Thursday, October 31, 2019

Rewrite Extended Research Report 4-3-2 Essay Example | Topics and Well Written Essays - 500 words

Rewrite Extended Research Report 4-3-2 - Essay Example This paper is very important since it talks about a very important subject area of performance evaluation which can as well be implemented at the workplace. Performance evaluation is primarily concerned with measuring progress as well as effectiveness of the human resource which is very important for any organisation. Performance evaluation is also concerned with establishing good communication link between the management and employees. Basically, performance evaluation is meant to create mutual understanding among the members of an organisation in order to improve productivity as the ultimate goal. Performance evaluation is very significant for every organisation since it is meant to contribute positively to the growth and development of business through human efforts towards the attainment of set goals. It is imperative for organisations to ensure that their employees are highly motivated as a way of increasing productivity. Performance evaluation is helpful in that it allows each organisation to identify the areas that need attention and it also allows organisations to set goals that are achievable (Cfstaffing, 2007). Over and above, it can be noted that the main reason why organisations embark on performance evaluation is that they are primarily concerned with achieving set goals through the efforts of human resources. The process of performance evaluation is very important to every business in that priority is given to the needs of the employees who are the main drivers of any given organisation. Motivated workers are productive which positively contributes to the growth of business. Performance evaluations have become an indispensable part of business as a result of their effectiveness in increasing productivity (Abbey, 2007). I am feeling confident that I have a good start for my research report and I believe that I am organizing it in a nice

Tuesday, October 29, 2019

Lower Levels of Convictions of Woman for Criminal Offences Essay Example for Free

Lower Levels of Convictions of Woman for Criminal Offences Essay Assess explanations that sociologists have offered for lower levels of convictions of woman for criminal offences Sociologists have offered explanations for lower levels of convictions for woman for criminal offences. For example women are treated more leniently and woman are socialised to commit less crime in the first place. Most crime appears to be committed by men. According to recent national statistics men are four times more likely to commit a crime than woman. For example official statistics suggests there are gender differences in the types of crimes committed such as men committee violent crime and woman committee shoplifting. One explanation for the lower levels of convictions of women is that they are treated more leniently. One explanation that has been put forward is that the agents of criminal justice such as police officers, magistrates and judges are men and men are socialised to act in a chivalrous manner towards women. In the 1950s Pollack argued that men felt they had to protect women, so the criminal justice system is more lenient towards them. So there are some crimes that are less likely to turn into official statistics. This then does not give an accurate understanding in rates of offending and official statistics will show the extent of gender differences. Women are also more likely than men to be cautioned rather than prosecuted. For example, the Ministry of justice figures for 2009, show that 49% of female offenders were cautioned compared to only 30% of men. Similarly Hood’s study of over 3,000 defendants found that woman were about one-third less likely to be jailed in similar cases. However, there is evidence against the chivalry thesis. Box argues women who commit serious offences are not treated more favourably than men. He argues women show remorse which may be why they get cautioned rather than going to court. Heidensohn argues that in fact when women commit more serious crimes and deviate from expected norms of behaviour they are punished more harshly. For example stereotypical gender roles influence judges decisions. Heidensohn accepts there has been an increase in female crime but it’s due to poverty and being socially marginalised. Walklate argues that in rape case it is often not the defendant who is on trial but the victim. Steffensmeier argues that women are treated more leniently in court because judges are reluctant to separate woman from their children. Another reason that could explain lower conviction rates for women is that they are socialised to commit less crime in the first place. Functionalists argue that lower levels of females crime can be explained by gender role socialisation and the expressive role that Parsons argues is the one that women take on within the home. While men go out to work and take the instrumental role as provider, women are socialised to be gentle and nurturing. Parsons argues that boys reject feminine role models they engage in what Parson calls compensatory compulsory masculinity and become aggressive and anti-social behaviour which can slip over into an act of delinquency. Cohen argues that boys that are more likely to join gangs to gain stats and identity. Whereas the girls have their mothers as role models which means they are less likely to behave in anti-social ways. However, critics of the sex role theory are that this view is dated and boys and girls have different role models and influences in their life to the ones illustrated by Parsons. Walklate criticises sex role theory for its biological assumptions. Parson assumes that women are best suited to the expressive role as women gave birth to children. Feminists are interested in how patriarchal society controls women, and this control might explain lower levels of criminality and therefore lower conviction rates. Heidensohn argues the most different thing about women’s behaviour is how conformist it is as women commit fewer crimes than men. Heidensohn notes that women are controlled in a number of ways. For example women are controlled by the amount of time they have to spend looking aft er home and children. Also in the public domain women are controlled by the threat of male violence especially sexual violence. The Islington Crime Survey found that 54% of women avoided going out alone. This therefore reduces their opportunity to offend. However Carlen explains how some women commit crime when they are let down by patriarchal society. It is the failure of patriarchal society to deliver the promised deals that removes the controls. Cohen argues that working class women are led to conform by what she calls the class deal which is being offered rewards at work that allow a good standard of living. Also the gender deal where women have rewards from family life by living a normal domestic gender role. Critics argue that this underplays the importance of free will and choice in offending. Adler argues that as society changes so women may turn to crime. He uses the liberation thesis to argue that as women become liberated from patriarchy female crime rates will rise. As society changes so too have women’s roles within it. There is evidence to support this for example female offending rates have risen. However, critics argue that female crime rates started growing in the 1950s before the women’s liberation movement. In conclusion, the main reason why there are lower levels of convictions of women is because the criminal justice system is more lenient towards women. This is due to men protecting the women and official statistics show that men are more likely to commit crime than women.

Sunday, October 27, 2019

The effect of drugs on heart rate: Research experiment

The effect of drugs on heart rate: Research experiment The water flea Daphnia pulex (see figure 1) is a small (1.1-3.5mm long ) crustacean commonly found in ponds in the United Kingdom. The full taxonomy of Daphnia pulux is as follows: Kingdom – Branchiopoda Phylum – Diplostraca Class – Cladocera Order – Anomopoda Family – Daphniidae Genus – Daphnia Subgenus pulex Figure 1. Daphnia pulex, showing the clear exoskeleton and inside the body (Cladoceran website 2005) Whilst being crustaceans and having an exoskeleton Daphnia are easy to study as their exoskeleton is actually clear so it is possible to see through it and study the working of the inside of their body. In particular it is possible to see the flow of the circulatory system and the heart beating. Therefore they are useful to test the effects of specific drugs on heartbeat, as it is easy to see the changes via an obvious change in heartbeat. Daphnia have been used in the present experiment as they are readily available and it is simple to study the effects of drugs on their systems. They are also robust to a variety of chemicals being present in their environment so can be used to assess the effects of these chemicals without fear that the chemicals will kill them instantly. Aspirin (acetylsalicylic acid), alcohol (ethanol), and caffeine are drugs that all commonly used by people. All 3 drugs have an effect on the human heart, mostly through indirect effects on the circulation and factors that affect circulation – eg platelet clotting. Alcohol causes a lowering of heart beat due to expanding the veins through vasodilatation. Aspirin also lowers the heart rate via its effects on platelets and the way that they cause veins to constrict. Caffeine, however, acts to increase heart beat. It is unfortunately not practical to test the effect of any of the drugs on the heartbeat of people as the drugs have a lot of other effects within the body as well. Instead Daphnia are used as they have a small body so the drug effects are less widespread and the effect on the heart is easy to assess. The effects are also evident very quickly so it is possible to carry out a large number of investigations in a relatively short space of time. Hypothesis The experimental hypotheses for each of the three drugs are as follows: Aspirin will cause the heart rate of Daphnia to lower in a concentration dependent manner. Alcohol will cause the heart rate of Daphnia to lower in a concentration dependent manner. Caffeine will cause heart rate of Daphnia to increase in a concentration dependent manner. The null hypothesis in all cases is that each of the drugs will have no effect on the concentration rate of Daphnia. Variables In order to see whether it is actually the drugs that are causing the change in the heart rate of Daphnia the only variable that can change is the concentration of the drug. As well as this each drug will have to be tested separately to make sure that it is only the effect of that drug which is causing the change, if any. A fourth set of results also needs to be taken, which is the heart rate of daphnia without any of the drugs added at all. For this experiment the independent variable will be the drug concentration. An independent variable is one that is chosen and set specifically by the experimentor. For this experiment the dependent variable – the one that changes as a result of the independent variable changing – will be the heart rate of the Daphnia. Constant variables will be: The number of Daphnia (approx 100) The volume of water (100ml) The temperature (same room temperature of approx 21  °C in all cases) The species of Daphnia (Daphnia pulux) The amount of water transferred to microscope slide for each test (1ml) The same length of time the Daphnia would be left in the chemical (1 hour) Method Daphnia will be collected from a pond, using a fine mesh sive and kept in a contained with pond water until they can be counted and the correct number can be transferred to a petri dish containing 100ml of distilled water for each experiment. Distilled water will be used so that there are no other chemicals present which might have an effect on heart rate. Approximately 100 Daphnia will be used for each experiment, although it would not be possible to count exactly that number so an approximate number will be used in each case. Aspirin will come in a readily available over the counter soluble form (Boots 300mg soluble aspirin) Caffeine will also come in a readily available over the counter form of ProPlus (50 mg Caffeine) Alcohol will come from vodka (Smirnoff Blue label 45% vol). The drug will be added to the distilled water in the petri dish before adding the daphnia and stirred with a clean glass rod to make sure that it is fully dissolved and spread throughout the liquid. Then the daphnia will be transferred to the petri dish using a pipette. Drugs will be in the quantities shown in tables 1-3 Table 1. A table showing the number of caffeine tablets used in each experiment and the resulting caffeine concentration Table 2. A table showing the number of aspirin tablets used in each experiment and the resulting aspirin concentration Table 3. A table showing the amount of vodka used in each experiment and the resulting alcohol concentration There would actually be only 1 control experiment, to check for differences caused by the drug, so the top row of each table actually corresponds to the same experiment, where there is just water in the petri dish and no added chemicals. As the daphnia are small organisms with a relatively permeable exoskeleton they would be able to absorb the caffeine present in the water and it could have its effect upon the body. In each case the Daphnia would be left in the water and drug for a time of 1 hour to ensure that the drug has had any effect. As the Daphnia are only going to be used for a short period of time they would receive no food as it would not be necessary. Whilst whole Daphnia are visible to the naked eye, a microscope is necessary to see the actually heart beats. Therefore a clean pipette will be used to transfer a droplet of the treated water and daphnia onto a microscope slide. This would then be covered using a cover slip to prevent the liquid from moving. This will then be looked at under the microscope and the number of times the Daphnia’s heart beats per minute recorded. Each time that the heart beat is counted it will be repeated 3 times to obtain an average. Different microscope slides would be used in each case to avoid cross contamination by different drugs or drug concentrations. Equipment list Fine mesh sieve Plastic container to store daphnia in Distilled water (13 x 100 ml) 13 clean plastic pipettes 13 clean petri dishes 13 microscope slides and cover slips Light microscope Caffeine tablets (ProPlus) Aspirin tablets (Boots soluble aspirin) Alcohol (Smirnoff blue label vodka) Measuring cylinder Risk assessment There are a number of specific areas which involve risk within this experiment. These are the initial collection of daphnia, the handling of daphnia and the handling of chemicals. Specific risk assessment are as follows: If alcohol / drug is ingested then rinse out mouth immediately and seek medical advice. If alcohol / drug solution is spilt on clothes rinse affected area and remove clothes if necessary. If alcohol / drug solution gets into eyes then rinse out immediately and seek medical advice. An adult (over 18) must purchase the vodka and be present during its use. Care should be taken when obtaining the daphnia from a pond and an adult should ideally do the collecting. If pond water is ingested then rinse out mouth immediately and seek medical advice. Results It was found that, as Daphnia heart beat was very fast it was easier and more reliable to count in 15 second sections and then convert this to beats per minute. So this was done in all cases. The heart rate of daphnia under control conditions was found to be an average of 350 beats / minute. The results for each of the 3 drugs are considered separately below. Caffeine The results from the experiment to investigate the effect of caffeine upon the heart rate of Daphnia are shown in figure 2 below. Figure 2. The effect of caffeine on the heart rate of Daphnia Pulex (average of 3 counts) It can be seen that there is a positive correlation between caffeine concentration and Daphnia heart rate. The percentage increase in heart rate, when compared to control, is shown in table 4 below. Table 4. A table showing the effect of increasing caffeine concentration on daphnia heart rate Aspirin Unfortunately the concentrations of aspirin used actually killed the daphnia whilst they were in the solution for the required hour. Therefore it was necessary to alter the concentrations and repeat the experiment. As the daphnia died at all concentrations of aspirin even 30 mg / litre must have been too concentrated for them. Therefore the concentration was reduced to 10% of original values, and the experiment repeated. The new concentrations were obtained by diluting the dissolved tablets in more distilled water, eg 10 times the amount to obtain concentrations of 1/10. unfortunately, due to time constraints, the counts could not be repeated 3 times so the figure are for a single count at each concentration. The results from these new concentrations are shown in figure 3 below. Figure 3. The effect of aspirin on the heart rate of Daphnia It can be seen from figure 3 that there is no particular pattern to the results, other than the fact that aspirin is linked to a reduction in heart rate. However this reduction does not appear to be concentration dependent, or at least not at the concentrations used in this experiment. Alcohol The effect of increasing alcohol concentration is shown in figure 4. Figure 4. The effect of alcohol on the heart rate of Daphnia (average of 3 counts) It can be seen that alcohol had quite a large effect on the heart rate of daphnia and there was an inverse correlation between alcohol concentration and heart rate. The percentage decrease in heart rate, when compared to control, is shown in table 5 below. Table 5. A table showing the effect of increasing alcohol concentration on daphnia heart rate Statistical analysis of results It was not possible to undertake accurate statistical analysis of the aspirin results as only 1 count was taken at each concentration level on the repeated experiment. However it was possible to undertake a t test analysis on the alcohol and caffeine results, using the original data as opposed to the mean results shown in the graphs. Statistical analysis was carried out using the software available from Graphpad quickcalcs. These statistically analysed results are shown in table 6 and 7 below. Table 6. A table to show the relative statistical significance of varying concentrations of caffeine upon the heart rate of daphnia Table 7. A table to show the relative statistical significance of varying concentrations of alcohol upon the heart rate of daphnia Discussion The results from this experiment indicate that both caffeine and alcohol affect heart rate of daphnia. Aspirin may affect heart rate but the results obtained here do not provide enough evidence to support this view fully. Why does caffeine affect heart rate? The results from this experiment show that caffeine causes heart rate to increase by around 0.05% per mg of caffeine. Whilst it cannot be known exactly why this happens there are various possible reasons. Caffeine if a methylxanthine which acts by inhibiting the enzyme (phosphodiesterase) that metabolises cAMP. The resulting rise in cAMP levels has the same effect as increasing levels of adenylate cyclase, which is one of the principal effects of adrenaline. Adrenaline is known to increase heart rate via its effects on the  Ã‚ ¢1 adrenoceptors so it is likely that caffeine has a similar effect. Whilst these effects are known about in humans, and daphnia are not the same organisms, it is likely that the effects are mediated for similar reasons – eg the involvement of enzymes and inhibition / stimulation of these. It is possible that the effects of caffeine were not as pronounced as might have occurred due to a reflex reaction. In humans an increase in heart rate is often rapidly followed by a reflexive compensatory mechanism to slow the heart rate again. This compensation can involve the veins dilating and a stimulation of enzymes such as phosphodiesterase in order to reduce cAMP levels. In the case of the daphnia it might have been the case that a more significant rise in heart rate occurred as soon as the caffeine was absorbed by the daphnia but then there was a compensatory mechanism to reverse this effect. However as the solution of caffeine was present around the daphnia for the whole duration of the experiment then this is unlikely as each time new caffeine was absorbed it would cause heart rate to increase, and the daphnia’s system would not be able to constantly undergo the reflexive compensations. How does aspirin affect heart rate Aspirin has its principal effects on an enzyme called cyclo-oxygenase. Aspirin acts by binding to the active site of the enzyme, thus preventing it from binding to the eiocosanoid and having its required effect. The inhibition is irreversible as aspirin binds permanently to the active site of the enzyme. Cyclo-oxygenase (COX) is the main enzyme involved in the conversion of eiocosanoids found in membrane fatty acids, into the inflammatory mediators prostaglandins and leuoktrienes. COX acts to convert arachadonic acid into the prostaglandin precursor prostaglandin G2 and also to convert this precursor into prostaglandin H2. It is from PGH2 that the main inflammatory mediators are generated. Therefore the prevention of COX prevents even the first part of the inflammatory cycle from taking place. Whilst it is not immediately obvious how the prevention of inflammatory mediators should reduce heart rate, it becomes obvious when the effect of the inflammation on heart rate is known. Whilst each individual prostanoid has slightly different effects, the overall one if to cause vasoconstriction and also an increase in myocardial contractility. This latter particularly results in heart rate being increased as the heart muscle in contracting more frequently. This means that decreases heart rate by preventing this increased heart muscle contraction, as well as preventing the vasculature from constricting so much. Again, it is the effects of aspirin in humans that is known about, but it could be expected that the effect is similar in daphnia. Why might alcohol affect heart rate It is not known exactly how ethanol acts to decrease heart rate, but it is believed to be a knock on effect from the changes in peripheral vasculature. Ethanol is known to cause vadodilatation – eg dilation of blood vessels. If blood vessels are dilated then there is more space thus a greater volume for blood so the heart has to beat fewer times to deliver the same amount of blood. It is also possible that ethanol has its effects on heart rate via a central nervous system effect. Ethanol initially increase catecholamine release, including dopamine. This acts to stimulate heart rate. However following this initial effect ethanol actually reduces the concentration of catecholamines, principally noradrenaline, by increasing the rate at which it is removed from cells. As the daphnia had been left in the ethanol containing water for an hour it would be expected that they had reached this second stage by the time heart rate was being measured. However it is possible that the conflict between the initial and subsequent effects of alcohol could be the reason why the results did not follow a particular pattern. Sources of error Whilst statistical significance appears to be present in a number of results it is very difficult to be certain with such a small population number. In order to be more certain of results, a much larger sample size should be used in each case. When a result has been shown to be significant and is actually due to chance this is known as a type I statistical error. Temperature is another variable that affects the heart rate of daphnia, evident by the fact that daphnia can be preserved alive at low temperatures due to a slowing of heart rate. Therefore it is possible that the heat from the light microscope lamp caused an increase in the heart rate. However, as the light was present on each counting session this variable, whilst possibly affecting heart rate, would affect all counts by a similar amount. Therefore all counts would be raised from what they should be. This would serve to make the results from caffeine more significant and alcohol less significant. Given that the results from alcohol showed an inverse correlation then this source of error could have only made the results less significant. However in the case of the caffeine it is possible that they were responsible for the change in heart rate observed, rather than the caffeine, as the changes were rather small anyway. If the experiment were to be repeated this could be controlled by careful monitoring of temperature and ensuring that this remained constant throughout the experiment, a variable that was no measured in this experiment. The fact that alcohol had to be used from an initially diluted form, and in a non pure ethanol formulation may have caused the results to be affected. Whilst calculations were made to find the overall concentration of ethanol into which the daphnia were placed, it is not certain whether this was correct. The alcohol could have contained other chemicals in addition to ethanol which could have affected the daphnia and their heart rate. The formulation of caffeine used was in the form of proplus tablets. These are also not caffeine in a pure format and would contain other padding chemicals such as sugar and talcum powder to make up the tablet. Sugar may well affect the heart rate of daphnia as it is a food stuff for them, and their heart rate may change whilst feeding, or following a substantial amount of food. Whilst daphnia reproduce asexually they are present in male and female forms. It was not possible to ascertain which gender was being counted on each occasion. It is the females which actually give birth to young. However pregnant females have a lower heartbeat than non pregnant females and males. Therefore if some of the daphnia that were being counted were actually pregnant females then this could have artificially lowered the heart rate result. Without studying each daphnia and ensuring that all were of the same gender and pregnant / not it is not possible to tell whether this factor adversity affected the results. Whilst the daphnia were held in place loosely on the microscope slide they were not fixed in place. Therefore it was not always possible to check that it was the same daphnia that was being used for the repetitions of counts for each of the drug treatments. It is therefore possible that the variation within each of the 3 counts was due to different daphnia being used, rather than a different heart rate at different times. It was not possible to ascertain how old each daphnia was which may have had an effect on heart rate as juveniles usually have a higher heart rate than older organisms. It was assumed that all daphnia obtained from the pond were actually of the common daphnia pulex species. However it is possible that there were a mix of different species within the sample collected. If an organism from a different species was used for each of the counts then this could also give rise to altered results. Evaluation The How Did Whatsapp Become Popular? How Did Whatsapp Become Popular? How did WhatsApp overpower other chatting apps? A research on what reasons made WhatsApp the number 1 chatting app in the past 5 years. Abstract In this research, 15 random chat apps users who are from different ages, genders, countries, and educational status filled a survey about their usage and experience of chatting apps.   The analysis of the survey showed that 85.7 percent of chatting apps users are addicted to them as they use them for more than three hours per day. most of them prefer Whatsapp for different reasons. 57.1 percent of the users said that privacy is number one priority for them. They look for a chatting app by which they can remain anonymous and their personal information are safe. Another fifty percent of the users said that they prefer WhatsApp because it is easy to use. A friendy user interface make chatting simpler and easier. A chatting app is made to make peoples life easier so it must be, it self, simple. Only 42.9 percent of users care about the security of the chatting app they use. They look for a chatting app that had no vulnerabilities that hackers can exploit to hack into their phones. Wort h to mention that there is no 100 percent secure app or system so no matter how the system platform is protected and well built, still there is a way or another to hack into it. The last reason for choosing Whatsapp is that it is popular and most people use it. 35.8 percent of users said that no matter how good it is, a messaging app is nothing without plenty of users. They want a chatting app in which they can find their friends and communicate with them. Introduction We are in a time in which chatting apps and social media became of the needs of our daily life. Whether they agree or not, people depend on chatting apps so much on their life to the extent that they can not live without. They use them in all aspects of life eg. get in touch with their friends and relatives, to discuss matters of business, and to explain a lesson to a classmate. Beside the instant messaging, the group chats that people create with friends and colleagues help them to share their ideas, information, point of views, and feelings with each other.   The trend of instant messaging apps lead to the establishment of many chatting apps until it turned into a business in which many counterparts challenge each other to create an application that can attract the majority of users by offering them the features that they look for. One of these chatting applications is WhatsApp. It was established in 2009 by Brian Acton and Jan Koum with the slogan â€Å"Simple. Personal. Real time messaging.† The new app came with plenty of features like as the ability to make group chats, set broadcast contacts and send unlimited images, video and audio messages. Beside being full of features, easy to use, and a pioneer in its category, it helped people to save money by using it instead of the regular SMS messages (Short Message Service) so users do not have to pay extra fees for sending messages. Moreover, it helped make communication over barriers much easier and cheaper than it ever been. All of these features, and others, made WhatsApp the number one chatting app for the past 5 years. In this study, I will investigate how did WhatsApp become the number one chatting app in the world during the past 5 years, what people like on WhatsApp, and what circumstances lead to the failure of other chatting apps. I used a survey which is filled by 15 random people in different ages, genders, countries, and educational status to see what do they like on chatting apps, WhatsApp specifically,   what do they do not like, and what do they expect is the future of chatting applications. The survey is analyzed and its results and foundings are shown at the end of this research paper. Literature review Many studies are done about chatting apps, social media, Whatsapp. A study entitled â€Å"Smartphone application usage amongst students at a South African University†,done in the year 2012 by Walter U, Aadilah M, et.al assessed on the usage of smartphones and social media in between users in a South African University. The study showed that students remain online for 16 hours a day and spend about 5 hours per day on their smart phones interacting and communicating with other their friends, colleagues and relatives through social networking applications. This Application (WhatsApp) is highly addictive and can create a great impact on regular users, and apart from that it can leave a trace that becomes difficult to control and cure. Some of the most prominent technological innovations are smart phones, laptops and using the internet. They have greatly affected many aspects of our lives. Today the Internet continues to grow day by day at an incredible speed. About 32.7% of the world’s population has access to the internet. Howe, Yeboah J, Ewur G. (2014) The two researchers also said that the main purpose behind this application is to replace SMS with a crossplatform mobile messenger that works on an internet data plan. If you have unlimited text, it is still beneficial as it is a convenient way to avoid international fees that carriers may charge. Mayer, Davis, and Schoorman, (1995) define trust in chatting and social media as â€Å"the willingness of a party to be vulnerable to the actions of another party based on the expectation that the other will perform a particular action important to the trustor, irrespective of the ability to monitor or control that other party† (p. 712) Trust is also important for successful online interactions (Coppola, Hiltz, and Rotter, 2004, Jarvenpaa and Leidner, 1998, Meyerson, 1996, Piccoli and Ives, 2003). Trust is also a central component of social exchange theory (Roloff, 1981). â€Å"Millions of people have joined social networking sites, adding profiles that reveal personal information. The reputations of social networking sites has been diminished by a number of incidents publicized by the news media† (Chiaramonte and Martinez, 2006, Hass, 2006, Mintz, 2005, Read, 2006), This raise the question whether ot not it is â€Å"possible to join a network of millions of people and be able to trust all of them.† Of course this does not look plgican. WWe can not trust strangers. Howver people still join networks and reveal their very personal information. what role does trust play in the use of social networking sites? Case study This study is based on a survey in which the responders answer some questions about what attracts him or her to a chatting app, what features does he or she want, and what aspects does he keep in mined when he choose a chatting app eg.security, privacy, ease to use and popularity of the application. This survey is published in a twitter page. 15 random people were engaged in it. They are from different ages, genders, countries, and educational status. The variety of the responders should help getting more accurate results and foundings for the study. A copy of the survey is attached. Research and survey results   The published survey got 15 responses from which I derived these analysis and answer the question of the paper, how did whatsapp overpower other chatting apps and be number one chatting application during the recent five years? The responses showed that 85.7% of users use different chatting apps more than three hours per day which is considered as addiction. Only 14.3 use instant messaging apps for only 1-3 hours per day. This is a regular usage. And nobody from the responders use chatting apps less than an hour a day. These results indicate that people are obviously in addiction with chatting apps no matter what do they use them for. When the responders were asked about the chatting apps they use, the all put WhatsApp at the top of the list, twitter comes second and Black Berry third. The reasons they all chose WhatsApp is clarified in the following figure 57.1% of the responders said that privacy is number one priority. They want to be anonymous and their personal information must be hidden to the eye’s of strangers. They ask for privacy options they can enable or disable by their choice. Since WhatsApp offer these options, it is their choice. However, children and even parents are rarely aware of the potential risks of information disclosure through mobile devices. Personal information, such as real-time locations, photos, and calendar, can be easily leaked via using mobile applications from mobile devices. (Chen Y et.al) They also claim that users’ personal information has been aggressively collected by different parities from mobile devices. 50 percent of the responders said that they prefer WhatsApp because it is easy to use. A friendy user interface make chatting simpler and easier. A chatting app is made to make peoples life easier so it must be, it self, simple. Security comes in rank 3 of the most important feature in a chatting application. 42.9% of people voted that whatsapp is secure enough to protect them against hackers’ attacks. Worth to mention that whatsapp was not encrypted, and though secure,   until April 2016 (Whatsapp.com). 35.8% said that the popularity of chatting app is the fourth most important feature. No matter how good it is, a messaging app is nothing without plenty of users. Keep in mind that because of the different protocols of chatting apps it is not possible to send a message from a certain app to another. A message must be sent and received by the same app. So 35.8 percent of people Conclusion Chatting apps and social media became parts of modern daily life. Nearly 85.7 percent of people are addicted to use their phones and chat more than 4 hours a day. People tend to look for a chatting app that respect their privacy and give them the choice to choose to what extent they are exposed to others. Security is also another important feature people look for. Ease to use and the popularity of chatting apps can make difference on peoples choices. A simple and popular chatting app is always listed as a good choice to use since it will allow the user to chat easily with a huge number of people. References Yeboah J, Ewur G. The Impact of whatsApp Messenger Usage on Student’s Performance in Tertiary Institutions in Ghana. In journal of Education and Practice. Vol.5 2014.Hindocha, N. Instant Insecurity: Security Issues of Instant Messaging. http://www.luisdelgado.es/seguridad/crypt4you/curso_comunicaciones_digitales/documentacion/im_security_issues.pdf . Accessed on 10]11\2016Chen, Y. Zhu, S. Zhou, Y. Xu, H. Protecting Children’s Personal Information: Using Contextual Integrity Theory to Examine Information Boundary on Mobile Devices. http://cs-sys-1.uis.georgetown.edu/~sz303/PIR2015/pir_submission/pir2015_submission_6.pdf. Accessed on 2016\11\10.Dwyer, C. Hiltaz, S. Passerini, K. Trust and Privacy Concern within Social Networking Sites: A Comparison of Facebook and MySpace. http://aisel.aisnet.org/cgi/viewcontent.cgi?article=1849context=amcis2007 Accessed on 10\11\2016Schrittwieser, S. Fruhwirt, P. et. al. Guess Who’s Texting You? Evaluating the Security of Smartphone Messaging Applications. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.681.9726rep=rep1type=pdf Accessed on 14\11\2016Jisha K, Jebakumar, Whatsapp: A Trend Setter in Mobile Communication among Chennai Youth. IOSR Journal Of Humanities And Social Science (IOSR-JHSS) Volume 19, Issue 9, Ver. VII (Sep. 2014), PP 01-06Smartphone Application Usage Amongst Students at a South African University, Walter UYS 1 , Aadilah MIA, Gary Jeffrey JANSEN, Haythem VAN DER SCHYFF, Michael Andre JOSIAS, Michelle KHUSU, Muzaffer GIERDIEN, Natacha Andrea LEUKES, Sulungeka FALTEIN, Tejas GIHWALA, Tracey-Lee THEUNISSEN, Yaseen SAMSODIEN. IST-Africa 2012 Conference Proceedings. Paul Cunningham and Miriam Cunningham (Eds) IIMC International Information Management Corporation , 2012Mayer, R. C., J. H. Davis, and F. D. Schoorman (1995) â€Å"An Integrative Model of Organizational Trust,† The Academy of Management Review (20) 3, pp. 709-734.Coppola, N., S. R. Hiltz, and N. Rotter (2004) â€Å"Building Trust in Virtual Teams,† IEEE Transactions on Professional Communication (47) 2, pp. 95-104.Roloff, M. E. (1981) Interpersonal communication: The social exchange approach. Beverly Hills, CA: Sage Publications, Inc.

Friday, October 25, 2019

Unfair Treatment of Immigrant Workers :: essays research papers

As the airbus 300 made its final approach along San Francisco international airport, I saw the Golden Gate Bridge sitting on its splendor lit by the rising sun. I then closed my eyes and said to myself â€Å"I am finally here.† Thus, my journey in search of a better life began. A few minutes later I was off the plane and was already making my way to the customs and immigration check point. I handed my papers to the immigrations agent, he took a look at my passport and documents and without asking any questions handed them back to me, smiled and said, â€Å"Welcome to the United States.† Two months after arriving in the United States, I found myself working long hours and struggling with homesickness. I also discovered the racial tensions and discriminations that were directed at every foreign Information Technology worker. My discovery was also augmented by the comments made by one of my white American born co-worker named Al. He said, â€Å"We are being invaded here, they are taking away our jobs†- referring to the arrivals of more and more foreign IT workers. Not only that, my company was also discriminating us and we were not properly compensated as the signed contract indicated. Before a foreign national could work for a United States company and could come to work in the United States, a contract is required by the Department of Labor that would state how much this particular person would be paid, and that the salary must not be lower or greater than the current existing wage on his field of specialty. Then, the company must submit that same contract to the Department of Justice before a visa could be issued. In my case and for many other foreign workers, our contract which was approved by both departments was breached. We were not even paid half of what the signed contract stated. We worked long hours without compensation. And by the end of the year our W2s’ proved it. And every time we asked or complained, the company would then ask us how much our salary was in the Philippines, and then they would ask us to compare it to what we are making here. And if that answer would not satisfy us, they then would threaten to cancel our visa. Therefore, all I can do is bite my tongue, put up and look at the bright side- I am are here and someday I will get my greencard and I then will be able to live the American dream. Unfair Treatment of Immigrant Workers :: essays research papers As the airbus 300 made its final approach along San Francisco international airport, I saw the Golden Gate Bridge sitting on its splendor lit by the rising sun. I then closed my eyes and said to myself â€Å"I am finally here.† Thus, my journey in search of a better life began. A few minutes later I was off the plane and was already making my way to the customs and immigration check point. I handed my papers to the immigrations agent, he took a look at my passport and documents and without asking any questions handed them back to me, smiled and said, â€Å"Welcome to the United States.† Two months after arriving in the United States, I found myself working long hours and struggling with homesickness. I also discovered the racial tensions and discriminations that were directed at every foreign Information Technology worker. My discovery was also augmented by the comments made by one of my white American born co-worker named Al. He said, â€Å"We are being invaded here, they are taking away our jobs†- referring to the arrivals of more and more foreign IT workers. Not only that, my company was also discriminating us and we were not properly compensated as the signed contract indicated. Before a foreign national could work for a United States company and could come to work in the United States, a contract is required by the Department of Labor that would state how much this particular person would be paid, and that the salary must not be lower or greater than the current existing wage on his field of specialty. Then, the company must submit that same contract to the Department of Justice before a visa could be issued. In my case and for many other foreign workers, our contract which was approved by both departments was breached. We were not even paid half of what the signed contract stated. We worked long hours without compensation. And by the end of the year our W2s’ proved it. And every time we asked or complained, the company would then ask us how much our salary was in the Philippines, and then they would ask us to compare it to what we are making here. And if that answer would not satisfy us, they then would threaten to cancel our visa. Therefore, all I can do is bite my tongue, put up and look at the bright side- I am are here and someday I will get my greencard and I then will be able to live the American dream. Unfair Treatment of Immigrant Workers :: essays research papers As the airbus 300 made its final approach along San Francisco international airport, I saw the Golden Gate Bridge sitting on its splendor lit by the rising sun. I then closed my eyes and said to myself â€Å"I am finally here.† Thus, my journey in search of a better life began. A few minutes later I was off the plane and was already making my way to the customs and immigration check point. I handed my papers to the immigrations agent, he took a look at my passport and documents and without asking any questions handed them back to me, smiled and said, â€Å"Welcome to the United States.† Two months after arriving in the United States, I found myself working long hours and struggling with homesickness. I also discovered the racial tensions and discriminations that were directed at every foreign Information Technology worker. My discovery was also augmented by the comments made by one of my white American born co-worker named Al. He said, â€Å"We are being invaded here, they are taking away our jobs†- referring to the arrivals of more and more foreign IT workers. Not only that, my company was also discriminating us and we were not properly compensated as the signed contract indicated. Before a foreign national could work for a United States company and could come to work in the United States, a contract is required by the Department of Labor that would state how much this particular person would be paid, and that the salary must not be lower or greater than the current existing wage on his field of specialty. Then, the company must submit that same contract to the Department of Justice before a visa could be issued. In my case and for many other foreign workers, our contract which was approved by both departments was breached. We were not even paid half of what the signed contract stated. We worked long hours without compensation. And by the end of the year our W2s’ proved it. And every time we asked or complained, the company would then ask us how much our salary was in the Philippines, and then they would ask us to compare it to what we are making here. And if that answer would not satisfy us, they then would threaten to cancel our visa. Therefore, all I can do is bite my tongue, put up and look at the bright side- I am are here and someday I will get my greencard and I then will be able to live the American dream.

Thursday, October 24, 2019

Characters in Great Expectations Essay

In this first extract there are many hidden connections between the characters and the settings. The first connection is when Pip the narrator describes the graveyard. He describes it as a â€Å"bleak place overgrown with nettles†. The word bleak alone reflects many characters feelings. The word bleak may perhaps represent how Pip feels about the place he has to mourn for his family and how he is in disbelief that a place of death and rebirth could be so uncared for. I think this uncaring for the graveyard is a strong reflection of Pips character, as he himself is uncared for. It could also symbolize Pip’s life so far as being miserable and empty and never having anything to look forward to. However I think the main thing the word bleak is trying to signify is the â€Å"fearful man† Magwitch. This convict’s life will be bleak even he does not go back to prison. This is because he has no option, no friends or family and he is alone in the world. Pip the narrator describes the area surrounding the churchyard as a â€Å"dark flat wilderness†. This quote is another representation of Pip’s life . The word â€Å"dark† indicates Pip’s past and how it is dark and cloudy as he does not know anything about it. The word â€Å"flat† signifies Pip’s life at the moment as being straight forward and plain with nothing changing and the word wilderness representing Magwitch and how Magwitch is going to change Pip’s future from flat and straight forward to wild andchanging. The quote also may represent Pip’s existence as he has always been alone, never knowing any of his family apart from his sister. Furthermore the fact that Pip is alone in this harsh abandoned environment makes the area more scary and dangerous. So when Dickens refers to Pip as a â€Å"small bundle of shivers† it creates an image in the readers mind of Pip curled up all alone in this â€Å"overgrown† â€Å"wilderness† which I think increases the readers sorrow for Pip. Moreover the word â€Å"bundle† emphasises how small Pip is which may increase the readers sorrow for Pip even more. This atmosphere created by Dickens gives a good entrance for the character Magwitch. Magwitch is mirrored through the landscape and the words Dickens uses so that he is not only created through words but from the settings. The words and settings that are used to emphasise Magwitch are mainly employed to dehumanise Magwitch so that he seems more like a monster then a man. Magwitch is first introduced at the graveyard, where he scares Pip not only with his words but with his image. This is shown before Magwitch is even introduced into the play by the narrator. The narrator refers to a wind rushing from a â€Å"savage lair†. I think this wind from the savage lair is Magwitch and how he is being blown ever closer to Pip. I also think that the word â€Å"savage† could be referring to the prison Magwitch was in. As it shows the fact that a prison is a place for savages. This idea increases the reader’s view of Magwitch making him more of a beast then a man. The assumption that Magwicth is a beast is also supported by the fact that Dickens followed â€Å"savage† with the word â€Å"lair† the word lair is mainly used to describe an animal’s home which enhances the idea of Magwitch being an animal. I think Dickens does this to dehumanise Magwitch further and also to create an image in the readers mind just before Magwitch is introduced into the extract. Magwitch is an escaped convict which makes his options â€Å"bleak† that’s why I think he ends up at the graveyard because if your options are â€Å"bleak† you usually only have the worst choices to choose from. The word â€Å"overgrown† suggests how Magwitch is out of control which makes him more like a wild monster. In addition the word â€Å"nettles â€Å"could be representing Magwitch being sharp, painful and dangerous. These quotes show that nature has personified Magwitch into a wild beast. When Magwitch is first described by the narrator, one of the first things that he is described as is â€Å"a man with no hat†. I think this is said because in the times of Great Expectations gentleman usually wore top hats. Dickens is trying to show that Magwitch is no gentleman. At the end of extract one Magwitch asks Pip where his village lies. This I think has a small reference to Mr and Mrs Gargery, as they both are included as the â€Å"village† that Pip points to when Magwicth threatens him in the Graveyard. The village â€Å"lay inshore among the alder trees,†. As a result of this quote we draw together the image of a peaceful village. This quote illustrates the meaning of the word â€Å"lay† as this one word indicates that the village was asleep and unaware of Magwitch’s presence. This extract shows how well the settings of Great Expectations not only contribute to the story but to the characters emotions as well. Extract two takes place in Satis House. This old outdated building creates the feelings and atmosphere for this extract. The extract begins with Pip describing the room he is in and giving us an image of what it looks like. Pip then meets Miss Havisham and refers to her as the â€Å"strangest† thing he has ever seen. Miss Havisham talks to Pip about herself and gives him a brief outline of her past telling Pip how she has never seen the sun since she was left at the alter by her husband. After this Pip meets Miss Havisham’s daughter Estella. Estella and Pip play the card game â€Å"beggar† while they are playing. Estella insults Pip by saying that his hands are all coarse. The extract ends with Pip leaving Satis house and then releasing his hatred towards Estella by kicking a wall while he cries. Extract two on a whole fits into Great Expectations as the Part of the novel that misleads the reader so that the reader thinks that Miss Havisham is the mysterious benefactor who gives Pip money so that he can move to London to become a gentleman. I think Dickens does this to try and remove the character Magwitch from the readers mind so that the reader will not even in the slightest think that Magwitch is Pip’s benefactor and that Magwitch role in Great Expectations has ended. However even though Charles Dickens does this, he still leaves a presence of Magwitch in the novel. This presence comes from the character Estella. Estella just like Magwitch is sprung onto Pip. Magwitch is sprung onto Pip in the literal sense as he just jumps out at Pip scaring him. In comparison Estella is released onto Pip in another way. Pip who finds Estella â€Å"pretty† is just sprung by the insults and â€Å"distain† she shows towards him. The settings in extract two mainly represent the character Miss Havisham showing why she lives her life the way she does and exposing her past to the reader. The character Miss Havisham is not exactly a very believable character as no one in their right mind would live there life the way she does just because they were left at the alter. However even though she is not a very realistic creation from Charles Dickens she is certainly one of the most interesting characters of the novel. Miss Havisham’s whole life is defined by the single catastrophic event of her being left at the alter. From that moment forth, Miss Havisham is determined never to move beyond that day. She stops all the clocks in Satis House at twenty minutes to nine, the moment when she first learned that her future husband was gone. Extract two begins with Pip the narrator describing what the room Pip is in looks like. The room is described as a â€Å"pretty large† room well lit with â€Å"wax candles†. It is also said that the room does not even have a â€Å"glimpse of sunlight. † These quotes create the atmosphere of the room which make it seem mysterious and depressing. In addition these quotes reveal a lot about the character Miss Havisham. The quote a â€Å"glimpse of sunlight† is not only saying that room does not even have a glimpse of sunlight it is also reflecting things about Miss Havisham showing how she herself is the one without a glimpse of sunlight. The fact that Miss Havisham is keeping herself from the sunlight (the sunlight I believe could represent the public) suggests that she is trying to keep her past from the sunlight by staying in the dark. Sunlight is often associated with bliss and happiness. As there is no sunlight in the room it emphasises her life as being unhappy.

Wednesday, October 23, 2019

Middle Cerebral Artery Stroke Health And Social Care Essay

Stroke is a complex neurovascular disease caused by multiple mechanisms that result in a break of normal intellectual blood flow. Harmonizing to Kockrow and Christensen ( 2011 ) , ischemic in-between intellectual arteria shot is an unnatural status of the blood vass in the encephalon, characterised by bleeding into the encephalon of the formation of an embolus or thrombus that occludes the in-between intellectual arteria, ensuing in ischemia of the encephalon tissue usually perfused by the damaged cells. The in-between intellectual arteria supplies the largest volume of the cerebral hemisphere, including the basal ganglia, the internal capsule, and the ocular radiations from the thalamus ( Mitchell & A ; Moore 2004 ) . The disrupted blood flow in the MCA causes intellectual disfunction. Cerebral blood flow has an autoregulatory mechanism that protects against hypoxia and low perfusion ( Johnson 2012 ) . When intellectual blood flow decreases, there is addition in blood force per unit area and vasodilation occurs as the autoregulatory mechanism attempt to counterbalance ( Johnson 2012 ) . If the blood flow falls below a critical degree, intellectual blood volume is reduced and infarction occurs. Johnson ( 2012 ) explains that the deficiency of foods usually received from oxygenated blood and the harm which is caused by unexpected shed blooding into or around the encephalon taking to cell decease. Cerebral ischaemia initiates a figure of damaging cellular events enduring which consequence in monolithic cell decease and tissue harm beyond the country originally affected by the deficiency of blood flow ( Kockrow & A ; Christensen 2011 ) .Tissue plasminogen activator is a serine peptidase which converts plasminogen to plasmin, a fibrinolytic enzyme ( McElveen & A ; Macko 2009 ) . Upon disposal, recombinant TPA increases plasmin enzymatic activity, ensuing in fibrinolysis ( Harvey 2009 ) . It is used to handle the shot in the acute phase to reconstruct flow to the is chaemic country. In ischemic stroke the dead or deceasing cells are surrounded by the penumbra-an country of cells at hazard of or enduring ischemia as explained by Harvey ( 2009 ) . Cells busying the penumbra are ill perfused and as a consequence become progressively ischemic ( Mitchell & A ; Moore 2004 ) . Circulation can be improved when TPA is administered within 3 hours in an acute ischemic shot ( Elkind 2009 ) . This will besides assist to understate decease cells in the penumbra. Collins ( 2007 ) states that the usage of TPA halts the shot by fade outing the coagulum that is barricading blood flow to the encephalon. When suitably administered to patients who fall within narrow clinical guidelines, TPA can restrict the extent of encephalon hurt and better results after shot ( Johnson 2012 ) .Describe the functions of four members of the multidisciplinary squad ( other than nursing ) who will care for Mrs Carroll.The function of the squad is to supply holistic attention which r ealistically develops of import ends for Mrs Carroll and her household, whilst testing for shot complications and trouble-shooting as jobs nowadayss.Address DiagnosticiansThe address healers have established function for measuring swallow map every bit good as address ( Lindley 2008 ) . Regular address therapy can better the result after shot. Therapy begins without hold after a shot ( ideally the following on the job twenty-four hours ) and involves Sessionss of 1-2 hours per twenty-four hours as explained by Funnel, Koutoukidis & A ; Lawrence 2009. The address healers are concerned with assessing, naming and handling communicating upsets, such as formation and perceptual experience of address, the ability to joint words and to understand and originate address ( Freeman 1998 ) . The address healer will help Mrs Carroll to re learn communicating accomplishments. The address diagnostician will besides intercede closely with the nurse, dietician and household to accomplish safe swallo wing schemes for Mrs Carroll.Physical therapistsThe physical therapists will measure Mrs Carroll physical capablenesss and restrictions in a collaborative procedure ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . The physical therapist administers therapies designed to rectify or understate malformation, addition strength and mobility or relieve uncomfortableness or hurting ( William, Perry & A ; Watkins 2010 ) . Stroke rehabilitation comprises of exercising intercession, to understate the effects of the encephalon cell harm and optimise re-learning as stated by Lindley ( 2008 ) . William, Perry & A ; Watkins ( 2010 ) explain that the interventions include the usage of specific exercisings, heat, cold, aqua therapy and electro physical therapy. The function of the physical therapist besides involves educating Mrs Carroll and her household in right methods of placement, reassigning and call uping to help with the discharge.Occupational healersThe occupational healers aim is to help Mrs Carroll to be independent in executing activities of day-to-day life ( Lindley 2008 ) . Freeman ( 1998 ) explains that the occupational healers will find Mrs Carroll ‘s ability to execute basic activities of life such as lavation, dressing and feeding. Their function includes the appraisal of basic and more advanced functional activities ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . The occupational healer plants on specific undertakings in coaction with nursing staff and physical therapists ( William, Perry & A ; Watkins 2010 ) . This involves a period of appraisal including the ability to understand instructions followed by specific preparation in basic ADLS ( William, Perry & A ; Watkins 2010 ) . As Mrs Carroll has adequate motor recovery to keep sitting balance the occupational healer starts working on basic lavation ( e.g. rinsing the face, cleaning dentitions ) . As recovery returns, more complex undertakings can be assessed and practised such as showers transportations , acquiring on and off the lavatory. The occupational healers assess the demand for, and supply, adaptative devices to advance independency with bathing, eating and dressing. Home alterations are besides assessed by the occupational healers to guarantee that the place environment is safe and contributing to Mrs Carroll ‘s independency degree as elucidated by Funnel, Koutoukidis & A ; Lawrence 2009.PsychologistsPsychologist has an of import function in assisting Mrs Carroll towards a successful recovery. Their expertness is peculiarly utile in measuring temper, depression and assisting Mrs Carroll through hard accommodation periods by pull offing her choler and other hurt ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . The psychologist is concerned with the causes, bar and intervention of the single societal jobs particularly in respect to interaction between Mrs Carroll and the physical and societal environment ( Lindley 2008 ) . The psychologists will help the rehabilitation sq uad with schemes to pull off Mrs Carroll ‘s behavioral perturbations that impact on the twenty-four hours to twenty-four hours rehabilitation procedure ( Freeman 1998 ) .3. Describe the schemes that may assist active engagement of the patient and household in the rehabilitation plan.The active engagement of Mrs Carroll and her household has a important function to play after her shot. Their support will be of great comfort for Mrs Carroll and when the shot has caused major jobs, their aid in the recovery procedure is a cardinal portion of good shot attention ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . The household need to understand and be involved with the rehabilitative ends that Mrs Carroll has developed with the squad and the methods selected to run into these ends as explained by William, Perry & A ; Watkins ( 2010 ) . This can include acquiring the household members to reenforce peculiar preparation Sessionss and developing the household to pull off Mrs Carroll with a position to dispatch for illustration learning techniques to reassign Mrs Carroll from bed to wheelchair or acquiring Mrs Carroll into a attention safely ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . This will enable them to experience that they are playing a critical function in rehabilitation. Family members need to understand that their greatest part may be to let Mrs Carroll to be every bit independent as possible ( Gillespie & A ; Campbell 2011 ) . Another scheme that will assist the active engagement of the household is household conference with the multidisciplinary squad and the physician where they will have specific information on the type of shot that affected Mrs Carroll and about her advancement as illustrated by Popovich, Fox, & A ; Bandagi ( 2007 ) . Working with Mrs Carroll and her household will assist Mrs Carroll to accomplish realistic ends in their shot journey. It is besides really of import to learn the household techniques to heighten safety and communicating ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . Family members can besides supply valuable information about Mrs Carroll ‘s usual life style. The household members can help in reorienting Mrs Carroll to the affected side and implementing safety safeguards. It is besides of import for the household to be cognizant of the shortages and intercessions appropriate for Mrs Carroll ( Lindley 2008 ) .4. Mrs Carroll ‘s defeat with motor activities and address make her angry. Discuss how choler may be used to ease effectual header and how rehabilitation nurses can enable patients to utilize their energy therapeutically.Nursing intercessions to ease emotional accommodation to stroke should include hearing, detering self-blame, promoting Mrs Carroll to verbalize her feelings, advancing independency, assisting Mrs Carroll reappraise her state of affairs, and show credence and acknowledgment of her advancement as highlighted by William, Perry & A ; Watkins ( 2010 ) .It is of import tha t early marks of uneffective header to be detected so that patients at hazard for depression may be assessed and treated. The psychologist can besides help in supplying get bying schemes for nurse and speech healer to pull off Mrs Carroll ‘s defeat and choler ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . By back uping Mrs Carroll, instead than taking her, the nurse can assist her to gain her restrictions, consolidate loss and authorise her to be after for a hereafter that will be fulfilling to her.The construct of hope can be characterized by an unsure desire to accomplish ends that will let Mrs Carroll to set and travel end stations when transmutations occur as explained by Western ( 2007 ) . An achieved end or success against a nerve-racking experience creates an immediate sense of peace and good being and a generalized hope emerges for future successes harmonizing to Popovich, Fox, & A ; Bandagi ( 2007 ) . Hope is of import to recovery as it gives persons the motive and str ength to accomplish their ends ( Western 2007 ) . Empowerment so can be seen as a agency of assisting persons to recognize and accomplish their ends. Mrs Carroll becomes frustrated when she can non pass on, but alternatively of retreating from the conversation the nurse should promote her to do regular efforts to pass on with the squad and household. Hence her address will better daily and this will assist to accomplish her set ends ( ( Funnel, Koutoukidis & A ; Lawrence 2009 ) .5. Describe the medicines that Mrs Carroll is taking and discourse the grounds for administrating these medicines in his current status. Why should a cholesterin lowing agent be considered for Mrs Carroll?MetforminHarmonizing to Tiziani ( 2010 ) , Mrs Carroll was prescribed Glucophage as she has a history of Type 2 diabetes. Metformin acts chiefly by diminishing the production of glucose in the liver as described by Bullock and Manias ( 2011 ) . It besides slows soaking up of glucose signifier the intestine, inhibits glucagon secernment and tissue glycolisis ( Lindley 2008 ) . This medicine is prescribed when the blood sugar degree can non be controlled with diet alone ( Lindley 2008 ) .Avapro HCTThis medicine is used to handle mild to chair high blood pressure explained by Tiziani ( 2010 ) . The combination of a thiazide water pill ( hydochlorothiazide ) and angiotensin receptor adversary produces a greater decrease in blood force per unit area ( Tiziani 2010 ) .Irbesartan blocks the potent vasoconstrictive and aldosterone-secreting effects of angiotonin II by selective hostility of the angiotonin II receptors localized on vascular smooth musculus cells and in the adrenal cerebral mantle ( Bullock & A ; Manias 2011 ) . Hydrochlorothiazide increases plasma renin activity, increases aldosterone secernment, and decreases serum K. Coadministration of an angiotonin II receptor adversary tends to change by reversal the K loss associated with thiazide water pills ( Bullock & A ; Manias 2011 ) . This medicine will assist to take down Mrs Carroll ‘s blood force per unit area.ClopridogrelThis medicine is used to forestall thromboembolic events, ischemic bosom disease and bar of shot ( Tiziani 2010 ) . Harmonizing to Bullock and Manias ( 2011 ) , it inhibits thrombocyte collection by irreversibly adhering to adenosine disphosphate thrombocyte receptor. Mrs Carroll has a past history of atrial fibrillation and she has a high hazard of shot from embolisation of cardiac thrombus ( Freeman 1998 ) . This medicine will cut down the hazard of holding a shot. Mrs Carroll ‘s LDL cholesterin degree is high and this increases the hazard of ischemic shot and bosom disease ( Lindley 2008 ) . A cholesterin take downing agent should be considered for Mrs Carroll to assist forestall farther vascular disease ( Mitchell & A ; Moore 2004 ) . William, Perry & A ; Watkins ( 2010 ) explain that the lower the blood cholesterin, the lower the subsequent hazard of ischemic shot and other thrombotic vascular disease. The cholesterin take downing agent has the ability to brace atheromatic plaque, cut down thrombogenicity every bit good as its consequence on dyslipidaemia ( Tiziani 2010 ) .6. What are the advantages and disadvantages of get downing Mrs Carroll on medicine to command her urinary incontinency?Harmonizing to Bullock and Manias ( 2011 ) , anticholinergics interfere with the parasympathetic excitations of the detrusor musculus by barricading the neurotransmitter acetylcholine, ensuing in fewer nonvoluntary contractions ( . One of the disadvantages of utilizing medicine to command her urinary incontinency is that it causes hazard of mental confusion ( Tiziani 2010 ) . Her cognitive operation has decreased since she had the autumn, hence this medicine will do it worse. Anticholinergics medicine additions hazard of terrible irregularity, Mrs Carroll suffers from irregularity already this medicine will increase the hazard of holding intestine obstructor. Furthermore, bladder preparation can better urinary incontinency and encouraging Mrs Carroll to utilize medicine will cut down her independency and motive ( Lindley 2008 ) . Mrs Carroll might experience embarrassed to go to therapy due to her urinary incontinency. Therefore she could decline therapy and this will non assist in the recovery procedure. Urinary incontinency may do clamber dislocation and roseola due to extra of wet in the genital-perineal country ( Borleis 2012 ) . This medicine will besides cut down the hazard of Mrs Carroll acquiring a urinary piece of land infection as she would non necessitate to travel to the lavatory more frequently. Furthermore, good continency attention plays a cardinal function in assisting to reconstruct Mrs Carroll self esteem and independency ( Freeman 1998 ) . The medicine will besides assist Mrs Carroll to come on with vesica preparation ( William, Perry & A ; Watkins ( 2010 ) .7. Mrs Carroll had a strong spiritual religion prior to her shot but has since refused to see the Priest or members of her church. What intercessions might you implement to assist her recover her religious well being?Mrs Carroll might b e embarrassed to run into her friends due to her status. First I would try to find the ground ( s ) for the hurt, and back up the Mrs Carroll to analyze her beliefs and values ( Tanyi 2006 ) . Supply research-based grounds to Mrs Carroll about the positive impacts of spiritualty on her wellness and operation ( Tanyi 2006 ) . Spending one on one clip with her and assist her to reflect back on her past religious well being might assist in cut downing her religious hurting.I would mention Mrs Carroll to a societal worker who may mention her farther to a psychologist ( Lindley 2008 ) . Her religious well being might non be straight related to her faith. Involve her in a speculation group with other patients who had stroke to assist her talk about her state of affairs. I would easy present one friend at a clip and see how she reacts to that. It is besides really of import to let Mrs Carroll to grief for the loss of what her life was and guarantee that she is cognizant that the nurse is a t that place to assist her. Pastoral attention services are inter-denominational and will be able to offer religious attention to Mrs Carroll ( Funnel, Koutoukidis & A ; Lawrence 2009 ) .8. How does the nurse utilise patient information obtained during admittance to help in the acknowledgment of discharge demands? What community resources would you see to assist Mrs Carroll and her hubby?A thorough nursing appraisal obtained during admittance enables the nurse to place existent and possible jobs of Mrs Carroll ( Fawcett & A ; Rhynas 2012 ) . Discharge planning is critical to advance good being and maximal recovery ( Freeman 1998 ) . On admittance, it was identified that Mr Carroll is really dependent on his married woman and that he is due for an operation in two hebdomads. Furthermore, they live in a two floor three sleeping rooms townhouse which will non be ideal for her when she come back from infirmary due to her limited mobility. To guarantee continuity of attention, the interd isciplinary procedure start on admittance by interceding with the societal worker, occupational healer, physical therapist and societal web as explained by Lindley ( 2008 ) . Mrs Carroll is active in the community and she besides has supportive friends within the Parish Community. The community can besides organize a support group for shot patients to run into other people from the community who understand what you have been through. A resource battalion can be developed for Mr Carroll supplying inside informations of community services and benefits available. On discharge, guarantee good links and information sharing between the infirmary and community squads, and between wellness and societal attention suppliers. Arrange chances for shot subsisters and households to run into cardinal community staff such as territory nurses and stroke affair nurses before discharge ( Gillespie & A ; Campbell 2011 ) .9. Mrs Carroll was an active member of his community but now has limited address. Describe any schemes you could utilize to help communicating and the discharge instruction you would supply to her hubby sing her communication with others in societal state of affairss.Communication troubles can significantly impact quality of life and cause hurt and defeat for households, friends and the patient ( Speech Pathology Services 2012 ) . A broad scope of schemes can back up communicating such as taking distractions when speaking to the patient as explained by Speech Pathology Services 2012. The usage of different sorts of communicating such as gesture, indicating or composing will assist to understand Mrs Carroll ( William, Perry & A ; Watkins 2010 ) . The nurse should explicate to Mr Carroll that it is really of import to talk in short sentences, easy and in a respectful tone with normal volume. When pass oning with Mrs Carroll, the individual should let excess clip to treat the information and repetition the message or state it in another manner ( Speech Pathology Ser vices 2012 ) . The usage of communicating devices will besides advance comprehension and apprehension ( Freeman 1998 ) . Communicating with his married woman could be really frustrating, it really of import for him to stay unagitated and patient. It is indispensable to supply accessible information for Mrs Carroll and her household on the peculiar type of address damage that Mrs Carroll has to heighten apprehension and assistance communicating ( William, Perry & A ; Watkins 2010 ) .10. Complete an admittance and discharge FIM for Mrs CarrollPlease see affiliated