Sunday, November 24, 2019

Thyroid Gland essays

Thyroid Gland essays The thyroid is a gland that controls the growth, metabolism, and cell differentiation. It is located in the neck near the trachea, and secretes the hormones triodothyronine (T3), thyroxin (T4), and calcitonin. The thyroid stimulating hormone level is regulated by a negative feedback system. The pituitary sends a message by TSH to make and release triodothyronine and thyroxin. Calcitionin reduces high calcium levels by making the calcium go to the bone and increasing the amount that goes to the urine. At birth, the thyroid controls the growth of the brain. A thyroid problem can occur if it grows too slow or too fast. If thyroid deficiency is not detected and treated early, the child may develop mental retardation. A thyroid deficiency in childhood will affect his or her body size. It can be prevented by treatment. Hyperthyroidism is the overproduction of thyroid hormones. It causes gradual weight loss, tinned skin, and increased sweating. It affects about three of every thousand people, usually females between the ages of twenty and forty. Hypothyroidism is not producing enough thyroid hormones. It causes weight gain in adults and mental retardation in infants. This affects about one of every thousand men, two of every thousand women, one of fifteen hundred children, and one of every five thousand infants (at birth). Addisons disease is another thyroid problem that consists of dark patches of skin usually around the mouth, nipples, and vagina. A thyroid disease in which the persons skin is thin and easily bruised is Cushings disease. They may also have purple stretch marks on their abdomen and rough, thick, dry skin. Some symptoms of a thyroid deficiency are tiredness, wondering thoughts, and short attention span. ...

Thursday, November 21, 2019

Tesla Motors Combate Air Pollution Essay Example | Topics and Well Written Essays - 250 words

Tesla Motors Combate Air Pollution - Essay Example The big question is, will Tesla motors and their electric cars save the world? Since an emission free engine was required, electricity was the appropriate fuel to be used in the car (Simioni, 2012). Many companies have in the past only managed to get hybrid engines of electricity and organic fuel. However, this does not solve the emission issue as organic fuels are still involved. However, based on Harvard Business School (2008) Tesla motors have found the solution by producing a fully electric engine for vehicles. Their engines only use motors that re driven by magnetic fields generated by electric coils thus driving the car, and in the end an emission free engine is achieved. One only needs to plug the car into a normal electrical socket and the vehicle will get charged. Jupp & Sapsford, (2011) have it that in order to fully discuss this issue, it is pertinent that appropriate data collection through qualitative method be done. This is the best choice for the expected data should be in figures and pictures. In the analysis of the data. The content analysis method will be employed, so that the full picture of the adverse effects of air pollution be captured and how electric vehicles from Tesla motors will help do away with air

Wednesday, November 20, 2019

The Mexican Revolution and the Middle Class Research Paper

The Mexican Revolution and the Middle Class - Research Paper Example The Mexican revolution remains one of the most important revolutions that took place in Latin America. It is marked with political celebrations in Mexico, and this is because it is an important political event. The most important players during this revolution were the middle class. The middle class played a great role in ensuring that the revolutionaries won the war, against President Diaz. These people provided money and soldiers for purposes of advancing the agenda of the revolutionaries. The army was under General Carranza, and it engaged the government in urban centers. The middle-class army also provided support to the armies of General Pancho Villa in the North, and General Zapata in the South.This support was essential in breaking the various sieges that the government army had laid against these two Generals. By concentrating in urban areas, the government’s army was also limited on how it could advance its troops for purposes of quelling the rebellion in the rural ar eas of Mexico. Furthermore, after the rebellion, it is the Middle Class who took over power and began initiating a sequence of policies aimed at changing promoting good governance in Mexico. Immediately after the end of this revolution, President Obregon took over the leadership of Mexico and introduced a series of changes aimed at making Mexico a democratic state.People who argue against the recognition of these revolutions denote that they are bloody and violent, and hence they lead to the loss of lives.

Sunday, November 17, 2019

Literature paper #2 Essay Example | Topics and Well Written Essays - 1250 words

Literature paper #2 - Essay Example A sensible reading of the text would reveal Gregors metamorphosis as a metaphor of the modern society where people have become quite alienated, burdened with familial responsibilities and obligations, neurotic, and lack understanding, love, or communion. Twentieth-century modernist images of metamorphosis, on the other hand, lead us to question not only the boundaries of man’s relationship with nature and the supernatural, but the very status of humanity itself, transformed into the monstrous. Gregors metamorphosis is governed by uncontrollable factors that cause both physical and mental changes in his personality. No doubt, Gregors tragedy stems from his strong sense of familial obligation and responsibilities; his subsequent guilt due to his inability to fulfill his responsibilities turns him into a bug and this metamorphosis brings about drastic changes in the gender roles and sibling relations.Gregor’s metamorphosis underlines that man’s existence is absurd a nd meaningless and that human nature is essentially monstrous. His transformation is more inward than physical; it is Kafka’s inner conviction that human nature is inevitably monstrous and meaningless that makes him to depict Grgor’s character as animalistic, and the only possible escape for Gregor is to succumb to the ultimate reality-death. In Metamorphosis, one experiences man’s inner struggle and longing to survive in a world where one cannot find any sort of solace. Everyone seeks his/her existence and is likely to get disillusioned and desperate when things go beyond one’s comprehension and control. Even though the metamorphosis of Gregor sounds to be supernatural and beyond human comprehension, the touching story of Gregor’s misfortunes points to the meaninglessness of human life; man is incapable of fighting the supernatural elements and the essential monstrous human nature that unleashes itself in such turbulent

Friday, November 15, 2019

Diabetes Within The Latino Community Health And Social Care Essay

Diabetes Within The Latino Community Health And Social Care Essay The National Institutes of Health (NIH) (2010) define disparities in health as differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups (para. 1). The Latino population is one group with known health disparities, especially in the area of diabetes. Extensive research in diabetes care has been conducted; however, there is a significant gap in the research literature related to factors that influence the achievement of glycemic control and self-management practices of the Latino population, in general, and migrant workers specifically. Diabetes is a metabolism disorder (NIH, 2008). In those with diabetes, the pancreas will provide little or no insulin, or the cells will not react to the insulin produced (NIH, 2008). This results in a build up of glucose, which the body disposes of through the urine. Even if there was a build up of glucose, the body loses it main source of energy. Diabetes among Latino population Diabetes is one of the fastest growing disease classifications within the United States, especially among the Latino population (CDC, 2005). Nationally 2.5 million or 9.5% of all Latinos, 20 years of age or older, have diabetes. Latino individuals are 1.7 times as likely to have diabetes compared to non-Hispanic white individuals of similar age (CDC, 2005). These numbers are on a steady increase and only account for diagnosed cases of diabetes. Prevalence rates for the common complications of diabetes, obtained from the Centers for Disease Control and Prevention 2002 and 2005 data for the Latino population, clearly imply that developing strategies for preventing the complications from diabetes is a critical need. For example, 16.5 per 100 Latino adults with diabetes have visual impairments; 430.4 per 100,000 Latino adults with diabetes have end-stage renal disease; and 26.9 per 100 Latino adults age 35 years or older with diabetes have self reported cardiovascular disease (CDC, 2005) . Comparable figures for non-Hispanic white adults are 19.5, 262.7, and 34.9 respectively. In addition, less than 60% of Latino adults with diabetes receive annual eye and foot exams, and participate in daily blood glucose monitoring (CDC, 2005). Among Mexican-American adults, a subgroup of Latino adults, type 2 diabetes has reached epidemic proportions with concomitant devastating health complications, morbidity and mortality. Fortunately, many of these complications could be prevented through self-management techniques that promote tight glucose control. The costs, financial, physiologic and psychologic, associated with this disease and its complications are extreme. The need to explore culturally congruent, cost reducing and health promoting disease self-management strategies is imperative for this high risk population. Vulnerability Vulnerability Among the Latino Migrant Population with Diabetes Within the diverse Latino population in the United States are those individuals who are long term residents of the United States and are well acculturated; individuals who have recently immigrated to the United States; and those who are migrant farm workers (individuals who relocate in order to work in agriculture and are unable to return to their permanent residence at the end of the work day) (Hakes et al., 2003). These characteristics have differential effects on cultural beliefs and practices, health outcomes and self-management practices. Extensive research has been completed related to vulnerability and the identifying factors that produce the greatest risk for poor health outcomes which include ethnic/racial, economic, educational and health care related factors (Aday, 2001; Flaskerud Winslow, 1998). Latino migrant workers meet all of these criteria. First, ethnic/racial factors, which include language barriers, apply because cultural norms of this group may not be well understood by health care providers and may clash with typical Anglo approaches to health. This group may experience a lack of support or feelings of isolation when migrating from region to region in search of work. Economic factors apply because they frequently have below minimum wage field work that does not provide for health coverage, experience increased financial burden related to migration from state to state, and from work area to work area, with periods of unemployment (US Census Bureau, 2003). Educational factors apply because few have a h igh school education (US Census Bureau). In addition to lack of education, they are confronted by a new society and legal system. Health care related factors apply because of inconsistency of health care caused by frequent moving. Many of these individuals move from provider to provider and often run out of medications in the process. The consequences for diabetes control are monumental. Extended periods with elevated blood glucose levels increase the likelihood of retinopathy, cardiovascular disease and kidney failure. If and when these individuals seek medical assistance, often no records are available to the provider who must then start over (Hakes et al., 2003). This often leads to new medications and dosages that may have already proven ineffective, in turn extending the time frame of poor glucose control. The expense of repetitive laboratory work, medication changes, and office visits increases the financial burden for this population, leading to further delays in treatment and follow up. In addition, routine screening and evaluation is limited or omitted due to lack of continuity of care. Typically, only the acute management issues are addressed, leaving recommended annual exams (dental, dilated eye, urine protein and creatinine) incomplete, further leading to increased risk of complications from non-interv ention (Clement, 1995; Hakes et al., 2003). Additionally, these individuals are at increased risk for work injuries due to the nature of fieldwork (Clement, 1995; Hakes et al., 2003). When the risk of unidentified injury secondary to peripheral neuropathy (resulting from prolonged blood glucose elevation) is added, these individuals are likely to become disabled and unfit to continue working. Unfortunately, these individuals do frequently continue to work, due to financial needs, often resulting in further injury that leads to lower extremity amputation (Clement, 1995). Diabetes significantly increases the risk of serious debilitating and life threatening complications if not aggressively treated and tightly controlled. Many devastating disabilities can be minimized if the client has the knowledge and ability to follow through on self-management. All of these issues point toward the need for strong self-care management skills because the Latino migrant adults are the major directors of their own care (in relation to access and migrant status.) As a migrant population, issues of border and border crossing may also influence the health disparities and/or vulnerability of this population. Crossing borders, including the U.S.-Mexico border and state borders within the United States, influences access to health care. of particular concern with this migrant population is the issue of legal documentation to enter the United States. Although the majority of this population has entered the United States legally, some lack this legal documentation (NCFH, 2005). As a result, fear of exposure and identification as undocumented, resulting in deportation, may hinder efforts to seek out healthcare providers. Knowledge of where and from whom to access care becomes an ongoing challenge along the migration path. In addition, members of this population may avail themselves of healthcare on both sides of the border, United States and Mexico, further fragmenting care. Health care availability, funding, and access also vary across U.S. state bo rders as each states regulations and requirements for low income assistance vary. Additionally, these assistance programs are not transferable to neighboring states, further increasing the vulnerability of this migrant population. Border crossing can also result in separation from family and social networks; decreasing, abolishing, or at the very least disrupting resources of social support for health maintenance. Each of these border factors further heightens the risks for poor health. The issues that increase vulnerability of this population are further accentuated by and not separable from border health issues in general. Promoting Self Management Practices Self-management has also been described as caring about oneself, not harming oneself, and having relationships that motivated self-care practices (Leenerts Magilvy, 2000). A large knowledge gap related to self-management in the Latino population exists. This group has a high rate of diabetes complications (CDC, 2003) despite interventions extensively documented in the Anglo population to decrease complication rates. Perhaps the problem relates to a mismatch between the assumptions of self-management among the Latino migrant population (familism worldview) compared to Anglo American individuals (individualistic worldview). Culturally influenced self-management beliefs and practices must be explored and culturally congruent nursing interventions developed. Conclusion A paucity of available research, and the strong cultural ties to familism in the face of the sometimes disrupted family structures characteristic of migrant status, leaves much to conjecture regarding diabetes management practices in this population. The epidemic rate of diabetes in the Latino population, coupled with the vulnerabilities that arise as a result of migrant status, highlights the importance of cultural and social processes of diabetes self-management within the families/households of Latino migrant workers. Understanding gained from this research can guide development of interventions and education programs, utilizing culturally appropriate methods, to enhance the health of this population.

Tuesday, November 12, 2019

Being a successful student is not difficult

Being a successful student is not difficult. Many students are trapped in their busy schedules, but few realize that being a successful student is well within everyone’s capability. The most important factor that comes in is ‘time management. ’ With regular management of time, work does not pile up, leaving more time for the student to pay attention to his/her studies rather than worry about meeting deadlines. Time management also creates an organized and well-thought-out work and study environment, encouraging the student to gain more knowledge.Mismanaged time can be devastating. It may sound exaggerated, but for a student, each minute is important. With work piling up, many begin getting worried, and it gets harder for them to work efficiently, and to their level best. With deadlines to meet, many also give in shabby and mediocre work, which eventually costs them their grades. Mediocre work has its own implications. Overall, a student’s self-esteem takes a nose dive. The cycle goes on.On the contrary, a student who does his/her work on time, with attention gets encouraged, and gets more determined to prove him/herself even better next time. Being a successful student also has a lot to do with presence of mind. Many students remain absent-minded during lectures. This results in poor understanding of the subject, and waste of time. Along with paying attention, one also needs to retain the knowledge gained. In order to do this students ought to note down things.Important points jotted down during lectures are often helpful. Students also need to read from other guide books and reference books in order to enhance their understanding of a subject. This results in through in-depth analysis. Students should also make time to study. Studying again, should be done in a most organized manner, with a deep understanding of the topic. Last but definitely not the least is the desire to be successful. Students who are motivated are always successf ul, no matter what hurdles stand in their path.

Sunday, November 10, 2019

Purpose and Meaning of Education Essay

Outlines: 1. Definition of the Education 2. Education in Islam and its importance 3. Purpose of Education 4. Peace and Prosperity through Education 5. Education as a best weapon 6. Education as a bridge to social and global brotherhood 7. Standard Education across the globe 8. Education can make this world a better place to live on 9. Education, the only survival for Humanity 10. Conclusion Poverty is my pride, struggle is my way of life, education is my weapon and love of Allah is my strength. (Hazrat Mohammad PBUH). Education in its general sense is a form of learning in which knowledge, skills, and habits of a group of people are transferred from one generation to the next through teaching, training, research, or simply through auto-didacticism. Generally, it occurs through any experience that has a formative effect on the way one thinks, feels, or acts. Islam has put great stress on Education. The very first word of the first revelation was â€Å"Iqr’a† means read. The Holy Qur’an emphasizes more that seeking of knowledge is compulsory upon every man woman. Islam has given very clear instructions for the Education and has made it compulsory for all the genders equally. The purpose of education according to Islam is to serve the humanity in every possible way and lead a peaceful life by obeying the commandments of Allah (the only creator of the entire universe). Lack of education is the root cause of every trouble and misery. It is education only by which we can bring change, peace as well as prosperity in the world. Our aim should be clear in this regard that the only possible way to make human life as better as we can is education only. We know very well that education is the only weapon which is the best anti-biotic to every evil cause. We can destroy every evil strength through this weapon and bring desirable changes in every part of the globe. Today when we look at the world we find it divided on the bases of religion, race, colour, caste, creed and tribe. Sectarian and ethnic discrimination has drawn the boundaries of hate and egotism. We can overcome all these by spreading education in the entire world and make it a way towards social and global brotherhood on the basis of humanity. Past history proves that human is the most furious creature on this planet which is why today we see this bloody picture and insecurity all over the world but if we adopt the education in our characters and deeds we can surely make this world a better place to live on. When we speak about standard education it means there should be same and qualitative education across the world so that every human being can seek it in the very same like others do. Standard education will destroy the poverty, misery, and hunger from the world. No any other human doctrine can stop the destruction of human beings except the education as it the need of the hour as well as the only way for the survival of humanity. Conclusion. From the above mentioned facts and realities it is quite clear that the meaning, purpose and cause of education should be to serve the humanity without any kind of discrimination on the basis of equality so that we can make our world a place better to live on peacefully and purposefully.

Friday, November 8, 2019

Remember the Titans Essay Example

Remember the Titans Essay Example Remember the Titans Essay Remember the Titans Essay Coach Boone has been using different source of power run through the whole movie. There are many times when power come into play both on and off the field. At the beginning of the movie, as a black and white football team members clash in racially motivated conflicts; Coach Boone frequently uses legitimate power which refers to the formal authority based on a person’s position in the hierarchy and coercive power which refers to a power base dependent on fear of punishment for noncompliance. The best moment to demonstrate this combination of two types of power is at the beginning of the camp. Bertier comes up to coach Boone and states what is the structure of the team going to be both on offence and defence because he is the only All-American on the team. Coach Boone uses his legitimate power to absolutely flip the situation into the fact that he is now becoming Bertier’s daddy. In addition, Coach Boone uses pressure influence tactic which refers to the use of coercive power through threats and demands. He clearly states that Bertier had better do what Coach Boone wants him to do if he wants to play football on the team. This is a tough situation for Bertier but since Boone effectively used his power, he was able to get the followers to fall into line. At the end of the movie, when the Titans is trailing by 4 points and there is 17 seconds left on the clock, Coach Boone uses referent power and expert power to teach ‘Rev’ change the strategy on the offence since the coach on the other team has already read his game. This change on strategy effectively helps the Titans win the championship. The influence of tactic that Coach Boone uses is consultation. In Remember the Titans the locker room scene where they use verbal humor by calling an individual on a team â€Å"sunshine† because of his golden locks and also by trash talking about each other’s momma’s. This trash talking is the ability to joke around about a sensitive topic such as one’s mom but by this group cohesion that they are forming makes this subject not so sensitive. From the reminding of sunshine’s hair of Bertier’s Momma, to when Lastik complains about his back problem for giving Petey Jone’s mom a piggy back ride. The group cohesion is even more well seen by the singing of â€Å"Ain’t no mountain high enough† when both the African American’s and the White members of the team join in to sing for this team bonding moment. 6) The group conflict between Ray Budds group and the whole idea of allowing African America’s to play on the same team as the whites. This conflict that Ray Budds has with this team conflict is classified as an Ego Conflict. Unlike Simple Conflict where it is just a disagreement over facts and easy to resolve, Ego Conflict is a lot harder to solve because an individual cannot point a finger at the issue but instead has to reach inside his personal well being to solve the problem. His Ego Conflict continues as he finds a common group of individual’s in the movie that agree with his views rather than opening himself to a different group who do not share his views so he can find a solution to his Ego Conflict. We can notice through his facial expression how he shows disgust and hatred towards the African Americans as one of his group members gets involved in singing â€Å"Aint no mountain high enough. † This facial expression is emphasized in this scene because one of his group members joined in to resolve his issue which Ray could have done as well but his Ego was too strongly against this issue to even consider it. 10) At the end of the movie the racial issue between the African American’s and the Whites is finally resolved between the players. The group/team members finally came together for two main reasons from what I saw. The first reason is the most important reason because of the group/team came upon a common goal that they shared which was to win. They realized as a team that if they continued to be segregated they were going to be unable to reach this goal. They also realized that each individual on the team had something to bring, the Interdependence of relying on one another in a specific position helped them realize that they were going to need Petey Jone’s speed and hands as a wide receiver and Gery Bertier leadership to come together to reach this common goal. Another main reason why they came together was the domino theory. As one individual fell and saw the pros of desegregating the team another individual would follow. The coaches in this part played a huge roll because of the leadership they have, as soon as Coach Boon and Coach Bill got on the same page and accepted desegregation the team followed. These choices were all by individual as some of the individuals quit because of this racial war and would not change for the better of themselves and the team.

Wednesday, November 6, 2019

History of the Washing Machine essays

History of the Washing Machine essays As a society that depends on high tech gadgets and gizmos, we tend to overlook the origination of our devices that have been built to simplify our lives. One of the most useful devices that virtually all of North America depends on is the Washing Machine. This is an appliance that has been around in a variety of forms for nearly two and a half centuries, though many would believe it to be a fairly recent invention, perhaps 40 to 50 years passed, as many of our parents and grandparents tell us stories of how they used washboards to clean their clothing. What could possibly have existed before it? The answer; an assortment of other machines as well as methods varying from the cage with wooden rods and a handle that was built in 1782 to the first electric washing machine that was built in the year 1906. Using the friction caused from rubbing clothing against rocks, and rinsing the clothes in a stream in order to clean them, no doubt became a tedious task in a short time. However, the technology did not exist to improve on this method. That is, not until the year of 1782, when the first washing machine was designed by a man named H. Sidgier from Great Britain. This machine consisted of a cage with wooden rods and a handle that was used for turning. Sidgiers design led the age of washing machines into the 1800s when companies began to create machines that used paddles or dollies and were hand operated. This, in turn, led to the invention of the revolving drum in 1851. The patent was made by James King; an American. This machine was similar to the modern machines of today. Later, Harrison Smith produced the same but with a reversing action in 1859. A wringer was added to the designs in 1865. In 1874, William Blackstone, a merchant from Indiana, built his wife a birthday present. He had constructed a machine that would remove and wash away dirt from clothing. Blackstone built and sold his machines...

Sunday, November 3, 2019

Attend an online religious service and describe prior misconceptions Assignment

Attend an online religious service and describe prior misconceptions - Assignment Example The teacher did indeed wear traditional robes, but I was surprised to note that not a single attendee wore anything even resembling a saffron colored robe. Jeans, sweatshirts and western dress was the norm. I learned from watching this that there is no proscribed dress code for attending a Buddhist teaching service, at least not with this teacher. The setting looked like a conference room that was equipped with a microphone so the teacher’s voice filled the room. The room was bright and airy without a single candle. A second misconception I had about Buddhist teaching was that it was more interactive. For some reason, I always pictured the teaching of The Buddha occurring as conversations under that tree. I was surprised to find that the flow of the teaching ceremony closely resembled that of other religions I have attended. In a Christian church, a rough outline of the worship service consists of an invocation, a hymn; the pastor’s message another hymn and then a bened iction. The same was true for this teaching session. The session opened with chanting, the teacher spoke for about an hour and a half on the link between common sense, philosophy and realization, and then several sessions of meditation concluded the meeting. The purposes of the meditation and chanting seemed to serve the same purposes as prayer and congregational singing in a Christian service. I was surprised to see that the two religions operated in such similar ways. A final misconception that disappeared by watching this video was the idea that Buddhist teachings were somehow delivered in riddles. I expected the instruction to be more mystical, more open to interpretation and opaque. What I witnessed was clear instruction on the link between unhappiness and want, desire and ego. The teacher clearly taught how common sense without philosophical depth leads to a shallow existence without a realization of one’s self and the world around us. The teaching was clear, even thoug h the teacher had limited English proficiency. After watching this service, I feel that I have a better grasp on how Buddhists apply the principles of their religion in the modern world. I understood the basic teaching of the Buddha, but I understood them in abstract. This teacher was very adept at using real life situation that occur in modern times to illustrate how to apply the teachings in the lesson. Following the themes of common sense, philosophy and realization, he spoke candidly about applying the teachings of The Buddha in our interpersonal relationships, our relationships with material goods and out perception of ourselves. I learned that Buddhist teachings are compatible with everyday life in a way that I did not understand before viewing this video. The teacher used humor often in his teaching, which was unexpected for me and seemed to make everything updated. I understood that The Buddha taught about how to be happy by overcoming our own desires for wealth, fame and po wer, but I don’t think I realized just how incredibly ingrained these desires are in each one of us, including myself. I gained a deeper understanding through this video of the mindset that is expected in Buddhism. The teacher taught that depending on common sense alone to get us through difficult times alone could lead us to unhappiness because we become self-satisfied and self-centered. We must also have a philosophy

Friday, November 1, 2019

U5ipdb Essay Example | Topics and Well Written Essays - 500 words

U5ipdb - Essay Example She is correct in that it is necessary to complete the billing for medical procedures in a timely fashion so that claims are properly processed, but not at the expense of coding those procedures incorrectly. Luckily, today’s world is full of a wealth of resources that Jan can turn to outside of printed media. Jan is most likely not dealing with codes that cannot be found properly. What she is doing is looking in the wrong place. She is looking where there are limited resources and giving up too easily and taking the easy road out. One of the best resources for her to utilize for this challenge would be the Internet. It is easy to find CPT codes on the Internet, even the new ones. All she needs to do is choose a search engine such as Google, select a proper search string to indicate what she is looking for and she is liable to easily find it. This is how I would handle the situation differently when using CPT codes that are not listed. One challenge of using the aforementioned method for finding unlisted, newer CPT codes is ensuring that the codes are accurate. It would be necessary for Jan to check the supplier and sponsor(s) of the website she chooses in order to determine whether not the resource is reliable. According to Avila-Weil and Regan (2007, pg. 230), â€Å"The ethics of coding, as in every professiona and business, is built on a solid foundation of moral standards which are applied to coding policies and procedures. These standards include integrity, honesty, competence, respect, fairness, trust, and courage. It is the responsibility of coding and health care professionals to establish and adopt ethical policies regarding billing and reimbursement, implement the policies comprehensively, and monitor the consistently, making corrective changes when necessary. It stands to reason from the aforementioned information that anyone who violates the standards of integrity,