Poekilopleuron - Facts and Figures

Poekilopleuron - Facts and Figures Name: Poekilopleuron (Greek for changed ribs); articulated POY-execute goodness PLOOR-on Natural surroundings: Forests of western Europe Chronicled Period: Center Jurassic (170-165 million years prior) Size and Weight: Around 23 feet in length and one ton Diet: Meat Recognizing Characteristics: Huge size; bipedal stance; moderately long arms About Poekilopleuron Poekilopleuron had the adversity to be found in the mid nineteenth century, when for all intents and purposes each huge theropod was being doled out as a types of Megalosaurus (the main dinosaur ever to be named). A stunning number of well known scientistss were included, somehow, with this dinosaur: the sort species, Poekilopleuron bucklandii, was named after William Buckland; in 1869, Edward Drinker Cope reassigned a now-ancient class (Laelaps) as Poekilopleuron gallicum; Richard Owen was liable for Poekilopleuron pusillus, which Cope later changed to Poekilopleuron minor; later despite everything, Harry Seeley reassigned one of these animal categories to a completely various variety, Aristosuchus. In the midst of this furor of Poekilopleuron action, in any event one types of this center Jurassic dinosaur was relegated to Megalosaurus, however most scientistss kept on alluding to Poekilopleuron by its unique class name. Adding to the disarray, the first skeleton of Poekilopleuron (Greek for changed ribs)which stood apart for its total arrangement of gastralia, or ribs, a once in a while saved component of dinosaur fossilswas devastated in France during World War II, so scientistss have since needed to manage with mortar imitations (a comparable circumstance wins with the a lot greater meat-eating dinosaur Spinosaurus, whose type fossil was pulverized in Germany). Long story short: Poekilopleuron might have been a similar dinosaur as Megalosaurus, and on the off chance that it wasnt, it was a nearby family member!

Government and Insurance Case Study Essay Example

Government and Insurance Case Study Essay Example Government and Insurance Case Study Essay Government and Insurance Case Study Essay The cases that the administration protection are getting will in general be a lot higher than what the individuals who money and convey are required to pay. The administration is paying altogether higher cases for individuals from medicare and Medicaid than the individuals who don't utilize government protection and pay with money. The administration feels they are being exploited in this framework and have forced laws that presently restrict that a companys’ claims be in overabundance of 120% of what the normal, or regular, charges would be without acceptable motivation. Possibly, government programs repayment sums surpass the retail deals cost for items since clients are increasingly limited and requires a broad number of inward procedures and methodology. The repayment sums are set by the program substance. The way toward selling merchandise includes extra ordered by law thought past the ordinary money and convey process, including the handling of protection cases and validation of item conveyance. Another potential could be a direct result of the nondurable clinical supplies, and how the procedure is lumbering as the items are provided to clients on a month to month premise. We don't imagine that the repayment rate for this organization is significantly in abundance. So as to consent to the entirety of the legislatures prerequisites, there are critical working costs that must be brought about to get the items to where they should be. Taking a gander at TABLE 6, you can see that the item cost per unit is fundamentally higher for the items offered t o the administration than the items offered to the money and convey clients on account of these extra working costs that are brought about. Therefore, this organization ought to have great purpose to charge a higher rate for repayment rate all together the permit the business to work at a benefit and make it worth while to keep giving items to these clients. In spite of the fact that the numbers are not given to perceive what the organization charges for :

9 Essential Facts About Eating Disorders

9 Essential Facts About Eating Disorders October 29, 2019 Eleonora Ghioldi/Getty Images More in Eating Disorders Awareness and Prevention Symptoms Treatment Diagnosis Eating disordersâ€"including anorexia nervosa, bulimia nervosa, and binge eating disorderâ€"have the highest mortality rate of any mental illness. Despite improved research on the topic, eating disorders are vastly misunderstood by the general population. The persistent myths surrounding eating disorders create barriers to diagnosis and treatment. In May 2015, 13 US-based eating disorder organizations, in collaboration with Cynthia Bulik, Ph.D., FAED, who serves as Distinguished Professor of Eating Disorders in the School of Medicine  at the University of North Carolina at Chapel Hill and Professor of Medical  Epidemiology  and Biostatistics at the Karolinska Institutet in Stockholm, Sweden, published the “Nine Truths About Eating Disorders.” This document was inspired by Dr. Bulik’s 2014 “9 Eating Disorders Myths Busted” talk at the National Institute of Mental Health Alliance for Research Progress meeting. The Nine Truths document was a historic collaboration and reflects the culmination of some of the most recent research on eating disorders. Because eating disorders are so often misunderstood and carry a great deal of stigma, it is hoped that the common messaging will challenge myths and stigma, increase understanding about and compassion for those with eating disorders, and help pave the way for greater access to adequate treatment. Eating disorder expert Dr. Bulik said, “The single best way to fight stigma is with truths. These consensus ‘Nine Truths’ are the new scaffold on which we will build our advocacy efforts for eating disorders. United around these principles, we can enlighten public understanding about eating disorders and advocate effectively for treatment access and resources.” Eating Disorder Truth 1 Myth # 1: You can tell by looking at someone that they have an eating disorder. Truth #1: Many people with eating disorders look healthy yet may be extremely ill.   People commonly believe that you can tell whether someone has an eating disorder just by looking at him or her. This is because most people picture a person with an eating disorder as someone who is very emaciated. The reality is that eating disorders can present in diverse ways and affect people of varying sizes. It may not be obvious that an individual is ill. Eating Disorder Truth 2 Myth # 2: Families are to blame. Truth #2: Families are not to blame; they can be the patients’ and providers’  best allies in treatment.   For many years, parentsâ€"especially mothersâ€"were blamed for causing eating disorders. This is still widely believed, even today. Thanks to recent research and advocacy efforts, we know this to be false. Eating disorders are caused by a complex interplay of genetic and environmental factors. We also know families can powerfully contribute to the solution. Eating Disorder Truth 3 Myth # 3: Mothers are to blame. Truth #3: An eating disorder diagnosis is a health crisis that disrupts personal and family functioning.   Dr. Bulik felt the blame on mothers was so great, she reiterated it as a myth in her talk. Eating disorders can be lethal. They have profound effects on the body, interfering with an individual’s ability to function. They increase stress for the entire family. Meals can become tense, relationships strained, and family patterns disrupted as families struggle to cope with an internal crisis Eating Disorder Truth 4 Myth # 4: Eating disorders are a choice. Truth #4: Eating disorders are not choices, but serious biologically influenced illnesses.   Eating disorders are often dismissed as illnesses of choice and vanity, or the consequence of a deliberate adoption of an extreme diet. However, these disorders have far more complex origins. They are not merely a rigid diet that someone can easily choose to abandon. Low weight and restrictive eating patterns biologically alter an individual’s psychological functioning and become firmly rooted. Eating Disorder Truth 5 Myth # 5: Eating disorders are the province of white upper-middle-class teenage girls. Truth #5: Eating disorders affect people of all genders, ages, races, ethnicities, body shapes and weights, sexual orientations, and socioeconomic statuses.   Eating disorders are commonly believed to be an affliction of affluent white females. This is far from the truth. Eating disorders affect males and females, families from different ethnic backgrounds, and people from varied economic circumstances. This dangerous myth keeps many who do not meet the stereotype from recognizing that they have an eating disorder and accessing help. Eating Disorder Truth 6 Myth # 6: Eating disorders are benign. Truth #6: Eating disorders carry an increased risk of both suicide and medical complications.   All eating disordersâ€"bulimia nervosa and binge-eating disorder includedâ€"carry with them an increased risk of death. Medical complications may include problems with all bodily systems. Suicide is a common cause of death for a person suffering from an eating disorder. Eating Disorder Truth 7 Myth # 7: Society alone is to blame. Truth #7: Genes and environment play important roles in the development of eating disorders.   The factors that cause eating disorders are complex and not well understood. Current research suggests that approximately 40 to 60% of the risk for anorexia nervosa, bulimia nervosa, and binge eating disorder is genetically influenced. Chance and bad luck play a role, and individuals vary in their genetic risk. Even despite every common preventative measure, those with extremely high genetic risks may go on to develop an eating disorder after just one or two otherwise innocuous triggering events. Others with low genetic risk may escape an eating disorder despite exposure to numerous environmental risk factors. Eating Disorder Truth 8 Myth # 8: Genes are destiny. Truth #8: Genes alone do not predict who will develop eating disorders.   It is doubtful there is a single eating disorder gene. More likely, variations in several genes contribute in differing degrees to traits that interact with environmental factors to increase or decrease certain individuals’ risk for these disorders. Why Do Some People Get Eating Disorders? Eating Disorder Truth 9 Myth # 9: Eating disorders are for life. Truth #9. Full recovery from an eating disorder is possible. Early detection and intervention are important. In the past, we lacked effective treatments and many remained chronically ill. With the earlier introduction of treatments that prioritize regulation of eating and address symptoms directly, more patients are achieving full recovery. Translations and Collaborating Organizations The Nine Truths have been translated into over thirty different languages including Spanish, Norwegian, Estonian, German, Swedish, and Finnish.  All are available on the  AED website.   The organizations that collaborated on the Nine Truths are:  Academy for Eating Disorders; Binge Eating Disorder Association; Eating Disorders Coalition for Research, Policy Action; Eating Disorder Parent Support Group; Families Empowered and Supporting Treatment of Eating Disorders; International Association of Eating Disorders Professionals Foundation; International Eating Disorder Action; Multi-Service Eating Disorders Association; National Association of Anorexia Nervosa and Associated Disorders; National Eating Disorders Association, Residential Eating Disorders Consortium; Project HEAL; and Trans Folx Fighting Eating Disorders. The Different Causes of Eating Disorders 9 Essential Facts About Eating Disorders

An American Childhood By Annie Dillard - 1392 Words

Compare and Contrast Over the years, the issue of family values has evolved from the conservative view of distinct gender roles to the prevailing situation where men and women have equal rights. The most notable change from the traditional to the modern values of the family has been the issue of gay marriages. Whereas it was a taboo for gay couples to declare their relationship status openly in public, today the situation is different as is evident with the two texts under discussions. The story titled An American Childhood by Annie Dillard depicts gender roles in the 1950s America while the article by Andrew Sullivan titled â€Å"Why Gay Marriages are Good for Straight America† expounds on the issue of gay rights and freedom of modern day America. Dillard uses the character of her mother to describe family relations and the role of women in the society in the olden days. She presents her mother as an enlightened woman who does little apart from taking care of the children. Sullivan uses his life story to explain how things have changed from the days when gays were under the closet to now when they can feel at home living amongst the straight in the United States. The two authors present different ideas relating to family values and gender roles; nonetheless, the two stories under discussion point to generational transformations that have seen drastic changes on the issues of gender roles and same-sex marriages. An American Childhood by Annie Dillard The narrative by DillardShow MoreRelatedAn Analysis Of Annie Dillard s An American Childhood1192 Words   |  5 PagesReligion in An American Childhood Recalling her adolescence through the memoir, An American Childhood, Annie Dillard displays the impact of religion on her development. Although her family immerses themselves in knowledgeable literature, including, â€Å"Life of the Mississippi† (6) and â€Å"The Field Book of Ponds and Streams† (81), they maintain a passive relationship with religion. Observing her parents disinterest in theology, Dillard diverges from traditional Anglo-Christian beliefs and instead embracesRead MoreAn Analysis Of Annie Dillard s An American Childhood1217 Words   |  5 PagesReligion in An American Childhood Recalling adolescence through her memoir, An American Childhood, Annie Dillard displays the impact of religion on an individual’s development. Although her family immerses themselves in knowledgeable literature, including, â€Å"Life on the Mississippi† (6) and â€Å"The Field Book of Ponds and Streams†, they maintain a passive relationship with religion (81). Observing a parental disinterest in theology, Dillard diverges from Christian beliefs and instead embraces scienceRead MoreAnnie Dillard Essays861 Words   |  4 PagesHosford  1   Caitlind  Hosford   King   English   8  April  2014   From  Backyard  Painter  to  World ­Famous  Writer   Annie  Dillard  was  born  on  April  30,  1945  as  Meta  Ann  Doak  in  Pittsburgh,   Pennsylvania.  She  was  pushed  by  her  high  school  teachers  and  attended  Hollins  College  in   Roanoke,  Virginia.  Dillard  studied  literature  and  creative  writing.  Sometime  in  her  first  two   years  at  school  she  met  Richard  Dillard,  who  she  would  be  engaged  to  marry  her  sophomore  year   of  college.  After  she  graduated,  she  married  and  moved  in  with  her  husbandRead MoreEssay on Messages Revealed in Annie Dillards, An American Childhood735 Words   |  3 Pages In An American Childhood by Annie Dillard, Dillard reminisces on her many adventures throughout her childhood living in Pittsburgh. Her stories explain her school, her home life, her family, and growing up. Dillard also talks about changes in her life, and how they affect her, and how she felt about others around her. One’s childhood is a crucial part of life, because it’s a time of learning more than any other time of life. Childhood is a time of curiosity and realization. What you learn in yourRead MoreWilliam Faulkner s Banquet Speech1430 Words   |  6 Pages American Truths From generation to generation, literature has defined our lives. Together, all of us read to gain information, become aware and think about the bigger pictures in life. During William Faulkner’s banquet speech for his Nobel Prize in literature, Faulkner discusses the â€Å"writer s duty.† Faulkner states that writing should be from the heart, about the anguish, agony and sweat of the human spirit. If one does not write from the heart, mankind cannot prevail. Throughout HillbillyRead MoreAnalysis Of The Book Angela s Ashes 1259 Words   |  6 Pagessettling down with a wife and having a family but on the contrary many may argue that being single and living life on their own is the way to be. We will see the similar thoughts of this white light trending through each these three books; An American Childhood, This Boys Life, and Angela’s Ashes. In the book Angela’s Ashes, we can see this notion come true through Frank McCourt’s writings. Frank lives in a cold wet Ireland a place that does not always scream happiness. He lives a daily life of povertyRead MoreAnalysis Of John Muirs The Solitude Of Now 1217 Words   |  5 Pagesrooted themselves into his bones. Muir delineated the vast beauty of the landscape and the simple face of a daisy declaring a himself a servant in a â€Å"holy wilderness, a wilderness that mirrored the reflection of the Creator. Muir weaves his childhood memorized scripture into the wondrousYosemite beauty, while he observes the Pika as a â€Å"haymaker,† he writes, â€Å"God up here is looking after them†. â€Å"Look at the birds of the air; they do not sow or reap or store away in barns, and yet your heavenlyRead MoreThe Writer s Duty Of William Faulkner s Nobel Prize Acceptance Speech1166 Words   |  5 Pageswritten for the sake of creating and spreading a message that is important to the author. In their memoirs, An American Childhood and The Road from Coorain, Annie Dillard and Jill Ker Conway, both feel very strongly about their purpose for writing. Conway tends to express her reasons for writing explicitly, while Dillard chooses to do it more implicitly. In An American Childhood by Annie Dillard, she clearly demonstrates the meaning of the novel in one passage that reads, â€Å"Children wake up and find themselvesRead MoreHillbilly Elegy Memoir1371 Words   |  6 Pagesendurance, and agony help authors influence their audiences. These truths cause the readers to become cognizant of and appreciate the authors. It is a writer’s duty to write from the heart—to write about the good and bad sides of a story. Annie Dillard’s An American Childhood fails to use universal truths and instead presents a very superficial presentation of its author’s life. J. D. Vance’s Hillbilly Elegy: A Memoir of a Family and Culture in Crisis display the unconventional upbringing of Vance in orderRead MorePeace : The Beauty Of Enlightenment2599 Words   |  11 Pagesgrey areas when it comes to the question of its effects, long and short term. The authors Bonaventure, Marcus Tullius Cicero, Annie Dillard, John Henry Cardina l Newman, Richard Rodriguez, Thomas Wolfe, and Richard Wright all shed some light upon education with their works, â€Å"The Journey of the Mind into God†, â€Å"In Defense of the Poet Aulus Licinius Archias†, â€Å"An American childhood†, â€Å"The Idea of a University†, â€Å"Hunger of Memory†, â€Å"Young Faustus†, and â€Å"The Library Card†. Some of these passages are similar

Psychological Connotations in One Flew Over the Cuckoos...

Psychological Connotations in One Flew Over the Cuckoos Nest We feel that One Flew over the Cuckoo’s nest is filled with many psychological connotations. This movie is set in a mental hospital where McMurphy was admitted to be psychologically evaluated because of violent behavior. Upon his arrival McMurphy noticed that the patients were very robot-like in their actions. The hospital is extremely structured where the patient’s daily life was monotonous. We will discuss the various connotations by answering the following questions that have been asked. A variety of treatment techniques were present in the mental facility. We will examine those of McMurphy, Nurse Ratchett, and the head doctor. Nurse Ratchett and the head†¦show more content†¦For example, Chiefs beginning to play basketball is a major accomplishment on the part of McMurphy. His constant encouragement finally drove Chief to play. Another example is the group discussions. McMurphy tried to incorporate everyone into these discussions simultaneously. This can be seen when he rallied everyone’s support to try to convince Nurse Ratchett to let them watch the World Series on television. The two psychological interventions that were administered to McMurphy while in the mental institution were a lobotomy and shock therapy. A lobotomy is the removal of the portion from the frontal lobe of the brain. This procedure’s main goal is to eliminate aggressive or violent behavior. This invention took place in 1935 by Dr. Antonio Egas Moniz. However, by the late 1940s the realization those individuals undergoing lobotomy procedures took place without initiative became apparent. Although the methods of a lobotomy have changed the basic underlying idea of neurosurgery exists today in the form of â€Å"psychosurgery† (Encarta 2000). Shock Therapy uses electric current or drugs to control psychotic disorders. In 1933, Dr. Manfred Sakel used drugs and instituted insulin shock to control mainly Schizophrenia. In 1938, Dr s. U. Cerletti and L. Bini used electroshock therapy to treat severe depression (i.e. manic depressive psychoses). Alternating current through the brain using parallelShow MoreRelatedCritical Analysis Of One Flew Over The Cuckoos Nest1542 Words   |  7 Pagesperspective of a stranger whom we’ve never met nor seen, but only heard of through the mouth of the enemy’s opinion, will inevitably align with the only version of the story we’ve heard. This sort of bias is found in Ken Kesey’s 1962 novel, One Flew Over the Cuckoo’s Nest, with Nurse Ratched’s depiction through the narration by Chief Bromden. The reliability of Bromden’s perspective is questionable, as it is his interpretation of the world, rather than what it actually is. Chief Bromden displays characteristicsRead MoreCompare the Ways Plath and Kesey Present Psychological Disorders and ‘Minds Under Stress’ in the Bell Jar and One Flew over the Cuckoo’s Nest?3284 Words   |  14 Pages‘One flew Over the Cuckoo’s Nest’ and ‘The Bell Jar’ can be linked considerably. Both the novels in question are products of the author’s own experiences and the specific culture in which they were written. They both draw upon similar events throughout, yet the philosophy and reason behind them is often significantly contrasting. However, it cannot be argued that their presentation of psychological disorder and the pressure that it forces on the mind are intrinsically linked due to the circumstancesRead MoreAnalysis Of One Flew Over The Cuckoo s Nest 2935 Words   |  12 PagesKesey highlights two distinctions between the roles of women in his novel ‘One Flew Over The Cuckoo’s Nest’. He pla ces women in two categories, the ‘Ballcutters’ and ‘Whores’ . The ‘Ballcutters’ are presented to have a dominant role over the men within the ‘Combine’ and challenges their masculinity, resulting in them being personified as machines. This is demonstrated when Bromden describes the ‘tip of each finger the same colour as her lips. Funny orange. Like the tip of a soldering iron’ of Nurse

Community Management of Toyota Owner Club Free Essays

Background Technology takes part in the development of human being, especially information and technology. It creates globalization in almost every sector of economy, politics, education, and culture in almost every country. Technology makes information almost borderless and simplifies the customer source of information but on the other hand makes the market analysis grow more sophisticated and also creates the need of improvement in knowledge to understand the marketing model to cope with the dynamic improvement of technology. We will write a custom essay sample on Community Management of Toyota Owner Club or any similar topic only for you Order Now Marketing as knowledge to describe â€Å"what-who-when-where-why-and how† to the market works describe in 3 main issue which is ; 1. Product management 2. Customer management 3. Brand management That is all learnt by marketeers so corporates could generate the demand of production continually time after time and surviving in the market. The problem nowadays is when the company’s marketing slowly has less effect on customer due to a lack of trust or the obsolete company methods used in today’s shifting market, companies needs to be more ease and open to new, necessary information so it could be disseminated to their customers. Social media and information portal, easily accessed by those who need current information and recommendations, is more preferrable to the consumer. A research said that 90% of customers are sure about recommendations his/her friend gave them and 70% of customers are sure about opinions on the internet. graph 1 Degree of Trust for company advertisement (April 2009, the Nielsen Company) Somehow it is a phenomenon that less of consumers are convinced of company’s advertisements and shifted to another form of â€Å"advertisement† which is what we call recommendation by acquintances. It is an oopportunity for companies to take advantage of a community or group of loyal customers as an information pipeline to attract customers and prospected customers. It is what we know as word of mouth, which the dissemination of information is not massive but specified and spread in high speed thus making it unstoppable. To companies, above the line (ATL) advertising should not only be the main focus and main budget spent to market their product information and create the willingness to buy, companies also should convince the potential customer by developing the methods of effective below the line (BTL) advertising effective-efficient. Community involvement in this BTL aactivity is one of the activations in horizontal marketing. How to do that is develop a company that has marketing orientation from a precious concept (main issue of marketing explained above) into new concept of horizontal marketing which contains; 1. Co Creation 2. Communitization 3. Character building The point in communitization is explaining the relationship between the company and the consumers with a community between them. Godin Seth in his book â€Å"Tribal† concludes that successful companies have the support from the community. It explains that consumers intend to be more connected with other costumers rather than with the company. Here is great oopportunity if companies understand what its consumers want and take the appropriate action by accomodating consumers in a community or enter the existing community and give the company’s influence there. A company needs to help consumers connect to their community so the influence has more power to persuade the following marketing effort. Fourier and Lee explain that consumers themselves would choose where they belong on the following type of connection : 1. Pools : here is where consumers are real brand fans and event hough they did not interact directly with other consumers in a community they would still be â€Å"brand evangelists† and strengthen brand power. 2. Webs : the consumer has one-on-one interraction, it is typically consumers who connect with each other on social media. They spread information and influence in one-on-one interaction but usually also affects other group members. 3. Hubs : A hub connection needs a leader, the trend setter and figure who brings another consumer (follower) into the network and these consumers will move around the leader and create a loyalty of brand. We might agree that a community is developed not to serve the business but to serve their members which attracts loyal consumers. But this indirect relationship does not mean the company has no intention, the company needs to maintain in effective-efficient way so marketing effort will not be a waste but instead succeed slowly but sure, the company builds the building blocks of a consumer’s trust and loyalty, and the community has significant role in it. 1. 2Problem Formulation For the background has been explained before, authors have researched the question to be developed as mentioned below : 1. What sre Toyota Owner Club’s strengths, weaknesses, opportunities, and threats in its current position ? 2. How Toyota explains the frame work and milestones in this community management process ? 1. 3Research Objectives This research is done pursuing the explanation of problem found and set objectives as shown below : 1. Identifying Toyota Owner Club has strength, weaknesses, oopportunity, and threat 2. Giving suggestion of current community management process has frame work and milestone 1. 4Research scope Author has scope in this research are ; 1. Research conducted while doing industrial training in PT Toyota-Astra Motors (Head Office, Jalan Yos Sudarso – Sunter II Jakarta 14330) in Marketing Division- Marketing Communication Departement, Event Section. 2. Information provided is infromation from author has observation, discussion, and primary and secondary data from industrial training period. 3. This research is not for profit and conducted as author has suggestion to the management, event section of PT Toyota-Astra Motors. 1. 5Internship Objectives This internship itself were conduct more than doing research are also to achieve these objectives ; How to cite Community Management of Toyota Owner Club, Papers

Saving Patients From Dr Death Samples †MyAssignmenthelp.com

Question: Discuss about the Saving Patients From Dr. Death. Answer: The story of saving Patients from Dr. Death by Toni Hoffman is of significance to me as a beginning student nurse because of the values, assumptions, and beliefs that are addressed therein. As a promising nurse, I believe that my first and foremost role is to save lives wherever possible and to exercise care and integrity while doing this. I admire the conduct of the nurse (Toni Hoffman) concerning how the nurses and other medical practitioners should conduct themselves. Toni questions the behavior and competence of Dr. Patel (Dr. Death) who sexually harasses the female staff. I also like the way Toni lodges complains about Dr. Patel in the first five weeks of his practice because of the nature of pain or wounds the patients that have undergone through his operations. The nurse is opposed by the administration and not supported with regard to his complaints about the doctor but still, Toni pursues this course and involves the government, and then at the end, several lives are saved. The story raises some critical issues that are important to me and my professional development as a nurse. The first issue is on professional conduct with other staff such as sexual harassment. The second issue is on carrying out tasks that are beyond my ability or of the capability of the health center. For instance, the doctor performing types of surgery that should not be done in a small rural hospital but should instead be referred. The third issue is that of incompetence of the doctor who does critical services like surgery. This undermines the nurse ethical and professional values. The fifth issue is lack of openness among the staff. The other doctors and nurses learn of the incompetence of Dr. Patel but do not raise concerns but instead talk behind his back. The last issue is that of the failure of the management to take unbiased actions against the senior staff that has been reported by the junior employees. If I am faced with a similar situation during my clinical practice, I believe that the nature of my leading and learning style will influence my response. I believe in professional ethics and conduct, and when faced with such a scenario, I will have to investigate and ascertain the cause of the injury or wounds to patients that are operated by the doctor. I will not rest until I verify the problem and report the doctor to relevant authorities immediately if found culpable. In the case of sexual harassment, I will take the immediate action of reporting the accused to appropriate authorities for investigation without any delay. About the issue of the failed cases of the surgeries performed by the doctor, I will immediately research for his background information to ascertain whether indeed he is a qualified doctor or not; then I will forward the information to the administration before I report him to the outside authorities. However, if the response from the administration is not prom pt or unsatisfactory, then I will immediately forward the case to the ministry of health.