Stroke Case Study | Pathophysiology and Care Delivery Plan

Stroke Case Study | Pathophysiology and Care Delivery Plan This paper will discuss the case study relating to the patient, Mrs Amelia Middleton, and answer a series of questions relating to the pathophysiology of stroke, nursing care of the patient, and response to pharmacological issues with her treatment Question 1 Farrell Dempsey (2014b) define the pathophysiological characteristics of an ischaemic stroke as being the disruption to cerebral blood supply due to an obstruction in a blood vessel (p. 1649). This disruption can be described as an ischaemic cascade, which commences with a fall in cerebral blood flow to less than 25mL/100g/min (p. 1649). When this occurs, neurons are unable to maintain aerobic respiration, causing a decrease in adenosine triphosphate (ATP) production. To combat this, mitochondria switch to anaerobic respiration, which produces large amounts of lactic acid, causes changes in cellular pH levels, anaerobic respiration is less efficient, and neurons are not capable of producing sufficient ATP to fuel the depolarisation processes (Farrell Dempsey, 2014b, p. 1649; Craft, Gordon, Tiziani, 2011). With the loss of ATP production, the active transport across the cell membrane ceases, leading to the destruction of the cell membrane, releasing more calcium and glutamate, vaso constriction and generation of free radicals. As the cascade continues, intracellular pressures increase, causing oedema (Craft, et al., 2011, p. 192). This oedema reaches it maximum after about 72 hour, and slowly subsides over the following two weeks. There are four types of haemorrhagic stroke, namely intracerebral, intracranial cerebral aneurysm, arteriovenous malformations, and subarachnoid haemorrhage, all with varying pathophysiology (Farrell Dempsey, 2014b, p. 1661). The most common type is the intracerebral haemorrhage, which is mostly found in patients with hypertension and cerebral atheroschlerosis. Certain types of arterial pathology, brain tumour, and the use of medications may also cause intracerebral haemorrhage (Farrell Dempsey, 2014b). Bleeding related to the condition is most commonly arterial and normally occurs in the putamen and adjacent internal capsule, cerebral lobes, basal ganglia, thalamus, cerebellum and brain stem (Farrell Dempsey, 2014b). Intracranial aneurism is dilation of the walls of a cerebral artery developing because of weakness in the arterial wall (Farrell Dempsey, 2014b). Presumed causes of aneurysms are weakness in arterial walls, congenital abnormalities, hypertensive vascular disease, head trauma, infection, or advancing age. Aneurysms can occur in any area of the brain but commonly occur at the circle of Willis arteries. Arteries affected by aneurysms are the internal carotid artery, anterior cerebral artery, anterior communicating artery, posterior communicating artery, posterior cerebral artery and middle cerebral artery (Farrell Dempsey, 2014b). Arteriovenous malformations are caused by abnormalities in embryonic development or are the result of trauma. It is the formation of a mass of arteries and veins without a capillary bed, whose absence, leads to dilation of arteries and veins with eventual rupture. This type of haemorrhage is common in younger people (Farrell Dempsey, 2014b). Subarachnoid haemorrhage may occur because of arteriovenous malformation, intracranial aneurysm, trauma or hypertension. Most common causes are leaking aneurysms in the area of the circle of Willis or a congenital arteriovenous malformation of the brain (Farrell Dempsey, 2014b). Both ischaemic and haemorrhagic stroke have modifiable and non-modifiable precipitating factors. Modifiable factors are those that can be changed and include: (Al-Asadi Habib, 2014; Jarvis, 2012) Non-modifiable factors are those that cannot be changed or altered, and in concert with modifiable risk factors, can indicate populations at higher risk. The factors are: (Al-Asadi Habib, 2014; Jarvis, 2012) Question 2 The nursing care required for the patient within the first 24 hours would initially include a neurological assessment, especially if thrombolytic therapy has been administered (Hinkle McKenna Guanci, 2007). Nurses need to use the Glasgow coma scale (GCS), check vital signs pupil reaction and limb assessment. If the GCS falls during or after treatment, patients need to have an urgent CT scan to exclude haemorrhagic stroke. These observations need to be recorded every 15 minutes for the first 2 hours after thrombolytic therapy, then every hour for the next 24 to 48 hours (Hinkle McKenna Guanci, 2007). Oxygen therapy will only need to be administered if the patient becomes hypoxic, which occurs if the oxygen saturation (SaO2) levels fall below 95% saturation. Blood sugar levels need to be monitored, as it is common for post stroke patients to become hyperglycaemic. Patients also need to be in an electric bed with the cot sides up and the head at a 30-degree angle, which reduces the ri sks of choking and falls (Catangui Slark, 2012). Suction should be available at the bedside in case of angioedma. Electrocardiograms need to be performed regularly to detect any abnormal changes in heart rhythm. The patient is already in atrial fibrillation but this may alter if thrombolytic therapy is administered, as such, this requires assessment on an hourly basis. The nurse should also take the time to provide information to family members regarding the patient’s treatment (Felicilda-Reynaldo, 2013). The patient and family need to be informed why thrombolytic therapy is needed, what the desired outcomes are and if there are any adverse effects. When this treatment is needed, it is often in an emergency and can be frightening for family members to see their loved one in pain or distress (Felicilda-Reynaldo, 2013). Question 3 Thrombolysis is the division of a blood clot or thrombus by the infusion of a fibrinolytic agent (drugs that are capable of breaking down fibrin, the main constituent of blood clots) into the blood (Tiziani, 2013). Thrombolytic agents act by activating plasminogen to form a proteolytic enzyme, plasmin, which attaches to fibrin, and consequently, breaks down the clot (Tiziani, 2013; Catangui Slark, 2012); this process is called clot resolution. Thrombolytic agents vary in there action, for example, Alteplase and Reteplase, are recombinant tissue plasminogen activator (r-tPA) drugs that have fibrin specific actions, adhering to fibrin bound plasminogen, Tenecteplase, a genetically engineered tissue plasminogen activator (tPA) shares similar traits (Tiziani, 2013; Catangui Slark, 2012). In contrast, Streptokinase is a non-specific plasminogen activator, which attaches itself to both fibrin bound plasminogen and unbound plasminogen (Tiziani, 2013). The use of thrombolytic agents on stroke patients is time-critical. Catangui Slark (2012), supported by Hinkle McKenna Guanci (2007) and Farrell Dempsey (2014b), describe a set of contraindications for the use of thrombolysis in stroke patients, these include age, blood pressure greater that 185mmHg/110mmHg, GCS score less than 8, time from onset of symptoms less than 4Â ½ hours, or previous stroke or myocardial infarction. This is not an exhaustive list, but is relevant to the case study patient. From these indicators it can be shown that the patient falls into a category that contraindicates the use of thrombolysis in the treatment of her condition, i.e. her blood pressure is 200mm/Hg/110mm/Hg, and that it has been at least 6 hours since onset of conditions. Question 4 Aspirin is both a non-steroidal anti-inflammatory (NSAID) and anti-platelet drug (Tiziani, 2013, p. 4 511). In its NSAID function, the drug acts to inhibit prostaglandin production, which is a mediator of inflammatory response and thermoregulation (McKenna Lim, 2012). The anti-platelet properties of the drug inhibit the production of thromboxane A2, which is a vasoconstrictor that normally increases platelet aggregation (McKenna Lim, 2012). Contraindications for this drug are for people with allergies to Salicylates, haemorrhage, and gastrointestinal bleeding (Tiziani, 2013; McKenna Lim, 2012). Administration is by oral pathway. In the context of this case study, because the patient is not eligible for thrombolysis, aspirin would be beneficial in lowering the risk of further stroke by reducing the chance of further thrombosis forming through its anti-platelet properties. The risks in this context are exacerbation of her hypertension and possible bleeding; however, in this circums tance the prescription of aspirin is appropriate. Carvedilol is a lipophilic vasodilating non-cardioselective ÃŽ ²-blocker (Leonetti Egan, 2012). This drug is used to treat hypertension by blocking norepinephrine binding to ÃŽ ±1-adrenergic receptors in addition to both ÃŽ ²1-adrenergic and ÃŽ ²2-adrenergic receptors (Leonetti Egan, 2012). Contraindications for this drug include bradycardia, heart block, diabetes, and bronchospasms (McKenna Lim, 2012). Administration is by oral pathway. In the context of the case study, the administration of carvedilol is desirable because of her hypertension. It is further suggested that carvedilol contributes to a reduction in cardiac arrhythmias such as atrial fibrillation (Watson Lip, 2006). The risk associated with this drug include hepatic failure, oedema, and deterioration if the patient is in heart failure (McKenna Lim, 2012; Tiziani, 2013) Atorvostatin is a hydroxymethylglutaryl co-enzyme A (HMG-CoA) reductase inhibitor used to treat hypercholesterolaemia or hyperlipidaemia (McKenna Lim, 2012). The drug acts to inhibit production of cholesterol by blocking HMG-CoA reductase from completing the synthesis of cholesterol (Tiziani, 2013). Administration is by oral pathway. In the context of this case study, Atorvostatin is not indicated for administration without further investigation into potential underlying causes, such as, heart disease or hypercholesterolaemia. Question 5 In the context of this case study, atrial fibrillation could indicate heart disease, but further investigation would be necessary to determine this. Factors such as age, hypertension, ischaemic stroke, family history of myocardial infarction, and erratic pulse are evident and are all indicators towards heart disease (Bordignon, Corti Bilato, 2012). McKenna Lim (2012, p. 676) also associate coronary artery disease, myocardial inflammation, valvular disease, cardiomegaly, and rheumatic heart disease with atrial fibrillation. Pharmacologically, the drugs considered for intervention include heparin, warfarin, and carvedilol (Watson Lip, 2006). Both Heparin and Warfarin are anticoagulant drugs. Heparin is a fast acting, intra-venous or subcutaneously administered anticoagulant used in the acute setting, with changeover to orally administered warfarin, whose anticoagulant effect is evident after 36-72 hour, for longer-term use (Tiziani, 2013; McKenna Lim, 2012). In context of the case study, aspirin use would be discontinued if heparin and warfarin were administered, as these drugs are recorded as having an adverse reaction (Tiziani, 2013; McKenna Lim, 2012). These drug types have contraindications for active and potential bleeding, so issues such as haemorrhoid bleeding may exclude these drugs from administration (Tiziani, 2013). As previously stated, Carvedilol is a nonselective ÃŽ ²-blocker (Leonetti Egan, 2012). This drug is administered orally and are safe in combination with heparin or warfarin (Tiziani, 2013). Contraindications for this drug include bradycardia, heart block, diabetes, and bronchospasms (McKenna Lim, 2012). This drug had both antihypertensive properties and has been shown to reduce cardiac arrhythmias such as atrial fibrillation (Watson Lip, 2006). The risk associated with this drug include hepatic failure, oedema, and deterioration if the patient is in heart failure (McKenna Lim, 2012; Tiziani, 2013). Conclusion This paper has discuss and identified the pathophysiology of stroke, discussed the nursing care of the stroke patient, and identified and discussed pharmacological interventions available to treat the patient. Page 1 of 6 20/09/2016 2:53:40 PM

BP Commerce Analysis

BP Commerce Analysis I believe strongly that we need a work environment where everyone can bring all of themselves to work every day and not feel like they have to be someone else in order to succeed. -Tony Hayward, BP CEO /BP is one of the largest organizations in oil, gas, and alternative energy industry in the world. It employs more than 100 000 people across the world and provides essential oil, gas, and energy products for nearly 13 million customers every day in more than 100 countries. The company has a wide range of businesses including exploration and production, refining and marketing, gas power, and alternative energy (BP, 2010). Despite the success in the market or economic downturns, organization always must care about their employees who bring this success through skills, competencies, and hard work. Therefore, company must have a diversity and inclusion policy in place in order to create perfect working environment for these employees, to motivate them, remunerate, and retain the best. We might ask ourselves why diversity and inclusion is so important to any large or small company. The answer is that employees, shareholders, customers, suppliers, and community partners place a high value on organization for being fair and meritocratic (BP, 2010). Furthermore, we need to recognize the availability of skilled employees is getting smaller in nowadays market and economic situation. Every organization tries to attract new skilled labor and to retain talented employees in the company. In order to achieve that, organizations must have reputation, operational processes and imbedded policies, working climate that not only respects differences, but expose them for competitive advantage. BP is a multinational organization and it is essential to have an up-to-date policies and procedures in place for evaluation and monitoring purposes in order to comply with equality and inclusion policies, avoid any kind of discrimination, and ensure equal opportunities for everyone. Different organizations have different policies and practices and in order to compare BP to others, this organizational audit will review BPs other main competitors such as Exxon and Shell for a comparison on diversity and inclusion issues, provide investigation summary of BPs equal opportunity and equal pay practices, and provide action plans and cost and benefit analysis in order to enhance equality and diversity practice in the organization. A Summary of Analysis The purpose of this project is to produce diversity and inclusion analysis for BPs North Africa Strategic Performance Unit (further NA SPU) based on pay review recommendations in 2009 for employees to be effective on 1st of April 2010. I will be looking at Level E (senior level leaders) to Level K (administration) concentrating on equal pay issues and gender inequality (gaps) among UK employees only. The reason for this is that NA SPU has fairly big population and it is down to UK employees based locally in UK and in the businesses across the world. More to mention, this SPU is a perfect representation sample for other similar strategic performance units across the organization. 270 employees in North Africa Strategic Performance Unit (NA SPU) 139 UK nationals in NA SPU 31 Female employees 108 Male employees Level E (senior level leaders) 7 Males; 0 Females Level F(team leaders/professionals) 26 Males; 2 Females Level G (team leaders/professionals 30 Males; 4 Females Level H (team leaders/professionals 19 Males; 6 Females Level I (specialists/advisors) 17 Males; 8 Females Level J (specialists/advisors) 8 Males; 5 Females Level K (administration) Male 1; 6 Females All analysis is done only for the UK nationals population across all Levels, and Disciplines in NA SPU In order to get a better picture about pay equality and find out if there is any gaps in gender equality it is essential to analyse consistency of Salary Review process across the NA SPU and identify potential inequality in monetary reward between genders in different departments, levels, and across different disciplines. It is important to concentrate on the data which is robust- gender, income, length of service, and grouped by levels and disciplines. The sample group of employees does consist of different levels from E (senior level leaders) to K (administrative employees). It is a healthy business population that depicts statistical average of different employees in SPUs and other businesses within the company. Even though we have split the data down to segments any equal opportunity data is best analysed by working of groups so similar in roles and at similar level can be looked at. In order to understand the data better, I am providing few tables with graphic representation and statistical summary of the proposed data, following the brief comments to bring the main points or anomalies that could be potential gaps in reward and gender equality in the workplace. E F G H I J K Level Average SalaryGraph 1 Average New Salary comparison between Males and Females All Levels Higher level male and female employees positioned on the higher range of average salary scale and lower level male and female employees positioned on the lower range of average salary- it is consistent across every level. As the graph shows all the proposed employee salaries does not have any significant and female and male employees up to level G are similarly positioned on the salary grid. However, I would like to mention that circled in red on the graph data shows that level F female employees are on the lower range of the salary comparing to level F male employees. Picking the fact that there is significantly low number of female workers in higher levels- it raises the question of the possible glass ceiling that prevents female workers to get higher levels and be paid equally. Graph 2 Average New Salary by Job Discipline All Levels This data is very interesting, because it compares proposed new average salary between male and female employees in all levels but grouped by job discipline. The lowest paid group is administration, and the highest paid group of employees are drilling, geosciences disciplines where employees considered as professional and highly skilled workforce. Unfortunately, we notice that in geosciences and petroleum engineering disciplines we a have a significant difference in average salary between male and female employees. This is due to the fact that we have few women who works in these disciplines and the pay equality is very doubtful. On the other hand women earn more in average in the administration and commercial disciplines and we do not have any women working so called male oriented jobs in drilling and maintenance disciplines. This needs more investigation of companys recruitment policies and procedures why company does not attract more women into these jobs. Graph 3 Average New Salary by Years of Service All Levels This graph shows different set of data how the salary progresses depending on length of service despite the level of the employee but across level groups and disciplines. We can notice the gradual increase in salary for women and men, however we have only few women with a lengthy history of employment with company, but the good fact is that more and more women are hired into the business comparing with 20 years ago. It is worth to mention that circled in red- employees appear in the bottom of the range due to lower levels and the job discipline itself (administration). A Discussion of the Meaning of the Data Collected To summarise the findings it is clear that males and females are equally paid and well aligned to each other in every level, but there are few gaps in certain disciplines. Even though the national UK statistics is showing that the pay gap between gender is very high (see appendix 1) BP is trying their best to operate according to Equal Pay Act (release 1970), and Equal Pay between sexes (Article 141, EC Treaty). However the lack of female employees in main leadership positions and levels in our sample population- by all means might be understood as glass ceiling effect in the company (Podro, 2006). Therefore, it is interesting to look deeper into BP diversity and inclusion policy and compare the information to main rival companies policies and think of further improvements and recommendations in order the DI policy in BP policy to be attractive and by no means discriminatory. Table 1 Diversity Policy Comparison between Competitors Recruiting Developing Diversity Inclusive Leadership BP The number of graduates recruited through global recruitment program has increased by 58% since 2005 and 63% of these are engineers or scientists. 35% of all graduate hires were women, while 34% of all graduate hires came from racial or ethnic minorities. Diversity and inclusion policy aims to create a truly inclusive meritocracy at organization, in which the diversity of workforce reflects global reach and maximizes available talent while respecting individual differences. By valuing the differences between employees company establishes a platform for creativity, innovation and problem solving. There is a commitment to the development of a culture of diversity is therefore a true business imperative. Managing Inclusion program is now mandatory for all senior level leaders and by the end of year 2006, around 1000 employees at this level had completed the program. The program is still continues to exist in the organization. Exxon Women comprise about 25 percent of companys worldwide workforce, excluding company-operated retail stores. Approximately 12 percent of executive employees are women, compared to 9 percent in 2000. Organizations strength is the quality and diversity of employees. Organization operates Global Workforce Diversity Framework to attract, develop, and retain a premier workforce, actively foster a work environment where individual and cultural differences are respected and valued; and identify and develop leadership capabilities of employees to perform effectively in a variety of environments. Organization is committed to promoting leadership opportunities for women globally and improving the gender balance in the company. Shell By the end of 2009, 14.0% of the most senior leadership positions were filled by women, up from 13.6% in 2008. As well, 26.4% of supervisory positions (up from 24.7% in 2008) and 16.1% of management positions (up from 15.3% in 2008) were held by women. With a core strategic team in Central HR as well as representatives in organizations businesses worldwide, diversity and inclusiveness is an integral part of the organization. It has a vital part to play in underpinning its continuing success by ensuring attraction, recruitment, and retaining the best people- regardless of their gender, nationality or background. Local people fill senior management positions in every country we operate in. In 37% of countries, local nationals filled more than half the senior leadership positions, compared to 32% in 2008 Sources: BP (2010); Shell (2010); ExxonMobil (2010) 3. An Equality Plan BP has made a significant investment over a short period of time to raise awareness of the importance of diversity and inclusion in the organization. The diversity and inclusion team was reorganized in 2007 in order to shift ownership of diversity and inclusion to the line and embedded in the business to ensure alignment with organizational strategic plans (BP, 2010). This reorganization of the team paid dividends in the sense that the companys diversity and inclusion policy was a driving force in creating engagement in the workplace, changing leadership attitudes, improving performance representation statistics against competitors, and building pride and ownership among employees in different strategic performance units in the organization. To be more specific, in order to achieve desired results there should be a support for leaders and line managers with implementation of a framework that defines the strategy and priorities. The need of advancements or improvements on existing policies and the frameworks are imminent to achieve business goals and improve on diversity issues: Table 2 Diversity Inclusion Development and Maitenance Population Actions Leadership team Governance of diversity and inclusion strategy and periodical reviews of the progress. Ensure objectives embedded within operating business in every strategic performance unit. DI team Developing and proposing strategy, policy, and framework that advocates and supports diversity and inclusion. Cooperating with HR teams and external sources in order to be up to date with the policy and practices. HR team Serving as consultants and advising everyone involved to identify the critical DI areas in the organization that needs improvement. Leading various activities across the business to promote the equal opportunities. BP employees Everyone must take a part in helping the organization to tackle the diversity issues by taking responsibility for diverse behaviour and attitudes. It is essential to participate in creating inclusive working environment using all available tools and support. Having said that, I would like to concentrate on North Africa SPU populations gender equality and equal pay issues and provide recommendations on what can be done to improve situation and to be compliant with BP diversity model and policies: Table 3 Recommendation Costs Issue Target Recommendation Cost Equality in gender workforce Significantly increase the percentage of female employees in senior level jobs Aggressive external recruitment and local talent search via internal recruitment High costs external recruitment and headhunting can be very expensive since there is scarce pool of highly skilled women to fill in senior level positions Minimal costs local talent search via intranet, local recruitment database, and companies internal publications in every form and shape Equal pay across the levels and disciplines Ensure the pay reviews are according to equal pay act and not discriminatory among male and female workers To review the policy of Salary Review procedure and implement a equal pay process that would allow team leaders to have market data during the annual pay conversations Minimal costs internal policy review procedure, and up to line managers responsibility to be up-to-date of legalities Medium costs a market research, investigation new trends, time costs as well implementing, and communicating the new procedures (if any) Equal opportunities for career progression Increase the percentage of female workers in male dominated disciplines (for example geosciences and drilling) Professional development workshops and attractive internship schemes for university graduates Medium costs third party provided courses and development sessions Medium costs graduate recruitment campaigns, including task group time costs, competitive graduate packages to retain the best talents Culture change DI learning sessions / conferences To make aware BP population about internal issues and introduce to internal statistics Reiterate on importance of diverse workforce and how it could be change to achieve diverse working environment Minimal cost lunch and learn sessions, DI team monthly bulletins, presentations Medium costs external investigation or third party conferences and sessions about the different issues of DI On the other hand, some policies might not become a good practice and therefore organization could face a biggest obstacle- its own culture (Kirton and Greene, 2005). Having said that, it is important that organizations do not force the decisions and make the policy unnatural thing. Diversity and inclusion comes along with the culture and one changes another. So, in order to change the rules of the game in nowadays fast changing environment, organizations should come up with diversity audit to highlight the potential gaps. A Cost and Benefit Analysis It is important that leadership of the organization understands that companies that implement workforce diversity policies acquire an important benefits that strengthen not only long-term competitiveness in the market but also produce short and medium-term performance results (CSES, 2003). Therefore, a cost and benefit analysis is widely used to establish how well a planned action or new policy might turn out. The analysis always brings a results into monetary values, so the very important that a cost benefit analysis include all the costs and all the benefits in order to count the true value and establish if the new policy or new action plan is worth the money. On the other hand, companies in most cases gain positive non-monetary benefits. As Hubbard (2004) clearly explained the value of non-monetary benefits- loyalty of the staff, reputation of the organization, employer of the choice status, and etc. can not be transferred or measured into value of money. Also, the major benefit is that making employees and leadership to think critically and be explicit about the issues within the company that along with diversity and inclusion it brings new strategic choices like culture change. Would like to stress on the few diversity and inclusion initiative that BP already is working on, which is with no doubt puts organization in very positive place among the competitors and promotes business success by trying to minimize obstacles to inclusion: Affinity groups- typically form around ethnicity, gender, sexual orientation, or disabilities, but groups that wish to focus on other important or relevant issues may be considered on a case by case basis, and BP as organization encourages and supports affinity groups working for business benefit (BP, 2010). To name a few, these include the African American Network, Asian American Network, Womens Network, Beyond Pride, BP Latino Network, Gray Matters!, and Working Parents and Parents-to-Be. Flexible working- organization always recognizes that flexible working arrangement is almost a part of the modern working environment and can enable it to retain and attract skilled staff and increase employee commitment and morale. And the most important- the flex-working scheme is an integral part of BPs diversity and inclusion agenda. There are more of these initiatives and groups that work towards developing diverse and inclusive workforce around the world, but of course, there are costs as well associated with the implementation of diversity policies in the organization. Let not forget the cash costs of compliance with laws on discrimination, as well as the investment into programmes that serves as implementation to change internal cultures in the way that the diverse workforce is recruited, retained, and developed (CSES, 2003). To reiterate more on proposed changes for North Africa SPU and diversity and inclusion strategies for BP company as a whole, over recent years, BP has implemented and managed a wide range of global and local diversity and inclusion training programs and initiatives to support employees in understanding diversity and building inclusive behaviors. As we could see that organization is treats the DI very importantly in order to stay in the leading position in the market, however there is plenty to do and enough work in progress.

Internet Shopping Essay -- Cyberspace Shopping E-commerce Essays

Internet Shopping The Internet's popularity has dramatically escalated over the past few years and has become an integral part of daily life. It has wide spread uses ranging from obtaining information, downloading files, business advertisement to Internet commerce, which plays a major part in Internet practice. Our social structure is pressuring society to connect to the Internet, with schools world wide becoming more Web based and universities now have lectures, which can be solely viewed over the Internet. Within the next few years the potential and capabilities of the Internet are endless. With that in mind the following assignment will examine a continuously flourishing component of the Internet, Internet shopping. Although Internet shopping is on the increase, it will never surpass conventional shopping, as the ?experience of shopping? is lost, it is open to fraud and the ?try before you buy? concept does not occur. From this information, it could be stated, ?The promise of Internet shopping is d rowning in a flood of deceit, customer dissatisfaction, fraud and misappropriation. The Internet is best known for being a information superhighway, not a superhighway to the shopping mall.? Shopping from the convenience and comfort of your own home may have its apparent advantages; no more standing in line, no more hassles. Currently people are using the Internet for shopping largely as it offers some benefits when compared with conventional shopping, for a narrow range of goods and services. Given that, there are still concerns about risks involved ? many issues from security of credit cards to privacy Purchasing products from the Internet has major disadvantages when compared to conventional shopping. A significant problem is you cannot see the store you are buying from. On the Internet, it can be difficult to know whether the business you are dealing with is honest or not. When your credit card number is given to a marketing site in order to purchase goods, there is no certain guarantee that it will be used for the purpose it was intended for. Many unscrupulous internet web sites, use promises of miracle cures, and other hoaxes in order to exploit their users in an effort to gain credit card numbers and use them, for their own personal gain. However many web sites are creditable, but the security of their web page then may be violated. (By ?Hackers?... ...s security features and customer service standards, consumers will discontinue to use Internet shopping altogether BIBLIOGRAPHY Perfectly Private Inc (2001). ?Shopping Privacy Concerns?, URL Address: http://www.perfectlyprivate.com/beware_shopping.as Mark Gajda (1997). ?Internet Shopping, Wave of the Future?? URL Address http://iml.jou.ufl.edu/projects/STUDENTS/Gajda/FRAME2.HTM Department of Communications (2000). ?Shopping on the Internet - Facts for Consumers Series? URL Address: MIval=dca_dispdoc&pathid=%2Fshoponline%2Fsheet1.htm">http://www.dcita.gov.au/nsapi-graphics/?MIval=dca_dispdoc&pathid=%2Fshoponline%2Fsheet1.htm Card Revolt (2000). ?Internet Shopping Guide? URL Address: href="http://www.cardrevolt.com/resources/netshopping.htm">http://www.cardrevolt.com/resources/netshopping.htm Xpress Press (2000). ?Internet Christmas Shopping Risks? URL Address http://www.xpresspress.com/news/emailsolutions_103100.htm

Cloning :: essays research papers

Cloning   Ã‚  Ã‚  Ã‚  Ã‚  Duplicating of genes and DNA†¦. Cloning? Cloning is basically the reproduction of cells. You take an unfertilized cell, combine it with a cell from the same organism and create a new living cell. The question is†¦is cloning OK? Is the breeding of a bigger and meatier cow and fresher healthier potatoes equal to cloning a person? Many different groups debate upon these questions. Religious groups argue that God created all, and he thrives on diversity. This diversity is being threatened by cloning. Some also believe the process which scientists use is murder. Because half of the nucleus used to make a normal being is sucked out, and destroying the original DNA is murder. The half set of DNA in the unfertilized egg cell is destroyed, but suggesting that destroying a mere nonliving, nonthinking chemical such as DNA is murder is ridiculous. Thousands of cells will die in your body as you're reading this, and their DNA will be destroyed with them. Is that murd er? Cloning, in it’s use right now with just foods and animals are quite beneficial. It opens many opportunities for both scientific and general population needs. Scientists use cloning techniques to make identical test subjects, so reducing the amount of error in animal tests. They can also protect endangered species by cloning couples in captivity. Many can benefit from organ cloning, although the process has not been perfected yet. Human ears have been reproduced on mice, which shows all the applications of cloning. In the future, this genetic mutation may save the lives of countless people that are if we can use animals to grow human organs in. The possibilities for this process have no boundaries. Like anything else that is new, the cloning process can be used for wrongful purposes. For instance, when a species is too much alike, the possibility of a single disease wiping it out is very high. Overlook the disease and you bread weak animals. However, are the scientists vulnerable to our criticism for say overlooking the viruses or hereditary sicknesses? Or should we credit them for perhaps looking into that already? The scientists have no doubt already considered the consequences of over breeding in these plants and animals that are weak and diseased. Yet our society relies on the same small variety of plants and animals for our natural resources. All of this was, in actuality, happening before cloning started and it doesn't change much in the way of agriculture. Cloning :: essays research papers Cloning   Ã‚  Ã‚  Ã‚  Ã‚  Duplicating of genes and DNA†¦. Cloning? Cloning is basically the reproduction of cells. You take an unfertilized cell, combine it with a cell from the same organism and create a new living cell. The question is†¦is cloning OK? Is the breeding of a bigger and meatier cow and fresher healthier potatoes equal to cloning a person? Many different groups debate upon these questions. Religious groups argue that God created all, and he thrives on diversity. This diversity is being threatened by cloning. Some also believe the process which scientists use is murder. Because half of the nucleus used to make a normal being is sucked out, and destroying the original DNA is murder. The half set of DNA in the unfertilized egg cell is destroyed, but suggesting that destroying a mere nonliving, nonthinking chemical such as DNA is murder is ridiculous. Thousands of cells will die in your body as you're reading this, and their DNA will be destroyed with them. Is that murd er? Cloning, in it’s use right now with just foods and animals are quite beneficial. It opens many opportunities for both scientific and general population needs. Scientists use cloning techniques to make identical test subjects, so reducing the amount of error in animal tests. They can also protect endangered species by cloning couples in captivity. Many can benefit from organ cloning, although the process has not been perfected yet. Human ears have been reproduced on mice, which shows all the applications of cloning. In the future, this genetic mutation may save the lives of countless people that are if we can use animals to grow human organs in. The possibilities for this process have no boundaries. Like anything else that is new, the cloning process can be used for wrongful purposes. For instance, when a species is too much alike, the possibility of a single disease wiping it out is very high. Overlook the disease and you bread weak animals. However, are the scientists vulnerable to our criticism for say overlooking the viruses or hereditary sicknesses? Or should we credit them for perhaps looking into that already? The scientists have no doubt already considered the consequences of over breeding in these plants and animals that are weak and diseased. Yet our society relies on the same small variety of plants and animals for our natural resources. All of this was, in actuality, happening before cloning started and it doesn't change much in the way of agriculture.

Pride and Prejudice :: essays research papers

Pride and Prejudice is set some 200 years ago in England. When the story opens, we are introduced to the Bennett family on their estate, Longburn. A handsome, wealthy gentleman named Charles Bingley has just moved to the neighborhood. Charles develops a crush for Jane Bennett, but his friend, Fitzwilliam Darcy, thinks Jane is not good enough for his friend. Becauseof this, Darcy, along with the help of Charles' sisters', plots to break up Jane and Charles. In themean time, though, Darcy falls for Jane's sister, Elizabeth.   Ã‚  Ã‚  Ã‚  Ã‚  Elizabeth Bennett, though, detests Darcy. She sees him as being to haughty. She hears, through word of mouth that he is rude and cheated George Wickham out of his inheritence. Then, George begins to court Jane.   Ã‚  Ã‚  Ã‚  Ã‚  Since Mr. Bennett has no sons, his heir is to be the closest male to the family. This turns out to be a man named Mr. Collins. Collins is a priest who is very arrogant. He marries Elizabeth's friend, Charlotte Lucas. Charlotte marries Collins to get away from he life, not for love.   Ã‚  Ã‚  Ã‚  Ã‚  Because Elizabeth frequently visits her friend Charlotte, who lives with Darcy's aunt, she sees Darcy often. Darcy beings to ask Elizabeth to marry him, but each time she refuses. She's angry at him for breaking up Jane and Bingley's love affair, and because she was led to believe he stole George Wickham's inheritance. Darcy admitted to interfering with her sisters' relationship, but denies any involvement with Wickham and his inheritence. He claims Wickham is not what he appears to be, but actually is a dishonest.   Ã‚  Ã‚  Ã‚  Ã‚  At this point, Elizabeth is beinging to like Darcy. She goes on a trip with her aunt and uncle to Darcy's mansion. While there, his housekeeper tried to cinvince Elizabeth what a great person Darcy is.

Legalization Of Illegal Drugs

There are simply no positive reasons to criminals any illegal drugs and plan to show you why. The fact that keeping the same laws on drugs won't change anything is a pretty basic concept. To put it another way, people already take drugs and if we don't change anything people will continue to take drugs, get addicted and potentially commit any crime from petty thievery to murder. That may seem an exaggeration, but a report back in 2003 from the Joseph Renowned Foundation found that 50% of people in custody and awaiting trial admitted they were dependent on a drug.Given that the Scottish Social Attitudes survey of 2009 found an increase of 6% from 2001 (41% to 47%) in Scottish adults close to someone who has used illegal drugs, it would be safe to assume this figure has also risen. So, with it now established that people take drugs despite it being against the law, we need to try and make drug consumption more structured, more stable and ultimately safer. As production is illegal, the drug trade lacks all health and safety restraints put on other legitimate markets such as quality control and warning labels.Therefore if someone decides they want to sample cannabis, et their weekly heroin fix or even buy some cocaine for a night in as if it were a box of Principles, they have almost literally no idea what they are buying from a drug dealer. The value is so high that drugs are often diluted with similar looking substances thus leaving consumers with drugs like heroin that's only 3 to 6% pure. This opens up a whole host of other problems- if you're used to a 3% intake of heroin and your drug dealer changes to a 6% you've unknowingly doubled your intake.In a system of controlled legalization (that I will detail later) these problems and a few others become history. Don't take drugs. You (hopefully! ) don't take drugs. Yet despite this we are both still at risk from drug related crimes and street violence related either directly or indirectly to drug use. Due to the i llegality of drugs the supply and manufacture is obviously limited, meaning the price rises. As an example, a kilogram of cocaine worth $3000 in Colombia (where cocaine is legal) sold at retail price in the USA for $300,000.This type of money isn't obtainable through legitimate means for most ordinary people, especially when they become addicted and have to keep coming back for more. Therefore they turn to crime, whether organized or not. These people steal whatever they can to fund their habit and depending on the severity of their addiction could end up killing in order to try and collect funds. This puts completely uninvolved members of the general public, like you and me, at risk and means any one could be harmed by the drug trade. As well as that, those purchasing the drugs legitimately or not find themselves in completely unnecessary danger.The drugs or so valuable they became targets for theft and assault. This is another thing that can be avoided by the controlled legalizati on will outline soon, as prices will collapse and with it the need to teal or commit other crime to obtain drugs. I've mentioned it a few times, and it's now time for me to outline what I mean by controlled legalization and the positives think it would bring to our country. Drug consumption rooms are a very successful method of controlled legalization that is growing in popularity in Europe.Consumption rooms in Copenhagen, Denmark Consumption rooms allow people who want to take drugs to inject them under supervision and in a safe environment. In the Danish rooms, despite over 1 00 overdoses there has not been a single death to date. The major positive is the government can now control drug use. An alternative to drug consumption would be a more full and dramatic method of controlled legalization. Legalize all aspects Of the trade surrounding a particular drug, but in doing so create strict controls on manufacturing and sale, not unlike the current prescription system.Starting with t he likes of Cannabis and Cocaine and if this is successful soon moving on to harder and more serious drugs. Lord Sugar is one well known businessman and role model who supports this. In his Autobiography he talks of selling Cocaine and Cannabis in small sachets in pharmacies for just E, with around El tax on each. As well creating safer drug use, being rid of dealers and cartels it also creates more money which the government could then spend on genuine issues like poverty and education.Who knows, if people are educated better and grow up in nicer environments they may not even turn to drugs in the first place. As means of a summary of all this, if we want to improve our drug culture and the way they are treated here then something needs to change. Personally I lean towards full controlled legalization, in the form of selling drugs to over ass through pharmacies in a controlled, stable and educated way, but I see he merits of consumption rooms and would be for their use in the UK.

Areas of Learning

|Area |Extending learning and development | |Quiet/reading area |The quiet area allows children to develop their understanding of the written word; they learn that words convey meaning and that| | |this is mirrored by the pictures that are in the books. | |They develop interaction with others through the use of books and listening | | |They learn to share and co-operate | | |They learn concentration and self control | | |They learn about the world around them, concepts, ideas and morals | | |They learn to take care of possessions | |Small world |The children learn to role play and to share and take turns with others | | |They learn social interaction and effective communication | | |The learn tolerance and understand of other people’s ideas and beliefs | | |The develop their fine motor skills | | |They learn about the world in which they all live | |Role play |The children learn to role play, to pretend and to accept other’s as part of that pretence | | |They learn to socialise, to share toys and ideas | | |They develop their imagination | | |The imitate talk and behaviour | | They learn to dress themselves | | |The develop their ability to take on a role and develop it | | |They share and take turns | | |They mark make | | |They mimic and copy | |Mark making |In mark making they learn to use different mediums to create marks | | |They develop their fine motor skills | | |They extend their language | | |They make decisions, take turns and share | | |They develop an understanding of the written word and learn that words convey meaning | | |The improve their manual dexterity and hand eye co-ordination | | |They develop their understanding of topics and show pride in their achievements They learn to write, draw and recognise colour | | |They develop control and concentration | |Maths/ICT |In this area they learn more/less | | |They will develop problem solving and logic | | |The children will learn to communicate and develop the use of mat hematical language | | |They will learn hand eye-co-ordination, fine and gross motor skills | | |They will develop their understanding of number, counting and it’s symbolic representation | | |They will compare, contrast, match and sort (using various criterion) | |They will develop and awareness of computer and mouse control | | |They will learn to share and take turns | |Craft |The children will use a variety of different mediums to create | | |They will develop fine motor skills and hand eye co-ordination | | |They will learn about colour, pattern and texture | | |The will use their imagination and draw upon their understanding of the world in which they live. | |The children develop their creative awareness and independence | | |They will use imagination and problem solving | | |The will develop their social skills, communication and co-operative skills | | |The will begin to develop self-expression , confidence and creative flair | |Outside |The children will under stand the environment, learning about weather and the world in which they live | | |They will develop their spatial awareness /gross motor skills | | |The will explore their manipulative skills/sense of balance/agility skills/risk taking | | |The will develop their spatial awareness/fine manipulative/gross motor skills | | |They will develop their hand-eye and foot-eye co-ordination/ locomotive skills | | |They will develop social skills, turn taking, sharing and creativity | | |They will develop their language and communication skills | |They will develop their confidence and awareness of their own capabilities as well as pushing themselves a little more to learn | | |new skills | Whilst the children are learning through their play and through all the skills and areas above we will monitor and support them in order to help them develop in the right way. We will encourage good behaviour and discourage negative behaviour. We will give the children confidence to develop their skill set, confidence and capabilities. We keep a continual record of their achievements so that we can monitor their progress and highlight and areas for special consideration. In this way we will engender high levels of expectation and achievement.