Friday, January 24, 2020

School Safety and the Tragedy at Columbine High School :: Argumentative Persuasive Argument Essays

Unlike most of the country, I knew about Columbine High School on April 19, 1999. I knew that the Columbine Rebels had a good football team, I remembered how they beat Cherry Creek for the 1999 football championship. I knew what Columbine's building was like from when I was inside it in January for a debate tournament. I had friends that went to CHS. We had gone on a trip to Hawaii together to learn about biology. The rest of the country found out about Columbine High School on April 20, 1999. They didn't hear about their football team, the debate tournament they hosted, or my friends, though; they heard about two angry students, Eric Harris and Dylan Klebold, that went on a killing rampage killing 12 other students, a teacher, and themselves. The nation, the media, the killers, my friends, and me all have their own view of what happened that day. Many people tried to understand how something so terrible could happen, while the killers thought that the killings were a wonderful thing , and still other students were trying to comprehend that this tragedy had actually happened so close to home. At 11:19 in the morning of April 19, 1999, Eric Harris and Dylan Klebold stood at the west entrance of Columbine High School preparing for the deadliest shooting in American school history. One of them yelled, "Go! Go!," and then the two pulled out their shotguns and began firing, killing two students almost immediately (Jefferson County 3). Harris and Klebold began moving through the school randomly shooting students, detonating pipe bombs, and yelling about how much fun they were having. While this was happening, Coach Dave Sanders and other heroes were frantically trying to get students out of harm's way. At 11:26, while running past the library warning students of the killers, Sanders was shot by one of the shooters. He made it into a science room where first aid was administered by students. He died several hours later in that same room. The worst killing took place in the library during a span of about eight minutes starting at 11:29. Ten students were killed and twelve others were wounded. After leaving the library, Harris and Klebold wandered around the school in movements that appeared to be "extremely random" (Jefferson County 18). They eventually returned to the library at about 12:08 and killed themselves. In 49 minutes, 14 students were left dead, one teacher was left dying, 23 people were injured, and an entire community's sense of safety and security was shattered.

Thursday, January 16, 2020

Storm Born Chapter One

I'd seen weirder things than a haunted shoe, but not many. The Nike Pegasus sat on the office's desk, inoffensive, colored in shades of gray, white, and orange. Some of the laces were loosened, and a bit of dirt clung around the soles. It was the left shoe. As for me, well†¦underneath my knee-length coat, I had a Glock .22 loaded with bullets carrying a higher-than-legal steel content. A cartridge of silver ones rested in the coat's pocket. Two athames lay sheathed on my other hip, one silver-bladed and one iron. Stuck into my belt near them was a wand, hand-carved oak and loaded with enough charmed gems to probably blow up the desk in the corner if I wanted to. To say I felt overdressed was something of an understatement. â€Å"So,† I said, keeping my voice as neutral as possible, â€Å"what makes you think your shoe is†¦uh, possessed?† Brian Montgomery, late thirties with a receding hairline in serious denial, eyed the shoe nervously and moistened his lips. â€Å"It always trips me up when I'm out running. Every time. And it's always moving around. I mean, I never actually see it, but†¦like, I'll take them off near the door, then I come back and find this one under the bed or something. And sometimes†¦sometimes I touch it, and it feels cold†¦really cold†¦like†¦Ã¢â‚¬  He groped for similes and finally picked the tritest one. â€Å"Like ice.† I nodded and glanced back at the shoe, not saying anything. â€Å"Look, Miss†¦Odile†¦or whatever. I'm not crazy. That shoe is haunted. It's evil. You've gotta do something, okay? I've got a marathon coming up, and until this started happening, these were my lucky shoes. And they're not cheap, you know. They're an investment.† It sounded crazy to me – which was saying something – but there was no harm in checking, seeing as I was already out here. I reached into my coat pocket, the one without ammunition, and pulled out my pendulum. It was a simple one, a thin silver chain with a small quartz crystal hanging from it. I laced the chain's end through my fingers and held my flattened hand over the shoe, clearing my mind and letting the crystal hang freely. A moment later, it began to slowly rotate of its own accord. â€Å"Well, I'll be damned,† I muttered, stuffing the pendulum back in my pocket. There was something there. I turned to Montgomery, attempting some sort of badass face, because that was what customers always expected. â€Å"It might be best if you stepped out of the room, sir. For your own safety.† That was only half-true. Mostly I just found lingering clients annoying. They asked stupid questions and could do stupider things, which actually put me at more risk than them. He had no qualms about getting out of there. As soon as the door closed, I found a jar of salt in my satchel and poured a large ring on the office's floor. I tossed the shoe into the middle of it and invoked the four cardinal directions with the silver athame. Ostensibly the circle didn't change, but I felt a slight flaring of power, indicating it had sealed us in. Trying not to yawn, I pulled out my wand and kept holding the silver athame. It had taken four hours to drive to Las Cruces, and doing that on so little sleep had made the distance seem twice as long. Sending some of my will into the wand, I tapped it against the shoe and spoke in a sing-song voice. â€Å"Come out, come out, whoever you are.† There was a moment's silence, then a high-pitched male voice snapped, â€Å"Go away, bitch.† Great. A shoe with attitude. â€Å"Why? You got something better to do?† â€Å"Better things to do than waste my time with a mortal.† I smiled. â€Å"Better things to do in a shoe? Come on. I mean, I've heard of slumming it, but don't you think you're kind of pushing the envelope here? This shoe isn't even new. You could have done so much better.† The voice kept its annoyed tone, not threatening but simply irritated at the interruption. â€Å"I'm slumming it? Do you think I don't know who you are, Eugenie Markham? Dark-Swan-Called-Odile. A blood traitor. A mongrel. An assassin. A murderer.† He practically spit out the last word. â€Å"You are alone among your kind and mine. A bloodthirsty shadow. You do anything for anyone who can pay you enough for it. That makes you more than a mercenary. That makes you a whore.† I affected a bored stance. I'd been called most of those names before. Well, except for my own name. That was new – and a little disconcerting. Not that I'd let him know that. â€Å"Are you done whining? Because I don't have time to listen while you stall.† â€Å"Aren't you being paid by the hour?† he asked nastily. â€Å"I charge a flat fee.† â€Å"Oh.† I rolled my eyes and touched the wand to the shoe again. This time, I thrust the full force of my will into it, drawing upon my own body's physical stamina as well as some of the power of the world around me. â€Å"No more games. If you leave on your own, I won't have to hurt you. Come out.† He couldn't stand against that command and the power within it. The shoe trembled, and smoke poured out of it. Oh, Jesus. I hoped the shoe didn't get incinerated during this. Montgomery wouldn't be able to handle that. The smoke bellowed out, coalescing into a large, dark form about two feet taller than me. With all his wisecracks, I'd sort of expected a saucy version of one of Santa's elves. Instead, the being before me had the upper body of a well-muscled man, while his lower portion resembled a small cyclone. The smoke solidified into leathery gray-black skin, and I had only a moment to act as I assessed this new development. I swapped the wand for the gun, ejecting the clip as I pulled it out. By then, he was lunging for me, and I had to roll out of his way, confined by the circle's boundaries. A keres. A male keres – most unusual. I'd anticipated something fey, which required silver bullets; or a spectre, which required no bullets. Keres were ancient death spirits originally confined to canopic jars. When the jars wore down over time, keres tended to seek out new homes. There weren't too many of them left in this world, and soon there'd be one less. He bore down on me, and I took a nice chunk out of him with the silver blade. I used my right hand, the one I wore an onyx and obsidian bracelet on. Those stones alone would take a toll on a death spirit like him without the blade's help. Sure enough, he hissed in pain and hesitated a moment. I used that delay, scrambling to load the silver cartridge. I didn't quite make it, because soon he was on me again. He hit me with one of those massive arms, slamming me against the walls of the circle. They might be transparent, but they felt as solid as bricks. One of the downsides of trapping a spirit in a circle was that I got trapped too. My head and left shoulder took the brunt of that impact, and pain shot through me in small starbursts. He seemed pretty pleased with himself over this, as overconfident villains so often are. â€Å"You're as strong as they say, but you were a fool to try to cast me out. You should have left me in peace.† His voice was deeper now, almost gravelly. I shook my head, both to disagree and to get rid of the dizziness. â€Å"It isn't your shoe.† I still couldn't swap that goddamned cartridge. Not with him ready to attack again, not with both hands full. Yet I couldn't risk dropping either weapon. He reached for me, and I cut him again. The wounds were small, but the athame was like poison. It would wear him down over time – if I could stay alive that long. I moved to strike at him once more, but he anticipated me and seized hold of my wrist. He squeezed it, bending it in an unnatural position and forcing me to drop the athame and cry out. I hoped he hadn't broken any bones. Smug, he grabbed me by the shoulders with both hands and lifted me up so that I hung face to face with him. His eyes were yellow with slits for pupils, much like some sort of snake's. His breath was hot and reeked of decay as he spoke. â€Å"You are small, Eugenie Markham, but you are lovely and your flesh is warm. Perhaps I should beat the rush and take you myself. I'd enjoy hearing you scream beneath me.† Ew. Had that thing just propositioned me? And there was my name again. How in the world did he know that? None of them knew that. I was only Odile to them, named after the dark swan in Swan Lake, a name coined by my stepfather because of the form my spirit preferred to travel in while visiting the Otherworld. The name – though not particularly terrifying – had stuck, though I doubted any of the creatures I fought knew the reference. They didn't really get out to the ballet much. The keres had my upper arms pinned – I would have bruises tomorrow – but my hands and forearms were free. He was so sure of himself, so overly arrogant and confident, that he paid no attention to my struggling hands. He probably just perceived the motion as a futile effort to free myself. In seconds, I had the clip out and in the gun. I managed one clumsy shot and he dropped me – not gently. I stumbled to regain my balance again. Bullets probably couldn't kill him, but a silver one in the center of his chest would certainly hurt. He stumbled back, half-surprised, and I wondered if he'd ever even encountered a gun before. It fired again, then again and again and again. The reports were loud; hopefully Montgomery wouldn't do something foolish and come running in. The keres roared in outrage and pain, each shot making him stagger backward until he was all the way against the circle's boundary. I advanced on him, retrieved athame flashing in my hand. In a few quick motions, I carved the death symbol on the part of his chest that wasn't bloodied from bullets. An electric charge immediately ran through the air of the circle. Hairs stood up on the back of my neck, and I could smell ozone, like just before a storm. He screamed and leapt forward, renewed by rage or adrenaline or whatever else these creatures ran on. But it was too late for him. He was marked and wounded. I was ready. In another mood, I might have simply banished him to the Otherworld; I tried not to kill if I didn't have to. But that sexual suggestion had just been out of line. I was pissed off now. He'd go to the world of death, straight to Persephone's gate. I fired again to slow him, my aim a bit off with the left hand but still good enough to hit him. I had already traded the athame for the wand. This time, I didn't draw on the power from this plane. With well-practiced ease, I let part of my consciousness slip this world. In moments, I reached the crossroads to the Otherworld. That was an easy transition; I did it all the time. The next crossover was a little harder, especially with me being weakened from the fight, but still nothing I couldn't do automatically. I kept my own spirit well outside of the land of death, but I touched it and sent that connection through the wand. It sucked him in, and his face twisted with fear. â€Å"This is not your world,† I said in a low voice, feeling the power burn through me and around me. â€Å"This is not your world, and I cast you out. I send you to the black gate, to the lands of death where you can either be reborn or fade to oblivion or burn in the flames of hell. I really don't give a shit. Go.† He screamed, but the magic caught him. There was a trembling in the air, a buildup of pressure, and then it ended abruptly, like a deflated balloon. The keres was gone too, leaving only a shower of gray sparkles that soon faded to nothing. Silence. I sank to my knees, exhaling deeply. My eyes closed a moment, as my body relaxed and my consciousness returned to this world. I was exhausted but exultant too. Killing him had felt good. Heady, even. He'd gotten what he deserved, and I had been the one to deal it out. Minutes later, some of my strength returned. I stood and opened the circle, suddenly feeling stifled by it. I put my tools and weapons away and went to find Montgomery. â€Å"Your shoe's been exorcised,† I told him flatly. â€Å"I killed the ghost.† No point in explaining the difference between a keres and a true ghost; he wouldn't understand. He entered the room with slow steps, picking up the shoe gingerly. â€Å"I heard gunshots. How do you use bullets on a ghost?† I shrugged. It hurt from where the keres had slammed my shoulder to the wall. â€Å"It was a strong ghost.† He cradled the shoe like one might a child and then glanced down with disapproval. â€Å"There's blood on the carpet.† â€Å"Read the paperwork you signed. I assume no responsibility for damage incurred to personal property.† With a few grumbles, he paid up – in cash – and I left. Really, though, he was so stoked about the shoe, I probably could have decimated the office. In my car, I dug out a Milky Way from the stash in my glove box. Battles like that required immediate sugar and calories. As I practically shoved the candy bar into my mouth, I turned on my cell phone. I had a missed call from Lara. Once I'd consumed a second bar and was on I-10 back to Tucson, I dialed her. â€Å"Yo,† I said. â€Å"Hey. Did you finish the Montgomery job?† â€Å"Yup.† â€Å"Was the shoe really possessed?† â€Å"Yup.† â€Å"Huh. Who knew? That's kind of funny too. Like, you know, lost souls and soles in shoes†¦Ã¢â‚¬  â€Å"Bad, very bad,† I chastised. Lara might be a good secretary, but there was only so much I could be expected to put up with. â€Å"So what's up? Or were you just checking in?† â€Å"No. I just got a weird job offer. Some guy – well, honestly, I thought he sounded kind of schizo. But he claims his sister was abducted by fairies, er, gentry. He wants you to go get her.† I fell silent at that, staring at the highway and clear blue sky ahead without consciously seeing either one. Some objective part of me attempted to process what she had just said. I didn't get that kind of request very often. Okay, never. A retrieval like that required me to cross over physically into the Otherworld. â€Å"I don't really do that.† â€Å"That's what I told him.† But there was uncertainty in Lara's voice. â€Å"Okay. What aren't you telling me?† â€Å"Nothing, I guess. I don't know. It's just†¦he said she's been gone almost a year and a half now. She was fourteen when she disappeared.† My stomach sank a little at that. God. What an awful fate for someone so young. It made the keres' lewd comments to me downright trivial. â€Å"He sounded pretty frantic.† â€Å"Does he have proof she was actually taken?† â€Å"I don't know. He wouldn't get into it. He was kind of paranoid. Seemed to think his phone was being tapped.† I laughed at that. â€Å"By who? The gentry?† â€Å"Gentry† was what I called the beings that most of Western culture referred to as fairies or sidhe. They looked just like humans but embraced magic instead of technology. They found â€Å"fairy† a derogatory term, so I respected that – sort of – by using the term old English peasants used to use. Gentry. Good folk. Good neighbors. A questionable designation, at best. The gentry actually preferred the term â€Å"shining ones,† but that was just silly. I wouldn't give them that much credit. â€Å"I don't know,† Lara told me. â€Å"Like I said, he seemed a little schizo.† Silence fell as I held on to the phone and passed a car driving 45 in the left lane. â€Å"Eugenie! You aren't really thinking of doing this.† â€Å"Fourteen, huh?† â€Å"You always said that was dangerous.† â€Å"Adolescence?† â€Å"Stop it. You know what I mean. Crossing over.† â€Å"Yeah. I know what you mean.† It was dangerous – super dangerous. Traveling in spirit form could still get you killed, but your odds of fleeing back to your earthbound body were better. Take your own body over, and all the rules changed. â€Å"This is crazy.† â€Å"Set it up,† I told her. â€Å"It can't hurt to talk to him.† I could practically see her biting her lip to hold back protests. But at the end of the day, I was the one who signed her paychecks, and she respected that. After a few moments, she filled the silence with info about a few other jobs and then drifted on to more casual topics: some sale at the mall, a mysterious scratch on her car†¦ Something about Lara's cheery gossip always made me smile, but it also disturbed me that most of my social contact came via someone I never actually saw. Lately the majority of my face-to-face interactions came from spirits and gentry. It was after dinnertime when I arrived home, and my housemate, Tim, appeared to be out for the night, probably at a poetry reading. Despite a Polish background, genes had inexplicably given him a strong Native American appearance. In fact, he looked more Indian than some of the locals. Deciding this was his claim to fame, Tim had grown his hair out and taken on the name Timothy Red Horse. He made his living by reading faux-Native poetry at local dives and wooing naive tourist women by using expressions like â€Å"my people† and â€Å"the Great Spirit† a lot. It was despicable, to say the least, but it got him laid pretty often. What it did not do was bring in a lot of money, so I'd let him live with me in exchange for housework and cleaning. It was a pretty good deal as far as I was concerned. After battling the undead all day, scrubbing the bathtub just seemed like asking too much. Scrubbing my athames, unfortunately, was a task I had to do myself. Keres blood could stain. I ate dinner afterward, then stripped and sat in my sauna for a long time. I liked a lot of things about my little house out in the foothills, but the sauna was one of my favorites. It might seem kind of pointless in the desert, but Arizona had mostly dry heat, and I liked the feel of humidity and moisture on my skin. I leaned back against the wooden wall, enjoying the sensation of sweating out the stress. My body ached – some parts more fiercely than others – and the heat let some of the muscles loosen up. The solitude also soothed me. Pathetic as it was, I probably had no one to blame for my lack of sociability except myself. I spent a lot of time alone and didn't mind. When my stepfather, Roland, had first trained me as a shaman, he'd told me that in a lot of cultures, shamans essentially lived outside of normal society. The idea had seemed crazy to me at the time, being in junior high, but it made more sense now that I was older. I wasn't a complete socialphobe, but I found I often had a hard time interacting with other people. Talking in front of groups was murder. Even talking one-on-one had its issues. I had no pets or children to ramble on about, and I couldn't exactly talk about things like the incident in Las Cruces. Yeah, I had kind of a long day. Drove four hours, fought an ancient minion of evil. After a few bullets and knife wounds, I obliterated him and sent him on to the world of death. God, I swear I'm not getting paid enough for this crap, you know? Cue polite laughter. When I left the sauna, I had another message from Lara telling me the appointment with the distraught brother had been arranged for tomorrow. I made a note in my day planner, took a shower, and retired to my room, where I threw on black silk pajamas. For whatever reason, nice pajamas were the one indulgence I allowed myself in an otherwise dirty and bloody lifestyle. Tonight's selection had a cami top that showed serious cleavage, had anyone been there to see it. I always wore a ratty robe around Tim. Sitting at my desk, I emptied out a new jigsaw puzzle I'd just bought. It depicted a kitten on its back clutching a ball of yarn. My love of puzzles ranked up there with the pajama thing for weirdness, but they eased my mind. Maybe it was the fact that they were so tangible. You could hold the pieces in your hand and make them fit together, as opposed to the insubstantial stuff I usually worked with. While my hands moved the pieces around, I kept trying to shake the knowledge that the keres had known my name. What did that mean? I'd made a lot of enemies in the Otherworld. I didn't like the thought of them being able to track me personally. I preferred to stay Odile. Anonymous. Safe. Probably not much point worrying about it, I supposed. The keres was dead. He wouldn't be telling any tales. Two hours later, I finished the puzzle and admired it. The kitten had brown tabby fur, its eyes an almost azure blue. The yarn was red. I took out my digital camera, snapped a picture, and then broke up the puzzle, dumping it back into its box. Easy come, easy go. Yawning, I slipped into bed. Tim had done laundry today; the sheets felt crisp and clean. Nothing like that fresh-sheets smell. Despite my exhaustion, however, I couldn't fall asleep. It was one of life's ironies. While awake, I could slide into a trance with the snap of a finger. My spirit could leave my body and travel to other worlds. Yet, for whatever reason, sleep was more elusive. Doctors had recommended a number of sedatives, but I hated to use them. Drugs and alcohol bound the spirit to this world, and while I did indulge occasionally, I generally liked being ready to slip over at a moment's notice. Tonight I suspected my insomnia had something to do with a teenage girl†¦. But no. I couldn't think about that, not yet. Not until I spoke with the brother. Sighing, needing something else to ponder, I rolled over and stared at my ceiling, at the plastic glow-in-the-dark stars. I started counting them, as I had so many other restless nights. There were exactly thirty-three of them, just like last time. Still, it never hurt to check.

Wednesday, January 8, 2020

The Medical Promise Of Embryonic Stem Cells - 1626 Words

The Medical Promise of Embryonic Stem Cells Why should people suffer from diabetes, Alzheimer’s, sickle cell anemia, leukemia, and plenty of other degenerative diseases while the cure lies in our hands? After James Thompson, a developmental biologist, reported that he had derived the first human embryonic stem cell line (Thomson), the potential of curing degenerative diseases was revealed. Ph.D. holder and deputy director of FDA’s office of Cellular, Tissue and Gene Therapies, Stephanie Simek, explains that stem cells are unspecialized cells (qtd. in â€Å"FDA Warns About Stem Cell Claims†). In other words, since they are unspecialized cells, they can â€Å"†¦generate lots of cells and, under the right conditions, become one of the many cell types†¦show more content†¦The process when stem cells give rise to blood cells, or any other specialized cells, is called differentiation (â€Å"Stem Cell Basics†). Stem Cells’ ability of differentiation can be targeted and directed to gen erate tissue and therefore to cure degenerative diseases (Panno 24-28). However, such medical promise faces the doubts and gives rise to disputes. In fact, federal funds for stem cell research were banned under President Bush’s administration, but the ban was then lifted by President Obama’s administration (Obama). Despite the different arguments, more medical trials should be conducted with embryonic stem cells in order to determine whether the medical promise is applicable or far-fetched. Richard Doeflinger, an official with the National Conference of Catholic Bishops, argues that â€Å"we must not sacrifice one class of human being to benefit another† (qtd. in â€Å"Stem Cells†). However, ignoring the medical promise of embryonic stem cells would end up sacrificing real, living human beings for microscopic cells. Jean Peduzzi Nelson, the author of ‘Adult Stem Cells Are Already Curing Diseases’, argues that unlike embryonic stem cells, adult stem cells have already cured diseases. To support his argument, Nelson narrates the story of Joe Davis Jr. who suffered from a severe sickle cell anemia since birth. According to Nelson, At the age of two, Joe received an adult stem cell transplant; the adult stemShow MoreRelatedEmbryo Based Stem Cell Research1171 Words   |  5 Pages Embryo-based stem cell research The controversy concerning the ethical dilemma related to stem cell research rages on. One particular basis of this controversy emanates from the fact that embryonic stem cells research derives its stem cells from destroyed embryos. Stem cells are cells that are yet to be specialized into specific tissue that serves specific function in the organism. Some radical scientists have labeled these cells the building blocks of future medical and biotechnical researchRead MoreThe Debate Over Stem Cell Research1601 Words   |  7 PagesThe stem cell controversy has been going on for many years. The two basic controversies surrounding stem cell research is whether or not it is morally justifiable, and if stem cells will ever live up to the medical promises. Most of these controversies concern embryonic stem cells more than any other stem cells. Embryonic stem cells are unspecialized, but have the ability to divide and make specialized cells like muscles, nerves, and skin cells. These cells a re found in the early stage of human developmentRead MoreThe Debate Of Embryonic Stem Cell Research1460 Words   |  6 Pages I believe that embryonic stem cell research should be allowed in the United States. From previous encounters with the topic I have learned that the many benefits that can come from stem cell research are without a doubt astounding and unimaginable. There are simply endless possibilities that can arise if the research was allowed to be conducted. From giving back vision to rebuilding tissue, any advance in stem cell research would be beneficial to the medical world. With the help that the advancesRead MoreThe Importance of Stem Cell Research Essay1649 Words   |  7 PagesParkinson’s disease (Watson, Stephanie, and Craig Freudenrich, Ph.D). Diseases such as above kill off important cells that reproduce rapidly to help the body function normally. Well, what alternatives does one have to turn to when the time clock runs out for all cells, resulting in d eath. Stem cell usage is a second chance given that doesn’t set death as an essential from these fatal diseases. 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To understand about embryonic stem cell. I thought we should discuss what embryonic stem cells are. According to Scientific American; June 2004, embryonic stem are derived from the portion of a very early stage embryo that would eventually give rise to an entire body. Because embryonic stem cells originate inRead MoreEssay about Embryonic Stem Cell Research1357 Words   |  6 PagesHuman Embryonic Stem Cell Research Embryonic stem cell research is a highly controversial topic in todays society, this kind of stem cell commits to regenerate any type of tissue. Unfortunately, Embryonic Stem Cell Research has a dark side. To obtain these cells will kill the embryo automatically. In other words, the acquirement of the Human Embryonic Stem Cell includes performing an abortion. To obtain these cells, it would kill the embryo. This has created controversy since abortion is suchRead MoreSupporting Stem Cell Research Essay1691 Words   |  7 Pagesinformation concerning stem cells and their use in regenerative medicine, and learned about a physician who was creating windpipes out of stem cells and transplanting them into patients. The family got into contact with this doctor and the Children’s Hospital of Illinois at O.S.F. Saint Francis Medical Center in Peoria, Illinois, and eventually Hannah underwent the treatment with impressive results. The doctors had successfully grown a new windpipe for Hannah out of her own cells and saved her life,Read MoreEssay on Stem Cells: The Cure for Uncontrollable Diseases of the Past1246 Words   |  5 PagesLou Gehrig’s disease, Sickle Cell Anemia, Alzheimer’s. This world is plague by countless diseases and there existed a time where, after many failed research attempts, scientists began to believe that people would always suffer from these diseases. However, with the introduction of stem cell research those past notions were dismissed. Upon their introduction, stem cell’s provided a new hope to the world and it proved itself to be an invaluable asset. Through stem cell research, a multitude of curesRead MoreThe Heated Debate Concerning Stem Cell Research Essay1477 Words   |  6 PagesStem Cells Few scientific issues in recent years have managed to draw as much attention, both scientific and otherwise, than stem cell research. I was first introduced to the term ‘stem cells’ when I was in high school, and since then, I have had a keen interest in the direction science is taking them. When considering medical research as a whole, stem cells appear to have the makings of a 21st century medical revolution a la discovery of antibiotics . The open-ended nature of stems cells has

Monday, December 30, 2019

Interpersonal Communication in Disney Pixar’s ‘Up’ Essay

Communication is everywhere. We, as interactive human beings, spend the majority of our time corresponding with others to satisfy our physical, identity, social, and practical needs (Adler, Rodman, Sevigny, 2011). Often, this is consciously done; we search our minds for the accurate linguistic means to express our experiences, and use them to communicate with those around us. However, communication is not as straightforward and effortless as we may believe. It is, in fact, often unintentional, with 65% of it occurring as a result of non-verbal cues (Matsumoto, Shibata, Seiji, Mori, Shioe, 2010). As mentioned by Marta Dynel (2011) in a study done on nonverbal communication, â€Å"Non verbal signs and signals ... are prevalent practically in†¦show more content†¦This idea is portrayed very often in the scene from ‘Up’. One specific example is seen when the male character, Carl, is watching his wife, Ellie, paint their mailbox. He is staring at her intently with a grin on his face, his eyes appearing to be soft. One could interpret this as an expression of interest and affection – Ellie clearly does, as she looks up at him in return and smiles. Another example occurs when Ellie visits Carl in the hospital after he has broken his leg. She glances at him out of the corner of her eye, with a slight smirk on her face. This is one example where there exists an issue of intentionality, as often is present when it comes to nonverbal communication (Hall, Carter, Horgan, 2000). An observer who is unaware of the couple’s relationship and the circumstances surrounding the situation may mistake Ellie’s glance as a sign of annoyance, however those with more knowledge on the setting can realize that the smirk expresses the thought â€Å"Well, we both know what this means...†. Therefore, this particular scene does an excellent job of demonstrating the ambiguity and complexity of countenance in nonverbal communication. Kinesic s in communication does not only have to do with facial expressions, however – it also includes body movement, posture, and gesture (Dynel, 2011). A communicator can manipulate their body in ways that can potentially exaggerate whatever it isShow MoreRelatedPixar- Culture and Organisations Essay3749 Words   |  15 Pages(Prokesch, 2008). Pixar’s operates a strong organisational culture, which has seen it become a benchmark for other companies in the film making industry. The company’s key objective is â€Å"to combine proprietary technology and world-class creative talent to develop computer-animated feature films with memorable characters and heart-warming stories that appeal to audiences of all ages (Pixar, 2009).† In 2006, Pixar entered a 7.6 billion dollar agreement to work with the Walt Disney Company. The PixarRead MoreThe Walt Disney Company Report15335 Words   |  62 PagesCompany Research Paper The Walt Disney Company Pranay Kumar George Batah Shuxian Shen Sheng Hao Koo â€Å"We have complied with university honor code in completion of this assignment and I attest that this work is ours and ours alone.† Professor Suzanne Weiss Contents 1. Executive Summary 2. Company Background 3. Management 4. Situation Analysis 5. Ethics and Responsibility 6. Human Resource 7. Globalization 8. Operation and Production Read MoreResources Capabilities20336 Words   |  82 Pagesbuilt around speciï ¬ c technological capabilities. The markets where these capabilities are applied are a secondary consideration. Motorola, the Texas-based supplier of wireless telecommunications equipment, semiconductors, and direct satellite communications, has undergone many transformations, from being a leading provider of TVs and car radios to its current focus on telecom equipment. Yet, underlying these transformations has been a consistent focus on wireless electronics. When a company facesRead MoreHbr When Your Core Business Is Dying74686 Words   |  299 PagesThis is the story of a CEO who refused to accept failures as inevitable and set up a system to prevent them. Satisï ¬ cing Don Moyer Optimizing – the art of ï ¬ nding the best choice among all choices – is a luxury we can seldom afford. 124 8 Harvard Business Review | April 2007 | hbr.org Xerox Global Services professionals can transform your firm’s document processes to create revenue while driving up productivity. Result? Improved top and bottom lines. There’s a new way to look

Sunday, December 22, 2019

Contrasts in the Great Gatsby Essay - 760 Words

Tyler Simms Great Gatsby Essay Accelerated English 11 Mrs. Cameron F. Scott Fitzgerald constructed his novel, The Great Gatsby, by sculpting numerous situation and character contrasts together through out the novel to create and deliver a magnificent work of art. Although Fitzgerald contrasted numerous characters and situations through out the novel, there are three that are very pungent; the characters Tom Buchanan and George Wilson and Daisy Buchanan and Myrtle Wilson. Not only were there Character contrasts, there were also situations that Fitzgerald contrasted against each other. One of them was the contrasting of the concept of the Old Money life style and the New Money life style. Tom and George not only have physical†¦show more content†¦Daisys superficiality extends to her personality. She is fragile, unstable and a confused character. While talking to Nick she said: â€Å"...I woke up with an abandoned felling and asked the nurse right away if it was a boy or a gir l. She told me it was a girl, and so I turned my head away and wept. Alright, I said, Im glad its a girl. And I hope shell be a fool-thats the best thing a girl can be in this world, a beautiful fool† (Fitzgerald 21). They also married their husbands for different reasons. Myrtle says she married George because she thought he was a gentleman. She also thought he knew about good â€Å"breeding.† On the other hand, Daisy married Tom because rich girls had to marry into money and good social status. Marrying Tom, Daisy married into the Old Money life style. The people who live by the Old Money lifestyle inherited all of their riches from at least two generations back in the family. They also dont flaunt their money with buying and having extravagant cars, houses, parties etc. Fitzgerald differentiates Old Money and New Money by placing them on separate sides of Manhattan. Old Money on East Egg and New Money on West Egg. Tom and Daisy live on East Egg and prefer small get-t ogethers. Tom and Daisy had a party and the only people who were invited were Nick and Jordan. WhereasShow MoreRelatedUse of Contrast in the Great Gatsby1483 Words   |  6 PagesDiscuss the use of contrast as a literary device in The Great Gatsby byJeannette Ng 5.15 In the book, contrast is widely used to bring about the theme of class as well as to greater emphasize the characteristics of a particular character. The book contrasts the setting, West and East egg, as well as the characters, Gatsby and Tom, Wilson and Tom and Gatsby and Tom. 1Gatsby is contrasted with Tom in several ways. Tom is overpowering while Gatsby is more reserved. Tom is described as having ‘shiningRead MoreEssay on Comparison and Contrast in The Great Gatsby1769 Words   |  8 PagesComparison and Contrast in The Great Gatsby      Ã‚  Ã‚   The success of Francis Scott Key Fitzgeralds The Great Gatsby is in part due to his successful characterization of the main characters through the comparison and contrast of Daisy Buchanan and Myrtle Wilson, Tom Buchanan and George B. Wilson, and Nick Carraway and Jay Gatsby. The contrast is achieved through two principle means: contrasting opposite qualities held by the characters and contrasting one characters posititve or negative qualitiesRead MoreCompare And Contrast The Great Gatsby And Of Mice And Men733 Words   |  3 Pagescontinued to believe in their wildest fantasies beyond childhood? The Great Gatsby by F. Scott Fitzgerald and Of Mice and Men by John Steinbeck explores this idea in distinctive detail. Gatsby looks into a mysterious man’s life in the 1920s and the secrets behind the extravagant parties he threw for all but himself, and his longing for a true love that consumed his sensibility. Of Mice and Men revolves around two peculiar young men in Great Depression era who worked to earn the money they needed to purchaseRead MoreContrasts and Conflicts Chap 1 Great Gatsby1379 Words   |  6 PagesHow Does Fitzgerald set up contrast within the first chapter? In ‘The Great Gatsby’ by F. Scott Fitzgerald the author uses various techniques to set up contrasts and conï ¬â€šicts within the ï ¬ rst chapter to show the corruption of the American Dream in the 1920’s when the book was set and also the corruption of the people during the roaring twenties. Examples of the techniques used to express these themes are characterization, dialogue, ï ¬ gurative language, diction choices , symbolism and foreshadowingRead MoreCompare And Contrast Daisy And Wilson In The Great Gatsby1033 Words   |  5 Pages In The Great Gatsby by F. Scott Fitzgerald, Daisy Buchanan and Myrtle Wilson have many similarities and many differences. Both women are unhappy with their lives, both are greedy, but both women live very different lives. Both Myrtle and Daisy are unhappy with their lives and try to escape from them. Daisy Buchanan and Myrtle Wilson are also very greedy people in similar, but also in different ways. These women do whatever the y want at the risk of their own lives as well as other people’s livesRead MoreThe Great Gatsby-Compare/Contrast Gatsby and Tom and Explain Why Daisy Stayed with Tom1521 Words   |  7 PagesName: Sherin Khawaja Class and Section: 11SD Q: Compare and contrast Jay Gatsby and Tom Buchanan. How are they similar and how do they differ? Given that Tom is portrayed negatively, why does Daisy choose to remain with him instead of leaving him for Gatsby? In the novel ‘The Great Gatsby’ written by F. Scott Fitzgerald, two men, Jay Gatsby and Tom Buchanan, fight over Daisy, an upper-class woman from an old, wealthy family in the time after the first world war during the age known asRead MoreThe Great Gatsby-Compare/Contrast Gatsby and Tom and Explain Why Daisy Stayed with Tom1537 Words   |  7 PagesName: Sherin Khawaja Class and Section: 11SD Q: Compare and contrast Jay Gatsby and Tom Buchanan. How are they similar and how do they differ? Given that Tom is portrayed negatively, why does Daisy choose to remain with him instead of leaving him for Gatsby? In the novel ‘The Great Gatsby’ written by F. Scott Fitzgerald, two men, Jay Gatsby and Tom Buchanan, fight over Daisy, an upper-class woman from an old, wealthy family in the time after the first world war during the age known as theRead MoreCompare and Contrast of Two Movie Versions of The Great Gatsby777 Words   |  4 PagesFor example, Leonardo Dicaprio’s character of Gatsby was focused on emotions. I enjoyed that Redford was very calm and cool about everything and the way he approached the character but, Dicaprio made such an open and outgoing character which made the movie more entertaining. DiCaprio captured Gatsby’s intensity and charm and brought out the crazy mood swings and took his character and the audience to a more emotional place. Both Robert Redford and Leonardo DiCaprio had their own way of approachingRead MoreThe Contrast and Conformity in F. Scott Fitzgeralds The Great Gatsby606 Words   |  3 PagesThroughout F. Scott Fitzgerald†™s novel, The Great Gatsby, Fitzgerald uses an ensemble of characters to portray different aspects of the 1920s. The characters’ occupations and lifestyles represent the corruption, carefreeness, and prosperity of the Roaring Twenties. Perhaps most striking of this ensemble is the pompous bigot Tom Buchanan and the novel’s namesake Jay Gatsby. Set in the fictional towns of West Egg and East Egg on Long Island, New York, in the summer of 1922, the novel revolves aroundRead MoreAnakin Skywalker And The Great Gatsby Compare And Contrast Essay1514 Words   |  7 PagesIn George Lucas’ Star Wars: Episode III Revenge of the Sith and F.Scott Fitzgerald’s The Great Gatsby the audience is shown both of these scenarios from Anakin Skywalker and Padmà © Amidala, as well as Jay Gatsby and Daisy Buchanan. Through this novel and movie, the audience is shown how much these men are truly influenced by the ones they love and how it affects their lives. Both Anakin Sky walker and Jay Gatsby will do anything for their loved ones, from them changing their everyday lives, to doing

Saturday, December 14, 2019

Hangover Movie Review Free Essays

I haven’t laughed this hard at a movie in a long time. When I saw this movie in theater for the first time I came out with my face hurting I was laughing so much. Everything about this movie just clicked. We will write a custom essay sample on Hangover Movie Review or any similar topic only for you Order Now Perfect cast with great chemistry, great direction, great music, and most importantly a fun script with hilarious dialogue and characters. The movie starts where its two days before Doug’s wedding, himself and his three friends drive to Las Vegas for a crazy bachelor party they’ll never forget. But, in fact, when the three groomsmen wake up the next morning, they can’t remember a thing. For some reason, they find a tiger in the bathroom, and a six-month-old baby in the closet of their suite at Caesars Palace. The one thing they can’t find is Doug, the groom. With no clue as to what happened that night and little time to spare, the three of them must retrace their steps and all their bad decisions in order to figure out where things went wrong and hopefully get Doug back to L. A. in time to walk down the aisle. The four main actors in this movie are; Bradley Cooper as Phil Wenneck, the groom’s best friend, a school teacher who is bored with married life. Ed Helms as Dr. Stuart â€Å"Stu† Price, a dentist stuck in a bad relationship, friend of the groom. Zach Galifianakis as Alan Garner, the socially awkward, soon to be brother-in-law of the groom, and Justin Bartha as Doug Billings, the soon-to-be groom. I personally think that they all did a great job acting out their characters personality and made everything work quite smooth. The movie followed a regular predictable story line, it was very easy for me to predict what was going to happen next. It was very easy to watch the lighting was perfect, and the director, Todd Phillips did a great job with all the shots. The movies music was composed by Christopher Beck. The movie had a few featured artists in this film, such as Kanye West, The Donnas, Usher, T. I. , Mickey Avalon and The Dan Band. For the closing credits the song â€Å"Right Round† by Flo Rida was played. The Hangover might not appeal to those seeking a more disciplined, focused comedy, but the film represents the best of what comedy can provide — pure, unadulterated, slaphappy entertainment. And there’s nothing wrong with that. How to cite Hangover Movie Review, Essay examples

Friday, December 6, 2019

Responsibility of Ethical Dilemma

Question: Discuss about the Responsibility of Ethical Dilemma. Answer: Introduction Ethics is coined from a Greek word which means character. In the course of providing patient care, nurses have the responsibility of observing the concept of ethics. The concept of ethics entails giving rational, correct and good care to whoever they are entrusted to. On our daily endeavors, we combat numerous ethical dilemma issues regardless of area of operation. Nurses are faced with ethical decisions when discharging our duties which in most instances affect both our patients and us. Ethical dilemma is regarded as a difficulty whose solution is not satisfactory. Making an ethical decision is very important due to the fact that varied ethical choices on a dilemma can result to different answers which may turn out to be ethically wrong or right decision (Ulrich et al. 2007). Ethics is the art of doing something good without causing any harm. The art of determining what is wrong and what is right may differ from nurse to nurse considering areas of operation, training and the general behavior of the person. Ethical decision making by nurses are coined from the fundamental principles we cover as part of our curriculum where we derive tools and basis of making a decision. Experience, beliefs, and values shape our decisions based on the knowledge acquired. This may therefore result to different decisions being made on similar dilemma (Cathy 2012). In nursing, there are principles that guide our daily routine in anticipation of making our patients feel better. The principle of nonmaleficence requires nurses to evade causing injury and suffering to patients when they are being attended to. Nonmaleficence also requires nurses to report any abuse suspected on the patient. The principle of beneficence advocates for doing good to patients. Nurses are encouraged to concentrate on achieving optimal results by offering outstanding treatment to patients. The principle of autonomy requires patients participation when administering treatment to them. Patients have the right to independence, self-determination and a chance for self-direction. They have the authority to determine what will be happening to them. They have the right to consent or refuse treatment. The nurses are expected to respect the wishes of patients whether they agree with them or not. The principle of justice require nurses to treat all patients equally and fairly. Nurs es must distribute resources to the patients accordingly, giving consideration to patients needs and spending time with patients fairly without favor and bias (Parahoo 2014). Besides ethical principles, deontological and utilitarian ethical theories also guide nurses when discharging duties. Under utilitarian ethics, the means of doing something is justified by previous outcomes. Decisions are made based on benefits achieved for the majority. And deontological ethics gives more importance to obligation or duties carried out by the nurses. Deontological stresses that the means is not justified by the outcome (Conway Gawronski 2013). Nurses encounter numerous ethical dilemma issues in the course of our duties. We tend to feel the family members struggles in trying to make ends meet. Moreover, we spend much of our time taking care of the patients thus understanding their needs. Nurses determine the opinion of the patient on the treatment perception together with the families. The magnitude of the ethical dilemma faced by us determines the number of people who will be directly affected by the decision. Such decisions also tend to affect the psychological well-being of a person thus have a much impact on their life expectancy. For instance, a patient may want to undergo a therapy which prolongs life but will have to live with side effects which on return will totally turn around the lifestyle of the patient. In these kind of scenarios, we can base their decisions on the fundamental principles that guide our operations. Based on my personal experience on the basic principles, my experience in carrying out my duties w as as follows. Situations of doctors reprimanding nurses is common. A one painful ordeal I gone through from my doctor colleague is still fresh in my mind. For surgeries to be conducted on patients, they are given time to prepare psychologically for the possible outcomes of the intended surgery, what it will entail and will be required of the patient. After some surgery are planned, patients are put under the Care of nurses. Patients tend to ask us a lot of questions regarding the operation. An instant arose where when the surgery was about to be performed, the patient asked the doctor in-charge for alternative medication instead of the surgery. Upon learning that from the patient, the doctor turned on me for advising the patient otherwise which led to several questions before the surgery. Such settings put us in dilemma over the right to consent of the patients being abused by the doctors since the patient wanted more information availed before the consenting to the procedure. Some doctors believe that they are right and their decisions towards discharging their duties is above board and no one should question (Parahoo 2014). Pro-life versus pro-choice decisions have direct effect to the nurse involved. Our own values and beliefs forms basis of the position we take in choosing between the two. A patient carried out an abortion which turned out to be harmful and the victim came to the hospital to seek for medication (Cathy 2012). During my training in college, abortion was regarded as a crime only if performed a recognized medical doctor to save the life of the mother. It was very difficult for me to attend to the patient since she had committed a punishable crime by the law. All in all, irrespective of the patients deeds, we are expected to attend to patients without bias. I did find myself in situation where I was supposed to report the case to the police which can lead the patient to be charged in the court of law for procuring abortion. Consequently, I was supposed to treat her and save her life. On the same note, an injured thief who apparently engaged the police in a gun battle and got shot in return did put me in a difficult situation. Treating him was to save his life and when I could have reported the matter to the police, the thief could have ended up in prison. The dilemma arose where I was to save the life of the thief and again put him in trouble by reporting the incident to the authorities. Care provision to persons with disability was a daunting task I did come across. In an attempt to recover, persons with disability problems who wish to walk do harm themselves in the process of trying to walk without supervision of a nurse. My desire to help the patient walk by promoting independence left the patient vulnerable to falling down which at times complicated the situation further. The situation aggravated more when it was a newborn with mental or physical disabilities. I encountered confusion in breaking the news to one patient that they not be able to walk again. Convincing a person that their normal life they used to enjoy before is now history is quite challenging. Convincing that accident victim that for them to survive, their dear legs will have to be amputated so as to be prepared to embrace disability was quite intriguing. Giving a child a chance to survive meant that I did compromise my personal feeling by causing pain in order to meet the overall goal which was t o make the child walk and overcome the mental status. However, this is ethical, we face the dilemma of balancing the two acts. Life principle supports the opinion of prolonging life if the current quality is poor. Furthermore, in comparing control and freedom, patients does not have a right to making decisions or pushing us to carry out a procedure on them which may turn out to be negative. I faced a challenge in convincing my patient who did not want to eat a diet I prescribed to her which was very important for her recovery. Additionally, the patient wanted me to inject her with drugs that cut weight rapidly but in real sense, rapid loss of weight over a short period of time results to adverse effect on the patients life (Cathy 2012). Careful and absolute reasoning was required from me to convince the patient on the negative effects of the intended action as much she was fighting obese. It was a hill task explaining to the patient why she needed to be patient and take the meals genuinely so that she could reduce the sugar level in the blood instead of seeking shortcut over her obese problem. On that fateful day, we received an accident victim, a cyclist, who was knocked by a speed car. It was a daunting challenge to explain to the family the procedure which was to be undertaken on the patient. With his condition, his right hand was supposed to be amputated since he was brought late into our hospital and the arm was already rotting from inside. And for him to survive and live long, amputation was the only viable option. The feeling of losing a hand is daunting but for the wellbeing of the victim, it was to go. The family members insisted on telling the patient that whatever procedure they are about to undergo was painful and had a total lifestyle change which he will live with to the grave. In an attempt to treat the patient, drug prescription to the patient caused fatigue, sweating accompanied by diarrhea. Passing such information to him did pose a real challenge to me and was in a dilemma. The same patient was also to undergo scanning. Under the principle of nonmalefice nce which prevent nurses from harming patients, we often find themselves inflicting pain to patients in order to relieve them of their misery by administering an injection. A balance between beneficence and nonmaleficence must be closely adhered to in care provision. The benefit of getting care from us must outweigh discomfort the patient is subjected to. Resource distribution is one of the major challenges that affect our daily routine operations. After intensive evaluation of a patients probability of survival, I found that despite putting the patient under medication, oxygen or Intensive Care Unit (ICU), the chances of the patients survival was very minimal but the family still insisted on further treatment. In such a scenario, I was in total dilemma of saving other patients from the same machine and resources available from which the other patient was deemed not to survive. In times of emergency, we are at a cross road to take care of our daily routine and to attend to the patients at the emergency wing. I used to have a schedule to give medication to patients at a particular time, yet during that time, another emergency arises, these double tasks used to put me in a fix to make valid decision on who to attend to. Failure to attend to both at the right time will lead to serious consequence which may even cost a life which I was di rectly responsible for negligence which is punishable by the code of conduct of our operations. Making decisions on personal beliefs and work experience compared to acquired knowledge in the medical school usually put us at a fix as we execute our duties. During our practical, I was taught how to perform a procedure from the medical school but when it came to practical application at work place, such learned technique were sometimes in applicable. One patient of mine did believe that transfusion is wrong from their religious perspective but failure to do so as a medical practitioner was to lead to death. At that point, I was faced with the dilemma of saving a life or upholding the religious belief of the patient. The empathy to save a life was contradicting the patients family religious belief. Conversely, by policy, I was required to listen the patients point of view and also the obligation to offer quality service to the patient. Coming to a mutual agreement with the patient and the family to accept the transfusion against the belief and tradition was a really tough exercise. Eventually, the patient and the family accepted the procedure and the life was saved. Organizational policies do also form part of our distress at work. In our organization it was mandatory for the patient to pay fifty percent of the medical expenses which was to be incurred on the patient before discharging treatment to the patient. A patient was brought who really needed urgent attention since she was involved in a fight and had a knife wound. I juggled between saving the life of the patient and upholding the policy of the hospital. If the I could have gone ahead to save the life of the patient without down payment, I was to lose the job as per the policy and a failure to do so will also result in loss of life. On the other hand, when the patient was due for operation, there must be a signatory from the family of the patient to approve of the intended surgery. The problem arose when there was no close family member so sign for the recommended procedure. It was disastrous when the family members of the patient were absent and I went ahead to be the sole signatory of the procedure which may have turned out to be unsuccessful and there is loss of life. Violence and workplace bullying of the nurses is one of the challenges we face. In effective communication between us and doctors is one of the major dilemmas. Work structure and hierarchy inhibit proper communication among the doctors and us. The management used to give orders which should be followed irrespective of our feelings and opinions on the said action. A difficulty in communication used to arise where patients were not ready to disclose the right information about their health status which may eventually result in wrong diagnosis. If the diagnosis goes wrong, we are charged with negligence yet it was the patients fault of giving wrong information in anticipation of their treatment. On the other hand, some patients are very violent and abusive. I have been assaulted in the process of giving care to patients who have psychiatric problems. We therefore find themselves in situations where our safety is compromised while giving care. We face indecisive whether to abandon the pa tient or help them recover. With the growth in information and technology and increased access to information, I once found myself in awkward moment in prescribing drugs to a patient. Since a lot of information is available on the online platform, patients usually research on the internet various diagnosis they are suffering from and remedies to such illness. Research conducted reveal that a good number of people are not existing well but are just surviving as a result of self-medication. When they go hospitals, they already know the medications they are supposed to take towards recovery (Ulrich et al. 2007). Giving alternative medication left me embarrassed since the patient had already known what she actually wanted. Technology has therefore enabled people to treat themselves thus barely surviving serious illnesses. The decision to give the patient what she wanted and I prescribing what is right for her always turned out to be ugly. Another dilemma I faced in the medical facilities was in the area of genetics and genomics. A patient researched about his genomics on the internet and upon coming the hospital, I was the one attending for him. Being my first month of working, I was not well conversant with genetics and genomics. I ended up being embarrassed in front of other patients since he was shouting what I was doing there if I could not attend to him promptly and accurately. Due to the rising population and lack of enough trained nurses, institutions such as schools, community outreach centers and prisons have to cope with quacks to meeting the much needed health attendance. The most dominated area is the admission of insulin to inmates, students and others in the society. Qualified nurses like me find ourselves in uncompromising situations where the untrained care givers does not uphold the accepted code of conduct in the medical profession ((American Nurses Association 2009). Many homes for the elderly are also understaffed leading to deaths since constant care cannot be accessed by the elderly. At their age, old people are prone to variety of diseases which if not watched closely, they end up passing away. The few staffs feel the burden and dissatisfaction of not offering our services when it is most needed. Some people also operate clinics with no proper qualification jeopardizing the whole profession with wrong diagnosis and carrying out illegal abo rtions which usually end in deaths which could have been prevented. Operations of the back-street clinics have also resulted in the thriving business of substandard drugs which put the life of people in danger. And in an incident of a problem, the whole industry is marred in the unfortunate occurrence tarnishing our good reputation. Research conducted by American Nurses Association (2009) reveals that, we, nurses face unconducive work environment. In most hospitals and care giving organization, there is usually staffing problems and the safety of the patient. Due to staff shortage, we do not get time to exercise full responsibility in meeting the emotional needs of the patients, helping them adapt and recover. Failure to perform such vital processes always leave us unsatisfied to our call to attend to the patients fully resulting them living in stress since we have not met moral obligation as required. Recently, cases of leaking confidential reports are on the rise. A number of the nurses who are entrusted to uphold the confidentiality of a patients medical records are leaking the said records for monetary gain. Bribery allegations once rocked our department. One of my colleague allegedly accessed and leaked medical records of my patient to the ill-motive people who were destined to have medical records of their allies to gain a mileage on him based on his medical condition. Politicians and the business community access the records for uncouth completion environment. Some nurses also abuse the code of the profession and engage in selling of drugs meant for patients to make extra cash. Patients being diagnosed with compromised drugs is also taking shape. In-house treatment by nurses tend to go against the ethics of the treatment. Due to low pay in some countries, nurses engage in off-hospital service delivery which at the day of the compromise the quality of health provision which i s unethical by nature. Casterle et al. (2008) notes that ethical dilemma was also common when dealing with children. Balancing the wishes of the patient and the familys values, beliefs and wishes often pose a challenge in effective service delivery to the sick as much there is dire need to uphold the work ethics without compromising the outcome. However, much expectation is required of us by the parents, our ultimate obligation is the patient. Privacy issues tend to be controversial where we cannot reveal all the medical information to the parents of the patient since by law, minors have some basics to privacy. There are some information that the minor may not want the parents to be told, therefore, we exercises this constitutional mandate and the policy of the hospital to protect the minor. Biases to honest information on the exact condition of the patient do arise severally. The family of the patient may choose to deliberately reserve truthful information with a primary goal of protecting the patient stress related to the emotional wellbeing of their patient. At this point, we have the headache of whether to pass the truthful information to the patient or side with the family. Making decision on what information to share, when and how to share did pose a real dilemma to me. It is considered one of the toughest responsibilities nurses have to put up with. Ethical dilemma is quite diverse. Nurses grappling with a lot of responsibilities is also considered an ethical dilemma since the standard mode of operations is not observed. We face shortage of working equipment, drugs and burden on the number of patients to attend to. In state of affairs where we do not have adequate time to relax and write report on the patients progress, then the working conditions is unethical which some of us barely recognize and acknowledge as part of the problem. Sometimes, work burden becomes more until we feel like quitting the job after professional burnout and moral distress. According to Jeanette (2015) patient care ethics code at Johns Hopkins Hospital spells out the hospitals values as confidentiality, patient autonomy and obeying cultural traditions. The hospital went further to articulate the manner of application of the values from scarce supplies allocation to compulsory flu vaccination. In another setting, Kimmel Cancer Center, has programs for th e nurses to counter distress as they handle cancer patients who visit the facility for a long period of time. Conclusion In nursing, ethical dilemmas come daily which require decision making. Experiences, values and personal beliefs and medical principles acquired from school by us plays a crucial role in our decision making in the course of our duty. Our commitment to those we care for in the society include but no limited to ethical care, providing competent and safe services to patients. Often, we have been frustrated in delivering our professional obligation in a manner we deem acceptable to the code of ethics. Regularly, ethical distress arise from the barriers encountered during the ethical practice. Circumstances such as observing beneficence and nonmaleficence, technological advancement, unfavorable working environment, organizational policies, comparing freedom and control, pro-life and pro-choices forms the fundamental ground for unethical behaviors to thrive. However, as we face the challenges of balancing between ethics and quality service delivery, we should remain focused to main goal in meeting the patients needs without watering the code of ethics in the industry. Bibliography Cathy, F., 2012. Major Ethical Dilemmas in Nursing. University of Alabama Parahoo, K., 2014.Nursing research: principles, process and issues. Palgrave Macmillan. Conway, P. and Gawronski, B., 2013. 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