Tea Essay Example | Topics and Well Written Essays - 750 words

Tea - Essay Example Tea is a popular beverage manufactured from the leaves of a plant known in Latin as Camellia sinesis. As the old folks in the tea industry used to call it, some still refer to it by its now outmoded name â€Å"Thea sinensis†. The now popular name for tea, â€Å"Chai†, originated from Persian â€Å"chay† and spread to other parts of the world. Well, take little focus on that tongue irritating phrase and focus on the pot’s content, delicious! Tea is a mild stimulant. Its stimulating effect is associated with caffeine as one of its main components. It caffeine content is lower than that of coffee but exceeds that in cocoa. It also contains small amounts of tannic compounds referred to as polyphenols. It is these tannin compounds that tea its flavor, which makes it one of the most cherished beverages in the world. Talking of tannic, the mind will often focus on leather, a good but blind wild guess. Tannic compounds in tea refer to elements such as vitamin A, B2, C, D, K and P and numerous minerals together with scented oils. The tannic compounds also give the beverage its color and dryness. Tea plant is believed to have originated from East and South Asia. Despite numerous tales on the initial use of tea as a beverage, not a single person is absolutely sure of the claims. Many people believe that China is the first country where tea was initially taken as a beverage before spreading to other nations. Classification of tea is based on their mode of processing. Some popular categories of tea include white, green, oolong and black tea among others. After picking tea leaves, they are dried and fermented, a process that leads to darkening of the leaves. For black tea, the fermented leaves are heated at a suitable temperature. In most occasions, the processed tea is blended to obtain better flavor and quality to fetch higher prices in the market. Blending conceals varieties with low taste and hooks the consumer to the brands. Catherine, Charles II’s wife

Human Resource Essay Example | Topics and Well Written Essays - 1500 words

Human Resource - Essay Example Furthermore, more detailed ideas and concepts about the said topic are elaborately obtained from various studies through the use of academic journals. Critical evaluation There is no question about it; sexual harassment is prevalent in diverse parts of the world especially in the workplace. The sad thing about it is the thought that victims have little idea that they were already sexually harassed. One reason may be due to cultural orientation (Poulston, 2008). Some may have different perspective about it (Pierce et al., 2004). This further resulted to situation in which sexual harassment and its definition has not been fully understood by all. It is therefore important to study on this aspect because this can be informative to individuals especially those who have little information about the abusive capacity of those who can impose power over them. It is also important to understand this because sexual harassment has specific undesirable impacts that can eventually result to ineffi cient output in the workplace. Thus, workplace harassment is proven to have negative consequences in an individual and organisation (Bowling and Beehr, 2006; Raver and Nishii, 2010; Hershcovis and Barling, 2010 ). Thus, the human resource department must essentially address this issue in order to ensure efficient output of the human resource. The authors were consistent about their purpose of their paper and that is to outline their position on sexual harassment, how to avoid it in the workplace and the responsibilities of the employers to control this kind of situation. There were various sources employed in the paper and these include those with relevant discussion about the real definition of sexual harassment in the workplace. This makes the paper informative because it tries to inform the readers about the basic forms of sexual harassment in the workplace. Furthermore, more relevant literatures were included in order to justify their points on how to avoid sexual harassment in the workplace especially on the best part that employers can do to protect the human resource. It was also evident in the paper that the authors were able to critically consider various sexual harassment related incidents. From this stand point, it was evidently clear how the authors tried to emphasize the relevance and prevalence of sexual harassment in the workplace. The authors concluded that sexual harassment can represent abuse of power in the workplace. This basically is one of their strong stands on this issue. It is in fact true that through sexual harassment, everyone has the chance to dominate someone through imposition of power based on the definition given by the authors. Unfortunately, they failed to expand on this issue. Even though they are suggesting more important and relevant studies on this part, but they failed to expand or give detailed explanation on this aspect. They failed to provide available literature that could support this claim. Primarily, they have imp arted logical explanation and some relevant statistics about sexual harassment in the workplace but they failed to emphasise how many of them are eventually caused by abusive use of power over the abused or victims. For instance, they pointed out that women are said to be commonly sexually harassed in the workplace. However, there is no clear justification that this result is evident because women are primarily weak in physical strength than men for instance or the latter is more powerful than the former in the

Psychology and Christianity Essay Example for Free

Psychology and Christianity Essay An integrative approaches to Psychology and Christianity by David Entwistle explains the fundamental question whether Christians can take a place in psychology. By marrying both scientific and theological disciplines, the author takes a stand to argue that psychology and Christianity can help an individual to serve the Lord within the parameters of duty to love. In this book, Entwistle gives a concise understanding for the interplay between theology and science by taking us through the historical analysis of psychology and how it explains how individuals have their characteristics, qualities and talents which help them serve God and society (p 35-37). Arguably, a person cannot be an effective psychologist without the basis of what is right with is captured in Christianity as a moral concept. With regard to these, our society is shaped by history as well as environment. The knowledge we acquire throughout our existence is inspired by our past experiences. Significantly, Christianity has facilitated how we structure our mindsets over various moral issues in the society. To bridge the gap between Christianity and psychology, Entwistle argues that there are five important paradigms that show the interplay between theology and psychology. This includes spies, enemies, neutral parties, colonialists as well as allies as elements serving ones master called sovereign (p39). The argument presented by Entwistle articulates the concept that psychology resembles theology in line with goals and serve fundamental human purposes of improving as well as giving meaning to the life of a human being. The two disciplines revolves around human functioning and nature hereby, an integrative approach to psychology and Christianity underscores that when it comes to dealing with human life and truth, there should be a unified approach that uses both secular and sacred elements of thinking. With regard to these, both psychology and Christianity need to be integrated because life at large revolves around helping others with issues that promote quality lives and harmony in the society. Critical and Concrete Responses After reading an integrated Approach to Psychology and Christianity, I was led to thinking that the understanding of God and psychology relates coherently to the Maslow’s Hierarchy of Needs. I agree with the argument because my experiences in the past have acquired as a result of my environment and needs as a human being which moves closer to the relevance of psychology in the life of human beings. Similarly, the feeling of self-actualization is realized through a Christian’s association with God through divine moment of prayer, fellowship and engagement in charitable works because the Bible stipulates that such gestures will grant one an eternal life. On the same note, psychology understands that self actualization is a need that must be met after all the other seven basics ones have been met. Entwistle asserts that both eternal life and Maslow’s hierarchy of needs portend single ideas of achieving in life and feeling the sense of achievement. The truth revealed in the word of God and the various works of Jesus Christ as well as the Christian ministry is something that is characterized in my life. Arguably, life revolves around all these and it is somehow impossible to separate it from life in a Christian perspective. Equally, my life experiences have led me to conclude that certain things in life should be done in my own way. Accordingly, there are many times I have learnt from my experience and have faced many consequences as a result of my choices. In view of this, Entwistle asserts that doing things the way we want articulate the psychological belief of emotions, socialization, intelligence and human needs. However, this argument raises the question of conflicting forces between our beliefs and human desires. As Christianity stipulates how we should behave in line with morality, psychology justifies why we must attend to our human desires. As such, an integration approach to life should cover both Christian teachings and the sentiments echoed by psychologists (pg 59-63). I was a temperamental person who for years reprimanded people for wronging me. Although I justified my case by arguing that I respect my feelings and that is me, God called upon me to change my temperament by managing anger so that I can accommodate others. God’s intervention in this case harmonized how I lead my life because; I was able to strike a balance between my religious beliefs and human desires. Most significantly, managing a balance, or rather moving my hot tempers to reasonable levels necessitated the intervention of counseling services. Accordingly, I embarked on regular counseling with gave me an insight on how to understand other and tune my emotions to the levels that accommodate others feelings. This way, the book an integrated approach to psychology and Christianity, underscores the importance o integrate theology and psychology. Somehow, psychology helps Christians to understand their human face and through services such as psychotherapy, counseling, a Christian will be able to moderate the psyche of the soul as well as the soul of psychology. Personal Reflection Although Entwistle advocates for s linkage in the two disciplines and goes ahead to propose that Christians should integrate science theology in viewing issues of life, it becomes critical to the Christians because one question that is raised is how can Christians be motivated to use psychotherapy and counseling services as a way of integrating psychology and Christianity. Entwistle asserts that moral concepts of live are well explained in Christian doctrines and through psychology, such moral doctrines can be well explained and a Christian will consciously understand the essence of being a Christian. However, the book fails to recommend how counseling can be promoted and how psychotherapy and other psychological services can be enshrined in the Christian education. Accordingly, the question of how we as Christians should accomplish the goal of promoting the integration of science to theology takes the center stage of the entire debate that Entwistle engages in concerning reaping the full benefits of integrating psychology and Christianity. Arguably, Entwistle uses words that further complicate the message of integrative approach to psychology and Christianity. In essence, this makes it difficult for an average reader to appreciate the information being conveyed let alone retention. In addition, it plausible to note that as a reader I found it hard to grasp the interests as well as concept of integrating psychology and Christianity because of the fact that the book is written broad view hence it seems to argue in circles around the importance of using both psychology and Christians teaching. Recommended Action Owing to this weakness of language and jumping around ideas, there are measures that can be taken to help us benefit from the Christian psychological integration. Advising others on how to benefit from counseling will form the fundamental action that spearhead the campaign for integrating Christianity and psychology. In this view, sharing some of my experiences with regard to how I have benefited from counseling to succeed in my Christian faith and life at large will work in helping in the whole initiative of promoting such kind of integration. If possible, all counselors who happen to be Christians should uses their positions to root the belief of integrating Christianity and psychology into other Christians and equally work with other counselors to devise methods of overcoming challenges that may come with their initiatives. At the same time, the basis of my intervention will revolve around moral maturity. As such, it is recommended that encourage Christians to search for the truth and thus understand for themselves how best they can use psychology to succeed in their lives and Christian works. In a nutshell, Entwistle espouses that it is only through a concise integration of both science and theology that Christians will embrace the concept of togetherness. In other words, they will understand how humans functions and thus structure their spiritual beliefs in a realist way to avoid the self conflict that is always inherent among many believers. Psychology signifies the many teachings that are typical to Christianity such as values. Reference Entwistle, D. (2004). Integrative Approaches to Psychology and Christian. New York: Wipf Stock Publishers

Chronic Obstructive Pulmonary Disease Case Study

Chronic Obstructive Pulmonary Disease Case Study CASE STUDY : COPD This piece of work will explore the comprehensively physical examination, differential diagnosis and various diagnostic tests to confirm the disease condition that is CHRONIC OBSTRUCTIVE PULMONARY DISEASE. It will then move further to discover the comprehensive treatment plan and present a argument on an excellent method to treat the disease condition on the basis of current evidenced based studies. The actual name of the patient is replaced with another name so as to retain confidentiality (Dimond, 2002). Mr.X is a 58 year retired office manager came to the emergency ward with his son. He had chief complaints of difficulty in breathing, severe cough, weakness and was feeling discomfort. Patient general appearance shows that he is weak, sitting in high fowlers position, respiring through pursed lips. Suggest that this type of breathing is the indication of emphysema. Pursed lip breathing helps in emitting the air which is trapped in the lungs and limits the force for taking breath (Rik Gosselink, 2003). History taking and proper investigations are the two main components for confirming the disease condition. Complete history is essential to determine the exact etiology of shortness of breath that includes past history of asthmatic attack, family history of asthma, occupational history, present history of smoking, alcohol intake, medication history, episodes of cough whether it is productive or not, presence of any heart problems (Walsh, 2008). COPD develops due to the lack of alpha one antitrypsin hereditary factor. Furthermore the occupational hazards along with genetic factor deteriorate the condition. So detail history collection including all the aspects is significant (Yohannes and Hardy, 2003). History of patient reveals that patient was a chronic smoker from the past 20 years and consume near about twenty cigarettes every day, although patient left smoking 6 months ago his smoking history provides estimation of 20 packs a year. Moreover COPD is more prevalent in patient who consume 20 packs of cigarettes in one year (Georgios et al, 2004). However there are various other diseases that occur due to cigarette smoking such as cancer, heart diseases, pulmonary diseases, influenza, pneumococcal, meningococcal, tuberculosis etc (Arcavi and Benowitz, 2004). Also patient is not able to perform daily activities due to shortness of breath and cough with sputum production. These symptoms are quite common in carcinoma of bronchus, however difficulty in breathing, cough and sputum production are also main clinical symptom of COPD (Pauwels and Rabe, 2004). Moreover, history of the client indicates that plentiful production of sputum for more than three months for two years which shows t he presence of chronic bronchitis (GOLD, 2008). Patient is also not able to sleep during night. Awakening during night which occurs by shortness of breath reveal presence of congestive heart failure or asthma (Price, 2010). Complaints of patient we loss of weight, fatigue, chest tightness due to severe episodes of cough, disturbance in sleep. Dietary history shows that patient is non vegetarian, family history does not provide any significant data. Client having age more than 40 and have sign and symptom such as formation of sputum, difficulty in breathing, history of cigarette smoking and any inhalation of noxious fumes and chances of occurrence of COPD is more at the age above 40 ,therefore patient is believed to have COPD (Vestbo, 2010). Although all the sign and symptom of the client signify that patient is suffering from COPD still functional diagnosis is necessary to confirm the exact diagnosis and proper physical assessment is necessary to confirm the diagnosis (Ferrara, 2011). In high risk cases of COPD proper cardinal sign, body mass index, height and weight of the patient is to be notified as component of assessment (Stockle, 2007). The vital sign of patient are blood pressure:124/76mmHg, height: 174cm, rate of respiration: 20/minute, temperature: 98.2F, Weight: 56kg and body mass index is 19kg/m2. During inspection it is observed that shape of chest of patient is barrel and patient respire with the help of accessory muscle which indicates presence of emphysema (Smeltzer et al, 2009). This less amount of air in the lungs causes disturbance in breathing pattern (Celli, 2007). This alteration in shape of chest shape occur due to the decrease in flexibility of lungs muscles and therefore extra energy is required for this forceful type of breathing as a result client is not able to eat in adequate manner and loosen the weight (Smeltzer et al, 2009). Percussion indicate presence of tympanic resonance that occur because of less motion of diaphragm and presence of wheezing sounds indicating COPD (Celli, 2007). Auscultation indicate that there is extended forced expiratory pattern due to the decrease in air in the lungs. Congestive heart failure or lung fibrosis is differentiated from COPD on the basis of wheezing sound and presence of ronchi. Club shape finger of patient may indicate the presence of other disease condition such as cancer of lungs, bronchiectasis, and pulmonary fibrosis. The skin mucosa of the client is bluish which signify that less of oxygen in blood (American thoracic society, 2004) . Physical assessment of respiratory system does not provide the relevant and valid information for the detection of disease condition but related co morbid state and differential diagnosis are well judged with the help of thorough examination (Mcivor et al, 2004). However the decrease in flow of air in lungs is not predicted with the help of history collection and general assessment. Therefore pulmonary functional test such as spirometry is useful in diagnosing COPD (Travers et al, 2007). Furthermore for identification and confirmation of the COPD and its progress level can be easily identify with the help of spirometry (Stoloff, 2011). COPD is well detected with the help of satandarized device that is spirometry however this device is inconsistent in clinical area (Gold, 2008). Spirometry reading of patient reveals that FEV1/FVC is 56% , this value is less than 70% and it is categorize as stage two that is moderate. However spirometry is not believed to be valid tool for the evaluati on of broad category of airflow obstruction diseases (Borg, 2010, American Thoracic Society, 2004, GOLD, 2008). But provision of bronchodilators are beneficial in diagnosis of asthma and COPD and determine the limit of flow of air that is not reversible fully. Still the exact value of reversibility that helps in judging the patient asthmatic or COPD pdiseases is not known. However differential diagnosis of COPD can be clinically evaluated and also can determine by various non invasive procedures (Vestbo, 2010). Chest radiography is useful technique in excluding various differential diagnosis such as pneumothorax, chronic heart disease, pneumonia (Man et al, 2004). Therefore, to clear out the differential diagnosis, a proper clinical examination and simple investigations including chest radiography could resolve uncertainty if any (Vestbo, 2010). Radiography of chest mostly exhibit clear interstitial markings in patient with chronic bronchitis however there is no particular outcomes that provide evidence that radiography is beneficial for the diagnosis of COPD or Chronic bronchitis (Kane Graham, 2004). In the patient, chest radiography reveals that lung field is hyper distensded, diaphragms are flattened and retrosternal space is more which is the sign of emphysema. Moreover determination of various changes in lungs in case of emphysema can be determined with the help of superior type of chest film (Vestbo, 2010). However with the help of chest x ray it is not possible to detect initial stages of COPD (Gold, 2008). Therefore high resolution Computed tomography is used for identifying emphysema in the initial stages. Moreover the lesions in the lungs can be identifying with the help of high resolution computed tomography (HRCT) without any trouble (Gold, 2008). There are various other diagnostic test which are helpful in COPD confirmation with more accuracy such as arterial blood gas analysis, cardio pulmonary exercise test (GOLD, 2008). The presence of pulmonary emphysema and various other alternative diseases such as asthma and other minor airway diseases can be determined by the value of total lung capacity and diffusing capacity for carbon monoxide(Vandevoorde, 2006) suggest that through examination of blood gas, saturation of oxygen in blood, blood perfusion is determined (Smeltzer et al, 2009). (also supported that arterial blood analysis in moderate and severe cases of COPD should be performed (Vestbo, 2010). However this test is not is not a reliable test to confirm COPD but in high risk cases of emphysema this test is helpful to know hypoxemia (Travers et al, 2010). Value of ABG analysis of patient was PH-7.30, Pao2-84mmHg, Paco2-48mmHg, HCO3-25mg/dl and Sao2 94% Haemoglobin level of patient was 13.4 mg/dl . Chronic Obstructive Pulmonary Disease is the disease of respiratory system that causes non reversible and progressive decrease in pulmonary function (Higginson, 2010). The air flow is not proper in lungs due to this reduction of lung function. The diseases it includes are bronchitis, asthma and emphysema. It effect more than three million people in England. (Jones, 2001) In the Western World, the main cause of COPD is smoking, smoking is related with over 90% of this disease, however COPD occurs in merely 10% to 20% of chronic chain smokers. (Beyer et al, 2008)Respiratory illness is also occurred by passive smoking. (Higginson, 2010) Genetic factor is also responsible for yhe occurrence of COPD however there is only one genetic factor alpha antitrypsin that involes in causing this disease. The lack of this genetic factor is the single major risk factor for the occurrence of this disease. Though determine in only one percemt cases of COPD. Contact with noxious substances is the most c ommon cause of COPD. (Yohannes and Hardy, 2003) There are various diseases in childhood such as pneumonia and whooping cough prior to the age of 12 year are considered to be the risk factor of bronchiectasis and bronchiolitis. Females are at high risk of COPD than man however argues that there is no difference in occurrence of COPD in male and females (Lindberg, 2006). The progress of the disease inside body is mostly described by the inflammation that involve central and peripheral airways. By the inhalation of the noxious substances or irritants , inflammation occurs in the central airway. Due to this soreness , there is more secretion of mucus that damage the ciliary clearance. As a result the glands of the mucus turn into large size and therefore more production of mucus take place due to more amount of goblet cells. This increase production of mucus provides an brilliant medium for the growth of microorganism cause the impairment of airway. Repeated infection causes damage to cilliary body and further inflammation. This progression leads to constriction of airway . Following obstruction trapping of air inside lungs occurs that result in hyperinflation, difficulty in breathing and less tolerance to exercise. The chronic obstruction diseases are chronic bronchitis, emphysema (Higginson, 2010). For the appropriate management of COPD, holistic approach must be taken in account (Paul, 2004). Individually management plan must be made that covers the essential components such as termination of smoking, dietary management and function of lungs should be maintained by medication therapy. Instant treatment in emergency unit is started with the provision of oxygen and sometime bronchodilator may be beneficial to find out reaction to the treatment (Gold, 2008). Moreover administration of oxygen helps in treating hypoxemia and hence improves breathing problem (Downs Appel, 2007). However excess utilization of oxygen may lead to withholding of carbon dioxide level in lungs. So it should be provided with cautious (Kevin, 2007). Patient was provided with oxygen therapy for short duration, the partial pressure of oxygen of the patient is 74% so there is no requirement of oxgen for long term (Gold, 2008). Drug therapy is beneficial for the treatment of COPD and it is provided according to the seriousness level of disease condition (Incalzi et al, 2006). In mild COPD cases, short acting beta 2 adrenoceptor agonists is advised whereas in moderate and severe cases long acting beta 2 adrenoreceptor agonist are recommended. Moreover anti cholinergic is beneficial and easily bearable in older people. Pharmacotherapy is essential in relieving the various symptoms however there is no medication that reveals long lasting improvement of lung function (Gold, 2004). Suggest that with the combination of different drug therapy can give better result and reduce the harmful effects as compared to large amount of single dosage. The preference of different bronchodilators depends upon, accomplishment of desired reaction and ill effects (Downs Appel, 2007). Suggest that due to very few harmful effects and less dosage requirement, inhalation route is chosen for treatment (American thoracic society, 2004) . The widely used short acting beta agonist are salbutamol, terbutaline, pirbut erol and salmeterol, formoterol are the long acting beta agonist also methylxanthines such as theophylline , antichollinergic and inhaled corticosteroid are commonly used that are beneficial in reducing m mucus secretion in airway (Nazir and Erbland, 2009). Pharmacotherapy in the patient was begin with the administration of combined therapy of salbutamol of dose 50Â µg with ipratropium 20Â µg. these are the bronchodilators which is provided with the help of inhaled and injection of theophyllin also administered through intra muscular route. There are some other drugs that are beneficial in severe stage such as antioxidants and immunoregulators (Gold, 2008) Improper nutrition in COPD patient is quite general and it has harmful influence on the pulmonary functioning. So helping the client in maintenance of adequate nutrition level is important and beneficial in improving the respiratory functioning (Shepherd, 2010). Moreover the client whose BMI is less than 21 kg/m2 should be given supplementary diet in order to improve condition of client further (Vermeeren et al, 2001). However age associated alteration in structure, height, muscular changes and if value of BMI is more than also malnutrition cannot be identified (Shepherd, 2010). In patient BMI is in normal category instead patient is advised to take adequate calories, carbhohydrate and proteins in diet. Patient is also advised to avoid caffeine, restrict sodium and taking more milk. The other preventive measure is vaccination of influenza. It has much influence in prevention of various acute respiratory illnesses along with COPD. This type of vaccination must be advised to each patient suffering from COPD (Wongsurakiat, 2004) . Patient who is moderate or severe deterioration of lung function then pulmonary rehabilitation is beneficial to gain maximum functioning to manage with disease condition. Patients are motivated to do different types of exercise to keep body healty Such as steps up, walking , various arm exercises, self handling of various activites such as taking medication, that helps in keeping the function of different system appropriately. Also exercise for decreasing hyperinflation and manage dyspnoea such as deep breathing and pursed lip is advised to the patient (Barnett, 2008). Moreover advantages of rehabilitation of lung fuction maintain for numerous months even after the end of this program (O` Donell, 2007) . COPD is the most prevalent problem that effect mostly elderly people. The mai symptom of COPD is shortness of breath, production of cough with sputum. The main cause of occurrence of this disease is cigarette smoking. History taking and physical examination is beneficial in excluding all the differential diagnosis. Through spirometry diagnosis of COPD can be made. Pharmacology is helpful in controlling the further spread of disease but medication does not provide efficient result in long term care. CASE STUDY ON SPINAL CORD INJURY This case study will throw light on the complete physical examination and diagnostic test and a range of laboratory investigation to confirm the diagnosis. It will then undergo detail treatment plan along with differential diagnosis to explain the appropriate intervention on the basis of present evidence sources. Also it will explore the recent issues regarding care of spinal cord injured patent. The actual name of the patient is changed in the study so that data cannot be recognized (Dimond, 2002). Mr. Malik Aggarwal is a 21 year old student studying in University of Greenwich doing mastering in marketing. During summer break in France, Malik was struck with an motorbike accident. During accident he fall harshly on the footpath from his bike and was lying towards his abdomen . This accident was witnessed by the policeman and he quickly gave call for first aid management. Ambulance was arrived soon and emergency staff identify the severity of Malik injury, they protect the neck of the victim with the help of strong board and immobilize the part before transferring him to the emergency department of the closest hospital. Patient was awake and also familiarized with current date, day and location. He was also replying in well manner. After reaching hospital, he complained of loss of feeling on his both legs, severe pain in neck, mild pain on his back and all extremities, patient was not able to move his neck and lower extremities properly. The assessment was carried out by the eme rgency specialist staff, and found that there were contusions and lesions present on his trunk and lower extremities, the restriction of the neck was rapidly maintained by the staff with the help of firm cervical collar. In order to limit further deterioration of condition, patient was supported with cervical traction and head was also supported with motion restricted devices that are helpful in maintaining proper alignment (Grubb, 2006) . The cardinal signs were checked and indicate that patient has Blood pressure of 100/70, pulse rate: 90/minute, respiration: 20/mt, temperature: 98.4 F and oxygen saturation was 90%. During history collection main emphasis should be given on complete mechanism that how the injury took place, this data is confirmed from the witness and also who is present at the time of accident to so as to proceed accurately towards confirmation of diagnosis (Schreiber, 2009). Other physical and social factors should be noticed that may interfere with the proper assessment of pain (Cruz-Almeida, 2007). Moreover complete history plays an important role in knowing possible etiology of different symptoms and also helps in excluding differential diagnosis. Proper pharmacological history , family history and dietary history should be taken because it might be beneficial in knowing the disease (Cox, 2008) . History collection of patient reveals that patient was anxious and had complaint of pain at the site of neck. The constant pain occur due to the contraction of muscles of neck muscls. There were presence of mild lesions on the trunk and extremities. Therefore it might be the case of injury on cervical cord because continual pain is the indication of spinal cord injury (Lee and Ostrander, 2003) . The exact cause of injury is the extreme flexion of head towards the chest that is due to hyperflexion. Moreover if the main reason of spinal cord injury is hyperflexion or hyperextension then it might be the case of spinal cord injury (ElFaramawy, 2009). Client gave appropriate reaction to each question during history taking , this shows that patient has good level of consciousness. As patient vital sign indicate that patient has hypotension, low respiratory rate and decrease in temperature. The one reason for the occurrence of hypotension might be the interference of vagal and symphathetic vascular tone (Karlet 2001). The client symptoms of hypotension, bradycardia indicates that it might be due to neurogenic shock (McLeod, 2004). After the collection of data it is essential to carry out physical assessment by covering all the aspects. Adequate Physical assessment is the basis in determining the injury related to spinal cord (Bono and Lee, 2004). Moreover physical examination especially of neurological system is beneficial in gathering the baseline data. The main section in neurological examination include will be cranial nerves, sensory and motor function and also reflexes (Noah, 2004). Assessment take place by mkaintaing proper interpersonal relationship with patient. While doing inspection assess for the mental condition, intellectual and cognitive response of the patient (Crimlisk, Grande 2004). Assess for the posture of the patient, if posture maintained by patient is decerebrate thenit may indicate trauma in the midbrain. With the help of Glasgow coma scale, level of consciousness should be assessed and also this scale is beneficial in determining the sensory, motor and verbal response. However the response through this scale is not satisfactory in determing the verbal function (Iyer, 2009). Assess for the extremities for spasticity, presence of weakness, flaccidity as these are the significant mark of damage to neurologic system and also assess for the pronator drift which signify hemiparesis (Crimlisk and Grande, 2004). In the patient, level of consciousness through Glasgow coma is assessed and it is found to be 13 which is normal(Iyer, 2009). Inspection of the patient indicates that there is presence of abrasions on the body and he has difficulty in breathing which is indicated from the use of accessory muscles. This data may be crucial in determine that damage occur in between C3 and C5 vertebrae (Walker, 2009). Neck and trunk should be properly palpated as it is helpful in determine any kind of defect in the neurological system. Palpation should be done in an appropriate manner starting from the cranium and regularly descending along the vertebral disc. On palpation of patient there is feeling of rigidity of muscles of cervical and tenderness. So there are chances of cervical injury (Noah, 2004). Diagnosis of spinal cord injury is based not just on history collection and examination infact complete neurological examination and radiographic studies are essential for the confirmation of diagnosis (Berney, et al 2011) . Spinal nerve assessment should be done with the help of hammer that should be strike beneath the knee. Striking causing sending of nerve impulse and thigh muscles contracted due to this flow of nerve impulse. If there is no contraction of muscles then it indicates there is distruption in the pathway and some sensory or motor deficit. In patient there was mild contraction of muscle fibre indicate neurological deficit(Cox, 2008). After that cranial nerves should be assessed by various method such as recognization of smell, assessment of the vision through snellen chart, assess for speech ,facial expression, assess for optic fundi with the help of opthalmoscope, if there is presence of papilloedema it may be the case of increase intracranial pressure. In patient all the cranial nerves are intact and also no papilloedema is present which exclude the diagnosis of increased intracranial pressure (Cox, 2008) . Patient motor and sensory function is determined by the American Spinal Injury Association (AISA) impairment scale. In this scale sensory deficit and motor impairment is recognized with the help of broad categorization. In the patient the strength of elbows, wrist was normal, the stretch of the biceps and triceps was also normal. The response of the patient towards light touch and pin prick was normal up to the inguinal area however due to weakness of lower limbs, the response of lower extremities was not adequate indicate sensory deficit due to spinal cord trauma (Dodwell, 2010) . However the proper alignment of the vertebrae and recognizing of fracture cannot be possible with such scale so for that radiography is essential (Sheerin, 2005). The radiography is beneficial in determine the fracture of thoracic vertebrae, it gives reliable information but it is not useful in case of cervical vertebrae as these vertebrae are to small to be visible appropriately in radiography (Jorge, 2009). Radiography of the patient provide inadequate data as the film was not properly clear. The deep examination of displacement of bone segments and fractures is possible with the help of computed tomography. The CT scan is beneficial in visualization of the image in different cross section (Jorge, 2009). It is possible to get exact information regarding injury of bone with the help of CT scan and radiography films however the injury to the soft tissue on the cord, intervertebral disc then these diagnostic test does not provide complete information regarding soft tissues (Sheerin, 2005). The CT scan of patient exhibit that injury take place at the level of C5 spine. Magnetic Resonance Imaging is helpful in visualization of injury that occurs on soft tissues by providing well clarify image. The further deterioration and injury that occur due to soft tissues is clearly recognized with the help of MRI (Sheerin, 2005). The MRI of patient shows that there is no soft tissue injury. Functional studies such as positron emission tomography, electromyograms are not of use in case of conscious client. They are only essential in patients who are not cooperative (McDonald and Sadowsky, 2002). From the above history collection, physical assessment, various diagnostic test it is clear that client has cervical injury at the level of 5 intercostals vertebra. Spinal cord is the basic part of central nervous system. It consists of thirty one segments. However due to the fusion of coccygeal bones there are 30 segments in vertebral column (Sheerin, 2004). Spinal cord has two region that is cervical and lumber and it is consist of grey matter (Sheerin, 2004). Approximation of 500 to 700 people each year suffers from traumatic spinal cord injury in UK. The main aetiology of spinal cord injury is straight mechanical injury and injury develops due to the compression on cord (Pellatt, 2010). This compression develops from traumatic and non traumatic reason (McDonald Sandusky, 2002). Due to this overstress of cord, intense flexion, extension or rotation develops. If injury develops due to direct force then within little duration discharge of enzymes from cells and vasoactive substance take place. After that neutrophills and macrophages infilterate in that region. The amount of potassium in extracellular fluid boost up and cells become depolarized and result in hypoxic conditions. Where as in case of indirect cause, vascular system compromised causing lack of blood supply in tissues. Which further leads to development of various haemorrhages, due to this haemorrhages the endothelium of blood vessels become disrupted. Further development of aneurysms occurs causing thrombi development in blood vessels. Due to stimulation of vagus nerve, imbalance thermoregulation develops and because of dermal blood vessel dilatation various life threatening sign and symptoms are developed such as neurogenic shock due to vasodilatation (McDonald and Sadowsky, 2002). There are also development of various syndrome such as anterior cord syndrome which occurs due to the injury to the two third of spinal cord in the anterior side, and next is the posterior cord syndrome that occurs due to the injury to the two third of spinal cord in the posterior side (Bailes et al, 200) . Central cord syndrome mainly occupies the cervical part of spinal cord. This syndrome usually influence elderly people and develop cervical spondylosis due to hyperextension. This spondylosis and hyperextension injury together put compression on the anterior and posterior side of cord. Due to which ligament turn towards inner side and put force on the anterior horn cells. This will further causes development of oedema (Bailes et al, 200) . Management of the patient begins from the site of the accident. First priority of the management is the maintenance of the airway, breathing and circulation. Oxygen therapy helps to prevent hypoxic conditions along with that oxygen therapy stop secondary injury that occurs due to the hypoxic conditions. For maintain airway jaw thrust method should be used chin lift method should be avoided as this may deteriorate the neck by extension (Pellatt, 2010). Immediately stabilization of spine must be maintain with the help of stiff cervical colour. The client must be positioned on hard board so as to maintain proper alignment. If there is requirement of intubation then it should be maintained with the help of three people without mobilizing the patient. However immobilization is not as important as the oxygen therapy because death of the patient may take place due to development of encephalopathy in hypoxic condition (Sheerin, 2005). After the confirmation of diagnosis, drug therapy should be started without any delay. Currently this drug therapy is recognized as basic treatment and helps in limiting secondary damage due to hypoxic condition. Steroid treatment must be started immediately. Methylprednisolone is more preferable. The amount needed for this drug is 30mg/kg in 15minutes, subsequently 5.44mg/kg/hr within 24 hours. Steroid treatment helps in improving neurologic deficit through blood flow toward central nervous system. However this drug is helps in only protection of neurological function and also use of elevated amount this drug result in side effects such as gastric bleeding and infection of wound (Weant, 2008). Further supporting, this drug is usually beneficial within 8 hours of injury. Also in the study organized by the researcher in random controlled trial to see the impact of nimodipine and methylprednisolone on patient with spinal cord injury in acute phase is that both the drugs produce side e ffects and these drugs are not of much beneficial (Pointillart, 2000). Also respiratory and cardiovascular function should be adequately maintained in spinal cord injury. Excessive damage if occur by spinal cord injury has remarkable effect on respiratory system. Mostly colloidal solutions maintain pulmonary wedge pressure. (Nockels, 2001) Moreover due to spinal cord injury the tidal volume generated by accessory muscles is not adequate and result in further damage to pulmonary function so there is need of maintainence of respiratory function. Also hypotension may develop in patient as a result of neurogenic shock. Therefore it is essential to check blood pressure and average arterial pressure should be more than 85mmHg. However if blood pressure is too low than it can be managed with the help of vasopressin agent such as dopamine (Sheerin, 2005). Mr. Malik was provided oxygen about 2 litres/min so as to maintain proper perfusion. Pulse oxymetry was continued and part

Confederate States Of America Essay -- essays papers

Confederate States Of America Confederate States of America, the name adopted by the federation of 11 slave holding Southern states of the United States that seceded from the Union and were arrayed against the national government during the American Civil War. Immediately after confirmation of the election of Abraham Lincoln as president, the legislature of South Carolina convened. In a unanimous vote on December 20, 1860, the state seceded from the Union. During the next two months ordinances of secession were adopted by the states of Mississippi, Florida, Alabama, Georgia, Louisiana, and Texas. President James Buchanan, in the last days of his administration, declared that the federal government would not forcibly prevent the secessions. In February 1861, the seceding states sent representatives to a convention in Montgomery, Alabama. The convention, presided over by Howell Cobb of Georgia, adopted a provisional constitution and chose Jefferson Davis of Mississippi as provisional president and Alexander Hamilton Stephens of Georgia as provisional vice president. The convention, on March 11, 1861, unanimously ratified a permanent constitution. The constitution, which closely resembled the federal Constitution, prohibited the African slave trade but allowed interstate commerce in slaves. Jefferson Davis (1808-89), first and only president of the Confederate States of America (1861-65). Davis was born on June 3, 1808, in Christian (now Todd) County, Kentucky, and educated at Transylvania University, Lexington, Kentucky, and at the U.S. Military Academy. After his graduation in 1828, he saw frontier service until ill health forced his resignation from the army in 1835. He was a planter in Mississippi from 1835 to 1845, when he was elected to the U.S. Congress. In 1846 he resigned his seat in order to serve in the Mexican War and fought at Monterrey and Buena Vista, where he was wounded. He was U.S. senator from Mississippi from 1847 to 1851, secretary of war in the cabinet of President Franklin Pierce from 1853 to 1857, and again U.S. senator from 1857 to 1861. As a senator he often stated his support of slavery and of states' rights, and as a cabinet member he influenced Pierce to sign the Kansas-Nebraska Act, which favored the South and increased the bitterness of the struggle over slavery. In his second term as senator he became t... ...llion; those of the North at $331 million. It was thus obvious that the South was dependent on Europe and on the North for material goods. The lack of resources forced the Confederacy to levy war taxes and borrow heavily on future cotton crops. An inflationary period in 1863 and later government actions almost destroyed the Confederate credit. In addition the South was hampered by the lack of powder mills and of suitable iron works; only one plant, the Tredegar Iron Works in Richmond, was equipped to turn out large field guns. The railroad system was inadequately developed and equipped, and although the South made desperate attempts to maintain itself in a battle against overwhelming odds, the struggles left it financially and industrially ruined at the close of the Civil War. The process of restoring the Confederacy to the Union was called Reconstruction . The U.S. Supreme Court, in 1869, in the case of Texas v. White, declared secession unconstitutional. Bibliography 1. Compton’s Online Encyclopedia 2. America Is, Merrill Publishing Company and Bell and Howell Company, 1987, Columbus, Ohio 3. The American Nation, Prentice-Hall Inc., Englewood Cliffs, NJ, 1994

Comparative essay between two poems namely, Half - Caste by John

Comparative essay between two poems namely, Half - Caste by John Agard and Unrelated Incidents by Tom Leonard. John Agard and Unrelated Incidents by Tom Leonard. You can clearly see before you begin to read these poems that they are set out differently to your average poem. For example in Unrelated Incidents that there are no more than four words per poem. The punctuation in Unrelated Incidents is based on the phanetic way of spelling, this means that you spell the way speak and pronounce words. The poems is also meant to be spoken in a Glaswegian accent. In Half - Caste it’s spelt and meant to be spoken in a Caribbean Patois. In both poems they’re defending the way that they are (The colour of his skin in Half - Caste and his accent in Unrelated Incidents). In Half - Caste he defends himself by saying that you don’t discriminate against a Picasso painting or a Tchaikovsky symphony because they’re half - caste, but in Unrelated Incidents his defence is slightly difference claiming that there are never any over news readers apart from ones with posh and standard English accents. Unrelated Incidents Tom Leonard was born in Glasgow. He has described his childhood upbringing as 'working class West of Scotland Irish Catholic' (his father was from Dublin). Although his passport identifies him as a 'British' citizen, Tom Leonard sees himself as thoroughly Scottish. Unrelated incidents, the poem. Is set out as if it was being read off a television autocue. There is very little punctuation and the words are spelt phonetically. The way that this poem is written, it is written like this because the poem is about BBC newsreaders. Its laid out as if it was being read on the 6 o’clock news. Almost all ... ...because he mixed a variety of colours in his paintings? Should the English weather be scorned because it is full of sun and darkness? Should Tchaikovsky's music be seen as inferior because he used both the black notes and the white notes on the piano? Is someone who is called a 'half caste' only half a person? John Agard asks the reader to begin to think in a more open-minded way. The poem is set out is a peculiar way as it only contains a maximum of 8 words per line. Also this poem contains no punctuation at all. I think that this is put in to create an impact on the reader. He has also spelt his words the way as he would speak them. It’s a way of phonetic speaking. Overall both poems are tying to prove the same point, that they are discriminated because of who they are. John Agard for being half - cast and Tom Leonard because of his Scottish accent.

Cyber security threats Essay

Cyber threats are constantly evolving thus increasing the need to hedge and tighten the security measures to ensure that one is protected while using the cyber space. Cyber threats are made more complex especially due to the increasing globalization and use of cyber space in most of the parts in the world. This has caused a major security threat which calls for better security measures installation to counter some of the threats which are well organized by some individuals. Some of the major cyber threats include phishing, adware also known as spyware, cyber shopping and browsing, data safeguarding and also threats a user faces while using networking sites (AnonIC. org, 2004). Common cyber security threats, how to recognize and how avoid them One of the major cyber security threats is referred to as phishing which refers to the attempt to get access to sensitive information which may include passwords of other users, their user names and even credit cards. This is a criminal offense and is usually carried by individuals who purport to be working with a renowned electronic communication entity which is trusted. Phishing is usually used to obtain credit card and bank account information of a person thus enabling the attacker to obtain money from a person in a fraudulent manner. Installing security and spyware prevention software can help in reducing phishing (Warren, S2005). Spyware also referred to as adware is another cyber security threat that faces the cyber space users. Spyware refers to a form of software that once installed in a computer; it may send an advert which redirects a cyber space user’s browser to some selected web sites. Once one logs into such webs, this enables the attacker to monitor the sites which are visited by the cyber space user. These are usually used by attackers mostly for malicious purposes. Some the symptoms which indicates that a computer has been installed with spyware include pop up windows which are endless, redirection to a web site which is not the original one a person had previously typed in the browser, unexpected toolbars which are new to a web browser of your computer, change of search engine, error messages which are usually random start appearing in the window of a computer and sudden changes in the home page of a browser among other symptoms. To avoid spyware installation to a computer, one should avoid clinking links which appear on pop up windows. This is because most of them are spyware products which once clicked their install the spyware system in a computer. Closing the pop up windows would be essential in avoiding spyware installation. At times, unexpected questions may be posted in the pop up windows. Clicking â€Å"no or cancel† buttons would help in reducing the risk of spyware installation in a computer. Adjusting the preferences of the browser may also be helpful in reducing the pop up windows as well as cookies in the computer (McKenzie, 2008). Social networking sites are also mostly targeted areas by attackers hence they pose great cyber security threats. Instant messaging (IM) and chat rooms are highly targeted networking sites which are used in obtaining personal information about a person. IM is mostly used within companies by employees to ensure constant communication. While IM usually involves one on one communication, chat rooms are more wide and can be used by more that one person simultaneously. As such, while chatting, it is possible somebody else is following your conversations thus posing greater risks of impersonification and also the information is not protected. For a person to hedge himself from such risks, he should install security measures in his browser system. One of the way one can ensure safe chatting, messaging or even browsing is by constantly adjusting the default security setting in his computer. Disabling all automatic downloads and limiting certain interactions to only some users may help in reducing the cyber security threat. A person should also avoid revealing sensitive and vital information to strangers. Verifying the person one is chatting or messaging is also important in ensuring that the information one shares is made confidential. However, this may not be applicable especially in public chat rooms which are not restrictive. Updating the security software frequently is also vital in ensuring safe use of cyber space (National Cyber Alert System, n. d). While using social networking sites, one should remember that internet is usually public and unrestrictive. A person should thus give minimal information about his confidential information like addresses and bank accounts. Being skeptical about some information on the mail is also important in ensuring one is safe while using the networking sites. Some of the stories in the cyber space are usually false thus taking precautions is vital. Online shopping has grown tremendously especially due to globalization and the subsequent introduction of e-commerce by most corporations. Online shopping gives attackers a chance of obtain information about a person. Financial position of a person is usually targeted by attackers who use such information to make their own financial gain by selling the information or making other purchases using the information of buyers. Computers which are not protected from viruses are the most vulnerable to manipulation by attackers. It is easier to gain access to a computer which is not protected and obtaining vital information regarding a person. Fraudulent sites and also messages in the emails are also used in obtaining financial information of online shoppers. To ensure safe online shopping, a person should ensure that an up to date anti virus software is installed as well as an anti spyware software. This would ensure that Trojan horses and also viruses do not take away data or modify it in a person’s computer. Updating web browser regularly by installing software patches would help in reducing the vulnerability of being attacked (National Cyber Alert System, n. d). To reduce the risks of password alteration and monitoring by attackers, one should ensure that he evaluates the computers software settings regularly to ensure that the default settings are still in operation. Securing the web browser is also vital in ensuring safer cyber space usage by a person. Sensitive information sent via the cyber space should be protected with a password only known to the users. Passwords should also be updated and reviewed regularly to ensure they are secure and that the information contained in the computer is also secure (AnonIC. org, 2004). Practicing good home computing habits may also help in reducing the risk of cyber security threat. This may be done by ensuring that the computer is locked always when one is using it. This would ensure that no unauthorized person is capable of tampering of with the information contained in the computer. Internet disconnection while not in use at home reduces the risk of virus attacks which are usually to monitor and modify a computer. The home security setting should be updated regularly as well as software updates. One should also ensure that the password being used for computer is not easy to guess by other people. Ensuring that there are no people in the vicinity keying in the password to the computer would help in protecting information contained inside the system (AnonIC. org, 2004). Conclusion Cyber crimes have been on the rise with more and more cases being reported daily. It is thus to take essential precautionary measures to ensue that one is protected from cyber attacks. High technology being used by cyber attackers has also necessitated constant upgrading of the security measures one uses to protect his or computer system and network. Ensuring that a computer is always protected and have updated securing and passwords would help in reducing cyber security threats in the country. Reference: AnonIC. org (2004): Computer Security. Retrieved on 25th March 2009 from, http://www. anonic. org/computer-security. html. McKenzie, G. (2008): Recognizing and Avoiding Spyware. Retrieved on 25th March 2009 from, http://www. nationalcybersecurity. com/articles/144/1/Recognizing-and-Avoiding-Spyware/Page1. html. National Cyber Alert System (n. d): Cyber Security Tip: Good Security Habits. Retrieved on 25th March 2009 from, http://www. us-cert. gov/cas/tips/ST04-003. html. National Cyber Alert System (n. d): Cyber Security Tip: Understanding Hidden Threats: Corrupted Software Files. Retrieved on 25th March 2009 from, http://www. us-cert. gov/cas/tips/ST06-006. html. Warren, S. (2005): 12 steps to avoid phishing scams. Retrieved on 25th March 2009 from, http://articles. techrepublic. com. com/5100-10878_11-5818568. html.