Monday, September 30, 2019

Consensus

Consensus decision-making is a group decision making process that seeks the consent of all participants. Consensus may be defined professionally as an acceptable resolution, one that can be supported, even if not the â€Å"favourite† of each individual. Consensus is defined by Merriam-Webster as, first, general agreement, and second, group solidarity of belief or sentiment. It has its origin in the Latin word consensus (agreement), which is from consentio meaning literally feel together. [1] It is used to describe both the decision and the process of reaching a decision.Consensus decision-making is thus concerned with the process of deliberating and finalizing a decision, and the social and political effects of using this process. Consensus decision making is an alternative to commonly practiced adversarial decision making processes. [5] Robert's Rules of Order, for instance, is a process used by many organizations. The goal of Robert’s Rules is to structure the debate and passage of proposals that win approval through majority vote. This process does not emphasize the goal of full agreement.Critics of Robert’s Rules believe that the process can involve adversarial debate and the formation of competing factions. These dynamics may harm group member relationships and undermine the ability of a group to cooperatively implement a contentious decision. Consensus decision making is also an alternative to â€Å"top-down† decision making, commonly practiced in hierarchical groups. Top-down decision making occurs when leaders of a group make decisions in a way that does not include the participation of all interested stakeholders.The leaders may (or may not) gather input, but they do not open the deliberation process to the whole group. Proposals are not collaboratively developed, and full agreement is not a primary objective. Critics of top-down decision making believe the process fosters incidence of either complacency or rebellion among d isempowered group members. Additionally, the resulting decisions may overlook important concerns of those directly affected. Poor group relationship dynamics and decision implementation problems may result. Consensus decision making attempts to address the problems of both Robert’s Rules of Order and top-down models.Proponents claim that outcomes of the consensus process include:[3] * Better Decisions: Through including the input of all stakeholders the resulting proposals may better address all potential concerns. * Better Implementation: A process that includes and respects all parties, and generates as much agreement as possible sets the stage for greater cooperation in implementing the resulting decisions. Better Group Relationships: A cooperative, collaborative group atmosphere can foster greaConsensus Process There are multiple stepwise models of how to make decisions by consensus.They vary in the amount of detail the steps describe. They also vary depending on how deci sions are finalized. The basic model involves * collaboratively generating a proposal, * identifying unsatisfied concerns, and then * modifying the proposal to generate as much agreement as possible. After a concerted attempt at generating full agreement, the group can then apply its final decision rule to determine if the existing level of agreement is sufficient to finalize a decision. [edit] Specific models [edit] Consensus decision-making with consensus blockingFlowchart of basic consensus decision-making process. Groups that require unanimity commonly use a core set of procedures depicted in this flow chart. [23][24][25] Once an agenda for discussion has been set and, optionally, the ground rules for the meeting have been agreed upon, each item of the agenda is addressed in turn. Typically, each decision arising from an agenda item follows through a simple structure: * Discussion of the item: The item is discussed with the goal of identifying opinions and information on the top ic at hand.The general direction of the group and potential proposals for action are often identified during the discussion. * Formation of a proposal: Based on the discussion a formal decision proposal on the issue is presented to the group. * Call for consensus: The facilitator of the decision-making body calls for consensus on the proposal. Each member of the group usually must actively state their agreement with the proposal, often by using a hand gesture or raising a colored card, to avoid the group interpreting silence or inaction as agreement.The number of blocks is counted to determine if this step's consent threshold is satisfied. If it is, dissenters will be asked to collaborate on a minority position or statement so that any unique or shared concerns with proceeding with the agreement, or any harms, can be addressed/minimized. This can happen even if the consent threshold is unanimity, especially if many voters stand aside. * Identification and addressing of concerns: If consensus is not achieved, each dissenter presents his or her concerns on the proposal, potentially starting another round of discussion to address or clarify the concern. Modification of the proposal: The proposal is amended, re-phrased or ridered in an attempt to address the concerns of the decision-makers. The process then returns to the call for consensus and the cycle is repeated until a satisfactory decision passes the consent threshold for the group. [edit] Quaker model Quaker-based consensus[26] is effective because it puts in place a simple, time-tested structure that moves a group towards unity. The Quaker model has been employed in a variety of secular settings.The process allows for individual voices to be heard while providing a mechanism for dealing with disagreements. [27][28] The following aspects of the Quaker model can be effectively applied in any consensus decision-making process, and is an adaptation prepared by Earlham College: * Multiple concerns and informati on are shared until the sense of the group is clear. * Discussion involves active listening and sharing information. * Norms limit number of times one asks to speak to ensure that each speaker is fully heard. * Ideas and solutions belong to the group; no names are recorded. Differences are resolved by discussion. The facilitator (â€Å"clerk† or â€Å"convenor† in the Quaker model) identifies areas of agreement and names disagreements to push discussion deeper. * The facilitator articulates the sense of the discussion, asks if there are other concerns, and proposes a â€Å"minute† of the decision. * The group as a whole is responsible for the decision and the decision belongs to the group. * The facilitator can discern if one who is not uniting with the decision is acting without concern for the group or in selfish interest. * Dissenters' perspectives are embraced. [26]Key components of Quaker-based consensus include a belief in a common humanity and the ability to decide together. The goal is â€Å"unity, not unanimity. † Ensuring that group members speak only once until others are heard encourages a diversity of thought. The facilitator is understood as serving the group rather than acting as person-in-charge. [29] In the Quaker model, as with other consensus decision-making processes, by articulating the emerging consensus, members can be clear on the decision, and, as their views have been taken into account, will be likely to support it. [30] [edit] CODM ModelThe Consensus-Oriented Decision-Making[31] model offers a detailed step-wise description of consensus process. It can be used with any type of decision rule. It outlines the process of how proposals can be collaboratively built with full participation of all stakeholders. This model allows groups to be flexible enough to make decisions when they need to, while still following a format that is based on the primary values of consensus decision making. The CODM steps include: 1. Framing the topic 2. Open Discussion 3. Identifying Underlying Concerns 4. Collaborative Proposal Building . Choosing a Direction 6. Synthesizing a Final Proposal 7. Closure [edit] Overlaps with deliberative methods Consensus decision-making models overlap significantly with deliberative methods, which are processes for structuring discussion that may or may not be a lead-in to a decision. [edit] Roles The consensus decision-making process often has several roles which are designed to make the process run more effectively. Although the name and nature of these roles varies from group to group, the most common are the facilitator, a timekeeper, an empath and a secretary or notes taker.Not all decision-making bodies use all of these roles, although the facilitator position is almost always filled, and some groups use supplementary roles, such as a Devil's advocate or greeter. Some decision-making bodies opt to rotate these roles through the group members in order to build the expe rience and skills of the participants, and prevent any perceived concentration of power. [23] The common roles in a consensus meeting are: * Facilitator: As the name implies, the role of the facilitator is to help make the process of reaching a consensus decision easier.Facilitators accept responsibility for moving through the agenda on time; ensuring the group adheres to the mutually agreed-upon mechanics of the consensus process; and, if necessary, suggesting alternate or additional discussion or decision-making techniques, such as go-arounds, break-out groups or role-playing. [32][33] Some consensus groups use two co-facilitators. Shared facilitation is often adopted to diffuse the perceived power of the facilitator and create a system whereby a co-facilitator can pass off facilitation duties if he or she becomes more personally engaged in a debate. 34] * Timekeeper: The purpose of the timekeeper is to ensure the decision-making body keeps to the schedule set in the agenda. Effec tive timekeepers use a variety of techniques to ensure the meeting runs on time including: giving frequent time updates, ample warning of short time, and keeping individual speakers from taking an excessive amount of time. [23] * Empath or ‘Vibe Watch': The empath, or ‘vibe watch' as the position is sometimes called, is charged with monitoring the 'emotional climate' of the meeting, taking note of the body language and other non-verbal cues of the participants.Defusing potential emotional conflicts, maintaining a climate free of intimidation and being aware of potentially destructive power dynamics, such as sexism or racism within the decision-making body, are the primary responsibilities of the empath. [32] * Note taker: The role of the notes taker or secretary is to document the decisions, discussion and action points of the decision-making body. * ter group cohesion and interpersonal connection.

Sunday, September 29, 2019

My First Real Experience With Biometrics

My first real experience with biometrics occurred when my son purchased a new cell phone nearly two years ago. During the initial setup, he selected an iris scan as his passcode. I was a little surprised by the technology and skeptical of the convenience and security. My first question to him was, â€Å"What if someone needs to get in your phone?†. He quickly replied, â€Å"That is what the security feature is for, so they can't get in. If I want them in it, I'll open it and hand it to them.† He is an active duty Navy sailor. He explained to me that he felt more secure knowing that no one could break into his phone because of this passcode. I observed him over the next two weeks while he was home on leave. Each time he accessed his phone, he simply looked into the screen and instantly he had access. He has shared that when others see that his passcode is an iris scan, they realize they cannot hack into the phone. Most never attempt anything at this point. Those that do are not successful. To this day, he has not had any security issues with his phone. Watching the success and ease at which biometrics worked with a cell phone, I moved to a biometrics passcode when I purchased a new computer earlier this year. My new computer came with FastAccess Facial Recognition. After initial setup which included some training to recognize my face, I no longer had to enter a password or PIN. .There are advanced features that turn off the webcam, enable parental controls, and enable an automatic login feature that make FastAccess safe and user-friendly. When someone else tries to access my computer, access is denied because FastAccess does not recognize them. I've been told for many years that my daughter could pass as my twin, but the computer knows better, it would not unlock for her. Lighting can affect the process, the system does not work in poor lighting conditions. In these cases, I am prompted for a second form of authentication, a PIN or password. Other than this, I have been very pleased with not having to use a password to access my system and knowing my data is secure. Now that I was familiar with biometrics in â€Å"my† environment, I wanted to learn more about biometrics in the area of health information, an area I have worked in for nearly thirty years. According to Whitman and Mattord (2018), biometric access control refers to physiological characteristics used to authenticate identification that has been provided. This control relies on recognition, comparing an actual image to a stored image. Fingerprints, palm prints, hand geometry, facial recognition, retinal prints, and iris patterns are types of biometric authentication technologies. The three characteristics in humans that are generally considered unique are the fingerprints, the retina, and the iris (pp 334-335). Iris recognition provides the highest level of accuracy of all biometric markers. According to Katz, the algorithms used in iris recognition are so accurate â€Å"that the entire planet could be enrolled in an iris database with only a small chance of false acceptance or false rejection† (2002). Concerns in the area of biometrics are â€Å"false negative† and â€Å"false positive†. When an individual has a false negative their identity is registered within the system but for some reason, the system does not recognize them. A false positive is the larger concern. This rating means the individual is not registered within the system, yet the system is recognizing them as another registered user and providing access to them based on that recognition. Facial recognition technology opens the door to many possibilities in healthcare, particularly in the area of health information management. This technology has been widely discussed as part of the national patient identifier initiative. Facial recognition is a preferred technology over other biometric techniques because it does not require direct contact with the patient and it is easily deployed. Some of the uses for facial recognition in the health information management area allows for authentication of proper security clearance for employees to grant or deny access within the EHR to staff without a password or PIN. By authenticating your employee, you are maintaining the confidentiality of the protected information. The same technology can be used to verify or authenticate the identity of a provider when they access controlled substances. Facial recognition is the preferred technology because â€Å"some areas within a hospital zones require clinicians to wear surgical gloves and masks, thereby prohibiting the use of fingerprint authentication† (Callahan, 2017). Another option is a feature where â€Å"a patient's image can bring up their file in the EHR using facial recognition software† (McCleary, 2016). This security feature allows the healthcare provider to compare their patient to the stored patient image. Authenticating the patient allows you to maintain the integrity of your data, minimize medical mistakes and improve patient safety. Additional bonuses will be cost savings by reducing fraud, and improved protection or security of confidential patient heath information. There are yet additional benefits of facial recognition to the medical arena. One benefit is the prevention or reduction of medical identity theft. Medical identity theft occurs when someone uses another individual's information to obtain medical services for personal or financial reasons. If the individual presenting for treatment had to be identified by facial recognition, their identity would be authenticated or denied. This could prevent someone from trying to use your insurance benefits or obtain access to your demographic or financial information. Again, this protects the security of confidential patient data. Facial recognition is also an important authentication feature in the healthcare field to establish the identity of patients, particularly those that are unresponsive. Early identification of these patients in emergency situations within an integrated EHR can give healthcare providers instant health information about medical conditions, medications, and allergies. Facial recognition provides a better alternative for identification than fingerprinting for burn victims those patients who have experienced amputations. Some genetic conditions allow diagnosis via facial recognition according to a study at the National Human Genome Research Institute. One provider of facial recognition software, Nextgate, â€Å"claims to simplify registration, flag fraudulent activity, and eliminate the creation of duplicate records† (McCleary, 2016). We may be able to eliminate duplicate records if this software meets its expectation. Duplicate records are a data quality issue that result in compromised â€Å"patient safety, medical care, data accuracy, and reimbursement† (Harris and Houser, 2018). Duplicate records occur for a variety of reasons, primarily human error due to transposing of letters and/or numbers during data entry, the use or non-use of middle names, and abbreviations. As we see more and more organizations merge or become part of a larger healthcare organization, the opportunity for duplicate medical records increase. â€Å"Duplicate records have caused negative outcomes in the discovery phase of the litigation process because there will be discrepancies with diagnoses, medications, and allergies† (Harris and Houser, 2018). Maintaining a single, confidential patient record ensures the availability and integrity of the patient data. Organizations are beginning to turn to biometrics to eliminate their duplicate records. The three possible methods include iris, palm vein, and fingerprint scanning. Iris scanning is the preferred method because it â€Å"supports hospital infection control initiatives and is very effective in preventing duplicates as there is a low occurrence of false positives and extremely low (almost zero percent) false negative rate† (Harris and Houser, 2018). With iris scanning, the technology never has to touch the patient whereas, palm vein and fingerprint scanning technology requires a physical contact between the patient and the technology. This increases the opportunity for infections to be spread. Organizations with an advanced enterprise master patient index (EMPI) are those that often contain patient information for multiple locations within one health system. The EMPI integrates data from the various systems forming an â€Å"overarching technology umbrella, resolving and synchronizing data issues and providing a single patient view that can be accessed across the enterprise. The EMPI resolves data quality issues and synchronizes back to enable accurate patient identification and matching that minimizes duplicates records† (Harris and Houser, 2018). The EMPI provides a level of confidentiality and security throughout the organization. When biometrics are implemented at the registration process and integrated into the EHR, health information professionals and providers can view and authenticate the patient information while working with the patient and within the EHR. Members of a data integrity team can verify patient records are properly integrating into the EHR as the patient moves through the health system. In areas where a facial recognition or fingerprint cannot be captured but a barcode can be scanned, the integration provides the patient's image for a comparison prior to medication administration or other service. This form of authentication provides an added security and safety feature. While all of this technology sounds like a win for the patient and the healthcare system in general, we must also consider the law. According to Hedges, three states (Illinois, Texas, and Washington) now have legislation that regulate how biometric information is collected and used. More states are expected to follow suit. The Illinois Biometric Privacy Act (BIPA), â€Å"defines biometric information to mean â€Å"any information, regardless of how it is captured, converted, stored, or shared, based on an individual's biometric identifier used to identify an individual.† (Hughes, 2018). BIPA does not include information captured in a healthcare setting or collected for treatment, payment, or healthcare options under HIPAA. It is uncertain how the Department of Health and Human Services will address biometric information at this time. One area that healthcare organizations should start to consider is how their business associates may interact with any biometric information they collect. The changing pace of technology is trying to keep up with the pace of today's security challenges. It seems as if each day we hear of another security breach or security issue almost daily. There are tools for the health information professional to address or combat areas information security issues. Two of the most powerful tools are iris scanning and facial recognition. These tools can authenticate employee and patient identification. By authenticating the employee, you maintain confidentiality of information. By authenticating the patient, you maintain patient safety and the integrity of your data.

Saturday, September 28, 2019

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

Questions - Essay Example For example, in deductive explanation, if God is good, and murder is bad, then murders are not Godly. A probabilistic explanation example is that if it rains every 3 days a week in June, it is likely that June will have only 10 rainy days. 4. The aims of science are to generate knowledge, allow critique, analysis and explanation of claims of a body of knowledge. Science also aims to encourage logical predictions and understanding of phenomena. 5. In prediction, knowledge is sought based on previous trends. Unlike explanation, prediction does not delve into systematic analysis of precedent factors that affect the process of body of knowledge. That way, it is reverse process of explanation. 6. In Verstehen tradition claims that the understanding of social sciences must be analyzed through the prism of human behavior subjectively. On the other hand, predictive understanding argues that logical conclusions can be drawn objectively without approach social study subjectively. 7. In order for knowledge in general and scientific methodology to be intersubjective, there has to be transmissibility between the two approaches used in gaining knowledge. That is to mean that either can inform the other owing to an assumption that their methodology remains irreproachable, e.g. both being self-critical and highly analytical so that their conclusions are reliable. 8. What the authors term â€Å"scientific revolution† is a paradigm that transforms developments abruptly rather than gradually, ideas that related to normal science. Such paradigm transforms the existing body of knowledge. 9. Kuhn’s descriptive view of science is that a rival paradigm that introduces transformation is the dominant one whereas Popper’s prescriptive theory suggests that all paradigms should be acceptable as equal without assigning them superiority statuses. 2. Conceptual definitions are those whose major aim is to

Friday, September 27, 2019

Dissertation Essay Example | Topics and Well Written Essays - 10000 words - 1

Dissertation - Essay Example The findings suggest that price may be the most important determinant of customer loyalty, followed by location. Standard of service and brand name were not found to be as important in contributing to customer loyalty. Hotels are an important part of the tourism industry and with the trend to globalization, there have been an increasing number of hotels cropping up, offering a wide range of facilities to customers. Catered houses are emerging as a cost effective alternative to expensive hotels, especially since they may in some instances provide good levels of service as well, which are comparable to service levels at two or three star hotels. Within the UK, the hospitality industry is highly competitive and service levels are a vital factor in ensuring customer satisfaction with the hospitality services they receive. But customer satisfaction alone may not be adequate; rather it is customer loyalty that can prove to be cost effective and enable an organisation to gain a competitive advantage in the current global marketplace. Travel and tourism are booming today and several studies have already been carried out on the levels of passenger and hotel resident satisfaction across the globe. The impact of services and facilities available at hotels and their impact upon tourist satisfaction have also been assessed in other studies; however the number of studies that have examined the impact of these services in terms of customer loyalty are fewer. In particular, studies on customer loyalty in the context of catered houses is even less; hence this study aims to examine what are the factors likely to promote customer loyalty at a catered house and promote their repeated utilization of the services of the catered house and thereby demonstrate loyalty. This study thus aims to assess customer perception of service one catered hostel in London based upon a survey and thereby determine how likely it is that these customers could prove to be loyal customers, thereby

Thursday, September 26, 2019

African American Caribbean Art Essay Example | Topics and Well Written Essays - 750 words

African American Caribbean Art - Essay Example This art involves the drawings that have been made through scribbling and scratching on the wall surfaces. They also involve illegal paints on the walls.Normaly; the decorative images are applied by painting to buildings and public transport facilities. Impressionist art. This art is meant to catch the attention of people. Normally, the pictures in this art are painted by the usage of more colours.The pictures represent the outdoor scenes. The pictures are often conspicuous, dazzling and vibrant at the places that they have been placed so as to attract people’s attention. The artist William Johnson used this approach in his artwork. Assemblage art. This art consists of three-dimensional elements that represent a particular object. The art involves modeling of objects that have volume. It is a visual art that consists of objects that can be seen and touched. It was commonly used by Edna Manley. The 1960’s through the1990’s were seen as a time of the cultural revolution, especially in art. Artists have become more worried about big ideas and innovation. The artist are now concerned with the quality of the paintings and not just artwork. The presence of technology has enabled the artist to take little time in the art work and also have wide and fine designs. Many art scholars have developed new educational priorities which emphasizes the pursuit of skills rather than knowledge. This has made the artists and art students less interested in gaining the traditions and craft of their subject, and instead focused on mastering production and innovation techniques. The personal innovation and interpretation have become vital than acquiring painting skills.Therefore, many individuals have failed to master the painting skills and depend on the presence of the computers. The introduction of new technology has enabled has enabled photographic and film images to be produced. The speed of production of the art work has increased significantly. The images that are

Wednesday, September 25, 2019

Strategic management Essay Example | Topics and Well Written Essays - 1500 words - 5

Strategic management - Essay Example Running an advert for a new project is significant before embarking in the real project. Therefore, vital control measures play a major role. Again, if the implementation is not executed according to plan, the company will not attain its desired goals. Strategic surveillance is essential for observing events in and out of a business that have a high potential of affecting the strategy. This is done by carrying out market research, utilizing past information, attending business meetings and tracking social networking sites. When a small business is planning to establish a new project, it is important for it to analyze literature in the relevant field to avoid making the wrong decision (Stephen, Lakhani, Brown & Malmi, 2008). On the other hand, special alert control refers to a thorough and speedy reassessment of a company’s strategy following a sudden event. For example, when an investor acquires a company’s competitor, it demands for immediate reassessment of the strategy because the investor could be planning to position the competitor so that it can achieve a competitive advantage. Surveillance control only predicts on potential risks while special alert control works to correct the predicted occurrence. Implementa tion control ensures that any established strategy whether meets the expected threshold. Operational control and assessment are essential in every business organization. The operations determine the possible outcome in the end. This means that high operational cost will lead to lesser profits hence the need to incorporate time, budgets and success factors in operations control and evaluation. Operations management ensures that proper designing, planning and control of production process is attained so that the business targets are met (Pearce & Robinson, 2011). Budgets are essential in establishing whether the operations are going beyond the manageable levels. Budgets

Tuesday, September 24, 2019

Leadership and decision making Research Paper Example | Topics and Well Written Essays - 1750 words

Leadership and decision making - Research Paper Example based on the consultants summary regarding the candidate’s personalities. F.C. is an extravert. Extraversion shows how comfortable an individual is with the external environment (Michael 94). Extraverts enjoy being around people. They employ both informal and formal leadership styles and can be described as sociable, talkative and enthusiastic. They dominate conversations most of the times and are not good listeners (Griffin and Moorhead 580). On the other hand, introverts like A.M. and J.T. score poorly on the extraversion scale. Introverts would rather choose to work alone as opposed to working in groups. They are quite serious and maintain high levels of privacy in their affairs at work. F.C.’s extravert trait will be vital in leading the loan officer’s group. This position requires lots of team work in performing activities of accessing credit worthiness and characters of those seeking to secure loans from the bank. It is important to be sociable in order for the group leader to easily fit into the team she will be leading. This quality lacks in A.M. Even though J.T. is an extravert, F.C.’s personality is superior since she does not have a strong desire to dominate her peers. A passion to dominate others would lead to internal conflicts within the loan officers’ team leading to ineffective operations and lack of cooperation which is necessary if the team is to succeed in performing its duties. Agreeableness is a personality which determines how well a person is likely to get along with other people. This factor approximates the point at which a person tires from being defiant and submits to the pressing situation. This is mainly determined by qualities such as being cooperative, good-natured, forgiving, understanding, compassionate and trusting (Hilsenroth, Segal and Hersen 47). One needs to be able to accommodate others in order to be referred to as agreeable. From this point of view, individuals can be classified as chal lengers, negotiators or adapters. Challengers are sceptical, guarded, persistent, tough and competitive. They are viewed at times as rude, hostile and self-centred. Negotiators seek a win-win solution to problems. They therefore shift between being cooperative and being competitive. Adapters are viewed as humble, tolerant and accepting. They come across as naive, conflict-averse, submissive and at times unprincipled since they easily yield to pressing circumstances (Silverthorne 73). In order to lead the loan officers, the preferred candidate should be a negotiator. This will assist in the negotiations associated with the processing loans. Adapters are more likely to give out loan to highly risky borrowers without proper ways to mitigate the risk for the benefit of the company. Challengers are more likely to set the bar too high disqualifying potentially good borrowers and thus reducing the likelihood of the bank earning from interests accruing from such loans. F.C. has been describ ed as competitive even though she does not exhibit â€Å"a strong desire for dominance†. This shows that she is a negotiator scoring well in the perspective of agreeableness. The next personality dimension which is vital in evaluating leadership qualities in an individual is conscientiousness. This shows the extent to which a person is dependable, responsible, achievement-oriented and persistent. Conscientious leaders are good at making long-range goals and do well at organizing routes to

Monday, September 23, 2019

The Importance of Teaching Culture with the Language Research Paper

The Importance of Teaching Culture with the Language - Research Paper Example The main point of the paper is that effective communication does not deal only with language proficiency and that in enhancing and enriching communicative competence, cultural aspects can also lead and contribute to the respect toward different cultures around the globe. Introduction Several components comprise the learning of foreign language such as grammatical competence, communicative competence, language proficiency, and considerations of attitudes with regard to one’s culture. Scholarly, knowledge about customs, beliefs, and culture of other countries are indisputably considered as an integral part of foreign language learning, and teachers who are teaching language have seen the importance of including the teaching of culture into the foreign language curriculum. Foreign language learning is also considered foreign culture learning and thus, culture has been taught in the foreign language classroom. However, debates arises on the issue of what the culture meant and how can it be integrated into the language learning and teaching. In language learning, culture is not a separate subject to learn along with the studies and learning about speaking, listening, reading, and writing but rather it is always in the background and considers as the secondary factor in learning the language skills. This paper has also the aim to disentangle issues, shedding some light about the role of teaching culture, as well development and understanding the importance why this has to be incorporated in language teaching. Furthermore, communications are requiring understanding and to be able to come up with understanding, it requires being in the shoes of foreign culture. What is culture and why should it be taught? It is important to scrutinize the relationship between language and culture and why is it important to study the culture along with the studies of language as an integral part of the English language curriculum. Language is considered as a social institution, p laying an important role in the society, it is influential between and among the people at large. It must be understood among the people of any nation that language is a cultural practice, aside from the fact that it is considered as a part of the culture itself. Nevertheless, if language is considered as a a cultural practice and a part of the culture it self, undeniably, it is relevant to say that it would just be proper to study culture in relation to language. Language never claims to be independent construct but it is considered as a social practice brought about by the society structures and forces of social institutions where in we lived in. Language and culture interpenetrate, which means that language cannot exist alone like in a vacuum because there is a big connection between the two (Webster, J. 2008). The existence of language cannot be separated from culture, it is passed and inherited from the past practices and beliefs and determines the quality and consistencies of the lives of the people. It is considered as an explanation to the cultural past of certain society and a guide to social reality (Salzman, P. 1998). The interdependence of language and culture is well manifested in the daily lives. Children speak and master their mother tongue through making and using hypothesis under the circumstances where it can be used, and by learning probabilities. Children, during the process of

Sunday, September 22, 2019

Trace the pathway of blood through the heart Article

Trace the pathway of blood through the heart - Article Example Five subjects inhaled about 100MBq of Technegas after which body images were taken at time gaps to determine the distribution of the Technegas. The earliest detection of radioactivity in the blood was after one minute, reaching a maximum after about 20 minutes stabilizing at that point for one hour. The radioactivity in the liver was stable, whereas that of the bladder increased over time. Strong radioactivity was discovered in the salivary glands, thyroid glands, and stomach because of accumulation of TcO4- in these organs (Nemmar et al. 413). Ingested particles also caused radioactivity in the stomach apart from the TcO4- from saliva and gastric secretions. â€Å"We conclude that inhaled ultrafine 99mTc-carbon particles, which are very similar to (the ultrafine fraction of) actual pollutant particles, diffuse rapidly into the systemic circulation, and this should be considered relevant for the cardiovascular morbidity and mortality related to ambient particle pollution† (Nemmar et al. 413). I selected this article because it is relevant to studying the pathway of blood through the body. It even shows how the substances that get into blood distribute to various parts of the body, a phenomenon that is of utmost significance in physiology. I learnt that inhalation of ultrafine particles is extremely dangerous since they have a large surface area and, therefore, diffuse rapidly. Nemmar, A., P.H.M. Hoet, B. Vanquickenborne, D. Dinsdale, M. Thomeer, M.F. Hoylaerts, H. Vanbilloen, L. Mortelmans and B. Nemery. â€Å"Passage of Inhaled Particles into the Blood Circulation in Humans.† Circulation. 2002.105 (2002):411-414. Web. 27 Nov.

Saturday, September 21, 2019

Obesity Amongst Mexican Children Essay Example for Free

Obesity Amongst Mexican Children Essay Abstract: The prevalence of overweight children in the United States of Mexican descent is higher for second generation than their first generation counterparts. First generation immigrants tend to keep a healthier lifestyle by consuming more fresh fruits and vegetables, walking longer distances and smoking less than the more acculturated Mexican-Americans. Acculturation is a major contributing factor for the alarming rates of obesity within Mexican children. When children of Mexican immigrants are exposed to American society, they develop unhealthy habits such as eating pizza and hot dogs during school lunch hours, access to vending machines, and media exposure where they are constantly bombarded with food related commercials of unhealthy nature. A lower socio-economic status, such as the recently immigrated parents, is also a contributing factor for obesity within Mexican children. High calorie and high fat content foods tend to be less expensive than fresh fruits and fresh vegetables, leading to poorer, unhealthier choices. Fast food chains are prohibitory expensive in Mexico, whereas in the US they are not. As young Mexican children develop their sense of identity while they separate from their parents or caregivers and seek acceptance from their American peers, they integrate themselves into the fast food culture leading to obesity amongst Mexican-American children of second generation in the US. The incidence of obesity in Mexican adults has increased markedly over the years. Data from the 1993 National Survey of Chronic Diseases (Encuesta Nacional de Enfermedades Cronicas) showed an obesity prevalence of 21. 5%. The 2000 National Health Survey (Encuesta Nacional de Salud) indicated that 24% of adults suffered obesity. Data from the 2006 National Health and Nutrition Survey (ENSANUT 2006) revealed that 30% of adults of both sexes were obese. (Rojas,R, Aguilar-Salinas, C. , Jimenez, A. , Gomez, F. , Barquera, S. , 2012, p. 8) In the last two decades, the prevalence of childhood obesity, defined as at or above the 95th percentile of body mass index (BMI) for age and gender (Center for Disease Control, 2009), has more than doubled among children aged 6–11 years and tripled among adolescents aged 12–19 years, and here is no evidence that this trend is coming to an end (Ogden, 2002). This is a serious public health concern because obese children and adolescents are at an increased risk for various physical, mental, and emotional health problems, including impaired glucose tolerance , insulin resistance, atherosclerosis , coronary heart disease in adulthood , development of eating disorders, and low self-esteem (Seo, D. Sa, J. , 2009). The obesity epidemic disproportionately affects racial/ethnic minority children, who are defined as American Indian, Alaska Native, Asian American, Black, African American, Hispanic, Latino, Native Hawaiian, or OBESITY AMONGST MEXICAN CHILDREN: ARE FIRST GENERATION MEXICAN CHILDREN 3 MORE PRONE TO OBESITY THAN THEIR SECOND GENERATION COUNTERPARTS? other Pacific Islander (CDC, 2009). According to estimates based on the 2001–2002 National Health and Nutrition Examination Survey (NHANES), among children aged 6–19 years, 22. 2% of Mexican American children and 20. 5% of non-Hispanic Blacks were obese as compared with only 13. 6% of non-Hispanic whites. Other studies performed by Ogden and colleagues (2002) also affirm a larger prevalence of obesity among Mexican American and Black children compared with white children. These rates of obesity are far from the 2010 national health objective of Healthy People 2010. The higher incidence of obesity among minority children is alarming because these racial/ethnic groups have a lower insulin sensitivity than white children (Seo, D, Sa, J. 2009). Obesity is an epidemic facing millions of people across the globe, resulting in more than 300,000 deaths in the United States alone (Dishman, 2004). Historically, the majority of people affected by obesity were adults. However, in the last decade this epidemic has spread to our youth. Excess weight in U. S. children has increased in prevalence and has become a serious public health concern. Currently, about 33% of children ages 2–5 in the U. S. are overweight (BMI in the 85th percentile or above), and 12% are considered obese (BMI in the 95th percentile or above) (CDC, 2009). Overweight children have a 70–80% chance of becoming overweight or obese adults, which may lead to an increase in obesity related disease among adults (United States Department of Human Health and Services, 2007). Obesity is one of the leading risk factors for disease and fatal health conditions, such as hypertension, type II diabetes, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep apnea and respiratory problems, and some cancers (CDC, 2009). Not only is obesity linked to clinical conditions, but it may also lead to mental health problems such as self-blame and low self-esteem ( Haboush, A., Phebus, T. , Tanata Ashby, D. , Zaikina-Montgomery, H. , Kindig, K. , 2011). This paper will focus on the contributing factors for the alarming obesity rates amongst Mexican children. Are second generation Mexican children more prone to obesity than their first generation counterparts? Mexican immigrant parents usually don’t view obesity as a threatening health issue. In fact, some research reports that Mexican mothers see childhood obesity as a sign of good heath (Rosas et al. ) and thinness as a sigh of illness (Sosa, 2012). Acculturation, or the process of adjusting to a new culture, describes social, psychological, and behavioral changes that an individual undergoes as result of immigration (Buttenheim, A. , Pebley, A. , Hsih, K. , Chung, C. , Goldman, N. , 2012). The drastic changes in lifestyle and social interactions that immigrants encounter upon arriving to the United States often put them at risk for negative health consequences (Ogden et al. , 2009). Of the negative health outcomes associated with OBESITY AMONGST MEXICAN CHILDREN: ARE FIRST GENERATION MEXICAN CHILDREN 4 MORE PRONE TO OBESITY THAN THEIR SECOND GENERATION COUNTERPARTS?acculturation in Mexican children, obesity is significant because it has implications for development of chronic diseases such as heart disease and Type II Diabetes (CDC, 2009). Mexican children are at increased risk for obesity upon immigration to the United States and are predisposed to development of chronic diseases,(Buscemi, J. , Beech, B. , Relyea, G. , 2011). Mexican American mothers’ views on obesity, 40% of mothers with overweight children did not identify overweight as a health issue (Ariza et al. , 2004). When weight was used as an indicator of health, parents were more concerned with the health of skinny children than overweight children. Mexican American mothers were concerned with having thin children because a thin child could become sick and die (Small, L. , Melnyk, B. , Anderson-Gifford, D. , Hampl, J. 2009). A second and less studied mechanism linking nativity of US immigrants to obesity risk is the interconnectedness of the food environment and migration dynamics in the sending country (Buttenheim et al. , 2012). This is particularly relevant in the case of obesity risk for Mexican-origin children in the US, given the large, circular migration flows between the two countries and the well-documented nutrition transition underway in Mexico (Popkin Udry, 1998). This transition is characterized by a shift from unprocessed and low energy density diets to highly processed, energy dense foods. The transition is due in part to new food marketing strategies and a simultaneous decrease in physical activity that has accompanied urbanization and economic development in Mexico (Popkin Udry, 1998). Mexico’s nutrition transition has been notably rapid: Mexico now has the second highest rates of adult obesity among OECD (Organization for Economic Co-operation and Development) countries (after the US) (Rosas, 2011). A potential explanation for the increased obesity rates within the Mexican immigrants in the US is acculturative stress (Van Hook et al. , 2011). Mexican-origin immigrants, are often faced with discrimination based on race/ethnicity and immigrant status. This discrimination, in turn, leads to chronic stress and psycho-physiological stress responses, which are known to affect health over the long run . Thus, the process of integration into a society that views Mexican-origin immigrants as being of lower status than other social and racial/ethnic groups may itself result in chronic health problems, even if health behaviors remain constant over time and across immigrant generation. Why would duration of time in the US and immigrant generation affect obesity? The acculturation literature has emphasized the importance of dietary changes by duration in the US and across generation: increased acculturation is hypothesized to lead to decreased consumption of healthy foods and increased consumption of processed high OBESITY AMONGST MEXICAN CHILDREN: ARE FIRST GENERATION MEXICAN CHILDREN 5 MORE PRONE TO OBESITY THAN THEIR SECOND GENERATION COUNTERPARTS? fat/sugar foods. Gordon-Larsen et al. (2003) reported that first generation Mexican immigrant adolescents eat more rice, beans, fruit, and vegetables and less cheese and fast food than second generation Mexican-origin immigrants. Kaiser and colleagues (2007) say that acculturation seems to be a contributing factor for obesity amongst Mexican children. Acculturation can be defined as the process by which immigrants adopt the attitudes, values, customs, beliefs, and behaviors of a new culture. Two studies reported their findings on acculturation and potential implications on the nutritional status of Mexican American children. Kaiser and colleagues (2007) concluded that less acculturated mothers were more likely to provide alternate food choices when a child would not eat and use child-feeding strategies that may contribute to childhood overweight, such as bribes, threats, and punishment. Ariza, Chen, Binns, and Christoffel (2004) conducted a study to test their hypothesis that overweight was more prevalent in highly acculturated Mexican American children aged 5 to 6 years; however, the results did not substantiate an association between overweight and acculturation in this population. Duerksen and colleagues (2007) reported that increased levels of acculturation may lead to higher rates of overweight among Mexican American families if they were eating more meals at fast-food and buffet-style restaurants rather than selecting traditional, authentic Mexican restaurants. Studies indicated that less acculturated Mexican Americans consumed less fat, and more fiber, protein, vitamins A, C, E and B6, folate, calcium, potassium, and magnesium than their more acculturated counterparts (Rosas et al. 2011). Most research conducted across age groups and outcomes indicates that newly-arrived and less acculturated immigrants are healthier and live longer than natives. Unfortunately, this health advantage dissipates with duration of U. S. residence and does not extend to the next generation. In addition to the influence of parents’ acculturation on children’s behaviors, children can accelerate the acculturation process for their families as well because children are more likely to have a consistent exposure to typical American foods at school and likely to affect purchasing decisions of their parents. One of the biggest changes in children’s diets after moving to the United States has been suggested to be with the foods children consume at school. It has been reported that although Mexican American children liked the traditional ethnic foods they received at home, they preferred the American foods they were served at school (e.g. , pizza, hamburgers) (Rosas et al. 2011). Furthermore, there seemed to be a lack of awareness among children about the healthfulness of traditional Mexican foods (such as fruits, vegetables, and beans) or potential health risks of the typical American diet, which was perceived as pizza, hotdogs, hamburgers, and French fries. As children develop their own self and ethnic identities, they may seek separation from their parents and acceptance from their peers, and they may identify fast food and other less healthful food options with the United States culture. This can eventually lead to less healthful dietary patterns both for children and their families because children are likely to affect food-purchasing OBESITY AMONGST MEXICAN CHILDREN: ARE FIRST GENERATION MEXICAN CHILDREN 6 MORE PRONE TO OBESITY THAN THEIR SECOND GENERATION COUNTERPARTS? decisions in their households (Rosas et al. 2011). When looking into the influence of acculturation on food intake behaviors among children and youths, another important element of the social environment must be addressed: media exposure. Media exposure can have detrimental influences at both ends of the spectrum in terms of eating behaviors: children may adopt an unrealistically thin body image through exposure to popular culture, and unhealthy dieting practices or eating disorders may follow. Alternatively, they may increase their consumption of nutrient-poor, energy-dense foods that they are exposed to through advertisements, and this type of behavior may eventually lead to overweight status. There have been some initiatives to limit food marketing aiming at children, but nutritionally poor and energy dense foods (e.g. , high sugar cereals, candy, soft drinks, chips) still constitute the majority of the foods advertised on television (Kunkel et al. 2009). Several reports indicate that children choose advertised foods at significantly higher rates and attempt to influence their parents to purchase these foods. Unfortunately, advertisement of the nutritionally inferior food choices is not limited to television only; it is widespread through a variety of channels such as schools (vending machines, corporate sponsorship of school events and materials, etc. ), and online applications(e.g. , interactive games, sweepstakes, computer screensavers). Media exposure among children has been increasing over the past 10 years, and according to the 2009 estimates (Kunkel et al. 2009). American children spend about 7. 4 hours per day using or watching media such as television, computers, video games or movies. These estimates seem to be even higher among minorities) and individuals with lower socio economical status( SES) (Sussner et al. 2009). Hispanic youths were reported to spend about 5. 5 hours per day watching television while this estimate was 3. 5 hours per day for non-Hispanic whites in 2009. Moreover, screen time seems to increase with greater acculturation (Gordon-Larsen et al. 2003). The data from the 2003–04 National Survey of Children’s Health indicated that, in comparison to U. S. -born non-Hispanic white children with U. S. -born parents, foreign-born Hispanic children with immigrant parents were 31 percent more likely and U. S. -born Hispanic children with U. S. -born parents were 51 percent more likely to watch television. Although foreign-born Hispanics seem to be less likely to consume less healthful foods (Osypuk et al.2009), a reverse trend can be seen if these foods are more expensive in the country of origin but cheaper in the United States. For example, qualitative studies indicated that lower cost and increased availability were among the reasons for Mexican Americans to consume snacks, sweets, and fast food more in the United States . An earlier report pointed out that some foods, such as mayonnaise, margarine, and salad dressing were considered high-status items by many low-income families in Latin America (Romero-Gwynn et al. 1993). Similarly, Mexican adults living in Florida reported that in addition to fast food not being as readily available in their native country, it was more expensive than in the United States and therefore, they tended to eat fast food only for special occasions in their native OBESITY AMONGST MEXICAN CHILDREN: ARE FIRST GENERATION MEXICAN CHILDREN 7 MORE PRONE TO OBESITY THAN THEIR SECOND GENERATION COUNTERPARTS? country. Once these types of foods become more readily available and affordable for the immigrants in the United States, an increase in the consumption levels would be expected. Lower costs, widespread availability, and the convenience of fast food in the United States appear to be an enticing solution especially for time-strapped immigrant families with children (Lindsay et al. 2009). Qualitative studies among immigrants suggest a more relaxed lifestyle in Mexico versus a very busy lifestyle in the United States that leaves less time to cook or prepare foods. This type of lifestyle makes convenience foods very appealing, and it is likely to result in an increase in fast food consumption (Gray et al. 2005). In addition to the economic conditions related to the food environment, limited socioeconomic abilities of individuals also put immigrants at greater risk for unhealthy food intake patterns and entailing health issues. Higher rates of food insecurity and low SES among minorities and immigrants are likely to force individuals to purchase relatively cheaper and filling, but often nutrient-poor, energy-dense foods (Drewnowski and Darmon 2005). A binational study that was conducted in the United States and Mexico provided support for these eating patterns, and it also pointed out the country- or culture-specific variations in these associations. In the United States sample of this study, children with food insecurity were more likely to consume fat, saturated fat, sweets, and fried snacks compared to their food secure counterparts. In Mexico, however, food insecure (versus food secure) children displayed a different food intake pattern that was characterized by higher intakes of carbohydrates, dairy, and vitamin B6 (Rosas et al. 2009). One of the least studied aspects of the relationship between socioeconomic factors and food intake is the residential context and demographic makeup of the neighborhoods. One of the few studies that examined this context in a mostly Hispanic (but mixed ethnic) sample suggested that greater density of immigrants in residential areas was positively related to fruit and vegetable intake after controlling for individual factors such as age, race/ethnicity, language, country of birth, and education (Dubowitz et al. 2008). Another study also reported that high-fat/processed food intake (fats, oils, processed meats, fried potatoes, salty snacks, desserts) was lower in immigrant-dense neighborhoods even after controlling for SES, demographic factors, and acculturation (Rosas et al.2011). These results indicate beneficial dietary intake patterns for all residents (immigrant or not) residing in that area. Some of the potential factors underlying these results could be resulting from socioeconomic advantages through greater social capital, availability of stores with healthier ethnic food options, and higher consumption of healthier food intake habits, social norms, and values in the ethnically dense neighborhoods (Dubowitz et al. 2008). OBESITY AMONGST MEXICAN CHILDREN: ARE FIRST GENERATION MEXICAN CHILDREN 8 MORE PRONE TO OBESITY THAN THEIR SECOND GENERATION COUNTERPARTS? Highly acculturated Hispanic adults were more likely to have higher BMIs than their less acculturated counterparts. Similarly, second or third generation Hispanic youths were reported to be more likely overweight than their first generation counterparts (Popkin and Udry 1998). For adults, the difference in the overweight status by acculturation seems to be seen usually in a range of 10 to 21 years of residence in the United States, but interestingly, BMI differences were detectable by age two among less acculturated mothers’ children in a mostly Hispanic sample (Sussner et al. 2009). Some of the mechanisms underlying these findings could be the existence of cultural beliefs that associate overweight status among children with perception of good health (Sussner et al. 2009), failing to recognize overweight status, or acceptance of a larger body size as a desirable body image among Hispanics. Taken together, these cultural preferences can lead to obesity over time with the additional contribution of the typical environment in the United States that stimulates consumption of energy-dense foods and discourages physical activities. Certain food intake patterns (e. g., energy-dense foods) can lead to overweight or obese status as people acculturate. Although a factor analysis of nationally representative data from the NHANES 2001–02 did not indicate a specific dietary intake pattern in relationship to BMI or waist circumference (as measures of overall or central adiposity) among Mexican Americans (Carrera et al. 2007), it is possible that dietary intake might be related to obesity indirectly, or collectively with other lifestyle factors (e. g. , physical activity). It is also possible that the effects might be most pronounced at specific time periods during acculturation. Supporting this potential mechanism is the results from the National Longitudinal Study of Adolescent Health indicating that increased probability of overweight, which was related to changes in lifestyle factors (i. e. , screen time, diet), was detectable among first generation Mexican adolescents but not among second (or more) generation participants (Gordon-Larsen et al. 2003). Although social economic status (SES) is also linked to obesity, this association seems to vary depending on the SES measures used and also by race or ethnicity. For example, in a nationally representative sample of children, both education and income were negatively related to BMI among non-Hispanic whites, but only income was positively related to BMI among Hispanics (Balistreri and Van Hook 2009). As suggested by the authors, increasing education level may be a reflection of changes in knowledge, learning abilities, social class, and personal skills while higher income among immigrants might be an indicator of greater purchasing capacity, which can result in less healthful eating patterns in the absence of adequate nutrition knowledge, skills, and a healthful food environment. SES also seems to have gender-specific and long-term consequences. Data from a nationally representative longitudinal survey among adolescents indicated that there was a strong positive association between long-term (persistent) low SES and obesity among females. Among males, however, obesity rates were highest among those who had a socioeconomically disadvantaged beginning but gained autonomy, for example, home ownership later on. Most importantly, the report pointed out that the effect of SES on OBESITY AMONGST MEXICAN CHILDREN: ARE FIRST GENERATION MEXICAN CHILDREN 9 MORE PRONE TO OBESITY THAN THEIR SECOND GENERATION COUNTERPARTS?obesity was probably initiated before adolescence (Scharoun-Lee et al. 2009). Conclusion: The research has shown that second generation Mexican children are in fact more prone to obesity than their first generation counterparts. Causative factors such as media exposure, school lunch programs, socio-economic factors, and the influence of parents’ own acculturation into American society are all factors that can be addressed through various means with legislative, policy changes, and education. Then we can begin to affect positively the rising trend of obesity in second generation Mexican children in the United States. OBESITY AMONGST MEXICAN CHILDREN: ARE FIRST GENERATION MEXICAN CHILDREN 10 MORE PRONE TO OBESITY THAN THEIR SECOND GENERATION COUNTERPARTS? References: Abraido-Lanza, A. , White, K. , Vasques, E. (2004)Immigrant populations and health. In: Anderson N, editor. Encyclopedia of health and behavior. Newbury Park, CA: Sage; 2004. p. 533–537. Ariza, A. J. , Chen, E. H. , Binns, H. J. , Christoffel, K. K. (2004). Risk factors for overweight in 5 to 6-year old Hispanic American children: A pilot study. Journal of Urban Heath, 81 (1), 150-161. Balistreri, K. , Van Hook, J. (2007). Maternal employment and overweight among Hispanic children of immigrants and children of natives. Journal Of Immigrant Minority Health, 11(3), 158-167. doi:10. 1007/s10903-007-9096-0 Buscemi, J. , Beech, B. , Relyea, G. (2011). Predictors of obesity in Latino children: acculturation as a moderator of the relationship between food insecurity and body mass index percentile. Journal Of Immigrant Minority Health, 13(1), 149-154. Buttenheim, A. , Pebley, A. , Hsih, K. , Chung, C. , Goldman, N. (n. d. ) ( 2012) The shape of things to come? Obesity prevalence among foreign-born vs. US-born Mexican youth in California. Social Science Medicine, doi:10. 1016/j. socscimed. 2012. 10. 023 Carrera, P. , Gao, X. , Tucker, K. (2007). A study of dietary patterns in the mexican-american population and their association with obesity. Journal Of The American Dietetic Association, 107(10), 1735-1742. Centers for Disease Control and Prevention. Healthy Weight. About BMI for Children and Teens: What is a BMI percentile? Available at: http://www. cdc. gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi. html. Accessed May 19, 2009. Centers for Disease Control and Prevention (2009). Defining overweight and obesity. Atlanta, GA: Centers for Disease Control and Prevention. http://www. cdc. gov/nccdphp/dnpa/obesity/ childhood/defining. htm. Accessed April 1, 2009. Dishman, R. K. , Washburn, R. A. , Heath, G. (2004). Physical activity epidemiology (p. 30). United States: Human Kinetics Publishers. OBESITY AMONGST MEXICAN CHILDREN: ARE FIRST GENERATION MEXICAN CHILDREN 11 MORE PRONE TO OBESITY THAN THEIR SECOND GENERATION COUNTERPARTS? Duerksen, S. , Elder, J. , Arredondo, E. , Ayala, G. , Slymen, D. , Campbell, N. , B. , Baquero(n. d). Research: Family Restaurant Choices Are Associated with Child and Adult Overweight Status in Mexican-American Families. Journal Of The American Dietetic Association, 107849-853. doi:10. 1016/j. jada. 2007. 02. 012 Drewnowski, A. Darmon, N. (2005). Food Choices and Diet Costs: an Economic Analysis. The Journal of Nutrition. . April 1, 2005 vol. 135 (4) 900-904. Dubowitz, T. , Heron, M. , Bird, C. , Lurie, N. , Finch, B. , Basurto-Davila, R. , Escarce, J. (2008). Neighborhood socioeconomic status and fruit and vegetable intake among whites, blacks, and Mexican Americans in the United States. American Journal Of Clinical Nutrition, 87(6), 1883-1891. Encuesta Nacional de Enfermedades Cronicas. Mexico, DF:Secretaria de Salud, 1993. Encuesta Nacional de Salud 2000. La Salud de los Adultos. Mexico:Instituto Nacional de Salud Publica, 2003. Gordon-Larsen, P. , Harris, K. , Ward, D. , Popkin, B. (2003) Exploring increasing overweight and its determinants among Hispanic and Asian immigrants to the US: The National Longitudinal Study of Adolescent Health. Social Science Medicine 57:2023-34. Gray, V. B. , Cossman, J. S. , Dodson, W. L. , Byrd, S. H. (2005). Dietary acculturation of Hispanic immigrants in Mississippi. Salud Publica De Mexico, 47(5), 351-360. Haboush, A. , Phebus, T. , Tanata Ashby, D. , Zaikina-Montgomery, H., Kindig, K. (2011). Still unhealthy 2009: building community research to identify risk factors and health outcomes in childhood obesity. Journal Of Community Health, 36(1), 111-120. doi:10. 1007/s10900-010-9288-8. Healthy People 2010: Understanding and Improving Health (2nd edition), US Department of Health and Human Services, Washington, DC (2000) Available at http://www. healthypeople. gov/document/html/objectives/19-03. htm Accessed May 19, 2009 Kaiser, L. , Melgar-Quinonez, R. , Lamp, C. , Johns, M. , Harwood, J. (2001)Acculturation of Mexican-American Mothers Influences Child Feeding Strategies. Journal of the American Dietetic Association. 2001;101(5):542–47. OBESITY AMONGST MEXICAN CHILDREN: ARE FIRST GENERATION MEXICAN CHILDREN 12 MORE PRONE TO OBESITY THAN THEIR SECOND GENERATION COUNTERPARTS? Kunkel, D. , McKinley, C. , and Wright, P. (2009) The Impact of Industry Self-Regulation on the Nutritional Quality of Foods Advertised on Television to Children. Ogden C, Flegal K, Carroll M, and Johnson C. 2002. Prevalence and trends in overweight among US children and adolescents, 1999-2000. Journal of American Medical Association 288 (14):1728. Osypuk, Theresa L. , Ana V. Diez Roux, Craig Hadley, and Namratha R.Kandula. 2009. Are immigrant enclaves healthy places to live? The Multi-ethnic Study of Atherosclerosis. Social Science Medicine 69:110-120. Popkin, B. M. , Udry, J. (1998). Adolescent obesity increases significantly in second and third generation U. S. immigrants: The Journal Of Nutrition, 128(4), 701. Rojas-Martinez, R. , Aguilar-Salinas, C. , Jimenez-Corona, A. , Gomez-Perez, F. , Barquera, S. , Lazcano-Ponce, E. (2012). Prevalence of obesity and metabolic syndrome components in Mexican adults without type 2 diabetes or hypertension. Salud Publica De Mexico, 54(1), 7-12. Romero-Gwynn, E. , D. Gwynn, L.Grivetti, McDonald, G. Stanford, B. Turner, E. West, and E. Williamson (1993). Dietary acculturation among Latinos of Mexican descent. Nutrition Today July/August: 6-12. Rosas, L. , Guendelman, S. , Harley, K. , Fernald, L. , Neufeld, L. , Mejia, F. , Eskenazi, B. (2011). Factors associated with overweight and obesity among children of Mexican descent: results of a binational study. Journal Of Immigrant Minority Health, 13(1), 169-180. Small, L. , Melnyk, B. , Anderson-Gifford, D. , Hampl, J. 2009). Exploring the meaning of excess child weight and health: shared viewpoints of Mexican parents of preschool children. Pediatric Nursing, 35(6), 357-366. Thorpe, L. , List, G Childhood obesity in New York City elementary school students American Journal of Public Health, 94 (2004), pp. 1496–1500 US Department of Health and Human Services 19–3: Reduce the proportion of children who are overweight or obese United States Department of Health and Human Services (2007). OBESITY AMONGST MEXICAN CHILDREN: ARE FIRST GENERATION MEXICAN CHILDREN 13 MORE PRONE TO OBESITY THAN THEIR SECOND GENERATION COUNTERPARTS? The surgeon general’s call to action to prevent and decrease overweight and obesity. Web site. http://www.surgeongeneral. gov/topics/obesity/calltoaction/fact_adolescents. htm. Accessed January 15. Van Hook, J. , H. , Baker, E. , Altman, C. , Frisco, M. Canaries in a coalmine: Immigration and overweight among Mexican-origin children in the US and Mexico. Social Science Medicine, 74125-134. doi:10. 1016/j. socscimed. 2011. 10. 007. Scharoun-Lee, M. , Kaufman, J. , Popkin, B. , Gordon-Larsen, P. (2009). Obesity, race/ethnicity and life course socioeconomic status across the transition from adolescence to adulthood. Journal Of Epidemiology Community Health, 63(2), 133-139. doi:10.1136/jech. 2008. 075721 Seo, D. , Sa, J. (2010). A Meta-Analysis of Obesity Interventions Among U. S. Minority Children. doi:10. 1016/j. jadohealth. 2009. 11. 202 Sosa, E. T. (2012). Mexican American Mothers’ Perceptions of Childhood Obesity: A Theory-Guided Systematic Literature Review. Health Education Behavior, 39(4), 396. doi:10. 1177/1090198111398129 Sussner, K. , Lindsay, A. , Peterson, K. (2009) Research: The Influence of Maternal Acculturation on Child Body Mass Index at Age 24 Months. Journal Of The American Dietetic Association, 109218-225. doi:10. 1016/j. jada. 2009. 10. 056.

Friday, September 20, 2019

Interlaminar Fracture Major Failure in Polymer Composites

Interlaminar Fracture Major Failure in Polymer Composites Composites considered new class of materials produced that are strong, not easily corroded, and have low densities. Polymer matrix composites can further be developed to get better mechanical strength and other necessary properties. Polymer Composite materials are heterogeneous in content and an-isotropic in their mechanical behavior. If compared to metallic material, fracture toughness characterization of polymer composite are new and in the process of development.   Fracture may be describe as the mechanical split of a solid owing to the function of stress. Fractures of engineering material are classify as brittle or ductile fractures [18]. Brittle fractures absorb small amount of energy, while ductile fractures absorb high amount of energy, and are generally categorized by fracture which the surface is flat. Fracture toughness is associated with the sum of the energy needed to create fracture on the surfaces. For material which is brittle, such as glass the energy needed for fracture is commonly the elemental surface energy of the material [18]. For structural alloys materials at room temperature more energy is needed for fracture because plastic deformation exist in the fracture process. The function of fracture mechanics concepts has classify and quantified the main parameters that influence structural integrity [18]. These parameters comprise the range and magnitude of the stresses applied, the shape, size, and crack orientation, fracture to ughness of the material and the propagation rate of the existing cracks [18]. The fracture resistance is expressed in terms of the stress intensity factor, K and strain energy release rate is expressed in term of, G. The energy released during speedy crack propagation is an elemental material properties which not influenced by size of the part [18]. According to ASTM standard, stress intensity factor, K can be expressed as: (1) Where KI, the Mode I crucial stress intensity factor, f (g) is the dimensionless specimen geometry and loading condition factor, and the a is the preliminary crack length. The chosen size of the specimen must have small scale plasticity around the tip of the crack. One of the basic principles of fracture mechanics, the unstable fracture exist when the stress intensity factor, K at the crack tip achieve a critical value, KC [18]. The Higher the amount of fracture toughness, the greater the intensity of stress needed to develop crack propagation and the resistance of material also become greater to brittle fracture. Critical stress intensity factor can be determined by using a laboratory experiment, the limiting value being KIC / KIIC / KIIIC [18]. Fracture not only applied in metallic materials it can also applied brittle materials such as ceramics, glass and polymers. Polymer composite materials usually indicate a mixture of brittle and ductile failure processes. There a few fracture modes in polymer composites failure such as fiber breaking, intralaminar fracture or matrix cracking, matrix-fiber debonding, fiber pullout, interlaminar fracture or delamination, and etc [19]. In the polymer composite system, the matrix or resin absorbs energy in tearing, on the other hand the fibers break or damaged by brittle cleavage [20]. Factors that control the toughness in fiber reinforced composites are, the cracks deflection due to twisting or tilting movement near the fiber and debonding between fibers and matrix. Interlaminar fracture major failure in polymer composites. Its development hugely weaken the stiffness of a composite structure, which can lead to the failure during service [21] and also it hugely affected the performance of laminated composite. The interlaminar performance is determined by weakness under both shear and tensile stresses. If discontinuities exist in the material the effect of the interlaminar stress to the overall performance become more significant. This delamination and their growth can be classified by the way load is applied and the strain energy release rate, G. Delamination can be categorized in Mode I tensile, Mode II shear, Mode III tearing and shear, or it also can be loaded in combination of between these modes. Critical strain energy release rate, GC at which the delamination started to begins to extend vary significantly depending on the mode of loading [22]. Classification of delamination resistance has attract the interest researchers, hence, it result in the development of many different test methods. According to ASTM D 5528 standard which equivalent to ISO 15024 recommends using Double Cantilever Beam (DCB) method for measuring the Mode I fracture toughness GIC of polymer composites. Next, the usage of End Notch Flexure (ENF) test for Mode II fracture toughness GIIC common method used among researchers. For Mode III fracture toughness GIIIC, Ratcliffe J [23], suggested using the Edge Crack Torsion Test (ECT). However, for Mixed-Mode bending (MMB) will follow the ASTM D6671 standard which can measure fracture toughness across a wide range of combinations of Mode I and Mode II loading.

Thursday, September 19, 2019

Historical Past of the Bacterium Salmonella Bacilli Essay -- History B

The Life of Salmonella Abstract: The following paper discusses the historical past of the bacterium Salmonella Bacilli and its repercussions within infected human victims over time. There are two types of salmonella: nontyphoidal and typhoidal. Both are borne through direct contact with an infected host’s feces bacterium which in turn, is ingested orally. Their way of life exists within the digestive tract of its host, reproducing rapidly into thousands of serotypes. Cultured, strengthened, and afflicted upon people over the centuries, salmonella has become the number one danger in food poisoning, carrying doom, death, and destruction wherever it goes. Every bacterium has its humble beginnings as did salmonella. Reported to cause 42 percent of all food poisoning cases in the world, salmonella bacteria infect a variety of hosts from humans to animals to reptiles. Because chicken and cows come in contact with feces almost daily, these animals are the main carriers of salmonella bacteria. Furthermore, the intestinal tracts of many different reptiles contain the same bacteria to serve survival purposes; however, it can easily be released and transmitted to other hosts. Humans are very susceptible to the Salmonella Typhi bacterium as it only lives and cultures within warm-blooded mammals. To transmit from human to human, it must travel through the fecal and oral pathway. Drinking water also provides another means for vast infection. The ensuing disease is perhaps the most widely known in history, typhoid fever. This disease has an extensive history, riddled with pain, suffering, and unwanted death. Such a history it has that even the ancient Greeks knew about â€Å"a dreadful disease,† now known as typhoid. â€Å"Hippocrates described it... ...e in making history. As one can see, salmonella has quite an extensive past in affecting the humans in general. From its beginning roots in the civilization of Athens to its effects on life today on Earth, salmonella has contributed much to our very own existence, testing our limits to ensure the most successful way to survive. Bibliography http://www.cdc.gov/ncidod/eid/vol4no3/mcdade.htm Bioterrorism. 25 July 2008 . http://www.bacteriamuseum.org/niches/features/bioterror.shtml By: Dr. T.M. Wassenaar http://www.homelandsecurity.org/journal/Commentary/cunnion2.htm By: Stephen O. Cunnion Elsevier. "Typhoid Fever Led To The Fall Of Athens." ScienceDaily 23 January 2006. 23 July 2008 http://www.sciencedaily.com /releases/2006/01/060123163827.htm. http://news.bbc.co.uk/1/hi/health/4639840.stm

Wednesday, September 18, 2019

Special Education Essay -- Education Teaching

Introduction Since the passing of The Individuals with Disabilities Education Act (IDEA), schools are required to serve all students regardless of their disability in a least restrictive environment. Due to increase in the number of students being identified and placed in general education classrooms, educators can expect to serve students with disabilities. It is important to understand the different types of disabilities, the characteristics of these disabilities, and causes; in order to ensure the success of students. This paper will define severe disabilities, mental retardation, traumatic brain injury, autism, and deaf-blindness. In addition, this paper will address the characteristics and causes of each disability. Definition of Severe Disabilities There are many different definitions used to define the meaning of severe disabilities, a general definition for severe disabilities is any disability that significantly limits a person's physical, mental or emotional performance, and requires ongoing extensive support in more than one major life activity in order to participate fully in education, community settings or work. According, to Heward (2009), severe disabilities includes, â€Å"students with significant disabilities in intellectual, physical, and/or social functioning, students that have multiple disabilities or deaf-blindness, students with severe mental retardation, severe emotional disturbance, and severe disabilities or health impairments are encompassed by the term† (p.453). Characteristics of Severe Disabilities Depending upon, the combination and severity of disabilities, and the age of the person with severe disabilities they may exhibit a wide range of characteristics, however, â€Å"one defining characteristic ... ...ents that has one or more disabilites. By having a better understanding of the defintion, characteristics, and causes of these disabiliteis educators can be better prepared to instuct their students. By gaining a better insight of theses students and how they learn, educators can use effective strategies to ensure the success of all students. Works Cited Heward, W. L. (2009). Exceptional children: An introduction to special education (9th ed.). Upper Saddle River, NJ: Merrill National Dissemination Center for Children with Disabilities. (2004). Disabilities Fact Sheet. Retrieved January 8, 2011 from http://www.nichcy.org/InformationResources/Documents/NICHCY%20PUBS/fs10.pdf National Institute of Neurological Disorders and Stroke. (n.d.). Traumatic Brain Injury Information Page. Retrieved January 8, 2011 from http://www.ninds.nih.gov/disorders/tbi/tbi.htm

Tuesday, September 17, 2019

Blood Brothers by Willy Russell :: Blood Brothers Essays

â€Å"Blood Brothers† by Willy Russell Blood Brothers seems to have been set in the 1970s/80s around Liverpool. There is a lot about striking and major redundancies in it. Also about people moving "out of Liverpool" into the "country" ( Skelmersdale ), in order to provide better housing and better prospects for everyone. The social climate of the working class appears to highlight the differences between working and middle classes. The contrasts between the personalities and characters of Miss Johnstone and Mrs. Lyons are clearly shown throughout the play but these characteristics are mirrored within where each character resides. There is a clear and distinct line between the two social worlds is obvious as Miss Johnstone and Mrs. Lyons are shown to live at opposite ends of the social scale, Mrs. Lyons in a respectable area with everything money can buy, and Miss Johnstone in a rundown semi on a council estate. This becomes even clearer when Mickey says â€Å"up in the park† which seems to suggest that it is above the Johnstone’s status and that it is attractive and open in comparison to the estate. It also seems that neither parent wanted their children mixing with each other and also seemingly, boys from a different social class. Mrs. Lyons states â€Å"You see why I don’t want you mixing with boys like that! You learn filth from them,† after Eddie swears at her. It seems to confirm her stereotypical views about the nature of people who were less well off than her, which obviously includes how she sees Mickey to be. There is also a clear difference in the language and vocabulary that is used by both different sets of people. For example Eddie refers to his mother as â€Å"my mummy† which seems to be a rather mummy’s boy thing to say and a bit soppy and girly and also something a somewhat posh child would say. In comparison Mickey, who lives in a rougher environment, refers to his mother as â€Å"me mam† which is a rather typical thing for someone living as a child in working class Liverpool. He tends to be more colloquial and use more informal and slangy language where as Eddie tends to abbreviate his words and pronounce them all in the proper way. Mickey doesn’t enunciate the ends of his word (for example he says â€Å"Yeh† instead of â€Å"Yes†) whereas Eddie has a much more formal way of pronunciation. Another big part of language which is used by both boys, eventually, is the matter of swearing. When Edward meets Mickey he is very polite and rather innocent but upon being introduced to Mickey he begins to Blood Brothers by Willy Russell :: Blood Brothers Essays â€Å"Blood Brothers† by Willy Russell Blood Brothers seems to have been set in the 1970s/80s around Liverpool. There is a lot about striking and major redundancies in it. Also about people moving "out of Liverpool" into the "country" ( Skelmersdale ), in order to provide better housing and better prospects for everyone. The social climate of the working class appears to highlight the differences between working and middle classes. The contrasts between the personalities and characters of Miss Johnstone and Mrs. Lyons are clearly shown throughout the play but these characteristics are mirrored within where each character resides. There is a clear and distinct line between the two social worlds is obvious as Miss Johnstone and Mrs. Lyons are shown to live at opposite ends of the social scale, Mrs. Lyons in a respectable area with everything money can buy, and Miss Johnstone in a rundown semi on a council estate. This becomes even clearer when Mickey says â€Å"up in the park† which seems to suggest that it is above the Johnstone’s status and that it is attractive and open in comparison to the estate. It also seems that neither parent wanted their children mixing with each other and also seemingly, boys from a different social class. Mrs. Lyons states â€Å"You see why I don’t want you mixing with boys like that! You learn filth from them,† after Eddie swears at her. It seems to confirm her stereotypical views about the nature of people who were less well off than her, which obviously includes how she sees Mickey to be. There is also a clear difference in the language and vocabulary that is used by both different sets of people. For example Eddie refers to his mother as â€Å"my mummy† which seems to be a rather mummy’s boy thing to say and a bit soppy and girly and also something a somewhat posh child would say. In comparison Mickey, who lives in a rougher environment, refers to his mother as â€Å"me mam† which is a rather typical thing for someone living as a child in working class Liverpool. He tends to be more colloquial and use more informal and slangy language where as Eddie tends to abbreviate his words and pronounce them all in the proper way. Mickey doesn’t enunciate the ends of his word (for example he says â€Å"Yeh† instead of â€Å"Yes†) whereas Eddie has a much more formal way of pronunciation. Another big part of language which is used by both boys, eventually, is the matter of swearing. When Edward meets Mickey he is very polite and rather innocent but upon being introduced to Mickey he begins to

Monday, September 16, 2019

Bloodlines Chapter Nine

CONSIDERING I WAS ONLY SUPPOSED to visit Clarence's twice a week for feedings, I was kind of amazed that I seemed to be here practically every day. Not only that, this was my first time visiting the estate alone. Before, I'd been with Keith or Jill and had a very well-defined goal. Now, I was on my own. I hadn't realized how much that would freak me out until I was approaching the house, which became even more looming and dark than usual. There's nothing to be afraid of, I told myself. You've been with a vampire and dhampir all week. You should be used to it. Besides, really, the scariest thing about this place was the old house itself. Clarence and Lee weren't all that intimidating, and Adrian†¦ well, Adrian was pretty much the least scary vampire I'd ever met. He was too bratty for me to feel any real fear, and actually†¦ as much as I hated to admit it, I kind of looked forward to seeing him. It made no sense, but something about his infuriating nature made me forget about my other worries. Weirdly, I felt like I could relax around him. Dorothy escorted me in, and I expected to be taken to the sitting room again. Instead, the housekeeper led me through a few twists and turns of the dark halls, finally landing in a billiards room that looked like it could have been straight out of Clue. More dark wood lined the room, and stained glass windows let in filtered sunlight. Most of the room's illumination came from a hanging light centered over a rich green pool table. Adrian was lining up a shot as I shut the door behind me. â€Å"Oh,† he said, knocking a red ball into a hole. â€Å"It's you.† â€Å"You were expecting someone else?† I asked. â€Å"Am I interrupting your social calendar?† I made a big show of glancing around the empty room. â€Å"I don't want to keep you from the mob of fans beating down your door.† â€Å"Hey, a guy can hope. I mean, it's not impossible that a car full of scantily clad sorority girls might break down outside and need my help.† â€Å"That's true,† I said. â€Å"Maybe I can put a sign out front that says, ‘ATTENTION ALL GIRLS: FREE HELP HERE.'† â€Å"‘ATTENTION ALL HOT GIRLS,'† he corrected, straightening up. â€Å"Right,† I said, trying not to roll my eyes. â€Å"That's an important distinction.† He pointed at me with the pool stick. â€Å"Speaking of hot, I like that uniform.† This time, I did roll my eyes. After Adrian had teased me last time about my uniform looking like my normal clothes, I'd made sure to change out of it before coming today. Now I wore dark jeans and a black-and-white printed blouse with a ruffled collar. I should have known the outfit change wouldn't save me from his snark. â€Å"Are you the only one here?† I asked, noting his solo game. â€Å"Nah. Clarence is around doing†¦ I don't know. Old man stuff. And I think Lee's fixing that lock before he heads to LA. It's kind of funny. He seems upset that he needs to use tools. He keeps thinking the strength of his own hands should be more than enough.† I couldn't help a smile. â€Å"I don't suppose you offered to help?† â€Å"Sage,† Adrian declared. â€Å"These hands don't do manual labor.† He knocked another ball into a hole. â€Å"You want to play?† â€Å"What? With you?† â€Å"No, with Clarence.† He sighed at my dumbfounded look. â€Å"Yes, of course with me.† â€Å"No. I need to talk to you about Jill.† He was silent for a few moments and then returned to the game as though nothing had happened. â€Å"She wasn't sick today.† He said that with certainty, though there was a funny, bitter tone to his words. â€Å"No. Well, not in the same way. She got sick out in the sun during PE. I'm going to see Keith after this to see if we can get a medical excuse.† I'd actually tried calling him earlier, with no luck. â€Å"But that's not why I'm here. There's a guy who likes Jill – a human guy.† â€Å"Have Castile rough him up.† I leaned back against the wall and sighed. â€Å"That's the thing. I asked him to. Well, not rough him up, exactly. It's Eddie's roommate. I asked Eddie to tell him to back off and make up some reason for staying away from Jill – like that she's too young.† Fearing Adrian would be as lax as Eddie in this, I asked, â€Å"You understand why it's important, right? No Moroi and human dating?† He was watching the table, not me. â€Å"Yup, I'm with you there, Sage. But I still don't see the problem.† â€Å"Eddie won't do it. He says he doesn't think Jill should be denied the chance to date and go to dances. That it's okay if she and Micah hang out, so long as it doesn't get serious.† Adrian was good at hiding his feelings, but this looked like it'd caught him by surprise. He straightened up and spun the base of the pool stick on the floor as he thought. â€Å"That is weird. I mean, I get the logic, and there's something to it. She shouldn't be forced into isolation while she's here. I'm just surprised Castile came up with it.† â€Å"Yeah, but that's a hard concept to live by. Where do you draw the ‘casual' line? Honestly, I get this feeling Eddie just didn't want to confront Micah – the roommate. Which is crazy, because Eddie doesn't seem like the type to be afraid of anything. What is there about Micah that would make Eddie so uneasy?† â€Å"Is Micah some big, hulking guy?† â€Å"No,† I said. â€Å"He's built, I guess. Good at sports. Really friendly and easygoing – not the type you'd have to be afraid would turn on you if you warned him away from your sister.† â€Å"Then you can talk to him. Or just talk to Jailbait and explain things to her.† Adrian seemed satisfied he'd solved the matter and knocked in the last ball. â€Å"That was my plan. I just wanted to make sure you'd back me. Jill listens to you, and I thought it'd be easier if she knew you agreed with me. Not that I even know how she feels. For all I know, this is all overkill.† â€Å"Can't hurt to be too careful with her,† said Adrian. He stared off, lost in his own thoughts. â€Å"And I'll let her know how I feel about it.† â€Å"Thank you,† I said, kind of surprised at how easy this had been. His green eyes danced mischievously. â€Å"Now will you play a round with me?† â€Å"I don't really – â€Å" The door opened, and Lee walked in, dressed casually in jeans and a T-shirt. He was carrying a screwdriver. â€Å"Hey, Sydney. I thought I saw your car out there.† He glanced around. â€Å"Is, uh, Jill with you?† â€Å"Not today,† I said. New insight struck me as I recalled that Lee attended school in Los Angeles. â€Å"Lee, have you ever dated a human girl at your school?† Adrian arched an eyebrow. â€Å"Are you asking him out, Sage?† I scowled. â€Å"No!† Lee turned thoughtful. â€Å"No, not really. I have some human friends, and we go out as a group and hang out†¦ but I've never done more than that. LA's a big place, though. There are Moroi girls around, if you know where to look.† Adrian perked up. â€Å"Oh?† My hope that Lee might tell Jill he too had to avoid dating faded. â€Å"Well, that would make your dating situation much easier than Jill's.† â€Å"What do you mean?† asked Lee. I recapped everything to him about Micah and Eddie. Lee nodded along thoughtfully. â€Å"That is hard,† he admitted. â€Å"Can we go back to the part about Moroi girls hanging out in LA?† asked Adrian hopefully. â€Å"Can you direct me to some of the†¦ oh, let's say, more open-minded ones?† Lee's attention was on me, however. His easy smile grew uncertain, and he glanced at his feet. â€Å"This might seem kind of weird†¦ but I mean, I wouldn't mind asking Jill out.† Adrian was on that before I could even think of a response. â€Å"What, do you mean like on a date? You son of a bitch! She's only fifteen.† You never would've guessed he'd been talking about easy Moroi girls only moments before. â€Å"Adrian,† I said. â€Å"I'm guessing Lee's definition of a date is a little different than yours.† â€Å"Sorry, Sage. You've got to trust me when it comes to dating definitions. Last I checked, you aren't an expert in social matters. I mean, when was the last time you were even on a date?† It was just another of the witty barbs he tossed around so easily, but it stung a little. Was my lack of social experience that obvious? â€Å"But,† I added, ignoring Adrian's question, â€Å"there is an age difference.† I honestly had no idea how old Lee was. His being in college gave me some clue, but Clarence seemed awfully old. Having a child late in life wasn't that weird, though, for humans or Moroi. â€Å"There is,† said Lee. â€Å"I'm nineteen. Not a huge gap – but big enough. I shouldn't have said anything.† He looked embarrassed, and I felt both sorry for him and confused for myself. Matchmaking wasn't in the Alchemist handbook. â€Å"Why would you want to ask her out?† I asked. â€Å"I mean, she's great. But are you just doing this to distract her from Micah and give her a safe dating alternative? Or do you, um, like her?† â€Å"Of course he likes her,† said Adrian, quick to defend Jill's honor. I had a feeling that there was really no good way for Lee to answer at this point. If he expressed interest in her, Adrian's bizarre chivalric instincts were going to kick in. If Lee wasn't interested, Adrian would no doubt demand to know why Lee didn't want to marry her then and there. It was one of those fascinating – but weird – quirks of Adrian's personality. â€Å"I like her,† said Lee bluntly. â€Å"I've only talked to her a couple of times, but†¦ well, I'd really like to get to know her better.† Adrian scoffed, and I shot him a glare. â€Å"Once again,† I said. â€Å"I think you guys have different definitions for the same words.† â€Å"Not true,† said Adrian. â€Å"All guys mean the same thing when they want to ‘get to know a girl better.' You're a well-bred young lady, so I understand why you'd be too innocent to understand. Good thing you've got me here to interpret.† I turned back to Lee, not even bothering to respond to Adrian. â€Å"I think it's fine if you go out with her.† â€Å"Assuming she'd even be interested,† said Lee, looking uncertain. I remembered her smile when he'd stopped to talk to her yesterday. That had seemed pretty promising. But then, so had her enthusiasm over Micah. â€Å"I bet she would.† â€Å"So you're just going to let her go off alone?† asked Adrian, giving me a look that told me not to question him. This time, his concern was legitimate. I shared it. Jill was in Palm Springs to be safe. She was enrolled at Amberwood because it was also safe. Suddenly going out with a guy we hardly knew would not meet either Alchemist or guardian protocols for safety. â€Å"Well, she can't even leave campus,† I said, thinking aloud. â€Å"Not without me.† â€Å"Whoa,† said Adrian, â€Å"if you get to come along as a chaperone, so do I.† â€Å"If we both do, then Eddie will want to as well,† I pointed out. â€Å"Doesn't sound like much of a date.† â€Å"So?† Adrian's brief moment of seriousness and concern had vanished in the face of what he saw as social fun. How could anyone's mood flip so quickly? â€Å"Think of it as less of a date than a faux-family outing. One that will entertain me while protecting her virtue.† I put my hands on my hips and turned toward him. This seemed to amuse him more. â€Å"Adrian, we're focusing on Jill here. This isn't about your personal entertainment.† â€Å"Not true,† he said, green eyes sparkling. â€Å"Everything's about my personal entertainment. The world is my stage. Keep it up – you're becoming a star performer in the show.† Lee glanced between us with a comically helpless look. â€Å"Do you guys want to be alone?† I flushed. â€Å"Sorry.† Adrian made no apologies, of course. â€Å"Look,† said Lee, who kind of seemed like he was beginning to regret bringing this up at all. â€Å"I like her. If it means bringing your whole group so I can be with her, then that's fine.† â€Å"Maybe it's better this way,† I mused. â€Å"Maybe if we do more things as a group – aside from her feedings – she won't be in danger of wanting to go out with a human guy.† Who we didn't even know for sure that she was interested in. We didn't even know if she was interested in Lee either. We were being awfully heavy-handed with her love life, I realized. â€Å"This is kind of what I wanted before,† Adrian said to me. â€Å"Just more of a social life.† I thought back to yesterday's conversation, in which he'd demanded I find him lodging. â€Å"That's not quite what you asked for.† â€Å"If you want to get out more,† said Lee, â€Å"you should come back to LA with me tonight. I'll be back here after class tomorrow anyway, so it'd just be a quick trip.† Adrian brightened so much that I wondered if Lee had suggested it to try to smooth over any tension remaining about his interest in Jill. â€Å"Will you introduce me to those girls?† asked Adrian. â€Å"Unbelievable,† I said. Adrian's double standard was ridiculous. I didn't notice the door opening until Keith was completely in the room. I was never exactly happy to see him, but it was good luck that he was suddenly here, right when I needed to talk to him about Jill and her problems with PE. My best plan had been to show up at his apartment and hope to catch him there. He'd saved me the trouble. Keith looked at all three of us – but he didn't share our smiles. No winks or pretty boy charm from him today. â€Å"I saw your car out there, Sydney,† he said sternly, turning to me. â€Å"What are you doing here?† â€Å"I had to talk to Adrian,† I said. â€Å"Did you get my message? I tried calling earlier.† â€Å"I've been busy,† he said crisply. His expression was hard, his tone chilling the room. Adrian and Lee had lost their smiles, and both now looked confused as they tried to figure out why Keith was so annoyed. I shared their curiosity. â€Å"Let's talk. In private.† I suddenly felt like a naughty child without knowing why. â€Å"Sure,† I said. â€Å"I†¦ I was just leaving anyway.† I moved to join Keith at the door. â€Å"Wait,† said Lee. â€Å"What about – † Adrian nudged him and shook his head, murmuring something I couldn't hear. Lee stayed quiet. â€Å"See you around,† said Adrian cheerfully. â€Å"Don't worry – I'll remember what we talked about.† â€Å"Thanks,† I said. â€Å"See you guys later.† Keith left without a word, and I followed him out of the house and into the late-afternoon heat. The temperature had gone down since the ill-fated PE class but not by much. Keith trudged through the gravel driveway, coming to a halt beside Latte. His car was parked nearby. â€Å"That was rude,† I told him. â€Å"You didn't even say goodbye to them.† â€Å"Sorry if I don't bring out my best manners for vampires,† snapped Keith. â€Å"I'm not as close to them as you are.† â€Å"What's that supposed to mean?† I demanded, crossing my arms. Staring him down, I felt all my old animosity bubble up. It was hard to believe that I'd been laughing just a minute ago. Keith sneered. â€Å"Just that you seemed awfully cozy with them in there – hanging out, having a good time. I didn't know this was where you spent your free time after school.† â€Å"How dare you! I came here on business,† I growled. â€Å"Yeah, I could tell.† â€Å"I did. I had to talk to Adrian about Jill.† â€Å"I don't recall him being her guardian.† â€Å"He cares about her,† I argued. â€Å"Just like any of us would for a friend.† â€Å"Friend? They're not like us at all,† said Keith. â€Å"They're godless and unnatural, and you have no business being friends with any of them.† I wanted to shout back that from what I'd observed, Lee was a hundred times more decent of a person than Keith would ever be. Even Adrian was. It was only at the last second that my training kicked in. Don't raise a fuss. Don't contradict your superiors. No matter how much I hated it, Keith was in charge here. I took a deep breath. â€Å"It was hardly fraternizing. I simply came by to talk to Adrian, and Lee happened to be here. It wasn't like we'd all been planning some big party.† Best not to mention the group date plan. â€Å"Why didn't you just call Adrian if you had a question? You called me.† Because being face-to-face with him is less sickening than being around you. â€Å"It was important. And when I couldn't get ahold of you, I figured I'd have to drive over to your place anyway.† Hoping to shift away from my â€Å"bad behavior,† I jumped in and recapped everything that had happened today, including Jill's sun exposure and Micah's attentions. â€Å"Of course she can't date him,† he exclaimed, after I'd explained about Micah. â€Å"You have to put a stop to that.† â€Å"I'm trying. And Adrian and Lee said they'd help.† â€Å"Oh, well, I feel a lot better now.† Keith shook his head. â€Å"Don't be naive, Sydney. I told you. They don't care about this stuff as much as we do.† â€Å"I think they do,† I argued. â€Å"Adrian seemed to get it, and he has a lot of influence over Jill.† â€Å"Well, he's not the one the Alchemists are going to come after and send off to re-education for playing around with vampires when she should be disciplining them.† I could only stare. I wasn't sure which part of what he'd just said was more offensive: the well-worn insinuation that I was a â€Å"vamp lover† or that I was capable of â€Å"disciplining† any of them. I should've known his false friendliness wouldn't last. â€Å"I'm doing my job here,† I said, still keeping my voice level. â€Å"And from what I can see, I'm doing more work than you, since I'm the one who's been putting out fires all week.† I knew it was an illusion, seeing as the glass eye couldn't really stare, but I felt like he was glaring at me with both eyes. â€Å"I'm doing plenty. Don't even think to criticize me.† â€Å"What were you doing here?† I asked, suddenly realizing how weird that was. He'd accused me of â€Å"socializing† but had never explained his motives. â€Å"I had to see Clarence, not that it's any of your business.† I wanted more details but refused to let on how curious I was. He'd been here yesterday too, according to Lee. â€Å"Will you call the school tomorrow and get Jill excused from PE?† Keith gave me a long and heavy look. â€Å"No.† â€Å"What? Why not?† â€Å"Because being out in the sun won't kill her.† Again, I bit down on my anger and tried for the diplomacy I'd been schooled in. â€Å"Keith, you didn't see her. Maybe it won't kill her, but it was miserable for her. She was in agony.† â€Å"I don't really care if they're miserable or not,† Keith said. â€Å"And neither should you. Our job is to keep her alive. There was no mention of making sure she's happy and comfortable.† â€Å"I wouldn't think anyone would have to tell us,† I said, aghast. Why was he so upset? â€Å"I'd think being sensitive human beings, we could just do it.† â€Å"Well, now you can. You can either get someone above us to issue a note to the school or you can give her ice baths after gym class. I really don't care what you do, but maybe it'll keep you busy enough that you'll stop coming over here unannounced and throwing yourself at creatures of darkness. Don't let me hear about this happening again.† â€Å"You are unbelievable,† I said. I was too upset and at a loss for words to manage anything more eloquent. â€Å"I'm looking out for your soul,† he said loftily. â€Å"It's the least I can do for your dad. Too bad you aren't more like your sisters.† Keith turned his back on me and unlocked the car door without another word. He got in and drove off, leaving me staring. Tears threatened my eyes, and I swallowed them back. I felt like an idiot – but not because of his accusations. I didn't believe for an instant that I'd done anything wrong by coming over here. No, I was mad – mad at myself – because I'd let him walk away with the last word and because I hadn't had the nerve to say anything back. I'd stayed silent, just like everyone always told me to. I kicked the gravel in my anger, sending a spray of it into the air. A few small rocks hit my car, and I winced. â€Å"Sorry.† â€Å"Would he accuse you of being evil for talking to an inanimate object?† I spun around, heart racing. Adrian was leaning against the house, smoking. â€Å"Where did you come from?† I demanded. Even though I knew everything there was to know about vampires, it was hard to shake superstitious fears of them appearing out of thin air. â€Å"Other door,† he explained. â€Å"I went out to smoke and overheard the commotion.† â€Å"It's rude to eavesdrop,† I said, knowing I sounded unbearably prim but unable to stop myself. â€Å"It's rude to be an asshole like that.† Adrian nodded toward where Keith had driven away. â€Å"Are you going to be able to get Jill out of class?† I sighed, suddenly feeling tired. â€Å"Yeah, I should be able to. It'll just take a little longer while I get some other Alchemist to be our fake parents. Would've been a lot faster if Keith had done it.† â€Å"Thanks for looking out for her, Sage. You're okay. For a human.† I almost laughed. â€Å"Thanks.† â€Å"You can say it too, you know.† I walked over to Latte and paused. â€Å"Say what?† â€Å"That I'm okay†¦ for a vampire,† he explained. I shook my head, still smiling. â€Å"You'll have a hard time getting any Alchemist to admit that. But I can say you're okay for an irreverent party boy with occasional moments of brilliance.† â€Å"Brilliant? You think I'm brilliant?† He threw his hands skyward. â€Å"You hear that, world? Sage says I'm brilliant.† â€Å"That's not what I said!† He dropped the cigarette and stamped it out, giving me a devil-may-care grin. â€Å"Thanks for the ego boost. I'm going to go tell Clarence and Lee all about your high opinion.† â€Å"Hey, I didn't – â€Å" But he was already gone. As I drove away, I decided the Alchemists needed an entire department devoted to handling Adrian Ivashkov. When I got back to my dorm room, I found Jill sitting surrounded in textbooks and papers, undoubtedly trying to catch up from yesterday. â€Å"Wow,† I said, thinking of the homework that waited for me too. â€Å"You've got a whole command center set up.† Rather than smile at my joke, Jill looked up with an icy gaze. â€Å"Do you think,† she said, â€Å"that maybe next time you want to mess with my dating life, you could talk to me first?† I was speechless. Adrian had said he'd talk to Jill. I just hadn't realized it'd be so quickly. â€Å"You don't have to go behind my back to keep me away from Micah,† she added. â€Å"I'm not stupid. I know I can't date a human.† So Adrian had apparently told her that much. â€Å"And,† Jill continued, still in that cold tone, â€Å"you don't have to set me up with the only eligible Moroi within a hundred miles in order to keep me out of trouble.† Okay†¦ Adrian had apparently told her everything. I would've expected more discretion from him, especially with the Lee part. â€Å"We†¦ we weren't setting you up,† I said lamely. â€Å"Lee wanted to ask you out anyway.† â€Å"But rather than talk to me, he asked permission from you guys! You don't control my life.† â€Å"I know that,† I said. â€Å"We weren't trying to!† How had this just blown up right in front of me? â€Å"Lee acted on his own.† â€Å"Just like you did when you went to talk to Adrian behind my back.† Her eyes glittered with angry tears, daring me to deny it. I couldn't and only now realized the wrongness of what I'd done. Ever since she found out she was royal, Jill had watched other people dictate her life for her. Maybe my intentions to get Adrian to talk to her about Micah were good, but I'd addressed them in the wrong way. â€Å"You're right,† I said. â€Å"I'm sorry that I – â€Å" â€Å"Forget it,† she said, slipping a pair of headphones on. â€Å"I don't want to hear any more. You made me look stupid in front of both Adrian and Lee. Not that they'll even think twice about me in Los Angeles tonight.† She waved a hand at me and looked down at the book in front of her. â€Å"I'm done with you.† Whether she couldn't hear me because of the music or simply because she'd now chosen to ignore me, I couldn't say. All I knew was that I once again found myself comparing her to Zoe. Just like with Zoe, I'd tried to do something good for Jill, and it had backfired. Just like with Zoe, I'd ended up hurting and humiliating the one I'd tried to protect. Sorry, Sage. Last I checked, you aren't an expert in social matters. That, I thought bitterly, was the saddest part of all – that Adrian Ivashkov was right.