U,S Economy Change Before and After WWII Ended Essay

U,S Economy Change Before and After WWII Ended - Essay Example Most of the sectors which oriented themselves to defense kind of production were like electronics and aerospace. Therefore, despite the fact that numerous Americans feared the return of the depression that had hit the nation before the war, after this war, they got quite a significant rise in personal income during the war that reached the year 1945. (Tassava, 2010) The two decades following WWII, are best described economically as ‘Growth period’. Despite the fear of most Americans that depression would haunt America again after WWII; up to 1970s, the economy experienced just mild recessions. An example to show this growth is that the period running from 1945-1960, the real GNP growth rate was (52%) fifty two percent. During the same period per capita GNP escalated by (19%) nineteen percent. Most notable after the WWII was the rise in production of consumer durable commodities. These commodities were like TVs, Cars as well as household appliances. The US’s service industries also expanded a great deal. (Walker, 1996 p

School Shootings in Atlanta: Causes and Solutions

School Shootings in Atlanta: Causes and Solutions Gun violence and gun control have become a highlighted issue within the United States. In recent years there has been a vast increase in young adults engaging in gun violence, or being caught up in such conflict, particularly within schools. The issue of school shootings has become a major problem within the city of Atlanta. However, with more lives being at potential risk, there has been controversy debates over what causes such incidences and what can we do as a society to solve the problem. It is evident that in order to decrease school shootings the law and community need to work together by limiting or monitoring the accessibility of firearms, identifying risks of violence and providing the correct resources to students that are a potential risk. The spread of school shootings within the United States is at an all-time high. Granting they don’t make up a large percentage of youth violence overall, they are traumatic proceedings for society as a whole. Although the first shooting leads back to 1764, the Pontiacs rebellion school massacre, where 11 people were killed at a schoolhouse in Pennsylvania, the rise of statistics within the last 5 years have been drastic and show a growing trend to a problem within the US. Research states ‘‘Since 2013, there have been more than 300 school shootings in America — an average of about one a week’’ (Everytown). However, the appearance of guns alone or threats of violence is even higher. Statistics are only calculated for the recorded gunshots fired on school grounds or fired within a school during school hours. They do not include incidents where guns have been brought into school without being fired or shootings outside of school hours (Patel). With the ongoing rise in school shootings in the United States as a whole, Georgia ranks one of the highest states for such incidences. Gun violence as a whole has become a major issue in the south, particularly Georgia. Judd states that’s ‘’Georgians are more than twice as likely as New Yorkers to be killed in a shooting. The death rate exceeds even that of Illinois.’’ With the 13th highest death rate, most of those deaths occurred in Atlanta (Judd). Since the sandy nook shooting in 2012, when a gunman shot and killed 20 children and 6 adults with a firearm, Georgia has been the second leading state for school/college shootings, behind Texas, with a total of 23 incidents resulting in either deaths or injuries. At least 5 of those incidences were in Atlanta alone (Karishnakumar). The reason for school shootings follows a controversial debate amongst society. However, it can not go unmentioned that easy gun access is one of the most influential causes. Some will argue gun control is the sole factor in school shootings, others will argue its not the gun, but more so the individual that posses it. Americas love for guns dates back to the second amendment, which give the ‘right to bear arms’.   Originally implemented for the militia, the Supreme Court revitalized it allowing guns in homes for self-defense (Cornell law school). With this in mind, there are approx 300 million guns statewide. With a population of just over 300million, that is roughly an equal amount of guns to persons. However, only one-third of the population own guns, meaning that more than one is held in each of those households (BBC). Household gun ownership is high particularly in the south. Studies show that ‘‘Across the South, 38 percent of households have a gun — compared with 35 percent in the Midwest, 34 percent in the West and 27 percent in the Northeast’’ (Simonton). With this high rate, it makes it very easy for young adults to have access to guns, with or without an adults knowledge. Friedman states that ‘‘The American Medical Association reports that between 36 percent and 50 percent of male eleventh graders said they could easily get a gun if they wanted to’’ (90). Further reasearch also states that ‘‘over two-thirds of students who used guns in violent acts at school got those guns from their own home or that of a relative’ (Erwin). This is likely because the gun was not stored away and unloaded, not because the young adult has freely been given it. However, it shows that there are definite links between household gun ownership and gun violence. Besides the fact that guns are easily accessible within homes, there are over 50,000 gun stores in America making a purchase of a gun an easy task. Within Georgia, the purchase of a gun is very simple. You do not need a permit to purchase a firearm, and you do not need to register the firearm once purchased. However, there are some laws on age restrictions. To buy a handgun statewide the consumer must be at least 18 years old, however in Georgia for an unlicensed person to sell a long gun there is no age restriction (Laws). This is a serious issue as it means that children of any age are able to obtain and have access to a gun without any consequences. With these statistics in mind its safe to say that the easy access to guns plays a huge role in gun violence within schools, however, they are not the only factor that contributes to such incidences. With the many school shootings that have taken place over the years, we try to look at all specific causes and whether there are links between the causes. The media plays a huge role in trying to convince society that there is a specific cause of all school shootings. However, there is no specific profile that fits the motivation of a shooter. Often there does seem to be links between school shootings and a specific factor, but this is not in all cases. Friedman states ‘‘ 66% of shooters interviewed after the attack felt they had been bullied or threatened by classmates and said that was their main reason for shooting others’’ (90). However approx. 1 in 5 children report being bullied in a given year, yet show no signs of violence or such crime (De La O). Although bullying may worsen problems for youth, physically and emotionally, there is very little evidence that alone it is the cause of gun violence. Society often singles out an issue like mental health, revenge, the culture of violence, drug and alcohol abuse, as well as various social problems as the cause. However although many of these factors can be associated with a shooter, it is very hard to say that one alone fits that of every shooter. When we look at all these issues we see that many young adults experience at least one of them, yet don’t commit such a crime. On the other hand, a mix of these factors could be a possible cause and its important that society pays close attention to an individual that may encounter several of these issues to prevent anything further happening (Friedman 52). It is important as a community that everyone works together, including the law, public health, schools, peers, parents, and teachers in order to prevent school shootings from happening. Such proactive procedures include watching for warning signs and identifying and reporting them. This will help a student early who is showing potential risk factors. In most cases, it is apparent that previous to a shooting someone is aware or shown signs that a shooter has plans of an attack. Duplechain and Morris states â€Å"In more than 80% of the cases [he studied], at least one person knew the attacker was planning something; two or more people knew in almost 60 percent of the cases† (146). Most shootings are premeditated and at some point, there is a chance that the shooter has either shown attack-related behavior or discussed the event with someone, whether something is said as a joke or said on a serious matter. In previous shootings, this has occurred. In the Columbine school shooting, the shooter prior to the event wrote a paper on a male who was planning a school shooting, as well as writings journals with all their plans in for the shooting (Gumbell). Nobody at the time thought anything of it, yet it was a significant sign as to what was going to be carried out. This being said, it is very important that students, teachers, parents and all listen and watch for signs and act accordingly. Reporting such suspicions could be crucial in preventing an attack. As well as watching for signs a solution to prevent school shootings is to Work together to provide strategies and the correct resources for students. Sometimes for parents it can be hard to come to terms with the fact their child has a mental health issue or behavioral issues, however, it is important that they get their children the help needed. It is also important that schools provide resources. School counselors pay a pivot role in providing counseling groups to provide tools to deal with emotions, anger, grief, and loss as well and mental health problems. They help support a child in making changes in their life addressing the topics that most concern them (Paolini). With the correct support available and the communities willingness to watch and report suspicions, school incidents could be prevented in the future. However with this in mind, the role of the law is also very important. Stricter gun laws are substantial in reducing gun violence. In the state of Georgia, there are very little restrictions on gun laws. As a state, they allow sales of a gun without a permit or without processing through the federal firearms license, Mentally ill individuals are also removed from the database after 5 years without a reassessment from doctors. This meaning that after a person passes the 5-year mark they are then illegible to purchase or sell a gun, even if they have not been assessed by a doctor to say they are now mentally stable (Cook). Unlike other states, Georgia also sticks with the federal age restriction of 18 to buy a gun, whereas many other states have reassessed age restrictions and moved it to 21.   These weak laws make it very easy for a young adult or mentally unstable individual to acquire a gun.   Many will also argue stricter gun laws will not help reduce school shootings, however, research shows otherwise. When comparing the US to other rich countries with stricter gun laws, there is a huge difference in the homicide rate. Statistics show that ‘‘The number of gun murders per capita in the US in 2012 the most recent year for comparable statistics was nearly 30 times that in the UK, at 2.9 per 100,000 compared with just 0.1’’ (BBC). When looking at the US solely, research also shows that those states with stricter gun control have less gun related deaths. After a law passed in Connecticut in 1995 making it more difficult to buy a handgun the number of homicides reduced by 40%. This law included purchasers having to obtain a license from the police in person as well as passing a background check before being accepted for a sale (Lachman).   All of this research shows that stricter gun laws are a solution towards less gun violence and unless Congress and the government make some amendments, then school shootings are going to continue to occur. It is evident that school shootings are a major issue within Atlanta and America as a whole. With a vast and continuous increase over the given years its important that both the law and community work together to help stop such incidents occurring. Research proves that there is no specific profile for a shooter, however, it is important as a community to watch out for any signs of potential risk, report them and provide students with the correct resources. This and stricter gun laws allowing students access to guns more difficult will help decrease gun violence.   References BBC. ‘‘Guns in the US: The statistics behind the violence.’’ BBC News, 2016, http://www.bbc.com/news/world-us-canada-34996604 Cook, Rhonda. ‘‘Georgia clears way for mentally ill to buy guns.’’ Myajc, 2018, https://www.myajc.com/news/local/georgia-clears-way-for-mentally-ill-buy-guns/agHJKZW8LiqVI4mu1GQmLJ/ Cornell Law School. ‘‘Second Amendment.’’ LLI/Legal information Institute, https://www.law.cornell.edu/constitution/second_amendment De La O, Maria. ‘‘School shootings are about more than bullying.’’ The Washington post, 2013, https://www.washingtonpost.com/blogs/she-the-people/wp/2013/10/25/school-shootings-are-about-more-than-bullying/?utm_term=.6be5672995ae Dupllechain, Rosiland, and Robert Morris. ‘‘SCHOOL  VIOLENCE:  REPORTED  SCHOOL  SHOOTINGSAND  MAKING  SCHOOLS  SAFER.’’ Galileo, Vol. 135, no. 2, pp.45-150. Erwin, Nicole. ‘‘In wake of school shootings, a look at how kids get guns.’’ Ohio valley resource, 2018, http://ohiovalleyresource.org/2018/01/24/in-wake-of-school-shooting-a-look-at-how-kids-get-guns/ Everytown. ‘’The long shameful list of school shootings in America. ’’ 2018, https://everytownresearch.org/school-shootings/ Friedman, Lauri. School Shootings. Greenhaven ,2010. Gumbell, Andrew. ‘‘The truth about columbine.’’ The guardian, 2009, https://www.theguardian.com/world/2009/apr/17/columbine-massacre-gun-crime-us Judd, Alan. ‘‘Youre twice as likely to be shot to death in Georgia than New York (and other gun violence facts).’’ Myajc, 2017, https://www.myajc.com/blog/investigations/you-twice-likely-shot-death-georgia-than-new-york-and-other-gun-violence-facts/Kdk3MXsowc6ASzmd15o2QN/ Krishnakumar, Pray. ‘‘Since Sandy Nook, a gun has been fired on school grounds at least once a week.’’ www.Latimes.com, 2015, http://www.latimes.com/projects/la-na-school-shootings-since-newtown/ Law. ‘‘Minimum age to purchase and possess.’’ Giffords law centre to prevent violence, http://lawcenter.giffords.org/gun-laws/policy-areas/who-can-have-a-gun/minimum-age/#federal Lachman, Samantha. ‘‘Conneticut gun control law sharply reduced gun-related violence, report says.’’ Huffpost UK, 2015, https://www.huffingtonpost.com/2015/06/12/connecticut-gun-control-_n_7570852.html Paolini, Allison. ‘‘School Shootings and Student Mental Health: Role of the School Counselor in Mitigating Violence.’’ Councelling.org, 2015, https://www.counseling.org/docs/default-source/vistas/school-shootings-and-student-mental-health.p Patel, Jugal, K. ‘‘After Sandy Hook, More Than 400 People Have Been Shot in Over 200 School Shootings.’’ NYtimes.com, 2018, https://www.nytimes.com/interactive/2018/02/15/us/school-shootings-sandy-hook-parkland.html Simonton, Stell. ‘‘Guns in school:Georgia has most shootings since Sandy Nook.’’ America.Aljazeera.com, 2015, http://america.aljazeera.com/articles/2015/1/29/gun-lax-georgia-has-most-school-shootings-since-sandy-hook-massacre.html Stages in responding to disasters: Floods Stages in responding to disasters: Floods Responding to Disaster: Floods Effects of Natural and human made disasters are devastating and this calls for competent mental health professionals to provide for disaster relief services to the victims. Victims of flood disasters respond differently depending on their personal experience. In our case, people are warned about the impending danger of flood disaster but some fail to respond at all. Even after the flood disaster, others return to reconstruct their houses and belongings. This means that the type of intervention to be applied should be culture based. The following intervention strategies, marked with stages, would be applied to the victims of the flood disaster. Impact Immediately after the flood strikes, the survivors panic, are confused and cannot think at that moment (Gilliland, James, 2013). Adults are desperately searching everywhere, looking for their missing family members. Victims are exposed to horrors of the aftermath and they are surrounded by death and devastation. It is indeed a time of agony. At this stage, an appropriate intervention would be an emotionally driven Psychological intervention strategy. This strategy helps the individual to recollect themselves and to start focusing on the way forward. Emergence/acute heroic stage After the aftermath, survivors start saving and collecting what they can. It is a â€Å"counting the loss† phase. At this stage, I would recommend for physiological responses as the intervention is focused on physical damage such as loss of property, injuries, geographical displacement, and anger due to the aftermath loss incurred (Gilliland, James, 2013). I will engage in emotionally driven talk with the victims in order to help relief their anxieties surrounding their crisis. I will also provide emotional help on how individuals can recover their property and probably their beloved family members. Inventory stage This is the recovery phase. In this stage, survivors are slowly accepting the realities of life. I will engage in method in which individuals can utilize their abilities in seeking for employment for survival. I will engage in cognitive-behavioral intervention skills and try to convince the survivor on danger of living such vulnerable places (Benedek, Fullerton, Ursano, 2007). The idea to change their perception about the place and make them understand the Government’s warning about the place. Honeymoon stage At this stage, the victims are worried about their financial recovery. This come after one to three months post the flooding disaster. It is a stage of rebuilding. I recommend for cognitive coping strategies in order to help the survivors see the sense of moving from the vulnerable to other places. Coping skills are helpful in enabling the victim change their environment to move on with their normal lives. Avoidance phase At this phase, I will recommend for psycho-social intervention skills. The aftermath effects are coupled with loses, causing psychological disturbance and sometimes lead to Posttraumatic stress disorder (PTSD). With Psycho-social intervention skills a victim can slowly forget about the disaster and start focusing on other things through social life. Adaptation phase Adaptive phase depends on the victim’s resiliency. Resilient people tend to recover faster. In that regard, I will recommend for cognitive-behavioral responses in order strengthen the victims by making them recognize how strong they are. Positive behavioral skills can also influence positive change and hence influence adaptive skills; that the victims can do without their lost ones. Disillusionment phase Disillusion can prevent victims from adapting to their environment. Anything attached to the previously experienced flooding disaster will likely arouse the traumatic experience. To help victims recover from this problem, I will use cognitive coping skills. These skills helps a victim accept the reality, forget about the past and focus on the present. Pathogenic to salutogenic shift At this phase, the victim has not yet fully recovered from the post traumatic stress disorder even after one year after the disaster. It is a critical condition and the victim is always struggling to let go the stress. This may happened to mothers who saw their children drawn by water. Resiliency itself cannot draw the stress away from the victim. A suitable intervention strategy would be the use of the victim’s coherence to overcome the stress. This involves integrating cognitive-behavioral coping skills to enable the victim understand that their problem is manageable. It requires the use of emotional-psychological strategies to convince the victim (Gelbach, 2008). Restabilization/reconstruction This involves the rebuilding of the victim’s emotional and social self. The best way to respond to victims at this stage is by use of psycho-social strategies (Bartley, 2007). This involves encouraging the victim to make new friends and interact with people. Social life interactions allows victims to forget about their past easily and focus on their future. Ethical/ Cultural Consideration Some cultural considerations involve various elements; One, awareness of your world view, two, an understanding of the client’s worldview, and finally, a better understanding of the appropriate intervention to apply on a client depending on the crisis and situation (Goodman, West-Olatunji, 2009). In our case, there is the need for a culture centered disaster response. Bearing that the people were warned about the impending flood disaster and didn’t do anything about it gives us the indication of social cultural factors among the community. Therefore, understanding the existence of social cultural factors among the victims facilitates the conceptualization of the needs of the people, especially in low income communities (Goodman, West-Olatunji, 2009). This also helps in determining the kind of intervention model applicable to a victim. References Bartley, A. G. (2007). Confronting the realities of volunteering for a national disaster. Journal of Mental Health Counseling, 29(1), 4-16. Benedek, D. M., Fullerton, C., Ursano, R. J. (2007). First Responders: Mental Health Consequences of Natural and Human-Made Disasters for Public Health and Public Safety Workers*. Annu. Rev. Public Health, 28, 55-68. Gelbach, R. A. (2008). Trauma, research, and EMDR: A disaster responder’s wish list.Journal of EMDR Practice Research,2(2), 146–155.doi: http://dx.doi.org/10.1891/1933-3196.2.2.146 Gilliland, B. E., James, R. K. (2013). Crisis intervention strategies. Goodman, R. D., West-Olatunji, C. A. (2009).Applying critical consciousness: Culturally competent disaster response outcomes.Journal of Counseling Development,87(4), 458–465. doi: 10.1002/j.1556-6678.2009.tb00130.x

Comparing A Turn with the Sun and A Separate Peace :: comparison compare contrast essays

Essay Comparing A Turn with the Sun and A Separate Peace  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Although many similarities exist between A Turn with the Sun and A Separate Peace, both written by John Knowles, the works are more dissimilar than alike.   A Separate Peace is a novel about the struggle of a senior class in the face of World War II, and it focuses on two best friends, Gene Forrester and Phineas.   A Turn with the Sun is about a young man who struggles to fit in as a freshman in the closed microcosm of a senior dominated school who struggles, vainly, to make a name for himself.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Knowles wrote A Turn with the Sun in the third person.   His character, Lawrence is trying to make a name for himself as an underclassman.   He suffers from a poor self image, as "Lawrence sensed once again that he was helplessly sliding back, into the foggy social bottom-land where unacceptable first-year boys dwell." (A Turn with the Sun:12) He sees his achievements and failures as analogous to his worth as a person.  Ã‚   He feels that he is a failure, yet is thankful that, "...the hockey captain had never invaded his room, as he had Fruitcake Putsby's next door, and festooned his clothes through the hall; he had never found a mixture of sour cream and cereal in his bed at night, no one had ever poured ink into the tub while he was bathing.   The victims of such violations were genuine outcasts." (A Turn with the Sun: 12) The other boys see Lawrence as an annoyance rather than an exile, while he feels that he is better than the other boys at Devon. This is reinforced when he thinks, "When he plunged from the railing he had been just another of the unknown new boys, but when he broke the surface of the water in that remarkable dive, one that he had never attempted before and was never to repeat, he became for his schoolmates a boy to be considered."   (ATurn with the Sun:13) The dive serves as an inauguration into the school's social system.   It is symbolic of risk, achievement and imperfection; it brings together the gap between the river, which represents the unknown, and the bridge one stands on, the tangible world where the boys feel secure.   Lawrence, like Leper who will be discussed later, "...merely inhabited the nether world of the unregarded, where no one bothered him or bothered about him.

Flow Oriented Incentive Spirometry Health And Social Care Essay

Tracheostomy is among the most often performed process in critically sick patients, being done in approximately 24 % of patients in ICUs. The usage of tracheotomy increased over recent old ages. The most common indicant for tracheotomy in the ICU is need for drawn-out mechanical airing. However after some yearss or hebdomads of endotracheal cannulation, ability to cough is compromised because the glottis mechanism is bypassed. The lowest acceptable critical capacity that determines adequateness of cough is 15ml/kg of organic structure weight ( Shapiro el al 1985 ) Patients unable to exhibit a strong effectual cough are at hazard for maintained secernments ; this makes trouble in re-expansion of air sac in that section. So decreased lung volumes from decreased tidal take a breathing non merely can impair oxygenation and predispose to Hypercarbia. It besides can take to atelectasis. Normal self-generated take a breathing form have periodic hyperinflations that prevent alveolar prostration. But the shallow tidal airing take a breathing pattern cause atelectasis, retained secernments and respiratory infections. Atelectasis is a common job in postoperative patients and those with neuromuscular disease. Because atelectasis in some patients appears to be due to reiterate little inspirations. The intervention of atelectasis based on two rules. The lungs must be expanded with a transpulmonary force per unit area sufficient to open the collapsed lung tissues and dead secernments must be cleared. Deeper breaths may be helpful to successfully change by reversal the atelectasis in the first 24-48 hours. Incentive spirometer encourages enlargement of the lungs every bit much as possible above self-generated external respiration ; these have proved to be good in controlled surveies. They used to advance maximum inspiratory attempts, improved cough mechanism due to improved inspiratory capacity and therefore keep normal lung volume. In the inducement spirometry ocular provender back system is incorporated into the device such as raising a ball that the patient attempt controls.Physiological rule:Physiological rule of sustained maximum inspiration is to bring forth a maximum transpulmonary force per unit area gradient bring forthing a more negative intrapleural force per unit area. This force per unit area gradient produces alveolar hyperinflation with minimum air flow during inspiratory stage.1.1NEED FOR THE Survey:Most surveies investigated the usage of incentive spirometry to better the station operative pneumonic map. But merely a few surveies investigate the effectivity of incentive spirometry in tracheostomized patients. Hence the demand arise to look into the effects of incentive spirometry on tracheostomized patients.1.2 OBJECTIVE OF STUDY:1. The aim of this survey was to measure the effects of flow-oriented incentive spirometry on, atelectasis, Pao2, and PaCO2 in tracheostomized patients. 2. To measure the effects of diaphragmatic external respiration exercising on atelectasis, PaO2, and PaCO2. 3. To compare the effects of flow-oriented incentive spirometry with diaphragmatic external respiration exercisings on tracheotomy patients.1.3 Hypothesis:1. There is a important difference following flow-oriented incentive spirometry on thorax radiogram mark, PaO2, and PaCO2 in tracheostomy patients. 2. There is a important difference following diaphragmatic external respiration exercisings on chest radiogram mark, PaO2, and PaCO2 in tracheostomy patients. 3. There is a important difference following flow oriented incentive spirometry on thorax radiogram mark, PaO2, and PaCO2 when compared to diaphragmatic external respiration exercisings.1.4 Operational Definition:Tracheostomy: surgical opening up of windpipe to set an air passage to ease respiration in laryngeal obstructor or a status necessitating drawn-out respiratory aid Flow oriented incentive spirometry: Incentive spirometry is a method of voluntary deep external respiration by supplying ocular provender back about inspiratory volume utilizing a specially designed spirometer, the patient inhales until a preset volume is reached so sustains the inspiratory volume by keeping the breath for 3-5 sec. Incentive spirometry reduces the hazard of atelectasis Atelectasis: atelectasis is a prostration of lung tissue impacting portion of all of one lung. This status prevents normal O2 soaking up to healthy tissues Inspiratory capacity: The maximal volume of gas that can be inhaled from the terminal of a resting halitus. This is equal to the amount of the tidal volume and the inspiratory modesty volume. Arterial blood gas: The O2 and CO2 content of the arterial blood measured by assorted methods to measure the adequateness of airing and oxygenation and acid-base position of the organic structure. Oxygen impregnation of Hb is usually 95 % or higher. The partial force per unit area of arterial o2 usually 80-100mmhg and Pco2 is usually 35-45mmHgPartial force per unit area of O in arterial blood ( PaO2 ) :The portion of entire blood gas force per unit area exerted by O gas. It is lower than normal in patients with asthma, clogging lung disease. The normal PaO2 in arterial blood is 95 to 100 millimeter Hg.Partial force per unit area of C dioxide in arterial blood ( PaCO2 ) ,The portion of entire blood gas force per unit area exerted by C dioxide. It decreases during rapid external respiration and it increases with respiratory upsets. The normal force per unit areas of C dioxide in arterial blood are 35 to 45 millimeters Hg1.5 PROJECTED Result:Based on the literature reappraisal available ; the jutting result of this survey will be, the tracheotomy patients who undergo incentive spirometry preparation will hold betterment in lung enlargement, PaO2and PaCO2 degree in arterial blood than the patients who underwent diaphragmatic external respiration exercisings.Chapter IILITERATURE REVIEWTan AK conducted a prospective clinical survey on patients with major caput and cervix surgery was conducted to measure the usage of incentive spirometry to better station operative lung map. An arranger was foremost designed to let patients with tracheostomy tubings to utilize the spirometer. Parameters studied include critical marks, arterial blood gases and pneumonic map trial. Significant betterment of lung map and deficiency of complication warrant the usage of incentive spirometry in station operative caput and cervix surgery patients. ( 2 ) Naveen Malhotra, parveen Malhotra, and Deepak Varma successfully used the modified inducement spirometer in tracheostomized patients admitted in ICU as a lung enlargement technique. The equipments used are an incentive spirometer, an arranger and a Y Connector. The arranger used is merely an anaesthesia tubing connection. In their survey they have besides mentioned that inducement spirometry besides helps to measure lung maps particularly the critical capacity and inspiratory volume. They have concluded that the combination of incentive spirometry, chest physical therapy and early mobilisation improves the efficiency of incentive spirometry. ( 1 ) Mirza S, Hopkinson L, malik TH, Willat DJ were reported that respiratory map proving in patients with tracheal pore or tracheotomy tubings is hard due to the job of neglecting to accomplish a good seal between the tracheotomy tubing or pore. Standard pneumonic map devices connected to a tracheostomy tubing via the same adapter and underwent the respiratory map trial. ( 3 ) Basoglu OK, Atasever A, Bacakoglu F. , Compared a incentive spirometry group to groups having merely medical intervention. A sum of 27 back-to-back patients admitted for COPD aggravations were recruited. 15 ( IS intervention group ) used IS for 2 months, together with medical intervention. The staying 12 ( medical intervention group ) were given merely medical intervention. Pneumonic map and blood gases were measured. PaCO2 values decreased ( P = 0.02 ) , PaO2and PaCO2 values increased ( P = 0.02 and P = 0.01, severally ) in the IS intervention group. However, there were no important differences between the measurings made pretreatment and after 2 months of medical therapy in the medical intervention group, with respects to pneumonic map, blood gases, they concluded that the usage of IS appears to better arterial blood gases in patients with COPD aggravations, although it does non change pneumonic map parametric quantities. ( 4 ) . Celli et al. , compared a no-treatment control group to groups having 15 proceedingss of IS, intermittent positive force per unit area external respiration ( IPPB ) or deep external respiration exercising ( DBE ) in patients who had undergone both upper and lower abdominal surgery. Compared to no intervention, the three intervention techniques were every bit more effectual in forestalling pneumonic complications. The writer suggested that IS may be preferred following upper abdominal surgery, because it appeared to shorten the patient ‘s length of stay. ( 5 ) Ricksten et al. , compared the consequence of 3 yearss of hourly ( 30 breaths ) IS, uninterrupted positive air passage force per unit area ( CPAP ) , and positive terminal expiratory force per unit area ( PEEP ) on gas exchange, lung volumes, and development of atelectasis. The patients who received both CPAP and PEEP were superior to Be for alveolar-arterial O force per unit area difference, FVC, and the incidence of atelectasis. ( 6 ) Stephen et al. , studied the consequence of incentive spirometry versus deep external respiration exercising on cut downing the diminution in critical capacity in patients undergoing abdominal surgery and found that incentive spirometry is more effectual than deep external respiration exercisings in reconstructing critical capacity to preoperative degrees ( 7 ) Thomas JA, McIntosh JM. , Conducted a meta-analysis was to quantitatively measure the conflicting organic structure of literature refering the efficaciousness of incentive spirometry ( IS ) , intermittent positive force per unit area external respiration ( IPPB ) , and deep external respiration exercisings ( DBEX ) in the bar of postoperative pneumonic complications in patients undergoing upper abdominal surgery. He concluded that Incentive spirometry and deep external respiration exercisings appear to be more effectual than no physical therapy intercession in the bar of postoperative pneumonic complications. ( 8 )Chapter IIIMATERIALS AND METHODOLOGY3.1 STUDY DESIGN:Pretest station trial design with a comparing group. It is a quasi experimental design. Two groups were taken: one is experimental group and another one is comparison group. Group A- Experimental group Group B- comparing group3.2 SAMPLE SIZE:Twenty patients were selected and were assigned into two groups ; comparing group and experimental group.3.3POPULATION AND Sampling:An norm, approximately 5 % of patients undergone tracheotomy in ICU for every month. Among these patients, 20 patients were selected and were assigned into two groups by simple random trying method for the survey after obtaining informed consent. One is experimental group who received incentive spirometry preparation and another group is comparison group who received diaphragmatic external respiration exercisings.3.4 STUDY Setting:The survey was conducted at the medical Incentive attention unit ( MICU ) , PSG infirmary, Coimbatore. PSG infirmary is 810 stratified multi forte systems.3.5 TREATMENT DURATION:5-10 breaths per session ; every one hr while awake for 48 hours.3.6 STUDY DURATION:6 months ( from June 1st 2010 to 30th November 2010 )3.5 CRITERIA FOR SAMPLE SELECTION:3.5.1. INCLUSION CRITERIA:1. Conscious and concerted patients 2. Aged above 18 year 3. Gender: both males and females 4. Patients who are weaned from ventilator and execute self-generated take a breathing with tracheotomy 5. Post operative patients who are at hazard of developing atelectasis 6. Patients with neuromuscular upsets, and post operative patients with thoracic surgery3.5.2EXCLUSION Standards:1. Patients with reduced degree of consciousness 2. Patients who are unable to understand or collaborate with the intervention 3. Patients with respiratory infective diseases3.6 INSTRUMENT AND TOOL FOR DATA COLLECTION:1. Chest X beam class for atelectasis 2. Arterial blood gas analysis- PaO2 and Paco2 degree3.7 Technique OF DATA COLLECTION:In this survey baseline appraisal was taken for both the experimental group and comparing group ab initio. Then the patients in experimental group underwent incentive spirometry preparation via modified flow oriented incentive spirometer with the healer supervising so post trial appraisals were taken at the terminal of 48hrs after incentive spirometry preparation. In the comparing group, they received diaphragmatic external respiration exercisings and station trial appraisal was taken after 48 hour of baseline appraisal. Any alterations in each group ‘s PaO2, PaCO2, and chest radiogram mark for atelectasis are compared.3.8 Technique OF DATA ANALYSIS AND INTERPRETATION:Datas collected from both group participants were analyzed utilizing paired't ‘ trial to mensurate the alterations between the pre and station trial values with in the group and Independent ‘t ‘ trial to mensurate the alterations between the groups. Paired't ‘ trial: Where, n = Number of samples S = Standard divergence vitamin D = Mean divergence Independent't ‘ trial: X1 = Mean Differece of Group A X 2 = Mean Difference of Group B SD- combined standard divergence of group A and B n1 = Number of patients in Group A n2 = Number of patients in Group B SD1 = Standard Deviation of Group A SD2 = Standard Deviation of Group BChapter 1VDATA ANALYSIS AND INTERPRETATIONData analysis is the systematic organisation and synthesis of research informations and testing of research hypothesis utilizing those informations. Interpretation is the procedure of doing sense of the consequences of a survey and analyzing their reading ( Polit and Beck, 2004 ) . Pre trial and Post trial value collected utilizing Radiographic Grades to mensurate the degree of atelectasis for patients in Group A and Group B were presented in Table 1 and 2 ( Annexure-VI ) and they expressed as a saloon diagram chart 1 and 2. The Pre trial and Post trial values of Group A and Group B for PaO2 in arterial blood of patients from selected population were presented in Table 3 and 4 ( Annexure-VI ) and besides expressed in chart 3 and 4. Similarly the pre trial and station trial values of Group A and Group B for PaCO2 in arterial blood from selected population were presented in Table 5 and 6 ( Annexure- VI ) and besides presented in chart 5 and 6.Table-7 Difference in average values and Standard Deviation of pre trial and station trial values based on Radiographic Grades for both Group A and BS. NoGroupsDifference in meanStandard Deviation1.Group A0.704832.Group B0.20.4211. Comparison of pre and station trial values of 10 topics in Group A based on Radiographic Grades. ( Graph-1 ) Hypothesis: There is important difference on thorax radiogram mark for atelectasis following flow oriented incentive spirometry preparation. ‘t ‘ value = = 4.582 df = n – 1 = 9 The t-value 4.582 gives P & lt ; 0.01 that agencies there is a important difference between the agencies of pre trial and station trial values.COMPARISON OF PRETEST AND POST TEST MEAN VALUES FOR GROUP A- CHEST RADIOGRAPH SIGN2. Comparison of pre and station trial values of 10 topics in Group B based on Radiographic Grades.Hypothesiss: There is important difference on thorax radiogram mark for atelectasis following deep external respiration exercisings. ‘t ‘ value = = 1.5 df = n – 1 =9 The t-value 1.5 gives P & gt ; 0.05 that agencies there is a no important difference between the agencies of pretest and station trial. The values are besides represented in a chart 2COMPARISON OF PRETEST AND POST TEST MEAN VALUES FOR GROUP B – Thorax RADIOGRAPH SIGNTable-8 Difference in average values and standard Deviation of pre trial and station trial values based on PaO2 for both Group A and B ( n=10 ) .S. No Groups Difference in Mean Standard Deviation 1. Group A -6.6 6.744 2. Group B 0.91 6.314 In order to happen out the important difference between the pre trial and station trial PaO2 degree in arterial blood paired â€Å" T † trial was used. 1. Comparison of pre and station trial values of 10 Subjects in Group A based on PaO2 values. ( Chart-3 ) Hypothesis: There is important difference on PaO2 value following flow oriented incentive spirometry preparation. ‘t ‘ value = =-3.094 df = n – 1 =9 The gathered information is tabulated ( ref Table: 2 ) and the mated t trial is conducted. The t-value -3.094 gives P & lt ; 0.01 that agencies there is a important difference between the agencies of pre trial and station trial values. The pretest and station trial values are besides represented in a chart ( Ref Chart: 3 ) COMPARISON OF PRETEST AND POST TEST MEAN VALUES FOR GROUP A- PaO2 VALUE 2. Comparison of pre and station trial values of 10 topics in Group B based on PaO2 values. ( Chart-4 ) Hypothesis: There is important difference on PaO2 following deep external respiration exercisings. ‘t ‘ value = =0.455 df = n – 1 = 9 The t-value 0.455gives P & gt ; 0.05 that agencies there is a no important difference between the agencies of pretest and station trial. The values are besides represented in a chart ( Ref Chart: 4 )COMPARISON OF PRE TEST AND POST TEST MEAN VALUES FOR GROUP B- PaO2 VALUE.Table-9 Difference in average values and standard Deviation of pre trial and station trial values based on PaCO2 in arterial blood for both Group A and B ( n=10 ) .S. No Groups Difference in Mean Standard Deviation 1. Group A 7.04 7.58 2. Group B 0.41 5.51 In order to happen out the important difference between the pre trial and station trial for PaCO2 paired â€Å" T † trial was used. 1. Comparison of pre and station trial values of 10 Subjects in Group A based on PaCO2 value. ( Graph-5 ) Hypothesis: There is important difference on PaCO2 value following flow oriented incentive spirometry preparation. ‘t ‘ value = = 2.93 df = n – 1 = 9 The t-value 2.93 gives P & lt ; 0.01 that agencies there is a important difference between the agencies of pre trial and station trial values.COMPARISON OF PRE TEST AND POST TEST MEAN VALUES FOR GROUP A- PaCO2 VALUE2. Comparison of pre and station trial values of 10 topics in Group B based onPaCO2. ( Graph -6 ) Hypothesis: There is a important difference on PaCO2 value following external respiration exercisings. ‘t ‘ value = = 0.23 df = n – 1 = 9 The t-value 0.23 gives P & gt ; 0.05 that agencies there is a no important difference between the agencies of pretest and station trial.COMPARISON OF PRE TEST AND POST TEST MEAN VALUES FOR GROUP B- PaCO2 VALUETable-10.Difference in average values and standard divergence of Pre trial and station trial values based on Radiographic Grades, PaO2 and PaCO2 values for both Group A and B ( n =20 ) .S.No Variable Difference in mean Standard Deviation 1. Chest Radiographic Grade 0.5 0.453 2. PaO2 5.69 6.533 3. PaCO2 6.63 6.63 In order to happen out the important difference between station trial values of both Group A and B based on Radiographic Grades, PaO2 and PaCO2 Independent't ‘ trial was used.1. Comparison of average values of 20 topics in Group A and B based on chest Radiographic Grade.Comparison of Mean Values of 20 topics in Group A and Group B Based on chest Radiographic Class Hypothesis: There is important difference following flow oriented incentive spirometry preparation on thorax Radiographic Grade, when compared to diaphragmatic external respiration exercisings. Independent't ‘ trial SD = ( n1-1 ) SD12+ ( n2-1 ) SD22 ( n1+n2 – 2 ) = 0.453 T = ( x1- x2 ) n1 n2 SD n1 + n2 = 2.46 df = n1+n2 – 2 = 18 The deliberate value is greater than the table value of 2.46 ( P & lt ; 0.05 ) . This shows that there is important betterment between the Mean values of chest Radiographic Grade in Group A and B. Hence Hypothesis accepted.COMPARISON OF MEAN VALUES BETWEEN GROUP A AND GROUP B BASED ON CHEST RADIOGRAPHIC GRADE2. Comparison of station trial values of 20 topics in Group A and B based on PaO2 valueHypothesis: There is important difference on PaO2 following flow oriented incentive spirometry preparation, when compared to diaphragmatic external respiration exercisings Independent't ‘ trial SD = ( n1-1 ) SD12 + ( n2-1 ) SD22 ( n1+n2 – 2 ) = 6.533 T = ( x1- x2 ) n1 n2 SD n1 + n2 = -2.57 df = n1+n2 – 2 = 18 The deliberate value is greater than the table value of -2.57 ( P & lt ; 0.05 ) . This shows that there is important betterment between the station values of paO2 in Group A and B. Hence Hypothesis accepted.COMPARISON OF MEAN VALUES BETWEEN GROUP A AND GROUP B BASED ON PaO23. Comparison of Mean values of 20 topics in Group A and B based on PaCO2 value.Comparison of Mean Values of 20 topics in Group A And Group B Based on PaCO2 value Hypothesis: There is important difference on PaCO2 following flow oriented incentive spirometry preparation, when compared to take a breathing exercisings. Independent't ‘ trial SD = ( n1-1 ) SD12+ ( n2-1 ) SD22 ( n1+n2 – 2 ) = 6.63 T = ( x1- x2 ) n1 n2 SD n1 + n2 = 2.236 df = n1+n2 – 2 = 18 The deliberate value is greater than the table value of 2.236 ( P & lt ; 0.05 ) . This shows that there is important betterment between the Mean values of PaCO2 in Group A and B. Hence Hypothesis accepted.COMPARISON OF MEAN VALUES BETWEEN GROUP A AND GROUP B BASED ON PaCO2Chapter VRESULTS AND DISCUSSIONThe purpose of the survey was to compare the efficaciousness of flow-oriented incentive spirometry preparation with diaphragmatic external respiration exercising in tracheostomized patients. Wholly 20 participants were participated in this survey. They are assigned into comparing group and experimental group. The selected result steps were, Chest radiographic scaling for atelectasis, PaO2 value, PaCO2 valueChest radiographic Grading for Atelectasis:In Experimental group, Based on chest radiographic class for Atelectasis, there is an betterment in the thorax radiogram mark after incentive spirometer preparation. The deliberate T value is 4.58, which gives P & lt ; 0.01. Hence, statistically important betterment was found between pre and station trial means. It shows that the flow oriented incentive spirometry has important consequence on bettering the atelectatic country for the patients with tracheotomy. But in Comparison group, the deliberate T value is 1.5, which gives P & gt ; 0.05. This implies that there is no important difference in the agencies. So, this shows the diaphragmatic external respiration exercising has less important consequence on bettering atelectasis.PaO2 value:In Experimental group, Based on PaO2 value, the deliberate T value is 3.09, which gives P & lt ; 0.01. Hence, there is a statistically important betterment in the station trial values of PaO2. It shows that that the sustained maximum inspiration improves arterial blood O degree. But in Comparison group besides, some little differences between the pretest and station trial mean values. But the deliberate T value is 0.45, which gives P & gt ; 0.05. This implies that there is no important difference in the agencies. Hence, the diaphragmatic external respiration exercising has less consequence on bettering PaO2.PaCO2 value:In Experimental Based PaCO2 value, the deliberate T value is 2.93, which gives P & lt ; 0.01. Hence, there is an betterment station trial and the difference is extremely important. It shows a important decrease in carbon dioxide degree after incentive spirometry preparation. But in Comparison group, the deliberate T value is 0.235, which gives P & gt ; 0.05. This implies that there is no important difference in the agencies. Hence, this shows that the patients who treated with diaphragmatic external respiration exercisings had no decrease in PaCO2 degree. The p-value ( & lt ; 0.05 ) obtained from independent't ‘ trial showed that the agencies of two group are significantly different. So the patients who received incentive spirometry preparation got more betterment than patients who received diaphragmatic external respiration exercising.RestrictionThere were some restrictions in this survey are given below: This survey was done in a shorter period. The smaller Sample size is a strong modification factor in our survey The entire work of external respiration of the patients during incentive spirometry was non measured. Lung volumes and capacities are non measured Inspiratory musculus strength was non assessed.5.4 RECOMMEDATIONSBased on the result of statistical analysis, it is suggested that the farther surveies should be modified to suit the undermentioned alterations, Effectss can be proved by utilizing pneumonic map trial. Different populations can be analyzed to formalize the consequence. Measure the impact of the extra imposed work of take a breathing ( WBimp ) generated by two different spirometers.Chapter VIDecisionWith the mention to the statistical analysis done from the informations collected by Radiographic Grades, PaO2 and PaCO2 values, concluded that the flow oriented incentive spirometry preparation has important consequence in bettering the degree of atelectasis, PaO2 and PaCO2 degree in arterial blood than diaphragmatic external respiration exercising entirely in tracheostomy patients..‘So, the modified inducement spirometer has been successfully used in tracheostomized patients who were admitted in intensive attention unit as a lung enlargement technique.CHAPTER-VII

Nepotism Essay

Workers who are the most innovative or productive or those who possess visionary leadership are inevitably propelled to the top of the working ladder. This is the image many people have of the workplace. In reality, the practice of favoring and promoting relatives, more commonly known as nepotism (Employee Issues), is widely practiced in companies large and small across the country. The dangers of nepotism to your company shouldn’t be overlooked. It is not only wise to promote antinepotism policies but also to regularly monitor ones staff to ensure that such relationships have not developed. Some problems nepotism can cause is a disruption of the work day, unfair treatment between employees and unfair job opportunities, and favoritism. One of the chief complaints in a company that operates through nepotism is the obvious lack of fairness. Perceived favoritism of a relative can cause dissatisfaction amongst the workers and it can lower morale in the workplace. Employees may have less incentive to perform their jobs diligently and proficiently if they feel that the path to promotion is undermined by nepotism. Although, a company employing such tactics may find its more valuable employees seeking new employment where their talent is better recognized. At a minimum, workers will likely complain and become bitter and less productive in the face of blatant nepotism. Gill Corkindale, a writer for Harvard Business Online, described a typical workplace scenario involving nepotism at a newspaper for which she used to work. A young, inexperienced colleague was hired in her department, and she actually spent several months helping him adjust to his role at the paper. Soon after, the young colleague was promoted to become her b oss. Only then did she discover that he was actually an editor’s nephew. Given the nephew’s effortless and unwarranted promotion, Corkindale ended up leaving the paper (Corkindale). Another disruption to workflow in a business is the worry and risk of lawsuits. Even though very few laws regulate nepotism at either the state or federal level. In fact, some states have no laws prohibiting the practice. Nevertheless, the consequences of nepotism may increase your risk of being sued for discrimination or hostile work environment. For instance, personal  relationships and fraternization between coworkers often lead to over the top breakups and emotional trauma at the office. One of the parties may accuse the other of sexual harassment or of creating a hostile work environment, especially if one of the parties is a supervisor. It can also have a bad effect on the management position. Subordinates will likely take a dim view of an employer’s ethics and judgment when they hire their friends for job openings. Cronyism, a partiality towards hiring close supporters, may suggest that the employer is weak, insecure and requires a network of allies to support their decisions. In addition to inspiring little confidence in their power and authority, a boss who embraces nepotism is deemed unlikely to make fair assessments of others’ accomplishments, especially when it comes to promotional opportunities. Nor will workers think such an employer can be relied upon to dispense appropriate discipline if the guilty party happens to be a friend. There are, of course, exceptions to this train of thought. Hiring someone you know means that you are already attuned to their strengths and weaknesses and feel comfortable that they know how you think. If the friendship is longstanding and secure, they have a vested i nterest in not letting you down and in maintaining the professionalism to keep both halves of your lives appropriately separate. The employee that is â€Å"favored† is also at risk of judgment. Even if the friend of the employer is truly the best qualified in the candidate pool, they enter the workplace equation under an immediate cloud of suspicion. Everything they do could be scrutinized for signs of incompetence. Every decision they make could be challenged to test their allegiance. Every friendship they attempt to make could be interpreted as just a ploy to learn secrets and report back to the boss. Although the respect of their coworkers may eventually be won if the worker proves himself worthy, the stress of being watched, judged and distrusted in the interim can take an emotional and physical toll. One should not forget about a very important aspect of any work place. This aspect is, of course, the worker’s morale. Having good or bad morale can easily make or break a company. Nepotism can foster hostile feelings of  inequality that employees may react to in one of two ways. The first is to repeatedly undermine the favored worker’s capabilities and attempt to sabotage their projects. These efforts to get them fired, however, can result in costly mistakes and loss of time which can then potentially impact customer relations. The second reaction is an attitude of defeat. If employees assume that promotions and perks will always go friends of the boss, they will likely feel less inclined to do their best work to distinguish themselves. Resentment and indifference can lead to reduced productivity as well as employee turnover if workers decide that nothing will ever get better. According to Dr. Stephen Asma, who is in full support of nepotism, favoritism(nepotism) is used more as a scapegoat. He states that â€Å"fairness† is redirected to words like tolerance and generosity, as opposed to â€Å"favoritism† which is related to words like corruption and prejudice. He says having these preconceived notions automatically labels the situation as good or bad, people just automatically assume that it’s a bad thing that the new employee is related to or has a close relationship with the boss (Asma). Adam Bellow states in his book In Praise of Nepotism that â€Å"Americans censure nepotism on the one hand and practice it as much as they can on the other. There’s much to be said for â€Å"good† nepotism, which is fortunate, because we’re living in a nepotistic Golden Age† (Bellow). In his book he talks heavily about politicians and how a lot of them were born into their roles. Along with being pretty talented politici ans, they have the extra help coming from their status their parents had built for them, but he doesn’t state that this is a bad thing. Bellow says that having that image put on them, gives them the attention they need to get their ideas across, which has been a great gateway to finding a lot of our most famous politicians in history (Bellow). When it comes to something as touchy as favoritism or nepotism in the workplace, there are definitely many opinions on the topic. Each side can give a relatively solid argument but when it comes to most people, especially employees of businesses, they are wanting fair treatment between everyone. In my own opinion, I feel nepotism has no place in the workplace,  every employee should have the same treatment and opportunities available to them. In conclusion, this essay has went over how nepotism affects the workplace in most every aspect, the unfair treatment between employees and unfair opportunities it can create, and what favoritism does. A person chooses a career because they really enjoy that field of work and they want to be successful in it, but when an obstacle enters the picture and stunts your ability to move forward in your career it can have dire consequences. Lastly, looking at all the evidence and facts, I feel nepotism should be a very closely watched incident in ever y business as to ensure fair treatment between all of the employees. Works Cited Asma, Stephen. â€Å"The Upside of Nepotism.† Psychology Today. 12 January, 2013. Web. 3 December, 2013. Bellow, Adam. â€Å"The Atlantic.† Editorial. Atlantic 1 July 2013: The Atlantic. The Atlantic, 1 July 2003. Web. 03 December, 2013. Cammeron, Brenna. â€Å"Six Tales of Top-level Workplace Nepotism.† BBC.com. 21 August 2013. Web. 12 November 2013. . Corkindale, Gill. â€Å"Nepotism: Wrong for the Workplace?† Harvard Business Review. Harvard, 17 October 2007. Web. 3 December 2013. Edwards, Timothy. â€Å"Issue: Whether Nepotism Constitutes a Conflict of Interest Under the Code of Ethics?† Advisory Opinion 95-11-1133. King County, Washington – Department of Information & Administrative Services, 18 June 1998. Web. 12 November 2013 http://www.metrokc.gov/ethics/1133.html Goff, Keli. â€Å"In Defense of Nepotism and Classism at the New York Times.† The Huffington Post. 21 August 2013. Web. 12 November 2013. . Green, Michael Z. â€Å"D o Anti-Nepotism Policies Avoid or Create Unfair Treatment?†, 1998. 12 November 2013 http://www.nlfpc.com/publications/archive/art27.html Huerta, Timothy. General Manager, Associated Students, Inc. – California State University, Los Angeles. 4 April 2000. Recorded Interview on the topic of Anti-Nepotism. 12 November 2013 â€Å"Nepotism† Employee Issues. Web. 12 November 2013. Risser, Rita. â€Å"What are Legal Risks of Anti-Nepotism Policies?†, Fair Measures. Santa Cruz, 1997. Web. 12 November 2013. http://www.fairmeasures.com/asklawyer/archive/summer97/ask120.html Shawe. â€Å"MD Court of Special Appeals to Determine Lawfulness of Employer’s Anti-Nepotism Policy†, Network Publication Inc. 2.97. Baltimore, MD. 1997. Web. 12 November 2013 http://www.shawe.com/nepotism.html