Friday, August 28, 2020

To Have And Have Not :: essays research papers fc

Book Report: To Have and Have Not      Harry Morgan is the focal character of Hemmingway’s To Have and Have Not. Morgan assumes the job of hero however he doesn't generally act with â€Å"good† thought processes or objectives. The book manages an amazing defeat starting with a lethal mystery run from Cuba and completion in the ridiculous passing of Morgan in the wake of enduring a gunfire to the stomach. 1. Appearance:  â â â â      Morgan is a rough angler who consumed his time on earth doing different nautical exercises. The long days under the sun on deck has given him a brown complexion tone. His appearance portrays outwardly the intense rough world where he flourishes. His looks are just about a uniform for the criminal underground scene where he carries on with his life. The creator utilizes his significant other watching him leave their home as a vehicle to portray in detail his physical appearance. â€Å" She watched him go out if the house, tall, wide carried, level supported, his hips limited, moving, still, she thought, similar to a creature, simple and quick and not old yet, he moves so light and smooth-like, she thought, and when he got in the vehicle she                                              Nelson2 saw him blonde, with the burned from the sun hair, his face with the wide Mongol cheek bones, and the thin eyes, the nose broken at the extension, the wide mouth and the round jaw, and getting in the vehicle he smiled at her and she started to cry.† (Hemmingway 128) Also deserving of notice, part of the way through the book Harry misfortunes his arm in a gunfight with some Cuban watches on an alcohol run. 2. Words and Actions:  â â â â      Harry Morgan offers legitimacy to the colloquialism, â€Å"Curse like a sailor.† He battles like one as well. Morgan is the quintessential runner. Every one of his activities appear to be rough and towards the finishes of bringing in cash. His activities are done due to legitimate need or urgency. This is seen unmistakably in the manner he handles a customer of his, a customer that knows excessively. â€Å"He put his turn in his pocket and arrived at the cash out toward me. I went after it and got his wrist with the cash in his grasp, and as he approached on the harsh I snatched his throat with the other hand.† (Hemmingway 53) His activities are severe and direct.      Even towards close partners he appears to be savage. He verged on executing a companion of his that sneaked on board his boat for a ride back to America.

Saturday, August 22, 2020

Popular Self

America has seen a regularly expanding notoriety in the utilization of self improvement guides particularly by those with mental disarranges. Specialists have likewise turned to the utilization of bibliotherapy treatment other than their standard treatment meetings. Bibliotherapy can be characterized as the utilization of different self improvement guides in the treatment of physical or mental issue (Redding, 2008). Promoting We will compose a custom exposition test on Popular Self-Help Books for Psychotic Disorders: Usefulness explicitly for you for just $16.05 $11/page Learn More This paper looks to sum up the substance of the article by Richard E. Redding, ‘Popular Self-Help Books for Anxiety, Depression, and Trauma: How Scientifically Grounded and Useful Are They?’ It will feature the outcomes, ramifications of the discoveries, and the proposals for writers just as the shoppers of self improvement guides. Scientists have attempted to clarify why the utilization of se lf improvement guides has been expanding since the nineteenth century through the twentieth century particularly in the United States of America. A few self improvement guides managing different mental issue have overwhelmed the market because of the popularity (Redding, 2008). They are utilized for the most part as self-managed treatment, consequently giving a savvy option in contrast to expertly offered treatment. The people with mental clutters think that its simpler to actualize a self improvement program as opposed to the expertly controlled treatment since it is liberated from disgrace and derision (Redding, 2008). In any case, the assorted and famous utilization of this methodology has been confronted with wariness concerning their convenience and viability. Those against the utilization of bibliotherapy refer to their reasons which included; the trouble in the organization of self improvement procedures, the symptoms of self improvement endeavors, and the obscure adequacy of self improvement guides since there has not been any observational test on them. In actuality, those for the utilization of self improvement guides contend that the strategy is practical, arrives at countless individuals, can likewise help in the expansion of independence through the decrease of over-dependence on proficient treatment, and can too serve both educative and preventive capacities (Redding, 2008). In this article, mental specialists surveyed the logical establishing and significance of bibliotherapy by utilizing 50 right now famous self improvement guides. The books have been intended for the treatment of nervousness, wretchedness, as well as injury. Very much spread out strategies for estimations were utilized by the specialists in the examination. Publicizing Looking for paper on wellbeing medication? How about we check whether we can support you! Get your first paper with 15% OFF Learn More The raters in the examination were knowledgeable with the scatters under scr utiny since they all hold doctoral degrees in their individual fields. This guaranteed powerful assortment of information from the members. Solid outcomes were acquired on inner textures of rating scales, qualities of books utilized, singular book evaluations, in general book appraisals, connections among subscales, lastly, the correlation of scores on book attributes (Redding, 2008). It was discovered that there is a solid positive connection between's different rating subscales. Half of the books were noted to plan perusers for mishaps and negative input, while 42% of the self improvement guides were considered sensibly helpful (Redding, 2008). Different results were additionally investigated. In any case, it is noteworthy to take note of that the books with the most elevated in general evaluations were those with intellectual social methodologies, trailed by those composed by emotional well-being experts, writers with doctoral degrees, and those books concentrating on explicit me ntal issue. The above discoveries suggest that bibliotherapy can be exceptionally valuable for a few mental issue. The investigation uncover that various self improvement guides have a logical establishing and promptly accessible to the lay perusers. Nonetheless, the test in the discoveries is that mental issue can be multidimensional and subsequently differentiate the evaluations found from the examination which show high appraisals for books managing explicit, disconnected issues (Redding, 2008). Additionally, a large portion of the self improvement guides utilized in the investigation have not been tried for their adequacy. As a rule, the discoveries from the investigation in this article give a manual for the writers with regards to composing powerful self improvement guides. The discoveries additionally offer valuable exercises for customers and professionals undoubtedly. As per the article, various impediments were characteristic in the examination. These incorporates; the exp loration things mirrored the assessments of the specialists which might be dependent upon discussion, the absence of the chance of summing up the discoveries because of set number of self improvement guides just as the clutters examined, the lay readers’ understanding propensities and their impact on the adequacy of the books were not calculated in, lastly, the self improvement guides were not assessed on their viability (Redding, 2008). The exposition has endeavored to sum up the article by concentrating on the outcomes from the examination and their suggestions, the exercises for the writers and purchasers of self improvement guides, lastly by referencing the impediments of the whole research.Advertising We will compose a custom paper test on Popular Self-Help Books for Psychotic Disorders: Usefulness explicitly for you for just $16.05 $11/page Learn More Reference Redding, R. E. Famous Self-Help Books for Anxiety, Depression, and Trauma: How Scientifically Grounded and Use ful Are They? Proficient Psychology: Research and Practice, 2008, vol. 39 (5), 537-545. This paper on Popular Self-Help Books for Psychotic Disorders: Usefulness was composed and put together by client Alaya Parks to help you with your own examinations. You are allowed to utilize it for research and reference purposes so as to compose your own paper; be that as it may, you should refer to it as needs be. You can give your paper here.

Friday, August 21, 2020

Personality disorder Essay Example | Topics and Well Written Essays - 1250 words

Character issue - Essay Example The individuals offer and balance their character characteristics with the kindred people, and are indentified with the gathering or network the examples of which they follow in their regular daily existence in conduct. For example, individuals order the people into altruistic and inconsiderate, and liberal and childish and so on. The creators see high confidence as a significant character quality, which not just reflects high certain level and prevalent self-appraisal, yet in addition is amazingly fundamental for acquiring accomplishments throughout everyday life (406). In any case, boosting over one’s capacities or having misrepresented certainty level additionally exhibits low confidence, where one appears to be covering his shortcomings with the assistance of grandiose conduct and frivolity. So also, profound respect and affirmation are simply the elements to quicken regard, all things considered, (407). Craig and Baucum are of the view that self-origination and estimation show up in kids after their first birthday celebration, and the effects of the principal pictures of self-disclosure are enduring ones, which only here and there die all through one’s life expectancy (2002:228). ... (1936) submits to express that character is expected and assessed in the light of barely any noticeable and extraordinary attributes and highlights controlled by the people. Character attributes are the substances, which produce partiality among the people towards certain psychological states; they likewise cause mental states like convictions and wants, which thusly cause practices (Rosati et al., 2001:4). It is in this way a few people seem, by all accounts, to be self observer in nature (Coon and Mitterer, 408), and keep their perspectives and pondering internally, while numerous individuals are social butterfly, and as often as possible offer vent to their thoughts and sentiments within the sight of others. What's more, a portion of the scholars are of the conclusion that the people are roused by watching the exhibition of others, which not just urge them to show the equivalent or prevalent presentation, yet in addition help out in boosting up of their resolve and confidence in t his manner (Schmitt et al. 2000:1599); thus, here seems social learning hypothesis that contends that every single human act are the result of the individuals’ perception of social foundation in which they have been raised and have acquired socialization process. Subsequently, supporters of social learning hypothesis discredit the chance of nature speculations that man enters the world conveying some particular character highlights and qualities (Coon and Mitterer, 421-22). It was Bandura to hypothesize that human conduct could be educated at the subjective level through watching different people’s activities (Rogers, 2001:4); henceforth, individuals enter this world with the brain like fresh start, and learns each demonstration by watching and mimicking the others. Wrongdoing is relevantly expressed as scholarly conduct, which mirrors the strategies and approach the hoodlums get to know by

Tuesday, May 26, 2020

Things You Wont Like About Pte Essay Samples and Things You Will

Things You Won't Like About Pte Essay Samples and Things You Will The Pain of Pte Essay Samples Marriage includes a lot of responsibilities where a practical approach to the relationships is of utmost importance. If you understand what you are writing about or have chosen the topic yourself, you want to do a little bit of research. Bear in mind an argumentative essay is based more on facts rather than emotion. Do your homework on the topic of your essay, while it is a part of literature or a function. Distinct kinds of essays need various kinds of research. Argumentative essays are also called position papers due to their justification of the side of the issue they are written in support of. Writing has existed for quite a lengthy moment. Writing an essay demands lots of steps to be made. Writing a persuasive essay can be complicated because you're not just presenting the research materials you've gathered but you're trying to influence your readers. It is a very important skill that will surely help you in your life. Things You Should Know About Pte Essay Samples Regardless of what you pick, you are to have a crystal clear knowledge of the subject described. Remember your analytical essay should contain talking points concerning the matter below your consideration. One of my favourite things about writing is that there isn't any correct or wrong answer. You're going to need to select a topic first, but your topic ought to be something that has two conflicting points or unique conclusions. Top Choices of Pte Essay Samples You may be asked about what you meant, so you've got to be ready for questions. Be cautious with the information that you pick. Furthermore, you've got to get prepared that you might find out you don't find all of the information that you demand. Don't attempt to operate with information you aren't really interested in. What You Should Do to Find Out About Pte Essay Samples Before You're Left Behind Tutorials are given to offer you detailed instructions on how best to use the templates. The words you opt to write about as your topics must be complex and abstract. Many people think that high school entrance essays are rather simpler to write than college entrance essays, that's the reason there are fewer places where you could get assistance with higher school entrance essays. Some people believe schools should select students based on their academic abilities, while some think that it's much better to have students with distinct abilities studying together. High school students need to compose essays on a number of topics which at first may appear to have nothing in common. Fully being a happy high school student wouldn't be possible without my loved ones. The Secret to Pte Essay Samples You may also have an indirect quotation if you want. An immediate quotation presents part of an original bit of text and ought to have a reference to the original source in light of the format required. An indirect quotation demands a reference to the original source also. Short essays, as its name implies, needs to be concise and succinct. High school essay examples incorporate a number of short essays like narrative, persuasive and analytical. Again, for more info about essay structure strategies, our PTE write essay' webinar is a good place to begin! To help you produce a productive essay outline here are tips that can assist you. Anyway, it has smart suggestions about how to compose an essay and the way to have it written. When selecting high school essay format, step one is to spot the sort of essay you want to write. Top Choices of Pte Essay Samples Most conclusions are just a paragraph in length as the conclusion is anticipated to be an overview of the whole essay. While the focus is principally on your side, there's also a discussion concerning the opposing side which goes far beyond a single sentence or a paragraph. Our very first trick is to attempt to select a topic accurately. Since you may see, essay writing involves plenty of things. First and foremost it's essential to be sure that you comprehend the essay question fully and your essay answers each part of the question adequately. The most important portion of a quick essay is known as the body. Your essay should reveal the things that are related to your audience.

Friday, May 15, 2020

I Have A Dream By Martin Luther King Jr. - 915 Words

One man waves unto a crowd of over 100,000 people in front of the Lincoln Memorial prepared to give a speech that he did not know would lead to a different world, where one day a man from his own community would be the leader of that ‘free’ world. But not just any man – an African American man, as he is photographed and recorded by his Caucasian counterparts. Martin Luther King Jr. represents himself, his family, and an enormous body of minorities in America as he prepares to address the country in regards to equality and respect for all. Coming from a time where only years prior black and brown people were owned as property and often regarded as animals, King changed race relations in America by standing as a liaison between his community of colored individuals and a governing body of mostly Caucasian individuals. I Have a Dream is an open discourse conveyed by American social liberties advocate King Jr. amid the March on Washington for Jobs and Freedom on August 28, 1963. He seeks the conclusion of prejudice in the United States and calls for common and monetary rights. Years later the speech is still viewed as a pivotal turning point of the American Civil Rights Movement. Starting with a reference to the Emancipation Proclamation, which liberated a large number of slaves in 1863, King states that: one hundred years after the fact, the Negro still is not free. At the end of the discourse, King left from his arranged content for an incompletely adlibbed talk on theShow MoreRelatedI Have A Dream By Martin Luther King Jr.983 Words   |  4 PagesPromised On August 28, 1963, Martin Luther King Jr. delivered a speech of the millennia which was considered a radical revolution towards freedom. Martin Luther King Jr, also referred to as King Jr., was a Baptist minister and activist who fought for the rights of African-American. During the late 1950s and early 1960s, America was on the brinks of collapsing towards a civil right war. Leaders were across the United States creating factions of people. However, King Jr. was not an ordinary leader.Read MoreI Have A Dream By Martin Luther King Jr.945 Words   |  4 Pagesâ€Å"I Have A Dream† Martin Luther King Jr. is one of the most famous civil rights activists in the history of the United States. He gave several important speeches and promoted non-violent protests. His most famous speech was â€Å"I Have A Dream†, around a quarter of a million patrons, black and white, attended this empowering speech at the March on Washington on August 28, 1963. The reason his speech was vastly successful in the movement against segregation and injustice was because of its repetitivenessRead More`` I Have A Dream `` By Martin Luther King Jr.1378 Words   |  6 Pagesreasoning are known as cognitive biases and they allow us to unknowiThirty years after the events of To Kill a Mockingbird, Martin Luther King Jr said in his defining â€Å"I Have a Dream† speech, â€Å"I have a dream that my four little children will one day live in a nation where they will not be judged by the color of their skin but by the content of their character.† Maycomb would have benefitted from this message as repeatedly characters are reduced to their skin color, logic falling to the wayside as thoughtlessnessRead MoreI Have A Dream By Martin Luther King Jr.909 Words   |  4 PagesWhen I think about what one person can do in the times of the Civil Rights Movement, I think of Martin Luther King Jr. because he was such a big icon back then. Martin Luther King Jr. was a Baptist minister and social activist. He led the Civil Rights Movement in the United States from the mid-1950s, until he was assassinated in 1968 and will always be remembered by his famous speech, â€Å"I Have a Dream†. To me, he has reminded me of other people I’ve watched through movie films, and in a story I’veRead MoreI Have A Dream By Dr. Martin Luther King Jr.1102 Words   |  5 PagesAmericans we have been unable to embrace this concept without severe punishment. From being sprayed with high powered water hoses to being brutally beaten by those that are supposed to protect and serve. In the speech, I Have A Dream by Dr. Martin Luther King Jr., he elaborates on the fight African Americans have endured and sets the path for freedom and equality while We Shall Overcome by L.B Johnson speaks on providing equality for all Americans. According to Dr. Martin Luther King Jr. speech, â€Å"I HaveRead MoreI Have A Dream By Dr. Martin Luther King Jr.749 Words   |  3 PagesIn the Speech I have a dream by Dr. Martin Luther King Jr. uses his speech to advocate for the right of people of color in the United States. In a hopeful tone, Dr. Martin Luther King uses natural imagery to encourage African Americans to be hopeful that their right will be enforce. In his speech Martin Luther King focus on the positive aspect of nature to enforce his message on not losing hope. By using positive and negative aspects of nature, Dr. King tell his audience that even when nature isRead MoreI Have A Dream Speech By Martin Luther King Jr. Essay1115 Words   |  5 PagesActivis t and leader in the Africa American Civil Rights Movement, Martin Luther King Jr, speaks at the Lincoln Memorial to more than 200,000 people where he gives his famous â€Å"I have a Dream† speech, where he calls for the need of equal rights between blacks and whites. King’s purpose is to convince the American people that segregation is wrong and should be changed for future generations, encourage all African Americans into fighting until the end, and that segregation is wrong. He effectivelyRead More`` I Have A Dream Speech `` By Martin Luther King Jr.2027 Words   |  9 Pagescitizens to have equality. In 1863, the United States of America joined other nations by emancipating those in bondage. Slavery had begun it’s way out in the modern world. However, due to years of indoctrination and social appropriation, there was a discord between those who were white and those who were colored. One hundred years after the emancipation proclamation was given, there was still social and systemic oppression and discrimination against colored people in American Society. Martin Luther KingRead MoreMartin Luther King Jr s I Have A Dream872 Words   |  4 PagesI have a dream that one day this nation will rise up and live out the true meaning of its creed: We hold these truths to be self-evident, that all men are created equal.(Martin Luther King Jr, 1963). This statement came from Martin Luther King Jr’s famous speech ‘I have a dream’. As one of the most powerful weapons contributing to the civil rights movement led by King, it motivated more people to fight hard for human rights. However, what is the human right? Not everyone can give an explicit definitionRead MoreI Have a Dream: Martin Luther King Jr. Essay989 Words   |  4 PagesCan you imagine a world where you were judged based on the color of your skin? In the 1950’s one man was tired of this and dedicated his life to changing it. Martin Luther King Jr. made an enormous impact in the world that we live in today. He wanted freedom for all and fought an endless battle to get us to where we are. Martin was an American pastor, activist, humanitarian, and leader in the African-American Civil Rights Movement. By using, speeches, marches and his actions he accomplished his goal

Wednesday, May 6, 2020

Tips for a Happy Life for Marriage Couple - 775 Words

Jonas Irvin G. Naras II-CSA(208) 7 tips for a happy marriage Even though we all hope our marriage will last forever, a third of marriages end in divorce, according to the Australian Bureau of Statistics. â€Å"Tough spots will always occur - one partner might get sick, get the sack, or need to attend to a dying parent,† says psychologist Meredith Fuller, explaining that every union will go through happy and hard times. A long-lasting marriage needs commitment, good communication and a good dose of love and affection. Try these seven tips for a happy marriage: Create your own rituals It could be as simple as making your husband a coffee in the morning while he lets you lie in at the weekend. Whatever you choose, a ‘couples’ ritual is†¦show more content†¦Ã¢â‚¬Å"You need to treat each other preciously – not for granted,† says Meredith. â€Å"Some people say ‘I love you’, and some people will show ‘I love you’ – make sure that your partner understands your message, and work out what you both need then try to accommodate each other.† Adultery and jealousy are different things No matter how hard a marriage may seem at times, and while having affair might be exciting, almost everyone involved - children included – are destined to be harmed. â€Å"Either you are in or out – never humiliate your partner by duplicity,† says Meredith. â€Å"On the other hand, if your partner is jealous, and there is no reason for this, nip it in the bud. It is not cute or sweet, it is inappropriate, and can lead to violence. Get help. See a counsellor, and explore the past and work on this.† Make room for sex If you and your hubby’s libidos are matched evenly, don’t worry if sex takes a back seat on having kids. If one wants more nookie than the other, however, Meredith advises making room for sex in a busy schedule. â€Å"That might mean getting enough rest and sleep the night before, cancelling any other commitments, getting the kids minded, turning off your phones and computers, and doing nice things to each other,† she says. â€Å"Think about what the other person wants, not just what you feel like giving. So, ask them, take it in turns andShow MoreRelatedJournal Critique: The Good Wifes Guide Essay1126 Words   |  5 PagesLife in the fifties, we can say, is different than what life has turned into today. Most couples got married in their early twenties, had children and â€Å"lived happily ever after†. The men went out and worked (the instrumental role), their salary usually covered the household expenses. The women stayed home (the expressive role), raised the children and took care of the house. Life was very simple. As time went on, the roles of the household began to shift with more and more women were enteringRead More Cats Cradle Essay927 Words   |  4 Pagesthe world. John soon discovers that Frank, the other son of Felix, is on a small island called San Lorenzo. He goes there to research more for his book. On the plane he meets Newt in person, who turns out to be a midget, and the Crosbys, a married couple. John reads a book the Crosbys give him on the plane all about the religion of Bokononism and its customs. One custom is Bokomaru, touching the souls of feet together to grow closer. He also reads of how Bokonon, the creator of Bokononism, was outlawedRead MorePrevention Plan for Divorce Before Marriage Essay2254 Words   |  10 PagesPhuong Ho Prof. Janice Falbert CDFS 321 Section 9 Personal Relationships Wellness Philosophy Paper (PRW) Fall 2012 Marriage is one of the most essential factors of human life. It creates the basis for everyone to pursue a better, healthier, and happier life. However, it is the fact that there are more and more couples marrying and then ending up with divorce, and this rate is increasing faster year by year. Actually, all the divorce cases are originated from some of the forms of emotional illnessRead MoreSocial Psychology And Its Effects On Society1962 Words   |  8 PagesIntroduction As we all know marriages and relationships can be very difficult to maintain, but has anyone ever wondered why? After two people stand before everyone important to them in the world and publicly declare that they love each other and intend to remain together for the rest of their lives, everything social psychology has learned about the stability of publicly declared opinions suggests that these will be the most stable opinions of all. Yet of course they aren’t. Despite the almost uniformRead MoreCreative Writing : Essay 1110 Words   |  5 Pagesit as a hobby. Theres this one regular - I swear, he always makes sure he finds hair in his food. Ill be patient. As long as I can take some money home. I want to save all my tips. - Save for what? - I dont know. My dad spends all his money on alcohol, so... we have nothing. I dont get what I need. Generous tips are rare, but they do happen, especially with the regulars. - Okay. Anything else? - Oh, yes! Learn the menu. Or, Im telling you, Mrekza will freak out. - Tough boss? - Not reallyRead MoreThe Darkness Of Relationships. Relationships Are The Foundation1621 Words   |  7 Pagesmarried immigrants, Shoba and Shukumar, and their relationship. Unfortunately, their relationship is an example of something that is commonly seen in many North American relationships. Lahiri clearly depicts them as an unhappy couple that possesses a deeply flawed marriage, and are only able to connect through negativity, irritation, and grief. This text clearly portrays an intensely damaged relationship and shows the ways in which a relationship can quickly fall apart and become irreparable. TheRead MoreBeing A Single Heterosexual Male And Longtime Member Of Alcoholics Anonymous1660 Words   |  7 Pagesconversations are much more interesting and don t seem selective. Of course, those are just my personal viewpoints and everyone s situation is different. I know several couples who are both members of Alcoholics Anonymous, who met at AA meetings and have happy, long - term marriages and relationships. Some of these couples particularly thrive on the emotional support and mutual empathy for their shared disease of alcoholism. Others maintain separate meeting schedules and sobriety goals. WhileRead MoreSex Lies And Conversation : Why Is It So Hard For Men And Women1438 Words   |  6 PagesSo Hard for Men and Women to Talk to Each Other?† author Deborah Tannen, argues that the culture differences in males and females communication, both expect differences in their partners communication which cause damaged marriages. First Tannen mentions, communication in marriage is difficult due to the fact that males and females have come from different cultures. Then Tannen argues, that women expect more intimacy by way of conversation and men share activities in order to gain in their same sexRead MoreAnalysis Of Their Eyes Were Watching God 1386 Words   |  6 Pagesteach you many things in life. You figure out what you want to do with your life,and th ings we like. We find out what makes you unique. You find out what true happiness is, but you have to take risks and let things go and try new things. A great book that shows this is â€Å"Their Eyes Were Watching God†. Janie, the main character, is involved in three very different relationships. Zora Neale Hurston, the author, explains how Janie learns some valuable lessons about marriage, integrity, and love and happinessRead MoreRelationship Analysis2354 Words   |  10 Pagesbeings, which brings sense to life if these relationships make you feel happy or takes the desire to live away if these relationships are like a stone at your neck. From relationships, the whole fate of the person is determined. If he or she has pleasant relationships at work, in his or her family, in private life, such a person is considered to be happy. If relationships are not the things that bring some joy into life, the person stops being satisfied and pleased with life. Today I will be analyzin g

Tuesday, May 5, 2020

Reflecting on Wisdom

Question: Discuss about a Report about Reflecting on Wisdom? Answer: Reflecting on Wisdom Wisdom is known as the ability of thinking and act using common sense, understanding, experience, insight and knowledge (Lorenz et al., 2011). According to Jeste et al., (2010) wisdom is recognized as one of four cardinal virtue, it is a habit of performing an action without doing anything wrong. When I look upon my family, friends and teachers, I discovered that the wisest person I ever meet in my life is my father. Wisdom is a virtue that comes through experiences, ability and the hardships. Throughout my life, my father, his morals and hardships inspired me. I found that wisdom could not be measured by the IQ level of a person (Schmit et al., 2012). I personally feel wisdom is the actions that reflects the understanding and knowledge of a person and use of these characteristics in order to lead a healthy and happy life. My father, though he grew older, remains the wisest person I have ever met. I found him wise, because I discovered all of the characteristic of a wise person is present in him. The first characteristic in my father, I admire most is his education level. Though he retired from his work still engaged himself to learn something new. His discipline and patience make him a person who can take any decision with confidence. However, he is not an arrogant person, he is very humble and always listen others opinion. I saw him accepting his failure openly and learn something new from his failure. Though he is not a perfect person and make mistakes, I found him always learn from those mistakes, which make him a better person and neve r make the same mistakes again. He did not just speak about the wise decisions, but he displayed and modeled them. My father has a high academic background. However, throughout my life I observed his lifestyle keenly and found that he is not only a knowledgeable person but he has an insight on different situations of life that we all face. He is the backbone of our family who guide me and other members of our family in every step of our life. Whenever I asked for his guidance to take any decision, he is always present there with his vast knowledge and experiences. It is hard to evaluate myself to find out which characteristics of a wise person I have developed in me. However, when I looked at myself, I recognized a humble person, who possesses enthusiasm to learn something new and in a better way. As a student, I found my life is full of hurdled. I always try to accept challenges openly and follow my fathers word, who always told me that life is going to be more complicated; therefore, I have to take decisions wisely. Today when I looked at myself, I am a grown up person, who do not feel ashamed to accept failure. I think that failures are the best teachers in life. Whenever I failed in a task, I discover that the situation in turn is helpful to learn how to do the same task in a better way. This step proves as helpful to reach my goal in an easier way. On the other hand, I grew up by following the footsteps of my father; therefore, I learned to maintain discipline. I learned that wise people exercise self-control. The self-control is essentia l to develop a good career. I always found it is beneficial not to be panicked in a demanding situation. Only a wise person can check their temper in a demanding situation by sowing self-control, which in turn is helpful to take decisions in those situations. However, I am neither a perfect person, nor someone as my father. My father is an ideal person who has wisdom and recognized by others as wise person. As a child, I tried to follow my father and develop all of his characteristics. Today, I recognized myself as a humble person. I am also eager to gather knowledge, apart from my academic courses. My teachers recognized me as a studious as well as a disciplined student. However, I failed to develop all of my fathers characteristics. One of the best characteristics my father has is patience, which I completely failed to develop. However, I found that being a wise person, it is important to have more patience, than others do. However, I failed to develop this vital characteristic. I think being a student development of patience is important in order to progress in the academic field. Therefore, in the coming years I believe I need to develop patience more fully in the years to come. References Jeste, D. V., Ardelt, M., Blazer, D., Kraemer, H. C., Vaillant, G., Meeks, T. W. (2010). Expert consensus on characteristics of wisdom: A Delphi method study.The Gerontologist, gnq022. Lorenz, J., Rauhut, H., Schweitzer, F., Helbing, D. (2011). How social influence can undermine the wisdom of crowd effect.Proceedings of the National Academy of Sciences,108(22), 9020-9025. Schmit, D. E., Muldoon, J., Pounders, K. (2012). What is wisdom? The development and validation of a multidimensional measure.Journal of Leadership, Accountability and Ethics,9(2), 39.

Tuesday, April 14, 2020

The Life Philosophy Of Friedrich Nietzsche Essays (1823 words)

The Life Philosophy of Friedrich Nietzsche annon Born: 1844. Rocken, Germany Died: 1900. Weimar, Germany Major Works: The Gay Science (1882), Thus Spoke Zarathustra (1883-1885), Beyond Good Evil (1886), On the Genealogy of Morals (1887), MAJOR IDEAS Self deception is a particularly destructive characteristic of West Culture. Life is The Will To Power; our natural desire is to dominate and reshape the world to fit our own preferences and assert our personal strength to the fullest degree possible. Struggle, through which individuals achieve a degree of power commensurate with their abilities, is the basic fact of human existence. Ideals of human equality perpetuate mediocrity -- a truth that has been distorted and concealed by modern value systems. Christian morality, which identifies goodness with meekness and servility is the prime culprit in creating a cultural climate that thwarts the drive for excellence and self realization God is dead; a new era of human creativity and achievement is at hand. -- Great Thinkers In The Western World. By: Ian P. McGreal, 1992 PREFACE Much information is available on Mr. Friedrich Nietzsche, including many books that he wrote himself, during his philosophical career. I took this as a good sign I would find a fountain of enlightened material produced by the man. I've had to go through a bit of my own philosophical meditations to put my own value judgements aside, and truly look for the contributions Nietzsche gave to philosophy. Much of my understanding came only after I had a grasp of Neitzsche's history; therefore, I encourage you to read-up on his history before diving into his philosophy (see Appendix I). The modern Westerner might disagree with every aspect of his philosophy, but there are many things one must unfortunately admit are true (only if you put your morality aside). So, from here, I will present his contributions to philosophy, and do my best to delete my own opinions, other than to say that he was not the chosen topic of this paper out of any admiration. THE PHILOSOPHY OF FRIEDRICH NIETZSCHE Sometimes philosophy is called timeless, implying that it's lessons are of value to any generation. This may be hard to see in Nietzsche's work; but, we are assured that it was appropriate thought for his time. However, even Nietzsche's critics admit that his words hold an undeniable truth, as hard as it is to accept. Perhaps this is why his work is timeless, and has survived 150 years in print. Christianity God is Dead! announced Zarathustra (better known as Zoroaster), in Neitzsche's proudest book, Thus Spoke Zarathustra (1883-1885). Unlike many philosophers, Nietzsche never tried to prove or disprove the existence of God, just that belief in God can create sickness; and to convince that highest achievements in human life depend on elimination of God. Whether God existed had no relevance in his goal. Proclamation of the death of God was a fundamental ingredient in the revaluation of values Nietzsche advocated. Nothing has done more than Christianity to entrench the morality of mediocrity in human consciousness. Christian love extols qualities of weakness; it causes guilt. Charity is just teaching hatred and revenge directed toward nobility. Belief in God is a tool to bring submission to the individual of noble character. -- F. Nietzsche, Thus Spoke Zarathustra. Hero Morality Nietzsche had an ideal world in mind, with an ideal government and an ideal God: the Overman or Superman. These Gods were a product of natural selection, or social Darwinism. He felt, very strongly, that any kind of moral limitations upon man would only stand in the way of The Overman. The Will To Power, his strongest teaching, meant that The Overman should and would do anything possible to gain power, control and strength. If one showed the smallest bit of weakness or morality, he would be killed by the stronger Overman, and taken over. Thus, the advancement of The Master Race (Nietzsche's Master Race will be discussed later). Not mankind, but superman is the goal. The very last thing a sensible man would undertake would be to improve mankind: mankind does not improve, it doesn't even exist - - it is an abstraction. ... his superman as the individual rising precariously out of the mire of mass mediocrity, and owing his existence more to deliberate breeding and careful nurture than to the hazards of natural selection. Master Race Nietzsche is often referred to as a pre-Nazi thinker, by his idealism of The Master Race. He was, in fact, a prime influence on the writing of Hitler's highest men, and quoted in Hitler's speeches. But, his writings were mostly taken out of context, because he

Thursday, March 12, 2020

Randy Johnson essays

Randy Johnson essays Randy Johnson is a man of many fine characteristics on and off the field. Since he has come to the Diamondbacks organization he has already won a world championship and lead the team to three division titles. He has won four Cy young awards and three of the past three years. Off the field he supports foundations such as Cystic Fibrosis and ChildHaven. Johnson's main weapons are a fastball that can reach triple digits on the radar gun and an 89 MPH slider that can look like a fastball but break onto a righthanded hitters' shoetops. But on occasion he also will try to throw a backdoor slider on the outside corner. And he has added a couple pitches that he'll use a handful of times per game a split-finger pitch and a two-seam fastball. With a runner on first base, for example, Johnson might try a two-seamer to get a groundball instead of expending more pitches on a strikeout. The subject of a humorous commercial when he first came to Arizona, Johnson's hitting has improved. But he still managed just eight singles in 80 at-bats last season. His bunting ability is average. His fielding is poor; he has a tendency to hurry throws and also subject his defensive mates to the same type of movement he features on his pitches. While Johnson doesn't have a great pickoff move, he'll get some outs that way because of persistence. As much as I admire Randy's playing ability on the field, I admire his personality and generosity off the field even more. He sets a model for all of us. Randy Johnson is very active with his local chapter of the Cystic Fibrosis Foundation. Randy serves as co-chair of the Mariners' annual CF Golf Tournament and auction, which raises over $100,000 annually and is one of the CF Foundation's largest fund raisers in the country. In his tenure as co-chair (along with Jay Buhner), the golf tourney has raised over a half million dollars to help find a cure for this crippling disease. ...

Monday, February 24, 2020

Cross Cultural Management Essay Example | Topics and Well Written Essays - 2000 words

Cross Cultural Management - Essay Example Time Focus (Monochromic and Polychromic): Monochromic culture means the people doing one thing at a time. They value a certain sense and orderliness of there being on correct place and time for everything. There is no value interruption. In Spain and Poland, monochromic culture gives control on the situations by professional managers, bureaucratic structure, time management, technology etc. concentrating on time and efficiency and planning and schedule for the productivity. They believe that professional and personal lives are separate. They live to work, not work to live. Their privacy and private property are used to maximum yield. They improve their productivity efficiency in their property. â€Å"Soundproof, private offices to minimize work distractions and shut people out.  Careerism and workaholism as the main source of self-identity† (Cultural Characteristics and Classifications 2011). They also believe in careerism and workaholism as the main source of self-identity. For business people, in monochromic culture, schedules and punctuality are very important. Time schedule and deadlines are tend to be rigid and monochromic people’s meetings are interrupted very rarely. Poland generally follows monochromic culture. But in the case of polychromic culture, people do multiple things at a time. â€Å"People and relationships are more important, in this culture; schedules and deadlines tend to be quite flexible and meetings are frequently interrupted† (Gesteland 1999). Here, people use time to relax and enjoyments. Because they believe in live to work and not work to live. They do changes in plans according to the business needs and environments. These people are fatalistic believers. External environment will control the human events. They give more than one priority for a time. Spain and other many Latin American and Asian countries are followers of polychromic culture. Time orientations: (past, present and future) The time orientation i n a culture means the thinking about past, present and future. It talks about how a culture values time and how they can control believes of people. The past-oriented culture is concerned with old or traditional values and follows traditional ways to do things. They look conservative in management and make no changes in thing that are tied to the past. â€Å"Present-oriented societies include the rest of the Spanish-speaking Latin American countries. They see the past as passed and the future as uncertain. They prefer short-term benefits. Future-oriented societies have a great deal of optimism about the future. They think they understand it and can shape it through their actions. They view management as a matter of planning, doing and controlling (as opposed to going with the flow, letting things happen)† (Differences in Cultures n.d.). The U.S and Brazil are future-oriented countries. Power: Hierarchy and Equality: Hierarchy: A characteristic feature of the Poland economy is the commitment and the participation of the people in the countries day to day affair. The Poland is a patriotic nation with the well-built invasions from the various countries; they uphold a good cultural identity, where they had an established autonomy. Usually it is seen that the administration functioning hours are from 8 am to 4 pm and there are frequent international businesses and company that utilize foreign staff in a more western move toward long working

Saturday, February 8, 2020

Nationalism in Italian and German Unification, 1815-1871 Essay

Nationalism in Italian and German Unification, 1815-1871 - Essay Example Particularly in the smaller states the prince remains the embodiment of national ideals. This dynastic loyalty implied by the seventeenth century, in any case, the works of a prevalent national consciousness concentrated though it could be upon the governing divine monarch. All over Europe the mercantilist scheme put emphasis on the precedence of national consciousness and interest over those of other nations. Nationalism assumed on various forms as it infiltrated different ways of observing the world and the nation. There is no solitary nationalism; there is in its place a diversity of nationalisms. Furthermore, these nationalisms developed within the paradigm of the varied European countries. However, in this development we can make out a number of common milestones. Otto Van Bismarck of Germany, the genuine politician, approached the front, whereas in Italy the ambitious Giuseppe Mazzini was succeeded by the pragmatic Camillo Cavour, whose preferred philosopher was Jeremy Bentham, a renowned Utilitarian (llobera 1994). National aspirations were guided toward practical accomplishments through peacekeeping or military hostility. This was merely one transition in nationalism after 1848, nonetheless; there was another. This essay will attempt to discuss a comparative point of view on the form of nationalism that developed in Italy and Germany in the Unification attempts initiated in the nineteenth century.

Wednesday, January 29, 2020

Patient Teaching Essay Example for Free

Patient Teaching Essay Introduction: I have chosen breastfeeding as my teaching topic for this assignment. The specific clientà ¨le will be the new mother at between 2 and 7 days postpartum, newly discharged from hospital. As a community health nurse working with children and young families, I do initial postpartum visits at home. Breastfeeding is a very complex skill, natural, yet sometimes difficult to do. The client is often overwhelmed with information received in hospital, so sessions must be kept short, and made easy to understand. The area in which I work is multicultural. There is often a language barrier which further complicates teaching and learning. Finding a teachable moment is easy (London, p. 95). New mothers are eager for help in providing the best for their babies. Mothers whose babies refuse to latch onto the breast or who have an incorrect latch, may sometimes become very tense and stressed. It is important to remain calm and supportive during teaching. The client must be educated, not simply taught new skills (Rankin, p. 73). The newly acquired information will allow her to make her own decisions and to be the head of her own health care team. Assessment: I have been working with postpartum women for the past 6 years, and have 3 children of my own. I am able to use my own personal experiences with breastfeeding, my last having stopped only 2 years ago. I work well with my co-workers, I know that I cannot do it alone (London, p.51). We help each other every step of the way and have a good back-up system available in the community. These include lactation consultants, breastfeeding clinics, doctors, social workers and community agencies. The learner and her family are at the head of the team (London, p.47). They are usually very motivated to learn and ultimately want what is best for the baby. It is easier to form relationships with the client at home (London, p. 63). The environment is non-threatening to the learner and teacher. I can also learn a lot about the client by observing the home. I have had many clients tell me they were breastfeeding exclusively who had half empty bottles of formula on the kitchen counter. The assessment process begins on the telephone before the visit. All new mothers are contacted when they arrive home. All are offered a home visit, some refuse. By help of a detailed questionnaire, we know the problems to focus on before the visit. This is very helpful as we can be better prepared with the necessary tools. Many patients are â€Å"red flag† patients (Rankin, p. 160). Some speak very little English, have financial problems, are on welfare, or are single mothers. Culture and religion can influence teaching (London, p.296). It is impossible to generalize about one culture, so we must be careful to dig deeper when presented with a situation which may be affected by ones background. The area I work in is multicultural. The women speak many languages and I often need to have a family member translate the teaching. This is sometimes quite challenging as I am not always sure that what is being translated is actually what I am saying! I try not to let my own beliefs get in the way of my patient care. I may not always agree with the decisions of others but always stay focused on the desired outcome. Some clients would prefer to breastfeed and others would prefer to bottle feed but are being influenced by family members. Support from family members generally improves the outcome (Stalling, p.163). The client will have an easier time adjusting to breastfeeding and will breastfeed for a longer period of time with family support. We need to make adjustments in our teaching based on each individuals views. (London, p. 303). We should never make assumptions about anything. Self-efficacy is a very important factor in learning to breastfeed. The learner who thinks she can do it, will be more successful. My department organizes a group that meets at the community center once a week. New mothers have a chance to meet each other and learn about breastfeeding. Using these role-models sometimes helps a woman with low self-efficacy learn to breastfeed (London, p.311). When I walk into a home, I can often tell within the first 10 minutes whether I will have to make a follow-up visit. At a typical visit I assess the baby and mother, help with breastfeeding if necessary and provide the mother with helpful information she will need in the first few months of the babys life. A typical visit lasts 1-2 hours. I usually provide printed material on the common breastfeeding problems to my clients. On the website WWW.Medela.com, there is very helpful information on breastfeeding in several languages. I use this site often to print out information on latching, sore nipples and engorgement. The information on the site is generally well written and edited. The vocabulary is easy enough to understand by most women. It is grammatically correct. There are no difficult or very technical terms. The subject in this paper is a mother of two who did not breastfeed her first child. She speaks English and works as a clerk in a drugstore. She has a university degree, so can easily understand information at the 12th grade level. Planning: The general goal of this teaching is for the client to be able to breastfeed in the proper manner and to understand the benefits of breastfeeding in order to prolong breastfeeding for as long as possible. The following are the specific objectives for this clientà ¨le. At the end of the session: The client will state at least 5 benefits of breastfeeding vs bottle feeding. The client will demonstrate 3 different breastfeeding positions one time each. The client will describe the treatments for engorgement and sore nipples. The client will list 3 resources for further information after the visit. The client will recognize and state 3 factors which indicate the baby is receiving sufficient milk from breastfeeding. Teaching tools used will be demonstration, discussion, and hand-outs. It is important to prioritize learning needs. There are some facts which are very interesting but which are not necessary for the client to know. (Rankin, p. 191 and 197). The breastfeeding mother does not need to know the physiology of the breast, but she does need to understand the relationship between frequent feedings and increased milk production. Content outline: Discussion of the benefits of breastfeeding. Discussion of the factors indicating that the baby is receiving sufficient milk. Observation of the client breastfeeding using 3 different positions. Demonstration of proper breastfeeding technique for each position as needed. Discussion of breast engorgement and sore nipples and their management. Discussion of resources for further information about breastfeeding and the assess the need for a follow-up visit. * The teaching is mostly done by discussion and demonstration. This is a good way to get continuous feedback from the client. It is also a good way to ensure that all the important material is not forgotten. Practice makes perfect. Adult learners need to be involved in the teaching (Rankin, p. 196) and want to apply what they learn right away. This is especially important with breastfeeding, as the new mother must be able to master it within a very short time. It is not always necessary to cover all the information with each client. Some are too overwhelmed with information already; others may already have the knowledge base and simply need help with latching. Implementation: I generally start teaching about breastfeeding immediately after having evaluated the client. I begin by discussion of the benefits of breastfeeding and the factors which indicate that the baby is receiving enough milk. Many women do not believe that they have enough milk and worry about the need to offer a supplement. It is important to explain this to them. If they do offer a supplement, their own milk supply may be reduced. Then, I assist the client at putting the baby to the breast using different positions as needed. I sometimes use a dummy breast to show the client the correct angle to use while feeding to ensure a proper latch. Visual aids sometimes help to make it seem more real. When that has been mastered, I continue with a discussion of the two most common problems found in the first weeks of breastfeeding, sore nipples and engorgement. I provide the client with written material on proper latching technique, sore nipple management and engorgement. Since these problems sometimes occur after a few days or weeks, it is helpful for the client to have this information in writing. I also provide an information sheet on the resources the client can use if she should need further help after the visit. I generally make a follow-up call one to three days after the visit and a follow-up visit as necessary. I sometimes refer the clients to the company Medelas website, www.medela.com. This site provides helpful information on breastfeeding and the common associated problems. The computer is only a tool, however. It provides information, not education (London, p. 246). I remain available to my clients by telephone or by email at all times. Recording transcribed: (T=teacher, L=client) T: Did you breastfeed with your first child? L: No. I tried for about 3 days but gave up due to the pain. T: Did you receive any help? L: No. But it was less important to me then. I was ok with bottle feeding. T: Do you want to breastfeed Joshua? L: Yes. I will be taking a year off of work and would like to breastfeed him as long as possible. Many of my friends have had babies in the past years and all are breastfeeding. They make it look so easy. I decided to try harder this time. T: Joshua is 3 days old. How have you been feeding him? L: I tried to put him at the breast right after birth but he was too sleepy, and so was I. The first day he had a few bottles. Yesterday, I tried for the first time. I think it went ok but my nipples are very sore. I would like to learn how to breastfeed properly. T: Well, we can discuss a few things now and I can show you the proper technique for a few different positions when he wakes up. L: OK T: First of all, why do you want to breastfeed? L: Everyone is telling me that it is the best thing for my baby. T: They are right, but what do you think? L: I want to do whats best for Joshua. T: Breast milk is definitely the best for babies. One of the best things about breastfeeding is that the milk is always ready. You dont have any bottles to warm up or prepare, especially at 2:00 in the morning when youre exhausted. Because it is available right away, you dont have to make the baby wait. This will make it easier to calm him before he gets too agitated. It is also a great time to bond with the baby and will make Joshua feel more secure. Breast milk is the best thing for your baby. Do you know what colostrum is? L: Yes. I have been reading up on breastfeeding since I found out I was pregnant again. It is the yellow liquid that comes out before the milk comes in. I know that it helps to prevent jaundice. T: Yes that is true. It acts as a mild laxative to encourage the baby to pass his first stools of meconium. It can also help to prevent ear infections and allergies. It is very rich in nutrients and allergies. Did Julia have jaundice? L: No, she didnt. T: Do you know of other benefits of breastfeeding? L: I know that breast milk is the perfect formula for babies with the exact right nutrients that they need. It keeps babies from becoming overweight. I also know that it can help me lose the baby fat that much quicker. T: Thats true. It can also save you money. The average cost of formula for 1year is about $1800, and that doesnt include the bottles and other supplies. Breastfeeding requires you to eat about an extra 500 calories per day. This should cost, by comparison about $300 for the year. L: With all the expenses of a new baby, we can use that money for many other things. T: Thats for sure. L: Can breastfeeding keep me from getting pregnant again? T: No. It is not a sure form of contraception. Although it is relatively effective in the first 6 months if you breastfeed exclusively. Some women ovulate as early as 6 weeks postpartum even when breastfeeding. L: Good to know. T: Do you know how to tell if the baby is receiving enough milk? L: He will gain weight. T: Yes. Thats a very good sign in the long run. There are other things as well. He should have at least 3 urines today since he is 3 days old. Then, you should see one more each day until the sixth day. That means that on the 4th day, he should have at least 4, on the 5th day at least 5 and from the 6th day onwards, at least 6 per day. How many has he had today. L: So far he had 1 at 2:00 and another at 7:00. I dont think thats a problem. T: Good. We would also expect to see a few stools everyday. They should gradually change from the black meconium stools, to brown and then to yellow. Many breastfed babies have a stool with every feed, but some have only 1 or 2 per day. Both are normal. L: He has one almost every time he feeds. T: Thats great. He should also be satisfied between feeds. That means he would feed every 1 to 3 hours in the first few weeks and have some period in between when he sleeps or remains calm. You told me that he feeds about every 2.5 hours and usually sleeps in between, so it sounds like he is right on target. A baby who is too sleepy and needs to be woken up for feedings may also not be getting enough. Do you have any questions so far? L: No. Im glad hes getting enough milk and cant wait to see if hes gained weight. T: You mentioned that your nipples are very sore. Have you done anything for the pain? L: I am taking Advil and I was given some Lanolin ointment at the hospital. Do I need to wash it off before I feed the baby? T: No, it is harmless for the baby. The best way to avoid sore nipples is correct positioning at the breast. If you have sore nipples already, I will show you how to have Joshua latch on properly. Meanwhile, for the soreness, you should apply a small amount of your own breast milk on the nipples after each feeding. Then let it air dry as much as possible. After that, you can apply a bit of lanolin. Sometimes it helps to use different feeding positions during the day. L: The nurse at the hospital told me to let my breasts air dry, but that is not easy in the hospital. How often can I use the lanolin? T: You can use it 2-3 times per day. L: Ok. I will try that. T: Your milk has not come it yet, but should come in in the next few days. It usually comes in by the 3rd to 5th day. It is important to feed regularly to encourage your milk production and also to prevent engorgement. Do you know what engorgement is? L: Yes. I was very engorged about a week after Julia was born. T: Engorgement can be very painful and can make it impossible for the baby to latch on properly. (baby wakes up. L gets the baby) L: What should I do if I get engorged? T: Engorgement usually lasts only a few days. Some women just produce more milk than others. If you get engorged, it is important to continue feeding often. You can apply warm compresses and massage your breasts. If it is more severe, you may need to express a bit of milk for relief, which you can do manually or you may need to use a pump. A well-fitted supportive bra may help. L: I have bought a good bra, but havent worn it yet. I will send my husband out to buy a pump today. What kind do you recommend? T: It depends on how often you would like to use it. If you are planning to breastfeed all the time, then a manual pump may be enough. There are however, some inexpensive electrical pumps which you can buy for under $40. These may be easier and quicker to use. You can use them to relieve engorgement and to pump if you go out from time to time. L: My friend uses a Safety First pump which is electric. She bought it at Walmart for about $35 and says it works well. T: Thats probably a good choice for you too. Do you have access to the internet? L: Yes T: If you check out the site www.medela.com, you can find information about choosing a pump. If you pump to relieve engorgement, you should only pump for a few minutes. If you pump too much milk, you will only encourage more milk production. L: Thank you, Ill check the site. Would you like to see how I feed him now? T: Sure. (L puts baby to the breast using cross cradle positioning. The baby does not take enough of the areola so L has pain.) T: He is not on properly. To release the suction, place your finger gently between his gums, like this. In order to get him to latch on well, you first need to make sure that you are comfortable since you will be breastfeeding so often. Use pillows to get yourself comfortable. Take your time and relax before you start. When you are ready, make sure the babys nose is facing the nipple. His head should be aligned with his body. Gently stroke his upper lip with your nipple. When he opens his mouth, pull him quickly towards you, so that he can take as much of the areola as possible. L: How do I know if he is taking enough? T: The most important cue is that you will have no pain. Generally the babys chin is touching the bottom of the breast, and there is a small space between his nose and your breast. Hold your baby close to you and support his head. There is no normal or standard way to breastfeed. If the baby is feeding well and you have no pain, it is working well. L: I dont feel any pain now. T: Can you hear him swallow? L: Yes. T: Excellent. Then you are doing it very well. Notice how his body is aligned with his head, he is most comfortable that way. Look at his chin and his nose. See how they are positioned. You can see that he has opened his mouth very wide and is taking enough of the breast. Would you like me to show you how to hold him in some other positions? L: Yes. I would like to learn how to lie down to feed. It would be so much easier at night. T: Thats true. When youre very tired, its a lot easier. The basics are the same. You want to ensure that the baby is facing you and that his body is aligned with his head. Make yourself comfortable. Use a pillow behind your back or between your knees if you need one. (L Demonstrates the technique.) T: That is very good. Are you comfortable? L: Yes, very. And no pain! T: Breastfeeding is not always as easy as some people make it seem. It takes practice. The beginning is a learning process for you and for the baby. Let me show you one more position that you may like to use. This is the football hold. It is easier to use when the baby is small like Joshua; but is sometimes more difficult later on. Hold him so that his legs and body are under your arm, like this. Then place your hand under his head and neck. If youve ever played football, thats how a football is held. L: I dont like that one. It is much easier the other way. T: Not everybody likes that position. You have to do whats best for you and for your baby so use the position thats most comfortable. (Baby weighed – lost 8.5% of birth weight) T: He lost a bit more weight. But thats normal. Most breastfed babies lose 10% or more of their birth weight in the first few days. They usually regain their birth weight within 10 days. Do you remember how to tell if he is drinking enough? L: Yes. He should have at least 6 wet diapers every day after the 6th day and a couple of stools. He should also wake up alone to feed and sleep well between feedings. And of course, he should gain weight. T: Exactly. T: I will be returning to weigh Joshua again Wednesday (in 48 hrs). I will continue to follow him until he starts to gain some weight. If you need help before then, you can call the CLSC (community clinic) at the number I gave you earlier. As I told you earlier, there is a breastfeeding clinic every Thursday morning as well. At the clinics, there are nurses available to weight the baby and to help you more with breastfeeding. Here is some information on breastfeeding that we discussed today (pamphlets on latching, sore nipples and engorgement given). If you have any questions about them, let me know. Evaluation of learner: I always do a telephone follow-up within 1-3 days. This is very effective as the client will have had some time to process all the information (London, p.62). If necessary, a repeat visit will also be planned. Unfortunately I cannot always have the client do three separate demonstrations (London, p. 386) due to budget and time constraints. Discussion worked best with the subject in this paper. She was educated and was eager to learn proper techniques. She had self-efficacy, skills and knowledge – all important factors if changing behaviors (Rankin, p 292). She was alert and very interested in learning. She participated in the discussion. She was able to apply the information immediately during my visit. At the follow-up visit 2 days later, the client was doing very well. She was able to breastfeed without any pain or difficulty. We discussed engorgement again, a problem which had developed since my first visit. She explained what she had done to relieve the engorgement, which was how I had explained it to her. The â€Å"what if† scenario had worked .(London p.386) Evaluation of teacher: I could have done more assessment of the learner while I was teaching. I find myself being drawn into a routine with my teaching that is sometimes hard to get out of. Most of the teaching is very repetitive from one client to the next, however, each client learns in her own fashion. I try to keep the client interested in what I have to say. I encourage her and give her positive feedback. Sometimes I forget the goals of the session and get off track, or provide the client with unnecessary information. I find that using a checklist helps me to stay on the right track and to not omit anything important. Evaluation of resources: The handouts I usually give out to my clients on latching, engorgement and sore nipples, all score over 70% by the SAM test (Rankin, p.238), thus making them good resources. I provide this information to my clients to use as the situations arise. Although I explain the handouts to all my clients, not all women get engorged; for those that do, it usually happens after my visit. Having the handouts at home allows them to refer to the information as a reference when they need it most. Conclusion: The teaching session went very well. The client was intelligent, educated and eager to learn. Overall this teaching technique used for teaching breastfeeding works well with most of the clientà ¨le I see at home. Every person is unique and adjustments always need to be made accordingly. Bibliography: Forrest, S. (2004). Learning and teaching: The reciprocal link. The Journal of Continuing Education in Nursing, 35(2), 74-79. London, F. (1999). No time to teach? A nurse’s guide to patient and family education. New York: Lippincott. Medela (2007) Your Resource for breastfeeding products and information. [on-line]. Available: http://www.medela.com. Rankin, S.H., Stallings, K.D., London, F. (2005). Patient education in health and illness (5th ed.). New York: Lippincott.

Tuesday, January 21, 2020

Chemistry: Acid-base Titration Essay -- essays research papers

Chemistry: Acid-Base Titration Purpose:   Ã‚  Ã‚  Ã‚  Ã‚  The objective of this experiment were: a) to review the concept of simple acid-base reactions; b) to review the stoichiometric calculations involved in chemical reactions; c) to review the basic lab procedure of a titration and introduce the student to the concept of a primary standard and the process of standardization; d) to review the calculations involving chemical solutions; e) to help the student improve his/her lab technique. Theory:   Ã‚  Ã‚  Ã‚  Ã‚  Titration was used to study acid-base neutralization reaction quantitatively. In acid-base titration experiment, a solution of accurately KHP concentration was added gradually to another solution of NaOH concentration until the chemical reaction between the two solutions were completed. The equivalence point was the point at which the acid was completely reacted with or neutralized by the base. The point was signaled by a changing of color of an indicator that had been added to the acid solution. Indicator was substance that had distinctly different colors in acidic and basic media. Phenolphthalein was a common indicator which was colorless in acidic and neutral solutions, but reddish pink was result in basic solutions. Strong acid (contained H+ ion) and strong base ( contained OH ) were 100% ionized in water and they were all strong electrolytes. Procedure: Part A. Investigating solid NaOH for use as a possible primary standard First o...

Monday, January 13, 2020

Deontology vs Utilitarianism Essay

The theory of deontology is derived from the writings of German philosopher Immanuel Kant (1724-1804). Kant stated that a universal law should provide the basis for each act, and that the intention was of more importance than the result. Deontology is a duty-based ethical position, where one’s actions are based on what is ethically correct, regardless of the consequences (Porche, 2004). Deontological theories hold that actions are morally right are those in accordance with certain rules and duties, rights or maxims. Actions can be morally obligatory, allowed, or prohibited and consequences do not matter. In deontology intention is relevant. A person is right in acting certain way only if this person acts for the right reason. Examples of deontological rules are Divine Command Theory, Golden Rule, Natural Law and Rights Theories, Kantian Ethics, The Non-Aggression Principle. Deontological theories hold that an action’s rightness or wrongness depends on its conformity to a certain moral norm, regardless of the consequences for example right vs good. According Motta’s opinion listed on web site www. E-how. com, the differences between deontological and utilitarianism is: â€Å"Duty-based ethics are often called deontological and consequentialist ethics are often labeled as utilitarian†. The site further explains that deontological pertains to theory of binding responsibility or duty. Such theories are also called â€Å"a priori† in that they are based upon knowledge gained prior to experience. No concrete lived-through experience is necessary in order to attain these duties deductively from reason. If in deontology intention is more important than the results, Utilitarianism is a normative ethical theory that places the locus of right and wrong solely on the outcomes or consequences of choosing one action/policy over other actions/policies. As such, it moves beyond the extent of one’s own interests and takes into account the interests of others. In other words consequentialist believe the ends always justify the means, deontologist declare that the rightness of an action is not simply reliant. References http://www.ehow.com/how_2180734_between-dutybased-ethics- resultsoriented-ethics.html

Sunday, January 5, 2020

Joseph Michael Swango, Serial Killer Profile and Biography

Joseph Michael Swango is a serial killer who, as a trusted doctor, had easy access to his victims. Authorities believe he murdered up to 60 people and poisoned countless others, including co-workers, friends and his wife. Childhood Years Michael Swango was born on October 21, 1954, in Tacoma, Washington, to Muriel and John Virgil Swango. He was the middle son of three boys and the child that Muriel believed was the most gifted. John Swango was an Army officer which meant the family was constantly relocating. It was not until 1968, when the family moved to Quincy, Illinois, that they finally settled down. The atmosphere in the Swango home depended on whether or not John was present. When he was not there, Muriel tried to maintain a peaceful home, and she kept a strong hold on the boys. When John was on leave and at home from his military duties, the home resembled a military facility, with John as the strict disciplinarian. All of the Swango children feared their father as did Muriel.  His struggle with alcoholism was the main contributor to the tension and upheaval that went on in the home. High School Concerned that Michael would be under-challenged in the public school system in Quincy, Muriel decided to ignore her Presbyterian roots and enrolled him in the Christian Brothers High School, a private Catholic school known for its high academic standards. Michaels brothers attended the public schools. At Christian Brothers, Michael excelled academically and became involved in various extracurricular activities. Like his mother, he developed a love of music and learned to read music, sing, play the piano, and mastered the clarinet well enough to become a member of the Quincy Notre Dame band and tour with the Quincy College Wind Ensemble. Millikin University Michael graduated as class valedictorian from Christian Brothers in 1972. His high school achievements were impressive, but his exposure to what was available for him in selecting the best colleges to attend to was limited. He decided on Millikin University in Decatur, Illinois, where he received a full music scholarship. There Swango maintained top grades during his first two years, however, he became an outcast from social activities after his girlfriend ended their relationship. His attitude became reclusive. His outlook changed. He exchanged his collegiate blazers for military fatigues. During the summer after his second year at Millikin, he stopped playing music, quit college and joined the Marines. Swango became a trained  sharpshooter for the Marines, but decided against a military career. He wanted to return to college and become a doctor. In 1976, he received an honorable discharge. Quincy College Swango decided to attend Quincy College to earn a degree in chemistry and biology. For unknown reasons, once accepted into the college, he decided to embellish his permanent records by submitting a form with lies stating that he had earned a Bronze Star and the Purple Heart while in the Marines. In his senior year at Quincy College, he elected to do his chemistry thesis on the bizarre poisoning death of Bulgarian writer  Georgi Markov. Swango developed an obsessive interest in poisons that could be used as silent killers. He graduated  summa cum laude from Quincy College in 1979. With an award for academic excellence from the American Chemical Society tucked under his arm, Swango set out to get accepted into medical school, a task that was not so simple during the early 1980s. At that time, there was fierce competition among a massive number of applicants trying to get into a limited amount of schools throughout the country. Swango managed to beat the odds and he got into Southern Illinois University (SIU). Southern Illinois University Swangos time at SIU received mixed reviews from his professors and fellow classmates. During his first two years, he earned a reputation for being serious about his studies but was also suspected of taking unethical shortcuts when preparing for tests and group projects. Swango had little personal interaction with his classmates after he began working as an ambulance driver. For a first-year medical student struggling with tough academic demands, such a job caused great stress. In his third year at SIU, the one-on-one contact with patients increased. During this time, there were at least five patients that died after they had just received a visit from Swango. The coincidence was so great, that his classmates began to call him Double-O Swango, a reference to the James Bond and the license to kill slogan. They also began to view him as incompetent, lazy and just strange. Obsessed With Violent Death From the age of three, Swango showed an unusual interest in violent deaths. As he got older, he became fixated on stories about the  Holocaust, particularly those that contained pictures of the death camps. His interest was so strong that he began to keep a scrapbook of pictures and articles about fatal car wrecks and macabre crimes. His mother would also contribute to his scrapbooks when she came across such articles. By the time Swango attended SIU, he had put together several scrapbooks. When he took the job as an ambulance driver, not only did his scrapbooks grow, but he was seeing firsthand what he had only read about for so many years. His fixation was so strong that he would rarely turn down the chance to work, even if it meant sacrificing his studies. His classmates felt that Swango showed more dedication to making a career as an ambulance driver than he did for getting his medical degree. His work had become sloppy and he often left unfinished projects because his beeper would go off, signaling him that the ambulance company needed him for an emergency. The Final Eight Weeks In Swangos final year at SIU, he sent off applications for internships and residency programs in neurosurgery to several teaching colleges. With the help of his teacher and mentor, Dr. Wacaser, who was also a neurosurgeon, Swango was able to provide the colleges with a letter of recommendation. Wacaser even took the time to write a handwritten personal note of confidence on each letter. Swango was accepted in neurosurgery at the University of Iowa Hospitals and Clinics in Iowa City. Once he nailed down his residency, Swango showed little interest in his remaining eight weeks at SIU. He failed to show up for required rotations and to watch specific surgeries performed. This astounded Dr. Kathleen OConnor who was in charge of overseeing Swangos performance. She called his place of employment to schedule a meeting to discuss the matter. She did not find him, but she did learn that the ambulance company no longer permitted Swango to have direct contact with patients, although the reason why was not disclosed. When she finally did see Swango, she gave him the assignment to perform a complete history and examination on a woman who was going to have a  cesarean delivery. She also observed him entering the womans room and leaving after just 10 minutes. Swango then turned in a very thorough report on the woman, an impossible task given the amount of time he was in her room. OConnor found Swangos actions reprehensible and the decision to fail him was made. It meant that he would not be graduating and his internship in Iowa would be canceled. As the news spread about Swango not graduating, two camps were formed--those  for and those against SIUs decision. Some of Swangos classmates who had long decided that he was not fit to be a doctor used the opportunity to sign off on a letter describing Swangos incompetence and poor character. They recommended that he be expelled. Had Swango not hired a lawyer, it is likely that he would have been expelled from SIU, but shrinking from the fear of being sued and wanting to avoid the costly expense of litigation, the college decided to postpone his graduation by a year and give him another chance, but with a strict set of rules that he had to follow. Swango immediately cleaned up his act and refocused his attention on completing the requirements to graduate. He reapplied to several residency programs, having lost the one in Iowa. Despite having an extremely poor evaluation from the dean of ISU, he was accepted into a surgical internship, followed by a very prestigious residency program in neurosurgery at Ohio State University. This left many who knew Swangos history completely dumbfounded, but he apparently aced his personal interview and was the only student out of sixty accepted into the program. Around the time of his graduation, Swango was fired from the ambulance company after he told a man having a heart attack to walk to his car and have his wife drive him to the hospital. Deadly Compulsion Swango began his internship at Ohio State in 1983. He was assigned to the Rhodes Hall wing of the medical center. Shortly after he began, there was a series of unexplained deaths among several healthy patients being cared for in the wing. One of the patients who survived a severe seizure told the nurses that Swango had injected medicine into her just minutes before she became critically ill. Nurses also reported to the head nurse their concerns about seeing Swango in patients rooms during odd times. There were numerous occasions when patients were found near death or dead just minutes after Swango left the rooms. The administration was alerted and an investigation was launched, however, it seemed as if it was designed to discredit the eyewitness reports from the nurses and patients so that the matter could be closed and any residual damage curbed. Swango was exonerated  of any wrongdoing. He returned to work, but was moved to the Doan Hall wing. Within days, several patients on the Doan Hall wing began to die mysteriously. There was also an incident when several residents became violently ill after Swango offered to go get fried chicken for everyone. Swango also ate the chicken but did not get sick. License to Practice Medicine In March 1984, the Ohio State residency review committee decided that Swango did not have the necessary qualities needed to become a neurosurgeon. He was told he could complete his one-year internship at Ohio State, but he was not invited back to complete his second year of residency. Swango stayed on at Ohio State until July 1984 and then moved home to Quincy. Before moving back he applied to get his license to practice medicine from the Ohio State Medical Board, which was approved in September 1984. Welcome Home Swango did not tell his family about the trouble he encountered while at Ohio State or that his acceptance into his second-year residency had been rejected. Instead, he said he did not like the other doctors in Ohio. In July 1984, he began working for Adams County Ambulance Corp as an emergency medical technician. Apparently, a background check was not done on Swango because he had worked there in the past while attending Quincy College. The fact that he had been fired from another ambulance company never surfaced. What did begin to surface was Swangos weird opinions and behavior. Out came his scrapbooks filled with references to violence and gore, which he doted on regularly. He began making inappropriate and strange comments related to death and people dying. He would become visibly excited over CNN news stories about mass killings and horrific auto accidents. Even to hardened paramedics that had seen it all, Swangos lust for blood and guts was downright creepy. In September the first noticeable incident that Swango was dangerous occurred when he brought doughnuts for his co-workers. Everyone who ate one ended up becoming violently ill and several had to go to the hospital. There were other incidents where co-workers became ill after eating or drinking something Swango had prepared. Suspecting that he was purposely making them ill, some of the workers decided to get tested. When they tested positive for poison, a police investigation was launched. The police obtained a search warrant for his home and inside they found hundreds of drugs and poisons, several containers of ant poison, books on poison, and syringes. Swango was arrested and charged with battery. The Slammer On August 23, 1985, Swango was convicted of aggravated battery and he was sentenced to five years behind bars. He also lost his medical licenses from Ohio and Illinois. While he was in prison, Swango began trying to mend his ruined reputation by doing an interview with John Stossel who was doing a segment about his case on the ABC program,? 20/20. Dressed in a suit and tie, Swango insisted that he was innocent and said that the evidence that was used to convict him lacked integrity. A Cover Up Exposed As part of the investigation, a look into Swangos past was conducted and the incidents of patients dying under suspicious circumstances at Ohio State resurfaced. The hospital was reluctant to allow the police access to their records. However, once the global news agencies got wind of the story, the university president, Edward Jennings, assigned the dean of Ohio State University Law School, James Meeks, to conduct a full investigation to determine if the situation surrounding Swango had been handled properly. This also meant investigating the conduct of some of the most prestigious people in the university. Offering an unbiased assessment of the events that had occurred, Meeks concluded that legally, the hospital should have reported the suspicious incidents to the police because it was their job to decide if any criminal activity had occurred. He also referred to the initial investigations performed by the hospital as superficial. Meeks also pointed out that he found it astounding that the hospital administrators had not kept a permanent record detailing what had occurred. Once full disclosure was obtained by police, the prosecutors from Franklin County, Ohio, toyed with the idea of charging Swango with murder and attempted murder, but due to a lack of evidence, they decided against it. Back on the Streets Swango served two years of his five-year sentence and was released on August 21, 1987. His girlfriend, Rita Dumas, had fully supported Swango throughout his trial and during his time in prison. When he got out the two of them moved to Hampton, Virginia. Swango applied for his medical license in Virginia, but because of his criminal record, his application was denied. He then found employment with the state as a career counselor, but it was not long before weird things began to happen. Just like what happened in Quincy, three of his co-workers suddenly experienced severe nausea and headaches. He was caught gluing gory articles into his scrapbook when he should have been working. It was also discovered that he had turned a room in the office building basement into a kind of bedroom where he often stayed for the night. He was asked to leave in May 1989. Swango then went to work as a lab technician for Aticoal Services in Newport News, Virginia. In July 1989, he and Rita got married, but almost immediately after exchanging vows, their relationship began to unravel. Swango began ignoring Rita and they stopped sharing a bedroom. Financially he refused to contribute to the bills and took money out of Ritas account without asking. Rita decided to end the marriage when she suspected that Swango was seeing another woman. The two separated in January 1991. Meanwhile, at Aticoal Services several employees, including the president of the company, began suffering from sudden bouts of severe stomach cramping, nausea, dizziness, and muscle weakness. Some of them were hospitalized and one of the executives of the company was nearly comatose. Unphased by the wave of illnesses going around the office, Swango had more important issues to work out. He wanted to get his medical license back and start working as a doctor again. He decided to quit the job at Aticoal and started applying at residency programs. Its All in the Name At the same time, Swango decided that, if he was going to get back into the medicine, he would need a new name. On January 18, 1990, Swango had his name legally changed to David Jackson Adams. In May 1991, Swango applied for the residency program at Ohio Valley Medical Center in Wheeling, West Virginia. Dr. Jeffrey Schultz, who was the chief of medicine at the hospital, had several communications with Swango, mainly centering on the events surrounding the suspension of his medical license. Swango lied about what had happened, downplaying the battery by poisoning conviction, and said instead that he was convicted for an altercation he was involved in at a restaurant. Dr. Schultz opinion was that such a punishment was far too severe so he continued to try to verify Swangos account of what happened. In return, Swango forged several documents, including a prison fact sheet which stated that he had been convicted of hitting someone with his fists. He also forged a letter from the Governor of Virginia stating that his application for Restoration of Civil Rights had been approved. Dr. Schultz continued to try to verify the information that Swango had provided to him and forwarded a copy of the documents to the Quincy authorities. The correct documents were forwarded back to Dr. Schultz who then made the decision to reject Swangos application. The rejection did little to slow down Swango who was determined to get back into medicine. Next, he sent an application to the residency program at the University of South Dakota. Impressed by his credentials, the director of the internal medicine residency program, Dr. Anthony Salem, opened up communications with Swango. This time Swango said the battery charge involved poison, but that coworkers who were jealous that he was a doctor had framed him. After several exchanges, Dr. Salem invited Swango to come for a series of personal interviews. Swango managed to charm his way through most of the interviews and on March 18, 1992, he was accepted into the internal medicine residency program. Kristen Kinney While he was employed at Aticoal, Michael had spent time taking medical courses at the Newport News Riverside Hospital. It was there that he met Kristen Kinney, to whom he was immediately attracted to and aggressively pursued. Kristen, who was a nurse at the hospital, was quite beautiful and had an easy smile. Although she was already engaged when she met Swango, she found him attractive and very likable. She ended up calling off her engagement and the two began dating regularly. Some of her friends felt it was important that Kristen know about some of the dark rumors they had heard about Swango, but she did not take any of it seriously. The man she knew was nothing like the man they were describing. When it came time for Swango to move to South Dakota to begin his residency program, Kristen immediately agreed that they would move there together. Sioux Falls At the end of May, Kristen and Swango moved to Sioux Falls, South Dakota. They quickly established themselves in their new home and Kristen got a job in the intensive care unit at the Royal C. Johnson Veterans Memorial Hospital. This was the same hospital where Swango began his residency, although no one was aware that the two knew each other. Swangos work was exemplary and he was well liked by his peers and the nurses. He no longer discussed the thrill of seeing a violent accident nor did he exhibit the other oddities in his character that had caused problems at other jobs. Skeletons in the Closet Things were going great for the couple until October when Swango decided to join the American Medical Association. The AMA did a thorough background check and because of his convictions, they decided to turn it over to the council on ethical and judicial affairs. Someone from AMA then contacted their friend, the dean of the University of South Dakota medical school, and informed him of all of the skeletons in Swangos closet, including the suspicions surrounding the death of several patients. Then on the same evening, The Justice Files television program aired the 20/20 interview that Swango had given while he was in prison. Swangos dream of working as a doctor again was over. He was asked to resign. As for Kristen, she was in shock. She was completely ignorant of Swangos true past until she watched a tape of the 20/20 interview in Dr. Schultz office on the day Swango was being questioned. In the following months, Kristen began to suffer from violent headaches. She no longer smiled and began to withdraw from her friends at work. At one point, she was placed in a psychiatric hospital after the police found her wandering in the street, nude and confused. Finally, in April 1993, unable to take it anymore, she left Swango and returned to Virginia. Soon after leaving, her migraines went away. However, just a few weeks later, Swango showed up on her doorstep in Virginia and the two were back together. With his confidence restored, Swango began sending out new applications to medical schools. Stony Brook School of Medicine Incredibly, Swango lied his way into the psychiatric residency program at the State University of New York at Stony Brook School of Medicine. He relocated, leaving Kristen in Virginia, and began his first rotation in the internal medicine department at the VA Medical Center in Northport, New York. Again, patients began to mysteriously die wherever Swango worked. Suicide Kristen and Swango had been apart for four months, although they continued to talk on the phone. During the last conversation that they had, Kristen learned that Swango had emptied out her checking account. The next day, July 15, 1993, Kristen committed suicide by shooting herself in the chest. A Mothers Revenge Kristens mother, Sharon Cooper, hated Swango and blamed him for her daughters suicide. She found it inconceivable that he was working at a hospital again. She knew the only way he got in was by lying and she decided to do something about it. She contacted a friend of Kristens who was a nurse in South Dakota and included his full address in the letter stating that she was glad that he could not hurt Kristen anymore, but she was afraid of where he was working now. Kristens friend clearly understood the message and immediately passed along the information to the right person who contacted the dean of the medical school at Stony Brook, Jordan Cohen. Almost immediately Swango was fired. To try to prevent another medical facility from being duped by Swango, Cohen sent letters to all the medical schools and over 1,000 teaching hospitals in the country, warning them about Swangos past and his sneaky tactics to gain admission. Here Come the Feds After being fired from the VA hospital, Swango seemingly went underground. The FBI was on the hunt for him for falsifying his credentials in order to get a job in a VA facility. It was not until July 1994 that he resurfaced. This time he was working as Jack Kirk for a company in Atlanta called Photocircuits. It was a wastewater treatment facility and frighteningly, Swango had direct access to Atlantas water supply. Fearing Swangos obsession over mass killings, the FBI contacted Photocircuits and Swango was immediately fired for lying on his job application. At that point, Swango seemed to vanish, leaving behind a warrant for his arrest issued by the FBI. Africa Swango was smart enough to realize that his best move was to get out of the country. He sent his application and altered references to an agency called Options, which helps American doctors find work in foreign countries. In November 1994, the Lutheran church hired Swango after obtaining his application and falsified recommendations through Options. He was to go to a remote area of Zimbabwe. The hospital director, Dr. Christopher Zshiri, was thrilled to have an American doctor join the hospital, but once Swango began working it became apparent that he was untrained to perform some very basic procedures. It was decided that he would go to one of the sister hospitals and train for five months, and then return to Mnene Hospital to work. For the first five months in Zimbabwe, Swango received glowing reviews and almost everyone on the medical staff admired his dedication and hard work. But when he returned to Mnene after his training, his attitude was different. He no longer seemed interested in the hospital or his patients. People whispered about how lazy and rude he had become. Once again, patients began mysteriously dying. Some of the patients that survived had a clear recall about Swango coming to their rooms and giving them injections right before they went into convulsions. A handful of nurses also admitted to seeing Swango near patients just minutes before they died. Dr. Zshiri contacted the police and a search of Swangos cottage turned up hundreds of various drugs and poisons. On October 13, 1995, he was handed a termination letter and he had a week to vacate hospital property. For the next year and a half, Swango continued his stay in Zimbabwe while his lawyer worked to have his position at the Mnene hospital restored and his license to practice medicine in Zimbabwe reinstated. He eventually fled Zimbabwe to Zambia when evidence of his guilt began to surface. Busted On June 27, 1997, Swango entered the U.S. at the Chicago-OHare airport while in route to the Royal Hospital in Dhahran in Saudi Arabia. He was promptly arrested by immigration officials and held in prison in New York to await his trial. A year later Swango pleaded guilty to defrauding the government and he was sentenced to three years and six months in prison. In July 2000, just days before he was to be released, federal authorities charged Swango with one count of assault, three counts of murder, three counts of making false statements, one count of defrauding by use of wires, and mail fraud. In the meantime, Zimbabwe was fighting to have Swango extradited to Africa to face five counts of murder. Swango pleaded not guilty, but fearing that he could be facing the death penalty on being handed over to the Zimbabwe authorities, he decided to change his plea to guilty of murder and fraud. Michael Swango received three consecutive life sentences. He is currently serving his time at the supermax U.S. Penitentiary, Florence ADX.