Tension and Atmosphere in The Red Room by H.G.Wells, The Signalman by C

Strain and Atmosphere in The Red Room by H.G.Wells, The Signalman by Charles Dickens and A Withered Arm by Thomas Hardy To research strain and climate, I have taken a gander at three pre1900 pieces-'The Red Room' H.G.Wells, 'The Signalman,' Charles Dickens, and 'A Withered Arm' Thomas Hardy. They utilize a wide range of strategies, each with their own individual style however accomplishing the same generally speaking impact. They center around setting, depiction of characters and utilization of language. The Red Room is a story of a man on a mission to find reality with regards to the legend of 'The Red Room' in Lorraine Castle, as the youngster's destiny unfurls the crowd are driven with him, they feel his dread, hear his contemplations and experience his fear. 'The Red Room' has such a riddle behind it, dread itself about leads him to his demise. A story that needs warmth and every little thing about it ingrains dread. The title of the story has an intriguing air, the word red makes the crowd consider blood, threat, and demise, in 'The Signal Man,' red is likewise the primary center shading for similar reasons yet this time in the type of the threat light in the mouth of the passage. H.G. Wells writes in the principal individual so the crowd can follow what is going on and accept they are there, 'I have lived' The opening line establishes the pace of the story, and the crowd is loaded up with expectation. The storyteller is certain, which is shown very quickly 'I can guarantee you, it will take a truly substantial apparition to scare me.' The crowd is then successfully drove into an early suspicion that the storyteller will be refuted, that there will be an apparition, and it will, unquestionably alarm him. The setting is depicted in pieces of information covered up thr... ...oy it more. In this way this brings up issues in the crowds mind, in the event that lone he had gone straight there, he may of spared the poor man's life, assuming just, he had trusted him. At long last, that it presently looked staggeringly dubious that it was occurrence what the signalman had 'envisioned', the words, signal and even the presence of the train driver that had 'chop him down'. Pity is likewise an extraordinary factor in the end; it causes the story to have a progressively essential and tragic climate. At long last the way that the storyteller, whom had composed the story after it had occurred, completed of by giving the crowd yet more to consider, helping us to remember its obscurities, mind blowing fortuitous events and thus fortifying the sorrowful air. 'close at the mouth of the passage, I saw the presence of a man, with his left sleeve over his eyes, energetically waving his privilege arm.'

Australian Securities and Investments Commission Citigroup

Question: Examine about the Australian Securities and Investments Commission Citigroup. Answer: Presentation The basic issue which stir for this situation was whether the states of a correspondence of understanding, under which a speculation bank have removed the means of any sensible association between the vault and its customers (Australasian Legal Information Institute, 2007). It has been battled that, regardless of the means of an area in the correspondence which has excluded the continuation of such an affiliation, the bank has abused guaranteed sensible obligation towards its customers by blurring to get the educated endorsement of the customer to do a restrictive exchange the control of the objectives shares by other segment of the bank. The offended party additionally has fought that the obtaining, and following exchange, of an area of the heap of the offers which were being checked, contained insider exchanging (Australian Securities Investments Commission, 2007). Realities: Citigroup worldwide Markets Australia Pty Ltd was an upper appendage of the Citigroup Inc, a worldwide fiscal administrations partnership. Its exchange was cultivated right through different segments, which included speculation assortment and arrangement of values. So as to do its giving, it holds an Australian money related administrations permit (McCabe, 2007). The laborers of Citigroup who works in venture banking were presented to the mystery, and market inclined data which is known as the shrouded side of a business. Extra individuals from the organization works in zones, for example, managing of values, were not revealed to the classified data, this side is known as the open side. As per the act of the conventional commercial center, the partnership has perceived Chinese Walls to control the consecutive information. Some portion of the Public side of the partnership incorporates the inside place of agreements of the banks for exchange and advancement of protections utilizing the funds which were being possessed by the bank. It is known as restrictive exchanging (Hanrahan, 2007). On nineteenth August 2005, a merchant in enterprises restrictive exchanging segment grounds the bank to purchase more than 1 million offers in Patrick Corporation Ltd. This overwhelming purchase and sell drove Patricks share cost up significantly (OBrien, 2007). Unfamiliar to the seller, enterprises cryptic region was prescribing Toll Holdings Ltd according to a likely success exertion of Patrick. The states of associations relationship with Toll were set out in a correspondence of approval. Anyway the association has been helping Toll since scarcely any months, and conspicuously has proficiently secured the consent to recommend on the takeover (Bright Law, 2016). A private side individual from staff uncovered that the open side of Citigroup has obtained Patrick shares. The free side was compellingly advised to suspend getting them, however not the rationale why. Additionally resulting to the conversation, the free side seller sold 20 % of the Patrick shares that had been procured (Jacobson, 2007). Contentions in the interest of the Plaintiff: The crucial idea of the conflicting contention was that the respondent has damaged a portion of the areas of the Australian Financial Services laws in that it has abused a sensible obligation payable by it towards the Toll so as to avoid contention of concern and duty (Allens Linklaters, 2007). The Plaintiff has explicitly expressed that the said asserted infringement of the sensible obligation by the respondent implies that: The litigant didn't had the adequate understandings for the association of the distinction of intrigue that would have emerged absolutely, or to some extent, identified with the activities attempted by the respondent; or its administrative body as far as the monetary administrations as a major aspect of its exchange for the financial administrations. The litigant was required to set up the understandings since it was a holder of an Australian Financial Service permit gave under Corporations Act 2001; The work added up to a deceptive and tricky conduct identified with monetary administrations, damaging the Corporations Act, 2001 and added up to the Unconscionable Conduct abusing the ASIC Act. The relevant arrangements identified with the monetary administrations laws are the laws under which the offended party has been in position so as to convey a Civil Proceedings in the Court for non-congruity. It needed assortment of rules from the Court which were being identified with the supposed infringement, including the announcements that the activity of the Defendant was done disregarding law, and orders were given requiring the litigant to take certain measures to fix those infringement (Devonshire, 2016). It is huge to take note of that, so as to detail argue a body of evidence against the respondent, the offended party has decided to contend just that the litigant has damaged these legal bye-laws by being in the circumstance of encroachment of a sensible commitment owed to by the respondent to Toll. The offended party didn't make a contention that the respondent has abused the protected bye-law in other manner. So as to build up that the respondents demonstration of exclusive exchanging shares has penetrated the sensible obligation which it owed to Toll, the offended party side has set up three significant things: The relationship among the respondent and the Toll was sensible in character and as per that it was fundamental to avoid any sort of contention among its private government assistance and its obligation towards Toll; The business which was initiated by the respondent has created a conflict of advantage and commitment; The Defendant didn't have the educated assent regarding the Toll for the endurance of the conflict. So as to determine the second of these things, the offended party needs to go one stage advance and discover that, since it was a sensible connection of the respondent to be paid to the Toll. It was the feeling of obligation of Citigroup to make all such kind of revelations corresponding to the issues which were appropriate to its approval particularly when it was alert about such issues. The offended party might want to bring into notice of the court that such an obligation was inferred by the High Court on account of Daly v The Sydney Stock Exchange Limited (1986) 160 CLR 371 at 385. In the current case, the issue has been built up out of the procurement made by the open specialist of more than 1 million offers in the Patrick Corporation at the example when the clandestine staff was performing for litigants customers, Toll, on an anticipated proposal of takeover. The offer was purchased up by the merchant who was chipping away at the work area of exchanging found Equity Derivatives, inside the values Division (Barnett,2012). The offended party side needs to bring into notice of the court that it doesn't propose that the seller was in responsibility for inside data when he obtained the offers. However, when the buys made by the broker got known to the private workforce, activities were being used to instruct him to block bringing in further offers. The offended party depends on the moves which were being made inside the litigant organization already when the merchants acquisition got referred to the individual representatives as meaning the deficiencies of the Chinese dividers to stop the flood of the undisclosed realities from the mysterious workforce to the free side. The offended party likewise states that the arrangement made by the dealer of the Patrick shares after a visit with the more significant position authority, contained insider exchanging by the litigant disregarding s 1043A of the Corporations Act. It has additionally affirmed that the litigant, being an advisor to Toll on its anticipated attack of the offers, has drawn in an association which was, in grave welcome, sensible. As a sensible obligation, the litigant was appreciative not to allow itself to be situated in a circumstance of the genuine or conceivable change emerging among its duty of commitment to Toll and its consideration in the returns required to be accomplished from its managing in the Shares (Lynch, 2016). It has been presented that the basic point made in the procedure was that if the business done by an association, for example, the litigant in the portions of its customers point enterprise was to be accepted, the foundation expected to get the familiar consent as indicated previously. It was not sufficient, for agree to be given in a roundabout way as the express authorization ought to be gotten. The primary focal point of the offended parties case was that for the isolation of the sensible relationship in the dispatch of order to be proficient, it was serving upon the litigant to show the centralization of the Toll explicitly with the impact of disposal. It implies that the Toll has permitted the respondent to work together in Patrick shares on its own connection, in plausible conflict with the government assistance of Toll. The Plaintiff additionally might want to bring into notice the focuses to the measures pre-dating the usage of the correspondence of assent as the piece of the case. However, on account of United Dominions Corporation Limited v Brian Pty Limited (1985) 157 CLR 1 at 11-12 it was plainly expressed that a trouble has emerged as a result of its renunciation of a trustee relationship pre-dating the authentic execution of the correspondence of consent. It was additionally contended by the offended party that there were three cases of contentions, for example, there was an infringement of s 1041H of the Corporations Act; break of s 12DA of the ASIC Act 2001; and infringement of s 12CA of the ASIC Act 2001. However, the entirety of the three cases relies on the endorsement of the contentions made by the offended party that the litigant owed a sensible obligation to Toll. Finally, the offended party made explicitly four significant cases against Citigroup which were as per the following: Encroachment of Fiduciary Relationship Citigroup has not expressed sufficient courses of action set up for overseeing clashes Deceiving and misleading conduct was finished Insider exchanging End: The Court disposed of all of

Places I Became Human

Places I Became Human I kept my composure until I didn’t. Nothing in particular triggered it, I was just taking a shower. It came on quickly; I blinked, and then I found myself with my fists clenched against the wet tile wall, ready to scream. In a  single moment, shaking under a stream of hot water, an entire month’s worth of pain and exhaustion and fear came bubbling up through my fingertips. I’d broken up with my partner of three years from home. I’d come out to my parents. I’d failed my first MIT exam. Looking at the evidence, it seemed like I’d hit the self-destruct button on my entire life, and I was angry about all of it. I’m never angry. I took a box of papers and a lighter into the courtyard alone. I didn’t care who was around; one by one, I set fire pictures, notes, old journal entries, anything that reminded me of the things I’d decided to leave behind. As I watched the flames grow, it struck me for the first time that I really wasn’t the same person I was at the end of September. In September, I wouldn’t have burned things. I wouldn’t have felt the desire. Now, I felt a sick satisfaction as I watched the evidence of my old self reduce to ashes. For a second I thought to keep those ashes, but eventually I decided to bury them in the sand. I walked to the Harvard Bridge with a friend to sink the things that wouldn’t burn. They told  me about one of their ex-boyfriends, then let me rant about all of the things I didn’t see in my old relationship until now. We talked about our families. We talked about life. And after a solid wind-up, I hurled the two trinkets I had left into the murky deep of the Charles River. We enjoyed the view of Boston for awhile, then headed back in good spirits. Good. I told myself I was done being upset. But I wasn’t done. Instead, I felt like I was walking through molasses the second I stepped back into the dorm. I should have felt better, right? But no, I was just sad. I wandered through the hallways, dragging my feet and bouncing my feelings off of anyone who would listen. I didn’t know what to do. “I don’t know, I just want to scream or something.” “You know you can do that, right?”   After a few other people decided to join in, I let a loud scream rip. A few folks poked their heads out of their rooms, but no one seemed to be concerned. I didn’t feel any better though. I let my body slide down the wall and hit the hall carpet. Lots of people were trying to cheer me up, but I couldn’t shake it; I decided to slump back to my room in defeat. I sat down in my desk chair for a moment. It was a Saturday, and my friends were going on an adventure. If I went with them, maybe I would cheer up? So I got dressed, ran downstairs, and caught them just before they left. I followed silently. This is where I decided to go back. The thought kept looping through my mind: I can’t do this, not right now. I turned towards East Campus and started making my way through the infinite with my headphones in.And this is where the first tear fell. It was the first one of the entire month, and I wiped it away. In the middle of psets and parties and rehearsals and hard conversations, I’d forgotten to let myself feel anything. I was shocked by how easy it was, going to the motions apathetic and numb. I didn’t even realize what I was doing to myself. I noted the lesson learned: MIT is a place of discovery and learning, but can also be a place of distraction. I knew I failed a test, but I didnt notice I stopped going to classes almost completely. I knew that I was putting on a good face for my friends, but I didn’t notice I was putting on a good face for myself. I knew that being on your own could be hard, but I didn’t realize that if youre not careful, you can lose yourself completely. I spent the rest of the night here, laying in my bed alone. I hadnt done enough of that since I got to MIT. I wanted to badly to break down and start sobbing, but I couldn’t make the tears come again. A pang of regret hit me. All the times I held back my feelings because I didn’t want people to see the truth, all the times I buried my thoughts in physics problems: Did I kill the part of me that grieves? Did I starve it to death? Now nothing could stir that deep, free-falling, squeezy feeling behind my eyes that used to make me cry. That scares me. But the evening hadn’t been a complete loss. I had friends, I had anger, and I had that one tear. Maybe I’d managed to let go, just a little bit. For the first time since September, I felt human. Post Tagged #figuringitout #lifeatmit #lifeiswackmydudes

Electronic Health Record System At A Glance Essay - 974 Words

Electronic Health Record System at a Glance Bri Essman, Alejandra Face,Tim Harmon, Alex James, Kristin Sullivan Denver School of Nursing Electronic Health Record System at a Glance The quality of healthcare information systems is the determining factor of healthcare that has enabled patient care to be developed to the optimal level we see today. This paper will explore the functional steps used to establish a healthcare information system and the considerations taken into account on the patient s’ behalves. It will also cover the interoperability of health care systems and analyze the way these systems ensure data integrity for patients. The climax of the paper will establish the importance of privacy when exchanging information between systems while also emphasizing the dynamic of the legal system within the healthcare setting. The Office of the National Coordinator for Health Information Technology (ONC-HIT) has defined a list of functional considerations that must be considered when implementing an EHR into practice. Numerous facets must be taken into account, such as maintaining access controls, protecting patient information while allowing patient access, all while following the standards set by HIPAA must be a priority in any EHR system. Research by Sun, Zhu, Zhang, and Fang (2011) shows that patients have been resistant to acceptance of an EHR system without assurance that their information will be safeguarded, used properly, and appropriateShow MoreRelatedHcs/533 - Definition of Terms Essay829 Words   |  4 PagesDefinition of Terms Technology today has revolutionized the health care realm, as technology evolves so does the environment promoting quality care for that in need. 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The case study that stood out the most to me while I did my research on the AHRQ website was titled â€Å"Primary Care Leader Benefits From AHRQ-Seeded Health Information Exchange†Read MoreProper Education Essay1404 Words   |  6 Pageslater due to a blood clot found in his left leg. His sonogram images could not be found, although there were images for a Tom Small in his chart. The above stated story features a few patient care and safety issues that can happen in real life when health care professionals are not properly trained and educated. The first patient care issue was improper patient identification and labeling. Secondly, was lack of communication. 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The purpose of the risk management department is summed up by Kavaler Alexander (2014), â€Å"†¦a program designed to reduce the incidence of preventable accidents and injuries to minimize the financial loss to the institution should any accident or injury occur† (p. 5). Protecting employees, patients, vendors and visitors is an ongoing process and one that needs to

Global Warming and Earth - 925 Words

Earth is home of human survival, for our homeland climate change concerns, is everyones wise performance. The United Nations has been commissioned by the United Nations Intergovernmental Panel on Climate Change ( commissioned by IPCC, because it is a loose organization to hire many well-known scientists in the world consisting of ) the world has done a comprehensive assessment of climate change . IPCC concluded that: most likely human behavior leads to global warming. Specific details are to a lot of human use of fossil fuels, so that an increase in carbon dioxide emissions caused by the greenhouse effect is the main cause of rapid global warming. This is the current mainstream climate change theory - the greenhouse effect, said. Greenhouse effect, said after being asked, many people have been objected that it is highly inaccurate. In particular, the IPCC conclusions as to guide our human behavior norms, for such a doctrine is intensifying dispute. May 7, 2010 the American magazine Science has published 255 U.S. Academy of Sciences on Climate Change and scientific impartiality, the open letter. The letter fully expressed: 255 American Academy for the greenhouse effect theory put forward, which has a serious, serious impartiality, greenhouse effect theory also has scientific integrity. However, a serious, also have extremely credible scientific theory, is not necessarily a true picture of the academic nature of objective facts. For Crowe DIS  · Ptolemys Show MoreRelatedThe Effects Of Global Warming On Earth1577 Words   |  7 PagesTo sustain life on earth, the earth temperature must be maintain at a very delicate figure. But what if the unthinkable happens? What if the earth’s temperature was to increase by a just mere half a degree, maybe a full or even two or three, the effects could be devastating to the environment, to me and to you. 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Central Idea: Data shows that all throughout history, the temperature of our planet has changed over and over again for natural reasons. Holli Riebeek, education and outreach specialist at NASA, stated that these changes are due to small shifts in the Earth’s orbit and the Sun’s energy levels varying throughout time. Today, unfortunately, with the average temperature of the earth risingRead MoreThe Effects Of Global Warming On The Earth901 Words   |  4 Pages What is Global Warming? Countless feel as if it is a natural phenomenon that the Earth cycles through. They are terribly mistaken. It is the effect of greenhouse gasses that are emitted by the machines we use today. These gasses are becoming trapped in the earth’s atmosphere, causing the temperature to rise. The effects of global warming are all around us and are becoming more prominent. There are already efforts in place to stop it and programs to â€Å"go green†. 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Conformity Essay Free Essays

This argument holds completely true for Americans; through matching standard definitions of tatty, and the reliance on and pervasiveness Of technology, Americans reveal their conformist tendencies. Be it plastic surgery, extreme weight loss, or expensive fashion trends, Americans will do almost anything to conform to society’s values of beauty. Throughout the years society values of beauty have changed from realistic women to unreasonably thin supermodels, with Marilyn Monroe dollied as the most beautiful woman of the twentieth century, to Candace Swanlike as the most beautiful of the twenty-first century. We will write a custom essay sample on Conformity Essay or any similar topic only for you Order Now Arguably one of the most famous celebrities of all time, Monroe stood at 5 Ft 5. Inches and 140 pounds. Swanlike on the other hand, a Victorians Secret Model, stands at 5 Ft 9 inches and 120 pounds. The new idea of beauty is unreachable for the majority of American citizens, yet women across the country still try to achieve the goal of looking tall and tremendously thin. Trends such as the thigh gap have caused teenage girls across the country to starve their selves in order to be skinny, beautiful, and loved. Stress on looking perfect has resulted in eating disorders amongst America’s youth, all trying to lose weight to conform to beauty standards. Although America preaches that each and very individual is beautiful, there are advertisements on television and the radio everyday about plastic surgery such as liposuction and how being ‘fat’ is embarrassing. Thousands of dollars will be spent on tummy tucks, spray tans, corsets, and even diet pills in order to look skinny; through engaging in this behavior Americans are conforming to the standard idea of beauty rather than appreciating and accepting their own appearances. This ideal of being thin and conforming to it holds power over a great amount of Americans; through conforming they are adding to the strength and impact of beauty tankards. Skinny is the new beautiful for this nation, and women will do whatever it takes to achieve that. In present times technology has become an enormous part of our lifestyle, if not dominating it completely. Technology has replaced what was once common for people to engage in, such as manually washing clothes and dishes, face-to-face communication, and using candle powered light. People of the United States feel compelled to possess all kinds of technology so as to make their lives more convenient. Having a smartened is now viewed as a necessity, and something that people assume everyone owns. Even in schools those who do not have smartness are somewhat outcasts when a teacher asks the whole class to pull out their phones. Part of the American Dream is materialistic-?owning the finest of things, such as the best technological devices. The conformity of United States citizens since World War II to seek materialistic pursuits has given technology power over the lifestyles of Americans. Nowadays people cannot live without their technological devices, they have become weak and dependent upon technology, consequently giving it all the power over them and the American lifestyle. Without genealogy, people are unable to do the most colloquial of tasks, such as using a dictionary to look up a word, traveling without the luxuries of a car or airplane, and not rely on running water. By conforming to society materialistic goal of acquiring the best technological gadgets, Americans have given technology complete power over their selves and would not be able to function without it. Although some may argue that America is not a society of conformation, George F. Keenan is ultimately and utterly correct. Something as outrageous as unrealistic beauty standards are strictly followed by many of America’s tizzies, consequently giving these standards power over how they live their lifestyle. How to cite Conformity Essay, Essays

Becks Theory of Postpartum Depression free essay sample

Theory is an attempt to explain the world around us. It is defined as a set of concepts, definitions, and propositions that projects a view of phenomena by designating specific interrelationships among concepts for purposes of describing, explaining and predicting phenomena. In the world of healthcare the nurse through the understanding of theories attempt to explain why nurses do what they do. Nursing theories are the creative products of nurses who seek to thoughtfully describe relationships and interactions that exist within nursing practice (Ingram, 2009). Nursing theorist Cheryl Tatano Beck (1949- present) developed a middle-rang theory that focused on postpartum depression (PPD). Beck identified a significant gap in maternal care specifically in regard to maternal blues, she wrote: â€Å"What has not been given equal priority in postpartum follow-up care, however, is the mother’s psychological status, more specifically, the phenomenon of maternity blues. Early discharge mothers are at home when the blues usually occurs during the first week after delivery. Specific assessment for maternity blues should routinely be part of the nurse’s assessment of these mothers during home visits† (Lasiuk amp; Ferguson, 2005, p. 131). Beck, after reviewing research on the topic of maternity blues began clarifying the differences among the concepts of postpartum psychosis, postpartum depression, and maternity blues (Lasiuk amp; Ferguson, 2005, p. 131). This paper seeks to explore Beck’s theory of postpartum depression, its significance in nursing practice, and how it addresses the concepts of the metaparadigm of nursing; person (man), health, environment and nursing. Importance of Nursing Theory All nursing theory should lead to enhance nursing practice. Through theory, knowledge is gained and enhances the empowering of nurses; it aids in deliberate action and provides rationale when challenged, and provides professional autonomy by guiding practice, education and research. Theorists recognized the intrinsic value of theory for nursing as a means for defining and directing the profession and providing a base for further theoretical development, and if we consider that nursing is a science, then theory development is a fundamental activity (Ingram, 2009). Theory is also important to enhance communication in nursing; the way in which theory is expressed will influence its potential for communication between, theorists, researchers, and practitioners, and ultimately its applicability in practice. The importance of nursing theory is that it is purposeful and is of value to the development of practice from a developing body of nursing knowledge (Ingram, 2009). Lasiuk amp; Ferguson (2005, p. 128) noted that according to the American Nurses Association theory development should be the primary goal of the nursing profession. Summary of Beck’s Theory In 1992 Beck’s theory of postpartum depression was based on quantitative research design by collected data from interviews of women who attended PPD support groups. Beck identified 45 significant statements about women’s experience of PPD and identified 11 themes which explicate the fundamental structure of PPD (Lasiuk amp; Ferguson, 2005). The following year (1993) Beck extended those findings into a grounded theory of PPD, titled Teetering on the Edge. Beck chose a qualitative approach to the topic because she believed that the Beck Depression Inventory (BDI), a widely used instrument to detect depression, failed to accurately capture the horrifying experiences that she saw in her clinical practice (Lasiuk amp; Ferguson, 2005). This theory was developed to better understand PPD and to express it in a clear concise way that both professionals and public could digest. This was achieved by developing screening tools; promoting acceptance of PPD as well as interventions and treatments. This grounded theory has been classified as a middle-range theory, however, as new data is obtained the theory is modified to accommodate the varying conditions to increase the theory’s power, it was further classified as a substantive theory or SST. The SST is a subset of middle-range theory that is developed for a specific area of social concern, in this case women with PPD. Data for this theory was obtained through participant observation; analysis of the data revealed loss of control as the basic social psychological problem and was the foundation for her theory development (Beck, 2012). In relation to the nursing metaparadigm, Beck’s theory was intended for women with PPD and to serve as an educational tool for nursing students; healthcare professionals including nurses, doctors, mental health care workers and those within social services. Beck did not clearly define health; however, her focus was on mental health as PPD is a mental health disorder. Holistic health was a predominate factor in her theory, referring to the â€Å"wholeness† of a person, where the entire being, physically, emotionally, and psychologically are entwined with the environment as one. Beck determined that the interpersonal environment of the individual woman, if unstable, has an outward affect on them as well as on the family. Regardless of the setting of the individual’s environment, variables, be it rich or poor, famous or non famous, different cultures and backgrounds, all are subject to the effects of PPD (Lasiuk amp; Ferguson, 2005). Beck believed that obstetrical nurses as well as nurses outside of obstetrical nursing need to be educated to identify signs and symptoms of PPD, or those who may be at risk to ensure early intervention may take place. Beck’s theory was simplistically written so that nurses are able to read the theory, understand it, and apply it to their own practice setting (Lasiuk amp; Ferguson, 2005). As a prenatal nurse in a community care center setting, Beck’s theory broadened my views on PPD and how women have different interpretations of this experience. It made clear that women need to have the opportunity to express the negative feelings they may have as to their new role as mother; this will allow for them to work through any guilt or grief they may be experiencing. Nurses in the obstetrical field need to realize that before a client would seek help from healthcare professionals, mothers have to overcome their fear of being labeled and stigmatized. To help the mother cope, support from healthcare professionals as well as friends and family is primary and can be accomplished through education on PPD for everyone involved (Alligood amp; Tomey, 2006). View’s of Beck’s Theory In reviewing Beck’s theory of postpartum depression, assumptions of her theory include that her beliefs on nursing consists of interpersonal interactions as professionals with the purpose of accomplishing optimum health of an individual. Each person should be perceived as a whole consisting of biological, sociological and psychological components, and care should be a holistic approach. Beck noted that a women’s health is in response to the content of their lives and that all contexts should be understood, including their environment. Within the environment, there is a need for internal homeostasis or equilibrium to maintain physical and mental health; simultaneously the external environment plays an equal role in the affect on health, specifically ones shelter, culture, situations, events, family and friends (Lasiuk amp; Ferguson, 2005). Findings from 17 new transcultural qualitative studies of PPD provided evidence that prevalence of PPD is fairly consistent around the globe. Excerpts obtained from interviews of culturally diverse women by Beck are reference here: Beck reflects on her interaction with a Taiwanese mother who shared the depth of her suffering after childbirth: â€Å"During the tough time after the baby’s birth, my bluest period, I thought about committing suicide. I kept wondering what people live in the world for† (Beck, 2012, p. 270). Beck describes an Australian mother’s vivid recollection: â€Å"How I imagined hurting the baby was awful†¦you really don’t want anyone to know†¦if they did, they would want to put you away or take the baby away. I mean to say, why would you leave your baby with a mother who is thinking about putting him in a microwave. I used to see, in my mind, a pillow going over the head. So easy†¦the doctor says it’s only thoughts. I get that, but what sort of a person am I to even imagine such things? I have cried and cried over this. It was easier when I was numb and didn’t feel at all. At least I didn’t have these awful thoughts† (Beck, 2012, p. 267). The above dialogue exemplifies the process of Teetering on the Edge which refers to walking the fine line between sanity and insanity (Beck, 2012). Conclusion Postpartum depression is a common disorder that affects at least 19% of all pregnant women during the first 3 months after birth. Undiagnosed PPD can plunge mothers into despair rendering a mother disabled and placing the mother and infant at risk; at the least it will challenge the mother-infant relationship. PPD can last for years if untreated and cause unnecessary misery for women and their families (Cox amp; Holden, 2007). Beck progressed from identification of a clinical problem to exploring descriptive research, to concept analysis and midrange theory development. The final step was the application and testing of her theory in the clinical setting. Beck’s theory of PPD provided a context in development of nursing practice and knowledge, and for evaluating midrange theory. Beck’s theory can be utilized as a tool to advance the education of nurse students, nurses and other healthcare professionals. Nursing theorists have through their research and development of theory had contributed to the advancement of the professional nurse by guiding practice with evidence based knowledge and promoting a positive change in healthcare.

Americas Teens Up In Smoke Essays - Human Behavior, Smoking, Health

America's Teens Up In Smoke Essays - Human Behavior, Smoking, Health America's Teens Up In Smoke Americas Teens Up in Smoke On every street corner in America, you will find a teen smoking. Even though a number of commercials and school orientations have given the effects of smoking, the kids feel they are invincible to the effects smoking can cause. Tobacco companies have targeted the youth, ages eleven to seventeen, because they are the future of their industry and very influential (Britannica online). Yes it is true; the future of America has been the focus of their progression. However, how can we have a healthy outlook on the future if 34.8 percent of our youth are inhaling five hundred chemicals into their bodies (Britannica online)? Society needs to focus on telling teenagers the numerous effects of smoking, so they can live a healthier life. The effects of smoking have long been proven to destroy out bodies. The number one disease caused by smoking is cancer. Ola James husband died of lung cancer this past summer. She says Every time I see someone light a cigarette, I think of how sick Richard was and it breaks my heart. She has watched the one person who meant more to her than anyone else in the world, die from a disease that TV has advertised for years. Although a smoker for many years, Richard James might be alive today if he had quit smoking when he was young. Smoking can also cause emphysema, which is a condition of the lungs marked by distension and frequently by impairment of heart action. Smoking has also been known to cause yellow stains on teeth, inflamed gums, periodontal disease, and other diseases of the mouth (Britannica online). With that in mind, who wants to have a cigarette hanging out of their mouth? Well the answer to that question can be answered in two words . . . todays youth. While no one really understands why teenagers take their first puff, whether its peer pressure or another reason, the fact is that they do. Obviously they dont have a high regard for their health. After repeatedly being told that smoking is bad, teenagers just do not seem to care. Another problem with smoking is the effects it has on others around you. Studies have shown that second hand smoke is more dangerous than first hand smoke (askjeeves.com). It causes those around them to be more susecptable to getting respritory problems and cancer. Now the 34.8 percent of the youth are not only bringing themselves down, but they are bringing down the rest of the population with them. If teenagers continue to smoke while they are pregnant, it will result in low birth weights and/or severe birth defects. This is not making Americas future look to bright. Although teenagers have been warned of the effects of smoking, they will continue to light up whenever and wherever they please. We as citizens must fight to make teenage smoking harder to start. We must make new laws, ensure that America follows these laws, and punish those who break them. I dont know who had it worse, teenagers fifty years ago who didnt know the effects of smoking, or teenagers today who do know the effects and just dont care. Smoking is doing nothing but harming the youth through diseases, and hurting those around them. If they knew more about the effects, then maybe they would not be so quick to start.

A guide to the differences between UK and US English - Emphasis

A guide to the differences between UK and US English A guide to the differences between UK and US English According to playwright George Bernard Shaw, the UK and the US are ‘two countries divided by a common language’. We may not need translators to converse, but you can save potential embarrassment or confusion by learning some of the writing differences. Most UK-English speakers know that ‘colour’ (not ‘color’) and ‘centre’ (not ‘center’) are correct, but should it be ‘benefited’ or ‘benefitted’, ‘travelling’ or ‘traveling’, ‘recognise’ or ‘recognize’? You may not be able to rely on the spell check for the answer. Our UK and US English guide reveals the main differences between our use of punctuation, grammar, some vocabulary and spelling. Use it to discover what to do when the rules are not clear cut.

Pricing Strategy Case Study Example | Topics and Well Written Essays - 750 words

Pricing Strategy - Case Study Example Pricing must show a positive correlation with other elements of the mix so as to achieve the objectives of a firm. In addition, pricing is complex as it must imitate the demand and supply relationship of the product. Firms need to charge a fair price, since charging too high for the product or too low might lead to reduction in sales for the organization thus reducing the profitability of the organization. Therefore, there is a need for the hotel to consider the profit factors in determining the price of the product. In this case, the profit factors includes; the objectives of the company, variable and fixed cost associated with the product, the targeted market and willingness and ability to pay, the competition environment prevailing in the industry and planned positioning strategies (Smith and Smith 271). In the consideration, of the above classification, the place or rather the location of the hotel is vital for pricing. Avira hotel is strategically situated, where in the neighbor hood there various tourist attraction site thus offering the possibility a wider a market. Also, the hotel operates from an area which is close to the airport, bank and various garden as well as other recreational areas. This implies that the many of the customers are individuals who have a higher willingness ability to pay; therefore, the price must reflect this consideration (Smith and Smith 282). The strategic positioning in an area where there demand of the hotels implies the price charged by the hotel must reflect the supply constrain, since there are only five-star hotels in the area, while the number of the customer is higher. This implies that demand is considerably high since it is only in the month may that the hotels products experienced an average of about 50% occupancy this justifies the move by the hotel review it price so as to reflect this relationship (Smith and Smith 289). Another pricing strategy showcased in this case is the level of competition in the hotel indu stry in the region. There are only five-star hotels serving a wide, thus, the completion between the hotels is not intense as demand is in excess of supply. This implies that, for a hotel to be more competitive than the other hotel so that it can control the large proportion market, therefore, they must consider the pricing strategy so as to maximize on large production thus benefiting from the economies of scale. In respect to competition, the customers consider the utility they derive and compare this to the price that they pay for the product. It is evident that the price that Avari hotel is slightly higher than that of its key competitor Pearl. Usually consumers will pay higher for a commodity if they think that the commodity is superior as compared to the others. In this case, when Avira lowered its price in the month of November lower than its competitors Pearl; that is pearl charges $1065 and Avira $1000. Pearl occupancy level rises to 80% as compared to 70% Avira. This has t he implication that consumers equate the price they pay to the utility or satisfaction they derive from consuming these products. Avira also utilizes premium pricing, where it charges higher prices for its products to show the how its product is exclusive as compared to the product offered by other firms and especially competition. This case can be delineated by the ever higher price charged by Avira as compared to Pearl. In addition to this, the

Why World War 2 had the most importance in the 20th century Essay

Why World War 2 had the most importance in the 20th century - Essay Example Post Second World War, the belt of dictatorship became loose. Dictatorship had been a major cause that had led to the rise of the war. Additionally, the war did usher a period of Atomic age. Utilization of the atomic bombs did indicate the advancing nature of weaponry in wars. It was the turning point of many societal issues (Dorn, pg. 540). Many opportunities did erupt after the war, and any person who grabbed them did benefit greatly. Women were the greatest achievers and beneficiaries. The symbol of the women during the war period was Rosie the Riveter. She demonstrated the woman’s worth. She was a strong woman walked head high with super self-esteem. She reversed the mentality that the place of a woman is in the kitchen. Women became a part of the team involved in welfare. They did work as hard as men, and sometimes even harder than the way men did. They had skills to operate heavy machines (Sokoloff, pg. 315). The summation of the war ended up with a third of the women as part of the army fighters. During the war period, women were granted better privileges at work. They were the backbone of the economy. They could build and maintain heavy machinery, as well as operate them. They received a pay increase. The event was detrimental to the position of woman in the society. The African Americans were beneficiaries of the event. There was a down surge in the discrimination levels after the war. Prior to the war commencement, the whites detested any assistance from their black Americans counterparts. In fact, they did hang a big notice in their stores â€Å"No Help Wanted.† After the war, they changed it to â€Å"Help Wanted.† Many African Americans did secure a job and made them earn a decent living. The order from the American president in 1941 even paved a great path for the elimination of discrimination. The President made an order that four businesses linked with the government should support racial equality. In the war, the black

International Marketing Research at the Mayo Clinic

International Marketing Research at the Mayo Clinic Given that Mayo Clinic is seeking to expand its outreach on the international level by 100%, market research is needed to determine where our marketing activities are most likely to succeed, what strategies for market penetration are needed, and what types of marketing activities are most likely to generate increased use of Mayo Clinic services by international patients. It is necessary for us to conduct market research that obtains data from international insurers regarding the kind of insurance policies that are available internationally in different markets, the number of individuals or households with private insurance or with government insurance that would pay for the majority of costs incurred at Mayo Clinic, and other relevant data. As the Mayo Clinic marketing research team, we will survey insurance companies to determine whether or not they cover services that the Mayo Clinic offers. Determining whether these insurance companies offer policies that provide for our services would be a key research finding which could ultimately lead to new and more profitable relationships with premium health insurance providers. The marketing research will also include an emphasis on primary data gathering. Using the Internet and drawing upon lists of international alumni of the Clinic (Mayo international alumni now number 1,500, representing 67 countries), a greater survey effort will be undertaken to determine what in the Mayo Clinic experience will be emphasized in subsequent marketing activities. Surveys via e-mail will augment previously conducted telephone interview activities and will also include a large sample of individuals who have not previously used Mayos services. Primary data can also be gathered through targeted focus groups in those countries where we hope to expand our client population. Focus groups should prove to be quite useful in identifying the kinds of marketing and promotional activities that will be well received within a particular country or culture. This kind of research will also identify potential avenues for enhancing the image of Mayo Clinic through targeted advertising via direct mail and print media. This particular strategy should be undertaken in conjunction with health insurance providers who may be interested in adding a specific Mayo Clinic benefit to their health insurance policy. Finally, Mayo Clinic will survey hospitals and other health care providers in our foreign target markets to assess their willingness to refer patients to our clinic for services that cannot be obtained locally. According to Cateora and Phillips, Most believe in the abilities of their own doctor and feel very confident about medical care in their own community. Even though quality may be regionally or culturally defined, almost everyone considers his or her doctor to be a good one.: (Cateora, 2009). With this in mind, individual physicians will also be surveyed on this critical issue to build awareness of the Mayo brand and its products and asked under what conditions would they refer a patient to Mayo Clinic. These kind of primary data will augment the secondary data that are more readily obtained. http://www.essaysforstudent.com/import/i/1.gif Add Project New Business essays Gap Strategic Overview (15 August) Johari Windows Testing (15 August) Walmart Inc. 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Brenda C. Seggerman Essay

hemoperitoneum was noted, and approximately 500 mL of blood was rapidly evacuated from the pelvic cavity, as were large clots. Following this, the bowel was packed away from the pelvic area with packing laps. A retaining retractor was introduced. The left fallopian tube was noted. A large tubal ectopic pregnancy was noted, affecting approximately the distal half of the fallopian tube. Following this, a Heaney clamp was placed in the mesosalpinx and another curved Heaney clamp was placed in the proximal aspect of the left fallopian tube beyond the area of the ectopic pregnancy. A partial salpingectomy was then performed, removing the portion of the left fallopian tube containing the ectopic pregnancy. Heaney clamps were then replaced with sutures of No. 1 Vicryl. Hemostasis was checked again, and no bleeding was detected. Further evacuation of blood and blood clots was then performed. The right fallopian tube was noted to be covered with adhesions, both tubo-ovarian and tubo-uterine adhesions. The adhesions were then sharply lysed, freeing the right fallopian tube. Hemostasis was checked again. No bleeding was detected. Mild serosal abrasion was noted from the area where the ectopic pregnancy was apparently attached to the bowel. This was not bleeding and was very superficial. Hemostasis was checked, and no bleeding was detected. The peritoneum was then closed continuously with 0 chromic suture. The fascia was approximated with interrupted figure-of-8 stitches of 0 Vicryl, and the skin was approximated with the staple gun. OPERATIVE REPORT Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Surgery: 03/27/—- Page 3 The patient tolerated the procedure well and left the operating room in satisfactory condition. All counts were correct. Blood loss was estimated at 1000 mL, which was replaced with 2 units of whole blood while in recovery. ________________________ Rosemary Bumbak, MD Obstetrics & Gynecology RB:xx(your initials in lower case) D:03/27/—- T:03/27/—-

Jekyll And Hyde †what view of human nature does stevenson present in jekyll and hyde? Essay

In 1886, Robert Louis Stevenson wrote ‘The Strange Case of Dr Jekyll and Mr Hyde’. It was a story about how a respectable, upper class man turned into a beast with no morals or dignity. It seemed that Stevenson wanted to show how good & evil could easily clash, much to Victorian society’s disgust. In the novel, he used many techniques and different situations to argue with society. He tried to prove human nature, and how everyone has two sides to him or her. It was around this time that Darwin had presented his theory of evolution to the world, and it is in ‘The Strange Case of Dr Jekyll & Mr Hyde’ that Stevenson presents his argument. Growing up in the Victorian era, Stevenson had a very strict, biased upbringing. He was born into a Presbyterian way of life, and was taught the values of the belief by his families nurse; this meant that he was taught to believe the bible and nothing that contradicts it. He was also taught to respect the rich, and frown upon the poor. This often came natural to Victorian society, there was either an upper class or a lower class, and nobody would dare say that these two could clash, as reputation was everything. Often people repressed their true feelings, because they wanted to protect their status in society, Stevenson didn’t like this. Charles Darwin presented his theory of evolution that men evolved from apes. This was known as ‘The Origin of the Species’. The Victorian people hated this as it went against their image and their religious beliefs, as they believed we came from God and that we didn’t evolve from apes. So, when Stevenson portrayed Hyde as a ‘troglodytic’ being, and Jekyll as a kind respected man, it obviously showed the view of the Victorian people. Stevenson always placed Hyde in the dark, crime-filled side of London, and Jekyll in the busy, vibrant side of London. So once again he associated the lower class with crime and dirt, and the upper class with being innocent and care giving. For example, Utterson quotes in Jekyll’s house † the plate was of silver, the napery elegant, a good picture hung upon the walls.† Yet, when Hyde is outside, London is described as † district of some city in a nightmare.† The division of personality in man fascinated Stevenson, he believed you could be good & evil, that man had two sides to him. In Jekyll & Hyde, Jekyll is portrayed as good, the novel shows this by stating â€Å"a large, well-made, smooth-faced man of fifty every mark a capacity of kindness†. This shows that Jekyll is a kind, giving man. Whereas, Hyde is portrayed as a strange, brutal man, this is shown by the quote â€Å"he gave a strong feeling of deformity† this shows that he wasn’t normal, and wasn’t quite man, something lower down the process of evolution, the Victorian people would have panicked at the idea of this, that evolution was suddenly turning backwards. So, Stevenson was obviously trying to present that a man can have two very different sides, that it was human nature. In the novel, he gives more than one example, of someone or something having an alter ego. For example, the narrator of the novel, Utterson, is immediately said to have two sides, for example in chapter one, he is said to be â€Å"lean, long, dusty, dreary and yet somehow lovable†. This quote shows that he has two sides to him, he is grumpy-looking and boring, yet he also gives the sense of being lovable, and caring. He is also a repressed character throughout the novel, much like Victorian society; it is as if Stevenson has channelled society through Utterson. Stevenson also tries to play with the idea that Enfield is his alter ego. It seems in the novel that although they have nothing in common, they are stuck together. Every Sunday, without fail, they go for a routine walk together. Once again he uses two characters or personalities to give his view on human nature. Throughout the novel, there are minor characters that Stevenson also used to give his view and everyone else’s view, on human nature, and the statutory division of society. For example, Hyde is firstly presented in the novel by the quote † with ape-like fury, he was trampling his victim under foot.† Here he is once again relating to Hyde and the lower class to being careless and heartless. By using the word ‘ape-like’ it is also insinuating that Hyde has gone right back to the start of evolution. Secondly, at the scene of Hyde’s first crime, the doctor states † there is something wrong with his appearance; something displeasing, something downright detestable.† This quote refers that more than one person in society detests Hyde, this shows a direct relationship with Darwin’s theory, and how that everyone in society hated the idea of human nature having two sides to it. Although, when Utterson goes to visit Hyde, the maid shows an interest in what he has done. It seems Stevenson is trying to show that although society had to repress their feelings, they secretly did have a sly interest in the wonder and concept of human nature. In Conclusion, Stevenson showed a lot about his thoughts and his view on human nature, and how society viewed it in a negative, demeaning way. He also showed how although the Victorian people put on an act of disgust, although they secretly showed an interest.

A Good Relationship With My Father - 892 Words

The first time my father yelled at me I was six years old. I mean really raised his voice. My father had never used that kind of a tone with me before so naturally I was equally surprised as scared. As I grew older and connected events I realized my father had been upset, not because I was out of bed late at night, but because my mother had been discussing their separation that night. Up until the age of six I had an ideal relationship with my father, I suppose as normal as any other six year old child could have with their parents. I won’t try to argue that in order to have a good relationship with another human you have to live in the same house as they do or even in the same state or country, but the farther you are the more difficult it will be to obtain an ideal relationship or connection with that person. A good relationship can be defined in multiple ways and each person has their own take on it. I believe that to truly have a good, grounded, relationship with someone y ou need to be able to trust that person, enjoy their company, and accept the person for who they are. In a genuine relationship two people should be able to trust each other, to not have any doubt in the other person. Trust is the key component to a healthy relationship and it provides a sense of safety which allows for higher levels of intimacy (Colleen Ekback). Depending on who the other person is, may it be a parent, sibling, another relative or a significant other, the doubtfulness will differ. ItShow MoreRelatedTheme Of Father And Son Relationships In Night By Elie Wiesel1212 Words   |  5 PagesOne of the major themes that can be found in Night, by Elie Wiesel, is one of father/son relationships. To quote a father from the book, Stein, â€Å"The only thing that keeps me alive is knowing that Reizel and the little ones are still alive.† Not all father/son relationships are as good however. Another part of the book reads, â€Å"I once saw. . . a boy of thirteen, beat h is father for not making his bed properly. As the old man quietly wept, the boy was yelling, ‘If you don’t stop crying instantly, IRead MoreThe Effects Of Divorce On A Child Relationship Essay1504 Words   |  7 Pagescreates less contact with the father which is received as poor compared to the mother. Although fathers have a significantly less amount of contact with their children after divorce, therefore showing that childhood influences have lasting impressions on personal relationships. Fathers become very unhappy about the reduction in contact with their minor-aged children after divorce. Studies in Europe have shown the same negative effects as the United States and their relationships are equally as negativeRead MoreEssay on Those Winter Sundays1012 Words   |  5 PagesKnowing Your Father Being a child is one of the hardest stages in a person’s life. They go through doing all the wrong things in order to learn how to do the right things, and then they socially develop into a sensible mature adult. During this stage of a young childs life, the roles of parenting are absolutely crucial and determine a child’s role that he/she is going to play in society in the future. This is a crucial part of everyone’s life, they need to learn what they are good at and whatRead MoreWhat Makes A Man A Good Father?1472 Words   |  6 PagesWhat makes a man a good father? Fathering a child may not be difficult, but being a father definitely is. A good father should show their child love, support, provide for them, nourish them and care, teach and be physically and emotionally involved with a child’s life and will teach their children morals and values. A good father can and will make a huge difference in a child’s life in every single aspect. But what are the possible consequences if a person does not. have a father while growing up?Read MoreRelationships Between Parents And Children1584 Words   |  7 PagesRelationships between parents and children has a big impact on the children’s life, and how they tend to grow up. Digging by Seamus Heaney talks about how fathers are teaching their sons about life, which is all about working. Teaching your child about the important parts of life is great at a young age because they need to adapt to it. The relationships that are built depend on the type of person the parent is and the child themselves, which would be the case in My Papa’s Waltz by Theodore RoethkeRead MoreComparison of Two Short Stories by Tobias Wolff and T.C Boyle1263 Words   |  6 Pagesfishing trips to complete hatred and denial, father-son relationships can be characterized by many good and bad experiences. After reading the two short stories Powder by Tobias Wolff and If the River was Whiskey by T.C. B oyle, which both feature father-son relationships that are placed under a large amount of stress. There are many similarities and differences between these two relationships that are not apparent upon just a cursory glance. A father can be completely inconsiderate of his sonsRead MoreWhat is a family?1206 Words   |  5 Pagesconfused about the definition of family. A family is having a close relationship to a group of people and they do not have to be blood related. That group of people should share respect, love, and loyalty. Usually a family is consisting of a father, mother, and siblings. However, mine is grandparents, parents, and siblings. Families are important because they give love and security. For example, I always feel loved when I am with my family, and secured or protected. A person can learn anything fromRead More I Never Sang for my Father Essay515 Words   |  3 PagesI Never Sang for my Father The father son relationship is very important. A growing boy needs a strong fatherly presence in order to become a â€Å"man†. The plays, â€Å"I Never Sang for my Father,† and â€Å"The Owl Killer,† and the short story â€Å"Notes to a Native Son,† show this. The lack of communication and basic affection from their fathers directly affected the sons’ mental health, including self-esteem. The father in â€Å"I Never Sang For My Father,† Tom, was very mentally and physically abusiveRead MorePersonal Journey Of A Fatherless Woman Essay1565 Words   |  7 Pagestopic really close to my heart. Being a woman raised by a working mother without the presence of her husband taught me how strong women can be. My story started being separated from my father when I was only two months old due to my father migrating to the United States. Leaving his family behind in the Dominican Republic was not an easy task. He came to the land of opportunities like many other families, looking to provide a better future for his children and wife. My father would write lettersRead MoreWhy Is It Is Born Good? Essay930 Words   |  4 PagesLike Carl Rogers, I inherently believe that people are basically born good. However, who we are is affected by our environment. In order for humans to grow mentally and emotionally they must be provided with an environment that is conducive to sho wing openness, genuineness and empathy (McLeod, 2014). When these things are lacking, relationships and healthy personalities will be unable to develop as they should. Most people that you encounter want to live healthy, productive lives and strive to do