Genetic Testing and Counseling in Pregnancy Essay

For many women, pregnancy is met with excitement. However, for a few couples, the pregnancy can take a completely different turn when the fetus is determined to be afflicted with Tay-Sachs disease. This is a genetic condition, usually found in Caucasians, and primarily those of Jewish descent, and develops in 25% of cases when both parents carry the recessive gene (National Tay-Sachs and Allied Diseases [NTSAD], n. d. ). Genetic counseling is a relatively new concept in healthcare and â€Å"is the process of helping people understand and adapt to the medical, psychological and familial implications of genetic contributions to disease† (National Society of Genetic Counselors [NSGC], 2005, para. 2). For the men and women facing a pregnancy involving Tay-Sachs, genetic counseling is a viable and important option to consider. However, to ensure quality care and education, genetic counseling needs to involve a team of healthcare professionals from a variety of backgrounds. Interdisciplinary Team Members and Their Roles in Genetic Counseling Appropriate members of a multi-disciplinary team for the Trosacks include a genetic counselor, a nutritionist or dietician, the high-risk OB-GYN physician, a registered nurse specializing in high-risk perinatal care, and a therapist specializing in marriage and family therapy needs. Each member of this team will add a unique perspective to the Trosack’s case. The genetic counselor has graduate-level education and experience in both medical genetics and counseling (NSGC, 2005, para. 1). Using her expertise and skills, she will review the medical history for Mr. nd Mrs. Trosack, and their families, identify other genetic risks that may exist and explain inheritance patterns. She will provide information and resources for further education on genetic disorders, so that they can continue to learn about Tay-Sachs and connect with other families facing the disease. In addition to this expert information, the Trosacks will benefit from a nutritionist or dietician. The nutritionist not only has special training in the area of nutrition, but also in educating patients about their options and making nutritious choices. In general, a nutritionist can â€Å"advise individuals†¦on the nutritional practices that will promote good health, [and] structure and recommend diet plans for whole families†¦including guides to the correct preparation of meals and shopping for the right foods (Princeton Review, n. d. ). He will perform a nutrition assessment, provide education on additional nutritional needs due to pregnancy, and even assist with meal planning to ensure a health pregnancy. He will continue to assess and make recommendations on Mrs. Trosack’s nutritional needs based on lab work throughout the pregnancy. The patient’s overall care is the responsibility of her OB-GYN, who specializes in high-risk pregnancies. A high-risk OB-GYN has a lengthy education, residency and fellowship history to gain knowledge in caring for older patients, patients with specific medical conditions and patients carrying a pregnancy that has been determined to need specialized care. The perinatologist is not only capable of making diagnoses other obstetricians may miss, but can also perform specialized procedures and administer medications across the placenta (â€Å"Perinatologists,† n. d. ). She will assess the medical needs of Mrs.  Trosack and the fetus throughout the pregnancy, monitor fetal growth and development, order diagnostic tests as needed, and provide referrals to other specialists as needed. Working with the physician will be a nurse specializing in prenatal clients. This nurse has chosen to expand on her nursing education, taking additional classes and obtaining certifications specific to perinatal care. He will assess the couple’s understanding of pregnancy and prenatal care at the first visit and make a plan to educate them on each stage of pregnancy and fetal development as well as options available during labor and delivery. Additionally, he will ensure the couple understanding for each test or referral suggested by the physician. Due to the nature of the diagnosis, the couple will also benefit from a marriage and family therapist on their team. The couple has already expressed exasperation over the diagnosis, and volley between denial and acceptance of the diagnosis. Additionally, Mrs. Trosack has already expressed guilt over her workload and its â€Å"affect† on the baby. Mr. Trosack has expressed anger, which can lead to resentment. The strong emotions felt by both parties need to be expressed in a healthy way to preserve their marriage, and a therapist specializing in family matters is an appropriate facilitator. She will meet with the couple together, as well as individually to assess their feelings about the pregnancy, the Tay-Sachs diagnosis and the feelings they have toward each other. The therapy sessions will continue after the birth of their baby, due to the nature of the disease and the stress the baby’s health will add to their lives. Teaching Plan for the Initial Visit  The teaching plan for the Trosacks’ initial visit at the high-risk pregnancy center will include the following:  ·Genetic diagnosis—The Trosacks need to understand the diagnosis of Tay-Sachs: how it is transmitted, the probability of other pregnancies testing positive, and what symptoms their child is likely to develop. This will help them to understand they have done nothing wrong and prepare for the special needs their child will have.  ·Treatment—No treatment exists for the disease itself, but the Trosacks will benefit from learning about the symptoms their child may develop and how those symptoms are treated. They will be informed of ways to keep their child safe and comfortable during the illness.  ·Prognosis as it applies to Tay-Sachs—The prognosis for infantile Tay-Sachs is poor, with most children becoming progressively worse until their death by age 4 or 5. The Trosacks need to be informed of this so that they can make preparations—for themselves and other family members. Because most children develop normally until around six months of age, the Trosacks need to know that an absence of symptoms does not mean an absence of the disease (NTSAD, n. d. ). They need to know that their time with this child will be limited and filled with doctor visits and difficult medical decisions. With this education and advanced notice, they can begin to discuss which treatments they may consider (medications) and those treatments they may not want to consider (feeding tube).  ·Support groups and appropriate referrals—With the Internet, the community of support for families with Tay-Sachs has greatly expanded. The Trosacks will be given information on local support groups as well as the internet communities available to them. They will be directed to the National Tay-Sachs and Allied Disease, March of Dimes and National Organization for Rare Disorders websites to connect with other families who are living with Tay-Sachs. This support will help the Trosacks connect with the only other people who know what they are going through, share their concerns without fear of judgment, and learn from those have gone through it all personally.  ·Pregnancy information—Information on pregnancy is necessary for any pregnant woman, especially during her first pregnancy. Over the length of the pregnancy, the Trosacks will learn about how pregnancy and fetal development progresses during each trimester, what changes Mrs. Trosack can expect—physically and emotionally, and ways in which Mr. Trosack can be of assistance to her. The first visit will specifically cover the development to date and through the end of the first trimester. They will view pictures of the developing fetus and the ways in which Mrs. Trosack’s body is changing to accommodate the pregnancy. Ethical Implications of Having Genetic Information Available While genetic testing is a wonderful addition to the vast array of diagnostics medicine now offers, it can bring about new ethical implications. In reference to autonomy, genetic testing can sometimes reveal information about one’s family that was not known. For example, a Caucasian family may be surprised to find they are carriers for Sickle Cell disease, a disease found primarily in African-Americans and can bring about questions regarding the family history. These discussions may lead to the ethical issue of perceived invasions of privacy for other family members. Another example would be the dilemmas that occur when there is a difference in societal believes and one’s personal beliefs. First, â€Å"persons with a genetic condition may prefer not to learn that their offspring is at risk for the condition, or they may prefer to have offspring with the same condition present in other family members† (Halsey Lea, Williams, & Donahue, 2005, para. 15). Secondly, some people may feel it is unjust to bring a baby with anomalies into the world. The results of genetic testing in these instances may necessitate decisions about continuing pregnancy, selective termination and adoption. A third example of ethical dilemmas in regards to genetic information being available is in relation to beneficence and nonmalificence. For example, clinicians caring for a pregnant patient find the baby she is carrying has spina bifida. The patient states her sister had spina bifida and that she wants to deliver her baby in the community hospital with a midwife. The clinician now must balance her respect for her patient’s wishes with the concern she feels in allowing a baby with special needs to be born in an environment that cannot provide services that may improve the birth’s outcome (Halsey Lea et al. 2005). A fourth ethical issue is that of justice. For, some genetic disorders can be found with testing while others still cannot. For example, â€Å"the ability to identify carrier status for a mutation in the gene for cystic fibrosis is lower among Asian American and African American persons† than it is in Caucasians (Halsey Lea et al. , 2005). Thus, the results of testing performed on an Asian American or African American patient may not be a reliable indicator of their carrier status. Personal Thoughts, Feelings and Advocacy As a woman, this writer cannot begin to imagine the feelings felt by the Trosacks. After years of trying to conceive, they learn that they are finally pregnant only to find out their baby is likely to die by age five from a horrible, progressive disease. If in Mrs. Trosack’s shoes, would this writer be brave enough to continue the pregnancy, knowing the prognosis? I do not know. I am sure, however, that the Trosacks have a difficult road ahead of them. If I were Mrs. Trosack, I would expect to feel a constant state of grief—over the diagnosis and the life my child will not have, the loss of those milestones parents look forward to (first day of school, first dance, etc), the impending months or years of illness. I would hope that I could treasure the better moments I do have with my child—from birth to death, holding her as much as possible, trying to focus on the symptom-free moments, taking as many pictures as I can to record her short life. I question how angry a woman would feel in this situation. Surely, even those women with strong religious beliefs question the â€Å"why† of the diagnosis and circumstance. â€Å"Why, after all this time allow me to conceive if you’re going to give me a child so sick? What is the point of bringing a child into life if they are to suffer throughout? Why us? † Would a woman facing this diagnosis feel as if everyone pities her? While reading the case study, I found myself feeling pity for her, knowing that she would lose her child in such a horrible way after wanting a child so badly. Despite these feelings, the Trosacks’ choice to continue their pregnancy is just that†¦their choice. Many people think that being pro-choice means advocating for abortion. However, it is my belief that being pro-choice means advocating for people to make the best choice for themselves in particular situations. For, only those going through a particular situation know best how well or poorly they can handle a decision and circumstance. Their decision to continue a pregnancy after the diagnosis was made is a brave one and speaks volumes to their character and beliefs. The Trosacks’ case manager will work with each member of the interdisciplinary team to ensure they respect the wishes of the couple. The couple needs to know that they are supported and are being treated without judgment from the team members. She will meet with the team members to ensure they are able to continue treating with couple appropriately. If any of the team members express an inability to refrain from sharing their personal feelings with the couple, she will find suitable replacements. While the team members are entitled to their feelings, they are expected to keep those feelings to themselves when caring for patients. And, when patients are facing emotional and controversial decisions, the separation is even more important. Ethical and Legal Considerations When the Trosacks made the decision to continue the pregnancy after learning their baby has Tay-Sachs, they became bound, legally and ethically, to care for the child after the birth. Ethical considerations include the decision to bring a child into a life of poor health and early death after a progressive decline. Many people in society will judge them for this, and the child will be perceived in certain ways by others. Further, they will be faced with the decision to allow researchers to follow their child in an effort to gain more information about the disease in search for a cure. The child has no autonomy as a minor, and has no right to privacy when her parents are making the decisions. Another ethical question is who owns the genetic information? The genetic information is on the child’s DNA, but the parents are the ones making all the decisions. Legally, there are several areas of concern for the couple. First, they are now bound to provide healthcare to this child, despite the poor prognosis. They must provide food, clothing and shelter, and keep the child safe and comfortable as she declines. The child will eventually develop problems with swallowing, and at that time, will require further interventions to maintain life. Secondly, they are required to provide medical care for the child; and, with the poor prognosis, this is likely to involve many appointments, testing and medications or treatments. Third, they may have problems with insurance coverage, as some insurance policies may consider the child’s diagnosis to be pre-existing, denying coverage for any treatments associated with the disease. Though this is certainly not ethical, it is legal in this country, and may lead to financial problems and difficulty in continuing to obtain quality medical care.

The Lost Symbol Chapter 86-89

CHAPTER 86 In the cerulean glow of his basement lights, Mal'akh stood at the stone table and continued his preparations. As he worked, his empty stomach growled. He paid no heed. His days of servitude to the whims of his flesh were behind him. Transformation requires sacrifice. Like many of history's most spiritually evolved men, Mal'akh had committed to his path by making the noblest of flesh sacrifices. Castration had been less painful than he had imagined. And, he had learned, far more common. Every year, thousands of men underwent surgical gelding–orchiectomy, as the process was known–their motivations ranging from transgender issues, to curbing sexual addictions, to deep-seated spiritual beliefs. For Mal'akh, the reasons were of the highest nature. Like the mythological self-castrated Attis, Mal'akh knew that achieving immortality required a clean break with the material world of male and female. The androgyne is one. Nowadays, eunuchs were shunned, although the ancients understood the inherent power of this transmutational sacrifice. Even the early Christians had heard Jesus Himself extol its virtues in Matthew 19:12: â€Å"There are those who have made themselves eunuchs for the sake of the kingdom of heaven. He who is able to accept this, let him accept it.† Peter Solomon had made a flesh sacrifice, although a single hand was a small price in the grand scheme. By night's end, however, Solomon would be sacrificing much, much more. In order to create, I must destroy. Such was the nature of polarity. Peter Solomon, of course, deserved the fate that awaited him tonight. It would be a fitting end. Long ago, he had played the pivotal role in Mal'akh's mortal life path. For this reason, Peter had been chosen to play the pivotal role in Mal'akh's great transformation. This man had earned all the horror and pain he was about to endure. Peter Solomon was not the man the world believed he was. He sacrificed his own son. Peter Solomon had once presented his son, Zachary, with an impossible choice–wealth or wisdom. Zachary chose poorly. The boy's decision had begun a chain of events that eventually dragged the young man into the depths of hell. Soganlik Prison. Zachary Solomon had died in that Turkish prison. The whole world knew the story . . . but what they didn't know was that Peter Solomon could have saved his son. I was there, Mal'akh thought. I heard it all. Mal'akh had never forgotten that night. Solomon's brutal decision had meant the end of his son, Zach, but it had been the birth of Mal'akh. Some must die that others may live. As the light over Mal'akh's head began changing color again, he realized the hour was late. He completed his preparations and headed back up the ramp. It was time to attend to matters of the mortal world. CHAPTER 87 All is revealed at the thirty-third degree, Katherine thought as she ran. I know how to transform the pyramid! The answer had been right in front of them all night. Katherine and Langdon were alone now, dashing through the cathedral's annex, following signs for â€Å"The Garth.† Now, exactly as the dean had promised, they burst out of the cathedral into a massive, walled-in courtyard. The cathedral garth was a cloistered, pentagonal garden with a bronze postmodern fountain. Katherine was amazed how loudly the fountain's flowing water seemed to be reverberating in the courtyard. Then she realized it was not the fountain she was hearing. â€Å"Helicopter!† she shouted as a beam of light pierced the night sky above them. â€Å"Get under that portico!† The dazzling glare of a searchlight flooded the garth just as Langdon and Katherine reached the other side, slipping beneath a Gothic arch into a tunnel that led to the outside lawn. They waited, huddled in the tunnel, as the helicopter passed overhead and began circling the cathedral in wide arcs. â€Å"I guess Galloway was right about hearing visitors,† Katherine said, impressed. Bad eyes make for great ears. Her own ears now pounded rhythmically with her racing pulse. â€Å"This way,† Langdon said, clutching his daybag and moving through the passage. Dean Galloway had given them a single key and a clear set of directions. Unfortunately, when they reached the end of the short tunnel, they found themselves separated from their destination by a wide-open expanse of lawn, currently flooded with light from the helicopter overhead. â€Å"We can't get across,† Katherine said. â€Å"Hold on . . . look.† Langdon pointed to a black shadow that was materializing on the lawn to their left. The shadow began as an amorphous blob, but it was growing quickly, moving in their direction, becoming more defined, rushing at them faster and faster, stretching, and finally transforming itself into a massive black rectangle crowned by two impossibly tall spires. â€Å"The cathedral facade is blocking the searchlight,† Langdon said. â€Å"They're landing out in front!† Langdon grabbed Katherine's hand. â€Å"Run! Now!† Inside the cathedral, Dean Galloway felt a lightness in his step that he had not felt in years. He moved through the Great Crossing, down the nave toward the narthex and the front doors. He could hear the helicopter hovering in front of the cathedral now, and he imagined its lights coming through the rose window in front of him, throwing spectacular colors all over the sanctuary. He recalled the days when he could see color. Ironically, the lightless void that had become his world had illuminated many things for him. I see more clearly now than ever. Galloway had been called to God as a young man and over his lifetime had loved the church as much as any man could. Like many of his colleagues who had given their lives in earnest to God, Galloway was weary. He had spent his life straining to be heard above the din of ignorance. What did I expect? From the Crusades, to the Inquisition, to American politics–the name Jesus had been hijacked as an ally in all kinds of power struggles. Since the beginning of time, the ignorant had always screamed the loudest, herding the unsuspecting masses and forcing them to do their bidding. They defended their worldly desires by citing Scripture they did not understand. They celebrated their intolerance as proof of their convictions. Now, after all these years, mankind had finally managed to utterly erode everything that had once been so beautiful about Jesus. Tonight, encountering the symbol of the Rose Cross had fueled him with great hope, reminding him of the prophecies written in the Rosicrucian manifestos, which Galloway had read countless times in the past and could still recall. Chapter One: Jehova will redeem humanity by revealing those secrets which he previously reserved only for the elect. Chapter Four: The whole world shall become as one book and all the contradictions of science and theology shall be reconciled. Chapter Seven: Before the end of the world, God shall create a great flood of spiritual light to alleviate the suffering of humankind. Chapter Eight: Before this revelation is possible, the world must sleep away the intoxication of her poisoned chalice, which was filled with the false life of the theological vine. Galloway knew the church had long ago lost her way, and he had dedicated his life to righting her course. Now, he realized, the moment was fast approaching. It is always darkest before the dawn. CIA field agent Turner Simkins was perched on the strut of the Sikorsky helicopter as it touched down on the frosty grass. He leaped off, joined by his men, and immediately waved the chopper back up into the air to keep an eye on all the exits. Nobody leaves this building. As the chopper rose back into the night sky, Simkins and his team ran up the stairs to the cathedral's main entrance. Before he could decide which of the six doors to pound on, one of them swung open. â€Å"Yes?† a calm voice said from the shadows. Simkins could barely make out the hunched figure in priest's robes. â€Å"Are you Dean Colin Galloway?† â€Å"I am,† the old man replied. â€Å"I'm looking for Robert Langdon. Have you seen him?† The old man stepped forward now, staring past Simkins with eerie blank eyes. â€Å"Now, wouldn't that be a miracle.† CHAPTER 88 Time is running out. Security analyst Nola Kaye was already on edge, and the third mug of coffee she was now drinking had begun coursing through her like an electric current. No word yet from Sato. Finally, her phone rang, and Nola leaped on it. â€Å"OS,† she answered. â€Å"Nola here.† â€Å"Nola, it's Rick Parrish in systems security.† Nola slumped. No Sato. â€Å"Hi, Rick. What can I do for you?† â€Å"I wanted to give you a heads-up–our department may have information relevant to what you're working on tonight.† Nola set down her coffee. How the hell do you know what I'm working on tonight? â€Å"I beg your pardon?† â€Å"Sorry, it's the new CI program we're beta-testing,† Parrish said. â€Å"It keeps flagging your workstation number.† Nola now realized what he was talking about. The Agency was currently running a new piece of â€Å"collaborative integration† software designed to provide real-time alerts to disparate CIA departments when they happened to be processing related data fields. In an era of time-sensitive terrorist threats, the key to thwarting disaster was often as simple as a heads-up telling you that the guy down the hall was analyzing the very data you needed. As far as Nola was concerned, this CI software had proven more of a distraction than any real help–constant interruption software, she called it. â€Å"Right, I forgot,† Nola said. â€Å"What have you got?† She was positive that nobody else in the building knew about this crisis, much less could be working on it. The only computer work Nola had done tonight was historical research for Sato on esoteric Masonic topics. Nonetheless, she was obliged to play the game. â€Å"Well, it's probably nothing,† Parrish said, â€Å"but we stopped a hacker tonight, and the CI program keeps suggesting I share the information with you.† A hacker? Nola sipped her coffee. â€Å"I'm listening.† â€Å"About an hour ago,† Parrish said, â€Å"we snagged a guy named Zoubianis trying to access a file on one of our internal databases. This guy claims it was a job for hire and that he has no idea why he was being paid to access this particular file or even that it was on a CIA server.† â€Å"Okay.† â€Å"We finished questioning him, and he's clean. But here's the weird thing–the same file he was targeting had been flagged earlier tonight by an internal search engine. It looks like someone piggybacked into our system, ran a specific keyword search, and generated a redaction. The thing is, the keywords they used are really strange. And there's one in particular that the CI flagged as a high-priority match–one that's unique to both of our data sets.† He paused. â€Å"Do you know the word . . . symbolon?† Nola jolted upright, spilling coffee on her desk. â€Å"The other keywords are just as unusual,† Parrish continued. â€Å"Pyramid, portal–â€Å" â€Å"Get down here,† Nola commanded, mopping up her desk. â€Å"And bring everything you've got!† â€Å"These words actually mean something to you?† â€Å"NOW!† CHAPTER 89 Cathedral College is an elegant, castlelike edifice located adjacent to the National Cathedral. The College of Preachers, as it was originally envisioned by the first Episcopal bishop of Washington, was founded to provide ongoing education for clergy after their ordination. Today, the college offers a wide variety of programs on theology, global justice, healing, and spirituality. Langdon and Katherine had made the dash across the lawn and used Galloway's key to slip inside just as the helicopter rose back over the cathedral, its floodlights turning night back into day. Now, standing breathless inside the foyer, they surveyed their surroundings. The windows provided sufficient illumination, and Langdon saw no reason to turn the lights on and take a chance of broadcasting their whereabouts to the helicopter overhead. As they moved down the central hallway, they passed a series of conference halls, classrooms, and sitting areas. The interior reminded Langdon of the neo-Gothic buildings of Yale University–breathtaking on the outside, and yet surprisingly utilitarian on the inside, their period elegance having been retrofitted to endure heavy foot traffic. â€Å"Down here,† Katherine said, motioning toward the far end of the hall. Katherine had yet to share with Langdon her new revelation regarding the pyramid, but apparently the reference to Isaacus Neutonuus had sparked it. All she had said as they crossed the lawn was that the pyramid could be transformed using simple science. Everything she needed, she believed, could probably be found in this building. Langdon had no idea what she needed or how Katherine intended to transform a solid piece of granite or gold, but considering he had just witnessed a cube metamorphose into a Rosicrucian cross, he was willing to have faith. They reached the end of the hall and Katherine frowned, apparently not seeing what she wanted. â€Å"You said this building has dormitory facilities?† â€Å"Yes, for residential conferences.† â€Å"So they must have a kitchen in here somewhere, right?† â€Å"You're hungry?† She frowned back at him. â€Å"No, I need a lab.† Of course you do. Langdon spotted a descending staircase that bore a promising symbol. America's favorite pictogram. The basement kitchen was industrial looking–lots of stainless steel and big bowls–clearly designed to cook for large groups. The kitchen had no windows. Katherine closed the door and flipped on the lights. The exhaust fans came on automatically. She began rooting around in the cupboards for whatever it was she needed. â€Å"Robert,† she directed, â€Å"put the pyramid out on the island, if you would.† Feeling like the novice sous chef taking orders from Daniel Boulud, Langdon did as he was told, removing the pyramid from his bag and placing the gold capstone on top of it. When he finished, Katherine was busy filling an enormous pot with hot tap water. â€Å"Would you please lift this to the stove for me?† Langdon heaved the sloshing pot onto the stove as Katherine turned on the gas burner and cranked up the flame. â€Å"Are we doing lobsters?† he asked hopefully. â€Å"Very funny. No, we're doing alchemy. And for the record, this is a pasta pot, not a lobster pot.† She pointed to the perforated strainer insert that she had removed from the pot and placed on the island beside the pyramid. Silly me. â€Å"And boiling pasta is going to help us decipher the pyramid?† Katherine ignored the comment, her tone turning serious. â€Å"As I'm sure you know, there is a historical and symbolic reason the Masons chose thirty-three as their highest degree.† â€Å"Of course,† Langdon said. In the days of Pythagoras, six centuries before Christ, the tradition of numerology hailed the number 33 as the highest of all the Master Numbers. It was the most sacred figure, symbolizing Divine Truth. The tradition lived on within the Masons . . . and elsewhere. It was no coincidence that Christians were taught that Jesus was crucified at age thirty-three, despite no real historical evidence to that effect. Nor was it coincidence that Joseph was said to have been thirty-three when he married the Virgin Mary, or that Jesus accomplished thirty-three miracles, or that God's name was mentioned thirty-three times in Genesis, or that, in Islam, all the dwellers of heaven were permanently thirty-three years old. â€Å"Thirty-three,† Katherine said, â€Å"is a sacred number in many mystical traditions.† â€Å"Correct.† Langdon still had no idea what this had to do with a pasta pot. â€Å"So it should come as no surprise to you that an early alchemist, Rosicrucian, and mystic like Isaac Newton also considered the number thirty-three special.† â€Å"I'm sure he did,† Langdon replied. â€Å"Newton was deep into numerology, prophecy, and astrology, but what does–â€Å" â€Å"All is revealed at the thirty-third degree.† Langdon pulled Peter's ring from his pocket and read the inscription. Then he glanced back at the pot of water. â€Å"Sorry, you lost me.† â€Å"Robert, earlier tonight, we all assumed `thirty-third degree' referred to the Masonic degree, and yet when we rotated that ring thirty-three degrees, the cube transformed and revealed a cross. At that moment, we realized the word degree was being used in another sense.† â€Å"Yes. Degrees of arc.† â€Å"Exactly. But degree has a third meaning as well.† Langdon eyed the pot of water on the stove. â€Å"Temperature.† â€Å"Exactly!† she said. â€Å"It was right in front of us all night. `All is revealed at the thirty-third degree.' If we bring this pyramid's temperature to thirty-three degrees . . . it may just reveal something.† Langdon knew Katherine Solomon was exceptionally bright, and yet she seemed to be missing a rather obvious point. â€Å"If I'm not mistaken, thirty-three degrees is almost freezing. Shouldn't we be putting the pyramid in the freezer?† Katherine smiled. â€Å"Not if we want to follow the recipe written by the great alchemist and Rosicrucian mystic who signed his papers Jeova Sanctus Unus.† Isaacus Neutonuus wrote recipes? â€Å"Robert, temperature is the fundamental alchemical catalyst, and it was not always measured in Fahrenheit and Celsius. There are far older temperature scales, one of them invented by Isaac–â€Å" â€Å"The Newton Scale!† Langdon said, realizing she was right. â€Å"Yes! Isaac Newton invented an entire system of quantifying temperature based entirely on natural phenomena. The temperature of melting ice was Newton's base point, and he called it `the zeroth degree.' † She paused. â€Å"I suppose you can guess what degree he assigned the temperature of boiling water–the king of all alchemical processes?† â€Å"Thirty-three.† â€Å"Yes, thirty-three! The thirty-third degree. On the Newton Scale, the temperature of boiling water is thirty-three degrees. I remember asking my brother once why Newton chose that number. I mean, it seemed so random. Boiling water is the most fundamental alchemical process, and he chose thirty-three? Why not a hundred? Why not something more elegant? Peter explained that, to a mystic like Isaac Newton, there was no number more elegant than thirty- three.† All is revealed at the thirty-third degree. Langdon glanced at the pot of water and then over at the pyramid. â€Å"Katherine, the pyramid is made out of solid granite and solid gold. Do you really think boiling water is hot enough to transform it?† The smile on her face told Langdon that Katherine knew something he did not know. Confidently, she walked over to the island, lifted the gold-capped, granite pyramid, and set it in the strainer. Then she carefully lowered it into the bubbling water. â€Å"Let's find out, shall we?† High above the National Cathedral, the CIA pilot locked the helicopter in auto-hover mode and surveyed the perimeter of the building and the grounds. No movement. His thermal imaging couldn't penetrate the cathedral stone, and so he couldn't tell what the team was doing inside, but if anyone tried to slip out, the thermal would pick it up. It was sixty seconds later that a thermal sensor pinged. Working on the same principle as home- security systems, the detector had identified a strong temperature differential. Usually this meant a human form moving through a cool space, but what appeared on the monitor was more of a thermal cloud, a patch of hot air drifting across the lawn. The pilot found the source, an active vent on the side of Cathedral College. Probably nothing, he thought. He saw these kinds of gradients all the time. Someone cooking or doing laundry. As he was about to turn away, though, he realized something odd. There were no cars in the parking lot and no lights on anywhere in the building. He studied the UH-60's imaging system for a long moment. Then he radioed down to his team leader. â€Å"Simkins, it's probably nothing, but . . .† â€Å"Incandescent temperature indicator!† Langdon had to admit, it was clever. â€Å"It's simple science,† Katherine said. â€Å"Different substances incandesce at different temperatures. We call them thermal markers. Science uses these markers all the time.† Langdon gazed down at the submerged pyramid and capstone. Wisps of steam were beginning to curl over the bubbling water, although he was not feeling hopeful. He glanced at his watch, and his heart rate accelerated: 11:45 P.M. â€Å"You believe something here will luminesce as it heats up?† â€Å"Not luminesce, Robert. Incandesce. There's a big difference. Incandescence is caused by heat, and it occurs at a specific temperature. For example, when steel manufacturers temper beams, they spray a grid on them with a transparent coating that incandesces at a specific target temperature so they know when the beams are done. Think of a mood ring. Just put it on your finger, and it changes color from body heat.† â€Å"Katherine, this pyramid was built in the 1800s! I can understand a craftsman making hidden release hinges in a stone box, but applying some kind of transparent thermal coating?† â€Å"Perfectly feasible,† she said, glancing hopefully at the submerged pyramid. â€Å"The early alchemists used organic phosphors all the time as thermal markers. The Chinese made colored fireworks, and even the Egyptians–† Katherine stopped midsentence, staring intently into the roiling water. â€Å"What?† Langdon followed her gaze into the turbulent water but saw nothing at all. Katherine leaned in, staring more intently into the water. Suddenly she turned and ran across the kitchen toward the door. â€Å"Where are you going?† Langdon shouted. She slid to a stop at the kitchen light switch, flipped it off. The lights and exhaust fan went off, plunging the room into total darkness and silence. Langdon turned back to the pyramid and peered through the steam at the capstone beneath the water. By the time Katherine made it back to his side, his mouth had fallen open in disbelief. Exactly as Katherine had predicted, a small section of the metal capstone was starting to glow beneath the water. Letters were starting to appear, and they were getting brighter as the water heated up. â€Å"Text!† Katherine whispered. Langdon nodded, dumbstruck. The glowing words were materializing just beneath the engraved inscription on the capstone. It looked like only three words, and although Langdon could not yet read what the words said, he wondered if they would unveil everything they had been looking for tonight. The pyramid is a real map, Galloway had told them, and it points to a real location. As the letters shone brighter, Katherine turned off the gas, and the water slowly stopped churning. The capstone now came into focus beneath the water's calm surface. Three shining words were clearly legible.

The Italian-American Interment During World War II Research Paper

The Italian-American Interment During World War II - Research Paper Example The Italian-American Interment During World War II Roosevelt who at first admired the ways of the Italians via his affinity with the soon to be dictator Benito Mussolini, and then decided that the very person he admired was now a threat because of Mussolini's solid partnership with Adolf Hitler under the â€Å"Pact of Steel.† It was this paranoia on the part of Roosevelt that led to acts of Congress in the years of 1935-1939 that allowed for the illegal internment of Italians and eventually, the Germans and Japanese. Examples of this legislative work include the Alien Registration Act of 1940 and the Dangerous Cargo Act. All of the actions which the American government took against the enemy aliens on their land led to the creation of Nazi-like internment camps where Italians were held indefinitely without any charges being filed and their movement limited within the area of their incarceration. Thus, they were not allowed to hold jobs or own any businesses in their community. These inhumanities were but the tip of the iceberg when it came to the atrocities of war against the Italians residing in America without any legal status, though. If one were of Italian descent and living in the United States at that time without the benefit of citizenship, he and his family would most likely end up in an internment camp, regardless of the fact that the Italian Americans were one of the largest immigrant groups in the country at the time. The Italian immigrants were just like any other immigrant family in the United States. They struggled to retain their heritage while doing their best to become a part of the new culture that they chose to involve themselves with. It was these types of people who became the targets as alien threats in America. Mainly because of their adjustment issues, the old time Italians who could not adjust to the American way of life found themselves agreeing with Mussolini in terms of Fascist ideology, which they came to view in terms of a renewed spirit of their homeland that they needed to honor. 2 These sentiments also caused a great divide between the immigrant Italians and their first generation bor n Italian-American offspring who now identified more with the land of their birth in terms of heritage rather than the homeland of their parents. The arrests of the Italians living in America began on December 7, 1941. People arrested were part of the so-called Custodial List of the FBI that Pres. Roosevelt had the agency compile in the event that the United States needed to get involved in the ongoing World War. The list was meant to protect the country from being infiltrated by enemy forces and was set into action through the power of Title 50 of the U.S. Code, based on the 1798 Alien and Sedition Act which allowed for the arrest of â€Å"alien threats† during times of emergency. 3 Such was the perceived threat from the Italian immigrants during this time that the government began a rigorous campaign to quash the Italian heritage of first generation Italian Americans by declaring Italian an enemy language. The slogan for their campaign was â€Å"Don't Speak the Enemy's Lan guage! Speak American!† These posters lined the Italian-American communities during the war time era and saw a rapid decline in the use of Italian in the country since business owners decided not to speak the language in their place of

Enron's Collapse and Ethical Framework Essay Example | Topics and Well Written Essays - 2250 words

Enron's Collapse and Ethical Framework - Essay Example This was an eerie accounting policy that Enron came up with. Although the present earning look very appealing, but the profits earned today could not be shown in the future statements which made the future proforma financial statement looked a little weak.   Enron adopted another extremely innovative accounting policy of starting to make more future contracts in order to make financial statements of future years also look better. This created a never ending spiral and at the end of that spiral was destruction for the company. There were certain other accounting malpractices at Enron. They kept a debt of $600 million off book just to make sure that the financial statements of the company looked good. The reason why this practice is not encouraged is because it does not reflect the true accounting position of Enron.   Debt would have decrease the net value of the company, and share price would have come down. However, this action prevented this from happening and share prices of En ron’s stock remained constant. This is misleading because owners and investors were evaluating a company at a much higher price than the true value of the company.   This is an example of an open violation of truth and trust. Investors usually select the board of directors to make the long term policy for them. Directors hire managers to run the business for them. This shows divorce of ownership and control. This means that owners are not directly controlling the business, but they entrust it to their people selected.... There were certain other accounting malpractices at Enron. They kept a debt of $600 million off book just to make sure that the financial statements of the company looked good. The reason why this practice is not encouraged is because it does not reflect the true accounting position of Enron. Debt would have decrease the net value of the company, and share price would have come down. However, this action prevented this from happening and share prices of Enron’s stock remained constant. This is misleading because owners and investors were evaluating a company at a much higher price than the true value of the company. This is an example of an open violation of truth and trust. Investors usually select the board of directors to make the long term policy for them. Directors hire managers to run the business for them. This shows divorce of ownership and control. This means that owners are not directly controlling the business, but they entrust it to their people selected in the Ann ual General Meeting. These people than entrust the responsibility of day to day operations to managers. In this way, there is a series of trust contract being formed. Ethics of any action require that trust should not be betrayed and whatever happens truth should be told to the real owners who have trusted the directors with their responsibility. The first breach of trust in Enron case started when the directors started sending misleading reports to the owners to make the financial statements of Enron look healthy. This is open violation of truth and trust and shows that in the case of Enron there was a clear evidence of breach of trust. Another problem in this case is the abuse of powers from directors. They started a new system of accounting and started fooling the real

Writing assignment Research Paper Example | Topics and Well Written Essays - 500 words - 3

Writing assignment - Research Paper Example Due to the diverse nature of the country’s power, the president is not able to simply command in order to achieve his goals. Different levels of governments have different motivations and sources of power. Due to this, the president needs to be able to convince others that his goals are what are in their best interest. In politics, it is always common to note that even though the president desires an action to be committed does not mean that it will be done. He has to be able to coheres, negotiate and persuade people to act. The second important ingredient is professional reputation within the country and abroad. Presidential reputation is important as it determines how policy makers and other members in Washington view him. This reputation can be noticed by how the infrastructure of the government relies on him to carry out his duties. If a president has a good reputation, it is easy to smooth out negotiations to implement important policies. The final important ingredient is public prestige. Prestige generally denotes how the president is viewed by the public. Although the public is not directly involved in policy making, it is their view of the president that determines how various policies move throughout various levels of the government. The public’s confidence in the president affects how he is viewed by organizations and how these organizations accept his policies. Apart from these main ingredients, Neustadt also notes that a president should be able to think progressively. This will make sure that he decision he makes at a particular point in time will help him I the future. Applying these ingredients to President Obama, it can be noted that he is indeed a powerful president. The president has been able to pass several important policies and legistlation despite constant opposition from congressional Democrats and Republicans. He has been able to persuade these policies

Understanding Tort Law Term Paper Example | Topics and Well Written Essays - 1250 words

Understanding Tort Law - Term Paper Example The law defines litter as an item that defaces the environment such as bottles, papers, and other such things. From the given scenario Jamal, Julia, and Juniata are arrested and convicted for littering. Later the three individuals made an appeal basing their argument on the fact that their mistakes were unintentional. Although the offenses were not intentional, the three individuals have a tort to answer before the court. To succeed in the prosecution the judges will apply statutory and law aids in the statutory interpretation to determine the verdict. Statutory interpretation is the process through which judges and magistrate interpret laws and statues in the law before applying them in decision-making. For the court to fulfill its purpose, it needs to interpret or decide the different meaning of the different statues contained in the law. Although the parliament has the responsibility of making laws, the court has the duty of deciding and applying the laws accordingly. In the inter pretation process, UK courts apply some well-known conventions to avoid ambiguities. The court proceedings and operations have great significance on the importance of the different acts passed by the parliament. In the court, preceding the whole act will be read and from its title, the judges can determine the necessary objects. In the first case, Jamal dropped litter from a split shopping bag unintentionally. For the court to arrive at an appropriate decision, it needs to apply rules and other legal aids. The first important rule that the court is most likely to apply is the littering statute. Law against littering is a section of the environmental protection act of 1990 (Harlow, 2005). The law defines littering as an offense that attracts legal punishment. The section defines littering as discarding of litter in unauthorized public places with an exception of places allowed by the law. Jamal, junta, and Julia will be prosecuted under section 87 of the environmental Act if found gu ilty. To determine the verdict the court needs to interpret the act by first defining litter and littering.     

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Strategic Management Practice - Assignment Example The strategic management practice has been analyzed with respect to the operations of the Virgin Trains. This required an analysis of the external and internal environment of Virgin Trains. The external analysis has been carried out using the theoretical frameworks of PESTEL and Porter’s Five Forces. The internal analysis takes into consideration the availability of resources and the core competencies of the company. This analysis has helped in addressing the strategic issues faced by the organization. The strategic management practice has helped the company to design an appropriate course of action in order to attain the organizational goals. The strategies also include monitoring of the performance of the company and address the gaps on a continuous basis using a balanced scorecard to achieve the goal of the organisation. Introduction The report involves an application of the strategic management practice in case of Virgin Trains Company of UK. The background information on Virgin Trains has been presented below along with the theoretical framework of strategic management practice in organizations. Company Background: Virgin Trains Company Virgin Trains Company is jointly owned by the Virgin Group and the Stagecoach. Virgin Group holds the majority share with 51% stake in the company whereas Stagecoach holds a share of 49% in the company. The company has been providing train services in the Intercity West Coast region for the last 16 years since 1997. The company operates and provide long distance passenger train services in the routes of western part of UK. The trains run from the areas of Greater London towards the stations of North West England, West Midlands, Scotland and North Wales. The train services of the company cater to a cumulative population of 18 million people in various cities of UK. The various cities connected by the train services of the Virgin Train Company are London, Manchester, Birmingham, Edinburgh, Glasgow, etc (Virgin, 2013). The Virgin Group was awarded to own the operations of the Intercity West Coast in 1997 after beating Stagecoach and Sea Container. In 1998, the Virgin Group sold 49% of its stake to Stagecoach. After getting the contract to run passenger train services from London to the western parts of UK through the Intercity West Coast franchisee, Virgin Trains implemented its work of upgrading the rail tracks and networks in the western coast so that the train speed could be increased to 140 miles per hour. However, due to the suspension of the contracts by the management and subsequent cash outflows for the planned project, the up-gradation work was reduced to attain a speed of 125 miles per hour. In 2005, the first stage of up-gradation work was completed and the Virgin group published its train time table with the frequency matching speed of 125 miles per hour. The subsequent development work for the rail networks in the western coast was continued by the Virgin Rail Group and in 2009; the n ew high frequency timetable for

EU Law Enforcement Mechanisms Essay Example | Topics and Well Written Essays - 2500 words

EU Law Enforcement Mechanisms - Essay Example The paper tells that the Commission is the chief enforcement authority, with regard to competition rules, and it effects this through the Directorate – General for Competition. The Commission can initiate an investigation on its own. This could be on the basis of press reports or its investigation on the basis of the powers conferred upon it by Article 17 of Regulation 1/2003. In addition, cases arise from complaints made by individuals or admissions of having breached the rules by undertakings. Initially, the Commission will make an investigation into the claim. During the process of investigation, the Commission is empowered to direct undertakings to furnish information and conduct interviews. This measure is aimed at enabling the Commission to determine whether the undertaking has breached the law. Furthermore, the Commission has been vested with the power to search business premises and private homes, and impound pertinent documents. However, before making a search, the Co mmission has to take the permission of the national Court. Specifically, the Commission is empowered by Article 18(1) of the Regulation 1/2003 to instruct undertakings to provide information related to the infringement in question. A recent development is that the Commission relies on the statements made to it by parties. While providing information to the Commission, an undertaking runs the risk of incriminating itself. This violates the right against self – incrimination and the ECJ has accorded partial recognition to this right. Thus, this right applies to a party that has to reply under pain of fine. In case there is no fine involved, there is no such right, as the party is at liberty to ignore the direction of the Commission.8 Even if there is the possibility of a fine being imposed for remaining silent, the right is limited in extent. This was amply illustrated in the case Orkem v Commission.9 The Commission has the authority to decide whether a particular piece of info rmation is essential for establishing breach of competition rules. As a consequence, even if it has proof regarding such infringement, it can nevertheless, request for additional information.10 Such additional information could be necessary for describing the infringement in a better manner.. As such, with regard to infringements in the economic area, it cannot be assumed that an undertaking is entitled to withhold

Compaer between to company playstation3 and Xbox Essay

Compaer between to company playstation3 and Xbox - Essay Example Its direct competitors in the gaming console markets are PlayStation and Dreamcast and even Nintendo. It is an America based gaming console producing company. Both these companies and the services and the products offered by these companies are quite different from each other. There is tremendous amount of different in the market share of both the gaming consoles. The PlayStation gaming console which was the first PlayStation produced by the Sony Computer Entertainment company sold around 100 million gaming consoles within a period of 9 years and six months since the day it was distributed. The second line of gaming console distributed under the brand name of PlayStation was PlayStation2 was able to ship over 150 million gaming consoles till the period of 2011. The third gaming console that was distributed under the brand umbrella of PlayStation was PlayStation3 which was able to ship over 70 million gaming consoles by 2012 and its distribution started in 2006. In comparison, Xbox was able to sell its only 9.25 million gaming consoles during the period of 2012 and this means that Xbox 360 experienced a decline of 24.8% in the games figure in comparison to the sales figure of 2011 which was 12.3 million gaming consoles (DAngelo 1). The PlayStation is even recognized for the sale of handheld gaming consoles and these gaming consoles are recognized as PSP which have helped PlayStation in positioning itself in a better manner than Xbox as Xbox does not have any handheld gaming consoles. Secondly, PlayStation provides online gaming support through its PlayStation gaming console and an extra console is not required to be purchased to play online. While Xbox even provides online gaming support, but players have to purchase Xbox Live which is an online version of Xbox 360 and is especially designed for online game play. One of the main different between these

Moss and McAdams Accounting Firm Essay Example for Free

Moss and McAdams Accounting Firm Essay 1. At the end of the case if you were Palmer, how would you respond? It was clear from the beginning everyone involved could have handled things more professionally in order to maximize time, and resources while maintaining a healthy and productive work environment for all employees. From the start of the project it was evident that Olds knowledge and skills were definitely in demand. Because his expertise was so in demand, when met with an organizational structure that had an obvious weak matrix structure, it caused great adversity. In this case we learn Ruby Sands had the role of functional manager and therefore ultimately made a decision that affected Palmer’s account. As soon as Palmer recognized the problems he should have addressed the issue then and presented the possible risk, moving forward the best option for Palmer is to find a suitable replacement for Olds. And accept the fact that valuable employees leave projects all the time for one reason or another. Also, Palmer should address his concerns regarding the situation on a whole to include Crosby’s unwillingness to be a team player as a way to avoid similar situations happening in the firm’s future. In conclusion, Palmer is the project manager; it is his responsibility to handle all aspects of the project to include communication. Effective communication would have lead to a better outcome. 2. Discuss what Palmer could do, if anything, to avoid losing Olds: Project managers are ultimately responsible for performance. Therefore it is Palmer’s responsibility to ensure that appropriate protocol is made between the time, cost and performance requirements of the project. In addition, the project manager is also responsible for the aspects of Leadership, such as problem solving, teamwork, negative politics and customer expectations. To avoid losing Olds, Palmer should have realized the struggles Olds was faced with, such as working extra hours to accommodate both projects and accounts, as a result the impact that it had on work-life balance took its toll on Olds and put him in a difficult position.

Communicating In Health And Social Care Organisations Social Work Essay

Communicating In Health And Social Care Organisations Social Work Essay INTRODUCTION Language in particular and communication in general, permeates every aspect of peoples lives. It is important in everything that a person does, in whatever profession an individual might be in. It fosters greater understanding as well the possibility of establishing better relationships between the parties which are communicating. This paper seeks to address the issue by the provision of the theories of communication which are applicable in health and social care, how to use effective communication skills in such a context, methods of dealing with inappropriate communication practices, strategies for effective communication, and the benefits and need to be engaged in effective and efficient communication practices, especially in the context of the said profession. The author will stipulate significant factors which are assumed to be highly influential in the process of communication include culture, values, legislations, and other regulations which govern the practice of the profession. The author will also provide suggestions on how the communication process can be improved so that it can be more useful in the field of health and social care. Furthermore, the author will discuss the standard software which are used by the health and social workers in their profession, an analysis of the benefits which were brought about by such applications, provide an analysis of how such technology enhances activities in the profession, and evaluate the legal considerations which are critical to be understood in the application of the information and communication technology. The author will further discuss the nature of the workplace where the author is working. The organization provides care services for clients with physical and mental disabilities and for clients with dementia. USE OF COMMUNICATION SKILLS IN HEALTH CARE THEORIES OF COMMUNICATION Four theoretical approaches in the practice of health and social care will be highlighted in this section: psychodynamic, behaviourist, humanistic and cognitive. The main foundation of the psychodynamic theory to communication is grounded on the works of Sigmund Freud. This does not involve only a single theory but stems to a number of other theories which were all grounded on the foundations of the work of Freud. This theory combines those which are associated to psyche which includes not only the mind but the entire inner feelings, thoughts and experiences and dynamics which refer to the notion that psyche is not stable, rather active. According to this theory, communication with the individuals self is very critical as it is the foundation of that persons communication practices to others. One of the basic assumptions on this theory is that the individual is the author of his own history; therefore, the individuals earliest experiences form the foundations of how that person deals with others. Such can be modified along the process. Another basic assumption is that the individual lives in two worlds at the same time, internal and external. The internal world is unconscious while the external is controlled. The theory also assumes that all behaviour is logical and acted upon with purpose. These factors are highly influential with how the individual communicates in health and social care setting (Ellis et al., 2003). Another theory which can be noted is the behaviourist theory. The main foundation of this theory is the notion that all behaviour is largely based on learnt responses about specific stimuli. This can be able to explain the method of language acquisition such as that of the echoic response wherein the infant imitates the sound which is made by the health or social professional, who, on the other hand, reinforces the behaviour of the infant. This theory focuses on behaviour and highlights the present and the future (Ellis et al., 2003). The third theory which will be considered in this paper is the humanistic approach. Under this theory, the person is the highlight of interest rejecting the significance of behaviour and the unconscious impulses which result from the past. Two of the theories which are under this approach are the person-centred theory and the transactional analysis. The former highlights the importance of childhood and current experiences in life while the latter reiterates the significance of personality, child development, social psychology, and psychopathology (Sully Dallas, 2005). According to Carl Rogers (1902-1987), People are essentially trustworthy, that they have a vast potential for understanding themselves and resolving their own problems without direct intervention on the therapists part, and that they are capable of self-directed growth if they are involved in a specific kind of therapeutic relationship. In relation to health care context, the goal of this theory is to make the clients become more open in their own personal experience, to accept themselves in all aspect, and to minimize things that might challenge their concept of self. To achieve this, there must be a good relationship between the therapist and the client. The therapist must be realistic but not offensive, accepting but critical to the misconduct of the client. Trust between the therapist and the client is important so the client will not feel social distance scale. It is basically understanding and accepting the client as a whole being, not judging the clients impurities. The fourth is the social cognitive theory. According to Bandura (1986), individuals obtain more information through observational learning. At home, how a parent would nurture their child can be an environmental factor that influences the child the way he behaves. Learning starts from the home whereby a child imitates the people around him. Behaviour then is being shaped and as the child grows; his natural curiosity is reinforced by his motivation to learn. The social cognitive theory explains the interaction between the person and the environment which involves cognitive competencies such as achievement that are developed and modified by social influences and structures within the environment such as parents and society. USE OF COMMUNICATION SKILLS There are many ways to communicate; it could be verbal, non-verbal, writing and listening. Verbal communication is used when giving information or doing trainings, on the telephone, hand over and when talking face to face with a client. For verbal communication, there are things to consider like the tone of voice, pitch and talk on the same level, never talk with your back on your client. Non-verbal communication is used for clients who have difficulty hearing, deaf and mute. Factors to bear in mind are facial expression, hand gestures, physical appearance and body posture. Aids that might help communication are the use of symbols, picture cards and communication board or writing pad. The art of good listening is practiced by letting the clients talk in their own pace and giving them time to express themselves. Transmission of information becomes effective by getting the message across clearly and reflects on how the message was conveyed. The benefits of effective and efficient communication skills in the practice of health and social care can be highlighted by how it is used in the profession. One of the uses of communication in this field is to foster the growth and development of the practice. It must be noted that communication does not only exist between the health professional and the client. It is also evident between health professionals themselves. Communication can be used in this field to be assured that innovative ideas, trends, and best practices are shared amongst the healthcare professionals and social workers for the betterment of their profession (Santy Smith, 2007). Communication can also be used in the context of health and social care to be able to promote an advocacy. This kind of communication is often utilized in mediums like advertisements on print and other channels. The use of media for health promotion campaigns is very convincing that people understand healthy living and what is best for them. Lastly, it has also been noted that communication can be used in the health and social care setting to be able to foster partnership with clients or patients, treat them with respect, provide patients with self-esteem, provision of practical help and advice regarding their condition, stimulate their intellectual development, improve the clients sense of self-being or self-worth, satisfy the physical, emotional, and social needs of the patients and to be responsive of their needs (Haworth Forshaw, 2002). DEALING WITH INAPPROPRIATE INTERPERSONAL COMMUNICATION To be able to reap the benefits of a good communication practice, health and social workers must be able to properly deal with any inappropriate communication practices. For instance, any barrier to communication should be resolved as such can result into misunderstanding in the professional practice. An example of a factor which can be a hindrance to good communication practice would be culture and language itself. Professionals in the field of health and social care should see to it that both parties understand each other, especially when decision making is involved. The use of jargons should be limited as it can lead into inappropriate communication leading into misunderstanding. Another factor which can be considered as an inappropriate practice in communication in the context of health and social care is privacy. Patients are private individuals, their records should therefore be held with confidentiality and there should be no presence of breach of contract as well between prac titioners or professionals. Health and social workers have the inherent duty to not disclose any information without the knowledge of all the parties which are concerned. The lack of trust of the patient to the medical worker can also be a barrier to effective communication. Lastly, the lack of knowledge can also serve as another barrier to communication (King Wheeler, 2007). STRATEGIES TO SUPPORT USERS To be able to be potentially engaged in efficient and effective communication practices, as a carer VARIOUS FACTORS THAT INFLUENCE COMMUNICATION PROCESS IN HEALTH AND SOCIAL CARE VALUES AND CULTURE Two of the factors which are assumed to be highly influential in the communication process, specifically in the field of health and social care, are values and culture. These may include factors which are related in demographics such as age, gender, race, educational and economic status, and also beliefs, among others. Culture, which can be defined as the identifiable integrated pattern of human behaviour that includes customs, beliefs, values, behaviours, and communications (Servellen, 1997), is said to be highly influential in this field basically because they arise from almost every group that are involved in the communication process. In tackling the issue of culture and its influence in the communication process, one of the factors which should be understood are the sub-groups, for instance, Asian. Among the Asian cultures, people from different countries have various approaches to communicating. For instance, in the Vietnamese culture, talking is customary. Professionals who ar e working with people who are accustomed to the Vietnamese culture must be able to take such cultural factor into account so that the communication process can be carried out more efficiently and more conveniently. Another factor which should be understood on this note is cultural identity. One of the inclusions in this identity is the fact that all people are influenced by cultural programming which makes it essential to have an understanding of that culture so that communication can be carried out better (Servellen, 1997). As mentioned earlier, one of the dimensions of culture and values which influence the communication process is gender. Men and women are naturally equipped with differences and such can be reflected in the way they engage themselves into the process of communication. Having different communication styles base on gender, interpretation may also vary in both sexes. Health and social workers should be aware of these differences so that they will be sensitive on how to deal with each patient or client. One of the key to understand these differences is to be an active listener so that the professional can be able to better understand the patient. The same is true with age and ethnicity. Communication with elderly should be done on a different approach wherein the health or social worker should demonstrate more respect. A different approach is also given when communicating with the younger ones. Furthermore, each nationality also has different approaches to communication. Some verbal and n on-verbal communication techniques might be appropriate for other cultures while it may prove to be rude for some. These should be understood clearly so that there will be no misinterpretation and confusion with regards to the transmission of the message (Basavanthappa, 2004). LEGISLATION, CHARTERS, AND CODES OF PRACTICE Despite the fact that communication in the field of health and social care is highly influenced by culture and values, it has also influenced the existence and stipulations which are provided by legislations, charters, and codes of practice. The institution is often left with no option but to follow such stipulations as it is a legal requirement in the context of their practice. One of the most important factors by which legislations and charters influence communication techniques can be demonstrated by the fact that such allows the provision of equality. The existing laws which govern the practice of health and social care are based on the principle of equality which does not allow discrimination of any party, be it a patient or a health or social worker. For instance, legislations such as those which provide fair employment, sex discrimination acts, race relations, and others are some of the laws which demonstrate and influence in professional practice. These laws serve as the foundation of the behaviour of the healthcare professional and form the basis of how they act and how they communicate. The serious consequences of going against such legislations will be undeniably a critical factor in the observance of a good communication practice (Cambridge Training Development, 2000). The Data Protection Act 1984 is a good example which demonstrates legislations in good communication practice in the field of health and social care. This can be able to provide protection to information which are assumed confidential and should be used solely for the purposes known by the persons involved. Service users could possibly demonstrate loss of trust from the service providers if confidential information are leaked making it important for laws to provide protection for such. Certain legislations are also made available to provide equality and anti-discrimination in the workplace. These factors are highly influential in shaping the communication practice and activities of people in health and social care (Moonie, 2005). Furthermore, the stipulations in the code of practice and ethics in a certain institution are also highly influential in communication practices especially in consideration of the fact that they can affect confidentiality and privacy of information. For instance, the use and access to the internet for health and social workers are often limited and defined by codes of conduct, depending upon the institution, to be assured of good communication practices and work ethics. The use of other technological aids can also be regulated by existing rules and regulations to be able to protect the rights of the institution, the workers, the patients, and the public in general (Martin, 2003). ORGANIZATIONAL SYSTEMS AND POLICIES For all concerned parties to be engaged in effective and efficient communication practices, one factor which can be considered as essential would be effective organizational systems and policies. These systems and policies will be able to shape the communication activities and will make it more appropriate and meaningful. Health and social care institutions need to develop systems and policies which can foster good communication. This can include factors which are related to documentation, information systems, establishment of procedures and practices. For instance, the development of a dynamic and advanced information system can demonstrate effectiveness and efficiencies in the various activities which are undertaken. In the absence of such systems, it will be highly impossible to transmit and share information which might prove to be significant in the profession. For instance, at Ashleigh Court Rest Home, policies are strictly implemented. Stated below are some of the policies tha t the home adheres with: Whistle Blowing Policy this document has been written to comply with the Public Interest Disclosure Act 1998, which was introduced to protect employees who blow the whistle about any wrongdoing. The policy gives clear guidance to all members of staff regarding the correct procedure for bringing to attention any wrongdoing or suspected wrongdoing which they feel could affect the reputation of the home, other members of staff, visitors, residents or any other organization or persons connected with the home. The policy outlines commitment to openness and good communications. Bullying In The Workplace The home believes that all staff have the right to work in an environment that is free from bullying, harassment or intimidation, from either colleagues or management. The home seeks to enable staff to enjoy their work and fulfil their personal and professional potential, by creating and sustaining a stimulating and supportive work environment. It is recognised that staff who feel powerless, vulnerable or even persecuted will not be able to give of their best work or work successfully. Prevention of Accidents The home fully accepts the responsibility to ensure that all reasonable steps and precautions are taken to provide and maintain safe and healthy working conditions, which comply with all statutory requirements and codes of practice. The home fully supports and complies with the relevant National Minimum Standards and Regulations, which relate to the promotion and protection of the health, safety and welfare of service users and staff. It is recognised, however, that even in the safest of working environments, accidents will occur, from time to time. Where and when this does happen, the Registered Providers (employers) will abide by the requirements of The Health and Safety at work Act 1974. As such, employers must, by law, notify certain categories of accidents, specified cases of ill health and specified dangerous occurrences to the Health and Safety Executive or the Local Authority to comply with the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR). By undertaking these notifications, the home will not only be meeting the legal requirements but will be able to determine local patters and causes of accidents, so that preventive measures can be put in place to prevent recurrence. A written record such as Accident/Incident Report will be kept, of any accident, however minor, which occurs in the home. Policy on Racial Harassment Every Service User has the right to live and every staff member has the right to work in the home without the threat of racial harassment, discrimination or abuse. Any occurrences of this nature will not be tolerated and perpetrators will be subject to disciplinary procedures. The home fully upholds the principles and guidance of the Race Relations Act 1976 and the Protection from Harassment Act 1997. Racial harassment is any behaviour, deliberate or otherwise, pertaining to race, colour, ethnic or national origin, which is unwanted by the recipient and creates an intimidating, hostile or offensive environment. It may include racist jokes or insults, abusive comments about racial origins and skin colour and ridicule of an individual on cultural and/or religious grounds. IMPROVING COMMUNICATION PROCESS Health and social workers must be perpetually engaged in the improvement and development of the communication process to be better in their profession. One of the ways by which such can be improved is through the provision of security of information. In this way, privacy and confidentiality can be achieved and it can to help prevent any misunderstanding and confusion in the communication process. Furthermore, the communication process can also be improved through the provision of dynamic and sustainable rules which relate to documentation, presentation, and use of outputs and reports so that their purpose can be maximized by its users and providers. The provision of technological aids and communication tools can also help improve such process. Furthermore, the following are other ways by which communication can be improved in the health and social care setting: provide communication access to persons with difficulties; be aware of the various communication barriers and develop strate gies by which they can be minimized or reduced at an acceptable level; teach workers about ethics and values related to communication practices; and rigorous training and education to enhance workers knowledge about effective and efficient communication. There is a need to make service providers understand what are the processes and activities involved in the complex communication process and the need to teach them to be active listeners. By doing the earlier mentioned, the health and social care workers can have an improved communication process and it can foster greater understanding and build better relationships between providers and users (Malone, 2005). EXPLORING THE USE OF INFORMATION COMMUNICATION TECHNOLOGY IN HEALTH AND SOCIAL CARE STANDARD I.T. SOFTWARE The activities in the provision of health and social service would not be possible to carry in the absence of various I.T software and applications. Some of these include: word-processing, spreadsheets, presentations, internet, intranet, and email. These tools are assumed to have critical significance in the profession as it helps in the completion of day-to-day activities in the organization. Word processing is important because it allows the creation, editing, reading, and amendment of various documents which might prove to be vital with health and social care work. If these documents are handwritten, there is no form of standardization and it will be hard to understand as well as too slow to accomplish. Therefore, word processing is considered as one of the most significant I.T. software package as it allows ease in work and reduces the intensity of labour in the creation of documents. Spreadsheet, on the other hand, allows them to do mathematical calculations with ease as it has formulas which can make their works easier while presentations allow them to prepare and present visual presentations in order to communicate better. The internet and intranet is also a good tool as it allows connectivity between the network of users within the organization and through the globe using the internet. Lastly, emailing would allow them to exchange information within each other and share documents in the workplace (Cook, 2006). One of the most advanced application of information and communication technology in the field of health and social care is through telecare which is a business-to-consumer service provision without personal interaction as it just completed on channels such as telephones and computers. This includes services which are related to health and social care such as automated appointment reminders and client monitoring services at home. Traditionally, these things are done by trained professionals at the clients home until the inception of technology which defies distance and allows greater interaction between the users and providers (Niman et al., 2006). BENEFITS OF USING ICT The use of information and communication technology would have not proliferated in the field of health and social care if it did not bring numerous benefits and advantages to the organization, users, providers, and the general public. One of the benefits is the accuracy of records. Because of the use of the various applications of information and communication technology, it will be easier to have readily available information about the condition of the client and it will be easier for the staff to provide an answer to the concerns of the patients. The health professionals are also able to enjoy the benefits of information and communication technology because such allows them to have safe, modern, and speedy IT systems which can help them in their routine, it allows them to utilize time more efficiently, and it allows the possibility of remote monitoring (Gillies, 2006). Information and communication technology is also beneficial in the field of health and social care because it allows the possibility of meeting individual needs, it provides ease in the administration of treatment procedures, it makes the administrative practices more efficient, records and documentation can be more accurate, it fosters better communication, and it promotes independence. Information and communication technology also provides collaboration among users and providers which inevitably leads into more efficient service delivery (Leathard, 2003). ENHANCING ACTIVITIES OF HEALTH AND SOCIAL CARE WORKERS Information and communication technology demonstrates the possibility of enhancing the activities by which health and social care workers are engaged. This is assumed to be done through the following ways: efficiency in business administration, meeting the needs of the employees, improving the quality of service, accountability, and meeting what is required from them. Because of information and communication technology, the field of health and social work is able to experience increased efficiency. The use of various tools associated to such form of technology has allowed them to be engaged into better practices in their profession. For instance, the internet and the intranet, along with the methods by which documentation has improved, are all seen as highly contributory to the improvement of business administration. Service has also seen a dramatic improvement because of the applications of the said technology. Because of such, it is easier to access records and information, althoug h such has also been limited by existing legislations to protect privacy and to promote confidentiality. LEGISLATIONS To be assured that the use of information and communication technology is maximized and not detrimental to the society, certain legislations, both internal and external to the company also exist to govern information and communication practices in the field of health and social care. The Data Protection Act provides restrictions and limitations on the use and access of personal information, especially those of the clients or the patients. Some of this information includes personal information, medical records, treatment history, and credit information. Record keeping is very important and should not be underestimated. Disclosing of information is tantamount to breach of confidentiality. Furthermore, another legislation which is assumed to be significant in the use of information and communication technology is the Access to Personal Files Act 1987 which stipulates general considerations with regards to access to personal information, specifically those data which relate to social services. In addition to these legislations, Access to Medical Reports Act 1988 has also been provided to give right to access into medical reports for the purpose of employment or for insurance. The client, under this legislation, is also endowed with the right to see the information before it is supplied and can also be subject for correction. Lastly, another important legislation is the Access to Health Records Act 1990 which is more concerned about records which could be accessed manually. It gives the client or any other representative the right of access to medical records, in whatever form, electronic or manual (Jones Jenkins, 2004). Moreover, to keep information within the limits o f the workplace, bringing of storage devices are also limited so as the providers cannot transfer any information about the service users which can be leaked and used for purposes which are not under the consent of the parties concerned (Moss, 2008). RECOMMENDATIONS AND CONCLUSIONS Technology has brought a number of benefits realized in the health and social care sector such as meeting the individual needs, ease of administration of procedures, making efficient administrative practices, accurate documentation, and fostering a more dynamic communication practice. Information and communication technology also enhances activities of health and social worker such as by improving efficiency of service, accountability, and quality of outputs. To be able to engage in a more meaningful communication practice, there is a need to be aware and to understand the existing differences in culture and values because they will be able to foster better relationships. There is a need for continuous improvement process in communication by being able to identify ways by which such could be improved. The health and social care sector needs to identify, without a halt, ways by which communication can be improved, so that the profession, in general, can also be improved.

Mechanical Energy :: essays research papers fc

Have you ever wondered how a jet aircraft lifts its tremendous weight off the ground, or what gives a runner the stamina to reach the finish line in a race? In order to answer all these questions we must talk about the transformation of one sort of energy into another. The jet aircraft gets its power from jet turbines. These powerful jet engines create a high-pressure stream of very hot gases that push the aircraft forward as they leave the engine. This is an example of heat being transformed into movement. This is sometimes described as Mechanical Energy. However, this transformation could not take place without the fuel that the aircraft gets within its wings or fuselage. Fuel is considered a chemical energy. This diagram shows how the jet engine acts as energy to lift the aircraft off the surface of earth. Fuel can take the form of gases, solids or liquids. When fuels combine with oxygen from the air, they release their stored energy as heat. We recognize this process as burning. The individual relies on food for fuel which contains energy-giving substances that our bodies can store until we need this energy to use our muscles. When we do use our muscles within us, we may not always be sure that heat is given off. Our bodies do not burst into flames but the perspiration on our skin is a clue to what is happening. The movement of the windsurfer has a different explanation. The windsurfer is propelled along by a sail which collects mechanical energy from the winds that sweep along the water. This energy has been produced by the sun which warms the earth's surface and sets the air above in motion. The sun's heat comes to the earth as a form of radiant energy. When the heat reaches the surface of the earth, it causes the land or seas to rise in temperature. The sun is very hot. Infact, the center of the sun can reach temperatures of up to 27 million degrees Fahrenheit. This is because of another kind of energy reaction where new substances are continually being created as others are being destroyed. This reaction is known to us as the Nuclear Reaction. Today we are trying to imitate this reaction in improving our energy supply. Scientists have calculated that the sun has enough fuel to go on producing energy at its present rate for about five billion years. On earth

Sexual Harassment In The Workplace: From the Middle Ages to Today Essay

Sexual Harassment is first traced from the Middle Ages in the feudal era, custom stipulated that all vassals or serfs were required to give their brides to satisfy their masters sexually. The only way this could be avoided was where the bride or the bridegroom paid a specific amount of produce in redemption dues. While this may seem different from sexual harassment on the job, in fact, in feudal times, the feudal lord was the employer of his vassals and serfs, and their brides became his sexual property. The masters appear to have enforced this custom regularly and with great enthusiasm. During slavery, slave women were forced into dual exploitation: as laborers and sexual partners. Their physical labor and their sexual favors belonged to their male masters. Slaves had no legal right to refuse advances from their masters, since legally the concept of raping did not exist. A female slave was frequently used by her owner for his sexual and recreational pleasure. This sexual privilege was a hierarchical right that spilled over to the slave owner's neighbors, visitors, and younger sons eager for initiation into the mysteries of sex. As slavery was replaced by lowly paid domestic help, female servants, particularly the young maids, were often forced to become the sexual playthings of the members of their employers' families. A domestic servant was afforded little privacy, dignity, or freedom to socialize with others. The employer expected sexual favors to go along with the rest of the duties exacted from the domestic servants. The domestic servant who became pregnant could no longer anticipate marriage. If she bore an illegitimate child, she would be dismissed from her job and shunned by society. As a last resort, unemployed dome... ...Lawrence Solotoff, Henry S. Kramer. "Sexual Discrimination and Sexual Harassment in the Workplace". Law Journal Press, 2015 U.S. Equal Employment Opportunity Commission (EEOC), (n.d.). Sexual harassment. http://www.eeoc.gov/laws/types/sexual_harassment.cfm Judith Berman Brandenburg. "Confronting Sexual Harassment: What schools and colleges can do". Teachers College Press, 1997 Richard B. Barickman. "Academic and Workplace Sexual Harassment: A Resource Manual" State Univ of New York Press, 1991 Eliza G.C. Collins and Timothy B. Blodgett. "Sexual Harassment†¦Some See It†¦Some Won’t" Harvard Business Review, March 1981. Web. 6 June 2015. https://hbr.org/1981/03/sexual-harassmentsome-see-itsome-wont Barbara A. Gutek. "Sexual Harassment on the Job". 2012. Web. 1 June 2015. http://scholarship.law.nd.edu/cgi/viewcontent.cgi?article=1477&context=ndjlepp

Computer Architecture :: Essays Papers

Computer Architecture 1. There have been a lot of developments in microprocessors since the 286 chip. The 286 CPU are no longer sold and are very rarely found in commercial use today because of its running speed, which is between 10MHz to 20MHz. This processor has a 24-bit address bus, and is able to address up to 16 million different address locations. It also has two operating modes, which are real mode and protected mode. The real mode is basically for normal DOS operations and it uses only 8086 code (8086 was the previous CPU). When it was in protected mode the CPU is able to access beyond the 1mb address limit and employed its added features, which were intended for multi-tasking operations such as Windows, but this CPU is not powerful enough to carry out these multi-tasking operations. The 286 came with a bus width of 16-bit internal, 24-bit address, and 16-bit external, with an external speed of between 6MHz – 25MHz, and an internal speed of between 6MHz – 25MHz. The next CPU was the 386, this is also no longer produced it had a slightly faster running speeds which are between 16MHz to 40MHz. This CPU could carry out effective multi tasking operations. It also had a substantial improvement in both memory management and it had an enlarged instruction set. It is also the minimum CPU for running windows. It came in two types the 386 SX and the 386 DX. The SX had a 32-bit internal data path but it only had a 16-bit path between the CPU and the computer memory. The DX on the other hand had a 32-bit data bus between the CPU and the memory chips allowing larger data transfers so it had faster through put. It also was able to use external cache memory, usually about 64k, which also improved performance. The 386 came in two different types they both had a internal bus width of 32 bit, the SX had a address bus width of 24 bit, and a external bus width of 16 bit, its internal and external speed was between 16MHz – 33MHz. The DX however had an add ress and external bus width of 32 bit, its internal and external speed was between 33MHz–40MHz. The 486 were the next CPU, this is still produced, there was little change to the 386 instruction set, but the 486 ran at speeds between 20MHz to 100MHz.

Last Sacrifice Chapter Twenty-three

THE FEW SECONDS OF SILENCE that followed seemed to stretch out to eternity. Everyone was confused, each for totally different reasons. Jill's initial surprise had been laced with excitement, but as she stared around from face to face, her smile faded and faded until she looked as bewildered as the rest of us. â€Å"What's going on?' asked a new voice. Moments later, Emily Mastrano appeared beside her daughter. Emily glanced at me and Sydney with curiosity and then gasped when she saw the third member of our group. â€Å"Sonya!' Emily jerked Jill back, her face filled with panic. Emily wasn't guardian-fast, but I admired her responsiveness. â€Å"Emily †¦ ?' Sonya's voice was very small, on the verge of cracking. â€Å"It †¦ it's me †¦ really me †¦' Emily tried to tug the man inside as well but stopped when she got a good look at Sonya. Like anyone else, Emily had to acknowledge the obvious. Sonya had no Strigoi features. Plus, she was out in broad daylight. Emily faltered and opened her mouth to speak, but her lips couldn't quite manage it. She finally turned to me. â€Å"Rose †¦ what's going on?' I was surprised that she would regard me as an authority, both because we'd only met once and because I honestly wasn't sure what was going on either. It took me a few attempts to find my voice. â€Å"I think †¦ I think we should come inside †¦' Emily's gaze fell back on Sonya. Jill tried to push forward to see what all the drama was about, but Emily continued blocking the door, still not totally convinced it was safe. I couldn't blame her. At last, she gave a slow nod and stepped away to give us access. Sydney's eyes flicked toward the car, where Victor, Robert, and Dimitri were waiting. â€Å"What about them?' she asked me. I hesitated. I wanted Dimitri to be with me to drop the bombshell, but Emily might only be able to handle one thing at a time here. Moroi didn't have to run in royal circles to know who Victor Dashkov was or what he looked like. Our trip to Las Vegas had been proof of that. I shook my head at Sydney. â€Å"They can wait.' We settled into the family's living room and learned the guy who'd answered the door was Emily's husband, John Mastrano. Emily went through the motions of offering us beverages, like this was a perfectly ordinary visit, but the look on her face confirmed she was still in shock. She handed us glasses of water like a robot, her face so pale she might have been Strigoi. John rested his hand on Emily's once she sat down. He kept giving us wary looks, but for her, he was all affection and concern. â€Å"What's going on?' Emily's eyes were still dazed. â€Å"I †¦ don't know. My cousin is here †¦ but I don't understand how †¦' She looked back and forth at me, Sydney, and Sonya. â€Å"How is this possible?' Her voice shook. â€Å"It was Lissa, wasn't it?' exclaimed Jill, who undoubtedly knew this relative's sordid history. She was understandably shocked–and a little nervous–but excitement was beginning to stir. â€Å"I heard what happened with Dimitri. It's true, isn't it? Lissa can heal Strigoi. She saved him. She saved †¦' Jill turned toward Sonya, enthusiasm wavering a little. I wondered what kind of stories she'd heard about Sonya. â€Å"She saved you.' â€Å"Lissa didn't do it,' I said. â€Å"Another, uh, spirit user did.' Jill's face lit up. â€Å"Adrian?' I'd forgotten about her crush on him. â€Å"No †¦ someone else. It's not important,' I added hastily. â€Å"Sonya's †¦ well, she's Moroi again. Confused, though. Not quite herself.' Sonya had been drinking in the sight of her cousin but now turned to me with a wry, knowing smile. â€Å"I can speak for myself, Rose.' â€Å"Sorry,' I said. Emily turned to Sydney and frowned. They'd been introduced, but no more. â€Å"Why are you here?' Emily didn't have to say what she really meant. She wanted to know why a human was here. â€Å"Are you a feeder?' â€Å"No!' exclaimed Sydney, jumping up from her spot beside me on the loveseat. I had never seen her filled with such outrage and disgust. â€Å"Say that again, and I'll walk right out of here! I'm an Alchemist.' She was met with blank stares, and I pulled Sydney back down. â€Å"Easy, girl. I don't think they don't know what Alchemists are.' Secretly, I was glad. When I'd first discovered the Alchemists, I'd felt like I was the last person in the world to find out. It was nice to know others were out of the loop too. Keeping things simple for now, I explained to Emily, â€Å"Sydney's been helping us.' Tears brimmed in Emily's blue eyes as she turned back to her cousin. Emily Mastrano was one of the most stunning women I'd ever met. Even tears were beautiful on her. â€Å"It's really you, isn't it? They brought you back to me. Oh God.' Emily rose and walked over to hold her cousin in a deep embrace. â€Å"I've missed you so much. I can't believe this.' I almost felt like crying, too, but sternly reminded myself that we had come with a mission. I knew how startling this all was. We had just turned the Mastrano family's world upside down †¦ and I was about to complicate things even more. I hated to do it. I wished they could have the time they needed to adjust, to celebrate the miracle of having Sonya back. But the clock at Court–and on my life–was ticking. â€Å"We brought her †¦' I said at last. â€Å"But there's another reason we're here.' I don't know what tone my voice conveyed, but Emily stiffened and stepped back from Sonya, sitting down beside her husband. Somehow, in that moment, I think she knew why we were here. I could see in her eyes that she was afraid–as if she'd been dreading this type of visit for years, as if she'd imagined it a hundred times. I pushed forward. â€Å"We know †¦ we know about Eric Dragomir.' â€Å"No,' said Emily, her voice an odd mixture of harshness and desperateness. Her obstinate manner was remarkably similar to Sonya's initial refusal to aid us. â€Å"No. We are not doing this.' The instant I'd seen Jill, the instant I'd recognized those eyes, I'd known we had the right place. Emily's words–more importantly, her lack of a denial–confirmed it. â€Å"We have to,' I said. â€Å"This is serious.' Emily turned to Sonya. â€Å"You promised! You promised you wouldn't tell!' â€Å"I didn't,' said Sonya, but her face wore its earlier doubt. â€Å"She didn't,' I said firmly, hoping to reassure them both. â€Å"It's hard to explain †¦ but she kept her promise.' â€Å"No,' repeated Emily. â€Å"This isn't happening. We cannot talk about this.' â€Å"What †¦ what's going on?' demanded John. Anger kindled in his eyes. He didn't like seeing strangers upset his wife. I directed my words to Emily. â€Å"We have to talk about this. Please. We need your help. We need her help.' I gestured to Jill. â€Å"What do you mean?' asked Jill. That earlier eager spark was gone, cooled by her mother's reaction. â€Å"It's about your–‘ I came to a stop. I'd rushed into this, ready to find Lissa's sibling– her sister, we now knew–with little thought of the implications. I should have known this would be a secret from everyone–including the child in question. I hadn't considered what a shock this would be to her. And this wasn't just some random stranger. This was Jill. Jill. My friend. The girl who was like a little sister to all of us, the one we looked out for. What was I about to do to her? Looking at John, I realized things were worse still. Did Jill think he was her father? This family was about to be shaken to its core– and I was responsible. â€Å"Don't!' cried Emily, jumping up again. â€Å"Get out! All of you! I don't want you here!' â€Å"Mrs. Mastrano †¦' I began. â€Å"You can't pretend this isn't real. You have to face it.' â€Å"No!' she pointed to the door. â€Å"Get out! Get out, or I'll †¦ I'll call the police! Or the guardians! You †¦' Realization flashed over her now that the initial shock of seeing Sonya had faded. Victor wasn't the only criminal Moroi would be on guard for. â€Å"You're a fugitive! A murderer!' â€Å"She is not!' said Jill, leaning forward. â€Å"I told you, Mom. I told you before it was a mistake–‘ â€Å"Get out,' repeated Emily. â€Å"Sending us away won't change the truth,' I said, forcing myself to stay calm. â€Å"Will someone please tell me what the hell is going on?' John's face was flushed red, angry and defensive. â€Å"If I don't have an answer within thirty seconds, I'm calling the guardians and the police.' I looked over at Jill and couldn't speak. I didn't know how to say what I needed to, at least not tactfully. Sydney, however, didn't have that problem. â€Å"He's not your father,' she said bluntly, pointing at John. There was a slight pause in the room. Jill almost looked disappointed, like she'd hoped for more exciting news. â€Å"I know that. He's my stepdad. Or, well, my dad as far as I'm concerned.' Emily sank back on the couch, burying her face in her hands. She seemed to be crying, but I was pretty sure she could jump up at any moment and call the authorities. We had to get through this fast, no matter how painful. â€Å"Right. He's not your biological father,' I said, looking steadily at Jill. The eyes. How had I never noticed the eyes? ‘Eric Dragomir is.' Emily made a low keening sound. â€Å"No,' she begged. â€Å"Please don't do this.' John's anger morphed back to the confusion that seemed to be so in fashion in this room. â€Å"What?' â€Å"That †¦ no.' Jill slowly shook her head. â€Å"That's impossible. My father was just †¦ just some guy who ran out on us.' In some ways, that wasn't far from the truth, I supposed. â€Å"It was Eric Dragomir,' I said. â€Å"You're part of their family. Lissa's sister. You're †¦' I startled myself, realizing I had to look at Jill in a whole new way. â€Å"You're royalty.' Jill was always full of energy and optimism, operating in the world with a naive hope and charm. But now her face was grim and sober, making her look older than her fifteen years. â€Å"No. This is a joke. My dad was a lowlife. I'm not †¦ no. Rose, stop.' â€Å"Emily.' I flinched at the sound of Sonya's voice, surprised to hear her speak. I was more surprised at her expression. Authoritative. Serious. Determined. Sonya was younger than Emily by–what? Ten years, if I had to guess. But Sonya had fixed her cousin with a stare that made Emily look like a naughty child. â€Å"Emily, it's time to give this up. You have to tell her. For God's sake, you have to tell John. You can't keep this buried anymore.' Emily looked up and met Sonya's eyes. â€Å"I can't tell. You know what will happen †¦ I can't do that to her.' â€Å"None of us know what will happen,' said Sonya. â€Å"But things will get worse if you don't take control now.' After a long moment, Emily finally looked away, staring at the floor. The sad, sad look on her face broke my heart. And not just mine. â€Å"Mom?' asked Jill, voice trembling. â€Å"What's happening? This is all a big mix-up, right?' Emily sighed and looked up at her daughter. â€Å"No. You are Eric Dragomir's daughter. Rose is right.' John made a small, strangled sound but didn't interrupt his wife. She squeezed his hand again. â€Å"What I told you both over the years †¦ it was true. Mostly. We did just have a brief †¦ relationship. Not a cheap one, exactly. But brief.' She paused and glanced over at John this time, her expression softening. â€Å"I told you †¦' He nodded. â€Å"And I told you the past didn't matter to me. Never affected how I felt about you, about Jill. But I never imagined †¦' â€Å"Me neither,' she agreed. â€Å"I didn't even know who he was when we first met. It was back when I lived in Las Vegas and had my first job, dancing in a show at the Witching Hour.' I felt my eyes go wide. No one seemed to notice. The Witching Hour. My friends and I had been to that casino while hunting for Robert, and a man there had made a joke about Lissa's father being interested in showgirls. I knew Emily worked in a Detroit ballet company now; it was why they lived in Michigan. Never would I have guessed that she'd started as a feather-and-sequin-clad dancer in a Las Vegas show. But why not? She would have had to start somewhere, and her tall, graceful frame would lend itself well to any type of dancing. â€Å"He was so sweet †¦ and so sad,' Emily continued. â€Å"His father had just died, and he'd come to sort of drown his sorrows. I understood how a death would devastate him, but now †¦ well, I really understand. It was another loss to his family. The numbers were dropping.' She frowned thoughtfully and then shrugged. â€Å"He was a good man, and I think he truly loved his wife. But he was in a dark, low place. I don't think he was using me. He cared about me, though I doubt what happened between us would have in other circumstances. Anyway, I was fine with the way things ended and was content to move on with my life †¦ until Jill came along. I contacted Eric because I thought he should know–though I made it clear I didn't expect anything from him. And at that point, knowing who he was, I didn't want anything. If I'd let him, I think he would have acknowledged you, had a role in your life.' Emily's eyes were on Jill now. â€Å"But I've seen what that world is like. Court life is politics and lies and backstabbing. In the end, the only thing I'd accept from him was money. I still didn't want that. I didn't want to feel like I was blackmailing him–but I did want to make sure your future was secure.' I spoke without thinking. â€Å"You don't really live like you're using that money.' I regretted the words as soon as they were out. Their home was perfectly nice, hardly the depths of poverty. But it also didn't match the funds I'd seen moved around in those bank accounts. â€Å"I'm not,' said Emily. â€Å"It's on hand for emergencies, of course, but mostly I set it all aside for Jill, for her future. To do whatever she wants.' â€Å"What do you mean?' asked Jill, aghast. â€Å"What kind of money are you talking about?' â€Å"You're an heiress,' I said. â€Å"And royalty.' â€Å"I'm not any of those things,' she said. She was frantic now, looking around at all of us. She reminded me of a deer, ready to bolt. â€Å"There's a mistake. You've all made some mistake.' Emily stood up and walked over to Jill's chair, kneeling on the floor before it. Emily clasped her daughter's hand. â€Å"It is all true. And I'm sorry you have to find out like this. But it doesn't change anything. Our lives aren't going to change. We'll go on just like we have before.' A range of emotions raced over Jill's features–especially fear and confusion–but she leaned down and buried her face against her mother's shoulder in acceptance. â€Å"Okay.' It was a touching moment, and again, I almost felt like crying. I'd had my own share of family drama and parental issues. Like before, I wanted the Mastranos to have this moment–but they couldn't. â€Å"You can't,' I told them. â€Å"You can't go on like before. Jill †¦ Jill has to go to Court.' Emily jerked away from Jill and stared at me. Only a second ago, Emily had been full of grief and distress. Now, I saw intense anger and ferocity. Her blue eyes were stormy, fixing me with a sharp glare. â€Å"No. She is not going there. She is never going there.' Jill had already visited Court before, but both Emily and I knew that I wasn't referring to some casual sightseeing trip. Jill had to go with her true identity. Well– maybe true wasn't the right word. Illicit royalty wasn't part of her nature, at least not yet. She was who she'd always been, but her name had changed. That change had to be acknowledged, and the Moroi Court would be shaken. â€Å"She has to,' I urged. â€Å"The Court's getting corrupted, and the Dragomir family has to play its part to help fix things. Lissa has no power alone, not without a family quorum. All the other royals †¦ they're trampling her. They're going to push laws that won't help any of us.' Emily still knelt by the chair, as though shielding Jill from my words. â€Å"And that's exactly why Jill can't go. It's why I wouldn't let Eric acknowledge her. I don't want Jill involved. That place is poison. Tatiana's murder is proof.' Emily paused and gave me a sharp look, reminding me that I was the chief suspect. Apparently we weren't past that yet. â€Å"All those royals †¦ they're vicious. I don't want Jill turning into one of them. I won't let her turn into one of them.' â€Å"Not all royals are like that,' I argued. â€Å"Lissa's not. She's trying to change the system.' Emily gave me a bitter smile. â€Å"And how do you think the others feel about her reform? I'm sure there are royals who are happy to see her silenced–royals who wouldn't like to see her family reemerge. I told you: Eric was a good man. Sometimes I don't think it's a coincidence their family has died out.' I gaped. â€Å"That's ridiculous.' But I suddenly wasn't so sure. â€Å"Is it?' Emily's eyes were on me, as though guessing my doubts. â€Å"What do you think they'd do if another Dragomir came forward? The people who oppose Vasilisa? What do you think they'd do if only one person stood between them and her family's power?' Her implications were shocking †¦ yet, I knew they weren't impossible. Glancing over at Jill, I felt an empty, sinking feeling in my stomach. What would I be subjecting her to? Sweet, innocent Jill. Jill wanted adventure out of life and could still barely talk to guys without blushing. Her desire to learn to fight was half-youthful impulse and half-instinct to defend her people. Stepping into the royal world could technically help her people too–though not in a way she'd ever expected. And it would mean getting involved with the dark and sinister nature that sometimes filled the Court. Emily seemed to read my silence as agreement. A mix of triumph and relief crossed her face, all of which vanished when Jill suddenly spoke up. â€Å"I'll do it.' We all turned to stare. Thus far, I'd been regarding her with pity, thinking of her as a victim. Now, I was startled at how brave and resolved she looked. Her expression was still underscored with a little fear and shock, but there was a steel in her I'd never seen before. â€Å"What?' exclaimed Emily. â€Å"I'll do it,' said Jill, voice steadier. â€Å"I'll help Lissa and †¦ and the Dragomirs. I'll go with Rose back to Court.' I decided mentioning the myriad difficulties of me getting anywhere near Court wasn't important just then. Honestly, I had reached a point where I was playing all of this by ear, though it was a relief to see Emily's fury shifted away from me. â€Å"You will not! I'm not letting you near there.' â€Å"You can't make this choice for me!' cried Jill. â€Å"I'm not a child.' â€Å"And you're certainly not an adult,' retorted Emily. The two began arguing back and forth, and soon John jumped in to support his wife. In the midst of the family bickering, Sydney leaned toward me and murmured, â€Å"I bet you never thought the hardest part of finding your â€Å"savior' would be getting her mom to let her stay out past curfew.' The unfortunate part about her joke was that it was kind of true. We needed Jill, and I certainly hadn't envisioned this complication. What if Emily refused? Clearly, keeping Jill's heritage a secret was something she'd been pretty adamant about for a while– say, like, fifteen years. I had a feeling Jill wouldn't be beyond running away to Court if it came down to that. And I wouldn't be beyond helping her. Once more, Sonya jumped into the conversation unexpectedly. â€Å"Emily, didn't you hear me? This is all going to happen eventually, with or without your consent. If you don't let Jill go now, she'll go next week. Or next year. Or in five years. The point is, it will happen.' Emily sank back against the chair, face crumpling. â€Å"No. I don't want this.' Sonya's pretty face turned bitter. â€Å"Life, unfortunately, doesn't seem to care what we want. Act now while you can actually stop it from being a disaster.' â€Å"Please, Mom,' begged Jill. Her jade Dragomir eyes regarded Emily with affection. I knew Jill might indeed disobey and run off–but she didn't want to, not if she didn't have to. Emily stared into the distance, long-lashed eyes vacant and defeated. And although she was standing in the way of my plans, I knew she did it out of legitimate love and concern–traits that had probably drawn Eric to her. â€Å"Okay,' said Emily at last. She sighed. â€Å"Jill can go–but I'm going too. You aren't facing that place without me.' â€Å"Or me,' said John. He still seemed bewildered but was determined to support his wife and stepdaughter. Jill regarded them both with gratitude, reminding me again that I'd just turned a functional family dysfunctional. Emily and John coming with us hadn't been part of my plans, but I couldn't blame them and didn't see what harm they'd cause. We'd need Emily anyway to tell everyone about Eric. â€Å"Thank you,' I said. â€Å"Thank you so much.' John eyed me. â€Å"We still haven't dealt with the fact that there's a fugitive in our home.' â€Å"Rose didn't do it!' That fierceness was still in Jill. â€Å"It was a setup.' â€Å"It was.' I hesitated to speak my next words. â€Å"Probably by the people opposing Lissa.' Emily paled, but I felt the need for honesty, even if it reaffirmed her fears. She took a steadying breath. â€Å"I believe you. Believe that you didn't do it. I don't know why †¦ but I do.' She almost smiled. â€Å"No, I do know why. It's because of what I said before, about those vipers at Court. They're the ones who do this kind of thing. Not you.' â€Å"Are you sure?' asked John uneasily. â€Å"This mess with Jill is bad enough without us housing a criminal.' â€Å"I'm certain,' said Emily. â€Å"Sonya and Jill trust Rose, and so I do. You're all welcome to stay here tonight since we can hardly head out to Court right now.' I opened my mouth to say we most certainly could leave right now, but Sydney elbowed me sharply. â€Å"Thank you, Mrs. Mastrano,' she said, summoning up that Alchemist diplomacy. â€Å"That would be great.' I repressed a scowl. Time was still pressing on me, but I knew the Mastranos were entitled to make some preparations. It was probably better to travel in the daytime too. A rough check of my mental map made me think we could do the whole drive back to Court in one day. I nodded in agreement with Sydney, resigning myself to a sleepover at the Mastrano house. â€Å"Thanks. We appreciate it.' Suddenly, something occurred to me, summoning back John's words. This mess with Jill is bad enough without us housing a criminal. I gave Emily as convincing and reassuring a smile as I could muster. â€Å"We, um, also have some friends with us waiting out in the car †¦'