Information and Communication Technologies Essay -- Technology, Digita

NOTHING STAYS THE SAME Change is a steady component of contemporary society, and quite a bit of it is by all accounts impelled by the quick and proceeding with advancement and utilization of data and correspondence advances (ICTs). This is surely evident most definitely, as ICTs alter how data is gathered, prepared, imparted, put away, recovered and even deciphered, adequately making various understandings of three of constituent components of data work : the compartments of data (reports); the methods by which they can be conveyed; and the instruments which are utilized to oversee them. One of the more noteworthy ongoing mechanical improvements is that of computerized libraries (DLs), which have furnished LIS teachers with the chance to reconceptualise and retheorise their scholarly zone just as helping with reviving and upgrading proficient practice. What are DLs †and how are they unique in relation to customary libraries or, for sure, ‘digital repositories’, ‘digital curation’ and ‘digital archives’? It is concurred that the term ‘digital library’ stays indistinct and challenged and still has an assortment of potential implications which extend from ‘database’ to ‘a digitized assortment of material’ like what one may discover in a conventional library. The definition most as often as possible cited and utilized is that created by the Digital Library Federation (DLF): Advanced libraries are associations that give the assets, including the specific staff, to choose, structure, offer scholarly access to, decipher, convey, save the respectability of, and guarantee the perseverance after some time of assortments of computerized works with the goal that they are promptly and financially avai... ...ple can discover data and use it. The social ramifications of a world where data is circulated nearly without foundations are not comprehended. I'm not catching this' meaning for colleges, for instruction, for distributers? (Lesk, 1997, p. 5). There is little uncertainty that the overall population currently approach significantly more data (from the web, specifically) than has ever before been conceivable †to such an extent, that many believe that data was created by the web. Regardless of whether individuals consistently find what they need, whether the data they discover is of the best quality, whether they comprehend the data they recover and what they do with the data once they have found it, are on the whole inquiries that remain to a great extent unanswered, alongside Lesk’s significant inquiry which he posed longer than 10 years back, yet which will be considered here.

Introductory and Contract Law

Question: Examine about the Introductory and Contract Law. Answer: The case Crown Melbourne Limited v Cosmopolitan Hotel (Vic) Pty Ltd [2016] HCA 26 (20 July 2016) was held in the Australian High Court. The purview of the High Court of Australia expands the Supreme Court in the Australian Court pecking order and last Court of bid in Australia. It has both Appellate and unique ward. It has the power to do legal audit on law, which are passed by the Australian Parliament and the State Parliament. It likewise has the locale to decipher the Constitution of Australia (Nauze, 1972). This case is a common case and the onus of evidence lies on the respondent, the principle. In methods brought by the respondents (the occupants), the Victorian Civil and Administrative Tribunal (the VCAT) saw that the complainant (Crow) made an impression to the respondent over the range of understanding for the leases, such that the occupants would be worried for the hour of restoration. The VCAT surveyed that the affirmation offered, raised to an insurance contract, which satisfied Crown to offer a haggling of leases for quite a while on a few standing to be picked by Crown. The VCAT also found that if the end were mistaken, it would have in like manner recognized the leaseholder convenience that Crown was estopped from turning away the nearness of insurance contract. It mentioned that Crown should pay the fundamental respondent $467,505.00 and the accompanying respondent $1,143,167.00 for pay when there is a break of agreement (Vass, 2016). Concerning the circumstance, the VCAT that the Crown had made an impression to the occupants at the restoration time of the exchange that they will deal with the inhabitants during the reestablishment time. The VCAT held that the declaration by the Crown offered climb to security contract. Besides, the Crown needs to pay $467505 to the essential respondent and $1,143,167 to the second in sort of harms for break of the understanding. The Crown was in danger for estoppel from denying the security contract. On offer under the steady gaze of the Supreme Court of Victoria said that the VCAT was in error and estoppels didn't develop. Or maybe, the Court of Appeal said that there was a promissory Estoppel. The Court of Appeal declared that there was no insurance contract yet there was an issue in dispatching the issue of estoppel (Rohatgi, 2016). The lawful issue on some portion of the Crown was that the Collateral agreement and promissory estoppels guaranteed by the respondent for which the Crown is at risk for harms are not substantial. The portrayal he made was not substantial and the simple expressing of something doesn't make the agreement legitimate (Grossi, 2016). Inhabitants got strategies to the VCAT in which they certified that a movement of portrayals had been made by representatives of Crown to Mr Zampelis, with the end goal that the occupants would be given an extra term of five years taking after slip by of the 2005 leases. These exhibitions were said to include to an assurance that the Crown would rehearse its position under cl 2.3(a) of the 2005 leases and propose a recharging for an extra multi year term. The occupants declared to have been incited by the portrayals to execute the leases and to do the remodels. Two, interchange legitimate outcomes were said to take after from the assurance: a guarantee contract, by which Crown was obliged to offer the inhabitants empower multi year leases, showed up, or an estoppel rose which shielded Crown from denying that responsibility. Essentially, the provisions of the further leases were supposed to be the equivalent concerning the 2005 leases (Handley, 2016). A security contract is typically a sole term understanding, made for the gathering for whose advantage the understanding works consenting to go into a chief agreement, which sets out further terms relating to a comparable kind from the guideline contract (Hospital Products Ltd v United States Surgical Corporation). The Court had held that there is a guarantee understanding just when there is portrayal, which is authoritatively official. It would possibly be an insurance understanding if there were a legally binding guarantee. The goal possibly emerges when the gatherings have acted or demonstrated lead towards it. The Court of Appeal concurred that the announcements were obscure. The aim as to guarantee contract is an issue of law (Heilbut, Symons Co v Buckleton). A promissory estoppels is one where the promisor has vowed to accomplish something for the promisee and the promisee has acted by that guarantee, regardless of whether there was no thought, it is enforceable by law (Feinman, 1984). The court held that there was no promissory estoppels in light of the fact that the portrayal caused must to be projection and not unambiguous and unclear. The individual to whom the portrayal be caused must to not be obscure and the portrayal must not be available to various development. The negligible saying of that took care of at reestablishment time doesn't imply that he implied that there would be an augmentation on the rent term (Low v Bouverie). Under the choice taken by the Court of Law for this situation we see that if there should arise an occurrence of guarantee contract the gathering doesn't have to pull out while under a rent exchange the Crown has a commitment to pull out under the law to make it authoritative. For rent to occur there must be a thought and the terms must be communicated or inferred or in unendingness. The basics of a legitimate agreement development are: offer, acknowledgment, commonality of commitment, thought and a composed understanding. An ill-disposed framework is an obsolete method of taking care of questions. An antagonistic framework is where the gatherings to the question put their case before a fair-minded individual, an appointed authority or jury through their own promoters in the endeavor to inspect reality of a case. In Adversarial framework when managing criminal cases, the investigator or judge can't ask the charged individual inquiries since he isn't legitimately speaking to his case (Allison, 2013). He can possibly answer situations when he decides to do as such. In the event of Civil cases the respondent need to mandatorily give proclamations yet he can't be interrogated on the announcement nor is the announcement made on vow. The adjudicators must be reasonable and give their judgment dependent on the case dependent on basic equity and fair treatment. The name antagonistic framework might be uncertain in light of the fact that, it suggests that it is just appropriate inside a specific kind of structu re where, there are differentiating indictment and barrier. The case isn't the equivalent, and both the current ill-disposed and inquisitorial frameworks have the authority of state antagonized between an investigator and the adjudicator. They can give the respondent legitimate guide. Unquestionably, TheEuropean Convention on Human Rights and Fundamental Freedomsin Article 6 need those characteristics in the lawful structures of the signatory states. The most important method of understanding debates is the conventional method of introducing it before the adjudicator and the jury. The appointed authority and the jury give the choice in a fair-minded way. This is the preliminary or prosecuting method of comprehending debates. Aside from the conventional methods of understanding contest there are different ways likewise of unraveling debates. Exchange, Mediation and Arbitration are hardly any methods of unraveling the techniques. These ways are known as the ADR-Alternate Dispute Resolution (Greenacre et al., 2016). The cases that go to the Court regularly get comprehended in the Court just not many among them goes to preliminary. A portion of the cases are frequently viewed as proposed by ADR before the gatherings goes to the Court (Chng Chua, 2016). Let us currently investigate the different techniques for tackling questions Exchange The most essential methods for explaining questions is by the method of arrangement. It is a consistent correspondence between the gatherings to the debate with the point of finding an answer. The gatherings haggle legitimately or may complete it by an Attorney. The strategy followed is not all that much. The arrangement between the gatherings is enforceable under law. The fundamentals of arrangement are: Unstructured and casual Intentional Classified and private Enforceable No contribution of outsider; the gatherings settle on their own choices. Intercession the procedure by which settlement between the gatherings is made by an unprejudiced individual, known as the middle person. It is a willful procedure, which advance compromise between the contesting parties that thusly causes the gatherings to the debate reach on a common understanding. It is the following best appropriate strategy for comprehending questions after the procedure of arrangement. Go between clarifies the standard of the procedures to the gatherings and their lawyers. They can even meet the gatherings independently and he causes the gatherings to see every others perspective (Roebuck, 2013). Assertion Arbitration is a contended point to a sensible individual for decision. Mediation is commonly an out-of-court approach for settling an inquiry. The authorities control the procedure, will focus on the two sides and arrive at a resolution. The same a preliminary, only a solitary gathering will win. In any case, the intrigue rights are limited not normal for a preliminary. In an increasingly formal circumstance, the go between coordinates a consultation wherein the gatherings start through chronicles, presentations and affirmation. The gatherings may support a couple of cases to develop their own way; or an administrating association may give ways (Moore, 2014). There can be likely one official or a three middle people board. A mediation hearing is commonly held instead of work or a gathering room. The outcome can be tied if all social affairs have assented from before to be limited by the decision. By and large, the benefit to guarantee the appointed authority's decision is incredibly compelled. A go between's respect can be reduced to choice in a court and thusly be enforceable. In non-mediation, a decision may get the chance to be certainly last if all sides endorsement to remember it or it may serve to assist you with making a decision about the case and be an initial stage for the sett

UNANY Summer Scholars 2019 Winners COLUMBIA UNIVERSITY - SIPA Admissions Blog

UNANY Summer Scholars 2019 Winners COLUMBIA UNIVERSITY - SIPA Admissions Blog Our second-year MPA-DP 20 students Fatène Ben-Hamza and Emily Boytinck were invited to the annual 2019 UN Day Humanitarian Awards Gala Dinner. The event commemorating the work of the United Nations has also became an elegant celebration of the work of our UNANY  Summer Scholars 2019 Winners. Fatène Ben-Hamza spent her summer working at the UNICEF Middle East and North Africa Regional Office in the ADAP section (adolescent development and participation) in Amman, Jordan. During summer she focused on developing materials for improving the engagement of young people in humanitarian settings, an analysis of young people participation in social movements and finally on building a case for participatory budgeting in Jordan. Emily Boytinck, had her summer placement at UNFPA country office in Dakar, Senegal. Under the authority of the Representative and the direct supervision of the Reproductive Health Program Officer, Emily worked with the reproductive health team to advance Senegals country program. As a UNANY Summer Scholar, she collaborated with office staff and national partners, and contributed to data collection, analysis and produce reports related to reproductive health (RH) with a focus on the topics of adolescent sexual and reproductive health and menstrual health in emergencies. Emily’s and Fatène’s achievements while working in country offices located in Jordan and Senegal immeasurably added to a deeper appreciation of what UNFPA and UNICEF do towards a more just and sustainable future. Learn more about the  MPA-DP Program: Instagram:  columbiasipa_mpadp Twitter: @ColumbiaMPADP LinkedIn Facebook

Racism And How Laws Created Over Centuries - 1158 Words

This paper investigates many different articles and reports on the origins of racism and how laws created over centuries have still failed to completely annihilate the practice of bigotry against minorities. Through the examination of different stories, articles, and research, this paper suggests and supports the idea of racism being implemented secretly through the institution system, and the relationship between the reality of a minority with a job compared to someone else with the same job. This paper also explains how certain actions are only still in society because bigotry is more so a learned behavior. Introduction Despite the hard fought years of abuse and the milestone of achieving an African American president, racism is more concealed now due to Civil Right Laws. Because of this, America is now using incidental and institutional racism to somewhat justify their acts. Statistics show that African Americans are what makes up most of the population within prisons and there are countless acts of police brutality killings towards unarmed African American victims. Not to mention the everyday challenges African-American minorities have to face when dealing with recreational events, job applications, or even shopping. But the main question that is still stirring is how did we get here, and what do we have to do to help prevent and beat modern day racism. What is Racism? Racism by definition is, â€Å"The belief that race is the primary determinant of human traitsShow MoreRelatedThe Problem of Racial Discrimination1578 Words   |  6 Pagesthemselves. Over the course of time, this created various feelings about one group over that of the other. At the same time, feelings of jealousy and resentment fueled animosity between racial groups. Evidence of these kinds of distinctions is going back to some of the earliest accounts in the Bible with the Jews enslaved and escaping from slavery in Egypt. The reason why they were slaves is because the Jews were seen as inferior to the ancients Egyptians. In the 20th and early 21st centuries, many ofRead MoreSlavery : Racism And Racism Essay1134 Words   |  5 PagesSlavery: A root to Racism. Slavery and Racism Slavery as described by Oxford dictionaries â€Å"a person who is the legal property of another is forced to obey them† was introduced to America dating back to 17th and 18th centuries. African slaves were first brought to America as a means of cheap labor to work on tobacco plantations and later on the cotton gin. With the constant demand for labor and declining population, the colonists were led to believe that African slaves were the cheapest and efficientRead MoreWhite Supremacy Is Influencing The Young People Of Today988 Words   |  4 PagesSupremacy is influencing the young people of today the wrong thing? Why should White Supremacy in America be abolished? Over more than 200 years, White Supremacy has made an authority on the nation’s history, often through the federal and state laws, and it continues to be a visual element in the American society. White Supremacy was created during the 19th century, during the removal of the Native American tribes in the east of Mississippi to land west of the river. President AndrewRead MoreRace And A Broader Spectrum982 Words   |  4 PagesCommunities started too form all over the globe and individuals become groups of people. Over time, the human species advanced with great pace eventually, leading up to the present day and what we know about life today. The human mind is a wonderful thing to understand how it works and observe its changes throughout the evolution of man. To see race in a broader spectrum, I will use the lens of psychological to see how race works at Elizabethtown College. With an understand of how race works in the worldRead MoreEssay on A Noncolor Blind Society1458 Words   |  6 Pagesthrough injustice which was widely known as the American paradox. Even though it is stated in the Declaration of Independence that, All men are created equal, decades ago and often times today, it only applied to what was believed to be the superior race, and that only meant certain groups of people. This American paradox connected directly to racism which included prejudice, discrimination, and institutional inequality defined by sociologists Michael Omi and Howard Winant. America is an unequalRead MoreRacism As A Part Of Human Nature Essay1513 Words   |  7 Pages Racism is an extremely important issue that has plagued the United States of America for countless decades. America was established on racism, many Africans were enslaved and brought to America for the benefit of its white settlers. Africans were forced to farm and work for free Which created the wealth gap in the United States of America. Throughout American history racism has had a great effect on its minorities. Racism has affected many minorities such as countless lives being lost orRead MoreRacial Discrimination Against A Race1425 Words   |  6 PagesThe persons that practice racism are a set group in our society and their prejudice usually arises from ignorance to a lack of understanding. Racial discrimination against a race still existed for centuries. Racism is an historical stratification process by which the population of European descent, through its individual and institutional distress patterns, intentionally has been able to sustain, to its own best advantages such as power and financial advantages. The dynamic mechanics of upward orRead MoreIs The Mass Incarceration Of Blacks The New Jim Crow?1540 Words   |  7 Pages(Prison Activist Resource Center. Racism Fact Sheets: â€Å" Latinos and the Criminal Injustice System.† 2003). Th ere is a huge number of African Americans involved in the criminal justice system in some way. The average person does not know about mass incarceration nor about the racism that is in just about every part of the criminal justice system. When most people think about racism their thoughts often drift to slavery or Jim Crow laws, but for most, they do not consider how the amount of African AmericansRead MoreRacism And Racism1326 Words   |  6 PagesThroughout history, inequality and racism have been a major problem in all governments. Inequality is the difference in size, degree, and circumstances. Governments have showed inequality in their economic growth, which also helps them thrive on the poor. Racism is also a benefit to states where the dominant race runs the government. A liberal democracy is a democratic system of government in which individual rights and freedoms are officially recognized and protected, and the exercise of politicalRead MoreAnalysis Of Hurston s Zora Hu rston 1294 Words   |  6 PagesRacism is the belief that people that were certain skin type were better than others. One did everything better than the other at certain things. It has been one of the main factors to society in the U.S. The biggest one back in history had to be African Americans were treated different because of their color and the whites were took over Africa s property. Similarly, to the two essays I read in class that discussed racism back in the days. One of them was Zora Hurston who talked about how it was

Wagamama - What does the Japanese word wagamama mean

Word of the Day: wagamama Meaning: selfishness; egoism; willfulness Japanese characters: ã‚ Ã£ Å'㠁 ¾Ã£  ¾ Example: Kare wa hitorikko nanode, sukoshi wagamama na tokoro ga aru.Ã¥ ½ ¼Ã£  ¯Ã¤ ¸â‚¬Ã¤ º ºÃ£  £Ã¥ ­ Ã£  ªÃ£  ®Ã£  §Ã£â‚¬ Ã¥ °â€˜Ã£ â€"ã‚ Ã£ Å'㠁 ¾Ã£  ¾Ã£  ªÃ£  ¨Ã£ â€œÃ£â€š Ã£ Å'㠁‚る。 Translation: Being an only child, he is a little selfish. More Words of the Day: Previous wordNext wordWord of the Day by email

Boots Free Essays

Would Mulishly be able to help Boots manage the Japanese regulations? Boots needs to reformulate more than 2,000 products in order to meet with the regulations and import restrictions of Japanese market, Which is a huge investment and after reformulation, these product have to be registered with the Japanese authorities whiny had considerable leeway in how they applied such regulation. Nevertheless, Mediumistic Corporation belong to the Mediumistic keiretsu Which is one of he oldest and largest industrial group in Japan and are leaders in their respective industries, they already have experience working with foreign firms to established in Japan and they are looking to increase Its retail activities. So they match In the right way with MAC to manage all of the Japanese regulation. We will write a custom essay sample on Boots or any similar topic only for you Order Now 2. Would It be able to provide meaningful advice about how to attract and retain Japanese costumers? Foreign companies often had difficulty entering Japan, due to the complexity for obtaining resources, and local reputation or business relationship, the trend is to see s less trustworthy the foreign firms. So in order to attract and retain costumers MAC is the best option for entering the Japanese Market due to its well known reputation and access to resources ( people, real state and financial resources). But they still have to be aware of the complexity of the health and beauty business in Japan, Which have many differentiation for each area. 3. Would the two companies continue to share the same interests? The Joint venture proposal is giving Boots the decision advantage by having 51% stake of the Joint venture, and as MAC is looking to increase retail activities they are in he same direction and should continue to have the same interest in the process of entering this market. Was the proposed Joint venture a good Idea for Boots? Is a great Idea, In order to enter the Japanese market they need to make this Joint venture with MAC, there Is no other way due to regulations of the Japanese authorities and the untrustworthy of the market in foreign firms, it would end up in big losses if no experience and they are in the right position to make this venture since they are the leaders and are managing in and excel way their local market. How to cite Boots, Papers

Factors Influencing of ART in PMTCT

Question: Discuss about the Factors Influencing of ART in PMTCT. Answer: Introduction: Acquired immunodeficiency syndrome (AIDS) is associated with the progressive impairment of the immune system and leads to the serious and late stage complications in the human being. Over the last three decades prevalence of HIV is spread all over the world. According to World Health Organization (WHO) estimate there are approximately 40 million people are living with HIV. In this women population is approximately 16 million and pregnant women population is approximately 1.4 million. These pregnant women have the risk of transmission of HIV to their children. This growing prevalence of HIV in women is due to physiological aspects of women responsible for the susceptibility to infection. Along with this social and psychological vulnerability generated by economic, socio-cultural and legal factors is responsible for prevalence of HIV. WHO also estimated that around 77 % women who were living with HIV received antiretroviral medicine to prevent transmission of HIV to their babies. More than half of the burden of HIV was estimated in the Southern African countries like Botswana, South Africa, Zimbabwe, Swaziland and Namibia. Approximately 20 % of the expectant mothers are generally affected with HIV in these countries and 20 % deaths occurred due to the AIDS (Sharma Khadhiravan, 2008). In Botswana, approximately 40 % of antennal women were infected with HIV. Out of these, approximately 16 % of infants born with HIV infection. Even though prevalence of AIDS is more in these sub-Saharan African countries, utilization of antiretroviral drugs is not widespread. Different reasons were observed for this low utilization of antiretroviral drugs in these countries and these reasons include cost, logistic and social issues (Yazdanpanah, 2004). It has been observed that high cost of antiretroviral drugs and diagnostic are the main barriers for the prevention of transmission of HIV from mother to child. Other barriers responsible for the prevention of transmission of HIV from mother to child (PMTCT) are lack of national regulatory policy, tariffs and taxation on antiretroviral drugs and lack of international funding for the implementation of antiretroviral drug administration (Attaran Gillespie-White, 2001). Even tough, Botswana Government decided to initiate antiretroviral drug therapy for the people in 2000, prevention remains the cornerstone for the national AIDS strategy. In accordance with the 2010 recommendations of the WHO, the Ministry of Health has improved access to ART by expanding eligibility criteria to all adults with CD4 counts 350 cells/L. This change is also reflected in pediatric populations; all children 24 months of age as well as children from 2 5 years with CD4 counts 750 cells/L or CD4 25% will be eligible to begin ART.) . In African countries, Botswana is the first country to initiate programme for the prevention of mother to child transmission in 2001 (Creek et al., 2006). International recommendations for the antiretroviral therapy were not considered for the implementation of antiretroviral therapy in Botswana. These recommendations were non-consideration of the climate, complexity of social and health infrastructure and lifestyle of the people of the Bots wana. Along with these government initiatives other stakeholders also participated in the implementation of prevention of mother to child transmission. Bill Gates foundation and major pharmaceutical firm like Merck contributed to the implementation of prevention of transmission from mother to child. Ministry of Education with the collaboration of Stanford University in 2011 launched Teach AIDS software which helps in education of the people to fight against HIV infection. Implementation of Option B+ and prevention of mother to child transmission in Botswana collectedly resulted in the improvement in the reduction of HIV cases (Coutsoudis et al., 2013). Literature review: It has been well established in the literature that implementation of ART programme successfully resulted in the reduction in the transmission of HIV from mother to child. Health of child is completely dependent on the health of the mother. Survival of the virus responsible for AIDS depends of the health of the mother. If mother health is not good there are more chances of long duration survival of viruses and transmission to the children. Due to ill health of mother, there is the possibility of the reduced transfer of positive immunity in the children and it results in the increased burden of the mother to children transmission. In Tanzania implementation of prevention of mother to child transmission in collaboration with Option B+ resulted in lessening the transmission of HIV infection from mother to child (Gourlay, et al., 2016). In Nigeria also prevention of mother to child prevention programme of HIV infection was implemented, however this programme faced problems like influence of less education among the population, low employment and the low socioeconomic status of the people. In a study conducted in Ghana, it has been established that lack of knowledge of antiretroviral therapy among women resulted in the inefficient implementation of the PMTCT. Option B+ has been successfully implemented in Malvi for reduction in the HIV transmission (Kim, et al., 2015). However, Option B+ has not been successfully implemented in Botswana because of lack of support for community based therapy for ART, unwillingness of the women to use ART, problems associated with the breastfeeding and lack of qualified human resource for the implementation of the programme. In some of the sub-Saharan countries use of ART for PMTCT increased from 15 % in 2005 to 55 % in 2009. However, this rate of increment in the use of ART for PMTCT is not enough in the country like Botswana where prevalence of AIDS is very high (WHO, 2010). From the literature, it is evident that there is the good understanding for the knowledge of barriers for the uptake of ART in PMTCT in general population and however, there is less knowledge about the barriers for uptake of ART in PMTCT in pregnant women (Mills et al., 2006; Posse et al., 2008). In a study conducted in Zimbabwe, it has been established that, replacement of single-dose nevirapine (sdNVP) with modified ART resulted in the reduction of transmission of HIV infection to child in PMTCT (Ciaranello et al., 2013). In studies like Post-Exposure Prophylaxis of Infants (PEPI-Malawi), Breastfeeding, Antiretrovirals, and Nutrition (BAN) study and the 3 parallel randomized trials of Six Weeks Extended Nevirapine (SWEN) exhibite d success of ART in PMTCT. In longer duration studies like HIV Prevention Trials Network (HPTN), it has been established that there is no transmission of HIV infection from using ART in PMTCT (Shetty Maldonado, 2013). Drug Resource Enhancement Against AIDS and Malnutrition (DREAM) study established that there is reduced maternal mortality, premature birth and PMTCT due to the use of ART. Hence, ART should be initiated in the pregnant women at the optimum time to avoid further complications. There is evidence available for the safety of ART in infants, hence pregnant women should not worry about the risk of ART to infants. ART in PMTCT has been successfully implemented in North America and Europe. As a result, there is the eradication of the HIV in the new born. Women with the positive HIV infection and who met the criteria of number of CD4 cell should start the ART immediately after the positive test. WHO recommended two options for the ART. In Option A, women with HIV infection sh ould start zidovudine during antenatal period and at the time of delivery. Also, these women should take nevirapine every week. In case of infants, nevirapine treatment should start daily from the birth until cessation of breastfeeding. In Option B, women should take three combinations of ART during antenatal period and continue until the cessation if breastfeeding (Shetty Maldonado, 2013). Rationale for study design: There were the studies and reviews available for the information related to the community based involvement for PMTCT, success and failures of PMTCT and retention of ART therapy in pregnant women (Ferguson et al., 2015; Busza et al., 2012). However, less studies were available for the evaluation of factors influencing uptake of ART in PMTCT. There is urgent requirement to understand the factors responsible for the uptake of ART in PMTCT. Hence, this study is planned to understand the factors responsible for uptake of ART in PMTCT. In this study factors responsible for the uptake of the ART in PMTCT were selected based on the evidence and literature. It is evident from the literature that poor knowledge about the transmission of HIV and role of ART in the PMTCT are responsible for the inefficient implementation of the PMTCT programme. There were also doubt about the effectiveness of ART in the management of AIDS and few women had belief that ART would cause HIV (Watson-Jones et al., 2 012; Duff et al., 2010). Psychological factors like shock and depression due to the diseased condition are responsible for the inability to uptake ART in PMTCT (Stinson Myer, 2012). Stigma related to the disclosure of HIV to the family members and to the community leads to not attending the clinics for ART. As a result, there is the barrier to the implementation of ART in the PMTCT (Laher et al., 2012). It is also evident from the literature that insufficiency of trained clinical staff for the implementation of ART in PMTCT resulted in the ineffective implementation of the policy. This resulted in the increased number of patients and consequently increased waiting list for the patients, stress on the staff members and failure of the staff members for the implementation of the ART in PMTCT (Sprague et al., 2011; Laher et al., 2012). It has been well established in the literature that knowledge about the HIV, ART and PTMCT could has positive impact on the socioeconomic status of the people and educational level. Women with higher education were positively responded to the implementation of the ART in PMTCT. Material and methods: In this project non-experimental and quantitative method will be implemented to collect the information regarding factors influencing uptake of ART on PMTCT. Study design will be descriptive in nature and study duration will be 6 months. This study will be conducted in the Boteti health district in Botswana. This study will be incorporating 500 pregnant women. 500 women will be enough to get the required data. Method of sampling used in this study will be random sampling. Sample size will be determined based on the feasibility of the resources. This sample size will be optimum for the statistical analysis. These women will be from low, middle and high socioeconomic class. Both the types like educated and uneducated women will be incorporated in this study. For this study 10 facilities will be selected comprising of 6 maternity facilities and 4 clinics in the Boteti health district in Botswana will be selected. These maternity homes and clinics will comprise of both Government and non -Government organizations. This a analytical cross-sectional investigation will be performed using interviews in different maternity facilities and clinic. Theses 500 women will be allocated to different maternity homes and clinics based on the geographical areas. Allocation of the women to the respective maternity home and clinic will be based on the financial constraints, services available and social support. Inclusion criteria for the selection of pregnant women will be at least one visit to the maternity home or clinic during current pregnancy and these women will be confirmed HIV positive. Exclusion criteria will be women with negative HIV test. Data regarding CD4 cells will be collected from the respective maternity home and clinic. Women with CD4 cell count below 350 cells per microlitre will be considered in the study. Age of women incorporated in the study will be between 18 45 years. These women will be approximately distributed equally among first, second and third trim ester of the pregnancy. Approximately 33 % women will be there in each population of trimester women. Interviews of these women will be conducted by the trained and experts in the field. For conducting these interviews structured questionnaire will be prepared. This questionnaire will be specifically in the local language so that all the class of women will be comfortable in attending the interview session. Location of the interview will be respective maternity home or clinic. Information about the identity of the participant women will be kept confidential to maintain dignity of the patient. Informed consent will be taken from each women and one of the family members before conducting interview. Approval will be taken from the human sciences research council (HSRC) ethics committee of and Ministry Of Health Botswana Government other health authorities at the district level before conducting the study. These questionnaires will be incorporating questions related to the knowledge rel ated to the HIV and ART, maternal education, psychological issues of women related to the AIDS, social issues of women related to the AIDS, whether women are attending traditional healers and birth attendees and support from the staff in the prevention of PTMCT. Following will be the representative questions in the questionnaire : Has you know about HIV/AIDS ? Has you know about ART ? Has you used ART ? Has you know about transmission of HIV to child ? Are you depressed due to your HIV infection ? Are you getting support from your family members from your family and community members in treating HIV infection ? Are you attending traditional healers during your pregnancy ? Are you getting enough support and help from health care providers during your treatment for HIV infection ? Data will be collected twice from a single participant. Initially data will be collected based on the interview without any counseling and second time data will be collected after the completion of counseling about importance of ART and its role in the PMTCT. All the data will be stored as electronic database. Collected data will be presented in the form of arithmetic mean, standard deviation, median and percentage. Collected data will be analyzed using Statistical Analysis System, SAS 9.1 (Peltzer et al., 2011; Stinson et al., 2010; Stringer et al., 2010). Evaluation and applicability of finding: Evaluation of the outcome of the study will be performed based on the collected data. Evaluation will be performed to determine whether collected data will be useful for answering all the questions created at the time of deciding objectives of the study. Collected data will be evaluated to get insight into the validity of assumptions made. Outcome of this study will be useful in implementing the same criteria in the large population of women. Factors which will be responsible as barriers for ART in PTMCT will be managed more effectively so that these factors will not interfere in the implementation of ART in PTMCT. Factors which will be promoting ART in PTMCT will be encouraged to implement in the actual practice. Outcome of this study will also be useful in designing educational programme for pregnant women with HIV infection. Solution or alternatives will be found for factors which will be hindering the implementation of ART in PTMCT. Health care professionals in the nursing home a nd clinical will be using these findings as evidence and will implement same findings in their maternity homes and clinics. Findings of this study will be definitely useful in controlling progression of HIV through PTMCT. Findings of this study will also useful for Government and regulatory agencies for implementing the uniform cost of ART, so that all the class of women will consume ART without barrier of high cost. Outcome of this study will be useful in initiating counseling programme in the respective society or community. This will be definitely useful in the controlling the social issues in implementing the ART in PTMCT. Due to this study, women with HIV will feel relieved because their identity will be secured and also these women will be getting proper treatment for HIV. This study will be useful in the generation of well qualified human resource for the implementation of the ART in PTMCT. This study will be useful in understanding view of the women with socioeconomic backgr ound and different educational level about ART in PTMCT. This understanding will be helpful in taking care of factors as barriers for ART in PTMCT and as a result reduction the prevalence of AIDS. Outcome of this study will also be useful in understanding the family related issues and will be useful in implementing the family centered approach for ART in PTMCT. This will definitely be useful in getting family support for the prevention HIV. Most important outcome of this will be production of infant without HIV infection and consequently prevalence of HIV infection will be controlled. This will be definitely useful in the overall improvement in the health of the society and wellbeing of the society (Peltzer et al., 2011; Stinson et al., 2010; Stringer et al., 2010). Limitations of this include number of participants are less. Study with more number of participants would give more power of analysis. Data obtained in this study will be obtained from the participant women only and there is the possibility of recall bias. There should be other source of data also to get more robust results. References: Attaran, A., Gillespie-White, L. (2001). Do patents for antiretroviral drugs constrain access to AIDS treatment in Africa? Journal Of American Medical Association, 286(15), 1886-92. Busza, J., Walker, D., Hairston, A., Gable, A., Pitter, C., Lee, S., et al. (2012). Community based approaches for prevention of mother to child transmission in resource poor settings: a social ecological review. Journal of the International AIDS Society, 15(2), 17373, doi: 10.7448/IAS.15.4.17373. Ciaranello, A.L., Perez, F., Maruva, M., Chu, J., Engelsmann, B., et al., (2011). WHO 2010 guidelines for prevention of mother-to-child HIV transmission in Zimbabwe: modeling clinical outcomes in infants and mothers. PLoS One, 6(6), e20224. doi: 10.1371/journal.pone.0020224. Coutsoudis, A., Goga, A., Desmond, C., Barron, P., Black, V., Coovadia, H. (2013). Is Option B+ the best choice. Southern African Journal of HIV Medicine , 14 (1), 1-52. Creek, L.T., alwano, G. M., molosiwa, R.R., Roels, H.T., kenyon, A.T., et al., (2006). Botswanas Tebelopele Voluntary counselling and testing network. Journal of Acquired Immune Deficiency Syndrome, 43, 210- 218. Duff, P., Kipp, W., Wild, T.C., Rubaale, T., Okech-Ojony, J. (2010). Barriers to accessing highly active antiretroviral therapy by HIV-positive women attending an antenatal clinic in a regional hospital in western Uganda. Journal of the International AIDS Society, 13, 37, doi: 10.1186/1758-2652-13-37. Ferguson, L., Grant, A.D., Watson-Jones, D., Kahawita, T., Ongech, J.O., Ross, D.A. (2012). Linking women who test HIV-positive in pregnancy-related services to longterm HIV care and treatment services: a systematic review. Tropical Medicine International Health, 17(5), 564-80. Gourlay, A., Wringe, A., Todd, J., Cawley, C., Michael, D., Machemba, R., et al. (2016). Uptake of services for prevention of mother-to-child transmission of HIV in a community cohort in rural Tanzania from 2005 to 2012. BMC health services research , 16(4), DOI: 10.1186/s12913-015-1249-6. Kim, M. H., Ahmed, S., Hosseinipour, M. C., Yu, X., Nguyen, C., Chimbwandira, F., et al. (2015). Brief Report: Impact of Option B+ on the Infant PMTCT Cascade in Lilongwe, Malawi. Journal of acquired immune deficiency syndromes, 70(1), 99-103. Laher, F., Cescon, A., Lazarus, E., Kaida, A., Makongoza, M., Hogg, R.S., et al. (2012). Conversations with mothers: exploring reasons for prevention of mother-to child transmission (PMTCT) failures in the era of programmatic scale-up in Soweto, South Africa. AIDS and Behavior, 16(1), 91-8. Mills, E.J, Nachega, J.B., Bangsberg, D.R., Singh, S., Rachlis, B., Wu P, et al. (2006). Adherence to HAART: a systematic review of developed and developing nation patient-reported barriers and facilitators. PLOS Medicine, 3(11), e438, doi: 10.1371/journal.pmed.0030438. Peltzer, K., Sikwane, E., Majaja, M. (2011). Factors associated with short-course antiretroviral prophylaxis (dual therapy) adherence for PMTCT in Nkangala district, South Africa. Acta Paediatrica, 100(9), 1253-7. Posse, M., Meheus, F., van Asten, H., van der Ven, A., Baltussen, R. (2008). Barriers to access to antiretroviral treatment in developing countries: a review. Tropical Medicine International Health, 13(7), 904-13. Sharma, K.S, Kadhiravan, T. (2008). Management of the patient with HIV disease. Disease management, 58, 162-195. Shetty, A.K., Maldonado, Y. (2013). Antiretroviral drugs to prevent mother-to-child transmission of HIV during breastfeeding. Current HIV Research, 11(2), 102-25. Sprague, C., Chersich, M.F., Black, V. (2011). Health system weaknesses constrain access to PMTCT and maternal HIV services in South Africa: a qualitative enquiry. AIDS Research and Therapy,8, 10, doi: 10.1186/1742-6405-8-10. Stringer, E.M, Ekouevi, D.K., Coetzee, D., Tih, P.M., Creek, T.L., Stinson, K., et al. (2010). Coverage of nevirapine-based services to prevent mother-to-child HIV transmission in 4 African countries. Journal Of American Medical Association, 304(3), 293-302. Stinson, K., Boulle, A., Coetzee, D., Abrams, E.J., Myer, L. (2010). Initiation of highly active antiretroviral therapy among pregnant women in Cape Town, South Africa. Tropical Medicine International Health, 15(7), 825-32. Stinson, K., Myer, L. (2012). Barriers to initiating antiretroviral therapy during pregnancy: a qualitative study of women attending services in Cape Town, South Africa. African Journal of AIDS Research, 11(1), 65-73. Yazdanpanah, Y. (2004). Cost associated with combination antiretroviral therapy in HIV-infected patients. Journal of Antimicrobial chemotherapy, 53, 558-561. World Health Organisation. Towards universal access: scaling up priority HIV/AIDS interventions in the health sector. Geneva: World Health Organisation; 2010. Watson-Jones, D., Balira, R., Ross, D.A., Weiss, H.A., Mabey, D. (2012). Missed opportunities: poor linkage into ongoing care for HIV-positive pregnant women in Mwanza, Tanzania. PLoS One, 7(7), e40091, doi: 10.1371/journal.pone.0040091.

Hamlet Revenge Delay Essays - Characters In Hamlet, Prince Hamlet

Hamlet Revenge Delay The question of why Hamlet delays in taking revenge on Claudius for so long has puzzled readers and audience members alike. I would like to prove that Shakespeare didn't have a delay in killing Claudius just for the sake of having a longer play. I believe that he had a deeper meaning inside of it. I am going to show different reasons for Hamlet's delay, and my most probably one. Immediately following Hamlet's conversation with the Ghost, he seems determined to fulfill the Ghost's wishes and swears his companions to secrecy about what has occurred. The next appearance of Hamlet in the play reveals that he has not yet avenged his father's murder. In scene two, Act 2, Hamlet gives a possible reason for his hesitation. "The spirit that I have seen, May be a devil, and the devil hath power, T' assume a pleasing shape" (2.2.594-596). With this doubt clouding his mind, Hamlet seems completely unable to act. This indecision is somewhat resolved in the form of the play. Hamlet comes up with the idea of the play that is similar to the events retold by the ghost about his murder to prove Claudius as guilty or innocent. Due to the king's reaction to the play, Hamlet begins to believe that the Ghost was telling the truth the night of the apparition. In Hamlets mind, it is now his duty to avenge his father's murder. This is where the real problem of inaction enters the play. Later that night, Hamlet has a perfect opportunity to kill Claudius, when he comes across the king kneeling in prayer. He wonders if this is the time to kill him and get it over with, but decides not to. He claims that he does not want Claudius to go to heaven, so he would rather kill him when he is committing a sin. If this is the case, then the question is why doesn't he simply wait till Claudius has completed his prayer, accuse him of the murder and kill him in his sin of denial. That answer is beyond me. Instead, Hamlet goes to the chamber of his mother and passes up his best opportunity at revenge. The argument can be made, however, that it is not a fear of killing that causes this inaction. He does not display an inability to end someone's life when killing Polonius. He neither hesitates nor capitulates in sending Rosencrantz and Guildenstern to their executions. Why then would the prince of Denmark hesitate to kill the one man he most justly could? Many literary believe that his inaction is the result of a vicarious oedipus complex. Those who concur with this theory say that Hamlet, in his subconscious mind, has a desire to do exactly what his uncle has done; that is, get rid of the king so that he can have Gertrude for himself. If this is true, Hamlet cannot act because he is fighting against his subconscious self. According to this interpretation, Claudius becomes an embodiment of himself, and thus he is unable to kill, in a sense, his other self. Although the oedipus theory is valid, I would like to present another alternative. In my opinion, Hamlet is paralyzed by an interpersonal battle resulting from over evaluation of his situation. Every time he has an opportunity to act, he counteracts with a doubt or reason for inaction. For example, he wants his revenge on Claudius to take place only when he can be sure he will go to hell and not heaven. Furthermore, he spends too much time planning and not enough time doing. He plans the play within a play, but seeks no immediate resolution upon its completion. Instead he becomes more careful around Claudius after the play because it revealed his guilt to the king. After the play within the play, Hamlet does not act until everybody is dying, including himself. Only in this final tragic moment does he realize that he should not have waited so long. But by the time he comes to this realization, it is too late. His father is murdered, his mother lays dying, he is mortally wounded and all he can do is finish the tragic killings. With all of his pent-up rage he takes his revenge on Claudius.

Why Some Conservatives Oppose Gay Marriage

Why Some Conservatives Oppose Gay Marriage While some conservatives oppose gay marriage, others do not. For conservatives who do oppose it, the issue has less to do with homophobia and more to do with protecting the Judeo-Christian view of marriage. Social Conservatives and Wedge Issues While it is true that social conservatives have been on the front lines of wedge issues, not all conservatives are as deeply passionate about them as others. In fact, a large portion of the conservative movement- fiscal conservatives and crunchy conservatives, for example- may find themselves disagreeing with social conservatives on issues like gay marriage. Nevertheless, simply identifying as a conservative is enough to earn the vitriol and condemnation of the LGBT movement. Opposition to Gay Marriage vs. Homophobia Most gay rights advocates voice opinions of their own. Conservatives are motivated by homophobia [or hate], they say. Conservatives use their religion as a way to oppose gay marriage, others opine. Still, others believe that conservatives dont harbor the same hatred for divorced people, vandals, or other sinners. They have a special hatred for gays and lesbians. Comments like these force even those who have no particular sentiment either way to take up sides and defend their loosely-held convictions (whether they lean to the right or the left on this issue). I dont support gay marriage is not the same as I hate gays, and those on the left are frequently too blinded by their advocacy to recognize it. Those that do simply refuse to acknowledge it. Not everyone who opposes gay marriage is a homophobe, and not everyone who opposes gay marriage hates people who are gay, lesbian, bisexual and transgender. By branding the religious end of an entire conservative movement as hateful, the people making such remarks come off as hateful of conservatives. It boils the issue down to one or the other, without considering those in between. Marriage As a Sacred Symbol For many people (not just religious conservatives), marriage is a sacred symbol of heterosexual love and commitment. Seeing it changed in such a profound way would be like the National Rifle Association suddenly claiming the rainbow flag as its symbol. Just as this would change the meaning of the flag in a way that is unpleasant to the LGBT community, so too would gay marriage change the meaning of marriage to a large part of the married community. Separation of Church and State? There is a common misconception among those on the left that the Constitution mandates a clear separation of church and state, yet that language is nowhere to be found in the document. The phrase was taken from a letter by Thomas Jefferson and bound into law by an activist Supreme Court in 1878. The Constitution deals with the issue of religion via the Establishment Clause and the Free Exercise Clause. In the former case, Congress cannot pass laws based on religious principles and in the latter, the government cannot keep people from practicing their religion. National recognition of gay marriage is believed by many conservatives to be an example of government interfering with their right to practice their religion. They see it as akin to the government changing a basic tenet of their religion, not unlike forcing Orthodox Jews to eat pork or forcing Catholics to use something other than water in their baptisms. It reduces the covenant of marriage to a bureaucratic rubber stamp and also bastardizes the holiness of it. Recognition of Civil Unions vs. Marriage As it relates to the federal government, the trouble begins with how marriage is treated. There are very few mainstream or common-sense conservatives who will argue that a gay persons life-partner shouldnt be afforded the same rights as a married persons spouse, especially in instances where one of the parties is ill. The trouble with existing federal law is that it recognizes the institution of marriage, which is a holy, religious practice. While atheists will argue marriage is a legal covenant, most conservatives (and even many liberals) will concede that it is an act of religion. Most mainstream conservatives believe that civil unions would be a better way for the federal government to bestow benefits on couples. State vs. Federal While there are many conservatives who believe the institution of marriage should be defended as a covenant between a man and a woman, many more believe that the federal government shouldnt be dealing with the subject at all. Its a matter of jurisdiction. A large majority of conservatives believe the gay marriage issue is a states rights issue since there is no explicit language regarding the subject in the Constitution. According to the Tenth Amendment (Article X of the Bill of Rights), The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people. If it were a matter of the states, there undoubtedly would be states in the U.S. that would permit gay marriage and others that wouldnt. For the majority of conservatives, this is fine as long as the voters of these states are the ones making the decisions (not the lawmakers). The Bottom Line For most mainstream conservatives, gay marriage isnt the issue it is for social conservatives. While there is a crossover for many on the right, political conservatism is less about wedge issues and more about limiting the size and scope of government, building a strong national defense and enabling the freedom of enterprise. Many conservatives who took a states right stance have put the issue on the back-burner since the Supreme Court decisions legalizing gay marriage and prohibiting state restrictions and bans.

Activity and Resource Organizer Essay Example | Topics and Well Written Essays - 750 words

Activity and Resource Organizer - Essay Example Ask the learners to make the name for their vessels for instance with the names of cities, animals, film stars or let them find their own favorite names. Request them to select the Shooter and the Captain. The captains job is to remember his ships name, so he/she can answer if somebody calls his/her vessel’s name. The shooters task is to remember the names of the vessels of their rivals, so he/she can shoot them through calling their vessel’s name. Such an activity, memorizing various vocabularies, will assist the English Language Learner understand various vocabularies (Tomlinson, 2010). This is because they will be able to grasp various vocabularies in the English language. When you are done reading, they will have to choose the correct one. (It does not, however, matter if none of the explanations is correct). After they have selected and none of the groups gave the accurate meaning, you read the right one aloud. In an academic content, students will be able to utilize their understanding of vocabularies to instruct others. By discussing the meaning of the word warmonger, the will be able to settle which best suits the situation. A mind map refers to a diagram utilized to visually sketch information (Rose & Meyer, 2006). It is frequently created around a single text or word, positioned in the middle, to which related ideas, concepts and words are put. Key categories emit from a mid node, and minor categories are sub-branches of wider branches. Groups can symbolize words, tasks, ideas, or other items associated with a central idea or key word (Rose & Meyer, 2006). Mind maps aid in summarizing (Rose & Meyer, 2006). They are also used as a mnemonic method, or to sort out a complex idea (Ramsden, 2010). They are also considered as a way of collaborating with color pen creativity in order to assist an ELLs understand English. By utilizing graphic organizers across every subject area, a teacher

Fundamentals of Business Law Assignment Case Study

Fundamentals of Business Law Assignment - Case Study Example This case cannot be heard in a higher court. It can best be referred to the District Magistrate's courts. And because it is a criminal wrong, Joe would likely either be imprisoned for a given number of years or fined. He can also be punished by way of corporal punishment. This is a civil case but which relates between employees and employers. The case will be heard in an industrial court which is an administrative tribunal i.e. a body given the power of an administrative nature. This case involves commission of the tort of negligence because the employer has not taken reasonable steps to guard the machines. And in the process, it has caused injury. The judge of the industrial court can appoint two assessors from a panel of assessors appointed by the concerned minister. One assessor represents the employer and the other represents the employees. But the assessors only give an opinion. The decision of the courts is final and the result of the judgement is called an award. This is a criminal offence. In fact Del has committed an economic crime by failing to pay large sums of value added tax. And since the amount of money involved is huge, the case will be heard by the High Court. If Del is of the opinion that he has not been given a fair trial, then he can appeal to the court of appeal. Del is likely to be fined i.e. pay the tax added plus penalty. Prima facie, this can appear to be a civil case. But whether the employer has perpetrated any civil wrong will depend on the agreement made between Millie and her employer. Be it as it may, she has a right to sue. This case would be heard by the industrial court. It is the industrial court that hears cases between employees and their employers. Based on the judge's opinion, she might be paid as her colleagues. Question Two Whether Cules can recover compensation from Humpty or Alec the rules of law that govern this case are whether the essential elements of negligence can be proofed in order for an action for negligence to be maintained. In order for Giles to successfully sue and recover compensation from Humpty or Alec he must prove the following. i. That they owed him a duty of care. ii. That Humpy and Alec breached legal duty. iii. That he Giles suffered injury as a result of the breach of duty. 2 Humpy and Alec owe no duty of care to Giles. Humpty was to provide a loan to Giles and had no duty over Gile's chicken business. On the other hand, Alec was only approached to give advice concerning the loan and not on whether it was appropriate to purchase the machine. In Burwill v. Young a house wife was alighting from a tramcar. A motor cyclist passing on the other side of the tram collided with a motor car, the noise pf the collision resulting in the plaintiff suffering nervous shock and subsequent miscarriage. She brought an action of negligence on the motor cyclist personal representative. The action failed and it was held that at the time of the collision, the plaintiff was not there therefore he did not owe

Person Centred Approaches to Geriatric Care

Person Centred Approaches to Geriatric Care INTRODUCTION In planning a care approach to your patient or client, there are a lot of factors that you should put in to consideration. You should be aware of your client’s history to begin with. The history of your client is very important because from it you will gain a lot of information about your client which in turn will help you a lot on how your care plan will be. You can gather this information by personally talking or interacting with the client or by reviewing his documents if the client is not as oriented with himself. The clients history is only one of the many principles that you will put in to consideration, these principles will be discussed in this report. Other than the principles, the reporter will also be discussing some of the techniques on how to meet your clients’ needs. This report is to give a comparison between person-centered and non-person-centered approach in giving care to people with dementia and other common geriatric health condition, to assess the scope of techniques to meet the fluctuating abilities and needs of clients, to determine the impact of equality, and cultural and diversity issues on the provision of the person-centered approach to the clients, and to analyse the effects of legislation and policy on the person-centered practice approach for patients with dementia and other common geriatric health conditions. The report is descriptive in nature. The data were analysed and interpreted. Question 1 Discuss and review the principles used in Person-Centered approach in taking care of patients with Dementia and other geriatric health conditions. Individuality – In this principle, the caregiver should focus on the client’s history, interests, hobbies, and work. This can be gathered from the client or from the client’s family. Each client is unique from each other that is why this principle is very important. With the use of this principle, it will be easier for the caregiver to connect with the client and the caregiver will be aware of the things that he would avoid since they know what the client dislikes or has no interest with. Rights – In this principle, the caregiver should always put in mind that the client is a human being. He should never forget that the client has rights and should always be respected regardless of the degree of his illness or his cognitive impairment. Choice – The main point of this principle is to give the client a voice and an option to choose from. It is important for the client to have a â€Å"say† on his care plan. Even as simple as his meals, it would be a great help if the client is involved and could be given choices for him to choose. This principle is also very vital in matters or procedures that involves the life of the client. There should be a consent that the client has agreed on or if not capable there should be a court order or any procedures to be undertaken by the client. Privacy – This is the main principle behind the â€Å"Patient to Doctor Confidentiality† rule. This goes to all health worker that is involve in the care of the patient. Only with the patients consent can his case or data be disclosed to other party outside his care. Independence – This is very vital for patients with dementia. Independence gives them self-worth and somehow makes their brain do more critical thinking which in turn battles their illness. Being the caregiver, you will need to determine in what way the patient can be independent. This will help them surpass their daily challenges. Dignity – This principle is about the totality of the patient. To make the client feel dignified, he must be full-filled on all aspects of his being. To achieve this, holistic care should be provided to the client. Respect – Same as with the principle â€Å"Rights†, we need to keep in mind that we are caring for a human being, and these patients are elderly as well. Same as with how we treat other people, we should never forget to be respectful, this is not just a principle in care but should be practiced in life as well. Autonomy – If possible, each care plan for different patients should be unique. It should be tailored to the patient’s needs. The patient should be involve in making a care plan for them. In this way they can be autonomous. Question 2 Critically review the non-person-centered approach to dementia and other common geriatric health condition’s care, from the Institution perspective – This type of care is based on the establishment’s policy. The patient’s physical, social and spiritual needs are under this care, but to include all the other aspects of care like the diet, total well-being and personal care, legal actions may be required. This type of care varies between different institutions. Bio-medical perspective – This perspective of care is mainly focused on the illness itself. The treatment, medications and the diagnosis is based on the disease, there is not much about the patient that is involved in this perspective of care. Question 3 Discuss and evaluate Five techniques to meet the abilities and needs of persons with dementia and other common geriatric health conditions. Reality-orientation approach – In this approach of care, the staff and the client are doing activities that reinforces what is real around the client. The patient is being oriented with his surroundings at the same time he is familiarizing what is around him. This is very important for clients with dementia since memory is the one that is being affected by this disease mainly. The staff will be using a lot of memory aids and signs in their activity together with the client. Validation approach – In this technique, the staff is mainly a listener and the one that is doing the intervention. The staff will be focusing on what the client will be saying and is going to interpret its emotional content and literally understanding it. A lot of information can be gathered by this technique because some demented patient are answering questions in a sub-conscious manner. Assistive technologies – In this approach the staff will be using assistive technologies in the care of the patient. This devices helps the client in their activities of daily living, it will make their tasks easier and also the job of the caregivers. This devices lets the clients explore their surrounding more, it adds to their self-confidence, gives them hope and increases their self-esteem. Some examples of this devices are hoists, wheelchairs and walkers. Reminiscence techniques This technique uses the life events of the client. By letting the client reminisce on his past, he is developing his memory. It supports their identity and lessens their disorientation about their personality and history. Caregivers uses this technique because it helps their clients with dementia to keep what is retained in their memory. It is important for the caregiver to ask open ended questions in this technique so that the client can share more about their life story and let them reflect on their lives. Holistic approach – In this approach, the caregiver should focus on the totality of the client. This includes the client’s spiritual, intellectual, physical, and emotional dimension. This technique provides integrated therapies that combines all of the dimensions to develop wellness from the inside of the client in an uninterrupted healing environment. Question 4 Critically analyse and discuss the impact of equality, and cultural and diversity issues on the provision of the person-centered approach to individuals with dementia and the other common geriatric conditions within Public health and health promotion – These are organizations and programs by these organizations or the government that helps the elderly. These groups are working together with the government in their cause. Most of them are also being funded by the government. They do programs like education campaigns about geriatric health conditions, they do advocacy work, they help spread awareness and have services that are focused on the elderly and their diseases. In health promotion, there are 6 activities for the aged citizens with dementia (National Service Framework, Department of Health, 2001) Reducing the discrimination of aged people Care that is person centered should be developed more Minimizing the cases of strokes Minimizing falls from happening to the clients Enhancing mental health Promoting healthy and active lifestyle for the aged Attitudes to health and demand for the healthcare – As a healthcare provider we should be conscious on how we act towards our client. We should be cautious on our behavior and be mindful that we take in to factor our clients’ ethnic and diversity. We should focus our care plan on their illness at the same time taking in to consideration that most of our client are not of the same ethnicity as us. If possible, the caregiver should do a brief study about their clients’ culture so that as a health care provider, we can avoid what is offensive for our client. Having a healthy relationship with your client helps both party, as a caregiver, having a healthy relationship with your client is a priority because this will lead to a mutual understanding that gives your client peace of mind and helps eases their difficulties. New Zealand is a very diverse nation that is comprised of multiple cultures. At the same time, its population is aging at a high rate, that is why there is a great demand for health care workers like caregivers that will take care of their elderly. To be trained to provide care for people of any culture is a vital qualification to get in to their healthcare roster. Question 5 Critically analyse and discuss the impacts that health sector standards and codes of practice, and other published standards have on the person-centered practice approach for individuals with dementia and other common geriatric health conditions. The health sector standards and codes has a great impact on the healthcare sector mainly because it is the governing body that regulates on how the aged patient should be taken care of. All of the hospitals, care homes, and all those organizations and service provisions is under this standards and codes. All of the policies of these organizations is based on the standards and codes that is approved by the Ministry of Health. The care that will be administered to the patients with dementia maybe unique and tailored specifically to a specific individual, but we must not forget that this care plan should not go away with the standards and codes of the health sector. RECOMMENDATION In taking care of an elderly client, there are a lot of factors to consider. For the caregiver to generate an effective care plan, he must be informed about the principle involved in doing a person-centered approach. With this knowledge, the caregiver can generate an effective care plan. Also, to be aware of what his care plan’s approach is, the caregiver should know the different approaches there are that are being used for geriatric patients with dementia and other common geriatric health conditions. CONCLUSION As a member of the health care sector, upon making this report, I have reached to the conclusion that knowing the different principle involved in the person-centered approach in taking care of a patient with dementia and other geriatric health conditions plays a vital role in formulating a care plan. Knowing all this principles ca make your care plan complete on all aspects of care. This principles benefits the client most since this is in a person-centered approach. In a non-person-centered approach, it is important to know their perspective as well, since the health care professional and the client is under the policy of the institution that they are in. In this manner, the caregiver can put in to consideration the institutions’ policy so that there won’t be any conflict between them. The caregiver is aware that the institution where he is working is under the standards and codes of the health sector, therefore he should keep in mind that the policies of that institution is being regulated and controlled and is up to standards. BIBLIOGRAPHY Electronic Sources Holistic Care Approach. Our History. Retrieved on August 7, 2014 from http://www.holisticcareapproach.com/about.html 1

Succubus Shadows Chapter 22

I wandered into the hotel, still a bit stunned by the situation I found myself in. Seth was†¦in Mexico. Presuming Jerome was holding true to his bargain, of course. I had to believe he was, but the question was if he'd actually sent me near Seth. That was a wording in my request that could be blurred a little. Glancing up at the hotel, I hoped Jerome's minions had gone as far as to search local hotels for Seth's name when they tracked the plane ticket. With a quick smile to the man who'd helped me, I headed toward the hotel's entrance. In a place that catered to so many tourists, plenty of the staff spoke English, not that it mattered much to me. I went to the front desk, asking if they had a guest named Seth Mortensen. The woman working there looked it up, and when she found him in their computer, I caught my breath. He was here. I'd really found him. Well, kind of. When I asked her for his room number, she told me the hotel couldn't disclose that information. She could, however, connect me to his room. I hesitated before accepting. If Seth truly didn't want to be found, he might change his hotel or even city once he knew I'd located him. Still, I didn't necessarily have any other way to get in touch, so I let the woman connect me. It did no good. There was no answer. Thanking her, I headed out to the back of the resort, figuring I'd walk off my frustration and hopefully clear my thoughts as I determined my next course of action. The pool and beach stretching out behind the building were intended for guests only, but it was easy enough to slip past security. I even took the opportunity, when briefly alone in a hall, to shape-shift into more appropriate clothing: a red bikini and sarong. Outside, the heat hit me once again, and I paused, letting the sun soak into me. The time zone wasn't far off from Seattle's here, but even in early evening, the temperature was intense – which I loved. Beyond the pool and its bars, I could see a stretch of soft golden sand curving around blue, blue water. Still not as vivid as what I'd grown up with, but beautiful nonetheless. Lounge chairs and cabanas were scattered along the beach as sunseekers tried to grasp the last of the day's rays. I walked toward it, hoping to find a chair of my own and maybe a mai tai. If I wasn't going to find Seth right away, I might as well – There he was. I came to an abrupt halt, nearly causing a young, giggling couple to walk into me and spill their drinks. I couldn't believe it. God might work in mysterious ways, but Hell worked in efficient ones. I murmured apologies to the couple and started toward Seth, stopping again after a few more steps. What would I do? What would I say? Seth had broken an engagement and fled from everyone he knew. Now, here I was, intruding on his escape. I'd run through a few mental scenarios but hadn't decided on anything concrete. With a deep breath, I decided to just push forward and wing it. I came up behind his chair, my shadow falling over him as I grew closer. He lay sprawled out in shorts and a Tootsie Pops T-shirt. A drink that looked suspiciously alcoholic sat by his side, and he was reading a book whose cover I couldn't see from this angle. Once more, I halted, confused over how I felt. â€Å"The perfume,† he said without warning. â€Å"Even out here, I can smell it. I'd know you anywhere. Tuberose and incense.† I walked around, coming to stand off to his right side. I put my hands on my hips. â€Å"You don't seem surprised to see me.† He took off his sunglasses and studied me, one of those small, amused smiles on his face. â€Å"I am†¦and I'm not. I thought I did a good job of disappearing. But I knew if anyone did find me, it would be you.† â€Å"Because I'm well connected?† â€Å"Because you're you.† Searching for a clear spot of sand, I lowered myself to sit, but Seth scooted over on his lounge chair and indicated the space beside him. Hesitating only a moment, I sat next to where he lay, looking over him as our legs touched. He reached for his drink – a peach-colored monstrosity with enough sliced fruit for a salad in it – and took a sip. â€Å"What's that?† I asked. â€Å"They call it el Chupacabra.† â€Å"They do not.† â€Å"They do. I think it's got about fifty kinds of vodka in it. You'd like it.† â€Å"I'm surprised you like it.† â€Å"If you're going to become a villain, you might as well go the whole way,† he replied, gesturing for a waiter to bring another drink. â€Å"You're not a villain,† I said softly. â€Å"Yeah? Is that what they're saying back home?† I glanced away and watched small waves break on the shore. â€Å"I haven't really talked to that many people. Mostly your family is worried.† â€Å"You've neatly dodged the question.† â€Å"Do you want to talk about it?† I turned back to him. He gave a small shrug. â€Å"What's there to say? I broke her heart. I broke your heart. I don't think someone like me is meant to be in relationships.† â€Å"That's ridiculous. You're not the one who sucks people's souls away.† â€Å"Depends how literally you take the metaphor.† â€Å"Seth, stop. Stop making a joke out of this. Why'd you do it?† â€Å"You have to ask?† The new drink arrived remarkably fast, and he handed it to me. He was right. It did taste like it had fifty kinds of vodka. â€Å"I didn't feel it. Not the way I should. You know that.† I did, and I was surprised at the frank and honest nature of our conversation. We hadn't had anything like this†¦well, not since we were dating. It had all been awkwardness and guarded feelings since things fell apart. â€Å"But why now?† It was his turn to look away, gazing off at the postcard view without seeing it. The sunlight hadn't quite turned orange yet, but it was bringing out the copper in his hair and amber of his eyes. I stared at him, taking it all in, hardly noticing how long it took him to answer. â€Å"Georgina,† he said at last, eyes still elsewhere. â€Å"When I ended things with us at Christmas†¦I did it so I wouldn't hurt you someday. And, I suppose, so you didn't hurt me. I went to Maddie for the wrong reasons then, but it didn't seem so bad since I actually cared about her – I mean, aside from the fact you had to live with it in front of you every day. I never meant for that part to happen.† â€Å"It's okay,† I said automatically, hating the sadness in his voice. â€Å"I don't – â€Å" â€Å"Shh,† he said, holding up a hand. â€Å"I'll actually talk for once, so you better let me before I lose the nerve.† I smiled – though none of this was all that funny – and nodded. â€Å"Anyway, I wish I'd chosen someone I didn't like or respect. It would have made things simpler. But as time went on, I found myself growing closer to her – but not farther from you. My plan wasn't working. I was only hurting the two of us more and more. Maybe I should have disappeared then.† I bit my lip on any comments. â€Å"The only one who wasn't hurting was Maddie – because we were keeping her in the dark. And after you and me†¦well, you know. After we were together, I felt so horrible†¦so guilty†¦I hated myself for what I'd done to her. I wanted desperately for one person to come out of this happy. I wanted her to stay in blissful ignorance. I wanted to make it up to her.† I'd deduced as much. And I also knew about the guilt†¦the guilt from the sin that had left a stain on his soul. Seth didn't know about that part and probably shouldn't ever. â€Å"But whatever happiness I could give her wasn't real,† he continued. â€Å"And I realized that the other day when we were at Erik's, and I†¦hell, Georgina. I don't really know what happened or even what I saw. There are only two things I'm sure about. One was that when Jerome came and said he needed me to come with him to help you, I did. If he'd said he had to take me to Hell itself, I would have.† I closed my eyes. â€Å"Seth – â€Å" â€Å"And when I was there and Erik sent me wherever he did, I felt†¦well, it was beyond anything I'd experienced. At first, I was so confused and disoriented. I didn't get what they were saying about finding you. It seemed surreal. Then, it was the easiest thing in the world. I just looked for you, and there you were. In all that space and all that chaos, reaching you was like looking into myself. We were so close†¦it defied physics and every rule of nature I knew. It didn't seem real that I could be together with anyone like that. â€Å"And when it was over, it's like I said – I wasn't sure what I'd just been a part of. But I knew that I had never experienced any bond like that with any other woman. Maybe you're the only one, maybe there's another†¦but regardless, I didn't have it with Maddie. She's amazing. I do love her. But in that situation again? I would never find her. And I knew it wasn't fair to lead her into a life without that connection. You and I†¦I don't understand what's between us, but I'd rather spend my life alone than with someone who isn't you.† He fell silent, and it was one of those weird times where I had no quick response. Instead, I linked my hand with his and stretched alongside him in the place he'd made on the chair, resting my head on his chest. He placed his hand on my shoulder, his fingers pressing into my skin to make sure I stayed. His heart beat against my ear. â€Å"How's this going to end?† I asked bleakly. â€Å"I†¦don't know, any more than I know how Cady and O'Neill are going to end.† He sighed. â€Å"I have a feeling I will be alone. In spite of everything that's changed between us, nothing's actually changed.† â€Å"I†¦I don't know.† Again, my clever words were gone, but he was right. A lifetime seemed to have passed since we had split up, but all the same problems were still there. I might wax poetic about the universal connection of our souls, but it could never be matched physically, not so long as I refused him that. And mortality†¦always there was mortality beating down upon us. Seth wouldn't live forever, and that knowledge – figuratively speaking – killed me. Which reminded me of something. I lifted my head and propped myself onto him so that my hair hung around us as I looked down at his face. â€Å"When are you coming home?† He brushed some of the hair away, tucking it behind my ear. It came loose again. â€Å"Who said I'm coming home?† â€Å"Don't joke. You have to.† â€Å"I'm not joking. Do you think I can go back there? I can't see Maddie†¦. I can't stand to see what I've done to her.† â€Å"You don't have to see her,† I said. â€Å"Don't go to the store. People break up all the time and don't have to move.† Seth shook his head. â€Å"Yeah, but with my luck, we'd still run into each other. At a movie. A restaurant. Something. I'm a coward, Georgina. I don't want to see her†¦not after†¦well, you didn't see her face when I told her.† â€Å"I saw her face afterward,† I said. â€Å"It was probably close enough. I can't believe you're seriously saying you'd never come back to Seattle just to avoid her.† â€Å"She's not the only one I'd be avoiding.† Again, he tried to tuck the unruly hair back. When he failed again, he simply slid his hand down my arm, tracing its curves with his fingertips. â€Å"I don't think I can handle seeing you either. Even being with you now†¦it's like the best thing in the world and the worst. Seeing you all the time would just drive home how we can't be together – and we would see each other all the time, you know. If I've learned anything, it's that fate doesn't let you and me stay apart for long.† Seth's words were such an odd contradiction. On one side, they were all filled with love and romantic sentiment about how agonizing his life was without me. Yet†¦there was more than just that. There was a defeatist attitude throughout it all, one I'd never seen in him before. Somewhere in all of this, Seth had gained a new bitterness, and I had the uneasy thought that if I could see his soul like Hugh could, the stain of sin would be even darker than before. I made one more attempt. â€Å"Pull me out of the equation. You have to go back for your family. They need you. Andrea's sick.† â€Å"Everyone gets sick. That's not a convincing argument.† â€Å"No†¦you don't understand. They didn't tell you. She doesn't have the flu†¦she's got cancer.† That got a reaction. His expression went rigid. â€Å"No, she doesn't.† â€Å"She does. Brandy told me.† â€Å"She must have been confused,† he said adamantly. â€Å"They would have told me.† â€Å"I don't think she'd mistake ‘cold' for ‘ovarian cancer.' And do you think she'd make something like that up?† He considered a moment. â€Å"No, no, she wouldn't. But why didn't they say anything?† â€Å"I guess they didn't tell anyone so they could find out more. Don't you see?† I leaned closer, hoping to drive home my plea. â€Å"They need you. You have to go home for them.† For a moment, I thought I had him, and then he slowly shook his head. â€Å"They'll be fine without me. And you said yourself they're waiting to find out more. It might not be that bad.† â€Å"Seth! It's cancer. It's going to be some level of bad, regardless. How can you abandon them?† â€Å"Damn it,† he said, about as angry as I ever saw him – which always came off pretty mild. â€Å"I don't need a moral angel on my shoulder right now. Just let me†¦just let me be selfish for once. I want to just be away from it all. I want to hide from my problems for once, instead of always being the responsible one. If you're just here to torment me with what can or can't be, then you should just†¦you should just go. Let me hide out and be free. Let me write the new series and forget about everything else.† It was almost a mirror of what I'd done so long ago. Only, instead of trying to forget my problems, I made everyone forget me. Sometimes, I kind of wished I added that last part to the bargain. Consequently, I could understand where he was coming from. I could understand that longing to just make all the bad things disappear. I'd wanted it too. I'd made it happen. The thing was, I'd expected more from him than from me. Sensing my hesitation, he cupped my face between his hands and drew me down into a small kiss. I drew back and stared in astonishment. â€Å"What was that?† I asked. â€Å"I might ultimately be trying to avoid you, but if I've got you now, I might as well enjoy it for the moment.† There was a wicked gleam in his eyes, one I couldn't help but smile at, despite all the misgivings within me. â€Å"You're a hypocrite,† I said. â€Å"An opportunist,† he countered. â€Å"What are you really doing here, Georgina? What do you want?† I lowered my gaze. I didn't know. I didn't know why I was here. I'd come to make sure he was okay†¦but then what? I was always going back and forth. I loved him. I had to forget him. Back and forth. â€Å"I don't know,† I admitted. â€Å"That's the best I've got.† And with no more deliberation, I kissed him again, longer this time, surprised at how easy it was to fall back into the kinds of kisses we used to do – the ones that just pushed the envelope of when I started to take his energy. He seemed like he was ready to go further, so I was the one who stopped him and returned to lying against him as we watched the sun sink down and paint the sky with brilliant colors. He gave no protest, seeming content just to have me close. We ate dinner inside one of the resort's restaurants, my lack of packing not being a problem with shape-shifting. I pulled out a sexy v-cut evening dress whose violet shade reminded me of our first meeting. And as we talked and drank over dinner, our conversation slipped into the funny, comfortable manner we'd always shared. With Maddie removed from the equation, it was exactly as he'd said: so much had changed yet not changed. The rapport, the connection†¦it all burned between us – as did the sexual tension while we studied each other intently through the effortless conversation. He came alive more than I'd seen him in a while, but whether that was from the drinks or his freedom, I couldn't say. Though my heart sang at finally being with him again, I was still battered with a million doubts. He'd told me to push them aside, but it was hard. Maddie. His underlying pessimism. His desire for escape. His family. My own selfishness. But when we finished dinner, all such worries fled. As soon as we were back in his room – a wide and spacious suite that looked out to the now-dark water – we were all over each other. The longing that had built up between us exploded. His hands undid the zipper of my dress, peeling it from my body. We fell onto the bed, and I tore at his shorts, reason and responsibility nonexistent. His hands ran the length of my body, down the sides of my hips while his mouth moved from my collarbone to the spot between my breasts and then finally onto one of the breasts and its hardened nipple. I was prying off his pants when I felt the glow of life energy start to creep into me. For a few moments, I was able to ignore its implications. I just wanted him. I wanted to feel what I'd felt months ago when his body had been in mine and I'd had that sense of perfect union. The life energy was an aphrodisiac, enhancing the desire my physical body felt. Maybe it was a kneejerk reaction from the days of dating, but once more, I was the one who had to stop it all. I put some distance between us, though we were still intertwined. â€Å"Okay,† I said, my heart pounding in my chest. â€Å"We're about to cross the line.† There was lust in Seth's eyes. Lust and love and that same burning need I had to reach ultimate completion. â€Å"We crossed it a little, didn't we?† he asked breathlessly. â€Å"I felt it.† â€Å"Yeah,† I admitted. â€Å"Not much.† Not much is too much. He frowned a little, his hand still running over my leg. So, so dangerous. A little more and we would teeter over the edge again. â€Å"I've felt it before,† he said. â€Å"When you started to take some of me. Just a vague sense, but it was there. Somehow†¦somehow, it didn't seem quite as bad this time.† He was right, and that was because of that slight darkening on his soul. Sure, he was nowhere near as bad as a lot of Hell-bound people, but even that slight mark made a difference. I could feel it. Before, he'd been pristine and pure, all sparking silver and undiluted life. Most of it was still there†¦save that slight shadow, a shadow that I suspected was increasing the more he decided to turn his back on the people in his life. And the darker a soul was, the less of it I took. â€Å"You're right.† I didn't bother getting into the technicalities. â€Å"But it'd still be bad.† â€Å"Too bad to risk just one time?† An old argument. â€Å"What happened to you giving me up?† â€Å"I will if I have to. I was ready to. But that was before you came here†¦you still haven't told me why, what you want. I'd do it again. I'd be together again, but no more physical boundaries.† He cut off my protests. â€Å"I know, I know the risks. And I know – as should you – that what's between us is about more than sex. But that was still a thorn, no matter how much we knew it shouldn't be. I don't want anything like that happening again. I'll take the risk. It's my choice.† â€Å"I – I don't know. I just don't†¦Ã¢â‚¬  â€Å"Well, that's better than ‘I can't.'† He chuckled. He moved closer, his lips just brushing mine. â€Å"And if you decide no, then that's how it'll be. But maybe†¦maybe just this once we could†¦maybe just once you could give in†¦.† I closed my eyes as his lips pressed against mine once more, harder this time, and our bodies moved back together. Again, he was right. I could almost give in this time. I'd been through too much recently, so much emotional and spiritual upheaval. Being with him felt like the most natural thing in the world right now†¦but my warning alarms were still going off. If I shortened his life with a dark soul, he'd be that much closer to Hell. â€Å"No,† I said at last. It was growing more difficult to keep pulling back. â€Å"I still can't. Not yet. I'm not saying never†¦I just. I'm so confused. I'm sorry.† He looked disappointed, but to my relief, he didn't push the issue again. I might not have been able to resist if he did. â€Å"But you'll stay? You'll stay the night with me at least?† I nodded. â€Å"I can stay for three days.† â€Å"Three days. That's perfect. I can handle that. Three more days to think about it all. If we can stay together†¦then we will. If we can't, then I'll be alone until there's another Georgina.† His wry tone indicated his doubts about that. â€Å"For now, this is enough.† We lounged in each other's arms naked after that, miraculously managing to keep things from escalating. Of course, it was a skill we'd perfected while dating, so we fell into it naturally – though also reluctantly. We stayed up talking for a long time, as though we hadn't seen each other for years and had a lifetime to catch up on. Which really wasn't that far from the truth. At last, he slept, but I was restless. I watched his peaceful breathing in the darkness, his sleep heavy from the drinks. His skin was warm against mine, and I felt safer than I had in a while. Three days. We'd have these three days, and for a little longer, I could pretend he was mine again, just like he used to be. If I chose, I could even make this permanent. I'd told him I'd think about it. The one problem with it all was that things weren't like they used to be. The dream replayed in my head, the dream that might have been a lie. Seth had been the man in the dream, the one I could have been with if what the Oneroi had showed me was true. But was this Seth lying in my arms the man in the dream? The one I'd dreamed of had been infinitely kind and good – the one I'd fallen in love with. The real Seth had changed – gradually, yes†¦but the change was there. It was wrong of me to judge, seeing as part of the change over the last year had been a result of me in his life. Yet, once more, that selfish part inside me thought he should have resisted. I'd fallen for Seth because of his moral character, something that always attracted me to a man. Ironic and possibly hypocritical for a servant of Hell. I still loved Seth, still felt that connection, but things were off now. This bitterness, this attitude that made him want to lock himself away in easy, selfish retreat was not what I'd expected of him. I'd expected more. I didn't want to lose him. I wanted these last few days with him. I wanted forever with him, but if I stayed, I'd be furthering this attitude I hated. I'd encourage the darkness to build within him. I didn't want to see it. And as much as I loved him and yearned to cling to a few more moments with him, I realized staying with this Seth who disappointed me so much was a bad idea. Seth had said he'd rather be alone than be with the wrong woman. I'd rather be apart from him than see him like this. I wanted my memories of him to stay pure. And so, though it broke my heart, I untangled myself from him. In his heavy sleep, he didn't stir. Again, the hypocrisy wasn't lost on me. I'd tried so many times to coax him into one drink, and now I looked down on him for using cocktails as a way to dull the pain. How stupid, I thought, that his darkened soul made it easier for us to finally be together†¦and yet, for my heart, it made it impossible. I shape-shifted into jeans and a light tank top and found some hotel stationery. On it, I scrawled: Seth, I'm sorry – but I have to leave. I told you I'd consider everything, but I was wrong. I love you too much to stay. Cryptic much? A meager way to express all those feelings, but somehow, I suspected he'd understand. He knew me. I left it on the bedside table and then watched him for a few moments, admiring the man I loved and always would. Finally, my eyes wet, I turned away and left the room to catch a taxi to the airport.