatens individuality and confuses identity. The clone is made from a genotype that has already lived. This denies the cloned individual his or her individuality. The process of cloning results in an individual that could be a twin to the person he/she should refer to as a mother or a father. It means the clone’s relation to the parent is confused. That cloning is a way of turning procreation into manufacture, and that it is a major form of child abuse and parental tyranny (Kass, 2001, p. 324-328). Strengths of the Argument Evidence shows that cloning is very risky and expensive. According to Sharma (2007), cloning is inefficient and 90% of attempts fail. Cloned animals have been found to have high rate infection, carcinoma, low immunity levels and some disorders. Even Dolly sheep suffered some abnormalities when it was five years old (Gupta, 2004, p. 256). Evidence also shows that cloned animals’ genomes are compromised and some of them behave abnormally. They also suffer from congenital abnormalities due to programming errors. Some cloned animals die young (Sharma, 2007, p. 167). The concept of cloning supports the argument on identity and individu ality. The process involves removal or deactivation of a nucleus from an unfertilized egg and introduction of a somatic cell nucleus from a selected adult (Levine, 2009, p. 9). This means that the cloned individual will not have the natural genetic distinctiveness and independence. Procreation has indeed been turned into a manufacturing process. Levine indicates that cloning technology already has commercial uses with many private companies and academic scientists owning various patents. These patents cover various elements of derivation of human embryonic stem cells, and nuclear transfer technique (Levine, 2009, p. 144). Weaknesses of the Argument Different people have different views on what is wrong or right. Arguments against cloning, therefore, that procreation has been turned into a manufacturing process, that cloning leads to the production of abnormal babies, and that the cloned individual may lack identity and individuality; may all not be considered unethical by some peopl e. Some may argue that malformed, unhealthy and abnormal children are born every year due to various factors. Some may argue that Kass’ arguments do not consider the goodness of well-being. Some may argue that considering the advantages of well-being over disadvantages could be more appropriate (The President's Council on Bioethics, 2002). Conclusion Cloning should be banned based on the reasons given by Kass. Apart from

Tuesday, October 15, 2019

Computerized Enrollment System Essay Example for Free

Computerized Enrollment System Essay Improvement in computer world means the act of making new arrangement or style of doing work, activities, and processes efficiently, effectively and faster from the past, that brings convenient to the people. Improvement is an opportunity for every one and in any organizations, the researchers want to have a part in this improvement either it be great or small, if there’s opportunity to be a part of this improvement the researchers wants to grab this opportunity. In this present world, technology is growing faster specially computer technology, using this kind of technology, information can be view very fast as well as to make reports out of this records through printing. In a school, computerized schedule retrieval is a great help to students, faculty and staff in terms of retrieving schedules of a student, subjects, instructors, rooms, and specific section and use it for a specific purposes. Using this kind of system can contribute improvements to the school. Look more:Â  example of perseverance essay In making schedules manually, it will take a long process since the staff assigned to it should assure that there is no conflict of schedules between rooms and instructors. The personnel should assure that the instructor should have not exceeded to the maximum load. The personnel should also assure that the schedules of those students should be distributed in regular school days, for night classes schedules should be in night time, and for weekend classes schedules should be in weekend days. Because of this the personnel becomes tired and sometimes when the personnel reviews the schedules, conflict of schedules occur, and posting the new schedules of every room can’t be done. And in the side of the students, they get tired writing the subjects and schedules in the form during enrollment. And finding vacant rooms in a specific time takes a time, since someone should go around and look for a vacant room. The researchers were hoping to reduce the time spent in creating the schedules, without conflict schedules, to reduce the time spent in getting schedules during enrollment, to access easily the schedules of rooms to find vacancy. Background of the Study Creating and retrieving schedules is not an easy job. It requires patience and perseverance. Patience in assigning every subject to a specific instructor in specific rooms, assuring that every schedules of every subject should be distributed in regular days, the personnel assigned to do this job assures that in every regular days a students should have a scheduled subject. The personnel assures that there’s no conflict of schedules like having 2 classes in the same room and time and Instructor is handling two classes at the same time. Perseverance that even if the personnel were very tired, he/she still needs to review the schedules to assure that all schedules were complete and no conflict of schedule. Many students get tired in writing their schedules with the same information in 4 different forms in every semester and in irregular students they find it difficult to add a subject, assuring that the schedule of the subject will not be conflict to the subject that he/she has. When the instructor was trying to find a vacant room in a specific time the instructor needs to look for the posted schedule in every room to find a vacant room and it takes time and energy finding for vacant room in the entire building. And sometimes because there’s not enough time new schedule of every room will not be posted. Because of these problems the system will hopefully give a solution for these problems.

Monday, October 14, 2019

Ethics of the US in the Vietnam War

Ethics of the US in the Vietnam War Aaron Sanders I think that OBrien says that courage is something that is gained once and as you encounter times where you have to break through your fears to do what is right, your courage slowly gains. His specific point of, stashing it away alternatively shows that you have to not be courageous all the time. He says that We must steadily increase our moral capital in preparation for that day when the account must be drawn out. meaning that there is that one time where all of your previous experiences that gained you courage, now lead you past a major barrier, unlike anything you had ever dealt with before. I wasnt exactly that surprised that he was a coward to enter the war, mainly in the sense that this was a war that many people had been opposed to, OBrien specifically stated on page 38 that, I was drafted to fight a war I hated Young, yes, and politically naive, but even so the American War in Vietnam seemed to me wrong.. If you dont want to do something, like go to war, then, of course, you were cowardly. Do I agree on these grounds? Yes, and No. First off, this is possibly the choice between living as a coward for the rest of your life, or by joining your brothers as they get slaughtered in the jungle a whole hemisphere away from home. Both sides of which I have an equal opinion for. It may be cowardice to not join in a fight overseas, but at least you get to live out your life at home but be labeled a coward. I also think though that you shouldnt be forced to fight for a cause that you dont believe in. However, if you get drafted, then you do have a moral obligation to go and fight for Americas beliefs. If you are drafted, you should think about the broader impact of what you not answering the draft call entails. When America enters a war it is always supposed to be for what is right. If you then dont answer that call you aid the enemy because they have a more dedicated military and citizen population all fighting for what they believe is right. Shame has a major role within the lives of the soldiers, because they feel that killing people is shameful and something that no one should have to do, or watching a buddy die and feeling as though you couldve stopped it. OBrien especially feels shame after he killed his first Viet Cong soldier, [Kiowa] told me that it was a good kill, that I was a soldier, and this was war, that I should shape up and stop staring Sometimes I try to forgive myself and other times I dont. (OBrien, 127-128). I would say that heroism and stupidity is both a result of the shame they feel. Heroism is shown in the sense that it gives the soldiers something more to fight for. Take the Alpha company after Kiowa died, Move it, [Mitchell Sanders] said. Kiowas waiting on us'(OBrien, 160). They had all felt shame that he had died in such a cruel way, having drowned in the villages latrine during a mortar strike. After that he is used as a rallying cry for the rest of the soldiers. However shame also caused stupi dity, The next morning [Rat Kiley] shot himself. He took off his boots and socks, laid out his medical kit, doped himself up then shot himself in the foot. (OBrien, 212) Rat was so shamed by the war that he would do anything to get out of it, even shoot himself in the foot. Its sad the lengths someone would go to rid themselves of the burden of shame. It ends up being stupid what it will drive them too, it may not even be a conscious decision that pushes them off the edge though in Rat Kileys case he fully made the decision. Shame can and should be used though as a rallying cry of sorts, because it gives you a reason more powerful than anything else to make the shame go away. In my mind the relationship that OBrien is talking about, between shame and courage is that the shame in life helps you grow courage if you use, like in question 3, put it away and let it grow. These little acts of heroism that may even seem like stupidity at times, though but not stupidity in the sense of shoo ting yourself in the foot or injuring yourself in other ways, but it is these acts of heroism that will grow your courage. After reading the chapter entitled Speaking of Courage and then getting sort of an analysis in Notes, the effect is actually quite powerful. I felt as though what OBrien had explained in Notes about some parts being fake and others real, couldnt take away from the empathy that I had developed with Norman. I think since some parts had to be fabricated, it actually made it more connectable mainly in the sense that you have a character in a town that takes you along and makes you feel what he is feeling through him reliving the memories. He had to keep thinking to himself because no one had let him just spill his guts, and its just an emotion mix of loneliness and shame. The feeling of shame of The truth, Norman Bowker wouldve said, is I let the guy go.' (OBrien, 147). My appreciation actually doesnt change for the story. The important parts are completely there and they are backed up by incredibly life-like storytelling, a town that doesnt feel much at home, and just being alone with t he thoughts of the character as he relives one of his most shameful moments. With Notes after it, the message of just how lost Norman was feeling that late evening on July 4th as he drove around the lake becomes painfully clear, [OBrien] received a long, disjointed letter in which Bowker described the problem of finding a meaningful use for his life after the war. (OBrien, 149). This reality check that Mr. OBrien put into the first few paragraphs of Notes really hit home what soldiers that come home from the war filled with shame and confusion really put up with. For me Speaking of Courage was really sealed as being completely true in my mind when Mr. OBrien said Speaking of Courage was written in 1975 at the suggestion of Norman Bowker, who three years later hanged himself in the locker room of a YMCA in his hometown in central Iowa. (OBrien, 149). I think Norman ending up committing suicide after all of his pain and suffering finally got to him, fit with how Speaking of Courage en ded, with him deciding that,. It was a pretty good show. (OBrien 148), it was this easing of pain that he wanted so badly after witnessing his best friend and comrade drown while he just stood and essentially watched helplessly, that made him decide to hang himself. Overall I think that Mr. OBrien really made me appreciate Speaking of Courage by making it believable with just the powerful simplicity of the complex feelingsÂÂ   Norman was experiencing. It was this simplicity that made it so easy and believable to be Norman, and feel what he was feeling. His narration of the reasoning behind how he got the idea also added to the authenticity because he tried to make it sound as though Norman was telling his story, perfectly relaying what he felt at every revolution around that lake. WORKS CITED OBrien, Tim. The Things They Carried: A Work of Fiction. Boston: Houghton Mifflin Harcourt, 2010. Print.

Sunday, October 13, 2019

booking agreement :: essays research papers

BOOKING AGREEMENT This agreement ("Agreement") is mutually agreed upon by _________________ also known as_________________ ("Talent") and _________________, representative of _________________ ("Promoter") on the _________________ (date of Agreement). 1. SERVICES TO BE PROVIDED BY TALENT a) Provide at least a 60 minute DJing appearance at a dance party ("Event") located in the _________________ (city and state/country) geographic area on _________________ ("Date") between the hours of _________________ (start time) and _________________ (end time) ("Time"). 2. SERVICES TO BE PROVIDED BY THE PROMOTER a) Promoter agrees to provide all entertainment at the Event other than Talent. b) Promoter agrees to provide a venue for the Event, all necessary permits and licenses to lawfully conduct the Event, including obtaining and paying all work visas for Talent as necessary, and all equipment for the operation of the Event and the performance by Talent. c) Promoter agrees to contact the following travel agent to make any and all necessary arrangements for prompt payment of airline costs incurred in Talent's transportation to and from Event: _____________________ (travel agent) ______________(phone number) for travel reservations from _________________ to _________________ and back, to arrive on _________________ (arrival date), no later than three (3) hours prior to Event, and to depart on _________________ (departure date) on_________________ (airline). d) Promoter agrees to provide Talent hotel accommodations with a checkout time no earlier than three (3) hours before the airline departure time, consisting of ___ room(s) with 24 hour room service for a period of ____ night(s). e) Promoter agrees to provide transportation, car service, or shuttle for Talent to and from airports and Event location. If Talent handles any transportation costs, Promoter agrees to promptly reimburse Talent for the reasonable costs of such transportation. f) Promoter agrees to provide a sober, (i.e. not intoxicated or inebriated by alcohol, narcotics and/or otherwise), responsible, trusted person ("Driver"), in their employ to escort Talent to and from hotel, airport, venue, etc. as well as to assist her in the event of problems checking in hotel, getting in venue, boarding flight, etc. g) Driver is required to remain "on call" by way of cellular communication and/or pager throughout the duration of Talent's stay, be in possession of a valid driver's license, hold current auto insurance on vehicle driven in amounts customary and reasonable and be in possession of detailed directions both to, from and including hotel, airport and Event location. 3. COMPENSATION OF TALENT a) Promoter shall pay Talent the sum of $____.__ in US dollars ("Fee") for the rendering of service(s) hereunder.

Saturday, October 12, 2019

Inclusion or Exclusion in The Crucible Essay -- Essay on The Crucible

Much of The Crucible by Arthur Miller was about being part of a group. What is it to belong to a group? Is it really that simple when someone says, "Either you're with us or you're not"? Yes, it is that simple. Belonging and exclusion in any situation are two sides of the same coin - you can't have one without the other. In any organization or group, people are bound together by a community of interest, purpose or function and if you do not believe in these same things, then you are not a part of that group. In an organization or group, you have to ask yourself, "What is it to be a part of this particular group, what does it take to belong?" It takes following the rules of the group, agreeing with their purpose, obeying their authorities and the ability to go the length for their cause. In The Crucible, if the characters did not abide as part of the group, the Christian Church, then the consequences were fatal. The Crucible told of what is was to be a scapegoat i n their society and what it took to defend themselves from becoming that scapegoat. To remind people in an organization why they belong takes continued focus on a common goal or common belief. By having one main function, a group is generally more effective than if everyone has different ideas and outlooks on specific topics. However, to keep everyone on the same page, the members of a group need to accurately know where they stand in reference to their goal. One way to do this is through social facilitation. This is the concern of self image through the presence of other people. It's a concept that allows members to know the acceptable opinions of the group. Someone who agrees to the ideas set out from the organization. "Group polarization is the concept of changing personal opinions to extremities after a group discussion.(Johnson 13)" This concept eliminates members who aren't sure what they think of the group's purpose. They decide that either they agree completely or they disagree completely. Either way it means they decide if they are in or out after the group discussion. A common goal is one way to distinguish and separate the devoted members from the questionable individuals in a group. High cohesiveness is an effective tool in the success and effectiveness of an organization. However, in order for ... ... truth, denying her involvement as a witch, but be hung anyway for "lying" under oath. On the other hand, an innocent victim could lie and confess her involvement as a witch, accuse another witch instead and be let "off the hook". However, if the innocent victim lied and confess, but wasn't willing to turn in another witch, she would be hung anyway. (Starkey, 17) This created quite an ironic situation coming from a Christian based community of purity and holiness. Exclusion is about scapegoating and denying the truth or reality to oneself. A scapegoat is a person made to bear the blame for others, an escape from dealing with one's responsibility. The scapegoat lets one rationalize bad situations and blind oneself from the reality of that situation. No one saw the reality in Salem and no one even tried. They were all too caught up in trying to find someone else to blame for their fears and problems. However, organizations tend to do that too. They create an opposition or enemy so they can use it later to their own advantage, making themselves seem more powerful. So the question goes back to, "Are you in? Or are you out?"