Knorr Soup Essay

Can soups be a healthy snack in Bangladesh Can soups be a healthy snack in Bangladesh? With the winter season coming up Brand Managers at Unilever want to further strengthen Knorr in Bangladesh. But the most important question that remains for them is how they make top end unhealthy evening snackers consume soup instead of the shingara, samosas and burgers of the world. It has been 9 months since Unilever launched Knorr Soups and entered into the savory category. Given the size of the soup industry in Bangladesh, Unilever has placed a lot of emphasis on Chicken Mushroom and Chicken Ginger and the vegetarian variant Tomato. Each pack contains enough soup to serve two people. Knorr was launched with the most important proposition – the establishing the Knorr brand in the minds of consumers and pave a way for the entry of other product extensions in the future. Soup was launched at a time when a market, although small, was growing consumers at a were rapid pace, where the experience of real ingredients in its soups. Knorr soups contain real bits of chicken and vegetables that could be both visibly seen as well as tasted during experiencing goodness of soup at their homes and including it as a part of a more regular diet. Knorr also believes in doing business sustainably, by reducing impact on the environment and focuses on providing exciting products which are environmentally friendly. running of the business, also head their respective functions. The Company has management strength of 200+ across different levels and another 600+ are employed (NMS). as non-management operations staff in Unilever Bangladesh provide employment to over 10,000 people directly and through its dedicated suppliers, distributors and service providers. Moving ahead Bangladesh is considered one of the next Knorr – The brand Knorr brand was founded in 1838 by Carl Heinrich Theodor Knorr and has its roots in Heilbronn, Germany. Knorr along with other brands was acquired by Unilever in the year 2000, when the company acquired Best Foods. With annual sales 11 countries that hold immense potential by Unilever standards, clocking consistent GDP growth of 5-6% over the past 5 years and with a huge population base of 160 million, it makes it an attractive market for FMCG players like Unilever. Unilever has a strong growth vision going ahead, and diversifying into new product categories as a part of its growth strategy. Internationally, the In developing & emerging markets like Bangladesh, foods are seen to be the way forward to deliver growth and tap into a highly potential market food category plays a very important role in the Unilever business portfolio. In many countries, Foods provide a higher contribution to business comparison to HPC. In developing & emerging markets like Bangladesh, foods are seen to be the way forward to deliver growth and tap into a highly potential market. Knorr is one of the brands that Unilever Bangladesh wants to use to strengthen its footprint in the foods industry in Bangladesh. Unilever Bangladesh outlets that sold Maggi soup. Going forward the sales team plan to continue providing Knorr soup to match those outlets where Maggi soup is currently available, but care has to be taken since with food items, the expiry sensitivity is always an issue when placing in shops. believes that as the food category grows it will deliver the growth required to achieve the organization’s ambition. The success of Knorr Soup in Bangladesh, therefore, is directly linked to the success of the category and the brand. The challenge with consumers Soup in Bangladesh has always been seen as a healthy meal for kids, elderly people and something nutritious for people who are ill.

Historical accounts Essay

Historical accounts that support the role of globalization in poverty reduction are observed especially during peace time and pro-globalization among countries. There is at least eighty percent of the world population that lived at an inflation-adjusted $1 per day at the onset of wartime in the early nineteenth century (Srinivasan and Wallack 2003). Half century by half century, this level is consistently lowered with drastic improvement in post-war period. However, up to this day, debates continued at the gates of international organizations such as WTO, WB, IMF, etc. Most of the protagonists are still in doubt not on how globalization contributed to economic growth but more importantly how it impacted the poor. These debates are inconsistent with historical accounts that proved globalization as solution to poverty. The impact of globalization on poverty is a matter of time to give way for trickle effects, institutional adjustments and change of perception on traditional beliefs. And so, in the long run, there are fewer questions about the benefits that poor may have from globalization. In this view, protagonists are highly concern on the distance between the deliveries of poverty effects of globalization to the grass root people which are normally the poor with economic growth serving as intermediary. They are primarily concern on how unequal the amount that is delivered and how unfair the delay of those amount. Thus, economic growth is criticized to prioritize the welfare of the well-off sector rather than the welfare of the poor. The preceding statement is especially true when the risks of well-off people are compared with the risks of the poor. The former have ease in searching for employment, has enough liquidity for the delay in the welfare delivery and thus in the position to be doubly happy. On the other hand, the latter is in reverse situation aggravated by subsistence living and exposure to physical hazards and capitalist exploitation making them in absolute despair by lengthy wait for delivery of minimal welfare. A good example is the inequitable income distribution. As industries expand business due to increasing inflow of direct and portfolio capital from abroad, well-off people are prioritized to jobs that are created due to formal education. If they are terminated or walk out of the office in their voluntary preference, they are still on-demand from expanding businesses. In contrast, the poor with little knowledge of how the sector works and little options would feel inferior and thus is willing to take whatever salary, conditions of work and other dictates of their employer. Both their mobility and freedom are taken away. There are several empirical studies that suggest globalization is pro-poor. Besley and Burgess (2003) found that there is a negative relationship between the poverty and income per capita. In monitoring GDP growth and poverty on a twenty-year frame from 1980 to 2000, Deaton (2001) concluded that economic growth is responsible to poverty reduction in India. China, which is referred to as an economic giant awaken by foreign direct investments, is quoted by Park and Wang (2001) to have drastically eradicated rural poverty since 1998. To evidence that the role of globalization is not only limited to income aspect, poor nations in Africa showed high levels of lowered poverty during the 1990s elevated by consequently addressing issues of mortality, education and AIDS epidemic. According to Besley and Burgess (2003), economic growth is only possible when three resources are present; namely, physical capital, human capital and technological change. This is illustrated in many ways. As the poor gain equal knowledge as the well-off, the former salary will increase and thus get both of them in equal footing in terms of income. As newer technologies primarily in agriculture increase the yield of the poor, their incomes as well as capitalist tendencies will simultaneously benefit. There is even a surplus harvest to attend their nutritional demands and less risk that a natural calamity will make this positive situation short-lived. As road infrastructure takes over the rural and farm areas, access to larger markets and faster economic activity will further improve the situation of the poor. These three sources of economic growth can be done minimally by the national and local government due to the vicious cycle of being a poor nation. With globalization, deficient funding will not be a hindrance to provide sources of economic growth due to inflow of capital. Accepting the argument that economic growth is indeed a good middleman to improve the welfare of the poor from globalization, the global community must have an average annual economic growth of 3. 8% by 2015 with lowest demand growth from Eastern Europe and Central Asia and highest demand growth from Sub-Saharan Africa (Besley and Burgess 2003). Eminent in the work of Srinivasan and Wallack (2003) is that globalization must be coupled with redistribution such as price support and public services to the poor. On the other hand, Besley and Burgess (2003) specifically defined their preference on the term redistribution through income distribution. They argued that the volatility of income distribution among developing countries is very minimal. Thus, the impact of globalization on the poor sector is loomed by increasing the average income of the population. In the study of Dollar and Kraay (2001), it is found that globalizing large economies of the developing world are characterized by large rise in trade and large fall in tariff barriers starting in 1980s. Economic growth compared to 1970s is higher for the following decade through 1990s. However, even with this figures, non-globalizing developing countries that are small did not gain the same success of their large economy counterparts. On the positive side, the welfare of the poor in respect to level of income is argued to have regression relevance with the level of trade. This study supported the role of globalization to poverty reduction and the effectiveness of economic growth to deliver the necessary benefits to industries, sectors and public at large. Still, the minority of small countries that may not have the sufficient market as well as institutional backbone to exploit large foreign capital inflows are hoping for the miracles of globalization. Conclusion Would I support Globalization in terms of growth? The answer is relative and as much as we would like to place straightforward answer we cannot. It is hard to generalize the behavior of developed countries towards transition economies. The overlapping issue is that the former is offering the latter with the chance to achieve the former economic status without going through historical hardships which can include war. This is an offer that is hard to give away especially that most governments of transition economies are administered by older people. In addition, inability to integrate relations to world affairs at least partially would make the transitional country weak against global shocks, external feud and addressing of internal objectives. To this view, globalization is for growth since it encourages transitional economies to join the globalization wave to improve national economy. On the flip side, it is rational for the leaders of transitional economies to make a well-prepared and if not rigid bilateral and multilateral agreements with trading partners. This is true especially when its internal resources are vulnerable to adverse spill-over effects of globalization. It is a conservative but helpful to view these treaties as anti-growth particularly on quality of life, history and well-being of the nation’s identity. Internal resources do not only include people, places and things but also intangible resources like ideologies and memories. Globalization serves as intervening if not modifying mechanisms to status quo of these components. As a result, to be able to protect the non-economic growth of several national treasures and resources, seeing globalization as anti-growth to internal well-being is valid. References Besley, Timothy J, & Burgess, Robin (2003). Halving global poverty. Journal of economic perspectives, 17(3), 3-22. David Dollar, Aart Kraay (2004) Trade, Growth, and Poverty* The Economic Journal 114 (493), F22–F49 Deaton, Angus. (2001a), â€Å"Counting the World’s Poor’s Problems and Possible Solutions,† World Bank Research Observer, 16(2), 125-47. Park, A. and S. Wang (2001), â€Å"China’s Poverty Statistics,† China Economic Review, 23, 384-95. Srinivasan, T. N.? Wallack, J. S. ,â€Å"Globalization,Growthandthe Poor†,in De Economist, 152 (2), 2004, p. 251

Social Class College Essay Example | Topics and Well Written Essays - 500 words

Social Class College - Essay Example In mapping the prospects of this nursing student, a future professional, one does see where the possibility strongly exists that economic and social opportunities will be readily available. Because of the socio-economic connections (because of social and market structures) these factors will have an effect on the future life chances of such a person (Savage, 74). Social class structures and demarcations have been somewhat eroded with the advent of generalised education, yet the distinctions still exist. As an educated person, one will have the ability and opportunity or chance (as propounded by Weber) to access not just different economic classes, but other groups and cliques whose defining characteristics depend on the very education that they have in common. Mike Savage has pointed out that persons (termed human capital) usually get paid an amount that reflects the amount of investment placed in the development of their skills (67). As a nurse, one will be a professional and will most likely get paid accordingly. In 1998, professionals earned an approximately 95% more wages than their clerical counterparts.

Is it legal to download the music freely Research Paper

Is it legal to download the music freely - Research Paper Example The research project aims at addressing the question whether free download of music is legal. The authors investigate the issue of illegal downloading of music under ethical perspective. They indicate that people illegally download music despite them knowing that it is wrong. This article is peer reviewed and I have not found any awards for the article. The main aim of the research for this project is to determine whether music downloads for free is legal. The authors indicate that individual’s share and record music for other to download the music online for free. One example is the case of napster that enabled users to download anything they want on the internet for free. However, it is now restricted by legal actions. This article is peer reviewed with no awards for it. It seeks to explore the aim of the project that asks whether the download of music for free is legal. This article is able to study the degree to which protecting copyright owners is required. This is the case for music download requiring individuals to download music for free which is illegal. This article is peer reviewed with no awards for the article. It adds to the aim of this project that seeks to understand whether download of music for free is legal. The author indicates that people widely share music files on the internet. Such transfers allow individuals to download the music for free which can be illegal. This article is peer reviewed with no awards for the article. The aim of my project is to answer the question as to whether it is legal to download music for free. The author indicates that most of the software and music industries suggest to consumers that copying digital contents would land them in jail. Scelba, Curtis Johnlee. "Culture and the Digital Copyright Chimera: Assessing the International Regulatory System of the Music Industry in Relation to Cultural Diversity." International Journal of Cultural Property (2009):

Job Redesign Strategies for a Healthcare Organization Case Study

Job Redesign Strategies for a Healthcare Organization - Case Study Example Healthcare today is rapidly changing and organizations, mostly due to financial and technological turbulence, are constantly undergoing re-formations, both small and drastic. Healthcare organizations such as hospitals are seeing re-organization of work processes, reductions in hospital staffs and changes in skill mix due to these changes and the most predominant effect that they have appeared to have on the performance of these organizations are not positive in nature. While some organizations do manage to turn this change into a positive force, most are ill adept at handling the re-structuring efforts and poor execution, as well as a lack of proper communication, can manage to do these organizations much more harm than good. This report aims to outline and suggest job redesign strategies in a way which can provide maximum benefit to the organization by creating a standardized redesign effort. The report also deals with laying out strategies which the administration of the hospital will have to take up in order to create an affinity for learning within the organization; practices through which employees can enhance their capabilities and work with increased efficiency Hackman and Oldham (1980, p.44) have defined work redesign as "changing the actual structure of the jobs people perform‘. While this may seem to be a simple term, in the context of a hospital, researchers agree that the type of redesign strategy that a hospital administration will take up will be directly linked to the generic strategy that has been employed by the hospital in matters other than the specific redesign. According to Das & Tonges (1995), hospitals can be differentiated into three broad categories in this regard: the Prospectors, the Analyzers and the Defenders. The organization that we are discussing is essentially a Prospector, it chooses to operate in changing domains and has a certain fluidity to its alignment with environmental demands and needs.

Effects of ADHD Medication and Student Performance Essay

Effects of ADHD Medication and Student Performance - Essay Example A baseline will be established for each student prior to the study based on the pretests. The study will be conducted for four months during the academic year. This experimental research design utilizes quantitative methodology with a randomized pretest-posttest control group and treatment group. The research will include 60 students from a fourth grade elementary school who will be randomly assigned to either an experimental treatment or control group, consisting of 30 students in each group. Table of Contents Main Body I. Problem to be investigated 4-5 A. Purpose of the study 4 a. Assumptions 4 B. Justification of the study 5 C. Research question and null hypothesis 5 D. Definition of Terms 6 a. Constitutive Definitions 6 b. Operational Definitions 6 E. Brief overview of the study 7 II. Background and review of related literature 8 A. Theory 9 B. Studies directly related 9-10 C. Studies tangentially related 10-11 References 12 Attention deficit hyperactivity disorder or ADHD is a d isorder characterized by lack of attention, hyperactivity, and impulsive behavior (PubMed Health, 2011). Due to these characteristics, children with ADHD have difficulty in school, possibly due to multiple factors. Children with ADHD may be unable to keep up with the lessons due to lack of concentration, or they may be seen as disruptive by their teachers. Consequently, they may be deemed unfit to progress in their schooling and be retained in their current grade, which is something that may have grave consequences on the children’s educational and global development. Parents and teachers must recognize that ADHD is not something to be taken against a child, but a disorder that can be overcome with proper and adequate pharmacologic and non-pharmacologic interventions. Teaching interventions that are more suitable for children with ADHD may help enormously with the children’s proper education and development. Poor outcomes may also be seen in children diagnosed with ADH D who do not receive medication. The goal of this research project is to determine the effectiveness of pharmacologic medication in improving academic outcomes of children diagnosed with ADHD. In the following sections, topics related to the issues discussed above will be addressed. The sections include: the purpose of the study and related assumptions, justification of the study, research question(s) and hypothesis, definition of terms, a brief overview of the study, and a conclusion. Problem to be Investigated The problem to be investigated is determining effective solutions to ensure students diagnosed with ADHD do not suffer academically. Stimulant medication has been suggested as one such solution. Purpose of the Study The purpose of the study is to determine the effectiveness of ADHD stimulant medication on improving the academic achievement of students diagnosed with ADHD. Assumptions The following assumptions will be made during the study: 1. This sample is representative of the population of elementary students. 2. The instrument used will measure the desired outcome of the research study. 3. The predictive information from this study will be used by counselors, teachers and parents. Justification of the Study Children who are diagnosed often exhibit problem behaviors in the classroom such as inattentiveness,

The Long Road to Brown Essay Example | Topics and Well Written Essays - 750 words

The Long Road to Brown - Essay Example The case started in 1951 when the thirteen parents of the town with the assistance and representation by the National Association for the Advancement of Colored People (NAACP) started a lawsuit in the US District Court for the District of Kansas over the racial segregation in the schools arguing that separate facilities were inherently unequal and the segregation itself had a negative effects on the education of African American children (Cozzens, â€Å"Brown v. Board of Education†). After the decision of the lower court was announced, the Browns and NAACP decided to appeal to the Supreme Court where the key representative and actual winner of the case was Thurgood Marshall. The case challenged the â€Å"separate but equal† doctrine, established by the case of Plessy v. Ferguson (1896). According to the concept of the doctrine separate public facilities of equal quality did not violate the Fourteenth Amendment of the Constitution which provided for the equal protection of the laws to all citizens of the US. One of the apprehension was that because of the precedent, the court would tend to rule in favor of the Board of Education (Cozzens). When the case of Brown v. ... The protest demanded the adequate facilities for black Moton school which were extremely unequal in comparison with white Farmville school. The strike was supported by NAACP that urged the students and their parents to demand the desegregation in the court (â€Å"Student Strike at Moton High†). Starting from 1930s NAACP were seeking to challenge the â€Å"separate but equal† doctrine by applying the strategy to bring the topic of injustice to the lower courts and then appeal the cases to the Supreme Court. In the particular case NAACP argued that the segregated education was bringing the message of inferiority which could discourage the Black children to study. Those who wanted to keep the status-quo were arguing that since the segregation was inherent element of the way of life in those places, the segregated education should have been maintained because it prepared Black children to face the segregation further in their lives (â€Å"NAACP builds the case†). The Brown decision followed by the negative reaction in the South. In several states there were records of violence. In Virginia the Senator Harry Byrd launched the ‘Massive Resistance’ campaign against the school integration. This campaign gained the support of more than 100 schools on the South. On the community level the reaction took the form of the White Citizens Council in order to preserve the ‘Southern way of life’ applying various methods from public condemnation to legislative lobbying. The importance of the question over how black students would be admitted to schools lied in the quality education for Black children. The integration was a means that guaranteed the proper funding and facilities to all children regardless their race. The better education would obviously put an end to

Commencement Speech for UH-Windward Class of 2023 Essay

Commencement Speech for UH-Windward Class of 2023 - Essay Example Hope that a bright future, filled with vast opportunities lies ahead. Fear that I might be entangled in the web of conflicting and confusing intricacies of professional and personal goals that none might end up accomplished. Anxious of achieving all my dreams and aspirations at once. Grateful for all the people who have, in one way or another, gave support and understanding during my incessant quest to gain more knowledge in preparation for my dream career. And relieved that my academic nightmares have finally ended. I stand here, for you today, not so much as a professional forensic photographer, but more so as a professional traveler in life who fought to delve into a career which I loved against all odds. And is it all worth it? I have absolutely no intentions to bore you to death and make you all samples of my forensic expertise. My career as a forensic photographer was all what I imagined it would be when I first dreamed of it more than twenty years ago. As you can see, the most challenging hindrance then, was my physical disability. But this seemingly detrimental barrier became my most redeeming factor which catapulted me to succeed. Impossible? Dreams and aspirations come from one’s mind and heart. When one is utterly determined to reach one’s goals, no barrier or hindrance can stand in the way. First lesson: know your goal and pursue it with valor. I am sure you all have different dreams and endeavors. Most of you have already made plans to go into careers of your choice. Some might still be ambivalent as to the specific directions. But, I am sure you have encountered people, situations, factors that block your path for success. I have encountered a lot. The Vocal Rehabilitation Officer at the US Department of Veterans Affairs, Mr. Les Sakuma, (God bless his soul – although he still shares earthly pleasures with us), advised me to pursue a degree in Business Management or Computer Science, of which I have already had

Relationship of Staff Perception of the Importance of Physical Dissertation

Relationship of Staff Perception of the Importance of Physical Education and their Physical Well-Being to their Academic Perform - Dissertation Example Moreover, the importance of movement and physical activity among children and youth can not be discounted. Likewise, evidence from research during the 1990s has uncovered that â€Å"regular physical activity can make significant positive contribution to physical, mental and emotional well-being of children† (Bailey, 2001:2). 1.1. Aims It should not, therefore, come as a surprise that in many studies, physical education is regarded as among the most important areas in the curriculum by teachers and students alike (Bailey, 2001). In this regard, this study is being proposed to evaluate the importance of physical education and physical well-being among staff and how their perceptions of such importance influence their academic achievement in English and Mathematics subjects. Bailey (2001) argued that physical education (P.E) teachers are in a good position to encourage and motivate students to learn, and that the P.E teachers are highly responsible not to drive students away from physical education and physical activity, since the latter can happen if the P.E teachers are amiss in their roles. 1.2. ... This serves as the primary justification for the conduct of the proposed study. 1.3. Statement of the Research Problems The following problems will be addressed in this study: 1.3.1. What is the profile of the secondary students in the research locale in terms of gender, age, year level, and grades in English and Mathematics? 1.3.2. What is the perception of the staff of the importance of physical education in their life in general; and in their life as students? 1.3.3. What is the perception of the staff on the importance of physical well-being in their life in general; and in their life as students? 1.3.4. What is the relationship between the staff of the importance of physical education and their academic performance of their students in English and Mathematics? 1.3.5. What is the relationship between the staff’s perception of the importance of physical well-being and the academic performance of their students in English and Mathematics? 1.3.6. Are there significant differe nces in the staffs’ perception of the importance of Physical Education and their physical well-being when they are grouped in terms of gender, age, year level, and grades in English and Mathematics? 1.3.7. What strategies may be integrated in the Physical Education classes to ensure that students are appropriately motivated to learn in school? 1.4. Statement of Hypotheses Grounded on the research problems presented, the following hypotheses, stated in the null form, will be tested using non-directional or two-tailed analysis and 0.05 level of significance (?=0.05) 1.4.1. There is no significant relationship between the staffs’ perception of the importance of physical education and the academic performance of their learners in English. 1.4.2. There is no significant

Advantages and Disadvantages of Globalization Essay Example for Free

Advantages and Disadvantages of Globalization Essay Globalization is the integration of states through increasing contact, communication and trade to create a single global system in which the process of change increasingly binds people together in a common fate. Some economists see globalization as being in the best interest of all states involved, while others believe that increasing modern trade and global economic relations is harmful in many ways. While globalization marks a move in the direction of a more open world-trading government, it can also be connected to damages on independence, making countries lose the ability to be totally independent. As a result, issues of globalization and free trade are surrounded by an excited debate and controversy. The economic demands of globalization have made countries less independent, making them incapable of taking care of their own issues, economies, and governments, with out the help of foreign aid. The more the weaker countries take from the more fortified countries, the greater their dependence and inability to take care of themselves they will become. While they depend on other countries for financial and political support, they do not learn how to be more self sufficient. They do not create enough revenue or have enough political power to stand on their own with out the threat of a financially or governmentally crashing. The more self-reliant countries therefore have to use their own resources to support these nations and therefore there will is less money and goods available to support their own societies and economies. Globalization slowly drains capital and commodities from the stronger, more independent countries. The resources go to countries that will probably never be able to thrive with out aid, but with out it would dissolve and disrupt the balance of the political and economic scales. To make global or worldwide in scope or application of trade, communication, and resources is what is known as globalization. The idea of unifying the world markets, the infinite numbers of ways to correspond, and the limited resources of humankind sounds like an intelligent idea. Many have come to realize however that by helping countries by giving them financial aid and the resources they need makes them dependent, not any stronger or self- sufficient. Advantages: Productivity increases faster when countries produce goods and services in which they have a competitive advantage. Living standards can increase more rapidly. Global competition and cheap imports keep a constraint on prices, so inflation is less likely to disrupt economic growth. An open economy promotes technological development and innovation, with fresh ideas from abroad. Jobs in export industry tend to pay about 15% more than jobs in import-competing industries. Unfettered capital movements provide the United States access to foreign investment and maintain the low interest rates. Disadvantages: Millions of Americans have lost jobs because of imports or shifts in production abroad. Most find new jobs that pay less. Millions of other Americans fear of getting laid-off, especially at those firms operating in import-competing industries. Workers face demands of wage concessions from their employers, which often threaten to export jobs abroad if wage concessions are not agreed to. Besides blue-collar jobs, service and white-collar jobs are increasingly vulnerable to operations being sent overseas. American employees can lose their competitiveness when companies build state-of-the-art factories in low-wage countries, making them as productive as those in the United States.

The Abuse of Freedom of Speech

The Abuse of Freedom of Speech Freedom of Speech, one of Americas downfalls. One of the biggest misconceptions now a days is that many of todays generation has exercised their freedom of speech inappropriately. They have cruelly misused and abused it by using it as an excuse to be discriminative, unpleasant, and barbarous.42% of teenagers with tech access report being cyber bullied over the past year, this is because technology has created a generation that have gained the wrong kind of confidence from behind a computer or cell phone screen. Social media outlets and many other sources have become a crutch for allowing this corruption of what we call one our Constitutional Rights. Yes America has the right to express its freedom, but does that mean we have to cruel and malicious when we become upset? When it come to expressing opinions, people now have no problem with doing so. Whether that be over a cellphone, computer, through mail, or in person, America never fails to get it their point across. This comes with many downfalls, these methods may be effective, but sometimes people can get caught in the crossfire. For example in 2007, Katherine Evans a senior at Pembroke Pines Charter High School exerted her freedom of speech. Evans disliked one particular teacher that she decided to create a facebook page trashing her. Yes, Evans did create the page off campus, and it didnt involve any threatening or vulgar words, but it isnt ethically right. Did this teacher really deserve this hurtful defamation? Also many websites are aiding and protecting these freedom of Speech abusers in certain cases, with their terms of use and policies leaving various ways to hurt people. The faster, easier, and cheaper it becomes to communicate and connect with people, the more effortlessly we will abuse our freedom of speech and expression. For instance spreading vile rumors that could ruin someones reputation can now be done within a matter off seconds. 2.8% of students report that they have had harmful information spread about them. This kind of quick-fire approach to spilling our opinions has created a culture of criticism. Today seven-in-ten Americans use social media to connect with one another Thats a large portion of America taking part in a society thats rapped up in judging others and crossing boundaries of our constitutional rights. Social media sites have received lash back for allowing users to post offensive post about other people onto their sites. Also social media is now creating more ways to attack people, ANONYMOUSLY! More and more apps are being created to use anonymously. This only encourages the abuse of freedom of speech. To top it all off, its all public and there for everyone to see. Freedom of speech is scaling heights everyday with disregard of the consequences of misusing it. Posting pictures without someones permission has gotten out of control. Some are not meant maliciously, but theres some that can destroy opportunities for a person. This is a result of one of many ways we misuse our right to freedom of speech. We have engulfed ourselves into our virtual lives that we forget there are consequences to our actions, when we post something about someone. Once its uploaded, its now forever in the World Wide Web. There are many instances of teenagers that have posted pictures of others and that other person has suffered severe repercussions because of it. Our perceptions of right and wrong have been swayed because too many people abuse the right to express their opinions, by attacking innocent people, and those undeserving of others criticism. There are many consequences to misusing freedom of speech, such as people who have committed suicide, or attempted suicide. Every year 864,950 people attempt suicide. This mean one person tries to commit suicide every thirty-eight seconds because people have the liberty to express their opinion whether that be good or bad. Of the 69% of teens that own technology, 80% are active on social media. This is a large portion of our youth and future leaders. Celebrities, politicians, authors, normal everyday people, are exposed to cruel and perverted individuals who believe that they can say whatever they want. Various mainstream issues such as racism, feminism, and equal pay are being fueled by people who are ignorant to culture, because they feel the need to express what they believe despite being politically incorrect. Yes Freedom of speech gives us the right to verbally express how we feel, but not to degrade, humiliate, curse, and abuse people. Four-in-ten Millennials say the government should be able to prevent people from publicly making statements that are offensive to minority groups. Many people may disagree with government censoring, but consider all the suicides, attempted suicides, riots, that all could be avoided. The integrity of Americas freedom of speech has been compromised. Freedom of speech has been misused, abused, and thrown around, like trash. For the sake of Americas youth and future generations there needs to be change. America cannot continue to allow such verbal attacks to ensue on undeserving people or on social media. Society should start respecting freedom of speech. People think before speaking or typing, show empathy, see past what you disagree. Make a change in the nation for the better.

With it’s tight structure, poetry can accommodate great passion. Do :: English Literature

With it’s tight structure, poetry can accommodate great passion. Do you agree with this statement? You should base your answer on a close examination of two or three poems covering at least two groups. ‘With it’s tight structure, poetry can accommodate great passion’. Do you agree with this statement? You should base your answer on a close examination of two or three poems covering at least two groups. Although it could be argued that poetry can accommodate great passion I disagree with this statement. The two poems I have chosen to examine, ‘Marged’ by Gillian Clarke and ‘Do Not Go Gentle into That Good Night’ by Dylan Thomas, show different emotions that I believe disprove the statement. The first, ‘Marged’, is lacking in emotion and the second, ‘Do Not Go Gentle’, does more than accommodate the passion, it emphasises and releases the feelings felt by the poet. ‘Marged’ by Gillian Clarke is a Shakespearean sonnet, with three quatrains and a couplet at the end, however the poet has altered the form to change the style of the poem. For example the lines do not have ten syllables as a normal sonnet but vary in length. Also there is only a half-rhyme scheme with words such as ‘bed’ and ‘died’ in the first quatrain on alternate lines. It could be argued that the tight structure of the sonnet restrains the passion felt because of the syllables but as Gillian Clarke has ignored this rule and has different numbers of syllables this sonnet does not constrain passion. This argument would apply more if Clarke had written a passionate poem but as it is the poem is lacking in emotion of any kind. ‘Marged’ is about Clarke thinking of the previous owner of the house she lives in. The words do not emote a sad mood; Clarke is remembering the dead old lady but is herself distanced from the death and therefore does not feel sad. The use of the preposition ‘she’ shows the reader that the feelings are distanced; use of ‘you’ would have made the poem more direct and emotional. In contrast to this, ‘Do Not Go Gentle into That Good Night’ by Dylan Thomas is a very emotional poem in the traditional form of a villanelle. 'Do Not Go Gentle into That Good Night' is addressed to the poets father and is plea that the man doesn’t die quietly. The use of ‘you’ makes the poem very personal and it is clear from the start of the poem that the poet feels very strongly about the issue. In the title and first line the emphasis is on the words ‘Not’ and

The Jacksonian Era Essay -- American History, Politics

Whether people admired Andrew Jackson’s policies and decisions as president or did not; they can all agree that the two most important economic conflicts during the Jacksonian Era were the Bank War conflict and the Specie Circular Panic of 1837. The Jacksonian Era by Remini, should be renamed The Jacksonian Economy because the outcomes of these two conflicts were what made America’s economy today. In describing these two conflicts, Remini showed how Americas learned the hard way of what to do and not do in order to have a successful economy. The Bank War was important because it proved that the nation’s finances could not be trusted in the hands of one man. Jackson believed this to be true and fought to change it. He believed that the Second Bank of the United States was unconstitutional and that it posed a serious threat to the American economy. On the other hand, this American System which was inspired by Alexandria Hamilton, Henry Clay, and lead by Nicholas Bi ddle was meant to modernize the nation’s economy. Both sides of the Bank War would not back down, which lead to Jackson eventually closing down all banks because he believed they were devices to cheat common people. The other most important conflict which played a role in Jacksonina Era was the Panic of 1837. This was the most serious depression the young nation had seen yet. The economy suffered in a number of ways such as large debts, an unfavorable balance of trade as imports had exceeded exports which resulted in a loss of specie; and several crops failures had also taken place in 1837. Both conflict had enormous impacts on America’s economy and had many repercussions. The first important economic conflict that Remini presented was Jackson’s war against the Bank of the... ... passage of the Federal Reserve System. (P-40) Even though the Panic of 1837 had an impact worldwide, overall the Bank Wars had the most influential and long lasting effects on the United States.The Jacksonian Era was a trial and error period for the nation’s economy. Whether people admired Andrew Jackson’s policies and decisions as president or did not; they can all agree that the two most important economic conflicts during the Jacksonian Era were the Bank War conflict and the Specie Circular Panic of 1837. Both conflicts taught a life lesson of what to steer away from in order to achieve the American dream. Remini’s The Jacksonian Era taught economic and financial history by exploring the explanation and causes of the Bank War and Panic of 1837. For without the knowledge of these two conflicts, America would not know how its economy survived in the first place.

Affirmative Action Essay -- essays papers

Affirmative Action Affirmation Action In Today Society: Myths and Facts As America nears the end of the twentieth century, we still face many lingering problems that stand unresolved. One of the most pressing and difficult problems is that of human relations, or to many, the trigger word race relations. For over 225 years America has been trying to fulfill the promise of the founders of this nation that â€Å"All Men Are Created Equal†, yet we still see institutionalized injustices and discrimination. Therefore, this paper attempts to look at one controversial issue that was implemented to correct previous human relation injustices of our nations. This issue is Affirmative Action. To examine affirmation action, this paper looks at the origin of affirmative action programs, U.S. Supreme Court affirmative action debate, employment and affirmative action, and finally myths and facts about affirmative action. I hope that through this paper these issues can be presented to gain a better understanding of affirmative action in today’s society. Affirmative action is a policy assigned to increase representation of women and minorities in business, educational institutions and government. It origin lies in the legislation that came out of the civil right movement of the 1960’s. The Civil Right Act of 1964 was passed, which forbids discrimination unions, employment agencies, and business employing more than 25 employees. However, the tasks for enforcement of this law had been immense and extremely difficult. In an endeavor to redress the systematic discriminations of the past, especially against blacks, remedial programs often called "affirmative action" were undertaken by educational institutions, unions, and governments. These programs required a percentage of minorities – group (racial minority and women) representation goal and a timetable for accomplishment of that goal. The basic premise was to level to playing ground for minorities. Almost, immediately from its inception affirmative action program has been controversy. The process of minority goals and percentages created a powerful† â€Å"white backlash†. Critics charge that the ratios are not goals but quotas and that affirmative action programs really call for reverse discrimination (discrimination against white males). Resolution of this conflict is difficult. While it is true that some minority group ... ... doors by themselves. In a perfect world program such, as Affirmative Actions would not be needed. Personnel decisions would be basis upon each individual’s abilities and qualifications, without regards to gender or ethnic group. However, we are far from a perfect world. As long as we have prejudices, hatred, and discrimination in society, programs of Affirmative Action will be necessary. Bibliography: Coleman, James William, and Cressey, Donald R. Social Problem. 5th ed. Harper Collins College Publishers. New York. 1993. 188-190 Levenson, Alec R., and Williams, Darrell L. Interracial America: Opposing View, â€Å" Affirmative Action Combat Unintentional Racism†, Greenhaven Press Inc., San Diego, 1996, 154-158 Bender, David and Leone, Bruno. Work: Opposing Viewpoints, â€Å"Affirmative Action Promotes Equality†, Greenhaven Press Inc., San Diego, 168-176 Collier’s Encyclopedia. CD-ROM. Sierra Home, 1998 Reflective in Race Relation, Online, www. Elibrary.com, 18 Feb. 1999 Coleman, Jonathan. Long Way To Go: Black & White In America, Atlantic Monthly Press, New York, 1997 Carter, Stephen L., Reflections of an Affirmative Action Baby, Basic Books, New York,

“Before the sun” by Charles Mungoshi Essay

This is a simple poem written by the African poetCharles Mungoshi, in which a boy talks about his every day life activity. The boy like all others desperately wants to convince others or even himself that hes a grown up, and so seek to copy the activities that old people do. He wakes up every day before the rising of the sun. The boy explains the nature around him, and how his life is simple or even sometimes tiring (he wakes up very early to work hard, like grownups do). In the first stanza the poet gives us concept of time, which shows us that its dun, a beginning of a new day. Promising early heat and later in the afternoon heavy rain, this phrase shows how heat changes into rain. This explains how things change, nothing stays the same, it also explains how one thing leads to another. The early heat leads to evaporation of water, which condenses to form rain. The warm blue morning, will eventually change to heat and later to heavy rain. The poet uses the word promises before early heating, its like you cant avoid the heat, it will eventually come. The second stanza shows the concept of color, bright chips he says. He explains the strength of the sharp axe, which drives the chips to fly for some distance through the air. The poet draws our attention by writing a one word line arc. This line on my opinion is to assure the strength of the axe. We can tell that the child loves his every day activity by the way he nicely explains the nature around him. Like the chips that disintegrate when he cuts the wood, it settles down in showers on the dewy grass. The poet amazingly draws our attention to all the little details of the nature around him, which can help us easily imagine the niche hes living in. It is big log, but when you are fourteen big logs are what you want. Its strange for a fourteen years old child to want a big log. This can show us again the simple life the child is living. Fourteen year old wants big logs because, its a challenge to them, it shows how strong they are, its like 14 versus big logs. In the forth stanza, the poet shows the benefits of the wood and how it cures from sneezing unlike sawdust. The wood gives out a sweet nose-cleansing odour explains the poet. Again, the poet draws our attention on the fifth stanza to the details of the thin spiral of smoke which he metaphors its raising to the sky with a flute straightened out to the sky, and a single of some sort, or a sacrificial prayer. In both this two stanzas, the poet explains and metaphors the beauty of the wood that he cut down. This happens to a lot of us, people specially children look at whatever thing they accomplished and felt that they worked hard on it, as a beautiful thing, no matter how terrible it is. The poet metaphors the sound he hears when the wood is burned, with the hiss of the snake, and the scatter of the sparks with flying. The poet similes the rising or showing up of the sun, with some latecomer to a feast. This can identify to us the hunger that the boy felt. I have got two cobs of maize ready for it. Although the boy is trying to act like a grown up, cutting down woods, he cant resist his childhood side and not play with his imagination. I tell the sun to come share with me the rousted maize. The boy is visualizing the sun as his friend, whom hes asking to come to come and shares his roasted maize with. The boy personifies the rising of the sun with the wink of a grown-up. After a hard day full of working, the boy eats his maize visualizing that hes sharing it with the sun one for the sun, one for me. The boy describes the empty cobs with little skeletons in the sun. We can notice that the poet is describing in each stanza a specific part of the nature around him, the rising of the sun, the smell of the wood, the scatter of the its chips, and its hissing voice. The boy impresses me with the way he looks at his simple life. For most of us, its a struggling life were we have to wake up early and work, but for the boy, its an exciting life with challenges and making up friends with the nature around him.

For-Profit Colleges

â€Å"The Booming Business of For-profit Colleges† Higher education is a very profitable field, and because of that, for-profit schools have been placed under scrutiny. In the documentary College Inc. , Michael Smith, the correspondent, investigates the promise and tremendous growth of for-profit colleges in the higher education industry. With the student's best interests in mind, many people have begun to question the integrity of these schools.However, they do not take into account the benefits that these for-profit colleges can offer to non- traditional students, giving them the opportunity to obtain a quality education, and arketable Job skills. For-profit colleges are continuously accepting the abundance of students who have realized that they need to go back to school because Jobs are scarce, and education is needed. Advertising plays a huge part in the large number of students enrolled in for-profit colleges.Successful colleges typically spend twenty to twenty five perc ent of their total revenue on advertising. This marketing encourages students to take the next step and enroll themselves in a college that they may not be academically or financially ready for. Because College Inc. presents he audience with interviews from multiple sources including former students, school executives, government officials, and enrollment advisors, it effectively portrays the many different perspectives of the industry, and the tension within it.Michael Clifford, a former musician who never went to college, purchases struggling traditional colleges, and turns them into for-profit companies. He believes that it takes the three M's to turn a college around: Money, management, and marketing. To fund these turnaround projects, Clifford presents to his investors the benefits of putting money into fixing these colleges. From an investor's point of view, for-profit colleges can be a huge source of income. Jeffery Silber, a senior analyst at BMO Capital Markets, says  "From a business perspective, it's a great story. miou're serving a market that's been traditionally underserved. And it's a very profitable business it generates a lot of free cash flow. † But from a student's perspective, it is not fair for their education to be turned into a business. Enrollment advisors play a huge role in the success of for-profit colleges. They are required to recruit a large number of students. The pressure to grow has presented questions about nrollment techniques. Some colleges have been accused of using high pressure sales tactics to get students to fill out application papers.Many of these colleges say they do not have quotas, but Tami Barker, a former enrollment advisor at Ashford University, says she was instructed to make 1 50 calls a day, and close on at least twelve students a month. â€Å"l didn't realize Just how many students we were expected to recruit. † says the former enrollment counselor. â€Å"They used to tell us, you know, â €˜Dig deep. Get to their pain. Get to what's bothering them. So, that way, you can convince hem that a college degree is going to solve all their problems. † Enrollment advisors convince students that attending college will be easy and affordable even when they are not academically, or financially capable. Dan Golden says â€Å"The concern is that they're bringing in students who can't succeed or graduate, loading them with debt. † The documentary College Inc. presents its audience witn a great deal ot students who felt that they were mislead by these enrollment advisors. The debt load of for- profit students is more than twice the amount of students at traditional schools.Anne Cobb, a former student at The University of Phoenix, says an enrollment advisor at the university helped her get a student loan even though she was swimming in bills. Sherry Haferkamp, a graduate from Argosy University-Dallas says she believed a lot of lies that were told to her, and it was no t until after the fact that she realized they were anything but the truth. When she talked to an enrollment counselor at Argosy, he said â€Å"You know, instead of applying for the master's program, go ahead and apply for the doctorate program. They've got two spots available, so you better apply right now.After obtaining her degree, and accumulating over 100,000 dollars in federal student loans, Sherry finds out that her degree is not even accredited by the American Psychological Association. She feels that she is at a dead end, and filed a lawsuit claiming that she was defrauded. The documentary College Inc. , was effective in its purpose of showing the importance of for-profit schools. A large number of students who would never have been accepted into a traditional college, have now been given the opportunity to obtain a degree. Investors who have put money into these failing colleges have profited a great deal.Michael Clifford turned traditional colleges that were in a downward spiral, and close to shutting down into successful for-profit schools. Even though the documentary shows a few students who are unhappy with their experiences, it seems that more people have benefited from these colleges than those who have not.

Evil Triumphs but Never Conquers

Hakeem Hunter March 27 , 2013 English 3 In literature, evil often triumphs but never conquers. I think that this statement is saying that in works of literature evil might win the battle, as some may say, but it never wins the war. It could also mean that in all literature, there is always two sides. One being good and one being evil. The characters on the evil or bad side usually overpower the ones that are on the good side. I think that this is true because the evil characters are generally portrayed as being very smart and more ahead of the game.I agree with this statement because I’ve witnessed many things that could relate to this. No matter how far evil might seem to be ahead, at the end of the day there is always fairness. In the literary work The Crucible by Arthur Miller, Rebecca Nurse and John Proctor were accused of being witches. They were then summoned into court even though John Proctor confessed of being an adulterer. He seemed frustrated; he didn’t want to be hung because he was being accused. This example shows that evil triumphs. Dan forth said that his confession has to post on the church door.John immediately changed his confession and followed strongly with the rest of the innocent people to be hung. The evil side cannot conquer the good side. Another example of evil triumphing but not conquering is Abigail. Abigail serves as the spark of hate in the play. She tempts John Proctor into adultery and commits acts against the Puritan Religion. To escape her punishment when found in the unlawful act of dancing she deflects her actions and blames them on others. She has no regard for those whom may be hurt by her accusations of witchcraft on others.It even seems that she takes pleasure in her deception. All those she accuses are innocent, yet she manipulates many into believing her actions are good. Another character that plays, perhaps, the largest role in the play is the Puritan religion itself. It may not have lines itself or hav e its own body, but the Puritan code was set up in a manner that allowed the greatest evil of all, the judgment and taking of human lives. The religion is served as a holy red herring for the unholy acts of judgment, punishment, and vindictive actions. Puritan religion consistently works against all good in the play. Evil Triumphs but Never Conquers Hakeem Hunter March 27 , 2013 English 3 In literature, evil often triumphs but never conquers. I think that this statement is saying that in works of literature evil might win the battle, as some may say, but it never wins the war. It could also mean that in all literature, there is always two sides. One being good and one being evil. The characters on the evil or bad side usually overpower the ones that are on the good side. I think that this is true because the evil characters are generally portrayed as being very smart and more ahead of the game.I agree with this statement because I’ve witnessed many things that could relate to this. No matter how far evil might seem to be ahead, at the end of the day there is always fairness. In the literary work The Crucible by Arthur Miller, Rebecca Nurse and John Proctor were accused of being witches. They were then summoned into court even though John Proctor confessed of being an adulterer. He seemed frustrated; he didn’t want to be hung because he was being accused. This example shows that evil triumphs. Dan forth said that his confession has to post on the church door.John immediately changed his confession and followed strongly with the rest of the innocent people to be hung. The evil side cannot conquer the good side. Another example of evil triumphing but not conquering is Abigail. Abigail serves as the spark of hate in the play. She tempts John Proctor into adultery and commits acts against the Puritan Religion. To escape her punishment when found in the unlawful act of dancing she deflects her actions and blames them on others. She has no regard for those whom may be hurt by her accusations of witchcraft on others.It even seems that she takes pleasure in her deception. All those she accuses are innocent, yet she manipulates many into believing her actions are good. Another character that plays, perhaps, the largest role in the play is the Puritan religion itself. It may not have lines itself or hav e its own body, but the Puritan code was set up in a manner that allowed the greatest evil of all, the judgment and taking of human lives. The religion is served as a holy red herring for the unholy acts of judgment, punishment, and vindictive actions. Puritan religion consistently works against all good in the play.

Dehaydration

DEHYDRATION Dehydration: Axia College SCI 241 Dehydration: How does it affect the Body? Primarily, water is essential to health maintenance because water is a imperative nutrient within the body. Water is needed for the body to carry out its many functions. The body consists of mainly water, which is why once our bodies are depleted of water, it is unfavorable for our health. Water moves inside the body by osmosis that carries up or down a concentration gradient, which is dependent on where the water is needed and where there needs to be a reduction if there is an too high of an amount of water. Water also helps aid with the function of many systems in body such as the digestive system, the lymphatic system, and the nervous system. In addition, water, in its many forms contributes to a number of functions in the human body. For instance, water is basically saliva that is used in the mouth and in the blood, which is comprised mostly of water, it â€Å"? ows through our bodies, delivering oxygen and nutrients to cells and returning waste products to the lungs and kidneys for excretion† (Grosvenor and Smolin, 2006, p. 283). Water also aids the body by producing sweat and â€Å"[regulating] body temperature by increasing or decreasing the amount of heat lost at the surface of the body† (Grosvenor and Smolin, 2006, p. 283). Sweat cools the body by producing water to lose heat in the body. Water also aids in digestive and excretory functioning. We lose a lot of water through the digestive system because it aids in breaking down the foods we eat and we lose a lot of water through urine and feces. Furthermore, when the body does not get the water it needs, it dehydrates. Dehydration can occur through sweating when someone is exercising and they have lost too much water. Dehydration leads to fatigue, vomiting, and feeling ill. Severe dehydration is a dangerous situation that can threaten one’s health. When people are severely dehydrated, they should seek immediate medical attention because dehydration can make the body go into shock and eventually lead to a fatality. The fatality would most likely be due to heart failure, because the heart is an important organ that needs water to survive, just like the rest of the body. Inadequate water also affects the heart because a lack of water increases the blood volume and the blood becomes dense, which places stress on the functioning of the heart. The pressure on the heart affects the supply of nutrients and oxygen that are transported to the cells in the body to perform their daily functions. Besides heart failure, water depletion creates many health problems such as hypertension, heart disease, asthma, pain in the joints and muscles, back pain, migraine headaches, and diabetes. These illnesses would occur because a lack of water causes a disruption in cell functions in the body. Also, dehydration affects our energy levels and how much we are able to grasp the processes that are occurring in our brain. Without sufficient amounts of water, we are unable to focus and will experience a collapse in concentration and judgment. Different electrolytes such as sodium, potassium, and chloride are similar because they provide different important functions for the body. Sodium and potassium ions are nerve conductors that help stimulate muscle contractions by generating electrical charges across the nerve cell membrane. Sodium is a positive ion located outside the cell membrane. Sodium travels back and forth entering and exiting cells, regulating water in the body. Sodium aids by generating electrical currents to parts of the brain, nerves, and muscles. Potassium is another positive ion, but unlike sodium, it is located inside cell membrane. Potassium helps in body functioning by monitoring the heart and aiding muscle functioning. Chloride is negatively charged particle known as an anion, which is located within cells. Chloride generally combines with other elements to create different products. For instance, chloride combines with sodium to create NaCl, also known as table salt. Too much salt has been indicated as major contributor to high blood pressure, also known as hypertension. The electrolytes sodium, potassium, and chloride, are all different because depletion or an excessive amount lead to different diseases or malfunctions in the body. According to Grosvenor and Smolin (2006), sodium, chloride, and potassium depletion can occur with heavy and persistent sweating, chronic diarrhea or vomiting, and kidney disorders that lead to excessive excretion. For instance, sodium inadequacy can lead to problems in cell function and potassium imbalances lead to irregularities in heart activity and impairment of the nervous system. Low or high levels of chloride can also produce nausea and kidney disease. Moreover, there are a plethora of foods and drinks that can affect hydration levels in the body. Two liquids that affect hydration levels are alcohol and caffeine. The consumption of both caffeine and alcohol promotes water loss in the body. In caffeinated beverages, high doses of caffeine create water loss â€Å"partly to increased blood flow to the kidneys and partly to reduced reabsorption of sodium by the body† (Hamilton, n. d). Also, alcohol reduces hydration â€Å"by depressing production of the antidiuretic hormone called vasopressin, which acts on the kidneys, concentrating the urine by promoting the reabsorption of water and salt into the body (Hamilton, n. ). Hamilton (n. d) suggests that Vasopressin aids in fluid stability within the body and an interruption in its function leads to decreased urine levels, which may be a contributor to dehydration in the body. Consequentially, water loss that is produced by alcohol may also contribute to the loss of other essential nutrients and minerals that are used for nerve and muscle sustainment. To avoid dehydration from alcohol and caffeine, more water should be consumed that will balance the amounts of alcohol or caffeine with the amount of water that is in the body. Ultimately, to avoid dehydration, people need to make sure that enough water is consumed as a daily part of their diet. It is easy to lose water from sweating or urinating too much, but replenishing water loss is vital for water balance in the body. A popular recommendation for getting enough water in the diet is to consume at least 8 glasses of water every day. Also, it is important for people to drink plenty of water if they are doing strenuous activity or exercising in extreme weather conditions. Also, we have to make sure that we are dressed appropriately for the weather. For instance, in summer, to avoid dehydration in extreme heat, we have to wear loose fitting clothes. Also, it is best to avoid the sun as much as possible if it is hot, but if someone does decide to stay outside in the heat, it is best to drink plenty of water to stay hydrated. In essence, water is the fabric of life. It is given to us in plentiful amounts, but it should not be wasted. It is 60% of the human body and without it, we would cease to exist. The best method to make health an utmost priority is to consume the recommended amount of water and eat a healthy and nutritious diet that will compliment a healthy lifestyle. Water is not a gift, it is a right. Remember to drink plenty of water to avoid dehydration and to give the body the most important nutrient that it needs for survival. References Grosvenor, M. B. , & Smolin, L. A. (2006). Nutrition: Everyday choices. New Jersey: John Wiley & Sons, Inc. Hamilton, A. (n. d). Caffeine dehydration: Caffeine and alcohol – just how dehydrating are they? Retrieved December 7, 2008 from http://www. pponline. co. uk/encyc/caffeine-dehydration. htm

Quality Programs Coursework Example | Topics and Well Written Essays - 1000 words

Quality Programs - Coursework Example For attaining an appropriate development within the children, it can be considered as a mandate to make them familiar with the academic and learning aspects from their early childhood stages. Pre-reading can be considered as one of such skills that would prove to be helpful in terms of improving the vocabulary and the speaking power of the children. Multiple child specialists often recommend the parents to read interactive books along with their children to teach them about the procedure based on which data from the books should be accumulated. The intention of such suggestions also aims towards enhancing the learning abilities of the children. Enhancement within communication and inter-child bonding also considered beneficial for basic pre-academic skill (Sandvik Publishing, 2014). The second crucial skill that needs to be taught to the children is regarding basic pre-writing. This skill is the starting phase through which a child expresses his / her understanding and knowledge before entering into the competitive market of education. Pre-school activities such as writing help children in understanding new words on daily basis. It can also be considered a support for the language learning procedure (Sandvik Publishing, 2014). Writing can also be considered as a form of recording knowledgeable facts, so that they can be analyzed on later basis. Thus, small children should be made familiar with this skill to help them adapt to the academic experiences of taking down notes, once they are subjected to such situations (Sandvik Publishing, 2014). In addition, attaining positive skill within the areas of spelling check also categorized under the basic pre-writing skills. As has been already discussed above, this skill generally proves to be highly beneficial in terms of improvising the quality of the knowledge being attained by

Short Paper on Descartes Essay Example | Topics and Well Written Essays - 500 words

Short Paper on Descartes - Essay Example For instance, it is apparent that some people have had a dream associated with instillation of pain such as the stubbing of the stomach. In relation to this assertion, Descartes believes that the pain felt by some people when dreaming is likely the same pain they will feel when awake. It is as a result of this that people fail to distinguish between the dream world and the actual world (UA 1, 2011). This broad explanation proves the reason as to why Descartes will make his conclusion about the pinch test as the unreliable test for the awake of a person. Although Descartes explanation manages to relate the happenings in the dream land with those in the actual world, it is apparent his argument against the pinch test does not rule out the pinch test as the best test for the awake of a person. This is in connection with the processes associated with pinching oneself. It is evident that the mind takes part in the pinching act. In relation to this claim, it is impossible for a person who is asleep to pinch himself or herself in order to determine if they are awake. When one is asleep, he or she thinks of either the daily happening or fantasize on other things in life. Such thoughts will not give one room to ascertain if they are awake through use of the pinch test. The thinking processes associated with pinching oneself is by itself one of the reliable tests for one’s awake. In tandem with this assertion, one can affirm that the pain instilled through pinching makes one to realize that he or she is awake. This because the pain in sulted by the pinch is communicated by the nervous system to the brain which as a result ascertain that a person is awake. In conclusion, Descartes double standard argument for the pinch test is in relation to his association of the dream land incidents with the real incidents. It is because of the similarity in occurrence of things that Descartes claims that pinch test is

Electronic systems Essay Example | Topics and Well Written Essays - 2750 words

Electronic systems - Essay Example These filters produce gain and usually consist only of resistors, capacitors and operational amplifiers. The most common classes of filters that can either be passive or active are the low pass, high pass, band pass, and band stop filters. Ideal low pass filters allow frequencies up to a given limit to pass and attenuate frequencies above that limit. Ideal high pass filters on the other hand, pass frequencies above a specified limit and attenuate those below. Ideal band pass filters allow only a particular band of frequencies to pass and attenuate the remaining frequencies. Ideal band stop filters are the reverse; this class of filters rejects frequencies within a specified band and passes those frequencies outside it. The figure below can be interpreted as first order active filters connected in series. By cascading a 20 dB-gain first order bi-linear filter and another first order bi-linear filter with unity-gain, we can construct a low pass filter whose frequency response is that in Figure 1. When universal filters are cascaded, they form a shaped filter. It is specified that the output signal MUST NOT BE INVERTED. Notice that the transfer function of a bi-linear filter includes a NEGATIVE sign. When two bi-linear filters are cascaded, this eliminates the negative sign thus there is NO NEED for an inverter. From the Transfer Function, where ω denotes the cut-off RADIAN frequency, we can get the cut-off frequency. Since the radian frequency ω =2πf then, . When ω is at the numerator, it denotes a zero and if it is a the denominator, it denotes a pole. A filter is designed based on a given transfer characteristic. An active low pass filter with a gain of 20dB below 10 Hz, 0 dB gain from 160Hz to 48 kHz and -20 dB attenuation above 500 kHz is the subject of this paper. This filter is composed of cascaded components. The transfer characteristic of each of these components is multiplied to obtain the transfer function of the low pass filter. The

Research paper Example | Topics and Well Written Essays - 2500 words - 2

Research Paper Example However, as the industry grew the early manufacturers could not keep pace with the technology that advanced in so many directions all at the same time. Vertical integration in the industry became difficult as there were too many technologies and manufacturing intricacies. As a result specialist companies emerged that mass-produced specialized components and supply it to several computer manufacturers. This form of outsourcing worked cheaper for computer manufacturers and many such as IBM, Sony, HP and Compaq abandoned the vertical integration model. They preferred to concentrate on efficient assembly and marketing their own brand computers instead of developing and R&D base and investing in it. Dell, however, preferred to continue with the shorter-value chain model by selling directly to customers, avoiding the intermediary commissions and costs associated with distribution through independent retailers. Gradually, companies such as HP even started outsourcing the assembly to contrac tors, while focusing on product design and marketing. All the vendors tried to minimize the amount of finished goods in dealer inventories and shorten the time it took to replenish dealer stocks. Dell stuck to its own business model of Built-to-Order (BOT). Dell’s supply chain efficiency had eroded between 2003 and 2006 when it peaked at five days on inventory supply. They found it difficult to get cooperation from other organizations and bureaucracy started prevailing within the organization. There was misalignment between its procurement and supply chain activities, and with its assembly line. Dell wanted to partner only with reputed suppliers rather than have 20 suppliers all supplying to all computers manufactures. They stuck to one or two suppliers and maintained long-term partnership with them. They however, brought down their inventory turn cycle from 32 days in 1995 to 7 days in 1998, and to four

Gharar in Islamic Law Assignment Example | Topics and Well Written Essays - 2500 words

Gharar in Islamic Law - Assignment Example Finally, even if the relevant agreements amounted to agreements to pay Riba, the principal sums advanced could validly be claimed (Usmani, 2001). Hence, Murabaha Agreements should be in accordance with Islamic law, all that is required is certification by Islamic Bank’s Religious Supervisory Board and the principal amounts are dispensed in accordance with the terms of Murabaha Agreements (Usmani, 2001). The Gharar contains uncertainty in a contract or sale where the goods may or may not be available (the bird in the air or the fish in the water). It shows ambiguity in the consideration or terms of a contract. As such the contract would not be void. An example tainted with Gharar is an agreement to sell goods which have already been sold (Vogel and Samuel, 1998). This paper finds Gharar in depth in three contracts. The three contracts that I have analyzed in this paper are about car, property and stocks. The Bank has followed the methods of Islamic banking while still Gharar ca n be found in them. Elements of Riba and Gharar are present in the contractual documents. The transactions if carried out under the mentioned products (cars, stocks and property) require Murabaha Financing. The important ingredients of the Murabaha Financing Agreement are The Preamble: it is an integral part of the agreement; Definitions: incorporation of the terms: a) Account b) Agency Agreement c) Agreement d) Client Financials e) Declaration f) Due dates g) Goods h) Murabaha Account i) Purchase Price j) Security k) Security Deposits; Purchase and Sale Agreement; Mode of Payment; Representation of the Client; Representation of the Institution; General Covenants of the Client; General Covenants of the Institution; Warranties of the Institution; Security; Risk of Loss; Takafol; Damages; Governing Law and Jurisdiction; Set off; Acceleration; General; Execution of document by the Counterparts ( The Institution and The Client); Dated; Witnesses; Schedule of Documents: a) Agency Agreeme nt b) Declaration c) Promissory Note d) Description of Security (Ghafoor, 1995). Murabaha Finance Agreement for Car The first contract is about Murabaha Finance Agreement for car. The contract is about a client bank agreement on buying a car in instalments but there are several conditions for the client, which he has to adhere in order to get the car. A down payment is given after which, monthly instalments are fixed for the customer. As this is a Murabaha contract, therefore it is essential to know about Murabaha. Murabaha is a term in Islamic Fiqh and it refers to a particular kind of sale having nothing to do with financing in its original sense. If a seller agrees with his purchaser to provide him specific commodity on a certain profit added to his cost it is considered Murabaha transaction. The basic ingredient of Murabaha is that the seller discloses the actual cost he or she has incurred in acquiring the commodity and then adds some profit thereon. This profit may be lump sum or may be in fraction (Al-Qardawi, 2001). In conventional financing, the financier lends money to the client on interest. After giving the interest bearing loan, the financier has nothing to do with its usage. In the case of Murabahah no money is advanced by the financier. Instead the

The Selling Process and Selling Tools Essay Example | Topics and Well Written Essays - 1750 words

The Selling Process and Selling Tools - Essay Example Determining and estimating the competition strength is also important in sales and marketing. What qualifies a service or a product to particular market segmentation and what hinders maximum profits should be determined. Knowledge of the segment that will need a company’s product or services will save time and resources, and this can be done by determining dimensions of sales. The demand for a product should be well estimated for accurate production. Demand estimation will reduce wastages of resources or loss of customers because the products were not enough. Trade area analysis is very important in sales, as a company will know which part of the country needs their goods or services. Trade areas differ with geography, political stability, and economic advantage and a company that has all these details will have a competitive advantage. Market potential and sales forecast should also be checked before a company engages are sales in an area. The product that a company is sellin g is the most important aspect is sales and marketing. What the product entails is something that matters to the customers and should be what a company takes it into account before manufacturing it. Why the product, who will it benefit more, where will it be sold, how much will it go for, and what profits margin is expected to bring. A good product should not stay on the shelf for long instead every production should be increased because demand has also increased. Pricing for personal selling has been considered the strongest promotion tool as it personalizes the message to the customer. The sales tend to be higher when personal selling is conducted, ensuring that all the profits go to the company instead of having to divide them among the sales agents. Personal selling also uses various technologies and helps overcome geographic limitations because the companies are able to draw budgets for the sales. This kind of selling also promotes good relationships between the customers, mana gement, and employees. This creates loyalty in the company a very important aspect of a business. Promotion strategy is an element very important in the marketing mix that involves advertising of a product for customers to be familiar with it before purchasing. Advertising to be done before the product is in the market to get people responses and ensure that the customers do not forget its value. Personal selling is the other component of promotion strategy where the producer promotes their product personally. This creates brand loyalty from the customers ensuring that they do not stop using the product.

Emotional and Behavioral disorders Essay Example | Topics and Well Written Essays - 250 words

Emotional and Behavioral disorders - Essay Example me of the common EBD conditions include affective disorders, anxiety disorders, schizophrenia, conduct and attention disorder, and adjustment disorders (Lehr, 2005). In general for the management of students with EBD in a classroom setting may not really be effective (Keller, 2002). The approaches that are chosen should be evidence-based and proven through empirical literature. The level of support provided to the students should be classified into 3 levels, namely, primary, secondary and tertiary prevention. At the primary level, problems are prevented from developing, and in general all the students are targeted through teaching appropriate behavior. Secondary prevention includes decreasing the severity of the problems and lowering the risks that may be present to the students. At the tertiary level, established problems are reviewed and appropriate interventions are implemented. Besides, the severity and duration of the negative outcomes are reduced using various measures (Lehr, 2005). Children with EBD may need placement for at least some duration of time in special classrooms that provide a structured environment for development. The outcomes in such an environment are more controlled and predictable. Students in such a program would be rewarded for appropriate behavior (Hewett, 2002). The teacher would constantly assess the needs of the classroom and demonstrate systematic teaching through several modes including discussion, presentation, modeling, etc. Behavior modifications may be required though behavior therapies such as positive reinforcement, contracting, etc. Supportive therapies in the form of music, art and exercise therapies may be needed to increase a self-understanding and self-esteem of the child (Council for Exceptional Children, 2011). One of the key elements in managing stress that may be required by teachers teaching children with EBD is self-awareness. Through self-awareness, the teacher is better able to understand the

Starbucks Essay Example for Free

Starbucks Essay Starbucks uses HR to help to budget and manage costs. They do this by having a set of people for specific tasks. If someone is more skilled they will move that person to another place because they have better skills and the quality of their work is much better which shows that they have better qualifications. Human resources make the business a work place and at Starbucks the employees have certain characteristics like their behaviour and age, which helps to improve the businesses expectation from customers. Cut wastage Starbucks are bringing in new ways to cut waste, like recently they have introduced a reusable plastic cup, which looks like a normal Starbucks cup. They are selling these for an extra $1 and also the customer receives a discount from Starbucks so this is persuading the consumer to get this because it will help them to get a discount and also they are saving money. This will help to improve the business and also it helps to budget costs because they are reusing their products. Starbucks have electrical products which can be repaired or recycled also the distributors of the electronic equipment have a part to play in the reducing the amount of WEEE going into landfill sites. The building waste the landlord is in charge to manage the waste there. Reduce amount of stock held Starbucks have to make sure that they maintain the amount of stock they order because they might not have enough space in there warehouse to store it. So they only order items that they know are going to sell well and they use on a regular basis like Starbucks cups, milk and sugar products like that. They want to maintain the amount of stock because they are trying to control budget costs and by maintaining stock they are helping to reduce costs at the same time. So they are improving the company’s performance by doing this. ICT computers and technology Starbuck stores have Free Wi-Fi in there stores which allow customers to buy beverages and use there Wi-Fi to do work. Because Starbucks have a lot of seating for the customers which allows customers to come in and enjoy a drink while doing some work. Other reasons are that Starbucks needs to have technology because they think like Starbucks rewards card and they need technology to use these items, which will help them. Also having these items helps to reduce waste and it helps to control budgets because the cards are reusable and the free Wi-Fi will persuade customers to buy a drink or food from there. Less mistakes in production When the staffs is making the customers food or beverage they need to ensure that items are made to a good standard so they aren’t making mistakes which will cause a problem also it will help to save money for the business. This will help to control their budgets which are important when it comes to ordering stock so they don’t have less stock during a certain order. Everything is produced efficiently so when the customer orders a double cream hot chocolate they receive a double cream so the customer is happy and the staffs is listening to the customers’ requirements. Fewer loans Starbucks need to ensure that they don’t have a problem with taking loans out and also they need to make sure they aren’t taking loans out for no apparent reason so they don’t make a loss. Starbucks won’t effect as much if they take a loan out because they are a multimillion business so they don’t really need to worry about taking loans out. Controlling budgets may help businesses stay in profit. Controlling budgets will help Starbucks stay in profit because it will help them to understand which areas of the business needs more progress and help. Like Starbucks will need to determine which sectors of the business need more of a bigger control like the rent will always be the same each month but during Christmas and winter Starbucks tends to bring out new products like gingerbread latte so they will need more stock around this time of the year. So controlling the budget will vary depending on the time of the year. Cut down on maintenance Starbucks need to cut down on maintenance but they need to maintain their machinery so they can produce the products for the consumers otherwise there will be problem. They need to ensure that items can be reused like I said before they introduced a reusable cup for customers to use. The other things they need to consider are that they need to ensure there are several different aspects of things.

Ethical and Legal Issues on the Internet Essay Example for Free

Ethical and Legal Issues on the Internet Essay Plagiarism is probably the main concern when it comes to blogging and academic assignments. Should it be our responsibility to minimize plagiarism, yes it is. Academic Integrity helps keep higher learnings foundation strong. That is why it is very important to minimize or even try to eliminate plagiarism. Academic integrity surely includes issues like cheating and plagiarism, copyrights, patents, intellectual property. But it concerns the way in which we present ourselves to the community of which we are a part of. Its the obligation of students, administrators, faculty, and staff, to come together to educate students for personal and social responsibility. Schools offer to the learning community information about academic and research integrity, the responsible conduct of research, and about the ways in which our individual actions have an effect on our participation with, a vibrant and creative academic and social community. Plagiarism, the use of anothers words, ideas, data, or product without  appropriate acknowledgment, such as copying anothers work, presenting someone elses opinions and theories as ones own, or working jointly on a project and then submitting it as ones own. Cheating, the use or attempted use of unauthorized materials such as annotated or instructor editions of the course textbook, information, or study aids; or an act of deceit by which a student attempts to misrepresent academic skills or knowledge. Fabrication is the intentional misrepresentation or invention of any information, such as falsifying research, inventing or exaggerating data, or listing incorrect or fictitious references. There are ways for responsible blogging; as long as people can be ethical and follow them blogging may become more credible. First Bloggers should check their facts before blogging. It is so simple to produce and share content why not make sure it is 100% facts before sharing. Bloggers should respect all copyright laws, people associate online content with public domain content which can get the blogger in hot water. Bloggers should include links to a more detail source of the material that is being written. Giving credit where credit is due is very important in responsible blogging. The blogger should always reference their sources, this practice is important under an ethical point of view, but also give the reader a place to get the main source of facts.

Sickle cell disease, an disease of red blood cells

Sickle cell disease, an disease of red blood cells Introduction This paper presents a detailed overview of sickle cell disease, an inherited disease of the red blood cells. The paper begins with a brief discussion of the aetiology, prevalence of sickle cell disease. Next the paper investigates the pathophysiological aspects of the disease and the physical manifestation of symptoms the patient presented with. The paper then discusses how sickle cell disease affects suffer. Finally the paper presents and evaluates treatment and management of care. The conclusion will provide a summary of the points discussed. Sickle cell disease (SCD) encompasses a group of haemo ­globinopathies. There is currently no cure for adults with this hereditary disease, which mainly affects people of Afro-Caribbean origin and, to a lesser extent, Mediterra ­nean, Middle Eastern and Asian groups. There are large numbers of people around the world who suffer from acute or chronic pain, or indeed both, as a result of sickle cell disease. Sickle Cell Society (2008) estimates that sickle cell disease affects approximately 10 000-12 500 people in the UK. Sickle cell disease comprises of a group of inherited blood disorders that alter a persons haemoglobin, causing chronic haemolytic anaemia and producing acute and chronic pain as a result of reoccurring episodes of vascular occlusion (Lal. and Vichinsky, 2005). Adult haemoglobin consists of two alpha globin and two beta globin chains wrapped around a haem (iron containing) molecule. Haemoglobin is the main substance of the red blood cell. It helps red blood cells carry oxygen from the air in the lungs to all parts of the body. Normal red blood cells contain haemoglobin A. Haemoglobin S and haemoglobin C are abnormal types of haemoglobin. Normal red blood cells are soft and round and can squeeze through tiny blood tubes (vessels). Normally, red blood cells live for about 120 days before new ones replace them. People with sickle cell conditions make a different form of haemoglobin A called haemoglobin S (S stands for sickle). This is caused by mutation in the beta chain which means the haemoglobin has a lower affinity for oxygen that causes sickle cell anaemia is the most common (Serjeant Serjeant, 2001). The mutation causing sickle cell anaemia is a single nucleotide substitution (A to T) in the codon for amino acid 6. The change converts a glutamic acid codon (GAG) to a valine codon (GTG). The form of haemoglobin in persons with sickle cell anaemia is referred to as HbS (Bain, 2002). The nomenclature for normal adult haemoglobin protein is Hb. Red blood cells containing mostly haemoglobin S do not live as long as normal red blood cells (normally about 16 days) (De, 2005). They also become stiff, distorted in shape and have difficulty passing through the bodys small blood vessels. De (2008) explains when sickle-shaped cells block small blood vessels, less blood can reach that part of the body. Tissue that does not receive a normal blood flow eventually becomes damaged (Serjeant Serjeant, 2001). This is what causes the complications of sickle cell disease. People who inherit the mutation from both parents or the mutation from one and thalassaemia (lack of a beta chain) from the other will suffer sickling. Those who inherit the mutation from only one parent will be sickle cell disease carriers and rarely display symptoms (Information Centre for Sickle Cell and Thalassaemic Disorders, 2008). Patient X presented in accident and emergency (AE) in sickle cell pain crisis. Vaso-occlusive pain is caused by the tendency of sickle haemoglobin molecules to crystallise, distorting the red cells into crescent shapes on deoxy ­genation, occluding small blood vessels. Disrup ­tion of normal circulation leads to acute tissue ischaemia and secondary inflammation and, when prolonged, infarction of bone, joints and vital organs (Elander et al, 2004). According to Information Centre for Sickle Cell and Thalassaemic Disorders (2008) vaso-occlusive pain episodes experienced by patients with sickle cell disease vary tremendously in frequency and severity. Some patients rarely have painful crises, while others spend the greater part of a given year in the hospital receiving analgesics (Anglin, 2007). The cooperative study of the natural history of sickle cell disease showed that about 5% of patients accounted for one-third of hospital days devoted to pain control (cited in Johnson, 2004) . To complicate matters further, the pattern of pain varies over time, so that a patient who has a particularly severe year may later have a prolonged period characterized by only minor pain. According to Sickle Cell Society (2008) the frequency and severity of vaso-occlusive pain episodes often change as a person moves from childhood to being an adult. The breakpoint often occurs during the late teens or early 20s. Changes in hormonal status that occur during these years could contribute to the changes in severity of sickle cell disease (Information Center for Sickle Cell and Thalassaemic Disorders, 2008). However, no causal relationship has been established, so the association remains only temporal. The mode of onset of sickle cell pain crises likewise varies. Roberts de Montalembert (2007) states patients can develop agonisingly severe pain in as little as 15 minutes. In other instances, the pain gradually escalates over hours or even days. Acute tissue ischaemia is associated with extreme pain, which may last from hours to weeks. The average duration is 5-7 days (Johnson, 2004) and the episodes are usually self-limiting. Streetly (2005) stresses prolonged infarction can lead to a multitude of compli ­cations, such as organ damage, degeneration of the spine and joints, and ischaemic leg ulcers. These compli ­cations are associated with chronic pain and disability. The sites affected in acute painful crises vary for each patient. Pain occurs commonly in the extremities, thorax, abdomen, and back (Oni, 2009). Pain tends to recur at the same site for a particular person. For each person, the quality of the crisis pain is usually similar from one crisis to another. Patient X had been managing the pain at home with paracetamol, heat rubs and 50mg of diclofenac a non-steroidal anti-inflammatory drug (NSAID). Sickle Cell Society (2008) states most patients manage episodes of pain at home. Oral analgesics, combined with rest and fluids often allows a person to ride out the pain episode. Some patients report that warm baths or warm compresses applied to aching joints ameliorates the severity of the pain (Roberts de Montalembert, 2007). Patient Xs pain became progressive worse so presented in AE for stronger opioid medication. According to the Trust policy a comprehensive, multidisciplinary team strategy is essential, particularly for managing patients with fre ­quent acute or chronic pain. Therefore, on admission patient X was assessed by the doctor and a pain assessment was undertaken by the nurse. According to Wright Adeosun (2009) patients presenting in accident and emergency departments with a painful episode should be immediately triaged and administered analgesia within 15 minutes of arrival and a prompt, accurate pain assessment is the cornerstone of effective pain management. It should include pain site, duration, score, character, exacerbating and relieving factors, associated symptoms, previous analgesia and physical examination. Ideally, the assessment tool would be locally recognised and used and therefore be familiar to patients. Moreover assessment should be prompt to expedite pain relief and allow life-threatening syndromes, such as acute sickle chest syndrome, to be treated urgently (Johnson, 2004). During the assessment patients will benefit from reassurance that they are believed when they report pain and that med ­ication will be delivered swiftly. De (2005) however reports incidences where healthcare professionals have not believed the patient report of pain which resulted in the patient displaying pseudo-addictive behaviour in an attempt to manage their pain and receive appropriate analgesia. This behaviour is an iatrogenic syndrome resulting from poorly treated pain (Serjeant Serjeant, 2001). According to Stuart Nagel (2004) without adequate knowledge of prompt assessment and management and how this can manifest, pseudo-addictive behaviour, such as groaning or other physical behaviour where the patient is trying to demonstrate that they are in pain, can be misconstrued as behaviour associated with substance addiction. Such behaviour could be, for example, aggression, conflict and arguments about analgesia. Wright Adeosun (2009) contends it is important to remember tha t this behaviour, although similar to behaviour found in substance dependence, is actually a result of poor pain management and is an indicator that this person needs their pain management approach reviewed urgently. In line with the Trust policy patient X was triaged within 15 minutes and during the evaluation, the doctor asked patient X whether the pain feels like typical sickle cell pain. Most patients can distinguish back pain due to pyelonephritis or abdominal pain due to cholecystitis, for instance, from their typical sickle cell pain (Anglin, 2007). De (2005) contends if the quality of the pain is not typical of their sickle cell disease, other causes should be investigated before ascribing it to vaso-occlusion. As this was typical of patient Xs sickle cell disease the doctor prescribed morphine 10mg titrated against the level of pain. Opioid-agonist drugs like Morphine are the mainstay of treatment for acute sickle cell disease pain and can be given orally. The dose must be titrated appropriately to reflect the drugs thera ­peutic duration of action and the intensity of the pain. Johnson (2004) contends patients whose pain is severe enough to warrant hospitalisation usually require opio ids. Morphine an agonists, opioid and it works by attaching to opioid receptors. There are four types of receptor: mu (ÃŽÂ ¼); delta (ÃŽÂ ´); kappa (ÃŽÂ º); and opioidreceptor- like (ORL). The ÃŽÂ ¼ receptors are thought to be responsible for most of the analgesic effects of the opioids and for some of the main unwanted morphine derivatives which include respiratory depression, hypotension, sedation, nausea, pruritis, constipation and dependence (Hall, 2009). Drugs may then need to be given to relieve and prevent analgesic side-effects (Hall, 2009). The morphine was administered intramuscularly (IM) however Johnson (2004) argues that pain relief occurs more slowly with intramuscular injections, and the injections themselves can produce substantial discomfort. Consequently, intravenous administration of analgesics is usually preferable. Maxolon 10mg was prescribed intravenously (IV) because of the undesirable side effects commonly associated with opioids. Opioids may induce nausea and vomiting by stimulating the chemoreceptor trigger zone, reducing gastrointestinal motility or increasing vestibular sensitivity (Hall, 2009). Evidence shows that nausea and vomiting can negatively affect the quality of life of patients in term of functional outcomes, patient-perceived care by hospital staff and patient satisfaction with regard to overall hospital stay (Information Center for Sickle Cell and Thalassaemic Disorders, 2008). Identifying the incidence of nausea and vomiting and characterizing the prescribing of antiemetics are necessary in an effort to improve tolerability of opioids. Maxolon injection contains the active ingredient metoclopramide hydrochloride, which is a type of medicine called a dopamine antagonist (British National Formulary, 2010). Metoclopramide works primarily by blocking dopamine receptors found in an area of the brain known as the chemoreceptor trigger zone (CTZ). The CTZ is activated by nerve messages from the stomach when an irritant is present (Hall, 2009). Once activated, it sends messages to the vomiting centre in the brain which in turn sends messages to the gut, causing the vomiting reflex. Blocking the dopamine receptors in the CTZ prevents nausea messages from being sent to the vomiting centre. This reduces the sensation of sickness and prevents vomiting (Finlay, 2004). Once both drugs had been administered the role of the nurse was to monitor effectiveness and to reassess the pain score. Patient X was encouraged to report any further pain accordingly. According to Johnson (2004) as pain control improves, the analgesia should be maintained to prevent the patient from slipping back into a painful cycle. Patient X was then nursed in the observation unit and after 2 hours reported increasing. After being reviewed by the pain team a patient controlled analgesia (PCA) was offered. The popularity of PCA has generally risen since a report published by the Royal College of Surgeons of England and the College of Anaesthetists (1990), and PCA is now regarded as a routine, safe modality associated with high levels of satisfaction among postoperative patients (Ballantyne et al, 1993). While much has been written about PCA in connection with postoperative pain, comparatively little has been reported in connection with sickle cell disease pain. Of the few studies focusing on PCA use by sickle cell disease patients, Gonzalez et al (1991) has attempted to measure patients acceptance of PCA, and then only as the secondary goal of a clinical trial. In a much early pilot study of three adolescents with sickle cell disease Schechter et al (19880 suggested that drug usage may dramatically reduce as pain subsides, but the intended trial was never conducted because doctors feared it might fuel patients propensity for addiction. The Society Cell Society (2008) however report that some sickle cell patients actually disliked receiving morphine because of its association with drug abuse and addiction and Johnson (2003) findings indicate that some sickle cell disease patients prefer to receive PCA to promote fast and predictable pain relief and give themselves a degree of control over their pain. Moreover, continuous subcutaneous infusions have been used to counteract any delays between intramuscular and intravascular injections (Hall, 2009). This also takes away the reliance on the next dose having to be delivered by health professionals and thus promotes patient autonomy. The role of the nurse was to teach patient X and his family about the medication: description, action, effects, and possible side effects. Johnson (2003) stresses the importance of reinforcing that analgesics make pain manageable and it may not take the pain away completely. The subcutaneous route was used for the PCA. Diamorphine was prescribed because it has the advantage of being more water and lipid-soluble, making it more rapid acting, easier to inject in smaller volumes such as 5-10mg per ml subcutaneously (Hall, 2009) and avoids absorption problems (Rees et al, 2002). Typically, bolus doses of diamorphine need to be higher than in postoperative PCA regimens, for example 5-30mg, and lockout times longer, which can be 20-60 minutes. To increase safe practice around the use of PCAs, a double check of pump settings and medication orders is required when a new syringe is loaded into the PCA system and with subsequent dosage changes. This double check was performed by the nurses and documented on the PCA chart on an hourly basis. Hall (2009) points out that patient can become drowsy as their pain is controlled. Often, this reflects the fatigue that comes with one or more sleepless nights with pain crisis at home. Johnson (2004) reinforced by Oni (2009) argue that the analgesics should not be discontinued automatically for somnolence as long as the patient is easily aroused. A common misconception is that if a patient with sickle cell disease is sleeping, the analgesics are controlling the pain. Rees (2003) contends sickle cell disease patients often sleep despite severe pain. Therefore, when a PCA has been commenced the nurse should evaluate the patient for respiratory status (rate and depth), sedation level, side effects, and pain severity 2 hours x 12 hours, then 4 hours thereafter (De, 2005). A pulse oximetry was used to monitor saturations levels and patient X was commenced on 2 litres of oxygen as it is in their deoxygenated state that red blood cells containing Hb S take on their abnormal, rigid half-moon-like state (Information Center for Sickle Cell and Thalassaemic Disorders (2008). Research suggests that sickled cells can actually regain their normal disc shape when exposed to a higher oxygen concentration (Zipursky et al, 1992 cited by Sickle Cell Society, 2008). When oxygen therapy is being administered De (2008) advocates an upright position as this position optimises and maintains ventilation and perfusion. Patient X needed assistance due to the pain to sit upright and a mouth care tray was provided due to the side effect of oxygen therapy causing dryness of the nasal and oral mucosa (Sheppard and Davis, 2000). A jug of water was also made available at the bedside and the call buzzer was left in easy reach. Effective management of an episode of painful sickle crisis according to Lal and Vichinsky (2005) requires intravenous fluids as this will help to decrease blood viscosity, improve blood flow and reduce risk of renal compromise. Providing adequate hydration is a component of almost every treatment protocol for vasoocclusive crises (De, 2005). Dehydration is one of the principal precipitating factors for pain crises. However, overcorrection of fluid balance can have a negative effect, including possibly increasing the risk of acute chest syndrome. This syndrome, characterized by cough, chest pain, dyspnoea, fever, and radiographic changes, is the most common cause of death for patients with sickle cell disease (Information Center for Sickle Cell and Thalassaemic Disorders, 2008). Stuart and Nagel (2004) suggest hydration should be provided to correct deficits, replace any ongoing losses, and maintain normal body fluid volume (euvolemia). In addition, to this the patients pain may improve with oral hydration. Patient X was prescribed 1 litre of intravenous (IV) normal saline over 8 hours and oral hydration was encouraged by the nursing staff. This was monitored on the fluid balance chart. Patient Xs vital signs temperature, pulse, blood pressure were continuously monitored to detect any changes. Patients with sickle cell disease are susceptible to overwhelming infection (Wright Adeosun, 2009; Stuart Nagel, 2004). The most significant factor is splenic autoinfarction during childhood (Sickle Cell Society, 2008). Functional asplenia leaves patients vulnerable to infections with encapsulated organisms such as Streptococcus pneumoniae and Hemophilus influenzae. Further, some studies suggest that neutrophils do not function properly in patients with sickle cell disease (Information Center for Sickle Cell and Thalassaemic Disorders, 2008). How the mutation in sickle cell disease might lead to a defect in neutrophil function is unclear. Patients with SCD and unexplained fever should be cultured thoroughly. If the clinical condition suggests septicaemia, the best action is to start broad spectrum antibiotics after complete culturing. Signs of systemic infection include fever, shaking chills, lethargy, malaise, and hypotension (Oni, 2009). Patient remained apyrexial and 2 days after admission the quantity of analgesia was slowly reduced as patient Xs symptoms improve. While the tapering of intravenous analgesics can require only two or three days, control of a full blown crisis often requires 10 to 14 days. Less commonly, bouts of sickle vaso-occlusive pain require several weeks to control. In conclusion this paper has presented a detailed overview of the management of pain in sickle cell disease, an inherited disease of the red blood cells. Sickle cell disorder can have a profound effect on a persons life. Acute painful episodes among patients with sickle cell disease may occur in any body part or several sites simultaneously. A thorough pain assessment will indicate the type of pain management approaches that are most likely to be effective. Patients should always be encouraged to engage in activities that will help them manage their own pain and boost their confidence rather than make them dependent on health care professionals. This case profile has highlighted the importance of optimal care for a patient with sickle cell disease which should be a comprehensive, multidisciplinary team approach with prompt, accurate pain assessment as this is the cornerstone of effective pain management.