India’s Energy Scenario

Energy in India for the Coming Decades Anil Kakodkar Chairman, Atomic Energy Commission, India [email  protected] gov. in The reforms initiated in India since the beginning of the nineties have led to rapid economic progress and better growth rates. In the first decade of this century the growth rates seem to be still better. Studies by several academics and consultants forecast continued high growth rate for the next several decades.I’ll quote two such studies, one by Dominic Wilson and Roopa Purushothaman of Goldmann Sachs [1] and the other by Dani Rodrik and Arvind Subramanian of the International Monetary Fund [2]. Wilson and Purushothaman write, â€Å"India has the potential to show the fastest growth over the next 30 to 50 years. Growth rate could be higher than 5 percent over the next 30 years and close to 5 percent as late as 2050 if development proceeds successfully. † Rodrik and Subramanian write, â€Å"†¦.. rowth in capital stock together with growth in factor productivity will yield output growth of 5. 4 percent. Over the next 20 years, the working age population is projected to grow at 1. 9 percent per year.If educational attainment and participation rates remain unchanged, labor growth will contribute another 1. 3 percent, yielding an aggregate growth rate of 6. 7 percent per year, or a per capita growth rate of 5. 3 percent. This is a lower bound estimate and, even so, would be significantly greater than the per capita growth rate of 3. percent achieved in the 1980s and 1990s. Over a 40-year period, a 5. 3 percent growth rate would increase the income of the average person nearly 8-fold. † Growth in economy is made possible by several inputs, the two most important being energy and human resource. In this conference, we are concerned about energy and so I’ll confine myself to energy. Energy is the engine for growth. It multiplies human labour and increases productivity in agriculture, industry as well as in serv ices. To sustain the growth rate in economy, energy supply has to grow in tandem.For a large country like India with its over one billion population and rapid economic growth rate, no single energy resource or technology constitutes a panacea to address all issues related to availability of fuel supplies, environmental impact, particularly, climate change, and health externalities. Therefore, it is necessary that all non-carbon emitting resources become an integral part of an energy mix – as diversified as possible – to ensure energy security to a country like India during the present century.Available sources are low carbon fossil fuels, renewables and nuclear energy and all these should be subject of increased level of research, development, demonstration and deployment. In the Department of Atomic Energy, we have conducted a study with the aim to quantify the likely growth in energy demand in India, and the role nuclear energy has to play in the decades to come. The ultimate objective was to formulate a strategic plan to meet the projected role to be played by nuclear energy [3].Energy intensity of GDP, defined as the ratio of the energy consumption to the GDP, has been observed to follow a certain trend worldwide. Below a certain level of development, growth results in increase in energy intensity. With further growth in economy, the energy intensity starts declining. Based on data by International Energy Agency [4], overall energy intensity of GDP in India is the same as in OECD countries, when GDP is calculated in terms of the purchasing power parity (PPP). Energy-GDP elasticity, the ratio of the growth rates of the two, remained around 1. from early fifties to mid-seventies. Since then it has been continuously decreasing. Electricity is the most important component of the primary energy. Electricity-GDP elasticity was 3. 0 till the mid-sixties. It has also decreased since then. Reasons for these energy–economy elasticity changes are : demographic shifts from rural to urban areas, structural economic changes towards lighter industry, impressive growth of services, increased use of energy efficient devices, increased efficiency of conversion equipments and inter-fuel substitution with more efficient alternatives.Based on the CMIE data [5], the average value of the Electricity-GDP elasticity during 1991-2000 has been calculated to be 1. 213 and that of the primary energy- GDP elasticity to be 0. 907. Estimating the future GDP growth rates of India from the projections made by Dominic Wilson and Roopa Prushothaman [1], taking the primary energy intensity fall to be 1. 2 percent per year [6], extrapolating the electricity intensity fall from past data till 2022 and subsequently a constant fall of 1. 2 percent year, the growth rates of the primary energy and electrical energy have been estimated as follows. Period |Primary Energy |Electricity | | |Percent Annual Growth |Percent Annual Growth | |2002-2022 |4. 6 |6. 3 | |2022-2032 |4. 5 |4. | |2032-2042 |4. 5 |4. 5 | |2042-2052 |3. 9 |3. 9 | These rates are the basis of the projections reported [3]. It may be recalled that historical primary energy and electricity growth rates during 1981- 2000 were 6 percent per year and 7. 8 percent per year respectively.Based on the growth rates given in the above table, per capita electricity generation would reach about 5300 kWh per year in the year 2052 and total about 8000 TWh. This would correspond to an installed capacity of around 1300 GWe. Annual primary energy consumption would increase from about 13. 5 EJ in 2002-03 to about 117 EJ in 2052-53. By then the cumulative energy expenditure will be about 2400 EJ. The present status of various fuel-resources in India is given in the table 1. The domestic mineable coal (about 38 BT) and the estimated hydrocarbon reserves (about 12 BT) together may provide about 1200 EJ of energy.To meet the projected demand of about 2400 EJ, one has to tap all options includ ing using the known fossil reserves efficiently, looking for increasing fossil resource base, competitive import of energy (including building gas pipe lines whenever and wherever permitted based on geo-political considerations and found feasible from techno-commercial considerations), harnessing full hydro potential for generation of electricity and increasing use of non-fossil resources including nuclear and non-conventional.Before proceeding further, I would like to explain the status of nuclear power technology in India. Comprehensive expertise in all aspects of nuclear fuel cycle and Pressurized Heavy Water Reactors (PHWRs) has been acquired through self reliant means in India. PHWRs which constitute the mainstay of the first stage of our nuclear power programme are the most efficient systems in terms of uranium utilization and would enable about 10 GWe of nuclear installed capacity with our modest indigenous uranium resources.Having tied up the PHWR programme upto around half way mark, we have now embarked on the development of Fast Breeder Reactor (FBR) based second stage of our programme with the construction of the 500 MWe Fast Breeder Reactor launched in October last year. Our studies indicate that we should be in a position to support around 500 GWe power generation capacity based on plutonium bred from indigenously available uranium. This is a part of the strategy of three stage programme formulated by India right in the beginning of the programme aimed eventually at exploitation of our vast thorium resources.With decades of R;D in our laboratories and Industry, India has come a long way since the inception of the programme and the current efforts are aimed at further improving the economy, enhancing safety and expanding the programme to meet the increasing electricity demand in the country. The 540 MWe PHWR unit at Tarapur that went critical on 6th March, about 8 month ahead of schedule is an important landmark in terms of efforts in this directio n. In addition to the indigenous technology, the Indian power programme includes two GE-BWRs which were set up as turnkey projects right at the inception of our programme.While these reactors are running well as a result of comprehensive backfits and upgrades carried out indigenously, our experience in terms of securing reliable fuel supply has not been satisfactory. Two 1000 MWe VVERs are presently under construction at Kudankulan and would contribute additional carbon free electricity to Indian grids when completed. Coming back to the energy growth scenario [3], the study points out that it is necessary to develop metallic fuel for the fast reactors during the next one decade.Metallic fuels have short doubling time and can ensure a fast enough growth in nuclear installed capacity. Assuming that the fast reactors to be set up after 2020 are based on metallic fuel, the study calculates the maximum possible contribution that can be made by nuclear till the middle of the century. Hydr o and non-conventional potential being limited, the remaining demand has to be met by the fossil fuels. The results indicate that it is possible to have one quarter of the contribution coming from nuclear by the middle of the century, if the fast reactor growth follows the course outlined.Even after the growth projected by the study, there will be shortages and the country will continue to import energy as at present. Research and development plans have to be formulated to ensure that new technologies can be deployed to reduce energy imports. Three efforts being made by the Department of Atomic Energy are worthy of mention here in this context. Bhabha Atomic Research Centre is working on development of a Compact High Temperature Reactor with the aim of producing hydrogen, which could be the most important energy carrier in the future.Several institutions within the Department of Atomic Energy in India are together working for the development of Accelerator Driven Systems, so that on e could sustain growth with thorium systems and move towards incineration of long lived radioactive wastes. The Institute for Plasma Research (IPR), is spearheading the Indian effort in developing a fusion based system for the production of energy. One of the world’s first super conducting steady state tokamak with elongated diverter plasma having 1000 second operation capability is nearing completion at IPR.The Indian population corresponds to one sixth of world population. However, the carbon dioxide emission from India is only around 4% of the global emissions. On the basis of current energy mix and the present day technologies for electricity production, the CO2 emission from India alone could become as much as half of the present level of global emission in a few decades from now. A larger share of nuclear power in India beyond what would be realized through indigenous efforts would, in principle, contribute to further avoidance of CO2 emission which otherwise would be i nevitable.To conclude, the first stage of the indigenous nuclear power programme involving setting up of pressurized heavy water reactors is now in industrial domain. With the start of construction of the 500 MWe fast reactor in October last year, the second stage has been launched. It is time for India to accelerate the implementation of the second stage and development of the third stage of the nuclear power programme. In parallel, India has to continue to work towards development of emerging nuclear energy technologies to address its long term energy requirements which are indeed very large.References [1] Dominic Wilson and Roopa Purushothaman, â€Å"Dreaming with BRICs: the path to 2050† Global Economics Paper No 99, Goldmann Sachs, 1st October 2003. [2] Dani Rodrik and Arvind Subranium, â€Å"Why India can grow at 7 percent or more: projections and reflections†, IMF Working Paper, WP/04/118, July 2004. [3] R. B. Grover and Subash Chandra, â€Å"A strategy for gro wth of electrical energy in India†, Document No 10, Department of Atomic Energy, Mumbai, India, August 2004. 4] International Energy Agency (IEA), Key World Energy Statistics, 2003. [5] Centre for Monitoring Indian Economy (CMIE) 2002, â€Å"Energy†, April 2002 [6] International Energy Agency (IEA), ‘World Energy Outlook 2002 Highlights’ p 32. Table 1: Primary energy ; electricity resources |   |Amount |Thermal energy |Electricity | | | | |potential |   |   |EJ |TWh |GWYr |GWe-Yr | |Fossil |   |   |   |   |   | |Coal |38 -BT |667 |185,279 |21,151 |7,614 | |Hydrocarbon |12 -BT |511 |141,946 |16,204 |5,833 | |Non-Fossil |   |   |   |   |   | | Nuclear |   |   |   |   |   | | Uranium-Metal |61,000 -T |   |   |   |   | |In PHWRs |   |28. |7,992 |913 |328 | |In Fast breeders |   |3,699 |1,027,616 |117,308 |42,231 | | Thorium-Metal |2,25,000 -T |   |   |   |   | |In Breeders |   |13,622 |3,783,886 |431,950 |155,502 | | Renewable |   |   |   |   |   | | Hydro |150 -GWe |6. 0 |1,679 |192 |69 | |Non-conventional renewable |100 -GWe |2. 9 |803 |92 |33 | Assumptions for Potential Calculations Fossil 1. Complete Source is used for calculating electricity potential with a thermal efficiency of 0. 36. 2. Calorific Values: Coal: 4,200 kcal/kg, Hydrocarbon: 10,200 kcal/kg. 3.Ministry of Petroleum and Natural Gas [7]has set strategic goals for the next two decades (2001-2020) of ‘doubling reserve accretion’ to 12 BT (Oil + Oil equivalent gas) and â€Å"improving recovery factor’ to the order of 40%. Considering the fact that exploration is a dynamic process and India is one of the les explored countries, reference [3] assumes that cumulative availability of hydrocarbons up to 2052 will be 12 BT. Non-Fossil Thermal energy is the equivalent fossil energy required to produce electricity with a thermal efficiency of 0. 36. Nuclear 1. PHWR burn-up = 6,700 MWd/T of U-ox ide, thermal efficiency 0. 29 2. It has been assumed that complete fission of 1kg. of fissile material gives 1000 MWd of thermal energy. Fast reactor thermal efficiency is assumed to be 42%. Fast breeders can use 60% of the Uranium. This is an indicative number.Actual value will be determined as one proceeds with the programme and gets some experience. Even if it is half of this value the scenario presented does not change. 3. Breeders can use 60% Thorium with thermal efficiency 42%. At this stage, type of reactors wherein thorium will be used are yet to be decided. The numbers are only indicative. Hydro 1. Name plate capacity is 150 GWe. 2. Estimated hydro- potential of 600 billion kWh and name plate capacity of 150,000 MWe gives a capacity factor of 0. 46. Non-conventional renewable 1. Includes: Wind 45 GWe, Small Hydro 15 GWe, Biomass Power/ Co-generation 19. 5 GWe and Waste to Energy 1. 7 GWe etc. 2. Capacity factor of 0. 33 has been assumed for potential calculations.

Deception Point Page 2

â€Å"It is.† Her father's eyes studied her closely. Rachel felt part of her defenses melt away under his gaze, and she cursed the man's power. The senator's eyes were his gift – a gift Rachel suspected would probably carry him to the White House. On cue, his eyes would well with tears, and then, an instant later, they would clear, opening a window to an impassioned soul, extending a bond of trust to all. It's all about trust, her father always said. The senator had lost Rachel's years ago, but he was quickly gaining the country's. â€Å"I have a proposition for you,† Senator Sexton said. â€Å"Let me guess,† Rachel replied, attempting to refortify her position. â€Å"Some prominent divorce looking for a young wife?† â€Å"Don't kid yourself, honey. You're not that young anymore.† Rachel felt the familiar shrinking sensation that so often accompanied meetings with her father. â€Å"I want to throw you a life raft,† he said. â€Å"I wasn't aware I was drowning.† â€Å"You're not. The President is. You should jump ship before it's too late.† â€Å"Haven't we had this conversation?† â€Å"Think about your future, Rachel. You can come work for me.† â€Å"I hope that's not why you asked me to breakfast.† The senator's veneer of calm broke ever so slightly. â€Å"Rachel, can't you see that your working for him reflects badly on me. And on my campaign.† Rachel sighed. She and her father had been through this. â€Å"Dad, I don't work for the President. I haven't even met the President. I work in Fairfax, for God's sake!† â€Å"Politics is perception, Rachel. It appears you work for the President.† Rachel exhaled, trying to keep her cool. â€Å"I worked too hard to get this job, Dad. I'm not quitting.† The senator's eyes narrowed. â€Å"You know, sometimes your selfish attitude really-â€Å" â€Å"Senator Sexton?† A reporter materialized beside the table. Sexton's demeanor thawed instantly. Rachel groaned and took a croissant from the basket on the table. â€Å"Ralph Sneeden,† the reporter said. â€Å"Washington Post. May I ask you a few questions?† The senator smiled, dabbing his mouth with a napkin. â€Å"My pleasure, Ralph. Just make it quick. I don't want my coffee getting cold.† The reporter laughed on cue. â€Å"Of course, sir.† He pulled out a minirecorder and turned it on. â€Å"Senator, your television ads call for legislation ensuring equal salaries for women in the workplace†¦ as well as for tax cuts for new families. Can you comment on your rationale?† â€Å"Sure. I'm simply a huge fan of strong women and strong families.† Rachel practically choked on her croissant. â€Å"And on the subject of families,† the reporter followed up, â€Å"you talk a lot about education. You've proposed some highly controversial budget cuts in an effort to allocate more funds to our nation's schools.† â€Å"I believe the children are our future.† Rachel could not believe her father had sunk to quoting pop songs. â€Å"Finally, sir,† the reporter said, â€Å"you've taken an enormous jump in the polls these past few weeks. The President has got to be worried. Any thoughts on your recent success?† â€Å"I think it has to do with trust. Americans are starting to see that the President cannot be trusted to make the tough decisions facing this nation. Runaway government spending is putting this country deeper in debt every day, and Americans are starting to realize that it's time to stop spending and start mending.† Like a stay of execution from her father's rhetoric, the pager in Rachel's handbag went off. Normally the harsh electronic beeping was an unwelcome interruption, but at the moment, it sounded almost melodious. The senator glared indignantly at having been interrupted. Rachel fished the pager from her handbag and pressed a preset sequence of five buttons, confirming that she was indeed the person holding the pager. The beeping stopped, and the LCD began blinking. In fifteen seconds she would receive a secure text message. Sneeden grinned at the senator. â€Å"Your daughter is obviously a busy woman. It's refreshing to see you two still find time in your schedules to dine together.† â€Å"As I said, family comes first.† Sneeden nodded, and then his gaze hardened. â€Å"Might I ask, sir, how you and your daughter manage your conflicts of interest?† â€Å"Conflicts?† Senator Sexton cocked his head with an innocent look of confusion. â€Å"What conflicts do you mean?† Rachel glanced up, grimacing at her father's act. She knew exactly where this was headed. Damn reporters, she thought. Half of them were on political payrolls. The reporter's question was what journalists called a grapefruit – a question that was supposed to look like a tough inquiry but was in fact a scripted favor to the senator – a slow lob pitch that her father could line up and smash out of the park, clearing the air about a few things. â€Å"Well, sir†¦ † The reporter coughed, feigning uneasiness over the question. â€Å"The conflict is that your daughter works for your opponent.† Senator Sexton exploded in laughter, defusing the question instantly. â€Å"Ralph, first of all, the President and I are not opponents. We are simply two patriots who have different ideas about how to run the country we love.† The reporter beamed. He had his sound bite. â€Å"And second?† â€Å"Second, my daughter is not employed by the President; she is employed by the intelligence community. She compiles intel reports and sends them to the White House. It's a fairly low-level position.† He paused and looked at Rachel. â€Å"In fact, dear, I'm not sure you've even met the President, have you?† Rachel stared, her eyes smoldering. The beeper chirped, drawing Rachel's gaze to the incoming message on the LCD screen. – RPRT DIRNRO STAT – She deciphered the shorthand instantly and frowned. The message was unexpected, and most certainly bad news. At least she had her exit cue. â€Å"Gentlemen,† she said. â€Å"It breaks my heart, but I have to go. I'm late for work.† â€Å"Ms. Sexton,† the reporter said quickly, â€Å"before you go, I was wondering if you could comment on the rumors that you called this breakfast meeting to discuss the possibility of leaving your current post to work for your father's campaign?† Rachel felt like someone had thrown hot coffee in her face. The question took her totally off guard. She looked at her father and sensed in his smirk that the question had been prepped. She wanted to climb across the table and stab him with a fork. The reporter shoved the recorder into her face. â€Å"Miss Sexton?† Rachel locked eyes with the reporter. â€Å"Ralph, or whoever the hell you are, get this straight: I have no intention of abandoning my job to work for Senator Sexton, and if you print anything to the contrary, you'll need a shoehorn to get that recorder out of your ass.† The reporter's eyes widened. He clicked off his recorder, hiding a grin. â€Å"Thank you both.† He disappeared. Rachel immediately regretted the outburst. She had inherited her father's temper, and she hated him for it. Smooth, Rachel. Very smooth. Her father glared disapprovingly. â€Å"You'd do well to learn some poise.† Rachel began collecting her things. â€Å"This meeting is over.† The senator was apparently done with her anyway. He pulled out his cellphone to make a call. â€Å"‘Bye, sweetie. Stop by the office one of these days and say hello. And get married, for God's sake. You're thirty-three years old.† â€Å"Thirty-four,† she snapped. â€Å"Your secretary sent a card.†

Biochemical Processes of Oil Degradation

Biochemical Processes of Oil Degradation 1. INTRODUCTION Surfactants are surface active compound that reduce the interfacial tension between two liquids, or that between a liquid and a solid. Surfactants are organic compound that contain both hydrophobic (head part of the surfactant) and hydrophilic (tail part of the surfactant) moieties. Thus surfactant contains both water insoluble i.e. water repellent group as well as water soluble i.e. water loving group. Biosurfactants are also surface active compound like chemical surfactants but unlike the chemical surfactant, biosurfactant are synthesized by microbes like bacteria, fungi and yeast. Biosurfactants comprise the properties of dropping surface tension, stabilizing emulsions, promoting foaming and are usually non-toxic and biodegradable. Recently interest in biosurfactant has increased because of its diversity, flexibility in operation, and more eco-friendly then chemical surfactant (BS Saharan et al ., 2011; Eduardo J. gudiËÅ"na et al ., 2011). Biochemical process es of oil degradation carried out by microbes involves several type of enzymatic reactions driven by oxygenase, dehydrogenase and hydroxylase (Hamamura N et al., 2008). These enzymes cause aliphatic and aromatic hydroxidation, oxidative deamination, hydrolysis and other biochemical transformation of original oil substance leading to formation of large number of intermediate degradation products. However, a major limitation of microbial degradation of crude oil is its hyydrophobicity. Biosurfactant produced by oil degrading bacteria facilitate the uptake of crude oil hydrocarbons by bacterial cells and also have low toxicity and high biodegradability (Batista SB et al. , 2006). So, crude oil degrading bacteria with the ability to produce biosurfactant is widely recommended for fast degradation of crude oil. (Kumar M et al., 2006). Furthermore possibility of their production on large scale, selectivity, performance under intense conditions and their future applications in environ mental fortification also these have been increasingly attracting the attention of the scientific and industrial community. These molecules have a potential to be used in a variety of industries like cosmetics, pharmaceuticals, humectants, food preservative and detergents (BS Saharan et al. , 2011). But the production of biosurfactant on industry level is still challenge because of using high costly synthetic media for microbial growth. Biosurfactants are classified on the basis of diversity in their structure and their microbial origin. They contain a hydrophilic group, that contain an acid, peptide cations, or anions, mono-, di- or polysaccharides and a hydrophobic group of unsaturated or saturated hydrocarbon chains or fatty acids. Biosurfactants produced by a variety of microorganisms mainly bacteria, fungi and yeasts are diverse in chemical composition and their nature and the amount depend on the type of microbes producing a particular biosurfactant. 1.1 Classification of Bio surfactant: Biosurfactants are classified in to two major group one is low molecular weight surface active agent call biosurfactant and high molecular weight substance called bio-emulsifier that is especially used as enhancement of emulsification of hydrocarbon. Further these two major group is divided in to six major group known as glycolipids, lipopolysaccharides, lipoproteins-lipopeptides, phospholipids, hydroxylated and cross linked fatty acids. (a) Glycolipids: Mostly biosurfactants are glycolipds. They are lipids with a carbohydrate attached. The connection is by means of either an ether or ester group. Among the glycolipids, the best known are rhamnolipids sophorolipids and trehalolipids.

Charlotte Beers at Ogilvy & Mather Worldwide - the Evaluation of Thei Essay

Charlotte Beers at Ogilvy & Mather Worldwide - the Evaluation of Their Organizational Structure - Essay Example However, in case of firms that already have a history within the market, like Ogilvy & Mather, the evaluation of their organizational structure should be based on a series of additional criteria, like the response of the firm to any turbulence occurred in the local and the international market, its readiness to confront any challenge related to the customer needs and preferences and its profitability since its establishment (at an average level). In the above context, the evaluation of Ogilvy & Mather organizational structure should be based on the views of the literature (primarily); additional criteria (like the firm’s decisions on specific issues related with the daily corporate activities could be also taken into consideration). It would be very important – in any case – to highlight the particular aspects of the organizational culture that acted as potential barriers to the implementation of strategies and plans that could help towards the improvement of the corporate performance (referring mostly to the Worldwide Client Service and the Brand Stewardship vision). In modern firms, the evaluation and analysis of organizational structure usually begin from the workplace, in terms of the distribution of roles and the performance of employees taking into account the market conditions, the needs of the customers and the level of support offered by the local government. On the other hand, it is clear that organizational structure (in all its aspects) had to be differentiated compared to the past in order to meet the needs of a modern market. towards this direction, it is suggested by Burke (1976) that within modern firms the following sectors have presented significant differentiation: ‘value shifts, expanded technology and theory, modifications in OD (organizational development) strategy, and a growing legitimization of OD (organizational development) as a field; it is argued that the development of OD has been adaptive rather than deliberate and planned’ (Burke, 1976, 22).  Ã‚  

Issues in Gumdrop Northern Essay Example | Topics and Well Written Essays - 1500 words

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Archimedes Principle Lab Report Example | Topics and Well Written Essays - 500 words

Archimedes Principle - Lab Report Example Below are tabulated results indicating numerous physical properties of different materials determined through a typical Archimedes Principle experiment. Admittedly, both weight and density are physical properties of matter. Density is calculated by finding the ratio of a material’s mass to that of the material’s volume. Contrarily, weight is the mass of a material in a particular gravitational field. In the calculations, weight was obtained when mass was multiplied by 9.98; the earth’s acceleration due to gravity. In this context, I believe that weight is a variable property which changes with a corresponding change in the external force of gravitational acceleration. However, density is a rather static variable in matter. Density is derived from the unchanging parameters of mass and volume. On the other hand, weight is derived from the unchanging parameter of mass and the changing parameter of gravitational acceleration (Smith 28). Therefore, the experiment’s computations indicate that density describes a material more accurately than weight. When an object is suspended in air, gravity is the only major force acting on that object. However, an object immersed in water is acted upon by two major forces; gravity, and buoyant force. Gravity pulls an immersed object down while buoyant force pushes the immersed object upwards. Consequently, a portion of the object’s actual weight is neutralized by the upward force of buoyancy, thus causing an immersed object to weigh less (Smith 31). Technically, an object does not lose the same amount of weight when immersed in a liquid other than water. First, water and other liquids have different densities. Buoyancy of objects is determined by the ration of an object’s density to that of the reference liquid. Since buoyant forces determine the weight of an immersed object, then the magnitude of buoyant forces acting on a water-immersed object are not necessarily equal to the

Justification and Crisis of Modern Science Essay

Justification and Crisis of Modern Science - Essay Example He clearly understood the Deists and was greatly influenced by the brilliant Unitarians in social concepts. Rene Descartes on the other hand was known to be the vicar of modern science. He initiated a new clear means of thinking about science and philosophy through ignoring all notions centered on supposition or emotional conviction and concurring with the ideas proved by direct observation (Dunn, 1999). The ultimate aim of this paper is to examine how John Locke attempted to justify modern science in terms of bringing in his own ideas and views as a way to bridge the gap between Descarte’s res cogitans and res extensa. It also examines the way he was opposed by several other scholars Locke’s Justification of Modern Science John Locke was one of the most influential especially in An Essay about Human Understanding (1690), fundamentally rejected the Cartesian theory of the continuation of innate notions – like that of God, or time without end – and upholded that the infant during birth has no any form of knowledge and he compared it to a blank page, and in severe terms, it does not stay alive yet. It is important to note that when he selects the subject of his title, Locke never used the term â€Å"mind† which could propose a notion of something really stays alive like an object or a permanent structure (Dunn, 1999). In opposition to that, he chose the term â€Å"understanding† which proposes the idea of a continous process. What he meant here is that a child is never born with any knowledge and he only gets to understand things once hegrows up. This is because Locke believed that knowledge is mainly based on learning from â€Å"expereince†. According to him, a newly born baby has no form of expereince therefore has no type of knowledge. Although Locke understood that expereince depicts two forms – one centered on â€Å"reflection† or reasoning and the other on â€Å"sensation†, he openly impl ied that all automated expereinces are secondary derived from those obtained through the senses (Dunn, 1999). This happens even if the mind may generate completely new forms of automated expereince. This means that reflection is not only the meager copy of sensation, although its natural fabricis developed from it. It is clear from the theory of Human Understanding that Locke supported Modern science which suggests similar notions about human beings. Modern science assumes a child to be of little knowledge who does what he does not understand. For example, a baby can relieve himself and still eat the same waste because he doe not understand what he is doing. At the same time, a child can dare touch fire or hot substance and until it burns him is when he realizes that that is dangerous. Therefore, modern science and Jonk Locke’s theory of Human Understanding are more less the same because they contain same notions about human being. Although Locke was sometimes depicted as a c hristian due to his attendance and knowledge about church, he evidently attempted to justify modern science. Moreover, his other influential theory is that of availability of simple and complicated ideas. According to him, both of them belong to fields of expereince (Dunn, 1999). While simple notions are basically data that is received by the mind meaning that it is non-reducible to more basic ones. Complicated notions on the other hand are made up of a combination of basic ones. This theory was very instrumental during the aristotle

Human resource presentation Essay Example | Topics and Well Written Essays - 250 words

Human resource presentation - Essay Example Advocates of the theory like Peter Denholtz believe that the e-cigarette could be a start to a new era of productivity. In modern busy working environment, people do not find time to leave their office seats and go out to the stairs to have a smoke. This is where e-cigarettes are helpful. It is not injurious to the health of other people, and normally co-workers would not mind someone smoking this type of a cigarette. So with an e-cigarette, an employee would not lose his focus from work as he would not have to look for a smoking area every time he wants to smoke (Pyrillis 6). Celia Joseph, an employee of Fisher and Phillips in Philadelphia, is of the opinion that it all comes down to the needs and corporate culture of an organization. Employers would have to figure out their HR policies. They would have to figure what type of a ban to place. For example, a ban on using e-cigarettes could be placed because of the tobacco it contains or because of the vaporized smoke it emits. If the ban is placed because of tobacco and not the vaporized smoke then, an employer would have no objection in people smoking in the workplace (Pyrillis 8). Pyrillis, Rita. â€Å"Electronic Cigarettes Strike Up Controversy Among Employers.† October 25, 2013. Workforce. Web. October 15, 2014

Puritans vs. Native Americans Essay Example for Free

Puritans vs. Native Americans Essay In 1608, a group of Christian separatists from the Church of England fled to the Netherlands and then to the New World in search of the freedom to practice their fundamentalist form of Christianity (dubbed Puritanism). The group of people known as the Native Americans (or American Indians) are the aboriginal inhabitants of the Northern and Southern American continents who are believed to have migrated across the Bering land bridge from Asia around 30,000 years ago. When these two societies collided, years of enforced ideology, oppression and guerrilla warfare were begun. The great barriers of religion, ethics and world-views are the three largest factors which lead to the culture clash between the Puritans and the Native Americans. Religion played a very important role in both Puritan and Native American society, though their ideologies differed greatly. According to Puritan beliefs, God had chosen a select number of people to join him in heaven as his elect. The Native Americans, on the other hand, believed that everyone was the same; no one was better than anyone else. As Sitting Bull once said, Each man is good in [the Great Spirits] sight. (Quotes from our Native Past). This theory was in direct conflict with the Puritans view. The means through which the beliefs of these two groups were carried on also differed greatly. The Puritans had their Bible which detailed their entire religion and held the answers to all possible questions. The Native Americans on the other hand relied on oral transmission of their theology. Thus, while the Puritans had a constant place to turn to when they wanted to figure out what they believed, Native Americans were forced to fill in the blanks between stories they had heard when it came to their basic ideals. This aspect made them both unable to relate to one another. The most prominent difference between the two religions were their gods. The Puritans believed in one God and one God only. The Native Americans, though also worshipping their own almighty Great Spirit, took further reverence for all living (and once living) things, worshipping the trees and their ancestors as well as their omnipotent Tirawa (or Wakan Tanka). The Puritans, holding all aspects of the Bible literal and as divine mandate, saw this worship of beings other than their God as idolatry (which was in clear violation of the first commandment). Therefore, the Puritans held the Native American society as a society wallowing in sin. Sin was the basis for another big hurdle in Puritan/Indian relations; their differing sets of moral and ethical values. The Puritans valued their faith above anything else. They believed that their conviction for God held precedence over anything else. Even their actions were of less consequence than their faith. The Native Americans, on the other hand, lived their faith and used their actions as tools of their beliefs. Rituals like food preparation and dancing were all actions giving veneration to the spirits of nature. Puritans also believed in the buying and selling of land, a practice completely foreign to the Native Americans. As Crazy Horse said, One does not sell the land people walk on (Quotes from out Native Past). As for the augmentation of terrain, utilization of natural resources and beautification of the land (which the Puritans took part of and advocated), the Paiute Indian Wovoka was quoted, You ask me to plow the ground. Shall I take a knife and tear at my mothers bosom? Then when I die she will not take me to her bosom to rest. You ask me to dig for stones! Shall I dig under her skin for bones? Then when I die I cannot enter her body to be born again. You ask me to cut the grass and make hay and sell it and be rich like white men, but how dare I cut my mothers hair? (Quotes from our Native Past) The Puritans were unable to understand why the Indians viewed their cultivation of the land as barbarism, and the Native Americans were also unable to understand why the Puritans viewed their lack of clothing and lack of forced organized worship as savagery. The final, and arguably most important, of the factors leading to the Native American and Puritan culture clash was the conflict of self and world views held by the two groups. The Puritans viewed themselves as flawed and (basically) evil. According to Eagle Chief, a Pawnee Indian, In our minds we are two, good and evil. (Quotes from our Native Past). Also, the Puritans believed that the mortal world was temporary and of little consequence. They believed that the only place of significance was the next world; Heaven or Hell. The Native Americans, on the other hand, believed that the world they inhabited was the next world. They thought that by dying, they simply returned to the earth. With this train of thought, it seems unlikely that they would be forced into worship through fear if they knew that they were headed home no matter what practices they held in life. The Puritans believed in a specific set of religious ideals, while the Native Americans had a less conformist view of worship. The Puritans held things like faith and use of the land over the Native Americans daily ritual and reverence for nature. The Puritans considered themselves all evil and considered life as a momentary transition, while the Indians thought of themselves as equal halves of good and evil and mortal life (and its logical successor) as fundamentally the same thing. These three things all contributed to the cultural conflict that plagued the Native Americans and Caucasians for years.

Time Management Essay Example for Free

Time Management Essay Time Management skills are essential for successful people these are the practical techniques which have helped the leading people in business, sport and public service reach the pinnacles of their careers. The 80:20 Rule This is neatly summed up in the Pareto Principle, or the 80:20 Rule. This argues that typically 80% of unfocussed effort generates only 20% of results. The remaining 80% of results are achieved with only 20% of the effort. While the ratio is not always 80:20, this broad pattern of a small proportion of activity generating non-scalar returns recurs so frequently as to be the norm in many areas. If you work for an organization, calculate how much you cost it each year. Include your salary, payroll taxes, the cost of office space you occupy, equipment and facilities you use, expenses, administrative support, etc. If you are self-employed, work the annual running costs of your business. If you work normal hours, you will have approximately 200 productive days each year. If you work 7 ½ hours each day, this equates to 1,500 hours in a year. From these figures, calculate an hourly rate. This should give a reasonable estimate of how much your time is worth this may be a surprisingly large amount When you are deciding whether or not to take a task on, think about this value are you wasting your or your organizations resources on a low yield task? ________________________________________ Personal Time Management for Busy Managers by Gerard M Blair Time passes, quickly. This article looks at the basics of Personal Time Management and describes how the Manager can assume control of this basic resource. The Eff words The three Eff words are [concise OED]: †¢Effective having a definite or desired effect †¢Efficient productive with minimum waste or effort †¢Effortless   seemingly without effort; natural, easy Personal Time Management is about winning the Eff words: making them apply to you and your daily routines. What is Personal Time Management? Personal Time Management is about controlling the use of your most valuable (and undervalued) resource. Consider these two questions: what would happen if you spent company money with as few safeguards as you spend company time, when was the last time you scheduled a review of your time allocation? The absence of Personal Time Management is characterized by last minute rushes to meet dead-lines, meetings which are either double booked or achieve nothing, days which seem somehow to slip unproductively by, crises which loom unexpected from nowhere. This sort of environment leads to inordinate stress and degradation of performance: it must be stopped. Poor time management is often a symptom of over confidence: techniques which used to work with small projects and workloads are simply reused with large ones. But inefficiencies which were insignificant in the small role are ludicrous in the large. You can not drive a motor bike like a bicycle, nor can you manage a supermarket-chain like a market stall. The demands, the problems and the payoffs for increased efficiency are all larger as your responsibility grows; you must learn to apply proper techniques or be bettered by those who do. Possibly, the reason Time Management is poorly practised is that it so seldom forms a measured part of appraisal and performance review; what many fail to foresee, however, is how intimately it is connected to aspects which do. Personal Time Management has many facets. Most managers recognize a few, but few recognize them all. There is the simple concept of keeping a well ordered diary and the related idea of planned activity. But beyond these, it is a tool for the systematic ordering of your influence on events, it underpins many other managerial skills such as Effective Delegation and Project Planning. Personal Time Management is a set of tools which allow you to: eliminate wastage be prepared for meetings refuse excessive workloads monitor project progress allocate resource (time) appropriate to a tasks importance ensure that long term projects are not neglected plan each day efficiently plan each week effectively and to do so simply with a little self-discipline. Since Personal Time Management is a management process just like any other, it must be planned, monitored and regularly reviewed. In the following  sections, we will examine the basic methods and functions of Personal Time Management. Since true understanding depends upons experience, you will be asked to take part by looking at aspects of your own work. If you do not have time to this right now ask yourself: why not? Current Practice What this article is advocating is the adoption of certain practices which will give you greater control over the use and allocation of your primary resource: time. Before we start on the future, it is worth considering the present. This involves the simplistic task of keeping a note of how you spend your time for a suitably long period of time (say a week). I say simplistic since all you have to do is create a simple table, photocopy half-a-dozen copies and carry it around with you filling in a row every time you change activity. After one week, allocate time (start as you mean to go on) to reviewing this log. Waste Disposal We are not looking here to create new categories of work to enhance efficiency (that comes later) but simply to eliminate wastage in your current practice. The average IEE Chartered Engineer earns about 27,000 pounds per annum: about 12.50 pounds per hour, say 1 pound every 5 minutes; for how many 5 minute sections of your activity would you have paid a pound? The first step is a critical appraisal of how you spend your time and to question some of your habits. In your time log, identify periods of time which might have been better used. There are various sources of waste. The most common are social: telephone calls, friends dropping by, conversations around the coffee machine. It would be foolish to eliminate all non-work related activity (we all need a break) but if its a choice between chatting to Harry in the afternoon and meeting the next pay-related deadline Your time log will show you if this is a problem and you might like to do something about it before your boss does. In your time log, look at each work activity and decide objectively how much time each was worth to you, and compare that with the time you actually spent on it. An afternoon spent polishing an internal memo into a Pulitzer prize winning piece of provocative prose is waste; an hour spent debating the leaving present of a colleague is waste; a minute spent sorting out the paper-clips is waste (unless relaxation). This type of activity will be reduced naturally by  managing your own time since you will not allocate time to the trivial. Specifically, if you have a task to do, decide before hand how long it should take and work to that deadline then move on to the next task. Another common source of waste stems from delaying work which is unpleasant by finding distractions which are less important or unproductive. Check your log to see if any tasks are being delayed simply because they are dull or difficult. Time is often wasted in changing between activities. For this reason it is useful to group similar tasks together thus avoiding the start-up delay of each. The time log will show you where these savings can be made. You may want then to initiate a routine which deals with these on a fixed but regular basis. Doing Subordinates Work Having considered what is complete waste, we now turn to what is merely inappropriate. Often it is simpler to do the job yourself. Using the stamp machine to frank your own letters ensures they leave by the next post; writing the missing summary in the latest progress report from your junior is more pleasant than sending it back (and it lets you choose the emphasis). Rubbish! Large gains can be made by assigning secretarial duties to secretaries: they regularly catch the next post, they type a lot faster than you. Your subordinate should be told about the missing section and told how (and why) to slant it. If you have a task which could be done by a subordinate, use the next occasion to start training him/her to do it instead of doing it yourself you will need to spend some time monitoring the task thereafter, but far less that in doing it yourself. Doing the work of Others A major impact upon your work can be the tendency to help others with theirs. Now, in the spirit of an open and harmonious work environment it is obviously desirable that you should be willing to help out but check your work log and decide how much time you spend on your own work and how much you spend on others. For instance, if you spend a morning checking the grammar and spelling in the training material related to you last project, then that is waste. Publications should do the proofreading, that is their job, they are better at it than you are; you should deal at the technical level. The remaining problem is your manager. Consider what periods in your  work log were used to perform tasks that your manager either repeated or simply negated by ignoring it or redefining the task, too late. Making your manager efficient is a very difficult task, but where it impinges upon your work and performance you must take the bull by the horns (or whatever) and confront the issue. Managing your manager may seem a long way from Time Management but no one impacts upon your use of time more than your immediate superior. If a task is ill defined seek clarification (is that a one page summary or a ten page report?). If seemingly random alterations are asked in your deliverables, ask for the reasons and next time clarify these and similar points at the beginning. If the manager is difficult, try writing a small specification for each task before beginning it and have it agreed. While you can not tactfully hold your manager to this contract if he/she has a change of mind, it will at least cause him/her to consider the issues early on, before you waste your time on false assumptions. External Appointments The next stage of Personal Time Management is to start taking control of your time. The first problem is appointments. Start with a simple appointments diary. In this book you will have (or at least should have) a complete list of all your known appointments for the foreseeable future. If you have omitted your regular ones (since you remember them anyway) add them now. Your appointments constitute your interaction with other people; they are the agreed interface between your activities and those of others; they are determined by external obligation. They often fill the diary. Now, be ruthless and eliminate the unnecessary. There may be committees where you can not productively contribute or where a subordinate might be (better) able to participate. There may be long lunches which could be better run as short conference calls. There may be interviews which last three times as long as necessary because they are scheduled for a whole hour. Eliminate the wastage starting today. The next stage is to add to your diary lists of other, personal activity which will enhance your use of the available time. Consider: what is the most important type of activity to add to your diary? No:- stop reading for a moment and really, consider. The single most important type of activity is those which will save you time: allocate time to save time, a stitch in time saves days. And most importantly of all,  always allocate time to time management: at least five minutes each and every day. For each appointment left in the diary, consider what actions you might take to ensure that no time is wasted: plan to avoid work by being prepared. Thus, if you are going to a meeting where you will be asked to comment on some report, allocate time to read it so avoiding delays in the meeting and increasing your chances of making the right decision the first time. Consider what actions need to be done before AND what actions must be done to follow-up. Even if the latter is unclear before the event, you must still allocate time to review the outcome and to plan the resulting action. Simply mark in your diary the block of time necessary to do this and, when the time comes, do it. Scheduling Projects The most daunting external appointments are deadlines: often, the handover of deliverables. Do you leave the work too late? Is there commonly a final panic towards the end? Are the last few hectic hours often marred by errors? If so, use Personal Time Management. The basic idea is that your management of personal deadlines should be achieved with exactly the same techniques you would use in a large project: †¢check the specification are you sure that you agree on what is to be delivered †¢break the task down into small sections so that you can estimate the time needed for each, and monitor progress †¢schedule reviews of your progress (e.g. after each sub-task) so that you can respond quickly to difficulties Like most management ideas, this is common sense. Some people, however, refute it because in practise they find that it merely shows the lack of time for a project which must be done anyway. This is simply daft! If simple project planning and time management show that the task can not be done, then it will not be done but by knowing at the start, you have a chance to do something about it. An impossible deadline affects not only your success but also that of others. Suppose a product is scheduled for release too soon because you agree to deliver too early. Marketing and Sales will prepare customers to expect the product showing why they really need it but it will not arrive. The customers will be dissatisfied or even lost, the competition will have advanced warning, and all because you agreed to do the impossible. You can avoid this type of problem. By practising time management, you will always have a clear understanding of how you spend your time and what time is  unallocated. If a new task is thrust upon you, you can estimate whether it is practical. The project planning tells you how much time is needed and the time management tells you how much time is available. There are four ways to deal with impossible deadlines: †¢Get the deadline extended †¢Scream for more resources †¢Get the Deliverable redefined to something practical †¢State the position clearly so that your boss (and his/her boss) have fair warning If this simple approach seems unrealistic, consider the alternative. If you have an imposed, but unobtainable, deadline and you accept it; then the outcome is your assured failure. Of course, there is a fifth option: move to a company with realistic schedules. One defence tactic is to present your superior with a current list of your obligations indicating what impact the new task will have on these, and ask him/her to assign the priorities: I cant do them all, which should I slip?. Another tactic is to keep a data base of your time estimates and the actual time taken by each task. This will quickly develop into a source of valuable data and increase the accuracy of your planning predictions. There is no reason why you should respond only to externally imposed deadlines. The slightly shoddy product which you hand-over after the last minute rush (and normally have returned for correction the following week) could easily have been polished if only an extra day had been available so move your personal deadline forward and allow yourself the luxury of leisured review before the product is shipped. Taking this a step further, the same sort of review might be applied to the product at each stage of its development so that errors and rework time are reduced. Thus by allocating time to quality review, you save time in rework; and this is all part of project planning supported and monitored by your time management. Finally, for each activity you should estimate how much time it is worth and allocate only that amount. This critical appraisal may even suggest a different approach or method so that the time matches the tasks importance. Beware of perfection, it takes too long allocate time for fitness for purpose, then stop. Monitoring Staff Your Personal Time Management also affects other people, particularly your subordinates. Planning projects means not only allocating your time but also the distribution of tasks; and this should be done in the same planned, monitored and reviewed manner as your own scheduling. Any delegated task should be specified with an (agreed) end date. As a Manager, you are responsible for ensuring that the tasks allocated to your subordinates are completed successfully. Thus you should ensure that each task is concluded with a deliverable (for instance, a memo to confirm completion) you make an entry in your diary to check that this has arrived. Thus, if you agree the task for Tuesday, Wednesday should have an entry in your diary to check the deliverable. This simple device allows you to monitor progress and to initiate action as necessary. Long term Objectives There are many long term objectives which the good Manager must achieve, particularly with regard to the development, support and motivation of his/her work-team. Long term objectives have the problem of being important but not urgent; they do not have deadlines, they are distant and remote. For this reason, it is all too easy to ignore them in favour of the urgent and immediate. Clearly a balance must be struck. The beauty of Time Management is that the balance can be decided objectively (without influence from immediate deadlines) and self-imposed through the use of the diary. Simply, a manager might decide that one hour a week should be devoted to personnel issues and would then allocate a regular block of time to that activity. Of course if the factory is on fire, or World War III is declared, the manager may have to re-allocate this time in a particular week but barring such crises, this time should then become sacrosanct and always applied to the same, designated purpose. Similarly, time may be allocated to staff development and training. So if one afternoon a month is deemed to be a suitable allocation, then simply designate the second Thursday (say) of each month and delegate the choice of speakers. The actual time spent in managing this sort of long term objective is small, but without that deliberate planning it will not be achieved. Once you have implemented Personal Time Management, it is worth using some of that control to augment your own career. Some quiet weekend, you should sketch out your own long term objectives and plan a route to them. As you would any long term objective,  allocate time to the necessary sub-tasks and monitor your progress. If you do not plan where you want to go, you are unlikely to get there. Concluding Remarks. Personal Time Management is a systematic application of common sense strategies. It requires little effort, yet it promotes efficient work practices by highlighting wastage and it leads to effective use of time by focusing it on your chosen activities. Personal Time Management does not solve your problems; it reveals them, and provides a structure to implement and monitor solutions. It enables you to take control of your own time how you use it is then up to you.

Social work case study: Young and single mother

Social work case study: Young and single mother General Category of Service User: Level One Erikson’s ‘Stages of Human Development’ (Kalat, 2010, p.173) divides a human’s life into stages. Each stage highlights specific tasks which have to be completed before moving onto the next stage. Each stage creates its own physical, social and emotional conflicts. These stages help to determine where a person is in their life, rather than basing it on their age. Rachel Clark is nineteen years old, and is at the physical stage of a young adult, late teens to early twenties. However, as she has not yet developed her identity, it is fair to say she is still at the stage of an adolescent, early teens. Erikson greatly emphasised the adolescent period, as it is a fundamental stage for a person to develop their identity. The main conflict at this stage is better known as identity versus role confusion. Since moving back to Northern Ireland from Liverpool, Rachel had to move from one friend’s house to another before finally finding a place of her own. This m ay have affected Rachel’s confidence and increased her stress. Prior to meeting with Rachel it is important to consider where she is now living and who her peers are. Theories such as ‘Maslow’s Hierarchy of Needs’ (Taylor Devine, 1993, p.44) is relevant to Rachel’s case as it is important to understand if her psychological needs are being met in order for her to grow. In an attempt to address unmet need, the use of interventions, such as assessment is proposed and these requirements are legislated for in the Children Acts across the UK. Assessment is used to ‘†¦make possible informed decisions about meeting client needs’ (Taylor Devine, 1993, p.7) Assessment frameworks such as; Understanding the Needs of Children in Northern Ireland (UNOCINI) are used to not only assess the child but also to assess the parents’ capacity to meet the needs of the child. Additionally, assessment is used to help the service user and worker to identify any areas which require growth and change. The UNOCINI framework is also in line with legislation such as; the Children (NI) Order (1995) and Article 8 of the Human R ights Act (1998); right to respect for private and family life (legislation, n.d.), which are also fundamental while working with Rachel’s case. Additionally, the stages of Egan’s ‘Skilled Helper Model’ can assist in providing a ‘basic framework for the helping process’ (Egan, 2002, p.25). Each of these stages are a set of tasks based around a theme that assist clients in moving forward to help develop opportunities and provide assistance in managing problems. Information specific to the service user/s: Level two Rachel Clark is a nineteen year old, who is currently residing in Northern Ireland. She is a single parent to a son named Jamie, two years old. Rachel’s parents divorced when she was fifteen. Following this, her mother and twelve year old brother, Mark, moved to Liverpool with Mrs Clark’s boyfriend, Gavin. Rachel was unable to settle in Liverpool and quickly lost interest in her education. Rachel became pregnant at sixteen and gave birth to her son, Jamie, at seventeen. Rachel’s relationship with Jamie’s father ended before Jamie was born. Rachel returned to Northern Ireland six months ago with Jamie. Following this, Rachel had to move from one friend’s home to another until she was granted rented accommodation from a local housing association. It has also been mentioned that Rachel’s grandmother lives nearby and provides support for Rachel on a daily basis. There has been reason for concern with Rachel’s situation following a call fro m one of her neighbours, they wish to remain anonymous. It has been stated that Rachel is ‘partying all night and sleeping all day’, there is a collection of rubbish within Rachel’s garden and it has been reported that Jamie has been heard crying on occasions. Prior to the initial interview with Rachel, it is important to have a clear overview of objectives and aims prepared. The main aim is to engage with Rachel and some objectives may include: To find out if there is any truth in the allegations made against Rachel. If Rachel is acquiring the full financial/emotional support available to her. What kind of support she receives from her grandmother and to establish if respite may be required to give both Rachel and her grandmother a break from Jamie. As Rachel is a young mother, it is important to make sure she is receiving all the help and support that is available. These include financial support, housing support and any child maintenance that is available to her. Although Jamie’s father is not on the scene, Rachel will still be able to claim child maintenance. This is perhaps something that could be discussed with Rachel. The financial help available to Rachel is also something that could be discussed, to make sure she is receiving all the financial support possible. It is stated that Rachel receives daily support from her grandmother, but it does not state what kind of help or what age her grandmother is. It may also be important to consider if respite may be required for both Rachel and her grandmother, to allow them both to have a break from Jamie at times. Specific Phase of Work/Tuning in to SU’s feelings/anticipations of potential SU objectives: Level three. A key skill during the preliminary phase of social work is to develop a sense of empathy. It is also essential to develop some initial strategies for responding directly to indirect words or actions. This skill is described as ‘Putting the client’s feelings into words’ (Shulman, 2012, p.148). In Rachel’s case, it is important to consider what it might be like to be an adolescent. It is essential to get in touch with possible feelings and anxieties that a client might be feeling. In this case, Rachel may be feeling anxious about what kind of worker or person she is going to be meeting with. It is important to engage with the service user and to establish a rapport to help her feel at ease and to gain her trust. Furthermore, effective preparation highlights your concern for the service user and therefore makes them feel valued. It is important to consider how Rachel might be feeling during the point of first contact with social services. She may be feeling angry that someone has reported her for neglecting her son, as well as showing anxieties about whether or not she will have her son taken away from her. It is important to acknowledge how difficult it must be for Rachel to have a social worker talk to her about things that could be a sensitive subject. Tuning in to own feelings, values and skills: Level four. It is important for me, as a social worker, to tune into my own feelings and possible anxieties before beginning the first session with Rachel. The reason for this, is because if they are not addressed before hand then they may arise during the interview session, cause a distraction and may ultimately affect my ability to help Rachel. To establish a rapport with Rachel, personal values such as respect, honesty and compassion would be beneficial and would help to relax the client when they know you are showing a genuine interest. The values and skills within social work apply to the process of aiding others from a professional perspective. Professional values such as; social justice, respect for their rights and professional integrity will also come into effect before and during the interview with Rachel. A number of communication skills can be used to engage with Rachel. Talking and listening skills such as; paraphrasing, the use of open questions, clarifying, reflecting and summaris ing would show evidence of genuine interest. Other skills such as body language will show non-verbal indications of my attitude or feelings towards Rachel, so it is important to have an open posture. Likewise, the ability to respond to non-verbal cues are also important during the interview session. But, most importantly, the ability to be empathetic is a fundamental skill which is required to help develop strategies and relate to the service user. The use of non-verbal methods, such as; self-perception questionnaires, a problem tree or using a life line, are other communication skills which could be used to help Rachel interact with me. Additionally, Rachel might feel an impact of oppression with stereotyping based on her gender, age, gender or mental ability to cope. She may feel like the social services are judging her because she is a young, single mum and therefore, she might feel tense and under pressure. To understand how discrimination and inequalities are present in the int eraction between service users and social workers, it is useful to consider the situation in terms of three levels. The personal, cultural and societal level, referred to as Thompson’s PCS model (Thompson, 2012, p.33). Thompson’s PCS model is important to comprehend as it states how personal beliefs, cultural norms and structural institutions combine to create oppression in society. China: The Ancient Civilization China: The Ancient Civilization There is no modern without an ancient just as there is no present without a past. Everything we have today we owe to the bright minds of our ancestors, and their ancestors. Almost every gadget,  [1]  tool, and device we have today is the result of a persons effort to make life a little easier, a persons desire to explore something new, and a persons effort to understand the world around them. Of the ancient civilizations, it seems that the Chinese were the most curious, and most driven to enhance the quality of life. They had the most prominent and strongly impacting inventions not just during their time, but for all time. The Chinese inventions have three clear divisions. These are: recreational, medicinal and technological, and military. The people of ancient China made many significant advancements in the fields of both science and medicine, which only continues to show how sophisticated and modernized their way of thinking was back then. A lot of the medical treatments still being practiced by doctors today stem from ancient Chinese practices; records of such have been found as early as the Zhou Dynasty (1050-256 BCE). In Confucius The Book of Rites, there is a record that speaks about court physicians and their division of medical teaching into internal medicine, surgery, nutrition and veterinary practice, evidence that medicine was already very much developed during those times. Ancient China had contributed to many branches of medicine including of pharmacology, endocrinology, clinical medicine, public health, acupuncture, and medical education. The very beginning of Chinese medicine is attributed to Shennong, the legendary emperor, who had personally tasted hundreds of plants in order to discover which ones had medicinal values. He was also said to have introduced the technique of acupuncture. During the Han Dynasty, doctors were already using methods such as pulse-reading to examine patients for the purpose of diagnosis. Around 2nd century BCE, the Chinese discovered the anti-malarial properties of a plant called Artemisia (or Qing Hao), which they also used to cure skin diseases (apart from malaria). (1) It is the active substance called artemisinin or qinghaosu contained in the plant that enables it to fight the disease of malaria. It is so effective that even until today, this method of treatment continues to be used. Around 10th century CE, the inoculation or vaccination of smallpox was discovered in the southern province of Szechuan. It is said that Taoist alchemists, who lived as hermits in the mountain of O-Mei Shan , practiced this technique of inoculation, which later caught the attention of the public when the eldest son of Prime Minister Wang Tan died of smallpox. Records of what may be diabetes have also been found in ancient Chinese texts. In the text Huang Di Nei Jing, a syndrome named xiao ke was described in detail. This syndrome was said to arise from eating too much fatty and sweet foods, a description that is very similar to type 2 or insulin-independent diabetes (the most common form of diabetes today). The Chinese produced even minor treatments like eye drops, made from a plant called the Mahuang and promoted the importance of proper diets as a way to cure deficiency diseases. They made use of wine and hot water as medicine, and bronze knives and needles as surgical instruments. China has contributed quite a lot to the field of science and technology as well. Amazingly, many of these major scientific inventions, which are still in use today, began during the ancient times. Some of these discoveries were even accidental, which is the case for one of the most significant Chinese inventions in history: gunpowder. During the Han Dynasty, alchemists did extensive research and conducted many experiments in search for the elixir of immortality. In their search, they made use of substances like sulfur and saltpeter, which led them to discover many chemical properties along the way. It was during the Tang Dynasty that they discovered that sulfur and saltpeter, when combined with charcoal, caused an explosive effect, which is known today as huoyao or gunpowder. Gunpowder is considered to be one of the four great inventions of China; the other three are the compass, paper and printing technique. The compass was invented during the Qin Dynasty and was used by travelers to find their way back home after traveling to far lands in search for jade and other great treasures. The compass was called zhi nan zhen, which meant needle pointing south. The first person to use this tool was Zheng He of the Yunnan Province, who was ordered by the Emperor to make ocean voyages. Another invention, which was also used for determining direction, was invented by Huangdi and was called the zhi nan che or vehicle pointing south. Before paper came into existence, the Chinese would use bamboo slips, bones and tortoise shells to write on. Because these materials were bulky and heavy, many were discouraged from writing down their thoughts and daily experiences up until 105 CE, when the invention of paper was first reported. The name most attributed to this great invention is Tsai Lun, though it is not certain if he was the real inventor or just the court official that presented the invention to the emperor. Tsai Lun supposedly took inner bark of a mulberry tree along with bamboo fibers, and mixed them with water. He then pounded this mixture with a wooden tool, poured it into a piece of woven cloth and let the water drain through. The fibers that were left behind on the cloth formed the paper material. The printing technique, which made use of carved wooden blocks, first appeared in early Tang Dynasty but only became widely used during the Song Dynasty. This new invention encouraged central and local governments to publish more books. It was Bi Sheng who invented movable type printing during the Song Dynasty. The first machines invented in China include the potters wheel, deep drilling devices, efficient animals harnesses, the stirrup, escapements, wheelbarrows and the first computer. In 1st century CE, the Chinese invented the chain pump, which they still use until today. Around 132 CE, Zhang Heng invented the first ever seismograph, which was called the dragon jar. This device would simply register the occurrence of an earthquake using the eight dragonheads arranged around its brim. China is also the pioneer of wind direction devices including weather vanes. As early as 1st century BCE, the Chinese had records of wind seasons. Methods like forensic entomology and fingerprinting were already used in 700 CE as a way of solving murders and identifying people. Thumbprints were found on clay seals and on various official documents. The ancient Chinese people already had coal as an energy source as early as the Han Dynasty in hand with a coal mining industry. Coal was unearthed in Shan Hai Jing and Fushun in Northeast China. Along with coal unearthed in residential areas, the Shui Jing Zhu or notes on waterways classic had a narration of one of the coalmines in Ancient China, the Bingjingtai. Coal mining made good progress during the Song Dynasty wherein the government set up a special institution to facilitate coal mining and monopolize it. Now, a reasonable chunk of Chinese inventions were geared towards a particular aspect of life, making it easier and more enjoyable especially with the Chinese being biased towards the liberal arts as opposed to science because of the lack of conscious interest the people had towards science. A lot of inventions were pointed towards recreational use as well as making everyday functions easier or at least open the way to innovation. These inventions also wound up being adapted by many Western cultures and are still used or can be connected to their Chinese roots. These inventions which we see in our culture in our daily lives often have unknown roots to as where they were invented. They could be as important as the paper money system and toilet paper, or still as essential but on a lesser scale as restaurant menus and eyedrops. One of the greatest inventions of Ancient China is something we use in our everyday lives, paper. Although paper was initially used for wrapping and padding, the use of paper as a writing medium began in the 3rd century. Paper had many new ways of being used which was due to the Chinese knack for innovation. 6th century China began using it as toilet paper, something we cant live without in our present day. Paper was also used to make tea bags during the Tang dynasty, an age of culture in Chinese history. These tea bags are now a popular worldwide drink. Paper was considered one of the greatest inventions of Ancient China because of the position it had with exchanges between the East and the West. Paper is now seen in every society, culture, and part of the world as a essential medium for anything written or printed. A very important system we use today is the type of currency we use, paper money. Paper money or banknotes first appeared in China because the coins used for currency were sometimes too heavy to carry around especially for the rich folk. To address this problem, the coins were left to a trusted person in return for a piece of paper (Some kind of modern I.O.U) and the paper money was called jiaozi. Paper money or banknotes during ancient Chinese times often had a duration which discounted its value after some time until the reign of Kublai Khan during the Yuan dynasty in which he removed the durations and called the banknotes Chao. Another great invention of the Ancient Chinese are often seen in homes and in our daily lives, the use of pottery, porcelain and silk. Chinese pottery dates as far back as 8000 years ago and as compared to all historical periods, Chinese pottery was the one that kept improving and surpassing the quality of other civilizations with pottery (2). The production of pottery and porcelain was a whole culture in itself representing the Chinese economy, culture, science and technology. Though pottery started simple with simple shapes and rough features, the Chinese were able to mold it into something complex and beautiful for their culture. Among the most well-known works of pottery of Ancient China are the famous terracotta warriors and horses found in the tombs in Lintong of Shaanxi Province, the tomb of emperor Shihuang of the Qin dynasty. The tomb holding the terracotta army had thousands of clay soldiers and horses which had lifelike feautures and shows the skill of the ceramic artisans at that time. This marvelous display of the use of clay also represented the Chinese high value of life, believing that things in the tomb of people would accompany them in their second life, the afterlife. Though this belief started with the actual killing of servants, warriors and horses, the Chinese were able to see the value of life and instead use figurines as a substitute. Pottery advanced in many time periods during the Ancient Chinese era, from the ceramics during the Tang Dynasty which had three main colors, yellow, green and white up until the Zisha Tao or purple-clay pottery. China is also known as the capital of porcelain, a white, rigid and water-resistant piece of pottery. The use of porcelain boomed during the Song Dynasty with the discovery of a wide variety of designs. Porcelain from the Yuan dynasty was also widely regarded as top quality. Ming and Qing dynasties also had its own admirers as seen in this description, as thin as paper, as bright as mirror, as white as snow, and as resonant as chime stone (2). Silk was also a big part of Chinese culture that was discovered from silkworms eating on their mulberry trees. Silk was unearthed as far back as 4700 years ago in the Zhejiang Province in Eastern China. The use of silk was already popular during the Shang dynasty. Chinese people even included how to prevent silkworm diseases in the Li Ji or the Book of Rites. Silk was used to increase the dignity of the noble people as well as to add to the allure of their women. It also became a major export even opening the Silk Road. Silk and ceramics show the Chinese rich economy and culture because of how they were able to develop these arts as well as trade them to the world. (3) Tea and Wine are two beverages whose roots our society knows little about yet consume on a great scale. The ancient Chinese were the first people to process tea and make it into a beverage. Tea was said to have been discovered by Shennong, a legendary god who was cured by tea leaves from a coma. Tea was valued in ancient China even being offered to ranking officials as tributes and becoming an essential part of their everyday lives. People of the Tang dynasty had a saying that people can do without food  [2]  for several days but not a single day without tea. Tea was another valuable export of the Chinese people (4). The Chinese were also the first to discover wine. Yi Di was said to be the first to make wine and making wine probably started in the Yangshao period, about 4000 to 5000 years ago. The Chinese came up with many different methods of creating yeast for their wines, a sign of their innovation and creativity. A big achievement in Chinese history regarding wine was durin g the Song Dynasty, when hongqu or red yeast was used (5). Wine is a beverage that was adopted by the West and have been made in their own ways like the in the vineyards of Italy and other countries. A very important spice was also given its first use by the Chinese, salt. It was as early as 2700 B.C.E. that salt was already used for pickling in China, salt trade also helped finance the Great Wall. The Chinese also made important contributions to Astronomy. Emperor Huangdi often observed the stars to make out a calendar as well as naming metal, wood, fire, water and earth as the five elements. He even understood the concept of leap months and days in the calendar. A lot of astronomers in China were able to observe the stars and was compiled by the astronomer Chen Zhou. With this map, people were able to make the star atlas and catalogue with coordinates for each star. The advanced techniques used by the Chinese astronomers during the Warring States Period prove that they led the world in astronomy and astronomical tools (6). There were also many minor inventions the Chinese had which was adopted by the west and used by society in the present day. They invented the kite initially for war but became a tool for entertainment in the mid Tang Dynasty. Its popularity goes as far as the emperor Huizong actually presiding over a compilation about kites called A Collection of Kites from the Xuanhe Years (7). And their attempt to fit a man inside a kite led to the popular extreme sport we know today as Hang-gliding. Similar to the kites initial purpose, the hot-air balloon also became popular for entertainment during the Yuan dynasty wherein it attracted a lot of popular viewers. The original creator of the hot-air balloon was a war tactician named Zhuge Liang (8). Board games such as Mahjong also became popular because of the Chinese inventions, the Domino in particular (Dominoes). They were apparently derived from the cubic dice, which had been popular in Ancient China. The Chinese even helped give us some popul ar sports the world acknowledges today, specifically Archery, Golf and even Football. Archery goes back all the way to the Paleolithic age in Shanxi Province wherein archeologists unearthed finely made arrowheads. China was also the birthplace of the worlds number one sport, Football otherwise known as Soccer. Football was initially called cu ju which translates to kick ball in Ancient China. Inscriptions on bones and turtle shells during the Shang Dynasty proves that the sport was born in China. The ball was initially made of leather and hair while the first inflated ball was made during the late Tang Dynasty with the use of animal bladders. The game was said to have spread to the West because of wars with foreign countries(9). Chui wan or strike pellet is said to be the origin of the game Tiger Woods dominates, Golf. Other minor inventions were the principle of camera obscura, an early way of projecting images. Mo-Ti, the inventor referred to his camera as locked treasure room. The Chinese made many inventions towards recreational use and enjoying life because of their bias towards the liberal arts. Although they still made great contributions to science, their contributions to culture, the classics, sports, and other activities are common in our world today. It is important that one knows the foundation of these activities and objects one enjoys today so that proper credit may be given to the innovators. Now, creating a civilization like that of the Chinese does not come without consequences and at no cost. They did have to fight many battles both to unify themselves, and defend themselves from would be conquerors. In order to do this, they couldnt fall behind in terms of military might. To make sure that they always had the upper hand, the Chinese invented many simple, yet effective tools of war. The Military inventions of ancient China were the kite, the wheelbarrow, naval mines, land mines, the flamethrower, the early form of mustard gas, the fire lance, paper armor, and the crossbow. The wheelbarrow is speculated to have already been invented by at least the first century BCE. They were primarily used for war in that they were an efficient way to carry around large quantities of supplies, or heavy supplies such as armor, weapons, and ammunition. They were chosen over the larger vehicles because first, they could be operated by a person which was favorable over oxen in battle, and second, because they were more maneuverable around difficult terrain. They had many variations depending on the situation. Some wheelbarrows used single central wheels while others used two wheels. One famous variation of the  [3]  wheelbarrow was the add-on of a sail. This innovation allowed the wheelbarrows to travel up to 40 miles per hour. (10) Another invention that seems completely unrelated to war is the kite. The Mozi mentioned kites in 400 BCE. Kites were described as a bird constructed from bamboo and wood. (10) The materials used to produce kites were primarily silk and bamboo. Silk was the most lightweight and most durable material at the disposal of the Chinese, while bamboo was the lightest, and one of the most durable types of wood available. It is speculated that kites were used to signal the soldiers in armies during and outside of battle with instructions. For instance, different colored kites carried different orders for armies. As if the Chinese hadnt already proven that anything could be used in war, they began using paper for armor. Yes, thats right. The Chinese used paper for armor. The paper armor was highly praised for its warmth, comfort, and durability. In fact, in 1625, Mao Yuanyi, a Yellow Turban Rebel during the Han Dynasty, wrote: the best choice for foot soldiers is paper armor, mixed with a variety of silk and cloth. (11) The new weapons invented by the Chinese during these times were the Fire Lance, the Crossbow, the Flamethrower, Naval Mines, Land Mines, and the precursor to mustard gas. Naval mines were made by putting gunpowder in a barrel sealed with putty. They were either timed or made to explode by a hidden ambusher that would pull a cord and activate a Wheelock to create a spark and set off the explosion when an enemy ship sailed too close. Landmines functioned in pretty much the same way. Hidden ambushers would wait for enemies before lighting hidden fuses to set off the landmines. They did however, have an automatic way of activation. These automated land mines used weight drives. When a person steps on the landmine, the weights drop, activate a flame, and set off the landmine. The fire lance was the precursor to the gun. It was a bamboo tube that was filled with either a projectile or poison dart. These tubes were tied on to spears and then ignited to set off the gunpowder and launch the projectile. (11) The crossbow functions much like the crossbows of today. They had a string that was latched onto the tip of a trigger. When the trigger is pulled, the crossbow bolt flies. The Chinese flamethrower used double-action bellows placed beneath a hot cauldron with a mixture much like Greek-fire to spew fire. (11) It was the first type of flamethrower that could continuously shoot fire. The precursor to mustard gas was a simple mixture of around fifteen pounds of feces, herbs, and poison. When lobbed into a battle, it irritated and blistered skin. It was highly favored since it penetrated armor. (11) 4All of these weapons, with the exception of the flamethrower, show which side the Chinese were commonly on in battle. First of all, projectile weapons such as the Fire Lance and Crossbow are dangerous to use in skirmishes, and when the people shooting them do not have the high ground because of the chances of friendly fire. Based on that knowledge, these weapons were most probably used from castle walls, hills, and early in battle, before the skirmishes begin. Naval mines, land mines, and the early mustard gas were of course used as traps. But when and where are traps set? They are often set to fend off an invasion in ones home territory. This tells us that these were primarily defensive weapons. They were most effective in battles where the Chinese were able to choose where the battles would take place. What does all of this tell us? It tells us that the Chinese defended their land more than conquered. They held off invasions, rebellions, and raids more than attack foreigners. The Chinese opened the door for the golden ages of technology. Their inventions paved the way for great thinkers and great nations alike to create things never heard of before and to conceive new ways of doing things. Its obvious that not all the worlds innovations came from China, but it is safe to say that many of them were either adapted from ancient Chinese inventions or simply continuations of the inventions themselves. Things like the compass, for example, are Western adaptations of Chinese south pointing chariots. China, with all its riches, land, and manpower, was the perfect place for innovation to flourish. But why did the Chinese invent? It is natural for a person to explore and experiment with his environment, but what the Chinese did was not merely exploration and random wonderment. They wondered with a goal, and they explored with direction.  [5]   It can be said that, based on their early inventions, they created because they valued the gift of life highly. They sought not only to exist, but also to live. To merely go throughout life breaking ones back for daily meals did not appeal to them. They created tools such as the wheelbarrow and trip hammer that would help alleviate the workload of everyday life. They created games such as Cu Ju and Chui Wan that would allow one to enjoy life. They created practices and medicine to sustain life. They created things such as the early seismograph and star maps to understand life and the world around them. They also created weapons, but not with the primary purpose of destroying life, but with the purpose of protecting life and protecting order. However, compared to the Western Civilizations, China churned out massive amounts of innovations. What did China have that allowed it to invent so much so quickly compared to the Western Civilizations? Well, the first factor would be Chinas immense resources. They had the means to support research and development within their population and the means to mass-produce the new inventions. The second factor was that they generally lived in times of peace. While they did have many periods of war, the periods of peace, or at least relative peace allowed the Chinese to focus on improving their society. The third factor is exactly the opposite of the second. War forced them to create new weapons. There is an old saying, In peace culture prospers, in war science flourishes. The fourth factor would be the trade routes. China was exposed to many different cultures. Technology was oftentimes the most valuable commodity traded. While the Chinese inventions were oftentimes not direct descendants o r copies of foreign technology, they were most likely influenced by them. There is one factor that does seem to stand out above the rest, and this is need. The Chinese had many needs. They needed to meet the demands for food by a growing population, they needed to understand human ailments to be able to treat people, they needed to find more efficient ways of transporting supplies and more efficient ways of navigating rivers. Need is probably the single greatest driving force that the Chinese had. Like it was said in the movie Robots, See a need, fill a need. Although the Chinese did have a general sense of direction with their inventing, there was also the factor of luck. In the creation of gunpowder, for instance, it was by chance that they realized a mix of saltpeter, sulfur, and coal produced an explosive effect. Like Doctor Marquez says, Innovation happens when readiness meets serendipity. Our present world cannot be divided into a West and an East but as a joint creation of East and West, of China and other countries. Chinas society has had its ups and downs during its different dynasties. A strong foundation was built during the Spring, Autumn and Warring States periods which laid down a foundation for the development of science and technology. The Han and Tang dynasties wherein nations were unified, the Wei and Jin dynasties wherein the country was divided or the Song and Ming dynasties which enjoyed prosperity. All these different dynasties and up and downs in Ancient Chinese history, even the Yuan and Qing dynasty, which had leaders coming from ethnic minorities. All these times contribute to the Chinese success with innovation as compared to the West. And although the Chinese were responsible for a lot of firsts, the West can still be given credit for further advancing these firsts in their own ways. The fact that the Chinese lead the world in technology does not necessarily mean that they were the brightest or best. A lot of factors came into play that allowed the Chinese to invent so many things and advance in technology. In the end, it all comes down to the right circumstances. What probably put the Chinese in the perfect situation is again, serendipity. Sources Deng, Yinke. Ancient Chinese Inventions. Cultural China Series ed. China: China Intercontinental Press, 2005. Call Number In Library: General Circulation T27.C5 D4613 Kleeman, Terry F., and Tracy Barrett. The Ancient Chinese World. Oxford: Oxford University Press, 2005. Call Number in Library: General Circulation DS741.5.K55 Hochman, Karen. Salt History. Gourmet Food Magazine Website: The Nibble Gourmet Food Gifts, Specialty Food, Mail Order, Online Gift Webzine http://www.thenibble.com/reviews/main/salts/history-of-salt.asp (accessed January 12, 2011). Wicken, Jonathan. Ancient Warfare. Fight Game E-Magazine. www.fighttimes.com/magazine/magazine.asp?article=676 (accessed January 12, 2011). Murphey, Rhoads. A History of Asia. 6th ed. Upper Saddle River, NJ [etc: Pearson Education, 2009. Ho, Peng Yoke, and F. Peter Lisowski. A Brief History of Chinese Medicine. 2nd ed. Singapore: World Scientific, 1997. pp. 9-25. Call Number in Library: R601.H6 1997 Wisconsin Paper Council. The Invention of Paper. http://www.wipapercouncil.org/invention.htm (accessed January 10, 2011). Marashi, Reza, Yang, George, and Chan, Anthony. Chinese Inventions. Oracle Think Quest. http://library.thinkquest.org/15618/inventor.htm (accessed January 10, 2011). Case study: End of Life Care Case study: End of Life Care In describing a situation in which my integrity was challenged I would first like to give some background. This involved a patient I cared for and I will anonymize the situation for privacy concerns he will be referred to as Patient A. The patient was a middle aged male who had been diagnosed with cancer. He initially declined therapy due to personal beliefs that he and his wife had about alternative medicine. A year later, with progression of his cancer, he agreed to chemotherapy but by then his cancer was very advanced. He initially came under my care at the end stage of his cancer, and when I admitted him I did not expect he would survive to discharge. His wife was of the opinion that he had declined because he agreed to chemotherapy and expected him to improve now that chemotherapy had been stopped. During his admission he improved and was discharged. At discharge I went over his condition with him and his wife, and discussed his expected continued decline in detail. About one month after this I again admitted Patient A. He was in very bad shape and had not eaten much for about a month. He needed to be admitted to the Intensive Care Unit. He was lethargic, with a waxing and waning mental status. I was worried that he would not be able to swallow properly and would likely aspirate (with attendant complications including pneumonia) if fed, so I held off on feeding him till his mental status improved, sustaining him in the interim with intravenous nutrition/fluids. I also stopped some medications he had been on prior to admission including synthroid, a medication for thyroid dysfunction. I initially discussed Patients As condition with him (when he was more awake) and he decided he did not want to be resuscitated if his heart stopped. When his wife was available I sat down with her and we had a long discussion concerning his condition and his prognosis. She was very personable but was convinced that his prognosis was better than I was making out. Sh e was also very concerned about Patient A not eating and not getting his thyroid medications. I explained the rationale for my not wanting him to eat yet and explained that thyroid medication could worsen a complication he had at that time. Despite our conversation she was still convinced that his prognosis was pretty good. I ended the conversation by asking her to think on things and promising to discuss further with her at a later time. However, when I did see her later she accused me of not taking adequate care of her husband. She felt I was giving up on him and leaving him to starve. She also felt he would be doing better with his thyroid medication. She requested that a different physician be put in charge of her husband. Taking care of patients at the end stage of life can be difficult. It is especially so when the patients are relatively young. The surviving family members also often have survivors guilt, with a propensity to feel they could have done more. In this case Patient As wife believed there was a lot more that could be done that could change the outcome. I felt her accusation was a challenge to my integrity and was very taken aback, especially as I thought we had come to an understanding when last we spoke. She was essentially accusing me of not only inadequate care but of harming my patient. I gave Patient As primary care physician a call to discuss how she had been interacting with Patient A and his wife. I then sat down again with Patient As wife and we had another long discussion at the end of which I agreed to let Patient A try to eat. I agreed to this understanding that he could aspirate. In view of his expected imminent demise I felt if he could get some comfort from eating, it would be worthwhile. However I did not agree to recommence Patient As thyroid medication which would at that point have hastened his demise. I believe I was at fault in not adequately addressing her concerns initially. She was seeing individual trees and not the forest. But I was also taking a coldly clinical approach. While I was clinically right, a deeper view should have shown me that at that point his comfort and his wifes satisfaction that he had received appropriate care should have been paramount.