Monday, September 30, 2019

And If I Hurt You, Then I’M Sorry

| Behind every beautiful thing, there is some kind of pain -Bob Dylan's CD's There's a good side to getting hurt a lot†¦ after a while it just doesn't bother you as much. You can try your hardest, you can do everything and say everything, but sometimes people just aren't worth trying over anymore†¦ they aren't worth worrying about†¦ it's important to know when to let go of someone who only brings you down. I don't know why your heart doesn't do what your mind tells it to. -Brown Sugar You may have created my past and screwed up my present, but you have no control over my future. -david klassAnd even though the moment just passed me by, I still cant turn away. For once, instead of telling me the reasons why i shouldnt cry, actually pay attention to the reasons why I am. And if i hurt you, then i'm sorry. Please don't think that this was easy. All good things have endings — The Get Up Kids It's such a lie that you should do what's in your heart. If we all did what was in our hearts, the world would come to a halt. -my so called life Sometimes i may hate you, but i'll always love you -daria How do you leave the past behind, when it keeps finding ways to get to your heart? –RentSmile. It's easier than explaining why you're sad. Sometimes bad things happen for no reason, no purpose. They just occur and we're left to pick up the pieces the best we can. — Felicity The best way to appreciate something is to be without it for awhile. It's not a lie if you believe it .. it's no mistake if it's always repeated. The truth is, everyone's going to hurt you. You just have to decide who is worth the pain. Sometimes what you want the most — you're better off without. There is an end to things no matter how much we want to hold onto them. I don't know if you've ever felt like that.That you wanted to sleep for a thousand years. Or just not exist. Or just not be aware that you do exist. Or something like that. I think wanting that is very morbid, but I want it when I get like this. That's why i'm trying not to think. I just want it all to stop spinning. (the perks of being a wallflower) A person may be in love with someone untill the end of time, but if that person doesn't tell their feelings of love, it will just be another person living a dream, lost of true love. I never knew what I had until the first day it wasn't there. You hurt me so bad, but maybe it's my fault, because I stuck around too long. I was lost.There was nobody for me to talk to about all that you were troubling me with. So I sat alone, with everything inside, and cried myself to sleep. Sometimes if you really want to make things work you have to keep you mouth shut and put your hurt aside. I never knew until that moment, what it was like to lose something I never really had. ~The Wonder Years It's easy to let go when holding on hurts so bad. To many of us stay walled because we are afraid to care too much, for fear that the other person does not care as much or not at all. It's sad to think you'll never be mine, it's even sadder to realize I knew it all the time.And sometimes your heart takes you to places that can never lead to a happy ending. Only the one that hurts you, can make you feel better. Only the one who inflicts the pain, can take it away ~Madonna Our lives are shaped by people who love us and people who refuse to love us. By the time you realize what you're losing, I'll be lost. How can it be that two of the greatest friends in the world can go from being each other's everything to absolutely nothing? You smile when you feel like crying, you act like you're okay, when you're falling apart inside and you let it go.You move on, because there's nothing else you can do†¦ I guess everyone has their reasons for keeping people away, an instinct to protect yourself from getting hurt. It's part of human nature. ~ Roswell When you love a person, you are giving them the power to hurt you. And its times like this that i dread†¦ when there's everything to say, and nothing left to be said, and it makes me sad. Sometimes you don't realize you care for someone, until they stop caring for you. For all sad words of toungue and pen, the saddest are those â€Å"that might have been. â€Å"Letting go does not mean giving up but accepting that there are things that cannot be. I don't want to need you because I know I cant have you. –Bridges of Madison County And when you begin to miss me, dont forget it was you who let me go. Nothing hurts more than waiting since I don't even know what I'm waiting for anymore. I walk away now with the realization that it will never be the way i want it to be. Absence makes the heart grow fonder, but it sure makes the rest of you lonely. — Charlie Brown How can you hide from what never goes away? Sometimes the one love you cant get over, is the one love you really never had.Everything is fine. Couldn't hurt more. Want my advice? Stay mad as long as you can 'cause once you stop, it hurts like hell. The same wall that shuts others out, is the same wall that shuts you in. Its been so long, I feel so out of touch, thoughts cloud my heart and head, I think I think too much. This is where I say I've had enough. No one should ever feel the way that I feel now. Has your heart ever wanted to ask something, but your mind was scared of the answer? All I wanted to do was collapse in someone's arms and cry today†¦ but there wasn't anyone there to catch me.Because of you I don't know how to let anyone else in. I've finally realized the people that you love who don't love you back are just another lesson in life .. it's like God is teaching us that there can be so much better than what we thought was the best. The most painful love there is, is the love left unshown. A love that cannot be expressed, affection left unknown. The love that withholds touching, afraid of what it would say, And the most painful thing about unexpressed love isâ⠂¬ ¦ it never fades away. Sad thing is, you can still love someone, and be wrong for them -elvis presleyIt's absurd, who you love and why, and how you can't turn it off when you desperately want to. Has your heart ever wanted to ask something, but your mind was scared of the answer? That's the most frightening aspect of loneliness†¦ You think you're being damaged while loneliness is happening to you, and the worry amplifies the pain. – Douglas Coupland Words hurt more then anything else can, because they last, sometimes forever. It sucks to be alone, even when there are people all around you -Scrubs Sometimes to realize you were well, someone must come along and hurt you.I have this great imaginary world, but sometimes I just need things to happen for real. – Ally McBeal There's always someone better out there for everyone. its the beauty of life: you can always try again . -Ashley Sometimes the one love you can't get over, is the one love you really never had. Wh y is it that no matter how much pain it endures by holding on†¦ the heart refuses to let go? Njerezit mendojne se gjeja me e keqe eshte te humbasin njeriun qe duan. Gabojne! Gjeja me e keqe eshte te humbasesh vetveten nderkohe qe do shume dike, duke harruar qe edhe ne vete jemi te rendesishem |

Sunday, September 29, 2019

Registered nurse Essay

The field of nursing has been well-known since the beginning of civilization. People everywhere are familiar with this field because people have always and will continue to experience illness, pain, suffering and death. The purpose of this report is to provide readers with detailed information about the field of nursing including its history, occupation description, education requirements, employment opportunities, job outlook, job availability and salary. The first roots to the modern nursing can be traced back to Florence Nightingale (Career As a Registered Nurse (RN),6). She has inspired numerous people around the world and was considered a heroine in her time. Nightingale was highly educated and would travel through Europe looking at hospitals trying to educate the staff on better patient care and hygiene. She then served as a nurse for the British government tending to ill and injured soldiers during the Crimean War. Nightingale started the first modern, formal nursing school in 1860, naming it the Nightingale School, after herself. Nightingale is said to have created the healthcare model that we follow today, which treats the patient as an individual instead of a disease. (Career As a Registered Nurse (RN),6). This paved the way for other nurses to step up and make nursing a better field to work in. In the United States, Clara Barton cared for soldiers in the Civil War that were fighting for both the North and the South. Clara Barton later developed the American Red Cross. (Career As a Registered Nurse (RN),7). Developments such as these lead to the first nursing school in the US opening. It was opened by the Bellevue Hospital in New York. (Career As a Registered Nurse (RN),7). This helped girls across the country gain insight into the field of nursing which in turn created new schools and new opportunities for people to join the field. A registered nurse takes care of sick and injured people. They are concerned with the â€Å"Whole Person† rather than the disease an individual may have. Registered nurses help with the emotional, physical and mental needs of the patient they are caring for (Registered Nurse (RN)). In the hospital registered nurse’s work under what they call a head nurse. According to the Registered Nurse (RN) web site, â€Å"Registered nurses usually work eight hours a day, forty hours a week, rotating shifts, holidays and weekends. † Registered nurses perform a variety of different jobs. They observe the patient and record the observations they see, they consult with the physicians and others healthcare clinicians with their observations, and they maintain and disconnect intravenous lines for fluid, give medication, blood, and blood products. United States). RN’s help with the plan of care for their patients; the plan may include their activities of daily living, checking the dosages given to the patient, and administering medication (United States). An RN also helps explain to family members how to take care of their family member after they return home. They may explain their diet plan, nutrition, care needs, and the exercise needed (United States). The RN teaches the patient’s family, along with the patient, how to take care of their injuries or illness (United States). These are only a few things that a registered nurse may do on a daily basis as their jobs are crucial for the recovery of sick and injured individuals. They are different educational paths that a registered nurse can choose from. They can get their bachelor’s degree, an associate degree, or a diploma from an approved nursing program (United States). Many registered nurses choose to complete either a two year program with an associate degree or a four year program with a bachelor’s degree. After they have successfully completed the nursing program, then they must take a national examination in order to obtain a nursing license to practice (Career as a Registered Nurse (RN), 23). They are also advanced practice nurses such as a nurse midwife, nurse practitioner, nurse anesthetist or nurse specialist. Advanced practice nurses need a master’s degree in order to practice (United States). Degrees There are three different educational paths to becoming a registered nurse. They can choose to obtain a bachelor’s degree (BSN), an associate degree (ADN), or a diploma (Career as a Registered Nurse (RN), 22). Bachelor’s degree programs are offered by universities and take an average of four year to complete the program. Associate degree program is offered by community colleges and take about two to three years to complete the program. Diploma programs are completed in the hospital, and they last about three years (Career as a Registered Nurse (RN), 22). After the student graduates from one of the three types of programs, and they complete their licensing examination, they can qualify for the entry-level positions as a staff nurse (United States). Several nurses that have taken the associate program will return to school to obtain a bachelors degree program; they call this an RN-to BSN program (United States). People who have a bachelor’s degree program can return to school to obtain an accelerated master’s degree in nursing (MSN). After completion of the ADN program to receive the BSN and MSN it takes three to four years to complete as a full time student to receive an award for both (United States). The bachelor’s degree program takes about twelve to eighteen months to earn the degree after completion of the associate degree program. For someone who holds a bachelor’s degree who decides to obtain an MSN, it takes an additional two years to receive their master’s degree (United States). When taking classes at college for the associate degree program, the programs includes courses such as anatomy, physiology, sociology, microbiology, chemistry, psychology, and nursing classes. For associate degree programs liberal arts is also a part of their coursework (Career as a Registered Nurse (RN), 23). Students must participate in supervised clinical experiences. These clinical rotations can be done in hospital departments such as maternity, psychiatry, pediatrics, and surgery (United States). Several other health care facilities that offer clinical experience include public health departments, home health agencies, nursing care facilities, and ambulatory clinics. Advantages and Disadvantages When deciding what degree should be obtained, students must consider everything before choosing what program is right for them (United States). If someone has chosen to take an associates program with a two year community college, they could be limited for advancement opportunities (United States). When someone takes a bachelor’s degree or higher with a four year university, they receive more training in areas such as communication, leadership and critical thinking and will have a better opportunity to obtain a higher position than someone with a associates degree (United States). People who obtain a bachelor’s degree have more clinical experience in nonhospital settings (United States). Bachelor’s degrees are often needed for teaching, consulting, and research positions (United States). Licenses In the United States, students are required to graduate from an approved nursing program before they are allowed to practice nursing. Students are required to take and pass the national licensing examination known as the National Council Licensure Examination or NCLEX-RN (United States). After successfully passing the NCLEX-RN exam students will obtain their nursing license. Other Qualifications Nurses are people who should love caring for others when they are sick and ill. They should be responsible and sympathetic for all patients. They need to be able to give people direction and supervise other co-workers who are under them. Nurses should be emotionally stable to be able cope with people who are suffering, dying, and emergency situations (Career as a Registered Nurse (RN), 19). Continuing education credits could be required in some states on regular bases (United States). Advancement Registered nurses most often start out as staff nurses in hospitals. The more experience the nurse acquires overtime, the more often the nurse will move to other departments or promoted to do jobs taking on more leadership roles and responsibility (United States). Registered nurses can advance from a head nurse to a senior-level nurse they are more of a director, vice president, chief of nursing and assistant director (United States). This job requires a graduate or an advancement degree in health services administration, and the administration program works with leadership, communication and excellent judgments (United States). If someone chose to advance in their nurse practice, there are four different advanced practice nurses to choose from they are: clinical nurse specialists, nurse anesthetists, nurse-midwife, and nurse practitioners (United States). When a nurse chooses one of the four types of advanced practice nurses, it requires a master’s degree (United States). New graduates should consider if they want to advance in their career when first applying for a job in order to ask the hiring team if there is room for advancement within the facility and the position they will be taking.

Saturday, September 28, 2019

Discussion Essay Example | Topics and Well Written Essays - 250 words - 136

Discussion - Essay Example Narratives are segregated into three parts, the beginning, middle, and the end. Wars have protagonists and antagonists that can be shaped to rationalize a topic in any work of art. However, war narratives including even the most thoughtful ones often face constraints. For instance, Full Metal Jacket, shows war as violent occurrence, brutal and awful. However, it equally turns war into a current narrative. In contentious films such as Meal jacket, the horrors are made part of the Joker’s change from a defenseless civilian to a perverse warrior who is no longer fearful. Adornos use of the term barbaric majorly in reference to writing poetry after Auschwitz was not intended to castigate poets and artists. It is implied in Adorno’s dictum that writing literature from differend is barbaric. Gallows humor is good in relieving the extreme emotional attachment that the audience may develop in the case of heart wrecking literature. In essence, Gallows humor relegates the seriousness that the society attaches to some occurrences such as death, crime, and disease. The use of gallows humor expresses the resistance of the ego to provocations and

Friday, September 27, 2019

Michelengelo Essay Example | Topics and Well Written Essays - 1250 words

Michelengelo - Essay Example He later shifted to sculptures after mastering painting. Michelangelo made many paintings while in Florence. His skill impressed the Pope and he got an invite to make a painting on the ceiling of the Sistine Church. Michelangelo was also an architect. He contributed his ideas to many architectural masterpieces that are in Italy today. His most celebrated contribution in the field of architecture is the St. Peters cathedral. He developed many principal features that can be seen at the cathedral including the design for the dome. Early works The earliest sculpture made by Michelangelo was the Battle of the Centaurs. He created the sculpture when he was about seventeen years old. This artwork is regarded highly due to its simplicity. He used solid forms that created squarish figures making the sculpture depict violence in an intense manner (Harden, 2008). The Medici family was overthrown following the death of Lorenzo in 1492. Michelangelo was forced to flee to Bologna where he continue d with his work. He made sculptures of three saints for the San Domenico church. Rome Michelangelo returned briefly to Florence before moving to Rome. In Rome he made a sculpture of a Bacchus for a banker. The Bacchus is the only large sculpture from the earlier days of Michelangelo’s art work that still survives to date. It is also the only sculpture designed to be viewed from all sides. The banker also paid Michelangelo to carve the Peita ( a carving in which Mary holds the dead body of Christ while on her knees) in 1498 (Pettit, 1998). The sculpture is presently located in St. Peters. The sculpture was larger than the usual life size sculptures. The theme of contrast was manifested a lot in the work. Mary’s position was vertical while the body of Christ lay horizontally. One person was alive while the other was dead. One was male and the other female. Florence In 1501 Michelangelo returned to Florence. By then, he was the most talented sculptor in Central Italy. The Florence cathedral commissioned him to carve the David. In 1504, he was commissioned to paint the Battle of Cascina. The painting depicted soldiers climbing from a river they had been swimming in to respond to a military distress call. Michelangelo continued to work on other large projects but he failed to finish most of them. In 1505, Michelangelo was summoned to Rome by Pope Julius II (1443–1513). He was requested to design the pope’s tomb. The tomb was to incorporate approximately 40 life size statues. Michelangelo worked on and off on the project for a period of forty years (Harden,2008). Statue of David This is the most acknowledged sculpture done by Michelangelo. When Michelangelo returned to Florence in 1501 after the fall of Girolamo Savonarola, he was asked to complete a statue of David that an earlier artist had left unfinished. The statue was to be a symbol of freedom. He responded by finishing the statue of David. This statue was a master work of art made of marble (Bonner, 2001). It established the prominence of Michelangelo as an artist with extraordinary skill and a creative imagination. Sistine Chapel The Sistine Chapel was the chief chapel in the Vatican. Michelangelo was commissioned by the Pope in 1508 to paint the ceiling of the Sistine chapel. The artwork done on this ceiling was unique compared to artwork done on other ceilings. The project halted for some months. When Michelangelo returned to continue with the project, his style shifted a bit to intensify emotional tension.

Thursday, September 26, 2019

Why Do Wars Happen Essay Example | Topics and Well Written Essays - 1250 words

Why Do Wars Happen - Essay Example Adopting the framework of Henry Nau, the basic insights offered to understand why wars and peace can happen are the realist, liberalist, and identity perspectives (Humphreys, 180). The class lectures of our course heavily used the book of Henry Nau and, thus, this discussion heavily used the lecture materials. The realist perspective holds that states must protect themselves and that the best protection will be found wherein states balance each other, meaning that no state is in a position to bully the other states because all states have the capability to subvert a bully either alone or with allies (Lecture 3, Slide 2). However, holding the other states in check so that no one would be in a position to bully or conquer another, require that states must arm themselves (Lecture 3, Slide 3). In addition, states will be unable to tap allies if they themselves are not armed (Lecture 3, Slide 3). For realists, transitional peace is possible if countries disarm. Yet, if a country disarms a nd others do not, the country that disarmed will not be in a position to defend herself. The country will be vulnerable to attacks and will be vulnerable to being conquered by the country that did not disarm. If on the other hand, all countries arm themselves to the teeth, a situation is created wherein a war scenario or an armed standoff can emerge (Lecture 3, Slide 6). This means there is a potential for war with an armed standoff (Lecture 3, Slide 6). There is a dilemma: if a country does not arm, she risks being bullied or conquered. If a country arms, she will risk a war or an armed standoff (Lecture 3, Slide 6). For a realist, countries will usually consider subjugation unacceptable. On the other hand, a country can consider peace to be too fragile and vulnerable to become a situation in which one country could re-arm to conquer the other. Thus, for realists, the â€Å"realistic† or appropriate situation to target is a situation of stand-off or parity of power (Lecture 3, Slide 6). On the same dilemma and situation confronted by realists, liberalists or liberalism holds that peace remains possible if institutions are created to make negotiations work better (Lecture 4, Slide 2). Liberalism argues that peace can be enforced if countries or states unite to punish states that fail to disarm (Lecture 4, Slide 2). Liberalists hold that another route towards peace is available if states who are disarming implement the disarmament by stages wherein participants to the disarmament observe each other (Lecture 4, Slide 3). Each country can implement the disarmament proportionate to the goodwill or initiative of each other (Lecture 4, Slide 3). A country can also reduce her arms in a manner calculated to inspire reciprocation from other countries to reduce their arms. In doing so, all countries in a disarmament program can reduce arms until the disarmament becomes full and complete (Lecture 4, Slide 4). A country can initiate goodwill reducing arms in the ex pectation that other countries will reciprocate the goodwill by implementing a proportionate disarmament. In the liberalist perspective or liberalism, institutions play an important role in the disarmament process because they can serve as third parties that can help countries involved in the disarmament (Lecture 4, Slide 4). The forerunner of the United Nations, for example, the League of Nations provided a mechanism whereby countries involved in international disputes are able to submit their dispute to the league for arbitration (Lecture 4, Slide 4). If the league finds or has come to believe or has deemed that a country is guilty of aggression, the league can enforce peace by imposing economic blockade or sanctions against the assumed aggressor (Lecture 4, Slide

Wednesday, September 25, 2019

The Rights of Women and the Rights of Humans Essay

The Rights of Women and the Rights of Humans - Essay Example According to the study the rights of women are violated through domestic violence such as battering meted at them, sexual discrimination, workplace discrimination on the basis of their genders, decision making in the political processes and many other areas. There are also cultural practices which discriminate unfairly against such as genital mutilation, poor nutrition and denial of education for the girl child in some communities. All these are atrocities directly faced by women on a daily basis but the dilemma both historically and conceptually is how to separate them from human rights. It becomes difficult because women just like men are humans and the question of human rights is invoked there is no differentiation between women and women. This essay highlights that it is very important for every person to realize that there is a difference between gender equality and human rights. In my opinion historical injustices that continue to be committed against women such as rape and denial of the right to education not only amount to violation of their rights as women but as humans. Many nations around the world have made deliberate efforts in terms of policy to educate their citizenry on the importance of treating women as equals with their male counterparts and abandon negative cultural practices such genital mutilation which negatively affect the lives of women. But the practices continue to happen on a daily basis, rape continues to happen, mutilation and denial of quality education continues in some communities.

Tuesday, September 24, 2019

Boosting employee morale Essay Example | Topics and Well Written Essays - 250 words

Boosting employee morale - Essay Example To test whether the skills or methods used in the process increases employee morale, the first step is to identify the variables involved. These could be qualitative or quantitative in nature (Johnson 304). The impact of increased employee morale can be quantitative, but the skills or methods applied are highly qualitative. To test the impact that skills or methods used create in boosting employee morale, quantifying skills/methods variables is vital. ANOVA tests suit this process (Johnson 357). Once the qualitative variables are quantified, they can be linked to the outcome of increased employee morale through the necessary testing steps in ANOVA statistical procedures. Achieving the above goal can be subject to a number of issues that influence the inferences made from the test. These are: difficulties in choosing the quantitative variable to use following improved employee morale (for example increased output or revenues), individual differences across employees may not be accounted for, and quantifying some qualitative variables of skills/methods nature may result in a totally different outcome. On the other hand, the testing design adopted exhibits both strengths and weaknesses. The quantification of qualitative variables makes the testing process quick and easier (Johnson 391). However, the testing procedure may be prone to statistical errors that may result in conclusive inferences that are rather

Monday, September 23, 2019

How health care is organized Essay Example | Topics and Well Written Essays - 750 words

How health care is organized - Essay Example Patients commonly visit primary care providers as compared to secondary and tertiary care providers. In case of secondary care, patients visit secondary care providers when they need specialized care services. For example: a person may visit a hospital because he/she may be experiencing cardiac attack. On the tertiary level, care is provided for disease and disorders that are very complex and need to be managed. Basically the structure of healthcare is such that primary healthcare level becomes the base of other health care levels. Those healthcare providers who operate at the primary level tend to work on issues that already exist and solutions for these issues are even available. First the patient visits the primary healthcare facility and if required the primary healthcare service providers tend to refer these patients to secondary healthcare service providers. If the patient needs emergency care or if he needs to be treated for illnesses that are difficult to tackle then only the y either directly visit the secondary or tertiary level healthcare providers or a referred to. There are two models of healthcare organization provided by Lord Dawson during 1920. One of these models is regarded as the regionalized model and this model is profoundly followed by healthcare in most of the nations. In this model health care is divided according to the level of care required (Brown, 1992, p.67). In the regionalized regimented model, first comes the primary care level which provides care which is ambulatory in nature. At this level the healthcare service providers are mostly those who are general physicians and take general issues and diseases into their practice. A very huge population of physicians in UK and other nations work as general physicians. The second level of healthcare is provided at the secondary level which mainly contains physicians who have specialized in some kind of medicine such as those who provide only surgery and those who provide psychiatric servi ces. These physicians either have their own clinics or they work as consultants for certain hospitals and work on patients who have been referred to them by general physicians or service providers of the primary level. The third level of care of the regionalized regimented model provided by the report created by Dawson is the tertiary level of healthcare and this level of healthcare consists of physicians who provide services for very complex issues and these physicians fall in the subcategories of the physicians of the secondary level. These physicians may include surgeons who provide surgery for cardiac issues and immunologists. The second model of healthcare system organization proposed by Dawson was the Dispersed Model in which a proper structure consisting of primary, secondary and tertiary levels do not flow as witnessed in the regionalized model (Bodenheimer, 2009, p.47). This kind of system is followed by the US health care system and in this kind of system referrals conduct ed by the primary level of healthcare does not exist. In this model, patients either use their insurance coverage or their own money to make referrals on their own or can refer themselves to either one of the three levels of healthcare. In the regionalized system, patients tend to first visit a primary healthcare service provider, but in the dispersed system, the patient can directly access the secondary and the tertiary leve

Sunday, September 22, 2019

Domestic Issue Essay Example for Free

Domestic Issue Essay One of the problems that the United States is currently facing is immigration. Every year, a large number of people immigrate to the country to start a new life. They believe this country will bring them answers and will solve their problems in the instant that they arrive. Many do get successful and live the life they dreamed of, and there are even more immigrants who become unfortunate. Still, the problem lies on the fact that too many immigrants exist in the country leaving less opportunities to the American people. It is a fact that these immigrants are talented and hardworking people. Because of their determination to succeed to help their families, most of them are willing to do anything just to make some money and be accepted in the workforce. Most of them agree even to be paid with the minimum amount because having a legal job is important. Employers prefer to hire these immigrants due to the ease of dealing with them. As a result, many Americans workers lose their opportunities to be hired by these employers. The competition is getting tougher, as the number of immigrants increase each year. Another problem that immigration can bring is the spread of diseases to the country. Immigrants come from all over the world and some of them may be hosts of communicable diseases including the human deficiency virus (HIV), hepatitis, or bird flu. This presents a threat to the health of Americans, and to the whole world. Immigration is not all negative if other aspects are analyzed. It might even be a very good thing for the country if it were not in excess. However, it is still a problem, which the

Saturday, September 21, 2019

History of Hospitality Essay Example for Free

History of Hospitality Essay Hospitality is the extension of home like services to persons other than of one’s household or immediate relative. Hospitality involves treating strangers and guests to warm welcome into strangers’ homes. Hospitality brings people who rarely know each other together. Hospitality is traced back to as early as human existence is known. The most intelligent of human evolution, the homo sapient was identified as indicating hospitality traits. The seventeenth century in the British culture had evidence of hospitality traits, (O’Connor, 2005). The face of hospitality though has changed over the centuries to what it is today. The emphasis of persons being hospitable towards fellow people has been relaxed and only a few institutions are left to practice it. Hospitality today is not much to be practiced by everyone but by a few who are deemed to naturally possess this quality as a gift. For there to be an in depth understanding of what is entailed in hospitality, a review of the ancient definition’s and motive of hospitality is necessary. This will help us determine whether the principles on which hospitality was founded have changed over time. Among the Greeks, hospitality was viewed as a sacred activity to honor their gods and thus the whole society was obliged to be hospitable (O’Gorman, 2005). Failure to extend hospitable attitudes towards guests or strangers invited the wrath of the supernatural. Greek and Roman Societies Hospitality was thought of as transferable from generation to generation. The virtue was not only a personal choice but was also applied in public affairs. Different types of guests were received at treated variously according to their status, (O’Gorman, 2005). Traders were received differently from cultural visitors. Hospitality was exercised even at national level where state or city guests were received with honour and dignity. Commercial hospitality was rare in the early Greek civilization. In the Roman culture, hospitality was expected to be an exercise of all pennons and it was more pronounced in the Greek society. Public hospitality was exercised by Rome and other countries. Hospitality is traceable even in religious writings like the Bible. Some fundamental principles are evident from the studies of early hospitality. Underlying Principles Hospitality was viewed as necessary for human existence. Because no person was immune to requiring hospitality services at some time, there was an obligation for all to be hospitable. Hospitality established and maintained relationships which cultivated togetherness. Hospitality was further viewed as an honorable tradition deserving passing from one generation to another. Being hospitable was to be practiced all through irrespective of changes in the world. Hospitality by then was stratified in that particular groups of person were accorded different treatment according to their social standing. The extent of the different groups of guests required that laws be established to govern this. This indicates that hospitality was highly valued in these early societies. There was an unwritten law that hospitality, once extended to a person, one had to respond by extending it to others. This ensured its continuity. In the ancient set up also, hospitality was used to gain honour for persons exercising it. The more a person is involved with receiving guests and strangers into their households, the more respected they became in the society. Emphasis was laid on domestic hospitality in which guests were welcomed in households. Hospitality Today The face of hospitality has evidently changed today. The society lays little emphasis in reception of visitors or strangers at large. Domestic hospitality today is a rare phenomenon. Today’s society treats strangers with suspicion and it therefore becomes harder for people to extend hospitality. With the growing security concerns, strangers are more likely to be shunned in the suspicion that they have malicious intentions. This is more so for the developed countries where homes are fenced to lock out intruders and sensors installed to man the compound. Commercialization The society today has commercialized hospitality services to the extent that it has lost its meaning. Hospitality is exercised only when the host stands to gain financially from the guest. The building of luxurious hotels across the world emphasizes this. Rarely would a sizeable town lack accommodation facilities for guests or people in transit. Without any gain from hosting these people, such hospitality centers would be inexistent. The commercialization of hospitality has further sidelined those needing the services from receiving them. Before a guest is booked into these hotels it has to be ascertained that they are able to pay accommodation fees. Guests are also required to produce many documents to identify themselves and at times, they are required to state their motives. Some guests are turned away if the hosts doubt them. The personalized sympathetic contact between a host and guest has been lost long the way (Dittmer, 1997). Suspicion Today also extension of kindness is raise suspicion. When persons become so hospitable even in the commercial facilities, the guest realizes that their hosts must be after favours. There are standard ways of showing hospitality in the commercial facilities and all workers and obliged to follow them. But when they do more than is required, guests become wary. This is in contrast with the traditional view where acts of hospitality were interpreted as well intended. Public Hospitality Public hospitality as exercised in the past was to build relationships between cities or states. The representatives of states were sent to foreign nations to foster better relations. Such persons were supposed to be received well in alien land. Failure to receive them with dignity and respect was regarded as abuse to their native lands. Today this principle is largely applied. Countries send their representatives to foreign lands to build friendships and also negotiate deals. These representatives are received in well built guest houses set apart for this very purpose. Reception of these people with great dignity is interpreted as friendliness towards countries (Hobbs, 2001). In businesses, there are established hospitality dockets which accord certain levels of treatment to their guests. A cup of tea is offered and some companies offer more. This is an extension of the past trends of building relationships thorough hospitality. A deviation from past hospitality trends lies in today’s detachment of the virtue with religion. In the past, hospitality was largely viewed as a religious obligation. With the developments in the science world, religious issues have progressively lost much meaning to some people. This removes personal obligation on individuals to be hospitable. It shows the extent to which modern society has abandoned collective responsibility to care for strangers leaving it in the hands of the commercial institutions (Hobbs, 2001). Hospitality is a virtue that every reason should exercise. The emphasis should not be resented to commercial facilities along but just as it was the practice traditionally, it is everyone’s responsibility to ensure guests and strangers are comfortable. The society today should redefine hospitality to what it used to be. Bibliography Dittmer, P. (1997) Early Development of the Hospitality Industry. Dimensions of the Hospitality Industry, New York: John Wiley and Sons, Inc. , pp. 33-77. O’Gorman, K (2005) Modern Hospitality: Lessons from the Past. Journal of Hospitality and Tourism Management, 12 (2), pp. 141-151. Hobbs, T (2001) Hospitality in the First Testament and the ‘Teleological Fallacy’’. Journal for the Study of the Old Testament, 26, (1), pp. 3-30. OConnor, D (2005) Towards a new interpretation of hospitality. International Journal of Contemporary Hospitality Management, 17, (3), pp. 267-271.

Friday, September 20, 2019

Treatment for Hypothyroidism

Treatment for Hypothyroidism Levothyroxine sodium is a synthetic thyroxine (T4) hormone, and is the mainstay of treatment for hypothyroidism and the suppression of thyroid stimulating hormone (TSH) in patients with thyroid cancer or after thyroidectomy.1 Two main properties of levothyroxine have contributed to a turbulent regulatory history. First, levothyroxine targets a narrow therapeutic range of T4 hormone and requires careful titration to a safe and effective dose.2 Second, levothyroxine is relatively unstable and its degradation is accelerated in response to environmental factors and in the presence of some inert product ingredients.3,4 Between 1991 and 1997 there were at least 10 recalls of different levothyroxine products mostly due to sub-potency or uncertain potency, comprising 150 lots and 100 million tablets.5 Although major regulatory changes were implemented to improve the quality and safety of levothyroxine products in 1997 and again in 2007,5-7 concerns persist about bioequivalence and variation in product potency.8 In a previous study of generic drug use from a nationally representative sample of commercial claims data in late 2013, we found that generic utilization of thyroid agents, mostly comprising levothyroxine, was 61%,9 despite the availability of generic preparations for >10 years. This utilization rate is markedly low given that overall generic uptake is approaching 90% in U.S.10 To encourage use of generic levothyroxine, more information is needed about the healthcare provider and patient barriers to uptake of generic preparations. We used a large electronic health records (EHR) database from a healthcare delivery system to evaluate measurable determinants of, and unexplained variation in, outpatient generic prescribing of levothyroxine. We hypothesized that both patient and provider factors contribute to generic levothyroxine prescribing and that residual variation in providers generic prescribing would persist after accounting for measurable factors. METHODS Race and ethnicity were captured by self-report during routine clinical practice in accordance with U.S. Census standards.13 We identified TSH laboratory results for each patient in the 12 months prior to the index prescription. In the case of multiple measurements, we chose the one closest to (but not after) the date that the index prescription was ordered. We also extracted information on other patient characteristics, including use of concomitant medications, insurance type, and clinical diagnoses. Insurance type was categorized as fee-for-service or preferred provider organization (FFS/PPO), health maintenance organization (HMO; including Medicare Advantage), Medicare, Medicaid, and unknown (including self-pay). For each patient, we calculated a Charlson Comorbidity Index (CCI) score based International Classification of Disease-9 encounter and problem-list diagnoses documented in the 12 months prior to the index prescription.14 We used 2010 U.S. Census block information to deter mine the median householdincome of the Census track in which patients reside as a proxy for socioeconomic status. We used information from the EHR database to characterize the index levothyroxine prescription. We classified the encounter at which the index prescription was ordered as an office or online/telephone encounter. The index prescription was classified as incident if there were no active prescriptions or pharmacy claims for this drug in the 12 months prior; otherwise it was classified as a renewal. For each patient, we quantified the duration of index prescription (recorded start date to the imputed end date, as determined by the prescribed daily dose, quantity dispensed, and number of refills). We quantified healthcare providers prescribing volume of levothyroxine by calculating the average number of levothyroxine prescriptions written per week in the three months prior to the index prescription for each patient. We also quantified healthcare providers total patient volume by calculating the average number of office encounters per week in the three months prior to the index prescription per patient. Statistical Methods We used mixed-effects multivariable logistic regression models to assess the relationship between generic prescribing of levothyroxine (dependent variable) and patient and prescription factors (level-1 predictor variables), and healthcare provider factors (level-2 predictor variables) (see Table 1). We assumed that patients with prescriptions from the same healthcare provider were more alike in their propensity to receive a generic than patients from different providers. Accordingly, we included random-effects (i.e., random intercepts) in our models for each prescribing healthcare provider of the index levothyroxine prescription (N=941). To quantify between-cluster variation, we calculated the intra-class correlation coefficient (ICC) in the absence of covariates (variance-components model) and in the presence of patient, prescription, and provider fixed-effect covariates (mixed-effects multivariable models). These models were also fitted separately by provider type (PCP and endocrin ologist). Odds ratios (OR) and 95% confidence intervals (CIs) were calculated for fixed-effect covariates. We derived predicted probabilities of receiving generic levothyroxine for each fixed-effect covariate from post-hoc estimation of adjusted means, holding all other variables constant.15 We included interaction terms in the mixed-effects multivariable model to examine effect modification by provider type for patient age, sex, race/ethnicity. When interactions were present, we calculated predicted probabilities of receiving generic levothyroxine for the covariate of interest stratified by provider type. Due to multiple comparisons within models, a P-value 220 days vs. 74% for prescriptions à ¢Ã¢â‚¬ °Ã‚ ¤60 days). Patients and providers may have been more accepting of generic levothyroxine when it would be taken for longer periods of time, reflecting lower cumulative out-of-pocket drug cost. The predicted probability of receiving generic levothyroxine was also higher for renewals than incident prescriptions (83 vs. 73%) and for online/telephone encounters versus office encounters (81% vs. 72%). These factors are related, as patients with a renewal more frequently receive levothyroxine during an online/telephone encounter than those with an incident prescription, yet they remained independent predictors of generic prescribing in the multivariable model. Among patients with a renewal, 84% received generic levothyroxine prior to the index prescription and, of those, the vast majority (92%) received a renewal for generic levothyroxine. It follows that patients were less likely to have been prescribed brand levothyroxine if they were already taking a generic. In a study of 36,832 older adults (à ¢Ã¢â‚¬ °Ã‚ ¥65 years) in the U.S. initiating narrow therapeutic index drugs, of which warfarin (48%) and levothyroxine (29%) were the most prevalent, predictors of higher generic drug initiation, included older age, male sex, higher comorbidity, lower Census block median household income, and prior generic utilization. These findings from a Medicare population are overall consistent with our results.23 In our study, bivariate analyses showed that HMO and Medicare beneficiaries were more likely to receive generic levothyroxine; however, this association was mitigated in the presence of other factors in multivariable analyses. We found that provider type was an effect modifier for the relationship between patient sex and generic prescribing of levothyroxine in multivariable models. In stratified analyses, while the predicted probability of receiving generic levothyroxine from a PCP was similar among women and men (81%, each), the probability of receiving a generic from an endocrinologist was disproportionately lower for women (63% vs. 71% for men). Because lower prescribing of generic levothyroxine was observed for endocrinologists but not PCPs, this occurrence is likely driven by provider rather than patient preferences. Future studies are warranted to understand these prescribing practices among endocrinologists. The results of this study should be interpreted in the context of several limitations. The retrospective, observational nature of this study prevents causal inferences. Furthermore, rates of generic prescribing of levothyroxine may overestimate generic utilization of this drug, as some patients may not consent to generic substitution at the pharmacy. Although California has a permissive generic substitution law, patients can still refuse a substitution. In the absence of pharmacy claims, we cannot know whether a generic or branded product was actually dispensed. Nevertheless, in a previous study we showed that our algorithm used to determine brand versus generic prescribing measured by EHR data performs well in predicting actual dispensing patterns.12 Thestudy setting is a healthcare delivery system in Northern California, and we cannot know if our findings are generalizable to other parts of the U.S.; however, the organization is a mixed-payer system, and operates much like other pr ovider-based delivery systems in the nation, without a single drug formulary. As such, we are confident that our findings are relevant to other similar health systems in the U.S. This study has several strengths. We used a relative large cohort of patients from a mixed-payer healthcare delivery system over a four-year period to examine patterns in and determinants of generic prescribing of levothyroxine. We leveraged extensive information from the health systems EHR database, including disease and medication history, TSH levels, and providers levothyroxine prescribing and patient volume. To our knowledge, this is the first study to quantify variation in generic prescribing of levothyroxine between healthcare providers. The presence of residual variation between providers in generic prescribing of levothyroxine, after controlling for important measurable confounders, indicates potential unwarranted variation due to prescribing preferences. Such variation, which may also be influenced by patient beliefs and preferences, can be the target of provider interventions or patient education aimed at improving levothyroxine generic uptake.

Thursday, September 19, 2019

The Non-Jewish Individual Essay -- Jewish History, Kafka

The Non-Jewish Individual Jewish history is a study of a people in exile. Since the destruction of the Temple of Jerusalem, the experience of the Jewish individual in relation to non-Jewish society has often been that of an outsider looking in. In addition, the distinct Jewish culture, religion, and philosophy identifiably marked the Jews as a separate people. Although this demarcation exposed the Jews to many negative ideological trends, Isaac Deutscher’s â€Å"The Non-Jewish Jew† argues that this marginalization enabled the great thinkers of the 19th and 20th centuries to revolutionize the European continent. As the title suggests, the non-Jewish Jews were individuals that abandoned Judaism. Deutscher argues that the historical exclusion imbued Jewish people with the innate perspective of the external critic. When the individuals liberated themselves from the ideological shackles of Judaism this now double marginalization provided the perspective of the extreme outsider. Once freed from both the restrictions of Jewish and Christian ideology they were then able to reinterpret society and develop the theories that would revolutionize the world. Deutscher asserts that the famous non-Jewish Jews such as Spinoza, Heine, Marx, and others were representatives of this perspective. In essence, their independence from society enabled them to criticize and fundamentally change the ideological landscape of Europe in ways that other thinkers bound by Christian or Jewish ideology could not. However, with an analysis of Deutscher’s argument through Franz Kafka’s â€Å"A Report to an Academy† it becomes clear that his â€Å"Non-Jewish Jews† were not only dependent upon society, but also more importantly they were not actually Jewish. Initially, Kakfa’s â€Å"... ...by the subjects of Deutscher’s â€Å"The Non-Jewish Jew† are reflected and exhibited in Deutscher’s work. His assertion that Jews have a special ability to critically analyze society because of their historical isolation supports the same race based ideology that the historical figures worked against. Additionally, the association of Marx, Heine, and the others to this racially decided independence from society fails to acknowledge their deep connection to their non-Jewish culture. Therefore, through an analysis of Deutscher’s work through the context of Kafka’s â€Å"A Report to an Academy† it becomes apparent that Deutscher undermines his argument by failing to appropriately state the relevance of the historical figures connection to society and most importantly, by allowing racial inflections to manipulate his perspective of his subject revolutionary individuals.

Wednesday, September 18, 2019

Are Our Morals Genetically Determined or Merely Assumed? :: Philosophy Biology Essays

In a recent commentary for BBC News, Clark McCauley, Professor of Psychology at Bryn Mawr College, analyzed the issue of human evolution from a standpoint that drew on his knowledge of psychology: gradual and collective changes in human behavior. According to McCauley, as environments and situations changed, human behavior was forced to adapt accordingly. In his comments, McCauley cites the example of disgust; although it is now a common human reaction, McCauley claims it once did not exist. As humans became less capable of digesting raw meat, disgust became an important deterring force that, through the process of evolution, became a familiar and shared part of human existence. Evidencing his claim, McCauley pointed to the fact that humans have a shared and easily recognizable facial and bodily response to disgust. Following McCauley's line of reasoning, if there is evidence that supports changes in active human behavior over time that can be attributed to the evolutionary process, it seems likely that other aspects of human cognition and its manifestations would also be subject to evolution. This paper will address the issue of the evolution of human morality; namely, whether morality is an aspect of humanity that is constructed or innate, and, depending on those findings, whether evolution plays any role in the process of determining our morals. In order to assess morality, we must first define it and identify the prevalent philosophy behind it. In this paper, morality is defined as the rules that determine what is 'right' and what is 'wrong'. In his dissertation, Van Mildert College Student Nicholas Giles notes that while we do have forces that counteract our morals (i.e. our own desires), morality is often the "limiting factor" of our behavior. We (as a majority) do not steal, because somehow we have internalized that this is a 'wrong' or immoral behavior. Giles uses the example of being nice to our friends, so as to be considered nice ourselves, to segue into a discussion of altruism. Although Giles sees altruism, the notion of giving to others at the expense of oneself, as a counterintuitive philosophy, he recognizes that it the philosophical basis for morality (1). The biological basis for altruism seems fairly straightforward: organisms that put the welfare of other organisms before their own will be less successful than 'selfish' organisms. However, there are situation specific benefits to altruism; in many cases, organisms in a group will fare better than individual organisms (1).

Tuesday, September 17, 2019

Barriers to communication Essay

Some communication barriers happen when the person doesn’t know if someone is deaf, blind etc. So this may make things a lot difficult as the person trying to understand the message being sent may think they are ignoring them or just trying to use signals to get them to understand that they may not be able to hear or see them. Communication between people is mainly about sharing new information to one another. For example someone may ask someone what number bus they might need to catch or if they can have a glass of water. Sometimes communication will be complex. A relative may want to know something about wanting to fund for care. Communication involving funding may involve complex communication. In a situation like this then it would be important to make sure that the relative understands the information that has been provided. Most care workers like to build a strong relationship with someone to get a better understanding of them which can provide emotional support. Most communication involves emotional issues being difficult or sensitive. There would be no advice or information that would be useful to a person if they are feeling overwhelmed by most people do like the comfort of other people at these emotional times. Difficult or sensitive situation is focused on the person’s emotional issues rather than giving them information on stuff they don’t feel like talking about. Sometimes by creating a caring relationship with someone then it is about being able to understand the person feelings that they may be experiencing at that moment in time. Sometimes being with a person who is often lonely, anxious or depressed can provide them with comfort. Sometimes using nonverbal communication about how you are feeling then it can be more effective than words being spoken. Most care workers like to create their own barriers as they feel stressed by listening to the emotional needs of the people that they work with. Mainly listening to other people’s emotional needs can be often frightening or depressing. Most carers will sometimes stop listening in order to not hear about their painful emotions. Tiredness and lack of time to avoid the emotional stress of others can create a barrier from providing a caring environment. Building an understanding of another person can be rather difficult if their personality or self-esteem is low and they need to create  a barrier. People who may be depressed or anxious can experience negative thoughts that can just come to them. By attempting these thoughts and feelings can make them try to find a way through a brick wall. It may make them feel like there is an emotional barrier stopping them from experiencing some positive emotions. Some people may have a preferred language that they like to use to communicate with others. This preferred language will sometimes be obvious to that person. Most people in different communities will use their own language. Some people will use jargon, dialect or slang to communicate effectively with the people of their own language. These sometimes can create barriers to an understanding. Sensory impairment means that people’s senses do not work effectively. Impairments can create the first kind of communication barrier when information isn’t fully or received or misunderstood. A disability is not the same as impairment. But some people experiencing the barriers may be different as they may have a communication disability by not being able to say what they want to say. For example, a deaf person will have no problem communicating to a person who is good at sign language as they will understand them. But the person may not be able to communicate with people who only use spoken English without the aid of an interpreter. Building an understanding of other people’s needs will take some time and effort. Making assumptions may cause people to misinterpret what another person might be trying to communicate. For example, people might believe that they don’t need to listen to what another person has to say because they might already know what their needs might be. Most care workers who might use the communication cycle are less likely to make assumptions as they will check that they understand. Assumptions can create barriers as people can stop listening and might stop checking that they understand other people’s communication. Many people make assumptions based on people who have a disability which can mean that they are damaged as a normal person. When disabled people are seen this way then they may get ignored. Some people who have communication difficulties are sometimes assumed to be mentally impaired. People who are older will sometimes be seen as demented or confused if they are not able to answer questions quickly, correctly or clearly. Many care workers do not bother to check their assumptions about  people, but those assumptions can be turned into prejudices. Prejudices can lead into discrimination against someone. When a person experience strong emotions or if their self-esteem gets threatened then that person may become aggressive and may use submissive communication so they will be creating their own barriers. Most barriers are associated with cultural variation culture which refers to the different customs and assumptions that many communities of people adopt. Different ethnic and religious groups may have different cultures, different ages, occupational and geographical groups which can also make different cultural assumptions. Using words and non-verbal communication can be interpreted differently depending on the context and the culture of the person using them. For example, the word ‘hot’ may have different meanings depending on the context in which the person is using it. Using formal context, ‘hot’ can also refer to someone having a high temperature. In other speech communities an object may be hot if it has been stolen or if it is desirable. Also a hot person might be very good at something, or maybe someone who has overcome a certain desire. Communication may be interpreted by a fixed cultural standpoint, where serious misunderstanding may occur. To make sense of spoken and non-verbal language then people need to understand the context of the person they are communicating with. An example of non-verbal cultural variation might be someone communicating by using hand gestures in which the palm is held up and facing forward. It is also important that people do not make assumptions about non-verbal messages as they should always be checked. Non-verbal messages can mean different things depending on the circumstance s if the people sending the messages. Also if someone cannot control or make decisions about their own life then they may fail to develop or they might lose their sense of wellbeing. If care workers control someone then their self-esteem may get damaged. Care workers should seek to empower people who also use that service. Empowerment means giving power to other people. Also people who may use that service should be empowered to believe that they are allowed to make their own choices and to make sure they take control of their own life. Many people have different belief systems about what is important in their life and how people should live their lives. The values and principles that we think as being important or valuable, show’s how we live our lives. When people have different belief systems and values then  it may be easy for them to misinterpret someone else’s intentions when attempting to communicate. Many assumptions, belief systems and values can therefore create barriers for an understanding. Also it is important that people try to learn about other people’s beliefs and values in order to make an understanding of what they are trying to communicate. The use and abuse of power requires that all workers respect one another and support the people who use the same services and to be able to control their own lives. However, there is always danger that if a care worker is short of time then they will seek to control the people they work with. Also it may be an abuse power if care workers deliberately control others. People who use alcohol and drugs can influence a person’s ability to send a clear verbal or non-verbal message. Drugs that affect the functioning of the central nervous system can then result in messages not being received or misunderstood and can also distort interpretations of the messages. Alcohol and drug abuse can therefore create all barriers to commu nication as it can cause people to become frustrated or aggressive when trying to communicate.

Monday, September 16, 2019

GEICO Culture: Nicely’s approach to the Four Functions of Management

In the mid-1930s, at the height of the Great Depression, there weren't many people with the foresight and courage to start up a new company. Yet the husband and wife team of Leo and Lillian Goodwin were up to the challenge. Confident that he could create a successful auto insurance business by marketing directly to carefully targeted customer groups, Leo Goodwin hammered out a business plan during his early career in Texas. In 1936, he put that plan into action, establishing the Government Employees Insurance Company–the company known and loved today as GEICO. Few people realize that GEICO was initially targeted to federal employees and certain categories of enlisted military officers. From the 1960’s to the early 90’s GEICO had other CEO’s in place but it was not until 1993 that the company began to change as a whole. In 1993, Olza â€Å"Tony† Nicely was named GEICO's new chairman, president and CEO, and worked to expand the customer base through a new four-company strategy. Along with it came an increased advertising budget which propelled GEICO toward much higher national visibility. In all successful corporations planning is essential. Planning is the first and most important step in the process of successfully managing a corporation. Planning activities determine an organization’s objectives and establish appropriate strategies for achieving them. The organizing, controlling, and leading functions of management are all derived from planning. All members of management in any organization must plan. Through plans managers are able to communicate their expectations and strategic plans to achieve corporate mission. Tony Nicely, GEICO’s CEO understands the importance of planning. Nicely is very involved in the planning process and stays abreast of the corporate business stance as well as how each functional department plans to achieve corporate goals. Nicely meets with top management to develop plans for the upcoming year. The decisions and plans made by top level management are communicated to mid-level management in the form of business level plans. Mid-level management is responsible for creating functional level plans where. The use of this systematic approach to planning ensures that each level of the hierarchy within an organization understands the corporate mission and their role in achieving it. GEICO’s planning is centered around its 7 operating principles: * Respect: Respect, support and provide opportunity for all associates. * Service: Be fanatics for outstanding customer service. * Low-Cost: Be the low-cost provider. * Integrity: Operate with uncompromising integrity. * Discipline: Maintain a disciplined balance sheet. Profitable Growth: Make an underwriting profit while achieving optimum growth. * Invest: Invest for total return. Organizing The second function of management is organization. We need to organize everything we need in order to achieve our goal. We need to find people who will work on that project and we need to gather resources which we need to reach our goal. Once we organize everything we can move to the third function of four functions of management. Creates a structure of task and authority relationships that supports attainment of organizational goals. Organizing is the process of structuring both human and physical resources to accomplish organizational objectives. Thus, organizing involves dividing tasks into jobs, delegating authority, determing the appropriate bases for departmentalizing hoibsm and deciding the optimum numbers of jobs in each department. Leading The third function is directing or leading. We need to lead people to use the resources we prepared in the second function. Leading is probably the hardest function of all four. We need to know our people in order to lead them correctly Controlling The last function is controlling. This one is as any other of the four functions of management very important. We first must explain what controlling actually is. This is not just controlling over workers as one might think, this is also the controlling of your programs and your goal achievement at the end. This last function enables us to improve our skills and process in future by correcting errors that happened during this cycle.

Sunday, September 15, 2019

Ethical Leadership Reputation Matrix Essay

1. â€Å"There is no I in Team.† One for all and all for one best describes utilitarianism 2. â€Å"There is no I in team, but there is an M and a E (me).† To seek the greatest amount of pleasure for self and the majority of the group best describes Hedonism. 3. â€Å"I will do my best to do my duty†¦Ã¢â‚¬  To strive for excellence in everything you and others do and say best describes   Deontology. Multiple Choice 4. According to the Executive Ethical Leadership Reputation Matrix, is an executive characterized as a weak â€Å"moral person† and a strong â€Å"moral manager.† a) Unethical leader b) Ethical leader c) Ethically neutral leader d) Hypocritical leader 5. According to the Executive Ethical Leadership Reputation Matrix, is an executive characterized as a strong â€Å"moral person† and a strong â€Å"moral manager.† a) Unethical leader b) Ethical leader c) Ethically neutral leader d) Hypocritical leader 6. Which of the following is false? C a) Any attempt to change an organization’s ethics must consider the entire cultural system. b) A cultural system includes both formal and informal systems. c) An effective culture change may take as long as 1 to 2 years. d) New rules and values must be reinforced via training programs and reward systems. 7. Weak organizational cultures are: B a) desirable if an organization has many subcultures. b) desirable if an organization wants diversity of thought and action. c) desirable if an organization wants behavioral consistency. d) undesirable in all situations. 8. True or False? Given the less hierarchical organizational structures that are more common place today, it is less important to have strongly aligned ethical culture to guide employees in their independent decision-making. False 9. It is sufficient for executive leaders to be ethical persons and make ethical decisions. Employees do as they see. False 10. Cognitive moral development tells us that most people are looking outside of themselves for guidance on decision-making. This means that stated organizational policy can be an important source of guidance for employees in making decisions. True 11. The more a firm demands unquestioning obedience to authority, the more likely the firm will experience higher levels of unethical conduct among their employees. True 12. Describing the decision-making process in the language of ethics does not help individuals make more ethical decisions. False 13. An ethical culture is maintained through alignment between the formal and informal systems. True 14. A 2006 study found that 82 percent of Americans would prefer to be paid less but work for an ethical company than be paid more and work for an unethical company. True Reference: Matching Key Terms and Definitions a) Strong organizational culture b) Weak organizational culture c) Socialization (or enculturation) 15. Standards and guidelines that are known and widely shared by all. A 16. Subcultures within divisions or departments that are more likely to guide behavior. B 17. Process promoted through formal and informal transmission of norms. C Reference: Matching Key Terms and Definitions a) Heroes b) Norms c) Rituals d) Myths 18. Symbolically tells employees what the organization wants them to do and how it expects them to do it. C 19. Standards of behavior that are accepted as appropriate by members of a group. B 20. Symbolic figures who set standards of performance by modeling certain behaviors. A 21. Anecdotes about a sequence of events drawn from an organization’s history. D True or False? 22. It is unethical for managers to â€Å"control† employees’ ethical behavior through direct management and the organization’s formal and informal cultural systems. False Multiple Choice 23. Students may need more ethics training because research has found that they rank lower in moral reasoning than other students. a) Philosophy b) Political science c) Business d) Medicine 24. Ethical behavior can be influenced by a) an individual’s religion b) an organization’s culture c) ethical training d) an individual’s personality e) all of the above 25. According to the authors, ethical behavior is defined as: a) a set of moral principles or values that guide an individual b) rules of behavior set by the Federal government c) principles, norms, and standards agreed upon by society d) none of the above True or False? 26. According to the authors, most people are guided by a strict internal moral compass and will False 27. When employees come to an organization, they have already developed into â€Å"good† or â€Å"bad† apples. Therefore, there is little a manager can do to impact an employee’s ethical behavior. False 28. Federal laws define what is ethical. Therefore, all unethical behavior is considered unlawful. False 29. Discarding the few â€Å"bad apples† will usually solve all of the ethical problems within an organization. False Multiple Choice 30. of the following statements about the Organization for Economic Cooperation and Development (OECD) Anti-Bribery Convention (the â€Å"Convention†) which are untrue. a.Participating countries include countries in Western Europe and North America b.The Convention requires signatories to make it a crime to bribe foreign public officials c.The Convention includes the application of criminal penalties d.The Convention bans gifts to political parties e.The Convention outlaws tax deductibility for bribes f.All are statements are true g.Statements d and e are untrue Bonus Questions: IBriefly describe and provide examples of three steps involved in changing an organization’s culture. 1. Diagnosis of the current state of the organization’s culture 2. Implementing a plan of change 3. Evaluating the state of the organizational culture after a plan has been implemented. IIIs there a difference between ethics, and morals? Explain your answer. Ethics is what is considered a right course of actions. (The Norm) Morals are what you consider a right course of action. (Personal Belief) IIIExplain why ethics without religion appears beneficial to the Theist as well as the Non-theist (Atheist)? Ethics without religion is an acceptable norm for theists and non-theists. An example of ethics without religion may include traffic lights. They are created for the greater good of society without regards to religious beliefs.

Saturday, September 14, 2019

History of Physical Education

Brief History of Physical Education A brief history of physical education in the United States would kick off in the nineteenth century. There was growing popularity of formal physical education programs all across Europe where calisthenics and gymnastics were all the rage. American schools looked to follow the European model by incorporating physical education into the curriculum for primary and secondary schools. And a brief history of physical education would not be complete with a consideration of institutes of higher education that gradually built up extremely successful sports programs.How it began The brief history of physical education would start in just about 1820 when schools focused on gymnastics, hygiene training and care and development of the human body. By the year 1950, over 400 institutes had introduced majors in physical education. The Young Men's Christian Association launched its very first chapter in 1851 and focused on physical activities. Colleges were encoura ged to focus on intramural sports particularly track, field and football.But physical education became a formal requirement following the civil war when many states opted to pass laws that required schools to incorporate a substantial physical education component into their curriculums. But it was not till 1970 that an amendment was made to the Federal Education Act that allowed women from high school and college to compete in athletic competitions. Sex-based discrimination was completely outlawed from government funded programs at this point. THE HISTORY OF PHYSICAL EDUCATION AND ADAPTED PHYSICAL ACTIVITY IN GREECEIn Greece the latest years special education has followed the same progression as in any other country in Europe but in a very slow pace. Specifically, Special Education services were available to Greek children since the beginning of the 20th century, adapted Physical Education was introduced the last two decades. After the first half of the century various associations developed intense activity with the aim to protect specific groups of people with special needs such as, the blind, the deaf and motionaly disabled.The initiative had clearly charitable characteristics with pity as the main feeling. The state welfare was non-existent every kind of care and prevention was accorded to the authorization of the charitable organization that with full power decided during the course of the years about the life and the future of thousands of people with special needs. The offers of the individuals had the form of institutional care (enclosed protection) with the offer of basic knowledge.The interest of private initiative led to the introduction of various institutional units and schools; firstly in the area of Attica and then in other cities of Greece. Some of the first institutions, which were created, was the â€Å"house of the blind† in 1906, the â€Å"house of the deaf and dump† in 1923, and the â€Å"Hellenic organization for the protec tion and rehabilitation of disabled children†. In 1937 much late there were more branches created such as the â€Å"national institution for the protection of the deaf and dump† in 1937, the â€Å"lighthouse of the blind† in 1946, the â€Å" school of the blind in North Greece† in 1948 etc.These institutions housed a great number of children but the role of the individuals was not only always a charitable one. However, the private sector helped in its way the state preparation so as to take up later the responsibility and interfere institutionally. The first state interferences began in 50’s and concerned mainly legislation arrangements for the blind and after for the motionaly disabled. The state however was interested in the group of the mentally retarded children and later in the motionaly disabled, which the private agents had completely ignored.The first school, which was founded by the state for the mentally retarded children, was the â€Å" original special school of Athens† in 1937. Many people considerthe state interference in the space of special education during the 30’s non-occasional. The considerable evolutions of pedagogical and psychology sciences, the establishment of obligatory attendance for all the children and the great number of mentally retarded children comparatively with other groups of â€Å" inferior individuals† was a reality which the Greek state could not ignore.From the mid of 50’s the 70’s the developments in special education came again from the wide activity of the private sector while the state followed with mainly legislation inferences and the well known sympathy towards the people with special needs. So, during this period educational units were founded and â€Å"deaf and dumb† schools in various areas of Greece and units for motionaly-disabled people. Another offer of the private sector was the foundation of children’s neuropsychiatry clini cs and schools for the group of â€Å"marginal adults† and â€Å" mentally retarded children†.The exemplification of the Greek state and the educational policy of the western countries begins in the mid of the 70’s approximately. Specifically towards the end of the 70’s measures were promoted for the professional rehabilitation of the disabled by giving motives to employers for the employment of these people. Since 1980 and then special classes for the children with, learning difficulties and slight mental retardment began to be estamplished.The Greek state in the 80’s seems to desire to participate actively with the other social factors in an attempt of reorganization of the philosophy and pre-existent structure concerning the people with special needs, which imposed their life and social back round. Precisely, emphasis was given in the whole development and the development of the potential of the people with special needs, their introduction in t he productive procedure and their mutual acceptance in the social group.Today, thousands of individuals with disabilities are introduced to sports in various settings such as schools or in sports clubs in both segregated and integrated settings by a variety of national and international organizations. The momentum for such change is contributed to several reasons: †¢ One of the most important reason is the introduction and approval of a new law, which mandates not only free public education for all children, but most important integration of children with disabilities in schools settings.This law is consideredas a springboard for the recognition for all children’s rights to participate in physical education activities. †¢ A second reason, is beginning of 90’s the implementation of the program â€Å"Sports for All†, which is organized by the General Secretariat of Sports and implemented with the support of different municipalities within Greece. †¢ A third reason, is the mandatory exposure of all students of physical education in adapted physical activity course work during their core university studies.In this way they have the opportunity not only to be introduced, but also to become specialized later on this subject. This has considerably affected their attitude to teach integrated sports. †¢ A fourth reason is the organization of the Paralympic Games of 2004, which is considered one of the largest events in the world. Due to the magnitude of this event, Greece started to evaluate the current status of the movement for sports for the disabled people, as well as, begin to take important actions towards the best organization of the games. History of Physical Education PREFACE To provide a meaningful background of physical education and sport in modern society it is helpful to have a clear understanding of its role in the past and how it emerged. The purpose of this assignment is to outline the history of physical education since time immemorial. The text begins with the beginning of the humankind engaging in physical activities, showing the history of physical education and sport being a rich tapestry of people, places, events and social forces from early civilization to the present time through transitional periods. INTRODUCTIONThe ground of education as a whole is going through remarkable challenges to serve the needs of the individual and the society, and this trend is reflected in physical education also. The history of physical education goes back to the earliest times, if we think of it in the simple terms of fitness and has existed since human society in one form or other. Since early history, even before the dawn of civilization and cultur e, physical exercise has been a very important aspect of human existence and it was not so long ago that it was called† physical culture† or â€Å"physical training†.THE PALEOLITHIC PERIOD Primitive humans began life in the â€Å"Stone Age. † What can they be called? Paleolithic people, Stone agers, primitive humans or cave men. They were hunters and gatherers. They hunted wild game and fished; they gathered veggies, berries and nuts. Primitive humans depended entirely on nature for food. Primitive men moved according to their satisfaction, needs and necessity. They needed to be fit to be able to go through their journey to hunt for food and water. Being nomads and hunters, they were people who had to be persistently hunting and gathering food for survival.Their trips regularly lasted for one-to-two days for food or water and were meant for regular physical activity to be produced. When they successfully hunted, they would travel many miles and miles to cel ebrate with family and friends. Physical activities were not organized by them. The necessity for survival which is the protection against hostile environment and wild beasts, and sometimes the engagement in murder to insure their protection, motivated these men to keep themselves physically ? t and strong enough compared to stronger forces of nature. In those days there were no machines to help people in their work.That is why they had to depend exclusively upon their physical powers and physical skill. They considered their body to be their prize possession, so their primary concern was to maintain and protect their body. The order of the day was the survival of the most fit. Their sociable nature was inborn and drew only by mating and propagation that gave them the desire to dance and play, which were not being organized. Men lived in such a state for thousands of years. There was neither any organization nor system. Most of their acts were learnt by the young generations by the competence of imitation rather than instruction.This lifestyle created many physical activities and a high level fitness which defined human life. THE NEOLITHIC TRANSITION Neolithic people lived during the â€Å"New Stone Age†, from 9000 to 8000 B. C. This was the transitional period in which pre- historic societies began to control their surroundings and form civilization. The two most significant developments were the domestication of animals and farming. Their society was different from Paleolithic culture because they lived in established communities, domesticated animals and cultivated crops.As they improved their society they developed skills like spinning, weaving and building. They also made tombs and religious items. Men and women gave up hunting gathering as the only sources of living and learnt to produce their own food. Agriculture and the raise of cattle were discovered and increased to a productive economy. Many villages were built generally located next to rive rs. Then came the creation of the plow, so the difficult tasks being done by the animals and other agricultural development brought the beginning of a less active lifestyle.Social organization became more complex in the first villages, and then towns. Different kind of chiefs appeared and gave rise to a political system. There was class system whereby society was divided into rich and poor. A specialization of work took place. Apart from peasants and cattle farmers, new economical activities such as craftsmanship (fabric, pottery) were born. This era in history symbolizes the beginning of a more sedentary lifestyle, as man began to lessen some hardships of life while simultaneously decreasing daily physical activity.ANCIENT CIVILIZATIONS (2500-250 B. C. ) (i) China In China, the participation of regular physical activity was encouraged by the philosophical teachings. There were no such words in the Chinese vocabulary entirely corresponding to the Western terms of â€Å"sport† and â€Å"physical education†. Such physical exercises as wrestling, swordplay, archery, charioteering and horse-racing were all incorporated in the military training and therefore came under the general term of â€Å"wuyi,† or â€Å"martial arts. † Kung Fu gymnastics was developed to keep the body in good and working condition.It consisted of various stances and movements, patterned by separate foot works and imitations of different kind of animals’ fighting styles. (ii) India India has a long recorded history of civilization but physical activity was not encouraged because of the religious teachings over there. The teachings of Buddha restricted most of the sports and games practiced by other early civilizations. However, an exercise programs known as â€Å"yoga†, same as the Chinese Cong Fu gymnastics, was developed and some other physical activities as well. According to the Hindu priests, Yoga signifies the development of body, mind, and spir it.The Ancient Indian philosophers recognized the health benefits of Yoga, which consisted of the proper functioning of organs and the whole well-being. There have been many physical activities but were never treated as a part of general education, they were mostly an entry to military career. ANCIENT GREECE: THE HEART OF PHYSICAL EDUCATION & SPORT (2500-200 B. C. ) The western civilization began with the Greeks. They were the first one to provide a methodical and philosophical attitude toward education, physical education and sport. It is believed that no other civilization has held fitness in such appreciation as the ancient Greece had.The admiration for beauty of the body and importance of health and fitness throughout society is one that is beyond compare in history. For the Greeks, the development of the body was equivalently as important as development of the mind. They believed that the physical well-being was crucial for the mental well –being. During that period, the Greek states were frequently at war with each other. The Fighting abilities were very much associated with physical fitness levels, therefore making it very important for the people to maintain high level of fitness.Athens and Sparta were the two most famous city-states and dominant force of the Greek civilization. Sparta was already militaristic by 700 B. C. Spartans were derisive of intellectualism. They were generally suspicious and conventional. All that mattered to the Spartans was being a warrior. Athens was the more democratic of the two city-states. Both city-states served the people and their needs although they were very different. Being a potential warrior was all that mattered to the Spartans. Athens was the more democratic of the two city-states. SPARTAThe Spartan system was much more autocratic. Male children were taken at the age of seven to learn the basic military skills while living in barracks. Little emphasis was placed on the arts, sciences, philosophy and lite rature. Physical activities such as gymnastics, running, jumping, boxing, wrestling and pankration (a brutal combination of  boxing and wrestling) were provided to produce powerful warriors. When the children reached the age of fourteen, they were taught group fighting tactics which would allow them to succeed while in the military from the ages of twenty to thirty.Girls did not live in public military  barracks like the boys, but they participated in discuss, gymnastics, horse riding,  javelin, swimming, running, and wrestling at separate training grounds. The objective for women’s physical education was to enable them to produce healthy and strong potential warriors. At the age of thirty, the men could then marry women who were fit and healthy so that they could make strong babies, therefore future warriors. ATHENS For the Athenian -The motto for education was â€Å"a sound mind in a sound body† (mens sana in corpore sano) Athens was quite different compared to the Sparta.The Athenian culture was a very much more freethinking and democratic society specially noted for its art, literature, philosophy as well as its political system. There were citizens, foreign settlers and slaves but only the citizens were provided with educational opportunities. When compared to Sparta, education was very different in Athens. Women had no physical education compared to Sparta. They put much more emphasis toward intellectual quest. Their objective was similar to Sparta that is preparing male warriors.Athenian education was a balance between music (including poetry) and gymnastics which enveloped a range of physical activities. Physical education was provided to the students with a series of graded activities at the Palestra, which consisted of an indoor facility for gymnastics, and to an outdoor space for boxing, discus, javelin, running, jumping, pankration, pentathlon and wrestling. Many of these athletic events were part of the four great sport and rel igious festivals which consisted of the Olympic, Isthmian, Pythian and Nemean Games.These games started as simple athletic contests dedicated to Greek gods, but the Olympic Games, in particular, over 1000 years, became increasingly complex encompassing events for boys and men in running over different distances, pentathlon, wrestling, races in armour, chariot races, and pankration. As of education more broadly, the clear objectives of physical education in Athens were to educate the mind and the body and to produce a well integrated person. ROMANS The political ambition of Rome incorporated physical education into a national program for the preparation of military.Therefore, similar to the Greeks, sports, games and physical recreation were meant to prepare boys and young men for military service. Physical education for the Romans was about athletics, which was entertainment above all. All Roman citizens between the ages of 17 and 60 had to be fit for the military service, so it was very important for all the citizens to maintain good physical condition and be prepared. Military training consisted of activities such as running, marching, jumping, and discus and javelin throwing. The fitness levels of the general Roman population declined as individuals became attracted to wealth and entertainment.People were forced to fight to the death, and oftentimes fed to lions. Women were not as marginalized in Rome as they were in Greek city-states. Some sporting events were organized for young women such as swimming, dancing, and light exercise was common, especially among the privileged classes. THE DARK (476-1000) AND MIDDLE AGES (900-1400) The Middle Ages saw the fall of the Roman Empire which was conquered by Barbarians from Northern Europe, whereby the lavish lifestyles of the Romans had resulted in the complete decay of the society's fitness level.There was the rise of Christianity, and the Christian’s influence brought about a denial of physical activity fo r anything other than manual labor. They viewed physical play as immoral, so they halted the Olympic Games in 394. The barbarians from Northern Europe were similar to the primitive humans. Their way of life consisted of hunting and gathering food, so physical activity and fitness were fundamentals for survival. Thus, despite the downfall of the Roman Empire, fitness experienced a revival during the Dark and Middle ages because survival during these challenging times required it. THE RENAISSANCE (1400-1600)During the Renaissance, a renewed appreciation for human life evolved creating an environment which was ready for the widespread development of physical education; revival of ancient Greek ideals throughout Europe. There were many people which included the religious leader;Martin Luther, the philosopher; John Locke, physical educators; Vittorino da Feltra, John Comenius, and Richard Mulcaster carried on that high fitness levels improved intellectual learning. But in the 1600s peopl e believed that if it did not have any specific purpose than just a waste of time. PHYSICAL EDUCATION AS FROM THE 1700SThere was a big change in physical education during the 1700’s which can be mostly accredited to three people: Jean Jacques Rousseau, Johan Simon, and Guts Muths. Rousseau was the first person to promote education for the people and he also concluded play as being educational and stressed the importance of physical education to the development of a strong body. In the mid 1700s, Johan Simon became the first physical education teacher and stressed on the fact that physical education should be taught along with reading and writing. Simon believed physical education should include a lot of physical effort.Guts Muths developed a series of gymnastic apparatuses and believed that very important social skills are developed through physical education. These people of that time and the things they did began to pave the road to where we are today. In 19th-century, the first indoor gymnasium was built in Germany and some countries such as Europe, Sweden and Germany developed systems of gymnastics that were adopted internationally. A gymnasium was also build in Finland where exercise was for the first time seen as a way to achieve physical treatment. In connection to exercise, students started to study anatomy and physiology.Denmark was among the first countries to require physical education in schools. By the 1820s, some American schools offered gymnasium and physical education. The physical education included the development and care of the body, and training in hygiene, callisthenic exercises, gymnastics, and the performance and management of athletic games. CONCLUSION Physical education has a cultural heritage and background which started at the dawn of civilization. Primitive human being had to be very active and physically to survive. Farming began in its primitive form and made people have more physical activity from only working in the fiel ds.People fitness levels changed here and the also began seeing a more sedentary lifestyle. Ancient Greek culture depended upon preparing its young men for war. Training for battle was not an option, but a prerequisite. Ancient physical education programs concentrated exclusively on activities that trained soldiers. The significance of physical education no longer concentrates solely on training soldiers for battle and ancient athletes for victories but for the wholesome development of a person. It began in ancient Greece and made its way around the world. REFERENCES S. E. Smith. (). What was the Neolithic Period?. Available: http://www. isegeek. com/what-was-the-neolithic-period. htm. Last accessed: 30th Oct 2012. Charles A. Bucher. (1983). Historical foundations of physical education and sport. In: Nancy K. Roberson Foundations of physical education and sport. US: The C. V. Mosby Company. P133-155. http://www. cals. ncsu. edu/agexed/aee501/rousseau. html http://prezi. com/ieokiwmd e3ni/history-of-physical-education/ Howel et al. 1994. History Of Sport And Physical Education. In: Foundations of Physical Education,pp. 17-117 A. Bruce Frederick. (). Gymnastics. Available: http://www. britannica. com/EBchecked/topic/250277/gymnastics#ref700589. Last accessed: 01st nov 2012. History of Physical Education Brief History of Physical Education A brief history of physical education in the United States would kick off in the nineteenth century. There was growing popularity of formal physical education programs all across Europe where calisthenics and gymnastics were all the rage. American schools looked to follow the European model by incorporating physical education into the curriculum for primary and secondary schools. And a brief history of physical education would not be complete with a consideration of institutes of higher education that gradually built up extremely successful sports programs.How it began The brief history of physical education would start in just about 1820 when schools focused on gymnastics, hygiene training and care and development of the human body. By the year 1950, over 400 institutes had introduced majors in physical education. The Young Men's Christian Association launched its very first chapter in 1851 and focused on physical activities. Colleges were encoura ged to focus on intramural sports particularly track, field and football.But physical education became a formal requirement following the civil war when many states opted to pass laws that required schools to incorporate a substantial physical education component into their curriculums. But it was not till 1970 that an amendment was made to the Federal Education Act that allowed women from high school and college to compete in athletic competitions. Sex-based discrimination was completely outlawed from government funded programs at this point. THE HISTORY OF PHYSICAL EDUCATION AND ADAPTED PHYSICAL ACTIVITY IN GREECEIn Greece the latest years special education has followed the same progression as in any other country in Europe but in a very slow pace. Specifically, Special Education services were available to Greek children since the beginning of the 20th century, adapted Physical Education was introduced the last two decades. After the first half of the century various associations developed intense activity with the aim to protect specific groups of people with special needs such as, the blind, the deaf and motionaly disabled.The initiative had clearly charitable characteristics with pity as the main feeling. The state welfare was non-existent every kind of care and prevention was accorded to the authorization of the charitable organization that with full power decided during the course of the years about the life and the future of thousands of people with special needs. The offers of the individuals had the form of institutional care (enclosed protection) with the offer of basic knowledge.The interest of private initiative led to the introduction of various institutional units and schools; firstly in the area of Attica and then in other cities of Greece. Some of the first institutions, which were created, was the â€Å"house of the blind† in 1906, the â€Å"house of the deaf and dump† in 1923, and the â€Å"Hellenic organization for the protec tion and rehabilitation of disabled children†. In 1937 much late there were more branches created such as the â€Å"national institution for the protection of the deaf and dump† in 1937, the â€Å"lighthouse of the blind† in 1946, the â€Å" school of the blind in North Greece† in 1948 etc.These institutions housed a great number of children but the role of the individuals was not only always a charitable one. However, the private sector helped in its way the state preparation so as to take up later the responsibility and interfere institutionally. The first state interferences began in 50’s and concerned mainly legislation arrangements for the blind and after for the motionaly disabled. The state however was interested in the group of the mentally retarded children and later in the motionaly disabled, which the private agents had completely ignored.The first school, which was founded by the state for the mentally retarded children, was the â€Å" original special school of Athens† in 1937. Many people considerthe state interference in the space of special education during the 30’s non-occasional. The considerable evolutions of pedagogical and psychology sciences, the establishment of obligatory attendance for all the children and the great number of mentally retarded children comparatively with other groups of â€Å" inferior individuals† was a reality which the Greek state could not ignore.From the mid of 50’s the 70’s the developments in special education came again from the wide activity of the private sector while the state followed with mainly legislation inferences and the well known sympathy towards the people with special needs. So, during this period educational units were founded and â€Å"deaf and dumb† schools in various areas of Greece and units for motionaly-disabled people. Another offer of the private sector was the foundation of children’s neuropsychiatry clini cs and schools for the group of â€Å"marginal adults† and â€Å" mentally retarded children†.The exemplification of the Greek state and the educational policy of the western countries begins in the mid of the 70’s approximately. Specifically towards the end of the 70’s measures were promoted for the professional rehabilitation of the disabled by giving motives to employers for the employment of these people. Since 1980 and then special classes for the children with, learning difficulties and slight mental retardment began to be estamplished.The Greek state in the 80’s seems to desire to participate actively with the other social factors in an attempt of reorganization of the philosophy and pre-existent structure concerning the people with special needs, which imposed their life and social back round. Precisely, emphasis was given in the whole development and the development of the potential of the people with special needs, their introduction in t he productive procedure and their mutual acceptance in the social group.Today, thousands of individuals with disabilities are introduced to sports in various settings such as schools or in sports clubs in both segregated and integrated settings by a variety of national and international organizations. The momentum for such change is contributed to several reasons: †¢ One of the most important reason is the introduction and approval of a new law, which mandates not only free public education for all children, but most important integration of children with disabilities in schools settings.This law is consideredas a springboard for the recognition for all children’s rights to participate in physical education activities. †¢ A second reason, is beginning of 90’s the implementation of the program â€Å"Sports for All†, which is organized by the General Secretariat of Sports and implemented with the support of different municipalities within Greece. †¢ A third reason, is the mandatory exposure of all students of physical education in adapted physical activity course work during their core university studies.In this way they have the opportunity not only to be introduced, but also to become specialized later on this subject. This has considerably affected their attitude to teach integrated sports. †¢ A fourth reason is the organization of the Paralympic Games of 2004, which is considered one of the largest events in the world. Due to the magnitude of this event, Greece started to evaluate the current status of the movement for sports for the disabled people, as well as, begin to take important actions towards the best organization of the games.