The Effects of Dota Game Among the Players Free Essays

There are many students and even some young professionals that are addicted to DotA. This is one of the computer games that can be played by many players and is one of the most popular games to young students. Many students get addicted to this game and they even spend long hours inside the computer shop just to play the game. We will write a custom essay sample on The Effects of Dota Game Among the Players or any similar topic only for you Order Now There are studies that getting addicted in playing computer games affects their studies and this is the cause why they are lying to their parents that they need extra money for their school project but the truth is they are just using the money to rent a computer where they can play DotA with their classmates. Sometimes, in order to make the game exciting, they have a deal to pay those who won the game, so it already becomes a form of gambling. When time spent on the computer playing DotA games or cruising the Internet reaches to the point when it harms a child’s or adult’s family and social relationships, or disrupts school or work life, that person may be caught in a cycle of addiction. Like other addictions, DotA game has replaced friends and family as the source of a person’s emotional life. Increasingly, to feel good, the addicted person spends more time playing video games or searching the Internet. Time away from the computer or game causes moodiness or withdrawal. When a person spends up to ten hours a day or more rearranging or sending files, playing games, surfing the net, visiting chat rooms, instant messaging, and reading emails, that easily can reach up to seventy to eighty hours a week on-line with the computer and will result to major disruptions from work, school, and in social life. How to cite The Effects of Dota Game Among the Players, Papers

Disease Management on Treatment Adherence and Patient

Question: Discuss about the Disease Management on Treatment Adherence and Patient. Answer: The role of healthcare team members in the research process The healthcare team involves professionals from different specialized domain including clinicians, health care researcher, registered nurse, physician, technician, clinical decision makers, social workers, and resource manager and information coordinator. Each of the team members are assigned with a specific work in the research process. The clinicians are the heart of medical decision making. While conducting a research work, they provide efficient data about diagnostic or treatment choice, if there is lack of information in the tem for the research topic (Boswell and Cannon 2012). On the other hand, health care researchers gather and analyze the evidence from multiple sources on recent available treatment options. The healthcare policy makers plan public health policies on the basis of evidence-based research findings. Technicians provide information and include innovative technological support for improving research findings. The resource manager handles all the resource related a spects including the economic aspects of the research. Information coordinator coordinates information gathered from all the resources and the team members and arranges this information in a systematic manner (Munhall 2012). Registered nurse, clinical and play a pivotal role to ensure clinical research are running smoothly and participants are safe and fully informed. Research and evidence based practice is widely used in current clinical practice. Thus, based on new trends in research, the areas of nursing and clinical health care have been changed in several ways. For instance, the role of nurses has been changed a lot based on the research and evidence-based framework. In current practice, emergence of specialized role like CNS, CNR, CNL and DNP has contributed significantly in the improvement of nursing and clinical health care practice. CNS (Clinical nurse specialist) is a registered nurse, who has additional responsibilities in clinical education and responsibility.CNS is able to link research to practice, thereby enhancing the effectiveness of clinical practice (Grove et al. 2014). CNR (Clinical nurse researcher) is a nurse with clinical and research experience, who can utilize her potential in both research and clinical practice. The emerging role of CNL (clinical nurse leader) and DNP (doctorate in nursing practice) has contributed potent ially to the advancement of collaborative nursing research and EBP. The quality of a health care unit is determined with the parameters related to the prevention of diseases and acute care. The chronic disease and palliative care management are few of the other areas, which determine the performance of the modern day health care system (Taylor et al. 2014). In the context of the modern days, where the total numbers of patients with chronic disease are increasing, it is essential that the department of the chronic disease management requires further improvement with the help of further research. The chronic diseases, including diabetes, high blood pressure and many more are few of the major health issues in the modern days (Hamine et al. 2015). The chronic disease management in the modern days will help the general physicians to plan the treatment of the patients. The research needs to focus on multi-disciplinary approach of the chronic disease. The symptoms of the chronic disease in the longer terms have the potential to provide long term damage to the organ system of the body. With the help of the further research it is possible to judge whether a patients is eligible for chronic disease management. This will help the general physicians to deal provide care to the patients with critical conditions. The chronic disease management will a lso help to determine the role of individual nurse and health care workers in taking care of the patients. It is also the duty of the chronic disease management to determine the lifestyle routine of patients, which is also an important part besides providing fixed medications. As the chronic disease like cancer requires long term care, it is essential that along with the chronic disease management, the long-term care management can work in collaboration with each other. It is essential for the chronic disease department have the capability to diagnose the disease as in many occasions the disease goes undetected and thereby cause harm to internal organs in silence. With the help of proper diagnosis it is possible to plan for the long-term care, which is needed for the individual patients. Equity and fairness is very important in nursing practice, i.e. clinical practice or research work. Fair inclusion and equitable treatment instead of gender or age discrimination is important in nursing research, especially, as the research is related to the health and wellbeing of the participants. Individuals have similar rights to get treatment. However, based on the age group, treatment consideration can be different, which may involve palliative care. Nevertheless, the gender consideration or discrimination based on gender, should not take place in the research work or clinical practice (Munhall 2012). The participants should indiscriminately treat or considered eliminating sexual orientation, gender or age. The ethical issues in the research are one of the prime areas of concerns for the investigators. Privacy and confidentially is helps to ensures that all the data and information, which are being published in the research work and published prior to taking permission from the concern individual or organization (Waycott et al. 2015). The researchers also need to take permission from the participants before conducting the survey. The participants also need to have full cooperation while providing answer to the survey questions. Health and safety is another important area of concerns for the research ethics. The research design in this current study is a descriptive observational study design in a quantitative framework, by using survey at one time-point. Method/s of data collection The researcher used the primary data, which is obtained from the survey of the at the Nursing college. The survey questionnaire was designed using the technique of Kryiacos of 2011. The physiological variables of the participants were used as the basis of like the heart rate, respiration, urine output and systolic BP. The range of normal temperature was used as the basis to describe the oxygen saturation level of an individual. The responds, which were obtained was evaluated with the help of the single parameters and is marked 1 to 3. The level of clinical risk was indicated with the help of the scale of the National Early Warning Score (Leonard and Kyriacos et al. 2015). Findings/results Only 43.5% of the total respondents had completed the survey. Most of the final year female students belonged to the age category of 25 years and have Afrikaans as their first language. There was a statistical association between the gender and the choice of language. Most of the respondents have the ability to detect the early signs of deterioration. Overall 288 responses were obtained from the category of high score of MEWS 3, 226 from MEWS 2 and 96 from MEWS 1, which is low score(Leonard and Kyriacos et al. 2015). Dissemination of findings For disseminating the findings of the study, authors published their research findings in the journal named Nurse Education Today, which is being published by the Elsevier publisher, which has its headquarter in Amsterdam, Netherland. Any age and gender issues From the survey results, it has been observed that most of the respondents were female, which is 85.7 %. Therefore, a significant preference for women has been found, which might affected the research findings. In addition, gender discrimination was also observed as, only 3.9 % has been seen to had a previous certification in nursing, which is 80.5 % in case of 62/77 age group. Any cultural or religious issues One key cultural issue has been identified in the research, which is the linguistic barrier. Author provided the instruction only in English language. However, most of the participants had Afrikaans and IsiXhosa as the first language, thus they might not be able to understand the survey questions. From the result of survey it has been revealed only 13 % respondents had a language preference for English and most language preference was towards Afrikaans and then for isiXhosa, which are of 42.9 % and 40.3 % respectively. Reference Boswell, C. and Cannon, S., 2012. Introduction to nursing research. Jones Bartlett Publishers. Grove, S.K., Burns, N. and Gray, J.R., 2014. Understanding nursing research: Building an evidence-based practice. Elsevier Health Sciences. Hamine, S., Gerth-Guyette, E., Faulx, D., Green, B.B. and Ginsburg, A.S., 2015. Impact of mHealth chronic disease management on treatment adherence and patient outcomes: a systematic review.Journal of medical Internet research,17(2), p.e52. Leonard, M.M. and Kyriacos, U., 2015. Student nurses recognition of early signs of abnormal vital sign recordings.Nurse education today,35(9), pp.e11-e18. Munhall, P.L., 2012.Nursing research. Jones Bartlett Learning. Nieswiadomy, R.M., 2011. Foundations in nursing research. Pearson Higher Ed. Taylor, M.J., McNicholas, C., Nicolay, C., Darzi, A., Bell, D. and Reed, J.E., 2014. Systematic review of the application of the plandostudyact method to improve quality in healthcare.BMJ quality safety,23(4), pp.290-298. Waycott, J., Guillemin, M., Warr, D.J., Cox, S., Drew, S. and Howell, C., 2015. Re/formulating Ethical Issues for Visual Research Methods.Visual Methodologies,3(2), pp.4-15.

The Affordable Healthcare Act free essay sample

Abstract This paper explores the anticipated affects of The Affordable Healthcare Act, on Medicare coverage and the overall cost of medical care. This paper will serve to provide a succinct overview of the expected changes. The Affordable Healthcare Act: Analysis of the Affects on Medicare Coverage and Medical Care Cost For many decades there has been mounting concern over the cost of healthcare, the availability of coverage, and the future of Medicare. Few agree exactly as to what is the best plan of action. Nevertheless, most people do believe that something has to be done about the current state of affairs regarding healthcare. The trend has been ballooning cost, reduced coverage availability, and skyrocketing indigent care. While the American population struggled to cover the expenses related to caring for an ever aging and chronically ill population. Although The Affordable Healthcare Act may not be everyone’s chosen solution to these problems, it is the law. We will write a custom essay sample on The Affordable Healthcare Act or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Therefore, we must become familiar with it, and learn ways to make these legislative changes mutually benefit both patients and the healthcare industry. Medicare is health care for the aged; a federally administered system of health insurance available to persons aged 65 and over. For most elder Americans, Medicare is the only means by which they can receive coverage for health services. It’s no wonder that many become very apprehensive about changes to this program and the coverage. According to Medicare.gov (2013): Medicare isn’t part of the Health Insurance Marketplace established by ACA, so you dont have to replace your Medicare coverage with Marketplace coverage. No matter how you get Medicare, whether through Original Medicare or a Medicare Advantage Plan, you’ll still have the same benefits and security you have now. Many Medicare recipients have been afraid of the changes the Affordable Healthcare Act would have on their coverage. Although the government has ensured that Medicare will be strengthened by  reform, there are many proposed cuts to what Medicare will cover for certain services. This may indirectly affect Medicare recipients due to a lower Medicare participation rate by many physicians. Physicians already feel Medicare’s coverage is low based on their standard, further cuts may mean less providers accepting Medicare. One of the primary goals of The Affordable Healthcare Act is to reduce healthcare spending. One area the government seeks to reduce expenditures is in the direct cost of medical services. This is a divisive issue, due to the personal nature of healthcare. On one side healthcare providers fear that cuts will mean less revenue, they are joined by patients that fear cuts will result in less care. On the other side the government and insurance providers struggle to reign in the ever escalating cost of healthcare. The government has made it known that cuts will be made; they say these cuts will be in fraud, waste, and abuse. Nevertheless, providers are already up in arms about reductions in Medicare pay they are beginning to experience. Regardless, of which side is taken a solution was definitely needed. Recent OIG reports have revealed that for decades many physicians and facilities have blatantly abused the system costing the government and thereby the American people billions of dollars in fraud, waste, and abuse. Conclusively, the Medicare fund is expected to not only remain intact but to see additional programs focused on preventive care and wellness. Overall the cuts will be to medical care overall, and the amount paid for specific services. The short term effect is reduced spending; however, it’s difficult to say how this will affect the availability of service in the long term.

Research Quality, Depth, and Credit

Research Quality, Depth, and Credit Quality The Newbery-winning  Indian Captive: The Story of Mary Jemison   The librarians at Patterson Library in Westfield, New York, took my ten-year-old quest seriously and gave me access to the closed-off balcony with its stacks of dusty archived books. I spent weeks filling hundreds of three While I dropped the project, I had unconsciously absorbed the difference in primary, secondary, and tertiary sources. Those accounts written When using a written source, the primary is the original document. If you find something quoted in a resource, that resource should be saying where it came from – follow that back to the original document. If there’s no attribution, I’ve found the quickest way to find an original source is to search the person or quote + searchable manuscripts. There are usually multiple hits. Look for websites from governments, libraries, universities, or other solid sources. Some examples:   Ã‚     Gutenberg Project  over 58,000 free eBooks, including Victor Hugo’s memoirs.   Ã‚     The Library of Congress Manuscript Reading Room  Ã¢â‚¬â€œ digital images or searchable text.   Ã‚     The British Library’s digitized collections.   Ã‚     Cambridge Digital Library   Ã‚     This page at Harvard Library  also tells you how to do more detailed research with them. Depth At Amazon’s  Ã¢â‚¬Å"Look Inside† for Lenski’s book, you can read the foreword, in which she describes how she researched the story and adapted it for fiction. She researched Jemison’s entire life and the Iroquois (of whom the Seneca are a part) in depth. She talks about the fact it was a transitional time for the Iroquois and how she tried to address that. Her illustrations are modeled after traditional Seneca artwork. It is clear she knew as much as possible about Mary Jemison and the world in which she lived. However, while Lenski’s writing was undoubtedly informed Credit Lenski mentions various specific resources throughout the foreword and ends with two paragraphs of thanks. As you do your research, keep track of key source information you’ll need for citations and bibliographies. The online writing lab at Purdue can help you give credit professionally if you’re writing nonfiction. If you’re writing fiction, share your sources with the reader and say thank you.

Advanced Networking Coursework Example | Topics and Well Written Essays - 2250 words

Advanced Networking - Coursework Example The huge size of the organisation can be guessed by its year 2007 volume of credit and debit card transactions which grossed to 4 billion.The organisation is looking for evaluation and strategies to improve grey in the fields of Fault management, Configuration Management, Network management, Security Management and Account Management. Finally, the organisation is interested in developing a network Management tool to automate & simplify the areas mentioned before. This paper attempts to provide a strategic solution in all the areas of Fault management, Configuration Management, Network management, Security Management and Account Management.Fault Management is defined as the process of monitoring, identifying, correcting the errors in any system. The Fault management is of two types - Passive and Active. The Passive fault management is also knows the breakdown management as in this case the designated person or system does not work towards correcting the fault until the system has brok en down.In case of the active fault management, the complete system is monitored by an automated system which keeps on checking all the network connections and keeps sending the report to an operator. The operator, through a set of parameter values, determines if the values are in "safe" range else the remedial action can be taken before the breakdown of the system happens. The Fault Management systems are designed to operate in auto modes i.e. the system takes action on its own to correct the problem or else it sends an SMS, automated call to the escalation for any kind of human intervention to correct the problem. The following schematic diagram explains this system more clearly. Diagram 1: Schematic of the Active Fault Management System Following techniques are used to repair the faults identified in the network of the IT System - Remove / neutralize fault, using redundancy Retry without intervention (time redundancy) Reconstruct data/state (data redundancy) Work-around (configuration redundancy) Substitution (code redundancy) Tolerate fault: reduce service quality Reduce speed, reduce precision Use default, omit faulty parts Supportive functionality: Checkpointing - Dynamic Reconfiguration Organization of Fault Management at XYZ enterprise XYZ enterprise would be using all the techniques mentioned in the previous section to efficiently handle the Faults at the enterprise's complex system. The management would be pro-active with the agreed safe parameters along with formal documentation on the escalation procedure. Configuration Management Configuration Management is defined as the process of managing the software source code or any "configuration" items in its integrated format. All the changes to the configurable items are version controlled and are stored in software which allows the configurable items to be updated only after a set of processes are followed. Configuration Management helps to identify at any point of time, the current software code version, essential characteristics of the codes and any dependencies amongst the codes, if any. Unless, there is a methodology to manage the software codes, the changes to software can be a minor discomfort to a major issue with a potential to bring down the mission critical business applications. Another important use of the Configuration Management process is the reduction of development effort in applications by re-using the existing software available in the organisation. The identification of the characteristics of the existing source in the organisat

Industrial Engineers role in Theme Parks compared to supply chain Essay

Industrial Engineers role in Theme Parks compared to supply chain managers role in Theme Parks - Essay Example Mechanical engineering is in few cases considered equivalent to industrial engineering, but in reality, the two domains of engineering are entirely different. Mechanical engineering is appropriate to tangible mechanically powered machineries, their working and related technicalities, whereas industrial engineering is pertinent to optimization of production systems and engineering solution to real problems in process flow. â€Å"Solutions† entail decision where one has to prefer one reasonably feasible solution over a different viable solution. A proper understanding, illustrating the application of industrial and mechanical engineering based on situation of a theme park, is demonstrated in this technical report. The concept behind the industry of the theme park was originated from an American invention, but now it has established its roots globally. The wonder initiated with the Cyclone roller coaster once installed at Coney Island in New York City. The most important cause pe ople trip and resume tripping to theme parks is the thrilling rides. Presently, there are more than thirteen thousand roller coasters in the US. The speediest and most elevated is Kingda Ka at Six Flags Great Adventure in New Jersey. The Magic Kingdom at Walt Disney World has the highest visitors among all the theme parks in the world; this Magic World is located in Orlando, FL. One wonders as to how such mega theme parks are designed, developed, operated, maintained, improved, managed and sustained. The successful theme parks have huge employee resource allocated for each and every step. Among the employee resource industrial and mechanical engineers play a vital role in accomplishing the goals of theme park organizations and, thus, theme parks produce returns in the multiple billion dollars per annum. Hence, due to constant enforcement of brilliant resource, sales figures persist to grow with the passage of time. For attracting the visitors design innovations, frequent changes and developments are necessary, therefore, variety of engineering specialties are utilized in order to cope with the growing challenges. This paper enlightens the role of mechanical versus industrial engineers in the running of theme parks. The paper covers both aspects of engineering that are practical aspect as well as academic in order to illustrate the roles more explicitly. 2. Problem Statement The subject statement of ‘Industrial Engineers Role in Theme Parks Compared To Mechanical Engineers Role in Theme Parks’ is in a technical realm, where one has to figure out the academic grounds of the two domains of engineering and then analyzing the practical explanations, and finally linking it with the needs and challenges of a theme park. The countless hours of entertainment involve a tremendous amount of expertise in varying fields of industrial and mechanical engineering. At the same time as all the exertion of these engineers continues to happen behind the apparent pict ure, the ultimate objective is to make thrilling rides and involvements whilst ensuring the safety and confidence of every visitor and guest at the foremost point in the priority list. i. Job Diversity in Theme Park Theme park requires variety of job opportunities, as per engineering is concerned, theme parks require establishment of standard processes to maximize safety of operations, identification and analysis of

Tourism Sectors: Effects On The Dominican Republic

Tourism Sectors: Effects On The Dominican Republic I am trying to answer the following question of the extent to which tourism has had a positive effect on the development of Dominican Republics economy, environment, and cultural change. I decided to research tourism in the Dominican Republic because I traveled there last year in March with my graduating class. I stayed in Punta Cana at a beautiful all-inclusive resort. I had a wonderful time there and experienced the magnificent beaches as well as amazing hospitality. In this paper I will argue that tourism does not benefit the majority of people and in fact third world tourism can be measured up to colonialism. The tourism industry in the Dominican Republic has had a positive effect on economic development however in effect the environment and cultural changes are suffering. I will argue this by first looking at tourism as a developmental strategy and the increase of foreign tourism, which presents clear economic benefits. Secondly, I will demonstrate the environmental issues and threats to the ecosystem that have started to arise because of the great number of tourists. Thirdly, I will look at the cultural changes that have evolved such as the increase of prostitution and sex tourism. Background Information The Dominican Republic (DR), due to its spectacular beaches and landscape has developed along different parts of its territory that are mainly devoted to tourism. The Ministry of Tourism is responsible for ensuring the endorsement of tourism in the Dominican Republic and the agreement with the provisions of the Organic Law of Tourism.  [1]   According to the Central Bank of the Dominican Republic, there have been dramatic increases in foreign tourism. In 2010 alone there have been 4,135,480 tourists that arrived by air. 3,189,306 of which have been foreigners, most of which were from North America. Tourism revenue increased rapidly in the 1990s, more than doubling from 1992 to 1997, when it reached $2.1 billion. The Dominican Republic was one of six Caribbean countries that in 1992 earned more from tourism as a share of their exports than from any other sector.  [2]  Tourism in the Dominican Republic, as in other developing countries has an interplay of inequality with visitors from rich countries dropping in on the poor. The Caribbean is more tourism centered than any other part of the world. In some smaller islands, tourism threatens to become a new monocrop economy leaving countries dependent on tourists. Definition of Terms Tourism has been described as the new colonialism. As said by author Srisang,Tourism, especially Third World tourism, as it is practiced today, does not benefit the majority of people. Instead it exploits them, pollutes the environment, destroys the ecosystem, bastardizes the culture, and robs people of their traditional valuesIn other words, tourism epitomizes the present unjust world economic order where the few who control wealth and power dictate the terms. As such, tourism is little different from colonialism  [3]  The DR is seen as a prototype for enclave tourism, which means that they maximize economic benefits and limit social and environment impacts by concentrating investments and visitors to a small geographical area.  [4]  These all-inclusive resorts provide everything so there is no need to leave the resort complex. Connections to the Course This topic connects to the course in many ways. Firstly, the Dominican Republic has been getting help from the IMF and World Bank for years now. The World Bank created a commitment to tourism as a development strategy for developing economies. Secondly, we can look at Wallersteins world system theory, which is arranged according to influence: core (most dominant), to semi-periphery, to periphery (least dominant). The DR is a semi-periphery because it is industrialized third world nation but it lacks the power and economic dominance of the core nations. Thirdly, Andre Gunder Frank argued that rich colonial (metropolitan) powers acquired wealth through exploiting weaker (satellite) countries such as the DR. Finally, enclave tourism at the national level is frequently seen by the native population as a form of neo-colonialism.  [5]  Enclave guests are basically segregated from the local culture and from the local informal sector, which includes vendors, drug dealers and prostitutes. This inevitability creates a wall between the guests and the locals and the bigger issue is that it prevents economic benefits from these resorts to actually going back into the community.  [6]  A case study was done in Luperon, Dominican Republic, a small community with no prior experience with the tourism industry. The study found that the natural flaw of enclave tourism as a form of development in this area was that the management of the enclave resort wanted to reduce economic exchanges between tourists and local businesses in order to increase resort revenues.  [7]  There is an issue with the distribution of profits from these resorts because the local communities are not seeing any improvements. Tourism as a Developmental Strategy Although there are numerous tribulations with tourism in the DR, there have also been a lot of positive effects. In 2010, the Dominican economy showed a strong recovery by growing 7.5% during the first half of the year.  [8]  This is partly because of their trade exports such as cocoa, coffee, and tobacco but mostly because of tourism profits, which reached nearly US$3.2 billion in 2004.  [9]  Over the last four decades, the World Bank has had a strong commitment to tourism as a development strategy for many developing economies. In return, the Dominican economy has had a very dynamic growth largely dependent on tourism. Hotels drive most tourism and the all-inclusive appeal of everything being free along with attractions and activities as well as nightly entertainment. This increases the targeted audience to couples, families, teenagers and elders because there is something for everyone to do. The DR also has natural assets such as the climate, that is always warm and it rar ely rains which entices tourists. Also, the Dominicans tourism tax policy is important because it has one of the lowest taxes in the Caribbean, which allows them to get extra revenue from tourists.  [10]  We can see that the economy has increased and grown in many ways, however one cannot just focus on the economy. We must look at the environment and social impacts and analyze how they have been affected by tourism. Environmental Impacts The environment and sustainability can often be under looked when judging the success of tourism because the economic benefits are usually the first to be looked at. Despite the economic success the DR has had, it faces a series of problems related to its rapid growth. For example, insufficient supplies of clean water and electricity, combined with slow construction caused by shortages of materials that has forced some vacationers to leave early because of unsuitable living conditions. The Dominican Republic has environmental issues in the areas of deforestation, water supply, and soil erosion and as the eroding soil goes into the sea, it in effect damages the nations coral reefs. Negative impacts from tourism occur when the level of visitors is greater than the environments ability to cope with this use, also known as carrying capacity. The UN sources report that as of 1993, the nation was losing 20,000 hectares per year of its forestlands largely because of business interests.  [11]  The destruction of trees was forbidden in 1967 to try and fix the harsh effects of the forest destruction. However, many farmers continue to cut trees secretly to make more land available for development. Water pollution is also an issue and it results from the effects of mining along with industrial and agricultural sources.  [12]   In addition there are endangered species in DR, some include the tundra falcon and three species of sea turtles. As a result of the rapid urbanization, the environment started to be greatly affected. Water resource management issues associated with tourism include, dumping of untreated wastewater and solid waste along the coast, overexploitation of groundwater, destruction of forest cover, and over fishing of coral reef and marine species. Sustainable development is what the country needs, which is development that meets the needs of the present without compromising the ability of future generations to meet their own needs. Social and Cultural Impacts There have also been impacts of tourism on the rural livelihoods of the Dominican locals. The impact has generally been good, with an increase of household income along with increased job satisfaction. The rapid and rigorous development of tourism also results in different and usually less favorable consequences than small-scale development. Cultural clashes may arise through economic inequality or job level frictions. The clear relative wealth of the tourists often leads to unfair exploitation on the hosts side. One might add to these concerns the danger that tourism may lead to the commercialization of human relations.  [13]  Tourism often fails in promoting mutual understanding among different nations and stereotypes prevail. The tourist-host relationship is often restricted by space and time constraints. Tourists often fail to respect local customs and moral values, either out of ignorance or carelessness. Also, the profitable sexual exploitation of children and young women h as matched up to the growth of tourism in many parts of the world. While tourism is not the cause of sexual exploitation, it provides easy access. Tourism also brings consumerism to many parts of the world, which before had no access to luxury services. The allure of this easy money has caused many young people, to trade their bodies in exchange for numerous different bits and pieces. Responsible Tourism We hear this term of being a responsible tourists quite a bit. What is meant by it is that we as tourists should respect the people who are working at the resort, be culturally aware and having a low-impact. The street vendors in the market are normally the last to see the financial rewards of the all-inclusive, mass in the DR so paying the tourists price is not so much a bad thing. We as tourists have the privileged attitude of being able to give something back directly to the people because we are in constant contact with them. In addition, it hardly needs saying that tourists should pick up litter, refrain from uprooting plants and coral, and use energy resources such as water and electricity efficiently, which are scarce in the DR. Conclusion After looking a great deal of articles and websites, I would have to say that tourism in the Dominican Republic has done more harm than good. In my opinion, the detrimental environmental and social impacts of third world tourism are more of a concern than economic benefits. There will always be a demand for tourism in the Dominican however if the supply of beautiful and clean beaches, water and local hospitality is not available then tourists will change their vacation plans. The implications of my findings are that, tourism and tourists impinge on the local environment and traditional customs of Dominican workers. This is important to realize because from knowing and understanding this we can move forward by changing our ways. Acting as a tourists should by not putting a strain on the environment and being more culturally tolerant. Just because we are on vacation does not mean our values should fly out the window. There are always implications to our behavior and it is time that we become responsible tourists. Britton, S.G. (1982) The political economy of tourism in the Third World Annals of Tourism Research 9: 331-38. Debbage, K.G. (1990) Oligopoly and the resort cycle in the Bahamas Annals of Tourism Research 17: 513-27. Dominican Republic Environment, Encyclopedia of the Nations [Online] [Accessed Febuary 15th 2011] Available: Freitag, T.G. 1994. Enclave tourism development: for whom the benefits roll? Annals of Tourism Research 21: 538-54 Kiskeye Alternativa. 1999. Tourism Development in the Dominican Republic: Growth, Costs, Benefits and Choices New Jersey, USA: Rutgers University. (http://kiskeya-alternative.org/publica/afuller/rd-tourism.html) [Meritas Lawyers]. 2010. Doing Business in Latin America and the Caribbean. Minneapolis, US: Meritas Meyer-Arendt, KJ., Sambrook, R.A. and Ker-math, B.M. (1992) Seaside resorts in the Dominican Republic: a typology Journal of Geography 91: 219-25 Srisang, K. 1991. Third World Tourism- The New Colonialism In Focus (Tourism Convern) 4:2-6