System analysis and design course. Tools analysis and evaluation Term Paper

System analysis and design course. Tools analysis and evaluation - Term Paper Example The companies on the other hand are required to innovate on a consistent basis to remain alive in the competition of winning notable percentage of market share. The employees are needed to brush on their creativity as they have to develop new products and services in order to keep their jobs in the practical world. The organizational charts have been modified to add another department that goes by the name of Research and Development or New Product Development Department. The unit is added so that new offerings can be developed by allowing people to think out of the box. The prototypes of new products are developed and tested at a small scale by R&D and upon meeting success; these ideas are produced at vast level. The modern organizational philosophy requires the management to manage more than one research projects so that probability of developing a new offering can be significantly enhanced. The following organizational chart is sporting a separate Research Department that operates under the direct supervision of top management. Ideally, all project managers are expected to report directly to the top management and duplicity of command is avoided at all costs. The duplicity of command is avoided in order to give people confidence to think in a nontraditional fashion. The hierarchy chart highlights the relationships between various organizational levels. The featured change in the organizational structure was necessary because the companies in all industry had been faced with the challenge and need of housing innovation in order to cope with changing external environment. The Marketing and Sales or Administration department is asked to run PESTLE Analysis and Customer Preference Survey in order to evaluate the level of change in the external environment. The data is processed and new products are developed in the light of findings. The existing designs are modified and made more

Nike Research Plan Essay Example | Topics and Well Written Essays - 750 words

Nike Research Plan - Essay Example However, the USA population that purchases apparels at Target stores might be too big to be recruited to the research study. Therefore, a sample population that is largely representative of the entire USA population purchasing apparels at Targets will be adopted. Nike suffered a great deal in sales and popularity decline, after the Tiger Woods personal scandal that saw the whole of the golf industry lose in sales and profits. There is no doubt therefore, that a need to improve both the image and financial performance of Nikes golf apparel exist. Thus, the research project has defined the research question as; â€Å"Could Nike’s diminished popularity within the golf community increase by introducing an exclusive line of low-cost apparel to be sold at Targets all over the United States?† The sampling method to be applied in this research study is the cluster sampling technique. Cluster sampling technique is the most appropriate for this research study. This is because; the study seeks to establish the population of customers who purchase apparels at Target stores in the USA, Thus making the group of customers at each Target store an already clustered population. The choice of cluster sampling as the method sampling technique is informed by the fact that the entire population that purchases apparels at Targets is unknown, while its characteristics of are also unclear. Further, the suitability of cluster sampling technique for this study is also informed by the fact that the sample clusters targeted by this study are geographically convenient (Ahmed, 2009). This research study targets to collect data from the population that purchases apparels at Targets, which then means that such clusters are conveniently clustered at the different geographical Target store location s.

Greek Mythology and Athena Essay Example for Free

Greek Mythology and Athena Essay 1. True myth is primarily concerned with: a. the gods b. wars c. heroes d. animals 2. What does Athena offer to Athens in her contest with Poseidon? a. the knowledge of weaving b. the olive tree c. victory in battle d. wisdom 3. What goddess does Iris usually serve? a. Athena b. Aphrodite c. Artemis d. Hera 4. With what goddess is Hephaestus often associated through practical wisdom, arts and crafts, and the advance of civilization? a. Hera b. Artemis c. Athena d. Aphrodite 5. Which goddess is not one of the three goddesses that Aphrodite was unable to overpower? a. Demeter b. Artemis c. Athena d. Hestia 6. Why did Gaia punish Uranus? a. He killed their children as soon as they were born. b. He refused to lie with Gaia when she came to him. c. He refused to allow their children to leave the womb of earth. d. He wanted Themis to take her mothers place. 7. What animal is Athena most closely identified with? a. the owl b. the dolphin c. the spider d. the lion 8. Aphrodite Pandemos means which of the following? a. Celestial Aphrodite b. Common Aphrodite c. Genital Aphrodite d. Lustful Aphrodite 9. What Trojan youth did Zeus carry off to become cupbearer of the gods? a. Hebe b. Ganymede c. Hector d. Paris 10. What does the word chthonic or cthonian mean? a. pertaining to the sea b. having to do with the earth c. related to the sky d. characteristic of the citadel 11. Who wrote the Theogony? a. Homer b. Hesiod c. Vergil d. Ovid 12. Whom did Poseidon mate with in the form of a stallion? a. Demeter b. Medusa c. Amphitrite d. Scylla 13. Who wrote the Prometheus Bound? a. Ovid b. Euripides c. Aeschylus d. Plato 14. Which of the following is not an epithet of Athena? a. Pallas b. Glaukopis c. Metis d. Tritogeneia 15. Who is the consort of Poseidon? a. Galatea b. Scylla c. Amphitrite d. Thetis 16. Who is the hunter that caught Artemis bathing? a. Orion b. Arcas c. Actaeon d. Tityos 17. Which best describes an etiological interpretation of myth? a. It attempts to see myth as a metaphor. b. It attempts to understand myth in terms of an underlying ritual. c. It attempts to see myth as a pre-scientific mode of explanation. d. It attempts to uncover the historical kernel behind all myth. 18. In some versions of her birth, who is the mother of Aphrodite? a. Ge b. Hera c. Cybele d. Dione 19. Who will eventually rescue Prometheus from his sufferings? a. Heracles b. Perseus c. Zeus d. Achilles 20. What god gave Theseus three curses? a. Zeus b. Apollo c. Proteus d. Poseidon 21. What is the name of the guardian that was set over Io? a. Charon b. Cerberus c. Hermes d. Argus 22. Who wrote the Hippolytus? a. Sophocles b. Euripides c. Aeschylus d. Seneca 23. Who at times appears as the particular servant of Hera? a. Hermes b. Hestia c. Iris d. Diana 24. What is the name of the Graces, who attend Aphrodite? a. the Horae b. the Moirae c. the Charites d. the Graeae 25. What did Artemis promise Hippolytus as he lay dying? a. She will raise him from the dead. b. She will grant him a place in Elysium. c. She will punish a favorite of Aphrodite. d. She will punish Theseus for his curse. 26. What goddesses does Hesiod invoke at the beginning of the Theogony? a. the Fates b. the Graces c. the Muses d. the Sirens 27. With whom does Athena share her function as a deity of war? a. Apollo b. Hephaestus c. Ares d. Mercury 28. What is the hallmark of the Greek conception of the Olympians? a. animism b. theriomorphism c. anthropomorphism d. monotheism 29. Who is the mother of Zeus? a. Ge b. Rhea c. Gaea d. Cybele 30. What is the most distinguishing feature of the Greek gods? a. omniscience b. omnipotence c. immortality d. physical stature Part II Short Answer (2 points each) 31. What is the Roman name of Poseidon? 32. What is the Greek term that means a sacred marriage? 33. Who is Theseus father in the Hippolytus? 34. Who was the sculptor who created a statue that came to life? 35. What is the Roman name for Athena? 36. What does the Greek word mythos mean? 37. Together with what creature is Scylla usually mentioned? 38. What does Pandoras name mean? 39. To what force may Zeus himself be subject? 40. Who is the mother of the Muses? Part III Essay (20 points) Write an essay on one of the questions listed below. Be sure to make direct reference to primary sources (i.e. passages [included in the textbook] of ancient authors) to support your statements; with the exception of the textbook, do not base your discussion on any other secondary sources. The essay must be 200-250 words in length. When referring to primary sources, include the following: (1) page number of textbook on which passage occurs, (2) name of the ancient author, (3)title of ancient work from which passage is taken, (4) location within ancient work in which passage occurs. (a) Discuss Zeus . Include within your discussion an identification of his attributes and the myths associated with him. What do the myths communicate about his character and qualities? or  (b) Discuss Athena . Include within your discussion an identification of her attributes and the myths associated with her. What do the myths communicate about her character and qualities?

A Fair Lady :: essays research papers fc

A Fair Lady, worthy of Pygmalion Consider this possibility: a romantic comedy with no nudity, no sex, and no kissing. In fact, there aren't even any declarations of love. The closest the female character comes to admitting her feelings is saying that she could have danced all night with the man; the closest he gets is remarking that he's grown accustomed to her face. Could such a project lift off the pad in today's climate? Almost certainly not - no studio would green light the film without assurances that elements would be added to spice things up. So it's fortunate that circumstances and expectations were different in 1964, when My Fair Lady reached the screen. More than three decades later, the movie, which won the Best Picture Oscar, remains a musical favorite. The film's origins go back to George Bernard Shaw's "Pygmalion", which was subsequently adapted into a Broadway musical and then later adapted into a G-rated movie by Warner Brother’s studio, to be directed by George Cukor in 1964. Rex Harrison stars as the ever bad-mannered Professor Higgins, Stanley Holloway as the drunken Mr. Doolittle and fresh-faced and charismatic Audrey Hepburn in the leading role of Eliza Doolittle. My Fair Lady is a timeless tale about a common flower girl becoming a duchess-or at least be able to speak like one. The basic storyline progresses at a leisurely tempo, leaving room for music and songs that compliment the storyline. The focal storyline concerns Eliza, a poor Cockney from Covent Garden who is transformed into a lady under the tutelage of Higgins. When he first encounters her, an unwashed girl with a grating voice selling flowers, he forms an opinion of her and calls her, among other things, a "squashed cabbage leaf" and an "incarnate insult to the English language." His conviction has not changed when, the next morning, she shows up at his house, asking him to teach her how to speak properly and be a lady. Although at first reluctant, Higgins, intrigued by the challenge of re-making a woman, agrees. He tells her that she is stay there for six months learning to speak beautifully, like a duchess. Higgins also tells her that, â€Å"At the end of six months you will be taken to an embassy ball in a carriage, beautifully dressed. If the king finds out you are not a lady, you will be taken

Designing a Wellness Program Essay

1.When a health promotion specialist begins the task of designing a wellness program the first and most important step is performing a needs assessment. An important part of the needs assessment is collecting data. There are two main types of data. One is primary data. This is data that you obtain yourself from the population you intend to serve. Examples of primary data are: administer surveys by written or electronic questionnaires, telephone interviews, electronic interviews, face-to-face interviews, Delphi technique, community forums, focus groups, observation, and self assessments. This data is current and straight from the target population with specific information to answer planner’s questions. Negatives for this type of data mainly includes: cost, time, manpower. All of these methods of collecting primary data have their own unique advantages and disadvantages. However, one must examine the intangibles that are associated with each method on an individual program by p rogram basis (McKenzie, Neiger, & Thackeray, 2009). The second form of data one may obtain is termed secondary data. This is data that has already been obtained by someone else and is readily available. Sources include governmental agencies, nongovernmental agencies and organizations, and data available in the literature. Examples of governmental source data from the CDC, FDA, and others would be: census data, health and vital statistics, behavioral risk factors, and cancer statistics. Nongovernmental sources like the American Cancer Society, the American Heart Association, and others can offer information and statistics on topics such as: cancer, heart disease, lung disease, stroke, and many more. Data from literature sources that are peer-reviewed such as Medline and ETHXWeb can be valuable tools to help identify the needs of one’s specific population. This data is generally inexpensive, easier to obtain, usually summarized, and requires less resources to collect. The largest negative to this data is it is not specifically from the target population and therefore might not be applicable one’s target population. How the data was obtained, from whom it was obtained, and a number of other variables can change how valuable data may be for one’s specific target population. Secondary data can also be a great source to help one construct survey instruments to obtain similar data that is straight from your target population (McKenzie, Neiger, & Thackeray, 2009). 2.After working for 16 years I’ve come to the conclusion that most of my colleagues and myself have fallen into two categories, overweight or obese. Unfortunately this is a statewide and a national problem. My solution is to start a walking campaign for TCC employees that will help fight obesity. The first step would be to perform a needs assessment to see if there is an actual obesity problem at my college. This would entail identifying types of information that might help me answer the question of obesity at TCC. My first action would be to contact the person in charge of employee health at TCC and see if there is any secondary data collected from the employees that would be useful for this endeavor or to see if anything similar has ever been attempted at TCC. I would also perform a literature search on walking programs and obesity. Another source of secondary data might include health screenings or other health information obtained from TCC employees. Of course this could be a problem in regards to Health Information Portability and Accountability Act (HIPPA). Other secondary sources that could be utilized are: the Tarrant County Public Health, Texas Department of State Health Services, Centers for Disease Control and Prevention, and Healthy People.gov. All secondary data would need to be reviewed for its usefulness and how current the information is that would be utilized. Primary data would allow me to collect current data from the target population. Primary data could be collected by internet surveys, mailing surveys, telephone surveys, and organizing focus groups (Fitzhugh, 2012). The next step would be how to collect the data for the assessment. My first action would to ask some colleagues for assistance. We would then break up the work of obtaining the secondary data via the internet and making some phone calls to key personnel to see what data was available. We would obtain all the data we could from the secondary data sources stated prior. In addition, with the college’s approval, I would send out at a Health Risk Appraisal (HRA) survey via e-mail through the college’s mailing system. If needed, I would use the intercampus mail system to send out the HRA survey. I would also organize focus groups to obtain more primary data. And most importantly I would obtain information from the leaders at TCC via surveys or interviews (Fitzhugh, 2012). The third step would be the actual collection of the data. This would take organization, effort, and time. I would first need to gain approval from my superiors at the college to get time off, obtain staff, and obtain funds to collect the data. Obtaining staff might be achieved through volunteerism. Volunteers would not only assist in collecting the data, but would aid in entering and managing data. Funds might be granted from the leaders at the college from various funding sources or even from the county or state levels (Fitzhugh, 2012). The fourth step would involve analyzing the data to profile the actual needs of the TCC employees. For my program the data would need to show that there is a weight problem and that lack of exercise is a key element that could help address this health issue. This would involve organizing the data and comparing our population to the region, state, and even national levels. This would also include both qualitative and quantitative analysis of the data obtained where reliability and validity would be assessed (Fitzhugh, 2012). The last step would be to prioritize and validate the needs of TCC employees. We could perform this by ranking the health issues in order of importance as reported. We could establish a Basic Priority Rating (BPR) which takes into account the size of the problem, seriousness of the problem, effectiveness of possible interventions, and lastly is the intervention doable. One additional method would be to take the data back to a focus group or advisory panel and prioritize by importance and potential for change. Through these processes we may find that there are other larger concerns for TCC employees. One could waste a lot of time, effort, and funds if a proper and thorough assessment is not completed prior to initiating a health promotion program (Fitzhugh, 2012). References Fitzhugh, E. C. (2012). mms://mediasrv1.ccs.ua.edu/CCS-AO2/HHE667-2/module4/667_Video_8.wmv McKenzie, J. F., Neiger, B. L., & Thackeray, R. (2009). Planning, implementing, and evaluating health promotion programs: A primer (5th ed.). San Francisco: Benjamin Cummings.

Intramedullary Spinal Cord Tumors Health And Social Care Essay

In this essay I will discourse a patient who had been enduring from Amyotrophic Lateral induration a signifier of Motor Neurone Disease which is a progressive, chronic and debilitating disease. I will discourse the consequence this disease has on the organic structure, look at differential diagnosing, the cardinal status impacting the organic structure by this disease, epidemiology, aetiology, pathophysiology and the associated pharmacological medicine that are all prevalent with Amyotrophic Lateral Sclerosis. Motor Neurone Disease is a general term for a few differential discrepancies of the diseases which are combined under the one umbrella ( see appendix A ) the specific disease I will discourse is Amyotrophic Lateral Sclerosis ( ALS ) . From this point Motor Neurone Disease will be known as MND and Amyotrophic Lateral Sclerosis known as ALS. The patient I attended was a 53 twelvemonth old who had been enduring from ALS. The patient when we arrived had died but had been in the terminal phases of the disease. In speaking with the household and acquiring a good societal and household history it became evident that this patient had led an active life style until she was diagnosed with ALS. In the early phases this patient managed herself but rapidly became unable to pull off her daily attention and required aid, due to the ALS the patient was known to us but I had ne'er attended to them before. In treatment with paramedic who I was on with they gave me a brief history of the patient so I was prepared when I went in. ALS comes under the umbrella of MND which affects the nervous system ( see Appendix B ) and can be divided into two countries the lower taking to muscle weakness/wasting ( wasting ) and the upper taking to stiffness, abnormally active physiological reactions by and large nonvoluntary and each impacting different countries of the organic structure in changing grades. The forecast for ALS is Death, as it affects the upper and lower nervous system ( see Appendix B1 ) . MND It is a chronic progressive neurodegenerative disease, nevertheless depending on countries affected it may take a few old ages or it can take longer. There is no remedy for MND and the pharmacological medicine is restricted. The pharmacological medicine for the patient was Riluzule in the early phases can decelerate down the devastation of the motor nerve cells as it is a neuroprotector, Baclofen is prescribed as a musculus relaxer which is used to handle the cramps and stiffness caused by the musculuss, Dantrolene is prescribed to handle long term musculus cramps and stiffness though it can besides do liver harm, Diazepam ( diazepam ) is prescribed for its ataractic consequence and helps command the musculus cramp and stiffness these along with other general medicines and with the aid of psychological and emotional support signifier household, friends and other bureaus all assisted the patient with get bying with their ALS. This patient was in ventilatory failure which is the terminal phase of the disease. On Arrival the patient was still on the ventilator and the Patients ‘ household were around her they stated that she had been experiencing ailing different signifier the disease itself and that she had non been herself, the patient was still able to pass on utilizing her eyes although this was going a strain on her and was now passing greater lengths of clip asleep. The patient had retained her sense of temper throughout the disease. The household managed all the daily patient attention themselves as they stated that they knew her best and as the disease progressed and the patient was unable to vocalize any longer they were still able to understand what was wanted. On Examination the patient had no bosom beat and remained in cardiac arrest, patient students were fixed, all marks of life were negative apart from the ventilator. The household knew that the patient had died but we had to repeat that and do certain as they had requested us to go forth ventilator switched on at that clip which meant that there were breath sounds although false reading as it was mechanical aided airing and there was no existent external respiration attempt from the patient it was explained to the patients sister and hubby that although the ventilator is still on it may be confounding for any of the other relations that were coming to understand and particularly for the patients kids as there were no marks of life but the noise of the ventilator might intend they got confused. Dr was called one time we had arrived and we explained what was go oning and as it was the GP that usually attended to the patients ongoing attention we requested that they attend the house. Dr pronounced the patients ‘ decease and was able to exchange off the ventilator as this was what the household wished, during this clip asperity had begun. The household and Dr stated that the patient was cognizant of the result of the disease and that the patient had a DNAR in topographic point which the Dr brought with them as it was a new issue and the one the household had was out of day of the month. I realised through speech production with the household that the symptoms of this disease were similar to other nervous system diseases and that I knew really small about this I decided I would read up on the disease and larn how these types of neurological diseases affect people. Differential Diagnosis: In order to derive the right diagnosing of any disease you must first regulation out several other different diseases that affect the organic structure in a similar manner. In making so you are able to name and handle the disease efficaciously utilizing the right pharmacological medicine, psychological science, or external aid. This is sometimes hard as they frequently present in this instance with muscular blowing particularly of the upper limbs which is the initial presentation in MND and ALS. Some of the differential diagnosing for ALS and MND are: Intramedullary tumour – See Appendix B. Cervical spondylosis – Cervical myelopathy – see Appendix B Peroneal muscular atrophy- see Appendix B Chronic polymyositis- see Appendix B Cervical rib- see Appendix B Peripheral nervus lesions- See Appendix B ( General Practice Notebook, 2012 ) Once all the differential diagnosing information has been correlated and ruled out it is so clip to look at the factors of MND and it variants that prevarication within the MND umbrella. There are assorted types of MND with ALS being the most outstanding and besides the 1 that appears to be speedy in oncoming therefore a rapid diagnosing eases the patients anxiousness and will besides give the patient the right pharmacological medicine and psychological science with support groups and healers to understand the forecast and the disease and its effects on the organic structure although everyone can bring forth different symptoms and no one individual has the same patterned advance through the disease it is in a sense individualised. MND has changing types under its umbrella some affect specific site and others whole countries of the nervousnesss. Amyotrophic Lateral Sclerosis ( ALS ) , both upper and lower motor neurone harm. Primary Lateral Sclerosis ( PLS ) , upper motor neurone harm entirely, Bulbar Palsy, the bulbar paralysiss Progressive Muscular Atrophy ( PMA ) , lower motor neurone harm entirely Epidemology of ALS ALS normally occurs between age 40 and 70, and 90 % of instances represent some signifier of MND disease. The incidence of the disease increases with each decennary, the mean age at oncoming is 63 old ages. The surveies of the addition of the disease are predominately due to one factor that we are all acquiring better wellness attention and that we are in the chief life thirster. Recent information has suggested that there may be some cultural variableness to the disease nevertheless there is still a lower incidence in non-whites or persons of assorted ethnicity. The male to female ratio is 1.3 in the ages between 40-70 but approaches equality at ages older than 70 old ages. ( Sharon M. Valente RN, 2007 ) ( Carmel Armon, n.d. ) The highest rate of ALS in the universe is Finland. There has been a recent survey in Finland to happen out why they have such high rates they found that a mutant in chromosome 9p21 as the major cause of familial ALS. Finland is non the lone state with a high rate Guam has a prevalence of 70 in every 100,00 this they believed was due to the toxins in the Cycad nut and the rhythm it went through to free it of the toxins. The nut was besides consumed by the Flying Fox ( a chiropteran ) which used to be portion of the diet. The toxins in the nut may hold been much more concentrated and as it was consumed it released the toxins. This statistic has been reduced as alterations in diet have occurred the people of Guam now have a prevalence of 7 in every 100,000. ( Sharon M. Valente RN, 2007 ) ( Carmel Armon, n.d. ) Aetiology of ALS: Between 5-10 % of instances are familial. 90-95 % of instances are sporadic. The mean oncoming for people with familial ALS is 10-20 old ages younger. The balance are sporadic. Diagnosis for this disease are blood trials, Electromyogram ( EMG ) , Magnetic Resonance Imaging ( MRI ) and one time every other neurological disease has been rejected so the diagnosing will be of MND so depending on clinical presentation a unequivocal diagnosing of what type of MND will go on next. Pathophysiology of Amyotrophic lateral sclerosiss: ALS is a disease of the Motor Neurones it is a chronic progressive neurodegenerative disease and it is fatal. There is no remedy for this disease and pharmacological medicine is limited to handling the symptoms as they occur. Famillia ALS is caused by a familial defect on chromosome 21 which is an enzyme ( an enzyme allows a cell to transport out chemical reactions really rapidly ) and helps destruct free groups ( Free groups take negatrons from the cells and do a batch of harm ) It is nevertheless non necessary to hold the faulty chromosome to develop ALS as non all bearers of the faulty chromesome contract the disease and people can contract the disease without a faulty chromesome. Sporadic ALS is mostly unknown in its cause nevertheless at that place have been links in the alterations to the organic structures nucleic acid through smoke have been shown to trip the disease oncoming. In ALS progressive musculus wasting predominately is found on the Lower motor neurones which reside in the anterior Grey horn of the spinal cord and in the encephalon root ( corticospinal ) . The upper Motor neurones predominately cause marking on the sidelong column of the spinal cord which may bring forth stiffness or abnormally active physiological reactions. There are instances although rare where the loss of prefrontal neurones may hold caused signifiers of cognitive damage. Although this is non typical in ALS as by and large there is no devolution of the five senses and these nervus cells remain integral. Nerve cell organic structures of the lower and upper motor neurone control the musculuss. The motor axons die by devolution and the larger motor neurones are affected to a higher extent than the smaller motor neurones. Equally long as the regeneration and devolution remains changeless so the nervus cell has the ability to maintain the motor neurones within normal bounds hence no symptoms will be evident, merely when the demand for regeneration of these cells can non fit the devolution it is so the first symptoms of ALS becomes apparent. The axon interruptions and the environing Schwann cells catabolise the axon ‘s medulla sheath and steep the axon interrupting it into fragments. The breakdown causes ovoids which are little compartments which contain the fragments of the axon the ovoids are so ingested and destroyed by the macrophages the hungry white blood cells who come en mass to clean up. This nevertheless leaves a grade on the country and if supply and demand for regeneration are non met this procedure so causes the wasting of the motor nervousnesss go forthing them denervated and unable to execute. There are as with all types of disease clinical manifestations in which we are able to name certain conditions non all of them present at one time and all varying in badness depending on the length of clip the patient has had the disease. Muscle failing is the primary mark of ALS with the musculus cramp and stiffness associated with musculus wast ing active nonvoluntary jerking a weakend clasp, slurred address, there is by and large no redness of the musculuss but the changeless vellication and contraction can do a batch of hurting. ALS begins in one limb before impacting the other limb. This disease can distribute through multiple sites on the organic structure and can impact the critical variety meats as they are made up of musculus tissue this is the terminal stages where the patient is unable to take a breath without the aid of a ventilator and as life anticipation for ALS is between 2-5 old ages it can be swift in oncoming. The pharmacological medicine for the patient was Riluzule in the early phases can decelerate down the devastation of the motor nerve cells as it is a neuroprotector, Baclofen is prescribed as a musculus relaxer which is used to handle the cramps and stiffness caused by the musculuss, Dantrolene is prescribed to handle long term musculus cramps and stiffness though it can besides do liver harm, Diazep am ( diazepam ) is prescribed for its ataractic consequence and helps command the musculus cramp and stiffness these along with other general medicines and with the aid of psychological, Physiotherapy, Occupational therapy and emotional support signifier household, friends and other bureaus all assist the patient with get bying with their ALS. As ambulance service there is small that can be done to assist the patient apart from doing them comfy. We can utilize Professional-Professional calls to the necessary adviser and inquire for advice as to the best attention for the patient and if we need to set up for the patient to be admitted into infirmary or whether organizing another carepathway would be suited. The carepathway could besides be used and was in this instance a call to the patients ‘ ain GP bespeaking them to see as this was the want of the patient and the household explicating what had happened. The usage of any analgetic drug for the hurting would hold to be discuss ed with the adviser as this may hold inauspicious effects on status or may hold contraindicators to drugs regime the patient was already on. Following the Care program that is in topographic point meant that although the patient had died we could still follow their wants. Pg1.APPENDIX A- The Nervous System The nervous system is the organic structure ‘s communicating web. It plays a critical function in keeping homeostasis and consists of a immense figure of cells called neurones. The nervous system can be split into two different divisions the Central Nervous System ( CNS ) which controls the encephalon and the spinal cord and the Peripheral Nervous System ( PNS ) which controls all the nervousnesss outside of the spinal cord and encephalon. The peripheral nervous system can be sub-divided into the motor or motorial tract and the sensory or afferent tract. The motor map is divided once more into- voluntary- controls motion of the musculuss and involuntary- which is portion of the autonomic nervous system that controls the cardiac musculus and its secretory organs, this system can be divided into two once more the sympathetic and parasympathetic. The nervous system is predominately made up of nervous tissue which consists of two types of cells- nervus cells or nerve cells and neuroglia, it besides includes the blood vass and the connective tissue. Nerve cells Nerve cells specialise in responding to physical or chemical stimulations from the alterations within their milieus. Nerve cells send and receive nervus urges. The construction of a nerve cell is like an arm with thenar and fingers. Dendrites are like your fingers projecting from the thenar of your manus they are little projections coming from the axon APPENDIX B INTRAMEDULLARY SPINAL CORD TUMORS Pain and failing are the most common presenting symptoms of intramedullary spinal cord tumours. Pain is frequently the earliest symptom, classically happening at dark when the patient is supine. The hurting is typically local over the degree of the tumour but may radiate.Progressive failing may happen in the weaponries ( cervical tumours ) or legs ( cervical, thoracic, conus tumours ) . Impaired intestine, vesica, or sexual map frequently occurs early. Patients may hold hapless balance. Rarely, symptoms of subarachnoid bleeding may be present. Examination may uncover a combination of upper and lower motor nerve cell marks. Lower motor marks may be at the degree of the lesion and may help in localisation. Other marks apparent upon physical scrutiny may include spine tenderness, stiffening of pace, trophic alterations of appendage, centripetal loss, hyperreflexia, clonus, and scoliosiscervical spondylosis – Cervical myelopathyCervical myelopathy occurs when terrible cervical spondylosis causes narrowing of the spinal canal ( besides known as stricture ) and compaction of t he spinal cord. When the spinal cord is compressed, it interferes with the signals that travel between your encephalon and the remainder of your organic structure. Symptoms can include: a deficiency of co-ordination, for illustration you may happen undertakings such as buttoning a shirt progressively hard, heaviness or failing in your weaponries or legs, jobs walking, less normally, intestine and urinary incontenance, centripetal loss is normally present but the upper limb failing and lower limb spasticity may be unusually similar to MND. MND has a more rapid myelopathy and cervical phonograph record bulge will be absent on X-ray. Occasionally, MND may co-exist with cervical spondylosis. cervical rib – fasciculation absent, hurting prominent, centripetal loss normally present, characteristic radiology peripheral nervus lesions – localised cachexia, normally accompanied by centripetal loss. peroneal muscular wasting – centripetal loss of the peripheral nervousnesss become damaged it can do the undermentioned symptoms: numbness and prickling in the pess and custodies a combustion, knifing or hiting hurting loss of co-ordination in the affected organic structure parts musculus failing chronic polymyositis – The history of patients with polymyositis or dermatomyositis typically includes the followers: Symmetrical, proximal musculus failing with insidious oncoming Muscles normally painless Myalgias occur in fewer than 30 % of patients. Dysphagia ( 30 % ) and aspiration, if pharyngeal and oesophageal musculuss are involved Arthralgias may be associated Trouble kneeling, mounting or falling stepss, stepping onto a kerb, raising weaponries, raising objects, combing hair, and originating from a seated place Weak cervix extensors cause trouble keeping the caput up Engagement of pelvic girdle normally greater than upper organic structure failing Cardiac engagement may do symptoms of pericarditis or myocardiopathy Characteristic roseola of face, bole, and custodies seen in dermatomyositis merely Patients with polymyositis normally present with symmetrical, proximal musculus failing in the upper and lower appendages. Weakness of cervix flexors besides occurs. Patients with polymyositis may describe musculus hurting and tenderness, which may be confused with symptoms of polymyalgia rheumatica. The disease may be for several months before the patient seeks medical advice, and all of the musculuss of the thighs, bole, shoulders, hips, and upper weaponries are normally involved. Muscle failing may fluctuate from hebdomad to hebdomad or from month to month. Fine motor motions that depend on the strength of distal musculuss, such as buttoning a shirt, run uping, knitting, or authorship, are affected merely tardily in the disease. Dysphagia secondary to oropharyngeal and oesophageal engagement occurs in approximately one tierce of patients with polymyositis and is a hapless predictive mark. Dysphonia is besides a hapless predictive mark but is much less common. Ocular musculuss are ne'er involved in generalised polymyositis. However, stray orbital myositis, an inflammatory upset affecting the extraocular musculuss, is good described. Facial and bulbar musculus failing is highly rare in persons with polymyositis. A household history of neuromuscular disease, endocrinopathy, or exposure to myotoxic drugs or toxins is absent. differentiate by electromyography and musculus biopsy myasthenia gravis – bulbar marks but seldom muscular cachexia ; responds quickly to anticholinesterase

Essay on ethics in early childhood research

Essay on ethics in early childhood research Essay on ethics in early childhood research Reflection Ethical issues arise in all aspects of research, and are particularly noticeable when studying vulnerable members of society such as children within the early years sector. Appendix one includes an action plan of points of ethics I will have to take action on when completing my future research. I have also identified and recognized different ways to overcome different areas of ethicality I may find difficult when completing my research. Appendix two includes the presentation we completed as a group. The focus of the presentation (appendix 2) we completed was to focus of the ethical issues that may arise in the scenario; role of outdoor play in a nursery, however although we completed this presentation we did not achieve the expected outcome. Working together as group during this presentation proved to be more challenging than expected, and this may be the reason as to why we did not complete the presentation as expected. It was challenging because as Burns et al (2008) identify some of the group member’s did not contribute and always the same people spoke within the group. To overcome this in future group work presentations all group members should contribute and to do this would mean assigning each group member with a different area to concentrate on. Another aspect of the presentation that could have been improved on was to add different formats of presentation styles for example using videos and more pictures within the presentation. This was something that was said in the peer feedback; â€Å"the presentation needed more visual things such as picture’s and videos†. One of the points that we did not mention within the presentation was receiving consent prior to beginning the study. Gaining consent is also a point mentioned within the action plan (appendix 1). Although children should be viewed as capable beings, with their own voice, which they should express, by law they are not legally competent to consent to participate in research. Despite this the medical research council (2004) state ‘where children and young people have sufficient understanding and intelligence to understand what is proposed, it is their consent and not that of their parent/guardian that is required by law’ (MRC 2004:22-23) and in relation to Article 12 of the United Nations Convention on the Rights of the Child (UNCRC, 1989) which state’s that children have a right to express their views on matters that have an affect on them. Therefore Children should be given the opportunity to provide assent to participate, meaning that they have a choice whether or not they want to participate in the research. With older children that have an understanding I will explain to them what I will be doing and why I am doing the research, I will be talking to the children one to one as oppose to as a group as some children may be led by other children’s views and may give consent because they friend did too. Gaining consent off younger children may be proven more difficult as I can not explain to them what I am going to do and receive verbal consent of them however I can use the Mosaic approach to listen to the child’s voice and it allows me to respect the child’s view in an empowering way (Clark and Moss, 2001). The mosaic approach allows me collate material by using different methods such as observations, listening and communicating with the children, to consider their views and identify whether they are giving assent to participation. Also with younger children the Leuven scale (1997, 1998, 1999, 2000) cited in Palaiolog ou (2012) can be used to focus on how engaged a child is within an activity using a scale of 1-5; 1 being unengaged and 5 being fully engaged. Consequently if a child is not showing any engagement within the activity then they are showing dissent and should not be used as part of research. The Leuven scale is also effective with young babies, so when I am doing my research this will be the main method I use when wanted to