Reagan Revolution Essay

CongressLecture Outline May 20, 2013 The Reagan Revolution & Cold War in the 1980s I. Reagan Revolution and the Rise of the New Right The new grassroots conservative movement. it focused on a few themes: 1) focus on physical restraint: reigning in spending of the economy, the great society programs 2) Tax code revision 3) government efficiency: sense of urgency for this, because of how transparent the government, and what it owed to the u. s. public. a. Reagan’s views and policies:: 1980’s high inflation and faltering economy, and regean promised to return the nation to economic promise. Campaign had focused on a strong military and a scaled back federal government. (he specifically wanted the federal government scaled back, but it was okay to undergo spending for national security (military). tensions between the national security state and the spending for the national government He wanted a return to traditional values that had been lost. he was enormously charismatic. He was good at delivering lines and delivering his speeches,. â€Å"government is not the solution to our problem, government is the problem government needed to be scaled back.. ederal government needed to lessen itself in our daily lives. and in the business community too. he wanted a reversal of the programs in the great society. roll back big government. Roll back in domestic policy, expanding it in foreign policy with the military. 1989 when he concluded his presidency, economy debt had tripled. b. â€Å"Reaganomics† / Supply-side economics: seeking to increase the economies capacity to produce. the theory behind it was exxessive taxation was slowing things down in the economy, and it discouraged hard work? have economic growth by cutting taxes†¦so people could invest that money in another way. Trickle down economics: leave the money to the wealthy and it will trickle down into society. c. Economic Recovery Tax of 1981: lowered the taxes on the wealth to free up capital. 23% cut. then social security taxes went up d. Business expansion: capital was freed up, and there was an expansion and the government did grow. high employment, Anti-union stance. violating a law of federal worked fighting back. e. cut non-defense federal spending. it was hard to cut social security and medicare. US became a debter nation f. rapid growth and critique of the economy . Wall Street & Deregulation: dirty decade, stock speculation, corporate mergers, a lot of shady wallstreet dealing, and a lot of deregulation. These companies were too bogged down in regulation. so they deregulated business. and allow corporations to make risks they wouldn’t normally take. also allowed for greater abuses. laizze faire, leave business alone, big stores were growing during time, and have merger mania ( Microsoft when public in 1986, this environment was condusive) this also created a lot of tensions. class tensions were exacerbated. elebration of wealth for those getting richer, and the poor getting poorer. h. lifestyles for the rich and the famous II. The Cold War & Foreign Policy in the 1980s i. Reagan’s domestic vs. foreign policies: he had a foreign policy that was highly activist, but he wanted to stay small in domestic. he wanted to battle communism and leftism. he launched the biggest military expansion in peacetime history. More than 70% 1981 to 1986, Reagan was struck by wanting the united states to both be powerful military and symbolically. they wanted people to associate us as a military strength. He had a nostalgia for WW2, and how the US emerged out of ww2. j. Nuclear freeze movement: anti nuclear protest throughout this time in force in the early 1980’s activists one a lot of recruits. The entire world wold be blown up if we didn’t reduce the arms. This wasn’t just in the united states, it was in great Britain and Germany too. it was a world wide movement. it called a cause for a freeze, banning testing and building. june 1982 800,000 freeze campaign. it permiated all levels of society. in response to this he had the star wars speech k. Star Wars† & Strategic Defense Initiative (SDI), 1983: this was a space based missile system, that was supposed to defend the united states from nuclear attack. it looked very futuristic, we do have some of this technology now however. don’t introduce this because we really don’t have this technology l. Anticommunism & Latin America: some critics that expressed fear, that hear we are repeating veitnam. Congress responded to the fears, and congress said do not fund this anymore. m. â€Å"Evil Empire† speech (1983) n. Iran-Contra Scandel i. Role of Oliver North: national security aid, stationed in the white house. e directed money from the Iranian arms sales to the contras. congress had banned this, do not fund the contras anymore. congress had forbidden this aid. North had circumvented this ban by raising money from wealthy conservatives from other governments, to fund this. (wealthy new right conservatives funded this) all in secret to the congress and to the people. New story broke, televised hearings in 1987, erased computer files right before the fbi arrived. he defended it by saying sometimes you need to go above the law for patriotism. he emphasized, I love my country and I am a patriot. Reagan praised north as a national hero, for undergoing this with American security in mind, but he also fired him. TV Reagan denied knowing anything about the scandal, but mistakes were made. criticized his lack management style. there was no evidence that he knew of this, but there was a lot of lax white house procedures. it diminished the credibility on a national scale of the us presidency, but he emerged form this unscathed. this is when historians lok back and he really was the Teflon president, the American public still supported him I. Conclusion: 1989, End of the Cold War & Post-Cold War Challenges

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Philosophy Gung If Panda tells the story about Pop, who was chosen as the dragon warrior by the wise old turtle, Master Agway, to defeat the enemies and save China from evil. Unfortunately, Pop was an unlikely character for he was fat and clumsy. He thinks he is not strong enough for the Job as much as others think of him the same way. But as the movie keeps going, Pop decided to finally strip off his fears and insecurities.He learned that inner peace is what he need to realize that life is not about who we are, UT who can we can be. I also eventually found the passion and courage on Pop. He was always optimistic and brave to conquer any difficult problems. And I like the way he did when he faced the tough training from Master Shift, because he used his ability â€Å"eating†, to transform and be better warrior. His unsophisticated mind made complicated things more simple and easy.From this predicable plot, we can find one very important lesson in life, especially for us teens who hold the future: Trust ourselves. No one can ever tell you that you can't, especially when you know with all your heart that you are on the right path. One must not give up and continue to believe to achieve dreams so that you would not regret. Achieving Inner peace Is also achieving inner strength. Gung If Panda also teaches the shy ones who lack confidence in their abilities and capacities. The movie tells that falling Is not the basis to continue dreaming and aiming.One must not be afraid to fall, because failure and stake helps an Individual to be better and stronger and will motivate you to keep trying. Life may not be perfect and we may have Insecurities or a traumatic childhood. We may not be the best of the world and not have everything that we want. But it shouldn't stop us from reaching our full potential. Gung If Panda shows that we Just have to look deep within ourselves and find Inner peace, so we can choose where we want to be. Skids By Deanne Unfortunately, Pop wa s an unlikely character for he was fat and clumsy.He thinks he is believe to achieve dreams so that you would not regret. Achieving inner peace is also confidence in their abilities and capacities. The movie tells that failing is not the basis to continue dreaming and aiming. One must not be afraid to fail, because failure and mistake helps an individual to be better and stronger and will motivate you to keep trying. Life may not be perfect and we may have insecurities or a traumatic that we Just have to look deep within ourselves and find inner peace, so we can

Constructing the Written Evidence-Based Proposal Essay

Constructing the Written Evidence-Based Proposal - Essay Example Implementing standardized screening tools and initiating treatment based on established protocols, can prevent disease progression and an increased complication rate. These interventions can potentially decrease the length of stay and health care costs. Medical researchers have researched on this syndrome and have come up with the possible solutions to curb it. Once identified and confirmed, the patient must learn to administer injections, monitor his or her blood sugar and count carbohydrates. This medical condition requires consistent care, but technological advancement n monitoring this condition has made it possible to rectify this condition. This technology will prove extremely useful if physicians and medical personal take the initiative to educate type 1 diabetes mellitus patients, on how to use it for continuous and effective self-management of their disease. One of the devices that apply this technology is the Guarding RT, which provides users with constant glucose readings and has alarms for hypoglycemia and hyperglycemia. In addition, physicians and support medical personnel should educate and encourage type 1 diabetes mellitus patients to use rapid-acting insulin instead of regular insulin. Rapid-active insulin, which is used after every meal, is more effective than regular insulin in the control of postprandial blood glucose levels and also brings about fewer episodes of postprandial hypoglycemia than regular insulin. For juvenile patients to control their type 1 diabetes effectively, they need to make independent decisions on a daily basis concerning insulin intake, diet, and exercise. The new solution entails involving family physicians in the encouragement of patients manage their condition on a constant basis by teaching them techniques of tight glycemic control, through accurate and rapid adjustment of insulin dosages and changing their lifestyle in a manner that reduces the risk of developing complications (Wakefield, 2011). Keywords: diabete s mellitus, postprandial blood glucose, juvenile patients, Guarding RT. Problem statement Current methods of managing diabetes mellitus type 1 involve insulin replacement therapy, dietary management, and careful blood glucose monitoring using glucose monitors. Current methods of glycemic control are quite complicated and, therefore, juveniles with diabetes type 1 mellitus have to visit the hospital on a regular basis for accurate blood glucose level checks. Additionally, they have to visit a healthcare facility during cases of sudden hyperglycemia or hypoglycemia which may have adverse effects on health. When sugar levels in the blood build up, as a result of lack of insulin, several complications can arise. One is dehydration as a result of increased urination as the body tries to clear this excess sugar fro the body. Alot of water is therefore lost through this process. Another complication that results are weight loss. Loss of sugar in the body translates to loss of calories that provide the energy required in the body. Dehydration also contributes to this weight loss. Diabetic Ketoacidosis can also result. This is an extremely severe complication that arises from the increased pile up of excess sugar, acids, and dehydration. This should be curbed immediately as it is life-threatening. Damage to the body can also result if not treated early. High sugar levels in t

The Market for Lemons Case Study Example | Topics and Well Written Essays - 1750 words

The Market for Lemons - Case Study Example Akerlof then says that, although his theory has these very general applications, he will focus on the market for used cars: "The automobile market is used as a finger exercise to illustrate and develop these thoughts. It should be emphasized that this market is chosen for its concreteness and ease in understanding rather than for its importance or realism" (Akerlof, George, 1970) On first reading, it is tempting to interpret "the automobile market" as the market in which real people buy and sell real cars and to think that Akerlof is going to present some kind of case-study. One can see why he might focus on one particular market which is easy to understand, even if that market is not very important on the scale of the economy as a whole. But then what does Akerlof mean when he says that this market is not realistic The object of a case-study may be unrepresentative, but it cannot be unrealistic. To make sense of this passage, we have to recognize that it marks a transition between the real world and the world of models. Akerlof is using the real automobile market as an example. But what he is going to present is not an empirical case study; it is a model of the automobile market. Although it is the real market which may be unimportant, it is the model which may be unrealistic. Akerlof moves straight on to the central section of his paper, section II, entitled "The Model with Automobiles as an Example." The transition from reality to model is made again at the very beginning of this section: The example of used cars captures the essence of the problem. From time to time one hears either mention of or surprise at the large price difference between new cars and those which have just left the showroom. The usual lunch table justification for this phenomenon is the pure joy of owning a "new" car. We offer a different explanation. Suppose (for the sake of clarity rather than realism) that there are just four kinds of cars. There are new cars and used cars. There are good cars and bad cars. (Akerlof, George, 1970) The first four sentences are about an observed property of the real world: there is a large price difference between new cars and almost-new ones. Akerlof suggests that, at least from the viewpoint of the lunch table, this observation is difficult to explain. If we assume that Akerlof takes lunch with other economists, the implication is that economics cannot easily explain it; the "pure joy" hypothesis sounds like an ad hoc stratagem to rescue conventional price theory.  

The Milgram experiment Essay Example | Topics and Well Written Essays - 500 words

The Milgram experiment - Essay Example This particular aspect also contravenes ethical principal A: Beneficence and Nonmaleficence ("Ethical Principles", 2003). However it should be commended that when offering payment of $4.50 an hour, the participants were told that they would receive the payment whether or not they completed the experiment, this was the most ethical thing to do as then payment wouldn't be the motivator of the participants actions. Looking at all the facts given above, it can be argued that the researchers should have been honest with the participants about the nature of the experiment being a study in obedience and not that of memory and learning and that the experimenter should have reminded the participant/teacher that they are free to leave at anytime, instead of using verbal prods to ensure they continue with the experiment. While this is correct we should keep in mind that the experiment results would not have been accurate if the above suggestions were followed even though it may have made the experiment more ethical.

Music & the Liturgy Paper Essay Example | Topics and Well Written Essays - 3000 words

Music & the Liturgy Paper - Essay Example The Psalms feature strongly, prefiguring the life of Christ, and particular festivals bring into focus scenes such as the Nativity and the Passion of Christ which were then the subject matter of hymns and sequences. The major festivals of Christmas and Easter create the setting for the composing of new sacred music, and many of the great composers produced multiple settings of the same texts, giving the world a rich collection of variations which, when compared, give an insight into the subtle changes in Christian musical and religious sensibility through the ages. This paper considers in particular three settings of one of the world’s favourite Latin hymns known as Stabat Mater Dolorosa. The origins of the text itself are obscure, but scholars date it to the thirteenth century. The essence of its meaning is a reflection on the sorrowing figure of Mother of Christ, standing beneath the cross and weeping for the death of her son. The subject matter is emotive, and yet in its li nkage of suffering with the path to salvation, it has a positive message for believers, encouraging them to bear their troubles bravely and look to a blessed future with Christ in Paradise. This text has been reworked many times, using elements of secular music through the ages to enhance its relevance in successive generations. The reasons for the diverging approaches to Church music in different parts of Europe are linked to the cataclysmic events surrounding the Reformation. At the heart of this debate lay fundamental differences in the way that the Biblical text was perceived. In the protestant parts of Europe there was a growing desire to centre the literal text of scripture as the source of fundamental truth, and to place human additions such as preaching, music and the use of other devotional aids including the liturgy as secondary aids to the interpretation of this main truth. Polyphony in this context was an opportunity to explore hidden meanings in a text, having different voices express different aspects of its message for example. Emphasis and amplification could be achieved in this way. In the Roman Catholic tradition, on the other hand, the holy scripture was combined with apostolic traditions as the source of truth, leading to a higher status for the liturgy and a tendency for musical contributions to become bearers of the doctrine as much as the readings from the Bible itself. It is this emphasis on the importance of the liturgy that caused the Roman Catholic Church to clamp down on secular influences creeping into worship. The lively motet tradition, with its celebration of secular and even bawdy themes was seen as a negative influence, and this is why a return to the purity of Gregorian chant was advocated by the Church authorities. The role of the Stabat Mater was a cause of much debate in the fifteenth to seventeenth centuries because it was at the same time much loved by the population but also clearly non-Biblical in content. It became pa rt of the feast of Our Lady of Sorrows at in 1413 at the Council of Cologne and this hymn became part of the liturgy in Northern Europe from that time onwards. In the south, however, the piece was sporadically performed, but did not become such a firm part of the liturgical programme. It has been noted also that some such pieces were performed on the edge of the formal

Discussion and Participation Questions Essay Example | Topics and Well Written Essays - 1000 words

Discussion and Participation Questions - Essay Example 1). Concurrently, it is worth mentioning that there are five identified elements that are crucial in any internal control system to ensure effective and efficient implementation: control environment, risk assessment, control activities, information and communication, and monitoring (Kansas State University par. 4). Given these theoretical frameworks, organizations that experience significant changes in terms of growth through diversification, expansion (in products or markets) or acquisition need considerable and appropriate changes in internal control systems that would cater to the transformations made. For example, in a small rural bank which started with only one branch, the internal control system set in place should conform to the amount and quality of resources and corporate information that need to be safeguarded. A limited amount of â€Å"physical control measures are introduced such as locked key-card access and locks so that there is no theft of valuables. Several organiz ations have policies which require supervision of any person who enters a bank vault† (Bhattacharyya par. 7). ... In this regard, the internal control system of an expanding bank should be adjusted and adapted to the needs of its expansion by addressing more clientele, more resources, and therefore, more safeguards are necessary to prevent theft, fraud, negligence, and wastage, as intended. In some examples provided by the Federal Bank of San Francisco, some components of a sound internal control framework include the following guidelines: â€Å"(1) safeguard access to physical and electronic assets and records; (2) ensure adequate segregation and rotation of duties; (3) identify, monitor and minimize conflicts of interest; (4) establish and enforce authority and risk limits; (5) maintain appropriate staffing levels and expertise; and (5) conducting ongoing monitoring† (Federal Reserve Bank of San Francisco 2-3). Large commercial banks therefore require more intricate and complicated but comprehensive internal control systems that would ensure safeguarding the resources of the banks and t hose of their growing number of clientele on an ongoing process. Works Cited Bhattacharyya, Madhurjya. Objectives of Internal Control. 8 July 2010. 15 December 2011 . Federal Reserve Bank of San Francisco. "Intternall Conttrols and Operational Risk Remain on Our Radar Screen." On the Radar Screen November 2004: 2-3. Kansas State University. Internal Controls. 30 June 2003. 15 December 2011 . Discussion Question 2 Describe a common fraud scheme for investments. Explain the controls that may be put in place to prevent the fraud. A common fraud scheme for investment was disclosed in the official website of the Federal Bureau of Investigation (FBI) that circulated in

Ergonomic Review of Workstations Essay Example | Topics and Well Written Essays - 500 words

Ergonomic Review of Workstations - Essay Example This can be done by making the following adjustments to the work environment: 1. Using ergonomically designed furniture which allows for the adjustment of both the chairs and the desk on which the typing console is placed. The furniture should be adaptable for multiple users of varying body types. 4. Strategically placing the keyboard in positions which facilitate ease in reach as well as to restrict range of motion in order to prevent awkward movement which can result in harm (Legg, Mackie & Milicich, 2002). In addition to examining postural flexibility, I would examine whether the Executive Assistants are visually comfortable. In so doing, I would ensure that the monitors are placed in an optimal position to facilitate ease in seeing the computer monitors. This would go a long way in preventing eye strain. In this vein, I would also make accommodations for the height of the monitors which are utilized for most of the day. In so doing, they should be placed at eye level as a means of relieving the pressure which may be placed on the neck muscles and ensuring that the head is held flat. Another component of visual comfort is the distance between the eyes and the screen.

Being in a group can have many positive Essay Example for Free

Being in a group can have many positive Essay Being in a group can have many positive effects but I will only list a few. I feel that working in a group is a great way to teach someone because people may learn from each other’s own background and experiences. When you enter the work force you need to be able to express your ideas and thoughts to others in a logical and at the same time pleasant way. While working in groups may be very rewarding it can also go sour, we have all had negative experiences. There are times when the work just cannot be completed when needed; there are times when one person is doing all of the work; there are other times when each member of the group does their own share and then the work is compiled. This doesn’t work because only one student is learning the portions of the subject; and finally, there can be times when the members of the group do not get along and then again the work and the group does not go well together. I think do personality test and grouping people that are alike in one group working on subject a can make this process more streamline. However when doing that you might miss out on thinking outside the box that the group with people in common might tend to do. I recommend that the group sizes to be between three and four people. The reason for this is that a small group is easy to manage and easy to communicate in, whether a person is an extrovert or an introvert. All people must feel reasonably comfortable in order for groups to work proficiently. I believe that the process of using small group’s parallels the process of tutoring someone new in that the comfort level of the workers is increased thus allowing them to be more productive. There are a few areas I think could be improved on in a group I am in at work. TEN WAYS TO CREATE A POSITIVE WORK ENVIRONMENT 1. Build Trust 2. Communicate positively and openly. 3. Expect The Best From Your Staff 4. Create Team Spirit 5. Give Recognition and Appreciation 6. Give Credit and Take Responsibility 7. Be Approachable 8. Provide A Positive Physical Environment 9. Make Staff Evaluations a Positive Experience 10. Make It Fun Everyone wants to be where people are having fun, so make your workplace feel happy and festive. Find reasons to celebrate together, such as birthdays, birth of a baby or grandchild, moving into a new house, etc., and having small parties to celebrate these events. If possible provide a cake, and put up a sign or banner in the break room saying Today We Are Celebrating†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Ask your employees what would be fun for them and then implement what is feasible.

Ornette Coleman Paper Essay Example for Free

Ornette Coleman Paper Essay Ornette Coleman is one of the most influential artists in jazz and considered an American icon and legend. There are not many musicians that emerge who dramatically changed the way we listen to music. Ornette Coleman was of the major innovators of free jazz as well as a great saxophonist and composer. Coleman’s bluesy, playful music revolutionized jazz by ignoring regular harmonies and rhythm. He even created his own theory â€Å"harmolodic† and applied it to rock instrumental in his group Prime Time. The musician’s new style helped to regenerate jazz by allowing for the genre to go into a new direction and be placed for his music to be placed in a group of major 20th century composers. This paper will discuss how Ornette Coleman borrowed from the world of jazz to influence concert hall compositions. Ornette Coleman was a revolutionary saxophone player who expanded contemporary boundaries of music. He gained those remarkable skills by teaching himself how to play saxophone at the age of 14 and by playing with musicians in local rhythm and blues bars while growing up in Fort Worth, Texas in the late 1940s and early ‘50s. Some of his legends include Charlie Parker and two local musicians in Fort Worth Ben Martin and Reed Connors. Coleman loved Charlie Parker and bebop and thought of it as the most advanced collective way of playing a melody and at the same time improvising. Parker taught Coleman many lessons especially about the quality of what he could play and knowing the audience (Ratliff 63). The musician decided to travel to L.A. and played in various establishments. He eventually made his way to New York with his first band having a good sense of melody and ideas of playing without any preconceived chord changes (Ratliff 55). People thought of him as a genius and others denounced him as a charlatan. His music was considered controversial for instance in his quartet th ey had no chordal instruments such as the piano. Listeners said his music was radically rejecting jazz traditions, but a few praised him and said the music was an extension of the historical practice (Martin,Waters). As he was traveling  in RB jazz bands across the country, he switched back and forth between alto and tenor sax. Resistance was normal for Coleman, and he was use to being fired. In 1950, he wrote an unpublished book that deals with a theory that melody has nothing to do with harmony, chords, or key centers. In 1958, he formed his own band that was established on a mode of playing which no one player had the lead but anyone could come out and play at any time. Beginning in 1959, Coleman and his quartet went to New York and developed the concept of free jazz (George-Warren and Pareles). Free jazz and improvised music did away with any of the strict forms of jazz and classic music such as tonality, chord changes, formal shape and structure, etc. Coleman was put into the category along with Cecil Taylor and Albert Ayler, and they abolished the traditional hierarchy of instrumentation in jazz, classical rock, and pop allowing for any instrument to be equal in improvising. Many performers were encouraged by these individuals to go beyond the regular technique to develop â€Å"extended† techniques (Cox, Warner 252). Coleman’s group debut in New York was unlike anything anyone had ever heard. The bassist or drummer did not function in a conventional rhythm sense, and there was no piano to provide chordal harmonies. When Coleman played with his group, they did not have any idea what the end result would be. The group was even able to get the attention and approval from conductor-composer Leonard Bernstein and composer Virgil Thompson along with other writers and painters (Europe Jazz Network). Each player in his group contributed what he felt in the music at any moment, and each member is not told what to do but play what they hear in the piece themselves. He also stated that in a sense that there is no start or finish to any of his music, but there is a continued expression, continually evolving strands of thoughts that link all of his compositions together (Coxer, Warner 254). Other things that summarized Coleman’s style of music include: fragmented, pointed melodies, melodic connections based on motive structure and large-scale gestures and abstract relations among pitches, little or no use of conventional harmony and voice leading, but solos often have loose shifting tonal centers, variety of melodic rhythm, nasal insistent tone, loose rhythms, use of middle and upper range o n instrument, passionate expression, and deviation from standard intonation (Martin, Waters 271). Coleman started to explore different music possibilities by mixing and  extending elements of honky-tonk, blues, funk and bebop in areas of harmony, rhythm and the melodic structure. His musical styles alienated him from the jazz world that musicians walked off the stage when he showed up for a show. His new innovations later became known as â€Å"harmolodic†, which helped change jazz by pointing it in a direction away from the musical styles of bebop, but also established a place in a group of major 20th century composers such as Charlie Parker, Harry Partch, Charles Ives, and John Cage (Europe Jazz Network). From 1962 to 1965, Coleman withdrew himself from the spotlight and taught himself to play the trumpet and violin. He began to turn his attention to writing compositions for various musical forms such as woodwind quintets, chamber orchestras, string quartets, symphonic works and vocal works. This is the point in his life where his music began to affect the concert hall. The first public performance of one his pieces was the string quartet piece Dedicated to Poets and Writers. Performances of some of his works are scarce and have not been performed or recorded. The release of his two pieces Saints and Soldiers and Space Flight performed by the Philadelphia Orchestra cleared the way for his most famous piece Skies of America symphonic suite. The piece is scored for jazz ensemble and orchestra and debuted in 1972 at Newport in New York Festival and recorded by the London Symphony Orchestra (George-Warren and Pareles). This work stands as Coleman’s harmolodic manifesto. There are some themes that people can recognize. Coleman enters the scene halfway through the piece with his saxophone during â€Å"The Artist in America†. His modulations have a fresh, sometimes abrupt sound as a result of movement of the melody and the chords. There are a number of different c hord changes which are considered correct even though it does not sound correct. Throughout the piece the works of Charles Ives comes to mind with the jumble of melodies and heavy densities. The entire work introduced his â€Å"harmolody† theory in which harmonies, rhythms, and melodies function independently and equally (George-Warren and Pareles). The theory relates to the use of similar melodic material in different clefs and keys, producing a texture of predominately parallel motion (Martin, Waters 271). He wanted to be like famous musicians George Gershwin, Duke Ellington, and Charles Mingus so that he could help break down boundaries between â€Å"modern jazz† and â€Å"serious concert† music. Coleman translates his ability as an improviser into orchestral terms. With his  orchestral works, he was able to create a peculiar timbre and certain licks unlike any other composer writing orchestral works. During the 1970s Coleman’s musical horizons continued to expand. He formed the group Prime Time which incorporated rock and funk rh ythms and melodic fragments similar to RB music along with its harmonic possibilities. The free jazz/classical composer now created dance music that combined elements of jazz, funk, RB, and rock with an unusual mix of instruments two guitarists, two drummers, two bassists, Coleman on the sax, violin, and trumpet. This group’s music included multi-layered melodies, polytonal and polyrhythmic textures which were defined as harmolodics. This style shaped more music other than jazz, and Coleman’s music influenced affected many rock musicians during the 70s especially Frank Zappa (Europe Jazz Network). While Coleman influenced rock musicians, he continued to diversify his music and became interested in African cultures. He traveled throughout Africa with Prime Time and created a new album Dancing in Your Head featuring field recordings with the group while they were working with tribal musicians in Morocco. In the 1980s Coleman revised and completed Skies of America after being commissioned by Caravan of Dreams, an arts center that opened in his hometown of Fo rt Worth, Texas. Coleman continued to write for all instrumentation and group sizes. He continued compositions for the concert hall such as the Meet the Modern series and The Sacred Mind of Johnny Dolphin. His group Prime Time eventually mixed ac (Martin and Waters)oustic and electric instruments. In 1993, his most monumental recordings from Atlantic were released in a box set entitled Beauty Is a Rare Thing. He went on to be inducted into the American Academy of Arts and Letters and was featured by the New York Lincoln Center which hosted a festival of his works featuring a performance of the Skies of America by the New York Philharmonic and surviving members of his band Prime Time (Europe Jazz Network). One of the greatest jazz artist and composer of all time is Ornette Coleman who influenced music for the concert hall and popular music genres such as jazz and rock and roll. His music for the concert hall was innovative and creative as stayed true to his artistic style and capabilities. One of his most influential pieces for the concert hall was Skies of America which helped blend many different styles of music into an orchestral work. Individuals were influenced by his pioneering work in  creating free jazz and the use of improvisation styles as well as his newly created harmolodic theory. Coleman was not afraid to step out on the limb to perform and create music without boundaries and that did not follow the traditional Western theory practices. He did receive a lot of criticism for his approach but affected and changed many by his abilities. Bibliography Cox, Christoph and Daniel Warner. Audio Culture: Readings in Modern Music. Change of the Century. New York: The Contiuum International Publishing Group, 2004. Europe Jazz Network Musicians . 20 February 2010 http://www.ejn.it/mus/coleman.htm. George-Warren, Holly and Jon Pareles. Rolling Stone Encyclopedia of Rock And Roll. Ornette Coleman. Boston: Simon Schuster , 2001. Martin, Henry and Keith Waters. Jazz: the frst 100 years. Belmont: Thomas Schirmer, 2006. Music, The Jazz Ear: Conversations Over. Ratliff, Ben. I Know Who You Are Ornette Coleman. New York: Henry Holt and Company, LLC, 2008.

An Overview of Advantages and Disadvantages of Recycling

An Overview of Advantages and Disadvantages of Recycling What is  Single-Stream  Recycling? Recycling is a process that converts waste into reusable material. For example, aluminum cans will be melted and then made into new cans and paper will be mixed with water to make pulp,   which then pressed into new sheets of paper. Single-stream recycling means that a consumer can put all types of recyclable goods-like aluminum cans, glass containers, paper, and plastic- into a single recycling bin and then a company receives the mixture of recyclable items and sorts it all out in a factory setting. The reason why people recycle is because they would like to contribute less waste to landfills. Larger landfills contribute to larger greenhouse gas emissions, which is known to wreak havoc on the earths atmosphere and health. How  Does  Residential  Single-Stream  Recycling Work? A resident will either purchase or be provided with a recycling bin-American recycling bins are typically green or blue-that will be kept in or right outside their household. The resident will fill the bin with all types of recyclable items including but not limited to paper, plastic, and metal, and glass-more specifics will be discussed shortly. That bin of recyclables will be emptied into a community dumpster or will be directly placed on the curb for a recycling company to pick up. This pick up of recyclables   typically happens on a weekly or biweekly basis. The recycling company will then dump all of the recyclables into a materials recovery facility (MRF) where they are will be sorted by machines and manpower [6]. The materials that can be salvaged are then collected by type (paper with paper, glass with glass, etc.) and shipped to various companies for them to repurpose and use for their own products. A Brief  Timeline  on the History  of Recycling 1897:  New York City creates one of the first MRFs in America. [12] 1965  to  1970:  The Mobius Loop is introduced as the symbol for Reduce, Reuse, Recycle, by Gary Anderson. [12] 1974  University City, MO becomes one of the first municipalities in the country to offer curbside recycling to its residents. [12] 1988  The number of curbside recycling programs in the US increases to about 1,050. [12] 1990s  Communities in California were the first to use single- stream recycling in America. [11] 2000 The EPA confirms a link between global warming and waste, showing that recycling and reducing our garbage decreases greenhouse gas emissions. [12] 2005  About 20 percent of all U.S. communities with recycling programs use single-stream recycling. [10] 2010  About 64 percent of all U.S. communities with recycling programs used single-stream recycling. [10] 2011  America recycled about 87 million tons of material, more than 60 percent of Americans have access to curbside recycling. [10] 2015  About 22 percent of standard American county is complying with the standards to put right things in there. [1] Advantages For  the  Resident Decrease  sorting  efforts: Single-stream recycling versus multi-stream recycling means that the efforts for sorting recyclables are reducedall recyclables are allowed in a single recycling bin. This may make residents more likely to participate in recycling and may lead to more recyclables placed at the curb or in the community recycling dumpster/receptacle. [8] Clarity  of  destination: For residents participating in curb side pick- up, the recycling trucks will come by with distinguished signs labeling their truck as a recycling truck. The emphasis on clarity of which company is picking up their recyclables, will ensure the residents that their recyclables are being sent to a MRF and not a landfill [8]. For  the  Participating  Communities Decrease  waste  management  costs: For any given city, labor costs and tipping fees for garbage management will decrease as the amount of recycling increases. This means that an average American single- stream recycling system that costs $200,000 per year should be breaking even by 2019 [4]. Recycling costs a city $39 per ton, versus $49 for garbage. Also, single-compartment trucks cost less to purchase and operate versus multi-compartment trucks used for multi-stream recycling systems. This will also contribute to a reduced collection cost. Increase  efficiency: Single-compartment trucks are able to use automated collection routines, which leads to collection routes being serviced more efficiently [8]. Safer  conditions  for  workers: The workers for the recycling companies may see a decrease in the amount of work-related injuries. Recycling bins for single-stream recycling are commonly in the form of wheeled carts. Multi-stream bins were typically not wheeled which makes workers prone to injuring their backs when they pick up and carry numerous bins [8]. For the Environment Increase  land fill  life: Recycling in general will extend the life of a landfill because, with less waste in the garbage bin and more materials in the recycling bin, the landfill wont fill up so quickly with waste, thus extending its life [4]. Recycle  more  materials: As research continues, single-stream recycling may make way for an opportunity to add new materials to the list of recyclables accepted. Also, with a single-stream sorting system, more grades of paper may be collected than ever before [8]. An increase is the amount of recycled materials will positively impact the environment. Disadvantages For  the  Participating  Companies Increase  in  taxes: A resident who lives in a location that has a single-stream recycling program is most likely going topay local taxes for the program. These taxes are subject increase becuase Residents who participate in single- stream For the Environment Contaminated  material  to  landfills: Due to the nature of single-stream recycling, different materials will cross-contaminate other materials. A typical, new single- stream program endures contamination in about 40 percent of its loads [4]. These contaminated parts of the load will be sent to the landfill. Mixing all materials together is convenient, but leads to wet paper and bits of broken glass that cant be sorted. About a quarter of single-stream recycling goes to the dump because of contamination [6]. Lower  quality  of  products: Susan Collins, director of the Container Recycling Institutea nonprofit research and advocacy group, says in terms of preserving the quality of materials so that the maximum materials collected can actually be recycled, single-stream is one of the worst options [6]. The purpose of recycling is so that materials can be repurposed and reused. If the MRFs are supplying poor-quality raw material to companies, they are costing those companies a loss in quality of their goods as well. What You Can and Cant Recycle You should only recycle paper, cardboard, commingled containers, plastic bottles, tubs, jugs, and jars. Figure 2 offers some visual aids on what typical household recyclable goods look like. The  Big  DO  NOTS  of  Single-Stream  Recycling Do not recycle any container that has previously held oil because it is very likely to contaminate other items you place in your recycling bin [3]. Do not bag any items to be recycled-they should all be loosely placed into your recycling receptacle. Bagging items are very likely to be discarded during the recycling process and send to the landfill. Do not recycle plastic bags by themselves either because they can bind up the sorting machines gears and cause damage. Do not recycle Styrofoam or shredded paper. Excluding cardboard, make sure all commingled containers, bottles, jugs, and jars, are not flattened. Ball up on aluminum foil you recycle so that the sorting machines dont mistake it as a sheet of paper. Any material that was in contact with food or other messy substances should be emptied and rinsed out thoroughly.

scarsbel Using Scars to Communicate in Toni Morrisons Beloved Essay

Using Scars to Communicate in Beloved There are certainly complications to assumptions of how scars are used as a means of communication in the novel, Beloved. The character named Beloved has her own distinct scars that bear significance in the story. Her scars are distinct not only in their origins, but also in their meaning, and create a point of diversion from the traditional pattern established by the role of scars in the lives of other characters. The scratches on her forehead and the cut across her neck were not made by a white oppressor, but instead by her own mother, Sethe. Sethe kills her own daughter in a fit of anxiety, rather than to have her children taken away by the slave owners which tracked her down following her escape. These markings tell Beloved's story, how her own mother sawed away at the baby girl's tiny neck, her fingernails clawing into her forehead. In the end, this is the way in which Sethe can identify the returned from the dead Beloved (now an adult) as well. These scars serve as a reminder o f everything Beloved had gone through. They become a symbo...

Don Quixote on the Road to Barcelona :: Don Quixote Essays

Don Quixote on the Road to Barcelona This paper will analyze the passage in the book Don Quixote where Sancho physically fights with Quixote to prevent Quixote from lashing him. On a practical joke playing duke's suggestion in the last chapter Sancho had promised to lash himself over 3000 times as a way to remove the spell that turned Quixote love interest, lady "Dona Dulcinea del Toboso," from a noblewoman to a peasant girl. Whether is was intentional or not the theme of the common man asserting himself against capricious punishment and rule by the nobles is evident in this passage. The passage opens - "Master and man dismounted from their beasts, and as soon as they had settled themselves at the foot of the trees, Sancho, who had had a good noontide meal that day, let himself, without more ado, pass the gates of sleep." Sancho is and represents is the common man in Cervante's book. Like all peasants Sancho worries about practical matters and lives in the moment, (though he has clearly begun to believe in Quixote's quest when he told his wife earlier in the book that he was sticking with Quixote). Like all common men he has little to worry him in the here and now and puts the break in their travels to good use by nodding off. "But Don Quixote, whom his thoughts, far more than hunger, kept awake, could not close an eye, and roamed in fancy to and fro through all sorts of places." In Don Quixote, Cervantes paints the nobleman, or one at least one who fancies himself noble. Like all noblemen Quixote troubles himself with thoughts of high importance. He is unable to nod off with Sancho's ease because he has many things on his mind. "At one moment it seemed to him that he was in the cave of Montesinos and saw Dulcinea, transformed into a country wench, skipping and mounting upon her she-ass; again that the words of the sage Merlin were sounding in his ears, setting forth the conditions to be observed and the exertions to be made for the disenchantment of Dulcinea." This sentence alludes to an adventure earlier in the book in the enchanted caves of Montesinos.

Evaluate How Practitioners Use Text, Symbols and Compositional Strategies to Construct Meaning in Artworks.

Evaluate how practitioners use text, symbols and compositional strategies to construct meaning in artworks. Artists such as Mexican Frida Kahlo and British Francis Bacon are two 20th Century practitioners who employ text, symbols and compositional strategies to construct meaning about themselves and the wider world in their paintings. Kahlo’s artworks such as he â€Å"Self-Portrait as a Tehuana (Diego in my thoughts)† and â€Å"Henry Ford Hospital 1932† provide an insight of her life and her obsessions with child-bearing and her husband, Diego Rivera.Likewise, Francis Bacon’s â€Å"Three Studies for the Figures at the Base of a Crucifixion† and his â€Å"Self-portrait 1971† conveys the suppression of his sexuality and inhumanity of one man to another. Self-Portrait as a Tehuana (Diego on my thoughts) 1943 Oil On Masonite 29 7/8 † x 24 † Gelman Collection, Mexico City Self-Portrait as a Tehuana (Diego on my thoughts) 1943 Oil On Ma sonite 29 7/8 † x 24 † Gelman Collection, Mexico City Frida Kahlo’s artworks usually construct meaning through compositional strategies including autobiographical references and personal symbolism.Kahlo’s ethnicity also has a significant impact towards her art making practices such as the repetitive themes of life and death. Her excessive fascination towards childbearing and her husband, Diego Rivera was evidently portrayed in her artworks such as her â€Å"Self-Portrait as a Tehuana† and â€Å"Henry Ford Hospital†. Kahlo’s Mexican culture is highly apparent through the traditional Tehuana costume found in her self-portraiture artwork whilst a sense of estrangement and detachment from this culture is manifested in her artwork â€Å"Henry Ford Hospital† through her representation of Detroit where she had experienced her second miscarriage.Kahlo’s life was perceptibly dominated by her obsessive love and constant thought of D iego that is has impacted her artworks thematically. This notion is evident in her self-portrait painting where Diego’s miniature portrait appears on her forehead that literally and metaphorically signifies Diego’s presence in her mind, which was also conveyed in the subtitle of her work â€Å"Diego on my mind†. Diego’s repetitive influence on Kahlo’s work is again presented in another artwork however conveyed in another context.Kahlo’s â€Å"Miscarriage in Detroit (Henry Ford Hospital)†, painted in 1932 elucidated her emotional and physical agonies from her miscarriages within her marriage to Diego. This artwork supports the notion of Frida Kahlo’s infatuation towards child-bearing whereby the six floating images that connects to her lower abdomen by an umbilical cord-looking red lines precisely references to her second miscarriage. Henry Ford Hospital, 1932 Oil on metal 32. 5 x 40. 2 cm Collection Museo Dolores Olmedo Patino, Mexico City. Henry Ford Hospital, 1932 Oil on metal 32. 5 x 40. 2 cm Collection Museo Dolores Olmedo Patino, Mexico City.Kahlo also uses symbolism and texts to convey the depth of her artworks in relationship with her personal emotions and life experiences. The artwork â€Å"Miscarriage in Detroit† evokes the excruciating experience that she had with childbearing whereby the six floating images suggests a sense of detachment and loss of control of her body. It also educes her constant link with Diego through the floating foetus that was named Dieguito meaning â€Å"little Diego†. A snail was used to represent the slow torment and horror of losing a baby while the machine is to symbolise her medical impersonality.Frida’s study of medicine prior to her bus accident enabled her awareness towards the impact of her bus accident to her body and bones. This incident significantly affected Kahlo’s artworks and was evidently revealed in her â€Å"Miscarriage in Detroit† painting where the images of a pelvis and a side-view of a female anatomy represents this event along with an orchid that her husband Diego gave her. The concepts of connection and detachment are both portrayed in this artwork whereby the floating images are â€Å"connected† to her through the umbilical cord-like string connecting to her uterus.This string-like line links the objects to herself advocating its personal connection to Kahlo. The floating images also metaphorically suggest her detachment to the place where she had her second miscarriage. Kahlo also used personal symbolism to convey meaning in her artworks, which was clearly portrayed in her â€Å"Diego on my mind† painting in 1943. Diego’s obvious domination in Kahlo’s life is evident in her artworks where her obsessive love and constant thought of Diego has become a thematic notion in most of her paintings.Diego’s miniature portrait on her forehead indicates her obsessi ve love and constant thought of him. Due to this desperate infatuation of Diego, she painted herself in the costume that he greatly admired to attract and entice him closer to her. The roots of the leaves surrounding her head metaphorically symbolises a pattern of a spider’s web in which she hoped to trap her prey, Diego. The impassive image of Rivera’s face on Kahlo’s forehead however indicates her psychological obsession towards Diego but also of her â€Å"philandering† husband’s tarnished indifference to her feelings.Surrealist artists such as Frida Kahlo evoke the meaning of their artworks through the use of symbols, texts and various compositional strategies. Musee National d’Art Moderne, Centre Georges Pompidou, Paris Francis Bacon, a British painter elucidates his personal emotions through abstraction and surrealism which are evident in his artworks such as his â€Å"Self-portrait 1971† and one of his triptych series â€Å"Thr ee Studies for the Figures at the base of Crucifixion† in 1943-1944. Bacon portrays both the suppression of his sexuality and similarly to Kahlo’s feeling of detachment and hostility.His â€Å"Self-portrait 1971† conveys a provocative and disturbing representation of Bacon, one which embodies the painter’s strong feelings of despair and vulnerability that was possibly caused by the suicidal death of his lover Dyer during the same year. This distorted image of himself intensified with his use of broad-brush strokes, as well as the dark colours which are made harsher and more prominent but the added whites and blues. His emotionless state and detachment from the audience was symbolised through his blackened eyes thus also conveying his constant motif of death and â€Å"silent screams†.The name of his artwork is somewhat ironical towards his painting as the text states that it is a self-portrait however, it was distorted and perhaps metaphorically refe rring to his emphasis to the suppression of his sexuality. Bacon’s artwork â€Å"Three Studies for the Figures at the Base of a Crucifixion† in 1943-1944 summarises themes explored in his previous paintings, including his examination of Picasso's biomorphs and his interpretations of the Crucifixion and the Greek Furies.Bacon did not realise his original intention to paint a large crucifixion scene and place the figures at the foot of the cross. The structure of the artworks when put together does not convey any commonality thus further emphasising his personal emotions towards the feelings of displacement. The brightness and contrasting colours used in this artwork signifies the chaotic environment that he was in. The third image illustrates an open and gaping mouth as if it was screaming out of pain.This idea references back to his childhood and the suppression of his sexuality. The screaming object in the painting is a representation of Bacon’s emotions during the times when homosexuality was a crucial topic to the society. The artists Francis Bacon and Frida Kahlo both convey the meaning of their artworks with references to their personal life experiences through the use of symbols, texts and compositional strategies.

Evaluation of health care systems Essay

Abstract As a health care organization, it is important that the Saint John’s Hospital takes the security and privacy of its patients’ information very seriously. Patient information in the Saint John’s Hospital is electronic and managed by the information systems department. In the organization, the security and privacy of all information is the responsibility of the Information Systems (IS) Manager. As the IS Manager, based on the following information on security and privacy, a Management Plan has been developed to be used as the process for the maintenance of patient information privacy and security. Scenario The administration at St. John’s Hospital takes pride in their sound policies and procedures for the protection of confidential client information. In fact, they serve as a model for other institutions in the area. However, printouts discarded in the restricted-access IS department are not shredded. On numerous occasions, personnel working late observed the cleaning staff reading discarded printouts. What actions, if any, should these personnel take toward the actions of the cleaning staff? What actions, if any, should be taken by IS administration? Management plan Conduct security assessment of hospital system In the development of any improvement system, the first step is to conduct an assessment of the existing system. This will be used as the baseline measurement. To conduct this assessment, an external IS professional will be invited to conduct two exercises. The first would be a security assessment of the system during which the IS professional would perform ethical hacks against the system to assess how secure the information is from fraudulent computer users (hackers). The second assessment exercise to be conducted by the IS professional is information privacy assessment. Social engineering would be used in carrying out this assessment. The IS professional would visit the hospital as an ordinary person and interact with staff of the hospital. During these interactions, the professional would use social engineering skills to find out how much patient information could be  extracted from the hospital staff. After the assessment exercises, the IS professional would present a report to the IS Manager of the hospital with recommendations on how the security holes could be blocked and the weak privacy of patient information can be strengthened. Improve security and privacy of patient information The findings and recommendations from the assessment report would be used in the improvement of the security of the system and also strengthening the privacy of any information taken from the hospital’s patients. Schneier (2000) stated, â€Å"Security is a process, not a product† (Computer Security: Will We Ever Learn?  ¶ 2). This means that the security of the information contained in any system is largely dependent on how security conscious the staff that work with the system are and not the amount of sophisticated security devices installed to protect the system. Information privacy, similar to information privacy, is also largely dependent on the level of awareness of the people who input, store, process, and utilize the information. This is because any release of patient information would originate from one of the people stated above. Training To improve the security and privacy of patient information at the Saint John‘s Hospital, the staff need to be educated on the importance of maintaining the security and privacy of information. Training sessions will be organized for all employees at least once a year to refresh their knowledge of privacy and security in compliance to with Health Insurance Portability and Accountability Act (HIPAA) rules. HIPAA Privacy and Security Rule set a national standard for the security and privacy of electronic protected health information; and the confidentiality provisions of the Patient Safety Rule. The US Department of Health and Human Services (2010) stated, â€Å"the Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization†. The training guide will be as follows: A.Take employees through the privacy and security rules of HIPAA Here, employees will be instructed on the security and privacy expectations of the  HIPAA law. Employees will be expected to adhere to these rules in order to keep to the code of ethics of St John’s Hospital. B.Train staff on importance of privacy to the core business of the hospital Employees of the hospital will be retrained on the fact that the reputation of the organization not only depends on the kind and level of service provided but also on maintaining patient privacy. C.Educate employees on what privacy and security are Employees need to what the words privacy and security mean. How they affect the patient’s information as well as the health care organization. D.Explain in details the importance of privacy and security with respect to patient health care information Employees will be educated how important it is to maintain the privacy of patients. They will be informed on the importance of not discussing patient information with any unauthorized party as well as not on any social network. E.Educate on the consequences of security breach Employees will be informed and educated on what consequences can result from a security breach if it goes public. Consequences may include compromising the integrity of the health care organization, legal suits against the hospital as well as job security of employees who are involved in the breach. Staff training on code of conduct After the staff training on the importance of information security and privacy, a code of conduct will be prepared and delivered to the staff. The code of conduct The code of conduct applies to all employees of Saint John’s Hospital. The code outlines guidelines for staff conduct and provides guidance on how to exercise judgment in ethical issues. The International Monetary Fund (1998) stated, every employee is â€Å"expected to observe the highest standards of ethical conduct, consistent with the values of integrity, impartiality and discretion† ( ¶ 9). The code of conduct for the Saint John’s Hospital is as follows: †¢Under no circumstance should a patient’s personal or medical  information be released to a third party without the prior consent of the patient in question †¢The release of a patient’s information to a third party without the patient’s prior consent is subject to punishment determined by the disciplinary committee. The gravity of the punishment is determined by the amount of damage created by the breach of the code of conduct. †¢It is the responsibility of each staff to â€Å"police† other staff and ensure that the code of conduct is being adhered to by all staff. †¢Computers containing patient information should have their monitors facing away from patients. †¢The password policy of the hospital should be strictly adhered to. Passwords should not be written down and placed under keyboards or any other obvious and open access area. †¢All paper documents should be thoroughly shredded and the shredded paper thoroughly mixed up before placed into the dust bin. †¢All computers that are to be donated, auctioned or sold out should be first sent to the IS department for the hard disk drive to be either removed completely and replaced with a new one or the old hard disk drive should be completely wiped off the information that was contained on the drive. Breach occurs There are many situations under which the code of conduct covering the security and privacy of patient’s information can be breached. One of such situations is the one in which cleaning staff get access to patients’ cards from the restricted-area of the Information Systems department because the cards to be discarded from this department and simply thrown into the dust bin instead of being shredded. In such a situation, the first action will be to conduct an assessment to see how much information the cleaners got their hands on. The cleaners involved in this action will be called and educated on the implication of their actions. They will be made aware of the legal implications of reading patient’s medication and/or personal information without the prior consent of the patient (U.S. Department of Health and Human Services, 2010). The duties and responsibilities of the cleaning crew will be hammered and they will be made aware of the fact that they do not have the right to look through such information even if it is not shredded. They will then be advised of the punishment if such an action is observed again. The Information Systems department will immediately procure a shredder and start shredding all documents or cards that they wish discard.  In addition, the IS department should investigate other areas where sensitive information could become accessible by unauthorized personnel. Conduct an incident assessment / evaluate the risks associated with the breach After the occurrence of a breach, the first thing to be done is the performance of a detailed assessment of the incidence and how it happened. Following this, a risk analysis needs to be performed to be able to know the level of damage that was caused or to be expected. The assessment will evaluate the extent to which the information was spread. If it is just within the cleaning crew only, then it will be handled internally but if any information is gone out, the affected patients will be contacted and the appropriate action taken. This assessment needs to be performed as soon as possible so that the hospital will be in the posit ion to respond to any allegations that may come from the patient(s) that was affected by breach. With this done, it would be possible to know if the risk can be mitigated or eliminated completely. Prepare incident report One of the responsibilities of the IS Manager is to keep the hospital’s management board constantly updated with all activities related to the information systems. Every code of conduct breach needs to be reported in an incidence report prepared for the hospital management board. The incident report should contain the following information: †¢Code of conduct that was breached. †¢Person(s) responsible for the breach †¢Date and time of the breach †¢How the breach was discovered †¢Risk assessment of the breach Prevent future breaches/talk about how incident occurred With the incident report properly prepared, it would be clear to the IS Manager how it was possible for the breach to have been breached. This knowledge can now be used to document, in detail, how the code was breached and how such an action can be prevented in the future. The appropriate actions would then need to be carried out to ensure that there is no repetition of the act in the future. Implementing the management plan To implement this change in the organization, Plan-Do-Check-Act (PDCA) cycle will be used as a model for change as well as continuous improvement. ASQ (2011) stated, â€Å"The plan-do-check-act cycle is a four-step model for carrying out change†. The implementation of the management plan will be undertaken by the human resource department in conjunction with the information system department. The security training will be conducted by the security engineer of the information systems department and the human resource department will handle the privacy training. The whole process will be supervised by the information systems manager. Conclusion To ensure the continuous security and privacy of patient information, medical institutions need to understand that there has to be continuous staff training and assessment and improvement of the information systems, therefore, the PDCA cycle will be continued and encouraged among staff. A system that is not continuously reviewed and improved will be a static system that will vulnerable to identified system vulnerabilities. Staffs need to be continuously trained and updated on privacy issues concerning the health care industry. Information security and privacy need to be approached as dynamic processes which need to be continuously monitored and improved to ensure that they are always at the best levels. References ASQ. (2011). Project planning and implementing tools. Retrieved March 31, 2011 from http://asq.org/learn-about-quality/project-planning-tools/overview/pdca-cycle.html International Monetary Fund. (1998). IMF Code of Conduct for Staff. Retrieved March 29, 2011 from http://imf.org/external/hrd/code.htm, on December 15, 2011 Schneier, B. (2000). Computer Security: Will We Ever Learn? Cryto-Gram Newsletter. Retrieved March 28, 2011 from http://www.schneier.com/crypto-gram-0005.html U.S. Department of Health and Human Services. (2010). Health Information Privacy. Retrieved April 1, 2011 from

Contraversy in Play Doubt Essay

In an immoral place such as that presented in John Patrick Shanleys’ award- winning playwright Doubt, it would be unwise to assume the architect of the play would honor and comfort us with a greater and certain ending of the masterpiece. This brings us to the obvious question of what is certainty and how we can be certain of anything. According to Stanford Encyclopedia of Philosophy, â€Å"There are various kinds of certainty. A belief is psychologically certain when the subject who has it is supremely convinced of its truth. Certainty in this sense is similar to incorrigibility, which is the property a belief has of being such that the subject is incapable of giving it up. † If we are directed and instructed by this statement, a reader cannot have a firm grasp on whether Father Flynn did in fact physically abuse the vulnerable, colored character of Donald Muller, living in 1964, surrounded by a rising discontent of the white privileged working class society (also responsible of the death of Martin Luther King Jr. that same year). However I  afforded to be unwise, biased, and by my best judgment, decide (without evidence) Father Flynn did in fact harass Donald. This decision was obvious to me by three subliminal pieces of evidences awarded by the author. The first evidence is the suspicion and the accusations attacking Father Flynn of giving young Donald Muller wine when called to the rectory. Now, of course Flynn defends himself by disputing Donald drank the wine by himself because of the nerves of being a lonely black boy in 60’s Bronx. However, when confronted with this exclamation  by Sister Aloysius, Flynn immediately contracted into a cornered cat, with a sharp, witty defense strategy. â€Å"I don’t wish to continue this conversation at all further,† said Father Flynn upon exiting. Father Flynn says he covered for the boy because he cared, yet the story is immediately made unconvincing when Sister Aloysius grabs a more delicate and experienced grasp on the situation. The symbol of the wine portrays this once glorified saint as a perverse and twisted character. The logic inserted in the context is the  following: if Father Flynn could be corrupted enough to pollute a young, innocent child, he could also be able to take advantage of this boy. The second evidence is the shady character Father Flynn becomes through out the strategic play. In various examples, Father Flynn is slightly shadier of what it would have been expected. The first example of this is seen in metaphorical examples and that is Father Flynns’ noticeably long fingernail. These are first portrayed to the young boys when Flynn is disgusted by the dirtiness in the boys’ fingernails. This shows Flynn as a man who goes against the culture and the morale of society. The second example is portrayed when Father Flynn outreaches his hand for a young boy named William London and the boy flinches, as if disgusted or terrified. The last example is involving a black crow outside a window that hadn’t stopped snapping all day. Finally, Father Flynn has enough and roars viciously to this bird being shown as an ill-tempered man who masks his emotions to the people. Sister Aloysius made an intelligent and constructed  remark, â€Å"you’re controlling the expression on your face right now. † Towards the end of the play, Sister Aloysius becomes consistent on her accusation towards Father Flynn. She framed each sentence perfectly charging forwards and creating significant pressure on Father Flynn. She rammed with exclamations such as, â€Å"I will not stop! † and â€Å"I will find the truth! † By the end, Flynn had resigned to his post and was expected to take a discreet leave. This, along with his response to the accusations, provoke a clear assumption Flynn is guilty and he knows his days of being  considered an innocent, kind man were drawing to an end. By the end of the play, doubt plays a clear role in the mind of the curious reader. Of course, there is more than one possibility of what might have gone on between the priest and the altar boy. If we were to have a completely objective thought, we would be puzzled and disturbed by the fact that neither one nor the other choice is correct or clear. My personal impression is the one mentioned earlier, yet I am not the omnipresent author of this magnificent story. ? Work on grammar and spelling.

Into the Dark

Into the Dark A tunnel of light paraded across the ceiling of the dark room then widened as the painted wooden door creaked open. A pitch-colored shadow briskly swept across the Invading gleam then without a moments hesitation disappeared Into the swallowing blackness of the small room. A small girl asleep In her princess pink canopy bed was awoken by the loud sound of heavy breathing. The dog like pant sent a furious chill down her spine, slowly streaking throughout her bones Like tiny pins and needles. Her heart pounded with the heavy beat of a base drum.As she looked up her dark eyes filled with fear. She slammed her eyes shut convinced that It was her Imagination and burled her face into her fluffy, soft, cased pillow, determined to shut out the constant nagging of a disembodied voice. Harshly whispering,it said, â€Å"Come with me, come with me Elena,† The voice retreated to the back of her mind. â€Å"l mean you no harm. † She slowly opened her dry mouth to say so mething but the words wouldn't come out. â€Å"The clock has almost run out† whispered the snake like voice. â€Å"Just jump off the bed, I'm in your head but I won't hurt you. â€Å"Yeah right! Yelled Elena, â€Å"l should Just Jump off my bed for no reason! † â€Å"Just jump,† said the now soothing voice of someone else. Elena knew it was a trick but before she could resist she closed her eyes shut and Jumped. Instead of hitting the floor she kept falling. She snapped her eyes open and didn't quite process what she saw. Darkness rushed past her then opened into a new scene. Bright rays of glittering light streamed through the air coming from an unknown source. Dark grey rock pillars protruded from thin air in unruly shapes and formations.Elena didn't know whether to be scared or in awe of the beauty. Welcome to my world† whispered the voice In a hushed tone â€Å"Oh goody. † said Elena In her most sarcastic voice,'The snake Is back! † Her voice cracked on the last word for she was still in shock. Frustrated about the embarrassing stutter, she tried to run but found herself moving faster than anyone could sprint. She was flying. A robin's egg blue cloud burst out from behind one of the stone pillars causing Elena to to a double back In shock of TLS brightness and vibrancy.When she looked closer she saw that the cloud was not in fact a weird looking, unusually colored luster of evaporated water, but a giant wave of beautiful blue settlers jays. One bird landed on her. It opened up its mouth. Instead of letting out the beautiful song that she was expecting, it started screeching, â€Å"BEEP BEEP BEEP BEEP†. The dark room then widened as the painted wooden door creaked open. A pitch- colored shadow briskly swept across the invading gleam then without a moments hesitation disappeared into the swallowing blackness of the small room. The lights flicked on and her mom said â€Å"Get out of bed you're going to miss th e bus! â€Å"

An Overview Of Liver Cirrhosis

An Overview Of Liver Cirrhosis The liver is a dark reddish brown organ weighing about 3 pounds located in the upper right hand portion of the abdominal cavity. It is the largest compact organ in human body. The word cirrhosis stem from a Greek word meaning yellowish, tawny, that is the orange à ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ã¢â‚¬ yellow color of the diseased lever. Verrill et al, 2008 describe the term cirrhosis as a broad church that include at one end biopsies with extensive fibrosis with normal numbers of hepatocytes, and at the other end, liver samples in which only isolated nodules of hepatocytes remain. Shibli et al, 2006 summarizes cirrhosis as an advanced stage of liver diseases due to an array of insults to hepatic parenchyma including infections, autoimmune processes, genetic disorders and toxins. Widespread fibrosis with nodule formation and interruption of normal hepatic blood flow is distinctive in liver cirrhosis. A healthy lever is important because it is involved in numerous complex metabolic functions essent ial to life. It takes out nutrients from the blood and processes them for later use. The liver manufactures bile used by the digestive system in assisting in the absorption of fat and certain vitamins. The liver is also critical in the removal of medications and toxic wastes from the blood stream excreting them into the bile. These can be harmful to the body. The liver serves as the main factory for blood proteins especially clotting proteins necessary for blood to clot. Clotting tests can be done to measure liver function. Lever cirrhosis is scarring of the liver due to inflammation and repair of injured and killed cells. According to the American College of Gastroenterology (www.acg.gi.org) cirrhosis is among the top ten leading causes of illness and death in the United States in adults of ages between 25 and 64. They further argued that the number of people suffering from cirrhosis will continue to escalate. The most common causes of cirrhosis in the United States are excess alco hol consumption and chronic infection with hepatitis B and hepatitis C (Larson, 2010). Other causes include fatty liver disease; drug induced injury, autoimmune diseases, bile duct disorders and inherited disorders. In some patients lever cirrhosis may be due to a combination of the causes, for example excess alcohol and viral hepatitis. There is also cryptogenic cirrhosis which is due to unidentified causes. The consequence scar tissue bands disrupt the normal structure of the liver. This affects liver blood filtering to the heart from the digestive system. The scar tissue causes increased resistance to blood flow through the liver resulting in a condition called portal hypertension. Portal hypertension is a process whereby high pressures develop in the veins that drain into the liver. Consequently the blood will return to the heart through alternate low pressure veins that bypass the liver. The liver is thus unable to either add or remove substances from the bypassing blood. Sympt oms of Cirrhosis The signs and symptoms of liver cirrhosis may be invisible or non specific at early stages. The non specific symptoms include fatigue and itching. Fatigue is a common symptom of cirrhosis. It is important to screen out other causes of fatigue that may have nothing to do with liver cirrhosis. Itching is also a common symptom of cirrhosis. Itching in patients with liver cirrhosis is due to bile duct disorders. Itching due to liver cirrhosis can result in itching over large parts of the body and can be severe. As liver function deteriorates, a variety of liver related symptoms may develop. A condition called Jaundice may manifest through yellowing of the skin and whites of the eyes. Darkening of the urine and pale stool may occur prior to yellowing of the skin and whites of the eyes. The yellowing is a result of accumulation of bilirubin in the blood stream. Bilirubin is a yellow orange colored compound resulting from breakdown of hemoglobin from red blood cells. Liver cirrhosis patients may also develop varices inside the digestive system resulting in digestive tract bleeding. Varices are abnormally enlarged veins. They do not cause symptoms unless they rapture and bleed. Vomiting blood or passage of maroon or black tarry stools may be an indication of bleeding varices. Esophageal varices bleeding are a medical emergency that requires emergency treatment. Other symptoms and signs of liver cirrhosis include development of mental slowing, confusion, excess drowsiness, and slurring of speech, a condition known as hepatic encephalopathy.

Choose an important person that you have looked up to and who has Essay

Choose an important person that you have looked up to and who has helped you in your life - Essay Example He was an optimist who made things easy, even if it was so difficult. When I was small, I almost gave up on learning how to ride a bike. Paw made it look so easy to ride a bike that it made want to try and try again, no matter how many bruises or out balancing acts I made. Through this, he taught me how to persevere and work hard, no matter how difficult it would be. When I was having trouble in school, Paw was the one to defend me from some bullies. But at home, he taught me that fighting is not always the best solution to a problem. The act of goodwill and the power to always stay positive are only a few of the important virtues that make a person strong and must bear in mind when faced with adversities. And because of him, I managed to befriend the bullies who once made fun of me. Most of the time, Paw would tell jokes all day long. As I reminisce over his silly jokes, I never really got tired of hearing them, no matter how funny or how corny it would seem. To me, it was not the j oke that made me want his company, it was his eagerness to have a great time with me that always mattered. He always made sure that I was having a blast, from a silly board game or even to a melted ice cream we were eating. But, not all things turn out the way it should have been.

Pride and Prejudice by Jane Austen essay Example | Topics and Well Written Essays - 500 words

Pride and Prejudice by Jane Austen - Essay Example Bennets] views of domestic happiness were overthrown† (Austen 358). Mr. Bennet hides behind his irony: â€Å"†¦ you [Mrs. Bennet] are as handsome as any of them, Mr. Bingley may like you the best of the party† (Austen 3). At the beginning relationship of Elizabeth, who is as sharp-tongued as her father is, and Darcy also lack respect. In short, meeting at a ball, she finds him cold, proud and arrogant which she concludes after the refusal to dance: â€Å"I could easily forgive HIS pride, if he had not mortified MINE† (Austen 26). Meanwhile, Elizabeth is not good enough for him: â€Å"she is tolerable, but not handsome enough to tempt ME† (Austen 14). Even though some tension appears between them, later it changes. Initially it seems that there are too many gaps between both couples. The most fundamental virtue for any type of relationship is respect but it can be gained in certain situations. Mr. and Mrs. Bennet failed it: â€Å"Your mother will never see you again if you do NOT marry Mr. Collins, and I will never see you again if you DO† (Austen 171). At first Lizzy also has little respect to Darcy because of "objections which made him prevent his friends marrying her sister †¦ and the unfeeling manner in which he had mentioned Mr. Wickham, his cruelty towards whom he had not attempted to deny" (Austen 294). But the proposal at Hunsford is a crucial moment of a change in their story because Darcy’s emotions occur to be stronger than his pride, and he takes a chance to explain himself in the letter written for her. Additionally, Elizabeth’s refusal awakes humility in him and makes him get sure that she is not hunting for his money. As a result, they both find compati bility which Lizzys parents lack because Mr. Bennet cares for personalities of her daughters couples more than their financial state that is Mrs. Bennets priority. Furthermore, to

South Africa and the State Florida Brings Me Nirvana-like Tranquility Essay

South Africa and the State Florida Brings Me Nirvana-like Tranquility - Essay Example Until some time ago, it has been hard for me to find peace in the military where I grew up as everything was about rules and obedience. Nevertheless, the opportunity for me to travel around the world gave me some insight into what I truly needed. South Africa then proved to be the closest answer to my needs. When I went there in 1998, there was something in the deep blue waters and the luscious green vegetation of South Africa, something like a call to go back to nature and return to innocence. Some people believe it is just nature itself that gives inspiration to someone during these times but I believe it is more than that. For someone like me who has gotten used to the bustling city life, nature is a whole new experience and this creates in me a feeling of awe. This feeling of awe then seems to instantly and paradoxically fill my mind and empty it at the same time.

Change Management Essay Example | Topics and Well Written Essays - 2000 words - 1

Change Management - Essay Example In 1951 they launched BMW 501 which was their first automobile. Since then the company has been one of the frontrunners in producing cars. BMW is one of the â€Å"German Big 3† high end car makers together with Mercedes-Benz and Audi. BMW is actually a house of brands containing brands like Mini, BMW and Rolls-Royce. BMW is present across the world and has its operations adjusted to meet the requirements of respective country. In this report we will analyse the change management of BMW in Thailand. Overview of the analysis tools used SWOT of BMW Thailand BMW was one of the key drivers for growth of the premium segment in whole of Thailand. In 2009, it was the only brand whose market share increased. Through their relentless effort of proving the most advanced technologies in the Thai market, they have created a name for themselves. Due to challenging economic conditions in Thai, coupled with fluctuation of oil prices, world financial crisis, the consumers of Thailand were look ing for more fuel-efficient cars. But they still wanted to have that comfort, safety and smooth driving performance. BMW came out with a perfect solution named BMW Efficient Dynamics technology (BMW Thailand, 2013, p. 1). It gave exactly what the consumers have been looking for and earned BMW group the title of â€Å"The Most Sustainable Car Company in the World.† This shows that BMW has strong innovative strength to cater to Thai customers. The major weakness that BMW faces in Thailand is that their overall servicing process is not good. It takes considerable time to fix or service the car and sometimes it is seen that the problems are not actually resolved. Another weakness is that there is a strong rivalry between the dealers in Thailand (Dealtry, 1992, p. 61). Thailand has approximately 4-5 dealers and they are very competitive to each other. BMW faces major threat from external environment. With world economy in a bad shape so is the economy of Thailand. There is intense competition in the Thai Market. The fuel price keeps fluctuating along with change in exchange rates. The prices of raw materials also keep on increasing. BMW in Thailand has a strong brand presence which enables it to become No.1 in the premium segment. With customer focused strategy adopted they can continue to make exciting additions to BMW group Thailand products (Liu, Akram and Bouguettaya, 2011, p. 82). Lewin Model of Change According to Kurt Lewin model of Change, every organisation has to go through three steps to complete the Change process. They are Unfreeze, Change and Refreeze. In the Unfreeze stage, BMW must try to understand the importance of change and communicate to the employees (Cameron and Green, 2012, p. 215). In Thailand, the customer service is a major issue that needs to be changed. Hence the employees to be told about the issue of long servicing process faced by their customers. During the change process, BMW has to keep on communicating the importance of ch ange in customer service and how it will affect their revenue (Dessler and Phillips, 2007, p. 316). Finally in the Refreeze step once BMW has been able to achieve improved customer service and the employees have themselves adjust to the new servicing

What do you see as Maryland s biggest transportation issue and how Essay

What do you see as Maryland s biggest transportation issue and how would you solve it - Essay Example Majority of these citizens have to use their personal cars due to the limited public transportation systems incurring very high gas expenses. Research by the Bureau of Labor estimates that households use 20% of their income on transportation expenses (Cardin). The commute from rural, Southern Maryland to the urban, Northern area takes a toll on many forcing them to opt for cheaper, unlimited housing opportunities in neighboring states such as Virginia. Congestion on Marylands highways costs the state a lot of money. Many spend productive working hours stuck in traffic. In a survey done by the U.S Census Bureau, traffic volume increased exponentially in a span of 10 years (1998-2008) to 17.2%; however, transport infrastructure expanded only by 7% (Cox, 2009). This meant that the infrastructure is unable to meet the high demand leading to congestion. In conclusion, unless state officials find lasting solutions to the transportation crisis, the states economy will plummet. The high expenses incurred from gas expenditure for personal cars, and the loss of productive time on congested highways is among the challenges state officials must

The Relevance of Employee Engagement Indices as a Performance Measure Dissertation

The Relevance of Employee Engagement Indices as a Performance Measure and Indicator in Institutions - Dissertation Example This dissertation seeks to establish the relevance of employee engagement indices as performance measures and indicators with practical use in organizations. It examines the effectiveness of employee engagement indexing as a common practice among institutions in measuring organizational performance. The study found that employee engagement indices bore significant relationship to certain aspects of companies’ operational performance, to degrees that vary among the scale and type of the organization. Human resources aspects of operations that are significantly related to EEI are the line manager’s actions, the degree to which employees believe management will take action based on the EEI survey, the employees’ workload, their pay, the team with which they work, and the organizational policies and practices that impact upon their working conditions. Overall, the employee engagement index is an effective tool in improving performance, provided the EEI is formulated according to firm-specific factors and conditions, and provided they are analysed consistently and refined strategically over the long term. Table of Contents Abstract 2 List of Tables 7 Chapter 1: Introduction 8 1.1Chapter overview 8 1.2 Background of the problem 8 1.3Purpose of the Study 10 1.4Aim and Objectives 10 1.5Research questions 11 1.6Assumptions 12 1.7Rationale and significance of the study 12 1.8 Chapter summary 13 Chapter 2: Literature review 15 2.1 Chapter overview 15 2.2 Concept of employee engagement 15 2.3 Engagement as a driver of productivity 18 2.3 Practices in measuring employee engagement 24 2.4 Identified drivers or measures of employee engagement 26 2.5 Chapter summary 27 Chapter 3: Research methodology and methods 28 3.1 Chapter overview 28 3.2 Research approach and strategy 28 3.4 Research methods and techniques 29 3.5 Methods of data gathering 31 3.6 Methods of data analysis 32 3.7 Hypotheses 33 3.8 Description of population and sample 33 3.9 Limitations o f the research methodology 34 3.10 Ethical and Political Considerations 36 3.11 Chapter summary 36 Chapter 4: Data Analysis 38 4.1 Chapter overview 38 4.2 Respondent profile 38 4.3 Respondents’ perceptions based on mean scores 45 Table 15: MNE, LDC, and SME Mean scores and standard deviation 53 4.4 Correlational study 58 4.5 Regression analysis 62 4.5.1 Overall Sample 62 4.5.2 Multinational Enterprises 68 4.5.3 Large Domestic Corporations 71 4.5.4 Small and Medium Scale Enterprises 73 4.6 Qualitative information provided by respondents 77 4.7 Chapter summary 78 Chapter 5: Conclusions and Recommendations 80 5.1 Chapter overview 80 5.2 Summary of findings 80 5.3 Conclusion 86 5.4 Recommendations 87 5.5 Directions for future research 89 Bibliography 90 Appendix 92 List of Tables Table 1: Frequency distribution according to age 38 Table 2: Frequency distribution according to gender 39 Table 3: Frequency distribution according to education 39 Table 4: Frequency distribution accord ing to position in the company 40 Table 5: Frequency distribution according to scale of company 41 Table 6: Frequency distribution according to employment status 42 Table 7: Frequency distribution according to length of stay 43 Table 8: Frequency distri

Communication and organizational performance Essay

Communication and organizational performance - Essay Example The work of management is to facilitate formal communication in all levels of the hierarchy to ensure proper spread of correct data, directives and initiatives so as to raise the output of the firm. Basically, significant announcements, policy changes, information affecting the organization management, rule and procedures are all made available through communication. The management thus uses this vital tool to manipulate understanding and ensure that the employees comply with organizational directives by facilitating both formal and informal communication. The mode and tone of conversation in communication set the boundaries in the firm between the parties. The communication pattern is essential since, through it, most of the goals are met in the organization. Individuals are encouraged to bring out their feelings, concerns and even proposals to the management all of which are achieved through communication. There are various ways and in a different scenario through which the managem ent uses communication to ensure that the goal are achieved. Firstly, in any organization, a proper team is required to meet the activities. In other words, a reliable human resource is normally selected to meet the activities and work in the firm within a period. This requires proper advertising, recruitment and training of the appropriate team and an eventual induction in the office place. The process of recruitment entails setting up job advertisements with specifications so as to reach a wide base and also facilitating a team to select the most appropriate and qualified personnel that will meet the target of the firm. All these processes entail communication between the outside world and the internal parts of the management. To meet the directives of a firm communication is used during recruitment to achieve a strong team that is capable of producing the expected output. Secondly, a brilliant and a clear sense of the organizational direction are essential if the objectives of th e firm re to be met. This promotes the corporate health as it maintains awareness and focus of the core business, purpose, strategies and the visions of the firm. Communication is a tool used to achieve this awareness in the induction process where all employees are detailed on the corporate policies and structure of the firm. Subordinates are informed of the policy changes and information from the supervisors through an efficient channel of communication. If an agency is to maintain high performance in a particular sector, a continuous circulation of information is essential both formally and informally. The middle management level receives information from the top management and communicates this to the low level which reciprocates this to the top level management. Informal communication is also established, and a rapport created in the internal environment so as to create free interactions of the workers. Informal communication is actually essential as it accelerates the flow of information thus speeding up the communication process. However, when this is overused in a firm, it distorts the leadership pattern and undermines the management structure of the firm through too much familiarity (Kuhn, 2008, p.1234). The chain of command thus becomes

The Petrov Affair Essay Example for Free

The Petrov Affair Essay The â€Å"Petrov Affair† started in April 1954 when Vladimir Petrov and his wife Edvokia defected to Australia. The affair finally finished today, the 11th of December 1955; a day after the Federal Election in Australia when Robert Menzies was elected. The Events That Saw It Unfold The Petrov Affair occurred around the 3rd of April last year, when Vladimir Petrov, who was the cause of the Petrov Affair, defected to Australia under top-secret conditions. On arrival in Sydney, he was taken to a safe house on Sydney’s north shore. Only 3 or 4 Australian Security Intelligence Organisation, ASIO, officers knew about his defection to Australia, his wife Evdokia didn’t even know about this! Once the soviet embassy was aware of this defection, they accused the Australian Authorities of kidnapping him. Reason For His Defection One of Petrov’s main reasons for defecting here to Australia was to secure Ron Richards’, ASIO Deputy Director, secret documents containing evidence of Soviet espionage and infiltration of the Australian Government agencies. Richards was in charge of this operation and made the one of the possible code words for the defection â€Å"Cabin Candidate†. Another reason for defection was that he feared being arrested and killed by the Russian Government after he was associated with Beria and that if he went back to Russia, he would be purged as â€Å"Beria Man†. What Menzies Did About It Robert Menzies, the Prime Minister of Australia at the time, caused a stir when he announced to the House of Representatives that Petrov brought with him documents that revealed Soviet Espionage in Australia. He called a Royal Commission to investigate these allegations. Herbert Evatt, The Opposition Leader at the time, accused Menzies of arranging the defections to coincide with the election. After this happened, Menzies ended up winning the election, even though everyone thought Labour was going to succeed. Menzies denied that he had advanced knowledge of Petrov’s defection to Australia, but he did not deny that he exploited it.

analysis of klinefelters syndrome

analysis of klinefelters syndrome Many chromosomal abnormalities occur early in development and involve the sex chromosomes. Klinefelters Syndrome falls directly into this category. Klinefelters Syndrome is a genetic condition affecting the male population. The following information observes who discovered Klinefelters Syndrome and when it was first diagnosed. The etiology or genetic and environmental factors of the condition are discussed as well as complete description of the disability and the clear diagnostic criteria. The affects of Klinefelters Syndrome are more recognized in adulthood, when it is typically diagnosed. Many Klinefelters patients live out their entire lives without ever knowing they have the condition. Upon conclusion, there should be an adequate amount of information that will give you, the reader, valuable knowledge into the diagnosis and treatment of Klinefelters Syndrome. History Klinefelters Syndrome was first diagnosed in 1942 at the Massachusetts General Hospital in Boston Massachusetts (Schoenstadt, 2006). Dr. Harry Klinefelter was completing his fellowship at the Massachusetts General Hospital when he was assigned to work with Dr. Fuller Albright, also known as the father of endocrinology (Bock, 1993; Klinefelter Syndrome, 2006). Dr. Klinefelter came to examine nine adult men that had a common set of symptoms during the course of his fellowship (Klinefelter Syndrome, 2006). Dr. Klinefelter organized a case study that involved these nine men and their similarities and was encouraged by Dr. Albright to lead the study (Klinefelter Synrome, 2006). The Journal of Clinical Endocrinology was published in November of 1942 with the completed case study of these nine mens similar qualities, which Dr. Klinefelter identified as Klinefelters Syndrome (Klinefelter Syndrome, 2006). The report written by Dr. Klinefelter on these men described them as having testicular dysgenesis, elevated urinary gonadotropins, eunuchoidism, azoospermia, and gynecomastia, all of which have an effect on the underdeveloped size of the testes, the lack of the amount of testosterone produced by the testes, and infertility (Schoenstadt, 2006; Visootsak Graham, 2006). These adult males also exhibit enlarged breast and sparse facial hair (Schoenstadt, 2006). Two groups found out fourteen years after Dr. Klinefelters original description of the syndrome, that the buccal mucosal cells contained an extra chromatin mass or that the cells were chromatin positive (Klinefelter, 1966). Although the patients were described as having a positive female sex chromatin, Dr. Klinefelter states that the patients are phenotypic males and should never be considered otherwise (Klinefelter, 1996). Fourteen years after Dr. Klinefelter first diagnosed Klinefelters Syndrome, another case study was performed to further understand the characteristics that define the condition (Klinefelter Syndrome, 2006). In 1956, Dr. Joe Hin Tjio and Dr. Albert Lavan took the research further to determine the factors that made those men with Klinefelters Syndrome dissimilar from normal adult males through genetic research (Klinefelter Syndrome, 2006; Schoenstadt, 2006). With the advanced experimental methodology available, Dr. Joe Hin Tjio and Dr. Albert Lavan found that humans had 23 pairs of chromosomes, confirming 46 chromosomes, which prior to this time there was thought to be 48 chromosomes (Bock, 1993; Klinefelter Syndrome, 2006). This clarification by Dr. Tjio and Dr. Lavan is the basic foundation for modern cytogenetics, the study of chromosomes and diseases originating from numerical or structural abnormalities in chromosomes (Klinefelter Syndrome, 2006). Dr. Tjio and Dr. Lavan discovered that men with symptoms of Klinefelters Syndrome had an extra sex chromosome that created the chromosomal arrangement of XXY, which is distinct to the normal male chromosomal arrangement of XY (Klinefelter Syndrome, 2006; Schoenstadt, 2006,). Klinefelter Syndrome was still believed to be an endocrine disorder of unknown etiology at this time (Visootsak Graham, 2006). In 1959, just three years after Dr. Tjio and Dr. Lavan made their historical discoveries, an English researcher by the name of Dr. Patricia Jacobs and her associate Dr. J. A. Strong published a study supplementing earlier studies (Klinefelter Syndrome, 2006; Noble, 2003). Dr. Jacobs and Dr. Strong found the link between the endocrinal disease and the extra X sex chromosome (Noble, 2003). Dr. Jacobs linked forty-seven chromosomes in Klinefelters Syndrome males and determined it to be the X chromosome, which she considered an aneuploidy defined as an unusual number of chromosomes and labeled 47, XXY (Bock, 1993; Klinefelter Syndrome, 2006; Schoenstadt, 2006). The 1970s brought forth a larger examination of males born with Klinefelters Syndrome (Bock, 1993). During this time doctors began screening newborn male babies for the extra chromosome (Bock, 1993; Visootsak Graham, 2006). The most significant of the studies done at this time was sponsored by the National Institute of Child Health and Human Development (NICHD) whom examined over forty thousand infants for this extra chromosome (Bock, 1993; Visootsak Graham, 2006). This study was important for the reason that most studies done prior to the 1970s were biased and primarily done on adult males in mental institutions and the penal system (Visootsak Graham, 2006). At this time is when the prevalence of Klinefelters Syndrome was noticed as frequently as one in five hundred to one in one thousand male newborns (Bock, 1993; Visootsak Graham, 2006). Also observed in this study was the reduction in speech and language abilities as well as decreased reading and spelling achievement (Bock, 1993; Visootsak Graham, 2006). Along with these disabilities, Klinefelters patients are characterized by an increased tendency towards fertility, endocrinal, and psychiatric disorders (Noble, 2003). This study demonstrated that most but not all of these males born with the extra chromosome will have these characteristics, and many demonstrate varying degrees of the characteristics (Bock, 1993; Visootsak Graham, 2006). Based on this research it has been found that the extra X chromosome that causes Klinefelters Syndrome is very common, however, the symptoms and characteristics that are most recognizable are quit uncommon (B ock, 1993). Most males are not diagnosed as having Klinefelters Syndrome until they reach adulthood, and many that have the syndrome are never diagnosed as having this chromosomal defect at all (Bock, 1993). One pediatrician at the University of Colorado Medical School in Denver and the director of the National Institute of Child Health and Human Development (NICHD) during the major screening research referred to these newborn males as not having Klinefelters Syndrome because of the possibility that the characteristics may not develop into a syndrome (Bock, 1993; Visootsak Graham, 2006). Etiology and Genetic Factors Every normal human cell has 46 chromosomes that are made up of 23 pairs (Stewart, 2007). Of these 23 pairs, there are 22 that are exactly the same in both males and females called autosomes (U.S. National Library of Medicine, 2010). The 23rd pair of sex chromosomes is what makes males and females different in that the male will have only one X and Y chromosome whereas the female will have two copies of the X chromosome (Stewart, 2007; U.S. National Library of Medicine, 2010). During the formation of the egg and the sperm, or gametes, the chromosomes are halved through a process called meiosis (Stewart, 2007; The Dorsey, 2009). Cells that carry a single chromosome such as the X or Y chromosome are called haploid cells (The Dorsey, 2009). When the egg and sperm join carrying 23 chromosomes each they create the fertile egg, or zygote, which has two haploid sets of chromosomes (The Dorsey, 2009). Therefore, the baby receives two copies of each chromosome, 46 total chromosomes, just like the parents (Stewart, 2007). The extra X in Klinefelter Syndrome is caused from either nondisjunction or anaphase lag. Nondisjunction occurs when the chromosome pairs do not separate as they are intended in the meiosis I or meiosis II stage (Pineyard Zipf, 2003; Stewart, 2007). When this happens there may be a chromosome pair with 24 chromosomes instead of the 23 chromosomes (Stewart, 2007). If this chromosome pair of 24 joins with an egg or sperm with 23 chromosomes then it results in a karotype with 47 chromosomes (Stewart, 2007). In this case there will be three copies of chromosomes rather than the usual two copies of chromosomes (Stewart, 2007). The sperm or egg may donate the extra X chromosome at conception causing a chromosomal abnormality (Mayo Foundation for Medical Education and Research, 2008; Stewart, 2007). This forms the XXY chromosomal formation, which is diagnosed as Klinefelters Syndrome. At least half of 47, XXY conceptions are spontaneously aborted (Pineyard Zipf, 2003). The chromosomal abnormality is random and not known to be caused by any environmental factors (Genetic Science Learning Center, 2010; Mayo Foundation for Medical Education and Research, 2008; National Institute of Health, 2007). This anomaly happens entirely by chance and is unrelated to family history prior to the male childs birth (Mayo Foundation for Medical Education and Research, 2008). This is to say that the male embryos likelihood of being born with Klinefelters Syndrome is not increased or decreased by what the parent does or does not do (Mayo Foundation for Medical Education and Research, 2008). Klinefelters Syndrome is not affected by race (Chen, 2010). This is a completely random occurrence of the sex chromosomes not successfully separating during the formation of the egg or the sperm (Genetic Science Learning Center, 2010). Once this occurs the extra chromosome is then copied into every cell of the embryo (Genetics Science Learning Center, 2008). There are extremely rare cases when there may be three or four extra X chromosomes in all copies of the cells known as 48,XXXY or 49, XXXXY (Stewart, 2007). The 49, XXXXY mosaic is also known as Fraccaros Syndrome and is the most rare form of Klinefelters Syndrome (Duenas et al., 2007). This rare chromosomal abnormality results in more exaggerated features of Klinefelters Syndrome (Stewart, 2007). There are instances where an extra X chromosome is found in only some of the cells (Stewart, 2007). This can be found as two different chromosomal patterns (Stewart, 2007). One pattern occurs when some cells have 46 chromosomes and some have 47 chromosomes (Stewart, 2007). The other pattern is called the mosaic XXY syndrome, or chromosomal mosaicism, and affects approximately six percent of these cases, with the most rare cases being the 48, XXXY or the 49, XXXXY, or other arrangements of X chromosomes (Stewart, 2007). The mosaic XXY syndrome occurs only after conception from a mistake in cell division (Stewart, 2007). Anaphase lag is a result of a gamete lacking a sex chromosome (Klinefelter, 1966). When this chromosome lags it is not incorporated into the new cell during the mitosis stage (Kinefelter, 1996). Anaphase lag is thought to be a reason for the mosaic variations of Klinefelters Syndrome (Klinefelter, 1966). Although the chromosomal abnormality of 49, XXXXY is considered to be a variant form of Klinefelters Syndrome, it appears to have a very independent, distinct phenotype (Duenas et al., 2007). Males that show the 49, XXXXY chromosomal structure have much more severe clinical features than that of a Klinefelters Syndrome male (Duenas et al., 2007). This is the most rare of the Klinefelters Syndrome variants and has been reported in over one hundred cases with the frequency being approximately 1 in 85,000 newborn males (Duenas et al., 2007). There have been reports of an even more extreme variant of Klinefelters Syndrome mosaic in newborn males (Duenas et al., 2007). This variant is a 47, XXY/48, XXXY/49, XXXXY mosaicism and has only been reported in three cases according to a researcher in Mexico (Duenas et al., 2007). This means that the male newborn would have the whole spectrum of XY variations. Another variant that affects only males is the 46, XX chromosomal variation (Bock, 1993). This condition occurs when individuals have two X chromosomes in each cell, but are male in appearance. These individuals have male external geniltalia. These individuals also have small, undescended testes possibly along with an urethra opening on the underside of the penis. A small amount of 46, XX Males have external geniltalia that dont clearly resemble either male or female genitalia. These individuals are typically raised male. Phenotypically, there are three groups of these sex-reversed individuals. The first group includes phenotypically normal XX Males, the second group includes the males with genital ambiguities, and the third group is the true hermaphrodites (Bock, 1993). Description of Characteristics or Traits Klinefelters Syndrome has only one constant physical description and that is the small testicular size (Visootsak Graham, 2003). Boys with Klinefelters Syndrome have variable phenotypic characteristics with no obvious facial dysmorphology (Visootsak Graham, 2003). The presence of gynconemastia, or enlarged breast, and other findings of eunuchoid body habits and sparse body hair vary (Visootsak Graham, 2003). Eunuchoid or eunuchoidism is defined as an abnormal condition in males, characterized by underdeveloped reproductive organs with some female characteristics, such as a higher voice or the lack of facial and body hair that results in the lack of male sex hormones (Eunuchoidism, n.d.). Gonadotropins are produced by glands, such as the pituitary, and can result in sparse body hair when not produced adequately (Gonadotropin, 2010). The medical dictionary states that eunuchoidism is marked by a deficiency of sexual development with the persistence of prepubertal characteristics, and often has the presence of characteristics that are typical of the opposite sex (Eunuchoidism, n.d.). Another likely characteristic is azoospermia (Schoenstadt, 2006; Visootsak Graham, 2006). Azoospermia is defined as having little or no sperm count (Azoospermia, 2010). Testicular dysgenesis, or gonadal dysgenesis, is another characteristic of Klinefelters Syndrome (Schoenstadt, 2006; Visootsak Graham, 2006). Testicular dysgenesis is considered a reproductive system developmental disorder that causes a progressive loss of primordial germ cells, or cells that create gametes, in the developing gonads of an embryo (Gonadal dysgenesis, 2010). This gonadal dysgenesis can lead to the extremely hypoplastic, or underdeveloped, and disfunctioning gonads mainly composed of fibrous tissues (Gonadal dysgenesis, 2010). Most infants and children with the 47, XXXY chromosomal abnormalities go through normal growth stages. It is not until puberty that the Klinefelters Syndrome characteristics or traits become more prevalent and noticeable (Visootsak Graham, 2003). There is a significant increase in height between the ages of five and eight (Visootsak Graham, 2003). Another characteristic of Klinefelters Syndrome is the elongated length of arms and legs (Klinefelter, 1966). There is a decrease in androgen production that causes the secondary sexual characteristics to not fully develop (Visootsak Graham, 2003). An androgen is any substance such as androsterone or testosterone that supports male characteristics (Androgen, n.d.). Typically Klinefelters males are infertile (Visootsak Graham, 2003). However, there have been cases of impregnation without the assistance of medical technology (Visootsak Graham, 2003). Autoimmune diseases such as juvenile arthritis can also be present in Klinefelters adolescents. Whereas boys with Klinefelters Syndrome are generally tall with long limbs and remain thin until puberty, they tend to suffer from obesity latter in life. Neurocognitive effects of Klinefelters Syndrome may be more subtle than that of the physical stigmata. Klinefelters males have been found to have relative deficits on verbal IQ subtests and have verbal IQ scores around 20 points lower than those of unaffected siblings. There are also deficits in articulation, word finding, phonemic processing, verbal memory, language comprehension, oral expression problems, as well as linguistic processing speed. It seems that the speech/language problems and some motor deficits are most common in Klinefelters males that have an extra X chromosome. Ninety-two percent of individuals with Klinefelters Syndrome confirm difficulty learning to read. Seventy percent had reading achievement discrepancies or absolute reading deficits on standardized testing. A group of boys with mental retardation and suspicion of fragile X were subject to a genetic screening and the results showed that eight of these boys had Klinefelters Syndrome. Most of the more extreme verbal, visuospatial, and motor skills, such as found in mental retardation and fragile X syndrome are typically spa red. However, some boys with Klinefelters Syndrome suffer from poor manual dexterity and are commonly found to be clumsy and below average in sports (Wodrich Tarbox, 2008). There are many different factors that may underlie linguistic and reading problems. One possibility is a dysfunction of the left hemisphere that may be related to diminished gray matter or a lack of hemispheric asymmetry, or both. It is also possible that executive and frontal deficits may be a cause (Wodrich Tarbox). There is evidence that language is a fundamental issue for Klinefelters children and this can result in further scholastic issues. This problem seems to manifest as dyslexia as defined by poor reading in the setting of normal intelligence. Klinefelters males have also been observed to have difficulties with arithmetical functions. The deficits in auditory processing and verbal memory are the two key cognitive processes that underlie these difficulties. These deficits are also true for normal chromosomal children with dyslexia. The findings are supportive of the concept that defects in frontal systems seem to be caused by a language-based, left frontal-systems problem (Geschwind Dykens, 2004). Adult Klinefelters males have reported to have difficulties with mental flexibility (Wodrich Dykens, 2004). Even with these studies, it should be noted that not all adults that have Klinefelters Syndrome show these classic patterns of verbal deficits that are observed in children (Geschwind Dykens, 2004). However, these findings are not appropriate for all Klinefelters males, many of which complete high school and move on to post-secondary education successfully (Wodrich Tarbox, 2008). Two characteristics that has been falsely associated with Klinefelters males in the past, is sociopathy and criminal behavior. There is, contrary to this belief, fewer psychiatric problems reported among these individuals. However, there are commonly traits of introversion, unassertiveness, and a paucity or lack of ambition. There are also possible traits of impulsivity and social inappropriateness (Wodrich Tarbox, 2008). A Reiss Profile of Fundamental Goals measurement was used to assess the degrees of which Klinefelters males were motivated in 15 domains (Geschwind Dykens, 2004). The Reiss Profile generates a profile that is based on the motivational sensitivities across the domains of aversive sensations, citizenship, family, curiosity, honor, independence, food, order, physical exercise, rejection, power, sex, social contact, vengeance, and social prestige. The Reiss Profile is a well-established psychometric measure that is being used more and more to assess people with and without mental retardation (Geschwind Dykes, 2004). The results suggested that the Klinefelters male group was not particularly motivated by the need for social prestige, independence, or the desire to seek vengeance. This group was also not motivated to avoid physical pain. The general motivator for all the Klinefelters males in this group was curiosity. There were no age effects to this study (Geschwind Dykes, 2004). Characteristics in Adulthood There is a persistent deficiency of androgen in adulthood that can result in the loss of libido, decreased muscle bulk and tone, decreased bone density, a propensity for thromboembolism (an obstruction in a vein or artery from a blood clot), and an increased risk of mortality from cardiovascular and diabetic complications. A common characteristic for Klinefelters adults is gynecomastia (Wattendorf Muenke, 2005). Gynecomastia involves the risk of developing breast carcinoma. There is 200 times more of a risk for Klinefelters males to develop breast carcinoma than other karyotypically normal individuals. This may be a result of the estradiol (the prominant sex hormone in females) to testosterone ratio being so much higher that karyotypically normal men. Another possibility is that it is caused by the increase of peripheral conversion of testosterone to estradiol (Visootsak Graham, 2006). There are different views as to whether Klinefelters adult males are more aggressive or have a greater chance of psychological issues depending on the resource. One study describes the differences as relative to individual testosterone levels and the age at which they received the diagnosis (Morris, Jackson, Hancock, 2009). Equally, there is an impact from the way the diagnosis is reacted to by the Klinefelters male, the family, and friends or peers. The seven major themes that emerged from this study were the diagnosis, the testosterone treatments, health care problems, appearance, self-identity, relationships, and school and education. Of the Klinefelters adults studied, 60 % reported clinical levels of anxiety and 34% had clinical levels of depression. The results of this study show that a prolonged lack of testosterone can have far reaching negative effects on the Klinefelters adult (Morris, Jackson, Hancock, 2009). The historical studies show a disturbingly increased risk for psychiatric disturbance, criminality, and mental retardation. However, these results are outdated and extremely questionable given the initial examinations were given to institutionalized populations (Chen, 2010). Differential Diagnosis Classic Klinefelters Syndrome, 47, XXY, cases make up approximately 80-90% of all Klinefelters diagnosis. There are approximately 6-10% of these cases that are mosaics, which are the cells with 46, XY/47, XXY; 46, XY/48, XXXY; and 47, XXXY/48, XXXY (Chen, 2010; Visootsak Graham, 2003; Visootsak Graham, 2006). In 5% of the cases there are two X chromosomes without a Y chromosome or 46, XX (Visootsak Graham, 2006). The other cases were karyotypes 48, XXXY, 48, XXYY, 49, XXXXY, and 49, XXXYY (Visootsak Graham, 2003). Approximately 1% of these cases are due to a structurally abnormal X with a normal X and Y chromosome described as kayotypes 47, X,i(Xq)Y and 47, X,del(X)Y (Chen, 2010). Klinefelters Syndrome variants occur much less frequently than the classic 47, XXY chromosomal abnormality (Bock, 1993; Visootsak Graham, 2006). Klinefelter variant 48, XXXY is characterized by being average or tall stature with ocular hyperterlorism, which are widely spaced or deep set eyes; flat nasal bridge; curving of the fifth finger, or clinodactyly. Other characteristics are small penis and testicles with hypergonadotropic hypogonadism, which is the absence or decrease in function of the male testes. Theses individuals intelligence quotients range from 40-60. Variant 48, XXYY is characterized by having a tall stature, an eunuchoid habitus with long legs, sparse body hair, small testicles and penis, hypergonadotropic hypogonadism and gynecomastia. These individuals intelligence quotients range from 60-80. Males with variant 49, XXXXY are severely affected. They have smaller than average head circumference also known as microcephaly, short stature with ocular hypertelorism, flat nasal bridge, and upslanting palpebral fissures. Cleft palates are present along with small geniltalia and a heart defect known as patent ductus arteriosus. These individuals intelligence quotients range from 20-60. (Visootsak and Graham, 2003). Klinefelters Syndrome 47, XXY, has no major physical signs, which explains why it may go undiagnosed or misdiagnosed throughout an individuals life. Also with no physical signs, it is truly only diagnosed when genetic testing occurs for a variety of unrelated reasons. Klinefelters Syndrome may be diagnosed prenatally or during early childhood, as an adolescent during puberty, or as an adult when there are recognized fertility problems (Bock, 1993). Klinefelters Syndrome can be diagnosed prenatally through amniocentesis or chorionic villus sampling (Bock, 1993). These tests are normally done if the pregnant woman is older than 35, if there is a family history of genetic defects, or when other medical indications exist (Bock, 1993). A pediatrician may suspect a male child as having Klinefelters Syndrome if there are delays in learning to talk or difficulties in reading and writing as well as physical abnormalities during adolescence (Bock, 1993). Treatments and Interventions All hope is not lost when it comes to the treatment and interventions of the undesirable traits and characteristics that males diagnosed with Klinefelters Syndrome may display or develop. It is recommended that Klinefelters males have a comprehensive neurodevelopmental evaluation as soon as they have been diagnosed. A multidisciplinary developmental evaluation can determine the appropriate treatments during infancy and early childhood. These treatments may include physical therapy, infant simulation programs, and speech therapy (Wattendorf, 2005). If the language difficulties are detected in childhood, then there is more of a possibility for intervention. The language barriers that Klinefelters males may have to cope with can not only affect their academics, it can obstruct their building of social relationships and learning social skills necessary for these relationships. Here is where the Klinefelters child could benefit from a social skills training program. In a social skills training program, the Klinefelters child will be able to practice talking and listening, observing childrens making friends processes, sharing of information, attitudes, and beliefs. This will also assist them in proper classroom behavior and playground behavior. Language disabilities and barriers can prevent Klinefelters males from fitting in socially, so this kind of intervention and assistance can benefit the child greatly. Hearing can be an issue if frequent ear infections occur. Hearing test and screens should be done to ensure that a hearing impairment is not a part of the language difficulties. If the Klinefelters child is not communicating effectively with single words by the ages of 18 to 24 months, then consultation with a speech and language pathologist will be very beneficial (Klinefelter Syndrome Information, 2002). Teachers should be informed of the difficulties that a Klinefelters child may be dealing with in the classroom. A teacher may consider the Klinefelters child to be lazy and daydreaming and a teacher may even forget the child is even in the room. This can result in the Klinefelters child falling behind and eventually being held back a grade. Under the Public Law 94-142, the Individuals with Disabilities Education Act, adopted by Congress in 1975, all children with disabilities have a right to a free, and appropriate public education (Klinefelter Syndrome Information, 2002). Once the Klinefelters male reaches puberty there is usually an inability to produce a normal amount of testosterone. This along with hypogonadism can result in impaired bone mineral density and skeletal muscle development. Also associated with testosterone deficiency is a decrease in libido and energy (Wattendorf Muenke, 2005). Androgen therapy or Testosterone Treatment should begin by time the Klinefelters male reaches middle school, approximately 12 to 14 years of age, based on the level of pubertal development (Klinefelter Syndrome Information, 2002; Wattendorf Muenke, 2005). Testosterone Treatment will ultimately increase the muscle size and strength, as well as, promoting the growth of body and facial hair. It must be noted that Testosterone Treatments can also bring on psychological changes. It is important to adequately inform the parent(s) and the child of these changes so that they can make the most informed decision (Klinefelter Syndrome Information, 2002). There are diff erent ways to receive Testosterone Treatment and that is through injections, transdermal (patches, gels, or creams), orally, or implantation. The kind of testosterone injection will depend mainly on the dosage used and the country in which you receive the injections. Some injectable testosterone esters are Testosterone enanthate, Testosterone cypionate, Sustanon, Testosterone propionate, Testosterone phenylpropionate, Omnadren, and Aqueous testosterone suspension. Types of transdermal patches are Androderm and Testosterone TTS. Two different kinds of testosterone gels and creams are Androgel, and Testim. A few oral supplements include Methyltestosterone and Testosterone undecanoate. The last form of Testosterone Treatment is the Subcutaneous testosterone pellet, which is delivered by implanting a pellet of pure, crystalline testosterone under the skin of the buttocks or abdomen (Testosterone Types and Delivery, n.d.). Adult males with Klinefelters Syndrome usually develop gynecomastia which predisposes men to breast cancer. Therefore, it is important that Klinefelters males do monthly breast examinations. If gynecomastia causes psychological or physical problems, then possible treatment would be cosmetic surgery to remove the breast tissue (Wattendorf Muenke, 2005). Swerdlow et. al (2005) stated that men with Klinefelter Syndrome have elevated risks of several cancers. Prostate cancer, along with breast cancer was more prevalent. Men with Klinefelter Syndrome are also at a substantially higher risk for non-Hodgkin lymphoma, and possibly lung cancer. Breast cancer risk is higher in 47, XXY mosaics. Adult males may face possible infertility issues due to the lack of testosterone production, but if diagnosed early on, this can be minimized and they will be able to reproduce without outside assistance. Summary Klinefelter Syndrome is one of the more recently discovered medical syndromes. Klinefelter Syndrome is not one that causes major dysfunctions and is usually only discovered during genetic testing for infertility or during prenatal testing due to maternal age or prior genetic issues within the family. Because Klinefelter Syndrome has not had a lot of research until the last few years, there is no federal funding set aside for this syndrome. Families with sons that are found to be affected by it have no real support system that is knowledgeable of this syndrome and have to research on their own and create resources to fit their situation as none are available in most areas.