Bio Medicine Essay Example for Free

Bio Medicine Essay Two Cathy Ann Wilson-Bates Western Governors University EVIDENCE-BASED PRACTICE & APPLIED NURSING RESEARCH EBP 1 Brenda Luther, PhD, RN January 25, 2012 Task Two Introduction: What I have learned about working with children in a chronic healthcare setting like dialysis is that they are resilient beings with the propensity for rapid changes in their medical condition. Children almost always surprise me in their unique description of symptoms and pain. Depending on their age, they may not be able to describe the symptoms they feel or tell me â€Å"where it hurts†. A simple ear ache may be described as a â€Å"drum in my ear† or may be observed with non verbal cues like tugging on the ear. Acute Otitis Media is seen quite often during the cold and flu season. Recent clinical guidelines suggest waiting twenty four to seventy two hours before beginning antibiotic therapy. Parents of children with symptoms of otitis media are accustomed to receiving a prescription for antibiotics before they leave the medical office. Adults as well are preconditioned for the little white slip of paper from their physician. Waiting twenty four to seventy two hours to evaluate the need for antibiotics will definitely reduce the over-prescription of antibiotics as well as their efficacy. The waiting and watching of several days may seem like an eternity to a parent caring for a sick and crying child. Educating parents during routine visits to the physician office about the risks of over-prescribing antibiotics will help when the physician needs to discuss the possibility of waiting and evaluating before prescribing antibiotics. Providing a list of comfort measures parents can follow may help relieve the anxiety they have in caring for a sick child. Any comfort measure taken to reduce crying is helpful to the parent of a sick child, but mostly to the child. The following table and paragraphs will share the results of how one group of nurses at an outpatient clinic used clinical evidence to manage this situation. Source |Type of Resource |Source appropriate or |Type of Research | | |general information, |inappropriate |primary research evidence, | | |filtered, or unfiltered | |evidence summary, evidence-based | | | | |guideline, or none of these | |American Academy of Pediatrics and American Academy of|Filtered |Appropriate |Evidence-based guideline | |Family Physicians. Clinical practice guideline: | | | | |Diagnosis and management of acute otitis media. | | | |Causative pathogens, antibiotic resistance and |Unfiltered |Appropriate |Evidence-based guideline | |therapeutic considerations in acute otitis media . | | | | |Pediatric Infectious Disease Journal. | | | | |Ear, nose, and Throat, Current pediatric diagnosis and|General |Inappropriate |None of these | |treatment. | | | | |Treatment of acute otitis media in an era of |Filtered |Appropriate |Evidence –based guideline | |increasing microbial resistance. Pediatric Infectious| | | | |Disease Journal | | | | |Results from interviews with parents who have brought |Unfiltered |Appropriate |Primary research evidence | |their children into the clinic for acute otitis media. | | | | | | | | | Subcommittee on Management of Acute Otitis Media. (2004). American Academy of Pediatrics and American Academy of Family Physicians. Clinical Practice Guidelines: Diagnosis and Manegment of Acute Otitis Media. American Academy of Pediatrics , Vol. 13 No 5 1451-1465. This article is an evidence-based clinical guideline. It is a systematic review making it a filtered resource which is very appropriate for this situation. The article describes the current, (as of 2004) recommendations for the diagnosis and management of Acute Otitis Media (Subcommittee on Management of Acute Otitis Media, 2004). These guidelines show several different ways to treat acute otitis media depending on the symptoms of the child. It states that sometimes waiting to give antibioti cs is good and sometimes waiting to give antibiotics is not good. This article is appropriate and provides clarity on the topic. Block, S. L. (1997). Causative pathogens, antibiotic resistance and therapeutic considerations in acute otitis media. The Pediatric Infectious disease Journal , Volume 16 (4) pp 449-456. This article discusses antibiotic resistance and describes the bacterial pathogens which are responsible for infections causing acute otitis media. This article is appropriate. It contains a comparison of studies performed based on the different types of bacteria which cause acute otitis media. It stresses the importance of identifying the bacteria causing the infection before giving antibiotics so that number one the bacteria can be eradicated and other bacteria will not become resistant (Block, 1997). PE Kelley, N. F. (2006). Ear, Nose and. In M. L. W. W. Hay, Current Pediatric Diagnoisis and Treatment (pp. 459-492). Lang. This textbook source contains general information on the ear, nose and throat. There is much more information here regarding basic anatomy and physiology as well as characteristics of the ear nose and throat. The information regarding otitis media is basic and not an appropriate source of research in this situation for three reasons. Number one, the information is very basic, number two, it does not give any up to date information on how to treat this type of infection, and number three there is too much non-relevant information. McCracken, G. H. (1998). Treatment of acute otitis media in an era of increasing microbial resistance. The Pediatric Infectious Disease Journal , Volume 17(6) pp576-579. This article is a review of the known etiologies that may cause acute otitis media. The article gives up to date information on therapeutic approaches when selecting an appropriate antibiotic therapy. We don’t practice â€Å"cookie cutter† medicine. The same prescription is not always right for all patients or all communities where some bacteria’s may be more prevalent than others (McCracken, 1998). This is appropriate information for this group of people or community. media, P. o. (n. d. ). Interviews. (C. nurses, Interviewer) This set of interviews is simply raw data. General information can however provide great insight as to what is happening out in the community. For example, this information might shed light on the fact that if the parents are willing to hold off on antibiotics for example, would they be more likely to follow up and come back into the clinic when asked? The reaction of parents is dependent upon other several basic factors like finances, a belief system and possibly the ability to obtain transportation. Knowing how the community is going to respond to their choice may have a great effect on the decisions they make. When evaluating the findings of these sources cumulatively, one must first determine the causative pathogens infecting patients in this given community with acute otitis media. After pathogen determination we can determine which antibiotics may be most useful in eradicating the given bacteria. Careful selection of antibiotic therapy will reduce the propensity for antibiotic resistance. Watchful waiting may be a good thing from the perspective of increasing microbial resistance however we must always evaluate patients on their individual needs or on a patient by patient case. One size doesn’t always fit all. Patient education is the key to keeping the public informed of current practice. Physicians and Nurses need to be consistent in the lesson plan shared with patients and remain true to our scope of practice. Communication is essential between the physician, nurse and other multidisciplinary team members in order to provide the best care. There are many considerations in assessing if patients are able to withstand the waiting and evaluation period. Low income families are one example of how the waiting and watching method might not work. Parents may have to take time off work to come to clinic with a sick child. They might struggle finding money for the additional return trip to the clinic and may risk losing their job if they take more time off work. Many low income families may have already waited before seeking help thus creating their own watchful waiting period. They also may not be able to afford antibiotics and as a result may not give the full dose if symptoms have subsided. The perception is that they will save the medication for the next time symptoms arise. Confidentiality might be an issue in smaller communities. People tend to be concerned about neighbors and co-workers and some may not care to share their experience with others. This may be an issue for parents who don’t share custody as in the case of divorce. It is a greater issue when parents or partners don’t share the same fundamental values, especially those related to healthcare. Conclusion: Watchful waiting like the nurses in this clinic are looking at may be useful for some of the patients, but not all. Again, a one size fits all philosophy is not always appropriate in healthcare. Tools like algorithms may be helpful in determining the appropriateness for watching and waiting versus immediate action as determined by physical findings and social circumstances like parental adherence for follow up and ability to afford treatment. Whatever course you choose, watchful waiting or immediate antibiotics the best practice remains a plan of care based on the individual needs of our patients. References Block, S. L. (1997). Causative pathogens, antibiotic resistance and therapeutic considerations in acute otitis media. The Pediatric Infectious disease Journal , Volume 16 (4) pp 449-456. McCracken, G. H. (1998). Treatment of acute otitis media in an era of increasing microbial resistance. The Pediatric Infectious Disease Journal , Volume 17(6) pp576-579. media, P. o. (n. d. ). Interviews. (C. nurses, Interviewer) PE Kelley, N. F. (2006). Ear, Nose and. In M. L. W. W. Hay, Current Pediatric Diagnoisis and Treatment (pp. 459-492). Lang. Subcommittee on Management of Acute Otitis Media. (2004). American Academy of Pediatrics and American Academy of Family Physicians. Clinical Practice Guidelines: Diagnosis and Manegment of Acute Otitis Media. American Academy of Pediatrics , Vol. 113 No 5 1451-1465. Bio Medicine. (2018, Oct 22).

Kola King Advertising Essay Example | Topics and Well Written Essays - 250 words

Kola King Advertising - Essay Example This will help us get in touch with a wide variety of consumers, specifically the kids and young adults. Summer is a great time to enjoy the outdoors, spend time with the family, and enjoy cool, refreshing drinks. So why not enjoy the summer with us? With a dedicated team of trained professionals, the campaign will kick off on the first of June. All team members will be wearing T-shirts and caps featuring the unique King Kola logo and design. There will be numerous stalls and tables strategically designated around the metro area handing out King Kola brochures and pamphlets detailing product info and company history. There will be skilled team members at each place ready to answer consumer questions and concerns. One main location will be picked to hold regular weekend BBQ’s where people and families from all over will be able to enjoy the summer fun and get a taste of our new product, King Kola. Staff will be available handing out free samples of the product along with short surveys to gather consumer opinions and feedback. A local celebrity or spokesperson will be sponsored for the campaign and be fully trained about the product and its uniqueness. The celebrity will be present at the summer BBQ’s and share in with the consumers’ experience.

Perception and Evaluation of Risk and Uncertainty Essay

Perception and Evaluation of Risk and Uncertainty - Essay Example This research will help in knowing public responses to any new technology and the development of new risk management strategies. Social and cultural factors affect perception and acceptance of risk. This is because people try to emphasize on particular risks that they see as important, in order to control what others are thinking and make them believe them, all in trying to make sense out of what is happening to the world mostly through new technology. Starrs research concluded that acceptability of risk from an activity is roughly proportional to the third power of the benefits for that activity and the public will accept risks from voluntary activities (such as skiing) that are roughly 1000 times as great as it would tolerate from involuntary hazards (such as food preservatives) that provide the same level of benefits (Slovic, 1987, 282). Also studies have shown that perception of risk can be quantifiable and predictable. There are models that are used to show the relation between perceptions, behavior and qualitative characteristics of hazards. These models are: Factor-Analytic Representations and Accidents as Signals. Eventually riskiness means a lot to people than expected number of fatalities. In order to carry out a good research, both parties, the public and the experts have to contribute on how they perceive risk. Risk assessment is a methodology used for evaluating the environmental risks of new technologies. Agriculture has evolved since the early 1940s in order to provide enough food for various countries, but the need of taking great care of the environment has increased and rules and regulations have been made to protect the environment. Risk assessment also involves the process of identifying risks and their seriousness, so that decisions can be made on whether or not the technology should be used and how to proceed with it. However, risk assessment has its own serious limitations. This is

Science vs Aging Essay -- Research Papers Essays

Science vs Aging Thesis Statement: Health care and science resources should be conservatively allocated to our aging population, focusing on providing quality to the aging years without draining assets in a reckless attempt to extend life. Introduction: The demographic projections in the United Sates are significant. Between 1982 and 2030 the median age will move from 30.6 to 40.8 years and the proportion of the population over 65 will go from 11.6 to 21.1 percent (Committee on the Aging Society, 1985). Persons over 85 are the fastest growing age group, 21 times more numerous than in 1900 (Callahan, 1995). This is also an international issue; by 2040 most developed countries will have 30 percent of their population over 60 (Hanson, 1994). These figures demand our attention on issues of aging. Most elderly need economic assistance and are significantly dependent on lower age groups. In the 1930's most of the elderly lived below the poverty line. Social Security helped reduce this figure to 15.7 percent by 1980. 80 year-olds receive 50% percent of their yearly income from social security (Committee on the Aging Society, 1985). The rest of their income often comes from pension plans or family funds. Elderly populations consume significantly more medical resources than other age groups. In 1984 elderly were 12% of our population, but consumed 31% of medical resources; by 2040 they are expected to consume 45 %. The Federal Government currently spends approximately $200 billion on health care for the elderly, which still only covers 67% of the expenditures. The remaining 33%, or $100 billion, must be covered by elderly and their families (Callahan, 1995). These economic expenditures have social conseq... ...the Aging Society. (1985). Aging America: Health in a Older Society. Washington DC: National Academic Press. 7. Finch, C. E. (1978). The Brain and Aging. In The Biology of Aging (pp.301-309). New York: Plenum Press. 8. Fries, James F. (1986). The Compression of Morbidity. Milbank Memorial Fund Quarterly, 61: 3, 347-355. 9. Hanson, Mark J. (1994). How we Treat the Elderly. Hastings Center Report, 24:5, 4-8. PMID: 8002311 10. Harley, Calvin B. (1996). Telomeres. In Encyclopedia of Gerontology (Vol. 2, pp. 539-543). Washington DC: Academic Press. 11. Kirkwood, T. B. (1977). Evolution of Aging. Nature, 270:2, 301-304. 12. May, William F. (1996). Testing the Medical Covenant. Grand Rapids: Eerdmans Publishing. 13. Moody, Henry H. (1994). Four Scenarios for an Aging Population. Hastings Center Report, 24:5, 32-34. PMID: 8002308

An Introduction to Macroeconomics

Homework #1 Problem #1 Q: Use the supply and demand framework in the labor market to explain why employment has grown rapidly in the United States in recent decades while at the same time there has been a slowdown in real-wage growth. A: With the growth of both supply and demand in the US, we can see that the quantity of labor needed has increased. In the same time the wages have not increased that much, because if we have an increase in both supply and demand we will have a shift to the right of the equilibrium, which basically shows an increase in quantity of labor but not wages paid.Problem #2 Q: In a small town of 100 people, there are 10 children under 16, 10 retired people, 60 people with full-time jobs, 3 people with part-time jobs, 3 full-time students over 16, and 4 full-time homemakers. The remaining people did not have jobs, but wanted jobs. All but one of these had actively looked for a job in the previous four weeks. What is the unemployment rate in this town? Show your work.A: 100 (total number of people) – 10 (children under 16) – 10 (retired) – 4 (homemakers who are not part of the labor force) – 3 (fulltime students) – 1 (not searching for job) = 72 people labor force 72 (labor force) – 60 (full time jobs) – 3 (part-time jobs) = 9 (unemployed but seeking jobs) Employment rate = employed/labor force = (labor force – unemployed)/ labor force = 63/72 = 0. 875 = 87. 5% Unemployment rate = unemployed/labor force = 9/72 = 0. 125 = 12. 5% Problem #3 Q: High Tech, Inc. produces plastic chairs that sell for $12 each. The following table provides information about how many plastic chairs can be produced per hour.Assume that apart from labor there are additional production cost of $2 per chair. How many workers will be hired if the hourly wage for workers is $70? A: # of Workers| Chairs Produced| Income| Prod. Cost| Wage| Net Income| 1| 10| 120| 20| 70| 30| 2| 18| 216| 36| 140| 40| 3| 24| 288| 48| 21 0| 30| 4| 28| 336| 56| 280| 0| 5| 30| 360| 60| 350| -50| There will be hired only 2 workers, because after one hour of production and paying for the work, with 2 workers the company will have the highest net income equal to $40. Problem #4 Q: A report indicated that the average real wage in manufacturing declined by 2% between 1990 and 2000.If the CPI equaled 1. 30 in 1990, 1. 69 in 2000, and the average nominal wage in manufacturing was $35 in 2000, what was the average nominal wage in manufacturing in 1990? A: Year| CPI| Nominal Salary| Real Salary| 1990| 1. 30| $x| $(y+2%)| 2000| 1. 69| $35| $y| Y=35/1. 69=20. 71 (Real Salary for 2000) Y+2%= 20. 71 + 20. 71*0. 02=21. 1242 (Real Salary for 1990) X= 21. 1242*1. 30=27. 4614 (Nominal Salary for 1990) Problem #5 Q: A labor contract provides for a first-year wage of $10 per hour, and specifies that the real wage will rise by 3 percent in the second year of the contract and by another 3 percent in the third year.The CPI is 1. 00 in the first year, 1. 07 in the second year, and 1. 15 in the third year. What dollar wage must be paid in the third year? A: Year| CPI| Nominal Salary| Real Salary| 1| 1. 00| 10| Y1=10| 2| 1. 07| X1| Y2=(Y1+3%)| 3| 1. 15| X2| Y3=(Y2+3%)| Y2 = 10+10*0. 03 = 10. 3 (Real Salary Second Year) Y3 = 10. 3 + 10. 3*0. 03 = 10. 609 (Real Salary Third Year) X1 = 10. 3*1. 07 = 11. 021 (Nominal Salary Second Year) X2 = 10. 609*1. 15 = 12. 20 (Nominal Salary Third Year)

Sports As A Tool For Development Of Social Character...

Over seventy percent of adolescents play sports (Uzoma, 2015). Athletics can be used for the development of social character, values of teamwork, sacrifice, and obedience (Rudd Stoll, 2004). The sports world offers social opportunities for adolescents (Rutten, Schuengel, Dirks, Stams, Biesta, Hoeksma, 2011). Participating in sports as adolescents may help with learning how to respect the community, peers, family, and themselves (Berlin, Dworkin, Eames, Menconi, Perkins, 2007). Sports may affect social character growth and development. The purpose of the paper was to understand how peer interaction, the influences of parents and coaches, and the cognitive choices of the adolescent impact character development. (Bowers, Green, Hemme, †¦show more content†¦Peer interaction can have a direct influence of confidence and motivation. Adolescents can use the lessons they learn as motivation to continue to improve themselves (Nicholas as cited in Hwang et al., 2017). A study was conducted to determine how confidence and setting goals in sports impacted social development through peer interaction. The study observed the potential impact of adolescents watching peers perform. The study found that peers did not directly impact physical improvement, but instead positively impacted cognitive and resilience improvements. These improvements help build their mental state through an understanding of what went wrong and how to fix it for the future (Hwang et al., 2017). Sports may help an adolescent learn conflict resolution and criticism. For example, if the adolescent makes a mistake on the court or field, the peer may give advice on how to fix it. The development of character may come from the adolescent’s willingness to accept the criticism in a positive way. Development can also come from the adolescent’s ability to reciprocate encouraging criticism to a peer. Both ways may be useful in helping adolescent development (Smith, 2002). Peer relationships may promote positive social behavior. Peer interactions through activity can make the adolescent feel more accepted in society. â€Å"Peers are not only important to the acquisition of competence information in competitive sport settings, but also moreShow MoreRelatedEducator Training Essay1026 Words   |  5 PagesTraining should cover good work ethic and commitment to students and program; respect for the program rules, game rules, students, opponents, and officials; mistakes and acknowledging them in a positive format promoting correction and self-improvement; social conventions like to complement for jobs well-done, handshakes and displaying good losing and winning habits; and avoiding arrogances during competition. SLT training is known to â€Å"change coach behavior and raise coaching standards† (Stoszkowski CollinsRead MoreWhat Drives A Coach Winning Or The Development Of Players?1205 Words   |  5 PagesWhat drives a coach winning or the develop ment of players? We as coaches have taken on a role of responsibility that means a lot to athletes, families and communities. Playing athletics of any sort will teach you many life lessons. But within any work force, you have to produce or make some form of progress. With that being said a major factor when it comes to coaching is, what do you value more? The development of your players or winning games to look good or satisfy some internal drive? SinceRead MoreThe Effects Of Media On The Media Influences Viewers1587 Words   |  7 Pagesspecific ideas to the adult viewer. Viewers aren’t limited to racial bias when other races are on the screen, but are also susceptible when races aren’t included. As a strong and influential tool, television uses both obvious and subtle racial bias to influence its viewers. Television is a strong and influential tool. To first understand why television has a strong influence on its viewer’s, it is important to know some basic facts. According to Nielsen’s National Television Household Universe EstimatesRead MoreYouth Sports and Character Development3975 Words   |  16 PagesYouth Sports and Character Development Introduction Character development is not something that can be gained or developed over night. Character development is the multiple life skills that an individual builds within themself throughout their lifespan. When a person develops good character in their early years of life, they will benefit in the long run because they used the life skills they gained and put them to use, becoming a successful individual in all aspects of life. There is one thingRead MoreHistory Of Commonwealth Facilities Used For Commonwealth Games1339 Words   |  6 Pagesapproval from minister of planning in July 2008 for redevelopment plan Perry Lakes sport facilities used for commonwealth games venue in 1962 to become a new residential area. The Landcorp proposed to subdivide the area to build four type housing with a unique characteristic. The character of the building could help the redevelopment to achieve the goals which will believe to benefit the existing community for example a sport facility in AK reserves would have new funding to increase facilities from PerryRead MoreEugene Sandow s Bodybuilding And The Bodybuilding Industry997 Words   |  4 Pagesbodybuilding industry is as big as ever as more people are interested in achieving their ideal physique. The image of bodybuilders is still viewed negatively by the public. When people hear of bodybuilding, they most often think of big, steroid abusing â€Å"tools† that are obsessed with gaining muscle. They fail to observe the deeper reasoning behind bodybuilding. Fictional accounts of bodybuilders, endured by writers who did not experience the lifestyle, is a moral transgression. It is a moral transgressionRead MoreWhat Children Learn in Sports1429 Words   |  6 PagesWhen I participated in a local youth sports football league years ago, every time I got done with a game or practice, the first thing my parents would ask me is if I had fun. The usual answer would come out of the 12 year old mind â€Å"Yeah†, and I never thought about this question until I made it to my high school years. Until then, I thought the only reason I did the sport then was to hang out with my friends, do something I always see college or professionals do, or to impress my parents or someoneRead MoreHow For Making Friends And Keeping Them By L. K. Brown900 Words   |  4 Pagesthat may arise. The book uses dialogue and colourful illustrations to provide examples on what a good and bad friend looks like. This book would be helpful to children because the ability to make and maintain friendships is a measurement of social development and competence. Difficult situations like rejection, bullies, arguments and shyness are covered by the book so children are aware of and know how to approach these problems that may come up when forming friendships. Parents and caregivers wouldRead MoreSports Journalism : Sports And Physical Education956 Words   |  4 Pages Sports journalism does not only include sport and physical education, but also all the public events. These events can have an economic, political, cultural character and thus have a certain sporting value, to generate interest among the audience of sports media. Often enough it is difficult to differentiate which would be the best to carry a number of phenomena that are directly related to the sport, but at the heart of its existing principles other adjacent spheres of social life. As an eloquentRead MoreHit A Six With Australia s National Identity1465 Words   |  6 PagesArgument Since colonial times, sporting successes especially in cricket have assisted the emerging nation of Australia to establish its identity. The prevalence of cricket in Australia constitutes what Markovits and Hellerman (2001) coin a, â€Å"hegemonic sports culture†, and subsequently represents an influential part of Australian culture. However, the modernity discourse undermines the degree to which Australian identity is taking into account British Legacy.Today the Australian culture is comprised of

Compare And Contrast The Little Mermaid Original Story

The little mermaid original story is dark and Intended for a more mature reader than the Disney movie the little mermaid. The original l story is sad and gruesome while the Disney movie is full of cute sea animal and singing. In the Disney movie, Ariel is naturally beautiful and has everything she could ever want, while in the original story she has to work for it, her grandmother quotes ‘’you must put up with a great deal to keep up appearance’’. Both are alike in a way, both are playful and have a moral to the story. Although they are somewhat alike the morals are completely different and so is the ending. In the movie, she gets married to the prince and lives happily ever after.but in the original story†¦show more content†¦Once the little she had laid eyes on the prince she could not take her eyes off the prince. Both the story and movie explain how she saved the price from a shipwreck. But in the original version is much darker she risked her life to save the prince. Another big difference is that in the original story is that when the little mermaid asked if humans live forever her grandmother tells her ‘’they too must die and their lifetimes are even shorter than ours. We can live to be three hundred years old.but when we perish, we turn into foam on the sea and we have not even a grave down here among our dear ones, we have no immortal soul no life hereafter’’. The Disney version does not have that. Both versions explains her curiosity for the human world. From reading the story and watching the Disney movie you can comprehend that she wants to live among the humans. But a big difference in the two stores is that you have to have the human truly love you in order to get a soul. She must have the prince fall in love with her that he would give her his soul. So they both would have a soul. What especially makes the original version, so dark it that when she went to see the sea witch for help to turn human it was a very dark and painful process. The little mermaid had to give up her voice, she had to win the princes love by her and characteristic. The witch said ‘’ stick out your little tough and I shall cut it off’’. That doesn’t happen in the movie. Also in the movie, allShow MoreRelated The Serpent-Vampire in Keats Lamia Essay3101 Words   |  13 Pagesmight also remind ourselves here that the gods of Homer involve themselves in human affairs at least in part because only vicariously can they experience deeply. They have nothing to risk in their Olympian and changeless world. When Aphrodite loses a little ichor from a wound from Diomedes sword, she suffers no harm. Perhaps this cloying perfection palls for the gods themselves, as it has for Odysseus as he sits weeping by the ocean: The sweet days of his life time Were running out in anguishRead MoreCalculus Oaper13589 Words   |  55 Pagesas marginal beings Given Miller s title I find this astonishing. However, the favorable reviews the book has received in feminist journals, including Signs and Spokeswoman, suggest that Miller s heterocentric assumptions are widely shared In The Mermaid and the Minotaur Sexual Arrangements and the Human Malaise, Dorothy Dinnerstein makes an impassioned argument for the sharing of parenting between women and men and for an end to what she perceives as the male/female symbiosis of gender arrangements