Alcoholic beverage Essay Example for Free

Alcoholic beverage Essay The objectives of the study was to examine if consumption of alcohol affect students academic performance, to determine if consumption of alcohol promote flirting , to determine whether the consumption of alcohol lead to road accidents and also to determine whether television adverts of alcoholic beverages lead to increase consumption. The target population of the study included all students pursuing Bachelor of Science Psychology programme in the University of Cape Coast. A sample size of 79 was chosen for the study. The simple random sampling method was adopted in selecting the sample. Questionnaire was the main instrument used to seek answers to research questions. The collected data was analysed using frequency count and percentages. The findings show that, alcohol intake has adverse impact on students’ academic performance through absenteeism, indulgence in examination malpractices and limited study hours. Alcohol consumption make men confident and women accept proposals easily. Also drunk driving was a major cause of accident in Ghana since drunken drivers flout road traffic regulations. It was recommended that, the Motor Traffic Transport Unit of the Ghana Police Service and the Driver Vehicle License Authority should intensify the campaign to curb drunk driving. Drivers found guilty of drunk driving should be banned from driving or have their license withdrawn for three months. ACKNOWLEDGEMENTSWords alone cannot convey our profound indebtedness to our dynamic supervisor, Professor Rowland A. E. Iheanacho for his fatherly tutelage, affability, time and the invaluable support he provided in the course of this work. To just say we appreciate these individuals will be an understatement: Ms. Mary Adomah Yeboah, Mr. Patrick Duncun Reynold (TOR), Mr. Osei Yaw Boa- Korang(Twifo Praso Rural Bank), Mr. Evans K. Acheampong, and Ms. Dorothy Gabben- Mensah (UCC), Mr. Stephen Doh-Fia (Lecturer Department of Educational Foundations). We are really grateful for every assistance you rendered to bring this work to fruition. 1 / 18 To our supportive parents,Mr. Ransford Oti Fenteng, Mr. Benjamin Asare and Ms, Rose Konamah, we say God bless you all for your prayers, care, encouragement, motivation, ideas, thoughtfulness, deeds of kindness and for every helping hand you offered in the spirit of love to make this piece a possibility. Lastly, kudos to all friends and all who contributed in diverse ways to make this work a masterpiece. DEDICATIONThis work is dedicated, with love, to our parents and siblings. PAGEREF _Toc356649042 \h 28Table 13: Do drunken pedestrians cause danger to themselves and other road users? PAGEREF _Toc356649043 \h 28Table 14: Do drunk drivers like speeding? PAGEREF _Toc356649044 \h 29Table 15: Drunken pedestrians do not flout road traffic regulation PAGEREF _Toc356649045 \h 29Table 16: Do drunken drivers drive recklessly? PAGEREF _Toc356649046 \h 30Table 17: Have you watched any alcoholic beverage advert on television before? PAGEREF _Toc356649047 \h 30Table 18: Do television adverts influence you to buy the product? PAGEREF _Toc356649048 \h 31 LIST OF FIGURES TOC \h \z \c Figure Figure 1: Gender PAGEREF _Toc356649237 \h 20Figure 2: Age range PAGEREF _Toc356649238 \h 21 CHAPTER ONEINTRODUCTIONBackground to the study (Bovee, 1992 p. 7) defines advertising as â€Å"a non-personal communication of information usually paid for and persuasive in nature about products, services or ideas by an identified sponsor†. From this definition, one can see that advertisements are placed on purpose. This is a three-tier which comprises of introducing a product, generating new customers and attempting to stimulate and sustain consumer consumption (Bovee, 1992 p. 9). Since the invention of television, it can be classified as one of the most effective carriers of adverts due to its audio-visual qualities and captivating nature. Its effectiveness cannot be over emphasized CITATION Ebb07 \l 1033 (Ebbrecht, 2007). Recently, the adverts of alcoholic beverages on almost all television stations in Ghana have been regular, persuading viewers to purchase such drinks without any recourse. There seems to be no programme on television without a brand of alcohol being a sponsor. Programmes ranging from prime-time news to live shows are all full of these types of sponsors. The names of some drinks have become common in our various homes and every child who has the privilege of watching television can mention not less than two alcoholic beverages advertised. It is also interesting to note that, names of some alcoholic drinks even give an impression of its benefit to the consumer before they are even purchased. Example is, ‘wo ba ada anaa’ when literally translated means ‘is your child asleep’ makes people think when you drink that beverage you can be sexually active. In Ghana majority of people who take alcoholic beverage especially, the distilled or locally manufactured ones use it as an appetizer believing that, you can eat well when it is taken the moment food is ready, though there has not been any study confirming or rejecting this assertion. This phenomenon is locally referred to as ye bu didi thus; we drink to eat, when literally translated. Many people in the country are more concerned about the rise in the consumption of alcoholic beverages, and have attributed this phenomenon to the indiscriminate adverts of alcoholic drinks in the media, especially on all the television stations in the country. They have even speculated that, the increase in road accidents in the country is due to drunk driving. This speculation from the public was confirmed by the Ministry of Roads and Highways in June, 2009 when it issued a report on the increasing rate of road accidents in the country and pointed out drunk driving as one of the topmost causes of road accidents CITATION Myj09 \l 1033 (My joy online , 2009). This led to anti drunk driving campaign where passengers were advised not to board cars of drunken drivers and to report such drivers to the police. The MTTU branch of the Ghana police service, as one of the measures of curbing drunk driving, randomly check the breath of drivers to determine their level of alcohol intake with their equipment known as breath analyzer or drunkometer. Any driver whose level of alcohol intake exceeds certain limit is arrested for legal action. The Food and Drugs Board (FDB) CITATION Foo05 \l 1033 (Board, 2005) had also acted towards curbing this problem by directing all media houses in the country to stop the advertising of 3 / 18 all uncertified alcoholic products. Moreover, the FDB’s guidelines on alcoholic beverage adverts (FDB GL05/AD ALC/1-2005) stated that, â€Å"For every alcohol advert appearing on television, an anti-alcohol advert of equal length must be aired within half an hour of the advert promoting the alcoholic beverage†- but it seems this has been seriously violated over the years. The 2010 Budget Statement delivered in parliament by the Minister of Finance, imposed a 10% â€Å"Ad Valorem† tax on all alcoholic products in the country. In explaining this, the Minister made it clear that the imposition of this tax on alcoholic products was not for its financial benefits to the government but rather a step towards reducing the problem of alcoholism. Pastor (Dr. ) Mensah Otabil, the General Overseer of the International Central Gospel Church (I.C. G. C. ) and the Chancellor of the Central University College is one of the persons to be alarmed at both the rate of alcoholic beverages advertisement in the media especially television and the rate of consumption. CITATION Sam03 \l 1033 (Awuku, 2003) Has argued that, â€Å"If the state can spend billions of Cedis on advertisement urging the youth to keep away from drugs such as cocaine and other prohibited drugs, why can we not use a fraction of such money to warn the youth against the consumption of alcohol? † The above instances mean that, people are dissatisfied about the rate of television advertisement of alcoholic beverages and expect the state to regulate it, thus more specifically to treat alcoholic beverages as it does to cigarette and cocaine so that it can reduce consumption. This means that some people also believe that the state has not done enough to curb the rise in alcoholism and that the problem should be put in the same perspective as any form of drug abuse in the country. This study assesses the effect of television advertisement of alcoholic beverages on consumer behaviour. Statement of the problem In contemporary times, television advertisement has been seen as the most effective mode of advertising because of its audio-visual qualities and captivating nature. Its effectiveness cannot be over emphasised (Ebbrecht, 2007 p. 3). A recent systematic review to assess the impact of alcohol advertising and media exposure on future adolescent alcohol use identified thirteen longitudinal studies that followed up a total of over 38,000 young people. Twelve of the thirteen studies concluded an impact of exposure on subsequent alcohol use, including initiation of drinking and heavier drinking amongst existing drinkers, with a dose response relationship in all studies that reported such exposure and analysis. For example, CITATION Ell05 \l 1033 (Ellickson, Collins, Hambarsoomains, amp; McCaffrey, 2005) examined the relationship between a range of advertisement exposures over the course of one year and subsequent drinking among US adolescents aged 12 to 13 years followed-up for at least two years, and assessed whether exposure to a prevention programme mitigated any such relationship. Forty eight percent of 1206 grade 7 non-drinkers consumed alcohol during the previous year at grade 9. The results of the longitudinal studies are consistent with the findings of econometric studies, in which, for example, a meta-analysis of 132 studies which provided 322 estimated advertising elasticities, found a positive impact of advertising on consumption (coefficient, 0. 029), when controlling for alcohol price and income. The recent increase in television advert of alcoholic beverages has led to the increase in the consumption of such products. In Ghana there is influx of adverts of alcoholic beverages on television. These indiscriminate adverts of alcoholic beverages on television have sparked public outcry over the years with some even attributing most of road accidents to such adverts as many people believe that these adverts lead to irresponsible drinking, like drunk driving. These fears of the public gained grounds when a report released by the Ministry of Roads and Highways in June, 2009 on the increasing number of road accidents in the country at the time confirmed drunk driving (alcohol abuse) as one of the topmost causes of road accidents CITATION Myj09 \l 1033 (My joy online , 2009). The situation has prompted the government to reduce the rate of consumption by imposing 10% ‘ad valorem’ tax on all alcoholic products in the 2010 budget statement presented by the Minister of Finance and Economic Planning. 4 / 18. The proliferated television adverts of alcoholic beverages also sparked the FDB to place a ban on alcoholic beverage adverts on television in March, 2007. The Driver Vehicle License Authority (DVLA) has spelt out how drunk drivers should behave, by leaving your car at the point you got drunk and join a public transport home. Due to the aforementioned problems and interventions, it is significant for such a study to be conducted to find out the effect of television advertisement of alcoholic beverages on consumer behaviour. Objectives of the study General objectiveThe overall objective of the study was to assess the effect of television advertisement of alcoholic beverages on consumer behaviour. Specific objectivesTo determine whether alcoholic beverage adverts leads to increase consumption. To examine if consumption of alcoholic beverages affect students academic performance. To determine if the consumption of such drinks promote to flirting. To determine how consumption of alcoholic drinks leads to road accident. Research questionsThe study poses and attempts to answer the following questions: What effect does alcohol consumption have on students’ academic performance? Does alcoholic beverage consumption promote flirting? Does consumption alcoholic beverage lead to road accident? Does television adverts on alcoholic beverages lead to increase consumption? Significance of the study Since advertising is important to the promotion of goods and services in today’s competitive market, the implications of this study will help students to know the impact of alcoholic beverage consumption on their academic performance. The government in performing its role of formulating policies and enacting laws to regulate alcoholic beverages adverts in the country can use this document as a reference guide. Finally, the study will be useful to researchers who will in future undertake similar study as it will serve as a source of reference. Scope of the study The scope of the study covers the theoretical and the geographical dimensions of the study. This mainly covers the concepts of advertising, alcoholic beverages and consumer behaviour. The effect of television advertisement of alcoholic beverages could be viewed from many perspectives but for the purpose of this study, it will concentrate mainly on whether advertising leads to increase consumption and consumption affect students’ academic performance, promote flirting and causes road accidents. The geographical scope covers people in cape coast precisely University of Cape Coast students who are 18 years and above. Limitations The study is not devoid of challenges which might affect the result in one way or the other. There is the issue of time constraint since the period within which this research must be completed for submission was less than one academic year. Also, there were financial constraints because there was no financial assistance to aid in the study. This situation forced us to limit the geographical area of the study to only University of Cape Coast which forms a small part of the entire geographical area. Also the number of questionnaires to be used for the study was very few. Organisation of study This study has been organised in five chapters. Chapter one covers various areas of the introduction which include the background to the study, the statement of the research problem, the objectives of the study, research questions, the significance of the study as well as the scope and the organization of the study. Chapter two covers the review of related studies. Chapter three is the methodology used for the study which comprises of research design, population, sample and sampling techniques or methods, data collection methods and instruments, as well as data analysis. Chapter four covers the discussions of the findings and presentations with chapter five covering the summary, conclusions and recommendations of the study. CHAPTER TWOLITERATURE REVIEWIntroduction In this chapter, various literatures are reviewed to give an insight into the present study. This chapter will be written under the following sub-titles: concept of television advertising, television advertising and consumption of alcoholic beverages, alcohol and students academic performance, alcohol consumption and sexual risk 5 / 18 taking. Concept of Television Advertising Television advertising is a span of television programming produced and paid for by an organization or an individual, which conveys a message, typically to market a product or service. Advertising revenue provides a significant portion of the funding for most privately owned television networks. The vast majority of television advertisements today consist of brief advertising spots, ranging in length from a few seconds to several minutes. Advertisements of this sort have been used to promote a wide variety of goods, services and ideas since the dawn of television. (Health, 2009) asserted that, television engagement is mainly of the subconscious kind and it is effective at building strong brands, due to the low attention to television adverts, the emotional stimuli are more effective because the viewer does not notice and therefore counter-argues against them. (Unsal amp; Yuksel, 1984) state that advertised products generally are to find more favour in consumers’ eyes than unadvertised ones. (Galbraith, 1958) examined that advertising as manipulating the public by creating artificial needs and wants. He did much to popularize the understanding of economics and society. Aspects of advertising that received emphasis in other fields is persuasion (psychology) regulation (political science) gender, race and class (sociology, cultural studies, and culture (anthropology). (Williams, L. M, amp; H, 2003) focus on the institutionalization and professionalization of advertising that is its commercial functions and its persuasive force. As a social critic, he locates advertising in a social context. For him, advertising belongs to a particular historical moment. It is a part of modern capitalist society, and it distinguishes it from attention- grabbing devices in non-capitalist societies in other times and places. For Williams, advertising cannot be decoupled from the way it comes into being and the work it does in society. He drew attention to sponsorship of art in modern times. His definition said advert is the official art of capitalist society. (Diamond, July,1972) defined advertising as a form of communication intended to persuade its viewers, readers or listeners to take some action. It usually includes the name of a product or service and how that product or service could benefit the consumer, persuade potential customers to purchase or consume that particular brand. Commercial advertisers seek to generate increased consumption of their products or services through branding, which involves the repetition of an image or product name in an effort to associate related qualities with the brand in the mind of consumers. According to CITATION Dar09 \l 1033 (Darrin, 2009), television depends on advertising as a way of making profit and to cover up the cost of the shows being aired. Conversely, television has been and is now a good medium for letting advertisers reach a large audience to promote and raise awareness of their products. Despite the availability of other medium of advertising, television remains one of the most popular and cost effective avenues for reaching the advertisers goal. There are a lot of reasons behind every advert which include the following: to create awareness of the existence of a product, to persuade potential targets to buy the product, encourage the public to buy more of the product than previously, to convince the public that its product is superior to other products, create image and goodwill, building up confidence in a business, identifies a business with the goods and service it offer. Forms of Television Advertising There are various forms which can be effectively used in advertising. Mentioned below are the various forms of television advertising. Announcement: in this form, the announcer appears before the camera and conveys the message of the product or service of the advertiser. Examples include: announcements regarding the extended date of sale, gift scheme, concession rates. Slides: this is where only the visual image of the commercial is presented through slides or cards on television, which does not have motion and sound. This form is generally found in local and regional programmes. Here the pictures of the product being advertised appear at the bottom of the 6 / 18 television. Demonstration: this form of television advertising shows the skills through dramatised demonstration to emphasise how a particular product works. The demonstrator or announcer gives explanation on how the product is being used. Advertisements of products such as detergents and blood tonics widely use this form. Dramatized: it is the commonly used form of advertisement which is more persuasive and entertaining in nature. Advertisements of the importance of social issues like girl child education and immunization use this form of television advertising. Animated commercial: this form of television commercial involves cartoon technique. It is more time consuming and this makes it very expensive because the cost of an advert depends on its length. For instance the advertisements on family planning used this technique. Sponsorship: this is where a sponsor (a person who purchases a given amount of broadcast time or advertising space to tell you why you should buy his or her product. There are two types of means to get the sponsorer’s message across: direct and indirect. This form of television advertising is very common in Ghana because every programme being aired on our television station has more than one sponsor, the sponsors products are advertised once or twice during the show. Television advertising and Alcoholic Beverage Consumption. The potential underlying mechanisms for a direct link between alcohol advert portrayals and individual alcohol use are related to norm setting, habit formation and imitation. First, movies, soap operas and advertisements mostly portray substances in a positive way by using prototypes of the â€Å"ideal† person in an appealing context CITATION Eve98 \l 1033 (Everett, R. L, amp; J. L, 1998). Similar findings have been found elsewhere, such as CITATION McC08 \l 1033 (McCreano, Barnes, Borell, Kaiwai, amp; Gregory, 2008) who interviewed youth and found that alcohol advertising was often enjoyed. These advertisements established a climate or association that alcohol is cool, exciting and fun. CITATION McC08 \l 1033 (McCreano, Barnes, Borell, Kaiwai, amp; Gregory, 2008) concluded that alcohol advertising creates an environment which maintains unhealthy expectations, norms and behaviours around alcohol consumption. Secondly, when people associate a specific cue or event to a specific behavioural pattern, example, watching an advert where the intake of alcohol led to admired behaviour like bravery. In essence, the alcohol cues imbedded in this specific context might lead to direct responses thus craving and subsequent alcohol use, especially when this link becomes automatic. Also, alcohol cues in adverts and watching characters consuming alcohol on screen might lead to drinking through the mechanism of imitation. (Quigley amp; Collins, 1999) conducted a study which strongly supported the assumption that when people are in company of a drinker, the drinking pace of the other affects individual drinking rates. According to (Quigley amp; Collins, 1999) there are at least two reasons why this effect occurs: direct imitation and identification. There is a great deal of evidence from neuroscience and psychology showing that people automatically and unconsciously are wired to take over each others behaviour. When we observe someone perform a certain action, the pre–motor representation of that action is activated in our brains as we are about to perform that action ourselves. The presentation of alcohol in the media has received both scrutiny and criticism. As a result of this, researchers begun to explore the effect of such adverts on consumption. Correlation study indicates that media exposure is associated with the attitudes, perceptions and behavior of young people. A study conducted by (Turker, 1985), involving high school males indicated that viewers who watched a great deal of television had significantly higher levels of alcohol use per month than did viewers who watched comparatively less television. (McCreano, Barnes, Borell, Kaiwai, amp; Gregory, 2008) also conducted a study to find the link between television viewing and alcohol consumption. The study followed participants over several years. Respondents were queried about their television viewing habits at ages thirteen and fifteen and their alcohol consumption at age eighteen. They found that, the more television the female subjects watched overall at ages thirteen 7 / 18 and fifteen, the greater were their reported alcohol beverage consumption at age eighteen. For males there was no significant relationship between viewing at ages thirteen and fifteen and consumption at age eighteen. (Grube amp; Wallack, 1994) interviewed fifth and sixth grade students about their awareness of alcohol advertising and their perceptions, attitudes, and behavioural intentions regarding alcohol consumption. They reported that the more aware students were of alcohol advertisements, the more positive their beliefs about alcohol drinking. More positive beliefs about alcohol were associated with indications of likelihood to drink as an adult. Alcohol and students’ academic performance Cognitive and learning impairments from chronic heavy exposure to alcohol can arise from the neuro-toxic effects of ethanol on vulnerable hippocampus and limbic structures. Research findings from animal models and observational human studies have shown that persistent alcohol abuse can result in a decrease in the overall volume of the hippocampus, the area responsible for long term learning and memory. Cell volumes have been found to be consistently smaller in alcohol abusing adolescents and, perhaps unsurprisingly, the degree of hippocampal damage increases with the number of years of alcohol abuse. In one observational research study cited by CITATION Zei05 \l 1033 (Zeigler, C. C, Yoast, B. D, amp; McCaffree, 2005) 38 adolescent alcohol abusers were compared with 69 non alcohol users on neuropsychological tests. The former scored consistently less well in verbal IQ, spelling and reading tests compared to the latter CITATION Lov04 \l 1033 (Loveland- Cherry, 2005) reports that school attachment and receiving good grades have been associated with less adolescent alcohol use, while absenteeism and poor grades are associated with early initiation and increased levels of alcohol use. CITATION Per02 \l 1033 (Perkins, 2002) found that male students who drank more than 5 drinks, and female students that drank more than 4 drinks, in a session one or two times in a 2 week period were over three times more likely to report getting behind in school work compared with more moderate drinkers. When the drinking frequency increased to 3 times in a 2 week period, they were more than eight times more likely to report this problem. CITATION Ber87 \l 1033 (Berkowitz amp; Perkins, 1987) found that women students were as likely as men to experience impaired academic performance due to alcohol. Most reviews which looked at educational performance related to American college students and the majority evidence points to the fact that the association between academic performance and college drinking is inconclusive. A number of reviews have discussed the methodological limitations of studies that investigate the relationship between alcohol and academic performance. Much of the cited evidence for a relationship comes from cross sectional studies which cannot ascribe a causal link. However, there is emerging evidence from longitudinal studies which suggests that binge drinking may impair academic performance over time. Nevertheless, it is noted that most college students who drink go on to lead successful lives. Indeed CITATION Gil02 \l 1033 (Gill, 2002)  argues that alcohol may be a scapegoat for other factors that may limit poor academic performance. CITATION Roy11 \l 1033 (Royce, 2011) in United States argued that the amount of alcohol consumed by students correlate with their grade point average. Thus, there is a negative relationship between alcohol consumption and students academic performance, as the more alcoholic beverage taken by students, the lesser time available for studies or academic work. CITATION Wil03 \l 1033 (Williams, L. M, amp; H, 2003)  .

Heart Failure Nursing Essay

Heart Failure Nursing Essay Mr. Wrights admissions states that he has heart failure (congestive cardiac failure). Clearly define heart failure. What organs and which body systems are affected by this disorder? Answer:- congestive cardiac failure is also known as congestive heart failure is an ongoing condition in which the heart muscle is weakened and cannot pump as well as it normal pump. It occurs when the myocardium loses its ability to pump enough blood to meet body’s metabolic needs and is generally accompanied by fluid accumulation in the body tissues, especially in the lungs. Apart from the cardiovascular system it can affect many other systems. Left sided heart failure affects the respiratory system by increasing the instance of pulmonary oedema. Systolic heart failure:- it occurs when the heart muscle doesn’t contract with enough force so there is less oxygen blood pumped throughout the body. Diastolic heart failure:- it occurs when heart contract properly but ventricles cannot rest because the less amount of blood enters during the heart filling. Right sided heart affects every other system due to increase of peripheral oedema. Give a brief overview of the normal function of the body system affects by this disorder. Circulation system has a role that haemoglobin in the red blood cells the supply of the oxygen to the cells. There are two types of circulation route that for transporting blood to the cells and each tissue and for blood to gas exchange in the lungs. Vascular system is comprised of the heart, arteries which carry fresh blood towards the body from the heart and, vein which returns blood to the heart and lungs to collect from the whole body blood include waste and carbon dioxide. Pulmonary circulation is fresh blood that contains a large amount of oxygen to circulate to the left atrium through the pulmonary vein. Circulation supplies to the whole body of fresh blood that contains a large amount of oxygen. Urinary system is composed of the kidneys, ureter, bladder, and urethral. Kidney has role that excrete waste products to outside of the body, adjust the blood pressure, store the water, regulate the electrolyte, and generate red blood cells. Original urine is made by filtration of the glomerular, secretion and reabsorption takes place in the tubular. Urine was made in the kidney, is urinated outside the body through the ureter, bladder, and urethra. Respiratory system has role that the uptake of oxygen from the outside and to discharge carbon dioxide and water from the body. The air flow is accept the oxygen from the nose and mouth, and exchanged from oxygen to carbon dioxide is diffused in the capillary and interstitial. Digestive system is composed of the gastrointestinal tract, stomach, liver, gallbladder, bile duct, and pancreas. Digestion is initiated by the action of digestive enzymes and gastric acid in the gastric juice in the stomach. There is a metabolism in the liver. The gall bladder is responsible for temporarily stores bile made of hepatocytes. Pancreas to secrete a variety of digestive enzymes as exocrine organ and secrete hormones that make the regulation of blood glucose levels as endocrine organ. Intestinal has role that breakdown of food by the digestive juice and absorb the nutrients and moisture. Finally, it excretes waste products. Define the signs and symptoms of heart failure and explain why these signs and symptoms occur. Signs and symptoms of heart failure are:- Fatigue, weakness and mental confusion:- these things occur due to decrease output from the ventricle creating insufficient amount of oxygen in the brain which create mental confusion and disturbed behaviour. Fluid retention and oedema:- it occurs due to increased capillary pressure that develops in the peripheral circulation in person with right sided heart failure and in the pulmonary circulation in persons with left sided heart failure. The increased capillary pressure reflects an overfilling of the vascular system because of increased sodium and water retention and venous congestion, referred to earlier as backward failure, resulting from impaired cardiac output. Cyanosis:- caused by excess desiderated haemoglobin in the blood. It is resulting from impaired pulmonary gas exchange, from extensive extraction of oxygen at the capillary level. Shortness of breath:- occurs due to congestion of pulmonary circulation. Arrhythmias:- represent disorder of cardiac rhythm related to alteration in automaticity, excitability, conductivity or refractoriness of specialized cells in the conduction system of the heart. Muscle weakness due to insufficient blood supply and oxygen to the muscles. Rapid or irregular heartbeat the heart needs to pump harder as it cannot pump blood at a normal rate. Chronic cough or wheezing due to the fluid in the lungs and the lungs need to work harder. Ventricular failure – happens when it is left untreated. Lack of Appetite or Nausea— when the liver and digestive system become congested they fail to receive a normal supply of blood. This can make you feel nauseous or full, even if you havent eaten. Fluid Build-up and Swelling— because blood flow to the kidneys is restricted, the kidneys produce hormones that lead to salt and water retention. This causes swelling, also called oedema that occurs most often in the feet, ankles and legs. Rapid Weight Gain— the fluid build-up throughout the body, may cause you to gain weight quickly. Heart Grows Larger— the muscle mass of the heart grows in an attempt to increase its pumping power, which works for a while. The heart chambers also enlarge and stretch so they can hold a larger volume of blood. As the heart expands, the cells controlling its contractions also grow. Heart Pumps Faster— In an attempt to circulate more blood throughout the body, the heart speeds up. Blood Vessels Narrow— As less blood flows through the arteries and veins, blood pressure can drop to dangerously low levels. To compensate, the blood vessels become narrower, which keeps blood pressure higher, even as the heart loses power. Blood Flow Is Diverted— When the blood supply is no longer able to meet all of the bodys needs, it is diverted away from less-crucial areas, such as the arms and legs, and given to the organs that are most important for survival, including the heart and brain. In turn, physical activity becomes more difficult as heart failure progresses. Congested lungs:-Fluid backup in the lungs can cause shortness of breath with exercise or difficulty breathing at rest or when lying flat in bed. Lung congestion can also cause a dry, hacking cough or wheezing. Dizziness, and weakness:- Less blood to your major organs and muscles makes you feel tired and weak. Less blood to the brain can cause dizziness or confusion. Confusion and impaired thinking:- changing level of certain substances in the blood such as sodium can cause confusion. List the information taken on his admission that demonstrates these signs and symptoms. Low oxygen saturation, tachycardia, tachypnoea, hypertensive due to APO, loss of fluid into 3rd spaces or frusemide. Do you think his diabetes is related to his leg ulcer and amputated left toe? Explain Yes diabetes can be related to leg ulcer and amputated left toe because in diabetes neuropathy or peripheral nerve disease and damage may lead to leg ulcers and serious foot problems from which limb amputation may result. One of the medicines he is taking is lasix. What is the action of lasix? Which body systems are affected by it? Explain why you think Mr. Wright is ordered Lasix. Lasix is known as frusemide it is a loop diuretic that prevents your body from absorbing too much salt, allowing the salt instead be passed in your urine. As lasix is a diuretic drug that induce urination to decrease the body fluid volume, so the blood pressure will decrease therefore it will affect the urinary tract system and the cardiovascular system. List three conditions in Mr. Wright relevant medical history that is commonly associated with aging. Asthma:- asthma is common among older people over age 65 and can cause serious problems in bones and joints. Glaucoma:- glaucoma is a progressive degeneration of the nerve that can caused by increased intra ocular pressure. Arthritis:- arthritis is a inflammation of the joints that can cause pain and stiffness which can be worsen as the person age. Using Mr. Wrights admission history and assessment, list the factors that may impact on his safety whilst in hospital and when he returns home. Limited vision, impaired mobility, pain, self administration of frusemide combined with beta blocker and hypotension, low Sao2, hypo/hyper tension, decreased appetite, lower leg ulcer, confusion, anxiety and history of falls. What other health professionals will be involved in his care and what services can they provide for Mr. Wright. Dietician:- to monitor his diet about the diabetes and in assist the meals on wheels with the preparation of the meals. Domiciliary:- in order to assist with his daily living activities. Psychologist:- to monitor his situation and watch for any signs of over anxiety. Physiotherapist:- to assist him with maintaining his impaired mobility. General practitioner:- assist him with his medications and refer to any other specialist if needed. List the nursing documentation you would expect to be used in the care of Mr. Wright. Fluid chart, general observation chart, diet chart, bowel chart, admission information, medical history questionnaire, nursing notes, progress note, care plan and allergies. REFRENCES:- http://www.emedicinehealth.com/drug-furosemide/article_em.htm viewed on 5 September 2014 http://www.australiandiabetescouncil.com viewed on 5 September 2014 http://www.webmd.com/heart-disease/guide-heart-failure viewed on 5 September 2014

All Quiet on the Western Front: War and its Purpose Essay -- essays re

"One is left with the horrible feeling now that war settles nothing. That to win a war is as disastrous as to lose one." - Agatha Christie We as people never stop to think about war and its definition. Accroding to the dictionary, war is defined as a state of hostility, conlict, antagonism and death. All Quiet on the Western Front by Erich Maria Remarque tells the story about Paul Baumer, the narrator and protagonist of the book , a neneteen year old German soldier who fights in the front lines of Western Europle during Wold War I and describs its synical hateful environment. The autobiographical book, Night by Elie Wiesel, takes place during The Holocaust. Elie, as a young Jewish boy witnessed mass murder and loses his loved ones in the process in the hands of the Nazis while imprisoned in the most notorious death camp, Auchwithz. "I thought I was honoring my country, but I was very wrong " recalled Benjamin Mejia, a 40 year old army veteran who fought in war during Desert Storm. These descriptions of War follow its definition with high precisement and leads to the raw truth. The truth is that through it s hostile nature, war negatively affects the lives of the people involved with it buth physically and mentally which they have to carry for the rest of their lives. War and its antagonistic influence has the potential power of making its victims suffer physically. "I am operated on and vomit for two days. My bones will not grow together, so the surgeons' secretary says. It is damnable." said Paul Baumer as he was wounded as a cause of war. It must have been even worrse under the conditions soldiers in the past faced on account of not having the medical advances we have today. Antibiotics were not invented until later on in the century so soldiers back then had to suffer the enduring paing for a much longer period of time. "The pain was undefiable. It was like if someone were to stab you with a fiery pitchfork in the back," recalled Benjamin Mejia as he suffered third degree burns by an exploding land mine. He also added "I lost all feeling on my back for about a week and I had to suffer the excruciating pain of my skin peeling off my back." "A line, a short line trudges off in to the morning. Thirty two me n.&quo... ...ed both Paul and Kemmerich's mother emotionally due to the fact that Paul did not find anything sacred to him anymore to swear for and Kemmerich's mother for the lost of her son. "His last word was my name. A summons, to which I did not respond." said Elie as he visited his father's grave. He could not feel anything, not even for his own father. The definiton of war will never change. Its ideal prupose throughly is to cause pain of those who go through it or who are somehow involved. Through my prespective, I believe we need less hostility and use other inititatives and methods of reasoning and resolving problems rather than create brutality and increase death in this world. This book, its descriptions, but most importantly, Erich Maria Remarque, has significantly suceeded in emphasizing an in-dept overlook and understandment of what the outcome of war turns out to be which can also be associated with its supporting literature. We cannot prove anything through war; the only thing we have proven is how low us humans in general have sunk in resolving conflicts. Anybody has the potential power to kill someone through a simple pull of a trigger.

Colonialism in the Literary Short Story Essay -- Literary Analysis

The idea of heritage and tradition in the modern world has become an idea of importance to both the indigenous peoples and the descendants of the European colonists who attempted to Westernize the lands they discovered and the people in them. This idea has taken numerous forms in recent years and not-so-recent years. One form it has been examined in is the literary short story. Thomas King’s â€Å"One Good Story, That One† and Chinua Achebe’s â€Å"Dead Men’s Path† use characters and conflict to make a statement about the loss of tradition and heritage in order to demonstrate the effect of colonialism on indigenous people and their culture. The representatives of colonialism in these stories are white men in positions of superiority. In King’s story, they take the role of anthropologists, well-educated and well-dressed, while in Achebe’s story, the white man is a supervisor in charge of overseeing everything the black main character does. The presence of these men, all of European descent, is a metaphor for the manner in which the original colonist behaved. The supervisor’s position of authority over the ‘lesser’ black man is reflective of the attitude that causes loss of heritage, while in King’s story the attitude the anthropologists display is that of the conqueror: expecting to have their wants (to hear an old traditional story) met by those who have been conquered. They do not even deign to sit with the person they are asking this of. â€Å"These three like to stand. Stand still.† (pg... p...) These characters remain nameless and faceless, only known by their titles, throughout both stories. Perhaps this is because their true purpose in the story is not as a character, but as a symbol for the attitudes of the colonists. If the white men ... ...ce if the lessons taught through these literary short stories are taken to heart and lived out in daily life. Works Cited Achebe, Chinua. "Dead Men's Path." Short Fiction: Classic and Contemporary. Ed. Charles Bohner. Prentice Hall, 2002. 40-42. Print. Derry, Ken. "Religion and (Mimetic) Violence in Canadian Native Literature." Literature & Theology: An International Journal of Religion, Theory, and Culture 16.2 (2002): 201-219. MLA International Bibliography. EBSCO. Web. 8 Nov. 2010. Heinimann, David. "Trickster Ethics, Richler and King Fiddling." English Studies in Canada 30.3 (2004): 39-56. MLA International Bibliography. EBSCO. Web. 8 Nov. 2010. King, Thomas. "One Good Story, That One." One Good Story, That One. HarperCollins, 1993. 3-10. Print Lindfors, Bernth, ed. Conversations with Chinua Achebe. Jackson: Univ. Press of Mississippi, 1997. Print.

Software Piracy :: essays research papers

Software Piracy What is Software Piracy The PC industry is just over 20 years old. In those 20 years, both the quality and quantity of available software programs have increased dramatically. Although approximately 70% of the worldwide market is today supplied by developers in the United States, significant development work is occurring in scores of nations around the world. But in both the United States and abroad, unauthorized copying of personal computer software is a serious problem. On average, for every authorized copy of personal computer software in use, at least one unauthorized copy is made. Unauthorized copying is known as software piracy, and in 1994 it cost the software industry in excess of US$15 billion. Piracy is widely practiced and widely tolerated. In some countries, legal protection for software is nonexistent (i.e., Kuwait); in others, laws are unclear (i.e. Israel), or not enforced with sufficient commitment (i.e., the PRC). Significant piracy losses are suffered in virtually every region of the world. In some areas (i.e., Indonesia), the rate of unauthorized copies is believed to be in excess of 99%. Why do People Use Pirated Software? A major reason for the use of pirated software is the prices of the REAL thing. Just walk into a CompUSA, Electronics Boutique, Computer City, Egghead, etc and you will notice the expensive price tags on copies of the most commonly used programs and the hottest games. Take the recent Midwest Micro holiday catalogue for example and notice the prices. Microsoft Windows 95: $94, Microsoft Office 95: $224, Microsoft Visual C++: $250, Borland C++: $213, Corel Draw 7: $229, Corel Office Professional 7: $190, Lotus Smartsuite 96: $150, Microsoft Flight Simulator95: $50, Warcraft 2: $30. The list goes on and on and the prices for the programs listed above were only upgrade versions. Users of the software listed above include anywhere from large companies like AT&T to yourself, the average user at home. Although a $30 game like Warcraft 2 doesn't seem like much, by the time you finish reading this paper, it will seem like a fortune. Ease of Availability Since the law states clearly that making a copy of what you own and distributing it or installing more than one copy of one piece of software on two separate computers is illegal, then why do the average Joes like you and us still do it? There are many answers to that question and all of them seem legitimate except that no answers can be legally justified. A friend borrowing another friend's Corel draw or Windows 95 to install on their own PC is so common that the issue of piracy probably doesn't even come to mind right away or

Child and Young Person Develpment Essay

There are certain areas in which a child can develop starting from birth till 19 years. The physical development refers of body development, the motor skills, the co-ordination between the hand and the eye. The social and emotional development includes the relations and the social skills, the feelings for the others and the self –confidence. The intellectual development includes the understanding of the information, the logical thinking and the reasoning. The language development means the speech development which begins from one word to complex sentences. There are some transitions periods from one stage to another which are called milestones. These stages are divided in the most important ages: * 0-3 years * 3-7 years * 7-12 years * 12-19 years At the beginning of a child life I mean from birth till age of three the physical development is concentrated on the perception of sounds and familiar faces like mum and dad faces, their voices, starting sitting, start to walk, feed himself, starting to play, holds crayon in one hand and starting doing marks on paper. The social and emotional development for the child from birth till 3 years it has on the centre of the universe the mother, which feeds him, smiles on her face, depends on her affection, later on he starts to play with children but he stills needs the adult reassurance and attention. Intellectual he realise that others are separate beings and he is another soul. On language the child starts first to make happy sounds, after the age of one year he will begin to use words and after try to create sentences. After 3 years the child starts to jump, run, ride a bicycle, catches a ball, start using pencil, paints and doing buttons and shoe laces. He becomes independent and more sociable and friendly with others, responsible for himself and others. He starts to understand the needs of others, the differences between objects and the sameness. In the language he starts to use past tense, he extends his vocabulary, he will tell stories and start to understand books. After age 9 the child will start playing team games. He starts to form friendships after 8 years old. He starts to read to himself. His vocabulary will develop; he will speak fluently, because of reading loud. Adolescence (12-19 years) is the period of detachment of the child of his parents. The boys will start to develop sex characteristics like deep voice, body hair, and muscle growth. The penis growth will start later. The breast of a girl will start to develop around the age of 10 and also her pubic hair. Some girls can reach physical maturity by the age of 13, others by the age of 15. The adolescent is in a continuous changing and he will feel the need of indepen dence, starts to concentrate of their friends more than parents. He starts to create his own personality. The adolescent start to think on his future, his occupation, making a family, children of his own. He can become sarcastic and ironic but he just tests his new language skills. If a child has a learning difficulty that makes harder for him to learn what others children at the same age are already learning than he may need extra support, or other ways of teaching with the help of a computer, images or sounds. So it is recommended that the activity and the progress of the children needs to be checked so any delay of development needs to be tracked on time and the supports offered on time so the child can develop normally like the others of his age. For example if a child has a language delay, this one can affect the others areas like emotional development, he won’t be able to form relationships, he won’t be able to express feelings, speak in front of the class or the teacher. He will develop a poor image of himself, and his self-confidence will diminish. Also if a child h as language development, this will affect his writing area because he will need to speak to be able to write. So is better that this delays in one area are tracked on time and additional support start as soon as necessary so the child can develop normally in all areas. There are some factors which can affect the child development relied on family conditions like health, the motivation and the support offered by the family, the relations between the child and the family, the background from school and his influence and the influence of the community on child actions. The article of Pamela E. Davis-Kean about The influence on parent education and family income on child shows that parent education is important on child achievement. In this article the income of the family don’t affect negatively the achievement of the child in his education the important effect is more the expectations and beliefs of the family, because a family of high and moderate income may have the same expectation on a child like a poor family. Also the mother and her belief is very important, a mother with higher e ducation may have higher expectations on her children achievement. In this article the warm of the mother and her education affect more the child than the lower-income. The reading has a big effect on achievement for a child. So in conclusion the parents are like models for the children. For example a mother who is a doctor is like a model for a girl which can choose maybe the same job, and the mother’s word value a lot for the child by her position. The teacher can be a model for a child for example when I was a child I use to love the French teacher and because I use to like her I start to love French so she become a model for me she determined me by her attitude to chose the university of foreign languages with French the first option. The environment where the child lives can be a strong influence on his education because if his family don’t offer the support and the warm which the child needs he may not be able to concentrate on his study, he can become shy or interiorised he can lose his self confidence and this can have negatives effects on his development. Once the Learning assistant had identified that that a child has special educational needs he must intervene with through the school action. So the child has an Individual education Plan which shows the actions and the pupils that must work with the child so he can achieve the target. A psychologist is consulted for the intervention that must be done on the child. In this individual plan the parents will also support the child. The school can ask for the help of the specialist or the technology a computer or the local authority may be involved. There may get a daily support for a learning support assistant or he may need to learn in a special school. So if such a placement will be chosen the parents will be informed within 12 weeks by the local authority. A disable person is someone who has a physical or mental impairment, is blind, deaf or dumb or is handicapped by an illness on a long term. A disability might enhance learning difficulty that will need for special education needs. But not all the children that are disables need special education needs. The same not all the children with special education needs will be defined as disabled. From the article: The learning Trust’s approach to SEN, Definitions of SEN and Disability I took the schema from next page. Also the learning assistant must be aware to help the child if he has speech problems, because he may be unable to express thoughts, to form relationships, to communicate. It is very important for a practitioner to be able to develop speech, communication, language and identify the children which has communication needs. If a child is identified with having speech, language and communication needs a language a therapist might be involved and the local authorities and the parents. The difficulties with speech affect all the areas of developments like social and emotional, intellectual and the language area. A child who has a speech difficulty, can’t make friends, he is enable to socialise, he is shy and he lacks of confidence, he finds difficult to understand the information, he can’t create correct sentences, he can’t express his ideas and he can’t establish a right communication with other peer.

Dale Henry’s book “The Proverbial Cracker” Essay

It is not much questioned about how people mostly wanted to be served and be pleased by others. However, the contrary of this fact was the main theme of Dale Henry’s book â€Å"The Proverbial Cracker†. In this particular book it could not be denied that service is the main key for people to get the satisfaction that they need from their own jobs. The realization of each employee that providing service to others is the only key to their corporal success helps them become the person that is particularly needed not only be business organizations but also well appreciated by the society.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The different proverbs in life pertaining to success have mainly been focusing on the ways by which people could attain self satisfaction from their jobs. However, what the said books are lacking which is in turn present in the book of Dale Henry is the fact that service is viewed as a primary aspect of true enlightenment among people. Reading this book brings the reader to the recognition of providing the best for the others that results to their own satisfaction of their own desires.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   â€Å"Most people see their jobs the way a mosquito sees a nudist camp: all kinds of opportunity, but where do I start?† (Henry, 22) True, it is only when a person realizes the true worth of his job and his responsibilities as a person through his career will he realize that he too has an essential worth to the society. It is only when they see the benefit of what they do are they completely motivated to do their best possible efforts for the sake of their job’s completion.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Certainly, this particular book brings about the needed aide for employees or even self-employed people in the society who lack the motivation to do the best they could in their own chosen careers. Dale Henry has fully arranged a humorous yet meaningful approach to the said invitation of one’s ability to doing his duties as a fine worker for his own organization’s as well as his community’s progress towards development. Bibliography Henry Dale. (2002). The Proverbial Cracker Jack: How To Get Out Of The Box And Become   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The Prize. Autumn House Publishing.