A World Without Cars Essay -- Environment Pollution Ecology Essays

A World Without Cars James Q. Wilson the author of the article "Cars and Their Enemies" briefly ponders the possibility of our world without personal automobiles. He speculates whether our current society would welcome the invention of the personal automobile into a fictitious world without cars. Wilson immediately answers no. Wilson knows, as many well-informed individuals and experts do, that the personal automobile is responsible for contributing to pollution, destruction of rural and wilderness land, and depletion of natural resources. And an advanced society such as we live in today would not likely choose to burden our health, land, and resources for the sake of luxury and convenience, or at the very least, the personal automobile would not be as accessible as it is today. Because, in all reality, our current society does embrace inventions that compromise our society's well-being such as oil and chemical refineries, pesticides, and even convenience foods such as fast food and many refined prepacka ged foods. Wilson's opinions in his article, "Cars and Their Enemies" and discussions I have had on-line in the 305 class about Wilson's article have demonstrated to me that the personal automobile is an example of how many people are unwilling to acknowledge how personal convenience and luxury contribute to the deterioration of our world. Wilson's encouragement to the readers of his article to imagine life as we currently know it without the automobile begins with Wilson outlining exactly why the personal automobile is destructible in so many ways. He points out that academic and social critics believe that cars "burn fuel inefficiently" (304) ejecting "large amounts of unpleasant gases into the air" (304); "vast quantiti... ... of the personal automobile has damaged and continues to damage our world certainly provides a more informed awareness. Awareness, knowledge, and understanding possibility can lead to solutions to work towards improving the world we currently live in and the world in the future. However, I feel that it is a battle between selfish and personal desires and the urgent needs of our society and world. Even if an increased awareness and desire to work towards alleviation of the problems of pollution, outward expansion, and depletion of natural resources occurs, I'm afraid, as time goes by, it is becoming increasingly too late. I think the cliche, hindsight is 20/20 is certainly applicable here. Works Cited Wilson, James Q. "Cars and Their Enemies." The Presence of Others. Ed. Lunsford, Andrea A., and John J. Ruskiewicz. Boston: Bedford/St. Martin's, 2000. 303-313.

Cinnamon: Its Not Just For Making Cinnamon Rolls :: Botany

Cinnamon: It's Not Just For Making Cinnamon Rolls Most people around the world are familiar with the sweet and pungent taste of cinnamon. Cinnamon is the common name for the trees and shrubs that belong to the genus Cinnamomum of the Laurel family (Lauraceae). Cinnamon spice comes primarily from the Sri Lankan cinnamon known as Cinnamomum zeylanicum. It is obtained from the plant by drying the central part of the bark, which is then sold in stick or powdered form. The cinnamon oil is extracted from the waste products of drying and the pointed black fruits that the tree bears (1). This oil is used for medicinal purposes or flavoring (2). Cinnamomum Zeylanicum is the source of cinnamon that we in the United States commonly buy. Cinnamon contains cinnamic aldehyde, essential oils, Eugenol, metholeugenol, muscilage, sucrose, starch, and tannin (3). Distribution Have you ever wondered where cinnamon comes from? It is unbelievable to think that there is a place somewhere in the world where cinnamon is commonly seen growing along the side of the road. Just imagine walking through campus with cinnamon trees growing all around you. Cinnamon is native to India, Mayala, Ceylon, China, Japan and Taiwan, where it is as common to them as an Oak tree wood be to us (1). The spice grows in a number of tropical forests and is extensively cultivated throughout the tropical regions of the world, including Madagascar, Brazil, and the Caribbean (4). Cinnamomum zeylanicum, True Cinnamon is native to Sri Lanka, India, where it was one of the spices responsible for world trade (5). Description The Cinnamomum zeylanicum tree grows up to thirty feet tall with ovate to ovate-lanceolate leaves that can be four to seven inches long. The flowers are inconspicuous, and the panicles of the yellowish flowers are usually longer than the leaves (6). These panicles bear pointed black fruits from which cinnamon oil is extracted. The cinnamon sticks are made from the bark of the tree and are rolled naturally when the bark is sun-dried. The tree grows best in deep, well-drained, moist soils (1). Uses Cinnamon (Cinnamomum zeylanicum) has many common everyday uses and some not so common uses. Everybody has probably used cinnamon for some reason, whether for cooking purposes or medicinal purposes. Despite being widely used in food and pharmacy it is also important in the cosmetic and perfumery industries (7). In some areas cinnamon has been known to be used for religious purposes.

Iago’s Use of Rhetorical Strategies to Manipulate Othello in Shakespear

Iago’s Use of Rhetorical Strategies to Manipulate Othello in Shakespeare’s Othello Rhetorical strategies are continually used to get a point across or to manipulate another. Iago uses many devices to put false accusations into Othello’s head. In lines 330-447 in Act 3 scene 3, Iago uses rhetorical question, imagery, and sarcasm. He questions Othello and makes him think the worst between Cassio and Desdemona, and then his use of words adds color and a picture, so it has to be right. Last his sarcasm creates the assurances Othello needed to be duped. To start, Iago uses rhetorical questions favorably to cause Othello to question Desdemona’s love for him. When Othello finishes with â€Å"†¦Than answer my waked wrath!† Iago comes back with â€Å"Is’t come to this my lord.† Later he goes into â€Å"Are...

Burger King

Emphasis on customer service Mcdonald strongly believe in 3F Motto , Fun – Provide an enjoyable working environment for their employees Firm- Stay firm on doing the right thing for customers Fair- nurture an open and honest work culture based on integrity , teamwork and respect for each other . Based on this 3F , Mcdonland strongly emphasizes the voice of the customer,. They created multiple channels to listen to customers these channels cover brand health evolve product offerings catering to customer’s needsListening and engaging to customers is central to Mcdonald . They always put customer in the driver’s seat by listening, engaging and building relationship with them For example they provide variety of party services tailored for different groups of customers. To further engage with loyal customers they have launched two loyalty clubs, the mother’s club and McFun Club with special membership. Burger King is a fast food restaurant, but the walk route is a mid-range price, to create a restaurant-style dining experience.In addition to focusing on the quality of food, they keep try to create a sense of comfort, The way in which Burger King advertise its process of preparing Hamburgers â€Å"Flame Broiled’ instead of grill that fry, gives the buyer the satisfaction of buying a healthy steak (Hamburger). This not only ensure patronage but make the targeted market group feels good about the product. This later way of operation has been popularized with the term â€Å"have it your way â€Å"theme. It makes those who patronize this hamburger feels they are eating exactly the type of hamburgers they preferred.This not only work in terms of its strategy to gain market share but it also make younger generation identify with the product as young adolescence wants to have a feel they are making their own decision on what to eat instead of Mummy have them it her choice of food. Mc donland give us first feeling is warmth, fast and save time the set menu that the designed and packed are very easy to attract people attention . McDonald’s, for instance, has worked to portray itself as a healthier, hip place to eat, offering wireless access in restaurants, updating decor and introducing smoothies, oatmeal and yogurt parfaits. Burger King Business 338 Case Study- Burger King When thinking about entering a franchise one obviously wants to make the most profit as possible. As business partners we want to make money while being involved in something we are passionate about and that is food. So why not take a look at one of our favorite fast food restaurants that is a cornerstone in the fast food industry. When thinking about making any business decision the individual or individuals must look that themselves and decided if they are doing the right thing.The first thing we decided to take the pre- qualification questionnaire. The very first question asks how much you worth are in thousands and/or millions. From the beginning you can see that owning and operating a franchise involves big money. As of today being young and full of dreams we both know that we do not want to be particularly involved in the everyday operations of the restaurant. On the questionnaire it states whether or not you want to be involved only financi ally, in the day-to-day operations, or both. We chose only financially.The next step we decided to look through were the 4 P’s of franchising which are: * Product * Profitability * Process * People We all know Burger King has a great product in food choice especially with the famous Whopper! The quality and price of the food selection at the BK are very reasonable and we feel competitive with other fast food restaurants. In taking a closer look at Burger King we also like how they offer a training program. It requires you to attend a two week Franchisee Orientation and log up to 440 hours of in-restaurant training.During this initial training process, you will learn and experience all aspects of running a BURGER KING  restaurant. They also have an operations manual with comprehensive data that increases your chances of being successful in the business. Along with that they have a wonderful support team filled with experts in the franchise business that guide you on how to g row your business and give you advice. These include but are not limited to: * Director of Franchise Performance (DFP) * Sales, Profit and Operations Coach (SPO) * Real Estate Manager (REM) Construction and Design Manager (CM) * Purchasing and Supply Chain Management Group. One factor that enhanced our decision in choosing Burger King is that North Carolina is a key growth market for the franchise and they are already looking to expand in the region. Upon completion of the questionnaire they send you an automated email with a number for you to reach their franchising representatives for the franchising interview. After the interview there is the transaction selection, operations interview, transaction approval, and final approval. â€Å"Have it your way! † Burger King Business 338 Case Study- Burger King When thinking about entering a franchise one obviously wants to make the most profit as possible. As business partners we want to make money while being involved in something we are passionate about and that is food. So why not take a look at one of our favorite fast food restaurants that is a cornerstone in the fast food industry. When thinking about making any business decision the individual or individuals must look that themselves and decided if they are doing the right thing.The first thing we decided to take the pre- qualification questionnaire. The very first question asks how much you worth are in thousands and/or millions. From the beginning you can see that owning and operating a franchise involves big money. As of today being young and full of dreams we both know that we do not want to be particularly involved in the everyday operations of the restaurant. On the questionnaire it states whether or not you want to be involved only financi ally, in the day-to-day operations, or both. We chose only financially.The next step we decided to look through were the 4 P’s of franchising which are: * Product * Profitability * Process * People We all know Burger King has a great product in food choice especially with the famous Whopper! The quality and price of the food selection at the BK are very reasonable and we feel competitive with other fast food restaurants. In taking a closer look at Burger King we also like how they offer a training program. It requires you to attend a two week Franchisee Orientation and log up to 440 hours of in-restaurant training.During this initial training process, you will learn and experience all aspects of running a BURGER KING  restaurant. They also have an operations manual with comprehensive data that increases your chances of being successful in the business. Along with that they have a wonderful support team filled with experts in the franchise business that guide you on how to g row your business and give you advice. These include but are not limited to: * Director of Franchise Performance (DFP) * Sales, Profit and Operations Coach (SPO) * Real Estate Manager (REM) Construction and Design Manager (CM) * Purchasing and Supply Chain Management Group. One factor that enhanced our decision in choosing Burger King is that North Carolina is a key growth market for the franchise and they are already looking to expand in the region. Upon completion of the questionnaire they send you an automated email with a number for you to reach their franchising representatives for the franchising interview. After the interview there is the transaction selection, operations interview, transaction approval, and final approval. â€Å"Have it your way! † Burger King 1. By mid-2009, Burger King was not in any of the following five countries: France, India, Nigeria, Pakistan, and South Africa. Compare these countries as possible future locations for Burger King.These countries all have large populations but are not in close proximity to the BK headquarters in Miami. How well do these five countries identify with the Burger King brand? It is hard entering foreign markets where consumers are loyal to previously established brands. Is there even enough beef to go around? Burger King will have their work set out for them to be successful in these markets and many not have franchising opportunities to rely on.France: the concern with France is how much of the population actually consumes beef.India: Burger King may have recently ruined their chances for sending their business to India. There are no beef in the McDonalds located in India. Hindu does not eat beef and that is approximately 80% of the population. Burger King thought it was a good idea to p lace an ad of Lakshmi, the Indian goddess of wealth, about to eat one of the beef burgers, which are forbidden under Hindu religion. Why? Other than that bad business move Burger King is faced with re-inventing their menu.Nigeria- Restaurants like Tantilizers has had plenty of success in Nigeria and service similar food products to Burger King. Well, at least they sell hamburgers. Yet, it all depends on how well Burger King can re-invent meat pies and other popular Nigerian foods. I think Nigeria will be a much better location than that of France and India and it has less competition.Pakistan- McDonalds seems to found success in Pakistan and serves many beef products, chicken, and fish. Burger King can have similar success from a product/menu standpoint. However, will it be enough to compete with an already established fast food base who serves similar products and have a loyal consumer base. However, the market is big enough for an additional player because of the population.South Africa- South Africa willIf I was on the Burger King Management team then I would definitely try to enter into Nigeria, Pakistan, and South Africa. I do not think that France is the type of market that Burger King will do exceptional well but maybe average. India, I would not even look any further into trying to bring the BK brand.2. When entering another country, discuss the advantages and disadvantages that an international restaurant company, specifically Burger King, would have in comparison with a local company in that market.The advantages of Burger King entering into new markets are: The disadvantages of Burger King entering new markets are:3. About two-thirds of Burger King’s restaurants and revenues are in its Americas region (United States and Canada) and one-third elsewhere. Should this relationship change? If so, why and how?The relationship should not change. America is only 5 percent of the world population but consumes 25% of beef. However, Burger King could sw itch up their menu but I do not think that will bring success. The fish and chicken products do not produce enough variety in international markets in my opinion.4. The case mentions that Burger King prefers to enter countries with large numbers of youth and shopping centers. Why do you think these conditions would be advantageous?5. How has Burger King’s headquarters location influenced its international expansion? Has this location strengthened or weekend its global competitive position?The location has weakened Burger King international expansion. Almost three fourths of all Burger restaurants are either in the United States or Latin America. Latin America because of its convenience makes up 25 percent of global operations. However, because of the small populated countries only 1/8 of the revenue comes from the same 25 percent of the international restaurants. The wealthy European countries are not6. Evaluate Burger King’s strategy of using the Brazilian experience to guide its entries into Russia.http://www.telegraph.co.uk/news/worldnews/asia/india/5786561/Burger-King-apology-to-Hindus-for-advert.htmlhttp://www.ran.org/fileadmin/materials/education/factsheets/fs_beef.pdf Burger King Emphasis on customer service Mcdonald strongly believe in 3F Motto , Fun – Provide an enjoyable working environment for their employees Firm- Stay firm on doing the right thing for customers Fair- nurture an open and honest work culture based on integrity , teamwork and respect for each other . Based on this 3F , Mcdonland strongly emphasizes the voice of the customer,. They created multiple channels to listen to customers these channels cover brand health evolve product offerings catering to customer’s needsListening and engaging to customers is central to Mcdonald . They always put customer in the driver’s seat by listening, engaging and building relationship with them For example they provide variety of party services tailored for different groups of customers. To further engage with loyal customers they have launched two loyalty clubs, the mother’s club and McFun Club with special membership. Burger King is a fast food restaurant, but the walk route is a mid-range price, to create a restaurant-style dining experience.In addition to focusing on the quality of food, they keep try to create a sense of comfort, The way in which Burger King advertise its process of preparing Hamburgers â€Å"Flame Broiled’ instead of grill that fry, gives the buyer the satisfaction of buying a healthy steak (Hamburger). This not only ensure patronage but make the targeted market group feels good about the product. This later way of operation has been popularized with the term â€Å"have it your way â€Å"theme. It makes those who patronize this hamburger feels they are eating exactly the type of hamburgers they preferred.This not only work in terms of its strategy to gain market share but it also make younger generation identify with the product as young adolescence wants to have a feel they are making their own decision on what to eat instead of Mummy have them it her choice of food. Mc donland give us first feeling is warmth, fast and save time the set menu that the designed and packed are very easy to attract people attention . McDonald’s, for instance, has worked to portray itself as a healthier, hip place to eat, offering wireless access in restaurants, updating decor and introducing smoothies, oatmeal and yogurt parfaits. Burger King Business 338 Case Study- Burger King When thinking about entering a franchise one obviously wants to make the most profit as possible. As business partners we want to make money while being involved in something we are passionate about and that is food. So why not take a look at one of our favorite fast food restaurants that is a cornerstone in the fast food industry. When thinking about making any business decision the individual or individuals must look that themselves and decided if they are doing the right thing.The first thing we decided to take the pre- qualification questionnaire. The very first question asks how much you worth are in thousands and/or millions. From the beginning you can see that owning and operating a franchise involves big money. As of today being young and full of dreams we both know that we do not want to be particularly involved in the everyday operations of the restaurant. On the questionnaire it states whether or not you want to be involved only financi ally, in the day-to-day operations, or both. We chose only financially.The next step we decided to look through were the 4 P’s of franchising which are: * Product * Profitability * Process * People We all know Burger King has a great product in food choice especially with the famous Whopper! The quality and price of the food selection at the BK are very reasonable and we feel competitive with other fast food restaurants. In taking a closer look at Burger King we also like how they offer a training program. It requires you to attend a two week Franchisee Orientation and log up to 440 hours of in-restaurant training.During this initial training process, you will learn and experience all aspects of running a BURGER KING  restaurant. They also have an operations manual with comprehensive data that increases your chances of being successful in the business. Along with that they have a wonderful support team filled with experts in the franchise business that guide you on how to g row your business and give you advice. These include but are not limited to: * Director of Franchise Performance (DFP) * Sales, Profit and Operations Coach (SPO) * Real Estate Manager (REM) Construction and Design Manager (CM) * Purchasing and Supply Chain Management Group. One factor that enhanced our decision in choosing Burger King is that North Carolina is a key growth market for the franchise and they are already looking to expand in the region. Upon completion of the questionnaire they send you an automated email with a number for you to reach their franchising representatives for the franchising interview. After the interview there is the transaction selection, operations interview, transaction approval, and final approval. â€Å"Have it your way! †

Hypothesis Testing Essay

The intent of hypothesis testing is to let an person to take between two different hypotheses refering to the value of a population parametric quantity. Learning squad C has conducted a hypothesis trial environing the sum of clip spent on prep by males and females. and will turn to if there is a correlativity between the variables. Additionally. larning squad C will find if there is a positive or negative correlativity. and how strong that correlativity is between both variables. Overall. statistics can be really ambitious and we will portion some of the most enigmatic constructs experienced in Quantitative Analysis for Business therefore far. When carry oning a hypothesis trial. it is imperative that a void hypothesis is identified. The void hypothesis is the hypothesis that is assumed to be true unless there is sufficient plenty grounds to turn out that it is false ( McClave. 2011 ) . The void hypothesis for this experiment: Is the average sum of clip spent on prep by females equal to the sum of clip spent on prep by males? The ascertained significance degree is. 05. which means that there is a five per centum opportunity that we will reject the void hypothesis. even when it is true. The activity informations set provided were eight informations points for adult females and six informations points for work forces. Because of the little sample size. we have conducted a t-test for this experiment. The grades of freedom equal 12. which we assign a critical value of 2. 179 from a t-table. If the trial statistic ( t-statistic ) is less than -2. 179. or greater than 2. 179 we will reject the void hypothesis in favour of the option. The t-statistic for the clip spent on prep by work forces and adult females is – . 4899. This figure does non fall into the rejection part. so we fail to reject the void hypothesis. In other words. the average sum of clip spent on prep by work forces and adult females are equal with a 95 per centum assurance degree. We have besides determined the correlativity coefficient. The correlativity coefficient ( denoted by the missive R ) is the step of the grade of additive relationship between two variables ( Webster. edu. n. d. ) . The correlativity coefficient can be any value between negative one and one. If the correlativity coefficient mark is negative. it means tha t as one variable decreases the other variable additions. The opposite is true for a positive correlativity coefficient. if the value of one variable increases the other variable lessenings. It is of import to observe that correlativity does non needfully intend causing ; we can non presume a right decision based on correlativity entirely. For this experiment. the correlativity between work forces and adult females was 0. 346102651. When informations with values of R are close to zero. they show small to no straight-line relationship ( Taylor. 2015 ) . Even though the correlativity for this experiment was positive. it is non a strong correlativity. The closer the value of R to zero agencies that there is a greater fluctuation around the line of best tantrum ( Laerd Statistics. 2015 ) . Statisticss can be a really dashing topic. and there have been some constructs that have proven to be hard for each member of larning squad C. Many squad members struggle with the proper choice of expressions in Microsoft Excel. while others struggle to replace values into the many equations involved in statistics. There are besides legion symbols to retrieve. and decently place when calculating an equation. From a conceptual point of view. chance is tough subject to hold on. The construct itself seems unintuitive. and is hard to understand an intangible construct that is based on guesswork and the best opportunity that an person has to see one event or another is random ( chance ) . When you take that construct and seek to do it touchable by seting it into an equation. things get rather confounding. Hypothesis proving can be good when an person is seeking make up one's mind on what hypothesis to take refering to the value of a population parametric quantity. When make up one's minding to carry on hypothesis proving it is of import to travel through the five stairss of the hypothesis proving process that include: making premises. saying the nothing and alternate hypothesis. finding the right trial statistic and trying distribution. calculating the trial consequences. and construing the determination ( Boston University. n. d. ) . Interpreting the determination can include comparing the agencies for each of the groups can give a better apprehension of where each group falls as an norm. Interpreting the determination besides includes finding whether there is a correlativity between the two variables and finding whether the correlativity is positive or negative. For this experiment. the end was to find if there was a important difference for clip spent making prep by males and females. Hypothesis testing is used to find if there is adequate statistical grounds to back up a certain belief about a parametric quantity. MentionsBoston University. ( n. d. ) . The 5 stairss in hypothesis testing. Retrieved from Boston University. web site. Laerd Statistics. ( 2015 ) . Pearson-product minute correlativity. Retrieved from hypertext transfer protocol: //statistics. laerd. com/statistical-guides/pearson-correlation-coefficient-statistical-guide. php McClave. J. T. ( 2011 ) . Statistics for concern and economic sciences ( 11th ed. ) . Boston. MA: Pearson Education. Taylor. C. ( 2015 ) . How to cipher the correlativity coefficient. Retrieved from hypertext transfer protocol: //statistics. about. com/od/Descriptive-Statistics/a/How-To-Calculate-The-Correlation-Coefficient. htm Webster. edu. ( n. d. ) . Correlation. Retrieved from hypertext transfer protocol: //www2. Webster. edu/~woolflm/correlation/correlation. hypertext markup language

Why One Should Never Make An Important Decision Alone

There are many things that can be done by people who make an important decision in group. However, some people like to make an important decision alone. This condition may lead to some undesirable results. I agree that an important decision should never be made alone. Therefore, this essay shall explore some reasons why a person should never make an important decision alone. First of all, it is essential to make an important decision with others. As we all know, people need to consider about others’ opinion to make a right decision. For example, owner of a big company usually holds a meeting to discuss the problem of their company.This circumstances can help the owner to make a right decision how to tackle the problem of the company. The other reason is that making an important decision alone can sometimes be done without calculation. As a result, this may lead to a catastrophic result. For instance, there are some companies went bankrupt because the owner did not take othersà ¢â‚¬â„¢ opinion about their decision. For this reason, other people can help us not to make a reckless decision that may lead to our own miscarriage. Finally, making an important decision with others can help to minimize the risk of making mistakes.Furthermore, it can help to lighten the burden of the people who are in charge of making an important decision. For example, there are always more than one judge in a court to ensure that there would not be an error in making a decision. In a nutshell, it is clear that a person should never make an important decision alone. In my opinion, an important decision should be made with a full consideration as it is extremely risky. For this reason, we need to discuss our decision with others. By doing it right, one can take an important decision without a full risk.

Case Study on Adolescent Sexual Abuse Essay

Elias is a five year old Mexican American male who has recently been referred to the community counseling center due to the exposure of sexual abuse by his stepfather. Elias was a client of this community center approximately 18 months earlier. Elias had been referred for poor impulse control and hyperactivity. At that time he was diagnosed as having Attention Deficit Hyperactivity Disorder (ADHD). He also met with the agency psychiatrist who had prescribed Elias Focalin. His cased was closed after only a few sessions due to the family’s inconsistency and withdrawal from services. At this point in time Elias has been attending his sessions with his mother and baby brother. Stepfather’s whereabouts are unknown and he has not had any contact with the family since the abuse was exposed. Elias has returned to taking Focalin, since he failed to continue taking his medication after withdrawing from services. However, there have been no changes noted in his behavior since he has begun to take the medication. The psychiatrist believes that this may be due to the low dosage he has prescribed Elias and because of such, the psychiatrist has opted to slowly increase the dosage and closely monitor any changes. The clinician notes that Elias is extremely hyperactive and exhibits minimal impulse control. Other than his high levels of restlessness, Elias shows no observable signs or symptoms of reaction to the sexual abuse. When clinician has attempted to process with Elias about the abuse or his feelings about the abuse, Elias has changed the subject or ignored the clinician all together. Mother states that she has noticed no changes in his behavior since the abuse was discovered. Practice Effectiveness Questions  The special population in discussion is children, the social problems in focus are sexual abuse and attention deficit hyperactivity disorder (ADHD), which leads the target client group to be children who have experienced sexual abuse and have been diagnosed with ADHD. Our client is Elias who is a child, who has experienced sexual abuse and is diagnosed with ADHD. For the purposes of this discussion our practice effectiveness questions are: 1) What are effective interventions for children who have been sexually abused? and 2) What are effective interventions for children who have been diagnosed with ADHD? Search Description Procedures The databases utilized for this search were: Google Scholar, Social Work Abstracts, Child Welfare Information Gateway, Academic Search Complete, Professional Development Collection, PsycARTICLES, PsycINFO, SocINDEX with Full Text Sociological Collection, Academic Search Premier, and JSTOR. It was also helpful to review the journal entitled Sexual Abuse: A Journal of Research and Treatment for relevant articles. While searching the aforementioned databases, the following keywords were utilized: ‘sexual abuse and ADHD’, ‘sexual abuse and interventions’, sexual abuse and co-morbidity’, ‘ADHD and co-morbidity’, ‘children and sexual abuse’, ‘sexual abuse and interventions. ’ All articles selected were peer reviewed, found in scholarly journals, and published within the last ten years. In searching for relevant articles regarding treatment of sexual abuse, most articles addressed interventions designed to treat perpetrators of child sexual abuse; a few articles were uncovered that discussed treating adult survivors of childhood sexual abuse. Fewer still were articles that identified interventions for children who are recent or current victims of sexual abuse. In order to find information relevant to our target client group, we began pulling sources from reference pages of relevant articles which provided more focused research relevant to treatment of children who have experienced sexual abuse. Results The result of our exhaustive search of available literature led us to identify eight articles to focus on. Out of these articles, four dealt specifically with children who have experienced sexual abuse, two focused on abuse of children which included physical abuse along with sexual abuse, two were focused primarily on ADHD, four focused on co-morbidity of either post-traumatic stress disorder (PTSD) or ADHD and sexual abuse, and four specifically discussed treatments and interventions. Half of the selected articles were literature reviews while the remaining four were reporting from the standpoint of a primary source on research studies of treatments and interventions. The research studies varied in their sampling and control or comparison groups; only two studies were able to utilize a true experimental design with random assignment of study participants to control and experimental groups. The literature reviews provided an extensive overview of relevant studies and interventions from a secondary source standpoint. The eight identified sources provided an assortment of research-based perspectives as well as a sampling of evidence based on authority by those who reviewed the literature and discussed their findings in literature reviews. Research Findings Description of Articles In the article Sexually Abused Children Suffering from PTSD: Assessment and Treatment Strategies by David Heyne, Neville J. King, Paul Mullen, Nicole Myerson, Thomas H. Ollendick, Stephanie Rollings, and Bruce T. Tonge states that sexual abuse of children is a major societal problem because of its high prevalence and devastating impact on the victimized child. Children who have been sexually abused often demonstrate anxiety, depressive moods, improper sexual behaviors, nightmares, social withdrawal, sleep difficulties, anger, shame/guilt and school problems. The authors did diagnostic interviewing with their participants. The authors interviewed thirty six children and sixty nine percent were primarily diagnosed with PTSD. Within the thirty six children four of the children with full PTSD had no other diagnoses. Nine had one co morbid diagnoses, ten had two co morbid diagnoses, and two had three co morbid diagnoses. PTSD is not always prevalent and at times other emotional and behavioral problems are prevalent. In fact, many studies confirm that on clinical evaluation a large proportion of sexually abused children meet diagnostic criteria for PTSD (Heyne, at el. , 2003). This particular article showed that often there are other diagnoses that go along with PTSD but in an article by Peggy T. Ackerman, Roscoe A. Dykman, Jerry G. Jones, W. Brian McPherson, and Joseph E. O. Newton, did research on groups that have been affected sexual, physically abused, or both. The article Prevalence of PTSD and Other Psychiatric Diagnosis in Three Groups of Abused Children (Sexual, Physical, and Both) was a study done with children that are sexually and or physically abused. Fortunately, many children who are victims of horrifying events do not develop PTSD or other psychiatric disorders (Ackerman at el. 1998). Very little is known as to why some victimized children do and others do not develop psychiatric disorders. Even such basic variables as gender, ethnicity, socioeconomic status, intelligence, and age at time of trauma, have been inadequately studied. They were in a large children’s hospital in which sexual and or physically abused children were referred. The groups were divided into three, sexually and physically abused and both. Through the finding there were more boys who were physically abused and girls who were sexually abused. Anxiety and behavior disorders were more frequent than mood disorders. In concordance with clinical observation, abused boys, regardless of type abuse, had higher rates of behavioral disorders and abused girls had higher rates of two internalizing disorders: separation anxiety (caregiver reports) and phobic disorder (child report) (Ackerman at el. , 1998). Studies show most clearly that children who have been jointly physically and sexually abused are at greatest risk for psychiatric disturbance. There are many different treatment interventions one can go through to minimize PTSD and attention deficient disorders. Maryka Biaggio, Darlene Staffelbach, Dan Weinstein wrote the article ADHD and PTSD: Differential Diagnosis in Childhood Sexual Abuse which shows different interventions used for victimized children. Treatment interventions for ADHD children predominantly consist of behavior management, social skills training, and stimulant or other medication. Treatment interventions for children with PTSD generally consist of management and alleviation of emotional distress using play, psychodynamic and cognitive behavioral therapy modalities (Biaggio at el. 2000). Relaxation techniques and hypnosis have also been effective in treatment of PTSD in children. Misdiagnosis may lead clinicians to use inappropriate interventions for PTSD. Side effects experienced by ADHD children on stimulant medication may include difficulty falling asleep, lack of appetite, irritability, headaches, stomachaches, nausea, dizziness, tachycardia, muscle tics or twitches, slowed physical growth, and skin rashes (Biaggio at el. , 2000). Another undesired onsequence of ADHD misdiagnosis in SAC (sexual abused children) is the failure to address and treat the trauma symptoms of children who actually have PTSD. Given the risk of wrongly prescribing, untreated trauma, and negative impact on self-esteem for children misdiagnosed with ADHD, it is unfortunate little attention has been given to this issue (Biaggio at el. , 2000). Increased attention to clinical decision-making in the differential diagnosis of ADHD and PTSD may lead to more appropriate, beneficial, and timely interventions. Darcie) Allison M. Briscoe-Smith and Stephen P. Henshaw’s article entitled: Linkages between child abuse and attention-deficit/hyperactivity disorder in girls: Behavioral and social correlates, was an excellent source to explore the relationship of sexual abuse and ADHD and begin to discuss the co-morbidity of these events for children. The article described a research study carried out with a sample of 228 females at a summer camp for girls with ADHD over a three year span. Each year cohort groups were created to identify the prevalence of abuse among girls diagnosed with ADHD and those who had not received a diagnosis of ADHD. Out of the twenty-four identified cases of abuse histories, twenty of these girls were diagnosed with ADHD, and of those abuse histories ten were sexual in nature which is much higher than any other form of maltreatment documented by the researchers. All girls who had abuse histories had a co-morbid diagnosis of Oppositional Defiance Disorder. The study found that girls with both ADHD and abuse histories were more likely to display externalizing behaviors and be negatively received by their peers. The study also analyzed the relationship between the prevalence of an abuse history and the rejection from peers and found aggression to partially mediate that relationship. The authors concluded that girls with ADHD were at increased risk of having abuse histories and questioned the accurate diagnosis of ADHD. It was suggested that the girls who had histories of abuse may more accurately be diagnosed with PTSD and/or share a co-morbid diagnosis with PTSD. Judith A. Cohen and Anthony P. Mannarino conducted a research study comparing two interventions to treat children who have been sexually abused; their findings were published in the article entitled: Interventions for Sexually Abused Children: Initial Treatment Outcome Findings. This article was one of few that specifically addressed interventions for children with the focus being treatment of sexual abuse. The sample consisted of 49 children between the ages of 7 and 14 who were randomly assigned to either sexual abuse specific cognitive behavioral therapy (SAS-CBT) or nondirective supportive therapy (NST) for a twelve week duration. The study found that children in the SAS-CBT group improved significantly in social competence and in the reduction of feelings of depression. Also, substantially higher percentages of children involved in SAS-CBT experienced what is considered clinically significant improvements. In regards to deterioration while in therapy, higher rates were found in children who received NST. For the safety of the other children in the groups, children who were consistently displaying repetitive extreme sexually inappropriate behaviors were removed from treatment groups; seven NST participants were removed from the study as compared to two children participating in SAS-CBT. Parental satisfaction with treatment was high in both treatment groups which either treatment modality. The clinical impressions of the authors conclude that sexual abuse specific cognitive behavioral therapy is superior to nondirective supportive therapy in the reduction of depressive symptoms. SAS-CBT was also favored due to the benefit of including parents in treatment (NST did not formally include parents). The authors also concluded that there is value and importance in providing a directive therapy technique in dealing with the effects of trauma caused by sexual abuse. Assessment of Evidence Implications of Evidence Interventions for sexual abused victim’s trauma may include based cognitive behavioral therapy, play therapy, parental involvement- parent training, behavioral therapy, coping skills training, psycho-education, and prevention awareness. PTSD interventions may include trauma based cognitive behavioral therapy, and play therapy. Attention deficit disorder can also be treated with behavioral management techniques, medication, social skills training, play therapy, parent training, behavioral classroom interventions and summer treatment programs. Many sexually abused children have other diagnosis along with PTSD and several possible co-morbid diagnosis are more than likely behavioral, but often can be confused with PTSD. When looking at interventions and treatments clinicians need to look at the client’s cultural background so that way we do not intrude on their lives.