Tuesday, May 19, 2020
Data Privacy - 1063 Words
Data Privacy G.Maruthi What is data privacy? â⬠¢ Protection of personal data â⬠¢ Why do we need protect personal data? ââ¬â The need to control personal data â⬠¢ â⬠¢ â⬠¢ â⬠¢ Fear of misuse Identity Theft Cases of Fraud Other form of cyber crimes What is Personal Information? â⬠¢ According to the European Directive on Data Protection ââ¬â Article 2: ââ¬Å"Personal Data shall mean any information relating to an identified or identifiable natural person (ââ¬Ëdata subjectââ¬â¢); an identifiable person is one who can be identified , directly or indirectly, in particular, by reference to an identification number or to one or more factors specific to his physical, physiological, mental economic , cultural or social identityâ⬠ââ¬â Article 8: Personal data revealingâ⬠¦show more contentâ⬠¦the person so affectedâ⬠ââ¬â Body Corporate: ââ¬Å"means any company and includes a firm, sole proprietorship or other association of individuals engaged in commercial or professional activitiesâ⬠Data Privacy: India â⬠¢ Under the chapter XI: Offences â⬠¢ Section 72: Penalty for breach of confidentiality and privacy â⬠¢ Section 72A: Punishment for disclosure of information in breach of lawful contract: Data Privacy: India â⬠¢ Information Technology (Reasonable Security Practices and Procedures and Sensitive Personal Data or Information) Rules, 2011: ââ¬â Rule 3: Sensitive personal data or information â⬠¢ Password; â⬠¢ Financial information such as Bank account or credit card or debit card or other payment instrument details; â⬠¢ Physical physiological and mental health condition â⬠¢ Sexual orientation â⬠¢ Medical records and history â⬠¢ Biometric information Data Privacy: India â⬠¢ Information Technology (Reasonable Security Practices and Procedures and Sensitive Personal Data or Information) Rules, 2011: â⬠¢ Rule 4: Body corporate to provide policy for privacy and disclosure of information: Responsibilities of data controllers: ââ¬â ââ¬â ââ¬â ââ¬â ââ¬â Practices and policies Type of information collected Purpose of collection and usage of such information Disclosure of information Reasonable security practices Data Privacy: India â⬠¢ Information Technology (Reasonable Security Practices and Procedures and Sensitive Personal Data or Information) Rules, 2011: â⬠¢ Rule 5: Collection of information: â⬠¢ RuleShow MoreRelatedPrivacy Preserving Data Of Data Essay7893 Words à |à 32 Pages1. INTRODUCTION Data in its original shape contains sensitive information about individuals, and publishing such data will breach individual privacy. The recent practice in data publishing relies mainly on rules and guidelines as to what kinds of data can be published and on agreements on the use of published data. This approach may lead to extreme data distortion or inadequate protection. Privacy-preserving data publishing provides methods and tools for publishing useful informationRead MoreBig Data And Its Privacy Issues1452 Words à |à 6 Pages BIG DATA AND ITS PRIVACY ISSUES BY KAVITA AMIT KUMAR Ã¢â¬Æ' Abstract: With growing technology and globalization, the volume of data is increasing day by day. Big Data world is drowning in data that is generated every day. Big Data provides us with valuable data and this in turn raise concerns how to maintain this data. Think about your daily data footprint. Say for example your every action on web is being monitored like website you visit, queries you make through search engine, all type of transactionRead MoreUrban Data Collection And Data Privacy Essay2070 Words à |à 9 PagesUrban Data Collection and Data Privacy (Case Study on LinkNYC Kiosk) Part I As the data are getting more and more easily accessed and analyzed by software and algorithms, the development of Urban Science has entered a new era. The urban technologies have being created to tackle the universe of the big data, and the popularized use of Mobile devices has made data collection never so easy. Data is everywhere, anytime and in any format. The science of data can be highly applicable to almost any industriesRead MoreConsumer Security And Data Privacy1841 Words à |à 8 Pagesprotection of our data on websites and apps that we explore every day, is very important and should never be violated. Over the years there have been many services that in a way threaten this security and privacy and at the same time some services have helped us and most people are blind to this. The protection of our personal data on social media websites, to important data like medical information and social security is also affected in both ways. Consumer security and data privacy has af fected weRead MoreBig Data And Information Privacy2076 Words à |à 9 PagesTopic 1: Big Data and Information Privacy Topic Background The amount of data on the planet in 2014 was around 4.4 zettabytes. Itââ¬â¢s expected to grow to 44ZB by the year 2020. Itââ¬â¢s also predicted that by 2020, the amount of information produced by machines will account for about 10% of data on earth. One Zettabyte is 1000 Exabytes or 1 Billion Terrabytes. To put it in perspective, with one exabyte of data, a person can watch 36,000 years worth of HD videos. So, with one zettabyte of data, thousandsRead MoreWearable Technology And Data Privacy Essay1677 Words à |à 7 PagesDr.à Lois Scheidt Computer and Information Ethics December 12, 2016 Wearable Technology and Data Privacy The purpose of this research is to summarize conclusions based off consumer behavior attitudes towards wearable technology and data privacy issues. Younger generations are growing up with information technology at the forefront of their development, which means the way society views technology and privacy is changing rapidly. It is not uncommon to see toddlers interacting directly with technologyRead MorePrivacy And The Era Of Big Data Essay1449 Words à |à 6 PagesPrivacy in the Era of Big Data One day, you go shopping in Times Square. When you are passing by an underwear shop, what do you feel if the store assistant who is standing out of the door promotes to you that: ââ¬Å"Morning Ilarie. We have got several this seasonââ¬â¢s new models of your size, 66 D. And your boyfriend will also like them because they are pink and cute and right to his tasteâ⬠¦Ã¢â¬ Could you tell me your feeling? Happy? Surprised? Or youââ¬â¢re scared? I think most of the people might feel offendedRead MoreInformational Privacy And The Challenge Of Big Data1764 Words à |à 8 PagesInformational Privacy and the Challenge of Big Data By analysing an ââ¬Å"unprecedented breadth, depth, and scaleâ⬠of data, Big Data may benefit society, discovering a positive relationship between therapeutic vitamin B use and delayed AIDS development and tracking the spread of influenza for instance. However, despite the benefits, there are significant privacy concerns surrounding the ability to provide informed consent considering Big Dataââ¬â¢s aggregate and unpredictable character. For example, regardingRead MoreSecurity And Privacy Of Big Data779 Words à |à 4 Pages1. Introduction The development of the current big data is still faced with many problems especially security and privacy protection [1]. On the Internet People s behavior are known by Internet merchants [2], such as Amazon, DangDang know our reading habits, and Google, Baidu knows our search habits. A number of actual cases show that personal privacy will be exposed even after harmless data being collected [1]. In fact, the meaning of big data information security is much extensive. The threatRead MoreThe Privacy Preserving Data Mining1046 Words à |à 5 Pagesthree main components the mediator, customer and a group of data service providers. Previously there is no interaction between the customer and the data provider. And when the client sends a query, the mediator forwards the information to all data holders and via exchange of the acknowledgements, the mediator generates the connection with the data providers[4]. There are various techniques suggested in the area of the Privacy Preserving Data Mining but one exceed over the other on the basis of different
Saturday, May 16, 2020
Bookshop Automation - 4832 Words
Babu Banarasi Das National Institute of Technology Management Bookshop Automation System Requirement Specification (Project No ââ¬â P10) Submitted to: Miss Shweta Kulshereshtha Submitted By: Vivek Kushwaha MCA V SEM (M2) Group : G2 Abstract The project report consists of 2 phases. In the first phase, the problem assigned to us has been mentioned. Second phase provides the solution for the same problem along with an insight into the development process involved. Introduction part gives the information regarding Bookshop Automation System. It also gives brief introduction about the project under the topic PROBLEM DEFINITION .It gives a short introduction about Bookshop and its operations. The next part is the REQUIRMENT ANALYSIS whichâ⬠¦show more contentâ⬠¦In real world, it tends to associate with automated systems as they provide many benefits than doing the same thing in manually. As above mentioned, here we have introduced a system which can be used to maintain a bookshop. When we are concerning the manual process of a bookshop, the major problem is the waste of time. A customer has to waste his/her valuable time when he needs to buy a book as all the events such as searching, purchasing are done by members of the staff .In briefly, the manual process is very slow. But automation will reduce the time taken in the whole process. In a bookshop we should deal with a large store. Then person (storekeeper) has to maintain it with documents which are recorded by him. Therefore, there may be defective reports. Also company has to appointed more persons to complete the maintenance of the stationery. Then the company has to have an additional cost. As we familiar with this type of system at instance we will be able to have the results that we want. Communication with suppliers, customers and other related organizations will be more successful as the system is so fast. When the bookshop issues an item to a customer, all the stages of the transaction procedure will be facilitated by the system it will be more accurate. Existing system description: At present, the Wholesale and Retail outlets are working under manual management. All records related to Products, Sales, Suppliers, Orders,Show MoreRelatedResearch Journals on One Way Anova Test785 Words à |à 4 Pagessuch as access to premium content on a website, but most electronic commerce involves the transportation of physical items in some way. online shopping has affected industry structure in two areas that have seen significant growth in e-commerce,à bookshopsà andà travel agencies. Online retailers are sometimes known asà e-tailersà and online retail is sometimes known as Almost all big retailers have electronic commerce presence on theà World Wide Web. In the United States, some electronic commerce activitiesRead MoreHarry And Strange Logic Of Book Discounters1566 Words à |à 7 Pages1. Harry and Strange Logic of Book Discounters Harry Potter books sold out immediately on multiple discount offers from different bookshop. There was lot of book shops which were selling the book on cheaper and discounted prices. They went on with this offer since a lot of people were coming to buy that book and they will sell it on margin prices, the prices were competitive and the number of copies sold in millions. On the launch of this book the book sellers gave out 40 percent discount, sinceRead MoreAnalysis Of Jungle Books Accounting Information System2532 Words à |à 11 Pagesanalysing jungle books lies on its expenditure cycle, which is consisted by purchase system, cash disbursements system. 1.5 Background Jungle Books is the fastest-growing book distributor in North America. Jungle Books is started as a neighbourhood bookshop, and operated by Burwash and his wife only at the very beginning. Due to it is developing too fast, they are experiencing many problems currently. Most of these problems are caused by antiquated system. 1.6 Assumption This report attempt to findRead MoreThe Importance of Creating Innovation Culture in an Organization2332 Words à |à 9 Pagescompete, but to grow an organization (Farb, 2004). CORPORATION I AMAZON.COM Amazon.com is now the worlds largest bookseller in the world. Their marketing and particularly their smart algorithm has virtually ended the era of the brick and mortar bookshop and indeed changed the publishing world and the way consumers shop. Because of their unique technological advantage, Amazon is able to switch its strategy with almost the touch of a button, and has such a sophisticated set of algorithms that itRead MoreAnalyze Amazon and Walmart.Com Using the Value Chain and Competitive Forces Models7755 Words à |à 32 Pagesonline there is very little more work in selling direct - and no trade discount has to be given. Electronic Publishing: If information is to be selected from electronic information banks and paid for in micro payments then there is no books and no bookshops - but to adapt a famous quote, the news of the death of the book has (probably) been greatly exaggerated. There are those who like shopping online and those who do not. There are books than need inspection before purchase (illustrated cookbooksRead MoreAnalyze Amazon and Walmart.Com Using the Value Chain and Competitive Forces Models7767 Words à |à 32 Pagesonline there is very little more work in selling direct - and no trade discount has to be given. Electronic Publishing: If information is to be selected from electronic information banks and paid for in micro payments then there is no books and no bookshops - but to adapt a famous quote, the news of the death of the book has (probably) been greatly exaggerated. There are those who like shopping online and those who do not. There are books than need inspection before purchase (illustrated cookbooksRead MoreEssay on Krispy Kreme Doughnuts6855 Words à |à 28 Pagesnbsp;nbsp;nbsp;nbsp;nbsp;Technological innovations have not only improved consumersââ¬â¢ lives, they also allowed companies to automate many of their manufacturing processes, gaining time in the production and reducing defects. All sectors have seen a rise in automation, as well as in computerization. Softwares are now designed to suit the needs of each business, allowing them to tightly control their output amount, the level of inventories and other essential information, as well as to maintain a close relationshipRead MoreBrain and Assignment9854 Words à |à 40 Pagesanswering Assignment 02, Assignment 03 and Assignment 04. If you have any problems obtaining the prescribed books, you can phone the administrators of prescribed books at tel (012) 429-4152 or e-mail vospresc@unisa.ac.za Or: Very important: Protea Bookshop Address:P.O. Box 35110 Menlo Park 0102 Tel: (012) 362 5663/4 Fax: (012) 362 5685 E-mail: jan@proteaboekhuis.co.za , bernice@proteaboekhuis.co.za Or via die web: kalahari.net or amazon.com 1.3.3 Recommended books To use for the completionRead MoreIct and Ebusiness Retail Industry88499 Words à |à 354 Pagesautomated business processes (both intra-and inter-firm) over computer mediated networks (OECD, 2004, p. 6). In addition, the OECD proposed that e-business processes should integrate tasks and extend beyond a stand-alone or individual application. Automation refers here to the substitution of formerly manual processes. This can be achieved by replacing the paper-based processing of documents by electronic exchanges (machine-to-machine) but it requires the agreement between the participants on electronicRead MoreDescribe How to Establish Respectful Professional Relationships with Adults52870 Words à |à 212 PagesFlooring and suspended ceiling systems; Information Technology and Communications networks; Heating and Ventilating Systems; Air Conditioning; Hot and Cold Water Services; Fire Engineering; Public Health Engineering; Lighting and Power; Building automation, security and energy management systems. 4.15 These subdivide into two general categories:- 1. Those, such as curtain walling and lifts, which are basically product orientated, where the design input is responding to a performance specification
Wednesday, May 6, 2020
A Comparison of Grendel in Beowulf and John Gardners...
In both works, Beowulf and Grendel, Grendel himself is generally given the same connotations. He is given kennings, called names, referred to as the evil spawn of Cain, and even viewed as a monster; but why? Why in both books is he a wicked, horrible, person who is harshly excluded from everyone? After stumbling upon John Gardners book, it was halfway expected that some excuse would be made for Grendel; that he wasnt really the inexorable monster the thanes in Beowulf portrayed him as. But all it really did was make him worse. What is the message we are being sent about Grendel? In Beowulf, we hardly know anything about Grendel. His name is barely mentioned and instead he is given an abundant amount of kennings. In Grendel, we learnâ⬠¦show more contentâ⬠¦They hammer this vision of Asgard and what you will get if you die in an act of bravery so that their people will idolize the great Beowulf and want to do heroic things such as he did. That is the only reason he was even ment ioned at all. However, in John Gardners book, we are given knowledge about Grendel, exposed to his existentialism, and provided many different examples of theories that the Anglo-Saxons would violently shriek upon hearing. Yet he still portrays him as a monster? One philosophy we are exposed to in Grendel is Platos Allegory of the Cave. In this philosophic viewpoint, a man is chained to the ground all of his life facing nothing but a cave wall. The only things he will ever see are the shadows of the objects people walk by the fire with. If a vase were to be held, how would he know what it was besides knowing what the shadow looked like? If he were let out into the real world he wouldnt recognize anything because he would be ignorant to everything but shadows. In Gardners book, Grendel himself was kept in a cave representing ignorance for most of his childhood. When he finally came out he did nothing but terrorize and eat the people. Is ignorance really such a bad thing under certain circumstances? John Gardner wrote his book with a purpose, to exploit Grendel in every way and to give readers an understanding about the way he has become. The Anglo-Saxons didnt want their loyalShow MoreRelated A Comparison of Nihilistic and Christian Archetypes in Beowulf and John Gardners Grendel2146 Words à |à 9 PagesGrendel, Beowulf and the Relationship Between Nihilistic and Christian Archetypes The Wisdom god, Woden, went out to the king of trollsâ⬠¦and demanded to know how order might triumph over chaos. ââ¬Å"Give me your left eye,â⬠said the king of trolls, ââ¬Å"and Iââ¬â¢ll tell you.â⬠Without hesitation, Woden gave up his left eye. ââ¬Å"Now tell me.â⬠The troll said, ââ¬Å"The secret is, Watch with both eyes!â⬠Wodenââ¬â¢s left eye was the last sure hope of gods and men in their kingdom of light surrounded by darkness. AllRead MoreThe Sonnet Form: William Shakespeare6305 Words à |à 26 Pagesimportant sonnet sequences of this period.) Sonnets were also written during the height of classical English verse, by Dryden and Pope, among others, and written again during the heyday of English Romanticism, when Wordsworth, Shelley, and particularly John Keats created wonderful sonnets. Today, the sonnet remains the most influential and important verse form in the history of English poetry. Two kinds of sonnets have been most common in English poetry, and they take their names from the greatest poets
Essay on The Difficult Lesson of The Enormous Radio
The Difficult Lesson of The Enormous Radio The Enormous Radio by John Cheever begins with Jim and Irene Westcott who are an average American couple with an average American family. Cheever describes them as middle-aged, having two young children, a pleasant home, and a sufficient income. On the surface they seem to have a perfect life, but underneath this is not the case. In the course of the story, Ireneââ¬â¢s imperfections are revealed by a hideous radio. The radio was bought to give the Westcottââ¬â¢s listening pleasure, but then they discover it can hear all the neighborsââ¬â¢ conversations. Irene becomes so obsessed with eavesdropping on her neighborsââ¬â¢ conversations, that it blinds her from her own problems. It seems as thoughâ⬠¦show more contentâ⬠¦In her obsession with the radio she fails to realize how her life was pertinent to the lives of her neighbors. Smith states that Irene becomes so involved in her neighborsââ¬â¢ predicaments, she fails to recognize her own (59). She had deceived herself and everyone else into thinking that life was different from those around her. Not only does she have blindfolds on, but she seeks constant reassurance from Jim that their lives are not like those of her neighbors. After listening to all her neighborsââ¬â¢ problems one day, she cries for Jimââ¬â¢s reassurance that they are happy and content. She tells Jim that, Mrs. Hutchinsonââ¬â¢s mother is dying of cancer, and Mr. Hendricks is going to lose his job in April (822). She wants Jim to reassure her that their life is not like their neighbors, so she asks Jim, And weââ¬â¢re not hypercritical or worried about money or dishonest, are we? (823). He lies and says that they are not, but indeed they are. Jim, in fact, worried about money a great deal (823). Jim says, I donââ¬â¢t like to see all of my energies, all of my youth, wasted on fur coats and radios and slipcovers (824). He tells Irene that they need to cut back on their expenses. He tells her that she needs to learn how to manage her money better, but Irene doesnââ¬â¢t seem to care about her husbandââ¬â¢s concerns. She even lies to him about paying for her clothing bills, which is ironic since she believes that she and Jim areShow MoreRelatedInfluence Of Mass Media885 Words à |à 4 Pageshistorical events. These movies are like history lessons to the audience since they show something we were not able to witness or take part in. Over the years, it has gained the attention of every culture in every part of the world. These days, thanks to Hollywood, it is instrumental in shaping the social culture by transforming the viewersââ¬â¢ opinions or swaying them one way or another. The idea that a film can have such an enormous impact on people can be difficult for some, however, this same impact canRead MoreHow Tiger Woods Affects the Game of Golf985 Words à |à 4 Pagesof all time. Due to his incredible playing on the course, his young age, and the endorsement deals he signed with major advertising companies, Tiger Woods fans place him on the best of the best list in professional sports. Society places an enormous amount of responsibilities on its champions or favorites. Sure, he is good on the course, but how well does he support society? What does he stand for, the public says. There is more to Tiger Woods than a good golf swing or how well he canRead More How Tiger Woods Affects the Game of Golf Essay examples966 Words à |à 4 Pagesgolfer of all time. Due to his incredible playing on the course, his young age, and the endorsement deals he signed with major advertising companies, Tiger Woodsââ¬â¢ fans place him on the ââ¬Å"best of the bestâ⬠list in professional sports. Society places an enormous amount of responsibilities on its champions or favorites. ââ¬Å" Sure, he is good on the course, but how well does he support society? What does he stand forâ⬠, the public says. There is more to Tiger Woods than a good golf swing or how well he can sayRead MoreEssay On Duke Ellington1506 Words à |à 7 Pagesnot actually Ellingtonââ¬â¢s name, but it is only his nickname, which children gave him when he was a little boy for his aristocratic manners and the ability to dress elegant things. When Duke was seven years old, he began his piano training and took lessons from Marietta Clinkscales. (Ruhlmann) Duke Ellington was an American jazz pianist, composer, and orchestra leader. He was more than just a musician, he was an artistic legend of his generation. In the summer of 1914, he wrote his first compositionRead MoreGeorge C. Marshall s Accomplishments1602 Words à |à 7 Pagesinsisted, however, that the meetings be held in Paris and that the Soviet Union be invited to participate. ââ" The great strength of the Communist Party in France meant that George Bidault had to consider its feelings and this stricture resolved the difficult question, for the Americans, of inviting the USSR / Russia and the eastern European nations under its control to join in the plan. Early advice from Gorge Kennan had convinced George Marshall and President Henry Truman that the Soviets would participateRead MoreThe Kings Speech By Colin Firth1992 Words à |à 8 Pagespersonal turbulent anxious battle to overcome his debilitating stammer that had plagued him for all of his adult life. As part of his duty as King, George VI would need to address the public with speeches in person and via radio, something that he found excruciatingly difficult and crippling to do due to his stammer. Throughout the movie, Colin Firth, the actor who depicts the future king, portrays the internal, physical, psychological and social hurdles people who stutter face daily. Many times duringRead MoreThe Day After Tomorrow And How It Portrays The Climate Changes1970 Words à |à 8 Pagesthe established theory that rising global temperatures could lead to abrupt cooling by disrupting the currents of the North Atlantic. The Day After Tomorrow was inspired by The Coming Global Superstorm, a book co-authored by Coast to Coast AM talk radio host Art Bell and Whitley Strieber.[2] Strieber also wrote the film s novelization. The Day After Tomorrow was co-written, directed and produced by Roland Emmerich. ââ¬Å"Director Emmerich has gone on record in recent interviews voicing his green leaningsRead MoreAnalysis Of Avengers : Age Of Ultron 1816 Words à |à 8 Pagesfour major US televisions in 1996, the official involved in radio and television broadcasting. In addition to ABC, 80% of the stocks of professional sports channel ESPN, and the program have more than 100 million viewers. As well as children s TV, the Disney Channel. The operating income from 2009, the radio and television sector accounted for 70% (The Walt Disney Company). The capital gain is not only from the high income of radio and television sector of the Disney Channel, but also collectingRead MoreWhat Is Creativity?3285 Words à |à 14 Pageshigher yield (Burns, 2005: 7). The American psychologist Ellis Paul Torrance suggested that creativity is ââ¬Å"the process of becoming sensitive to problems, deficiencies and gaps in knowledge, missing elements, disharmonies and so on, identifying the difficult, searching for solutions, making guesses or formulating hypothesis and possibly modifying and retesting them; and finally communicating the resultsâ⬠(Glover et al, 1989: 116). I believe that creativity as described by Torrance is one of the mainRead MoreFor Against by L.G. Alexander31987 Words à |à 128 Pagesprevent accidents 10 Parents are too permissive with their children nowadays II 12 Advertisers perform a useful service to the community Pop stars certainly earn their money 13 Vicious and dangerous sports should be banned by law 14 Transistor radios should be prohibited in public places 15 The only thing people are interested in today is earning more money 16 Compulsory military service should be abolished in all countries 17 Childhood is certainly not the happiest time of your life 18
Common Condition Affecting About Half a Million the Australians
Question: How Common Condition Affecting About Half A Million Australians? Answer: Introduction Heart failure(HF) is a common condition affecting about half a million Australians. It is associated with high morbidity and mortality, frequent hospitalization and massive cost to the health care system(Krum Driscoll,2013).Heart failure is a pathophysiological state in which an abnormality of the heart interferes with its ability to perform its normal blood pumping function.Hypertension, Diabetes, Hypercholesterolemia, Obesity and Coronary artery disease are some of the several factors contributing to heart failure (Fitchett, et al 2016).This paper closely examines treatment options and discusses priority aspects of clinical and nursing care of a patient with heart failure. Brief Patient History Mr.X(Pseudonym) is a 58 year old male who has been diagnosed with heart failure. The patient has past historyof hypertension, atrial fibrillation diabetes, obesity, sleep-apnea and hyperthyroidism. He is a social drinker and occasional smoker.He lost his parents to cardiac arrest and HF.He had been undergoing treatment with ACE(Angiotensin Converting Enzyme) inhibitors, Anti-platelets, Statinsand Diuretics in the ward . Rationale for the initial treatment The etiologyof HF most commonly is that of an ischemic event, primarily affecting the left ventricle causing loss of contractility and hence overtime, an excessive fluid overload in the body causing congestion in various organs. .The primary goal is to optimize cardiopulmonary function .Treatment was focused on treating Mr.Xs hypertension. He was treated with ACE inhibitors as his ejection fraction was 40%.Studies have shown that ACE inhibitors are vasodilators which help to control blood pressure and improve ventricular function and patients well-being. They can be inter changed with ARB(Angiotensin Receptor Blocker),if patient cannot tolerate ACEI(Lacey,2009).Mr.X was treated with diuretics (Spirinolactone) which is analdosterone receptor antagonist as he exhibited signs of pitting edema and dyspnea.These drugs help trigger the body to excrete excess sodium. This would in turn favor the healing process by lowering the volume of blood that the heart has to pump argues Valentova, and von Haehling, (2014). Close monitoring of renal function, electrolyte levels fluid balance and urine output are therefore needed(Riley,2015).Mr.Xwas advised to continue his regular dose of warfarin to keep his atrial fibrillation under control.Measures were taken to regularly check his blood sugars and administer medicationsin order to maintain tight glycemic control. Mr.X was advised about lifestyle modifications to control his weight and ways to relieve stress that contributed to the worsening of his condition. The units policy is to educate patients and the family or career about the patients medication, side effects including strict adherence to the medication and flexible diuretic regimen. Daily weight of the patient is done .Diet modification with less salt and fluid restriction, intake of lean meat and vegetables is encouraged with the advice from the dietician. Patients are involved in exercise programs with the assistance of physiotherapists. Common success rates of the initial treatment Cardiovascular disease (CVD) is the leading cause of morbidity and mortality for individuals. Adults with diabetes are 2 to 4 times more likely to have heart hypertension and dyslipidemia and they commonly coexist in people with it (Worel,2016).Studies have shown that vasodilators (ACE inhibitors or ARB) reverse maladaptive neurohumoral and hemodynamic responses in heart failure, they are well tolerated, improve signs and symptoms, and reduce mortality by 15 to 40% depending upon the degree of initial cardiac functional impairment . It was seen that in patients with EF(ejection fraction) 35%, the addition of spironolactone to a regime of ACE inhibitors and diuretics reduced morbidity by 35% and mortality by 30% at 24 months(PoppasRounds,2002). Warfarin should be reserved for patients with chronic heart failure and atrial fibrillation, although it is often prescribed (without supporting data) for patients with marked dilatation of their left atrium and/or ventricle because of concerns about an increased risk of thromboembolism(KrumDriscoll,2013). Among all therapies, increased success rates are found to be with changes in lifestyle measures, that have been found to be useful in supporting the patient. These include exercise (usually a graded exercise program, initially under the supervision of a physiotherapist or heart failure nurse), dietary salt restriction, alcohol restriction and weight loss in overweight patients. Patients should be encouraged to consume an adequate but restricted volume of fluid. This is particularly critical in patients who have low serum sodium levels, which is often seen in the setting of heart failure due to activation of neurohormones such as arginine vasopressin. Appropriate treatment of commonly associated conditions, such as hypertension, arrhythmia, sleep apnea, depression, anemia and iron deficiency, is also critical in the optimal management of patients with HF(Krum Driscoll,2013). Unpredicted response/ lack of response In the initial treatment, Mr.Xseemed non-compliant with the fluid restriction, use of his (Continuous Positive Airway Pressure)CPAP mask for sleep apnea and refused to immobilize despite several attempts and proper explanation by the medical team. Due to his low EF(40%),his vital signs remained unstable with his heart rate increasing between 160-180in uncontrolled atrial fibrillation(Stone, et al 2014)and patient repeatedly suffering from flashes of pulmonary edema. The nurses had also underestimated the sleep apnea condition and could not force with the application of CPAP oververnight(Stone, et al 2014).With all the existing co-morbidities and non-compliance of the patient to the treatment the patient deteriorated and had to be transferred to the intensive care unit (ICU)for further care. HF, irrespective of whether it has been detected on the basis of being actively treated (for example, during a hospital admission) or in otherwise asymptomatic individuals, is a lethal condition(McmurrayStewart,2000). Mosterd and Hoes(2007),state that patients in heart failure acutely present with worsening clinical symptoms like cardiogenic shock ,pulmonary edema , hypotension etc within 24 hours of hospital admission. Nursing care during this unpredicted response changed to prioritize and stabilize Mr.X. Assessments were done to check the patients hemodynamic status (BP, Pulse, Temp), objective measurement of dyspnea status (RR, oxygen saturation, work of breathing),ECG, check were done for jugular venous pressure,chest auscultation for breath sounds and for signs of pulmonary congestion(rales,rhonchi,pitting edema).Mr. X was given emotional support as he was anxious and social support was provided to his family during this situation. Reason and associated factors that influenced treatment HF is a leading cause of hospitalization among patients aged 65 years or older.The primary mode of death among HF patients is variable, according to New York Heart Association(NYHA) functional class. The NYHA classification is a useful way of categorizing the severity of heart failure in individual patients and this categorization also has prognostic utility. Patients with NYHA class II symptoms are at a proportionally higher risk of sudden cardiac death while those with NYHA class IV symptoms have a one-year mortality as high as 75% with a significantly higher risk of dying of progressive heart failure characterized by worsening shortness of breath, orthopnea, hypotension, and decreasing level of consciousness(Scarabelli etal,2015).Coronary artery disease may also play a role in the progression of heart failure through mechanisms such as endothelial dysfunction, ischemia, and infarction. Studies show that patients with anemia have known to deteriorate due to further neurohormonal ac tivation(Dumitru etal,2016) and sleep apnea contributing to ventricular arrhythmias.These are some of the groups of patients with these co-morbidities who may not respond to the initial treatment. As in the case of Mr.X, he had most of the conditions as mentioned above like atrial fibrillation ,diabetes,sleep apnea, hypertension and obesity and his non-compliance with the therapeutic regimen which contributed to influence his response to treatment in slow progression. The development of episodes of acute pulmonary edema and tachycardia made his condition critical. Mann, et al (2014) suggests that the medications administered to the patient has always been important and plays a key role in the treatment of HF. There are no identified cases of people who did not respondto medications such as the ACE inhibitors ,ARB or to aldosterone antagonists. As a matter of fact, these interventions have always beenthe common success for this condition.Some of the reasons and associated factors that may be identified in respect to this case may be the dilemma of the health practitioners in identifying the stage of failure and the exact treatment for the patient. Subsequent treatment following the unsuccessful response Mr.X was intubated for 3 days after which he was extubated and transferred to the Coronary Care Unit for the insertion of an Implantable Cardioverter Defibrillator(ICD).During his stay in the ICU, he was started on inotropes for his hypotension, and his anti-hypertensives were held during this time. He was on regular diuretics which prevent the retention of salt and water thus reducing preload .Anti-platelets such as Warfarin was continued to prevent the risk of thromboembolism along with regular checks onMr.Xs international normalized ratios( INR).Beta blockers were introduced in order to control his heart rate. Special care was taken to check his electrolytes regularly. Mr.X showed a positive response to the treatment and was given strict advice on the use of CPAP machine for his sleep apnea. The frequent periods of hypoxia and repeated nighttime arousals due to sleep apnea rigger adrenergic surges, which can worsen hypertension and impair systolic and diastolic function (Ramani et al,2010). He was involved in a weight control program and educated on healthy food habits and regular exercise. His family was involved in his care. He was educated about his medications ,to regularly check his blood pressure and to attend the follow-up visits. The Nurse is an important member in the multi-disciplinary team.Coordination of care in this manner can reduce the need for hospitalization for heart failure and can result in improvement in quality of life for patients.Additional strategies which appear to be effective include the utilization of nurse practitioners who may follow up patients in their own home, following an episode of decompensated heart failure(Gillespie,2006). Subsequent treatment and nursing implications The alternate treatment is included in the units policy however on very strict conditions that it can only be done on patients who are in the intensive care unit. However, as observed from the case of Mr. X, it is clear that the alternate treatment which includes emotional support needs to be included in the units policy in order to take care of such exceptional cases. Some of the nursing implications that may result from this treatment include loss of water and important mineral salts through the use of diuretics. In conclusion, it is clear to suggest that surgical operations are essential in the treatment of heart failure which has complicated condition that is caused by secondary infections such as arterial fibrillation and sleep apnea. Amongst the many operations involved, heart transplant remains the last effective option of controlling the infection. The initial treatment however remains medication mainly the use of ACE tablets, catheter ablation and use of BPAP. However for patients who do not respond to this treatment, surgical operations involving heart reconstruction and heart transplant then becomes the second operation for such patients (Yancy, et al 2013). References Diabetes: New Evidence Informs Changes In Standards Of Care,Vol 31(3), pp:196-200 itruI ,Ooi ,Baker MM,(2016),Heart failure treatment and management,Heart.org ,Accessed on 20April 2017,https://emedicine.medscape.com/article/163062-overview. Fitchett, D., Zinman, B., Wanner, C., Lachin, J. M., Hantel, S., Salsali, A., ... Inzucchi, S. E. (2016). Heart failure outcomes with empagliflozin in patients with type 2 diabetes at high cardiovascular risk: results of the EMPA-REG OUTCOME trial.European heart journal,37(19), 1526-1534. Gillespie ND,(2006), The diagnosis and management of chronic heart failure in the older patient, Br Med Bull, 75-76(1), pp:49-62. Krum H, Driscoll A,(2013), Management of heart failure, Med J Aust, vol199(5) ,pp:334-339 Lacey B, (2009), Nursing made incredibly easy ,Vol 7 ,pp:12-21. Mann, D. L., Zipes, D. P., Libby, P., Bonow, R. O. (2014).Braunwald's heart disease: a textbook of cardiovascular medicine. Elsevier Health Sciences. McMurray JJ, Stewart S, (2000),Epidemiology, Etiology Prognosis of Heart Failure, BMJ, Vol 83,(5), pp:596-600. Mosterd A, Hoes AW,(2007),Clinical epidemiology of heart failure, BMJ, Vol193(9), pp:1137-1146. Poppas A, Rounds S, (2002),Congestive heart failure,AJRCCM, Vol 165(1),pp:35-40. Ramani VG, Uber PA, Mehra MR, (2010), Chronic heart failure :Contemporary diagnosis and management, PMC ,Vol85(2), pp:180-195. Riley J, (2015), The key roles for the nurse in Acute Heart Failure Management, CFR, Vol(1),pp:20-25. Scarabelli CC,Saravolatz L, Hirish B,Agrawal P,Scarabelli TM,2015, Dilemmas in end stage heart failure, Journal of Geriatric Cardiology,Vol12(1),pp:37-65. Stone, N. J., Robinson, J. G., Lichtenstein, A. H., Merz, C. N. B., Blum, C. B., Eckel, R. H., ... McBride, P. (2014). 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults.Circulation,129(25 suppl 2), S1-S45. Valentova, M., von Haehling, S. (2014). An overview of recent developments in the treatment of heart failure: update from the ESC Congress 2013. Worel JN, Hayman ,Laura LL, ( 2016 Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, E., Drazner, M. H., ... Johnson, M. R. (2013). 2013 ACCF/AHA guideline for the management of heart failure.CirculationCIR-0b013e31829e8776. Yared, N., Georgakopoulos, D., Lovett, E. G. (2013).U.S. Patent No. 8,600,511. Washington, DC: U.S. Patent and Trademark Office.
Tuesday, May 5, 2020
Commentary On Brave New World Essay Example For Students
Commentary On Brave New World Essay In chapters four through six of brave new world Christianity is shown to be unnecessary. â⬠People,â⬠as Birnbaum states, ââ¬Å"are never taught religion, and are conditioned so theyââ¬â¢ll never be alone and think about the possibility of God? â⬠(3). The creation of a religion is almost similar to an act of artistic expression; as it requires an enormous amount of emotion and individual belief. With an idea of a higher being and consequently an idea of a more important aspect of life than just remaining stable would be detrimental to the utopian orld. Instead of pondering an afterlife, the citizens remain true to their society which is shown when a character states, ââ¬Å"Fine to think we can go on being socially useful even after weââ¬â¢re dead,â⬠(49). In chapters seven through ten Emotions are thus controlled in Brave New World. Control and stability can best be achieved when everyone is happy. The government does its best to eliminate any painful emotion, which means every deep feeling, every passion, is gone. Huxley shows that the government recognizes the dangers of egative emotions when the controller states, ââ¬Å"Actual happiness always looks pretty squalid in comparison with the over-compensations for miseryâ⬠(150). In chapters fifteen through eighteen the society in Brave New World lacks of spirituality and Christianity. The pleasure-seeking society pursues no spiritual experiences or joys, preferring carnal ones. The lack of a religion that seeks a true transcendental understanding helps ensure that the masses of people, upper and lower classes have no reason to rebel. What religious ritual they have begins as an attempt to reach a higher level of understanding as a community but quickly turns into a chance to please the carnal nature of man through orgiastic ritual. This denies the human soul, which is usually searching for a pleasure not experienced in the flesh but in the mind, and preserves the society based on happiness which they have established. In chapters fifteen through eighteen John, the Savage, has no other choice than to commit suicide. It is of course a sin, but John either doesnââ¬â¢t know that since heââ¬â¢s had no real formal religious instruction, or he knows it and chooses to take his life anyway. He has no place in the society he lives in which is based on pleasure and happiness. The society in which he grew up was a traditional society with fundamentally different values, including the idea of sacrifice. One would like to see John return to his home on the reservation, but even there he was an outcast because of his illegitamate birth and his motherââ¬â¢s loose morals, so this is Impossible.
Friday, April 17, 2020
King free essay sample
Answers: a Mrs. Whittaker talking about Charlie and Betty; b Wilma Patterson talking about Mrs. Whittaker and Nat; c Nat talking about Tom Whitaker; d Nat talking about Tom Whittaker to Charlie; e Jackie and Nat talking about Annie; f Tom writing to Annie about Jackie; g Nat talking to Jackie about Charlie and Betty; h Betty, Charlie and Jackie talking about Nat. 7. Tell students that Nat Marble is the private investigator dealing with the Whittaker case. Ask them what they know about private investigators. What do they do? How do they behave? Ask if they have read any novels (e. G. By Raymond Chandler) r Seen any films or TV series (e. . Philip Marrow, Mike Hammer). Put them in pairs to make lists of the characteristics of these private investigators and anything else they know about them. 8. Ask students to read the quotations about Nat Marble in Extracts 3 and decide (a) how close what he says and does is to their own ideas of a private investigator, and (b) what sort of person he seems to be. We will write a custom essay sample on King or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Answers: (a) open (b) poor (I. E. He has no air conditioning, uses public transportation), untidy, lives alone, eats badly, usually dresses badly, doesnt use taxis, has contacts for information, he Ares about people / has a social conscience.Based on what they have learned about Nat Marbles character and actions in the story, ask students to write a feature on him for the Daily News. 5. Ask them which people they think might be connected to the places described. Cambridge English Readers O Cambridge University Press 2009 www. Cambridge. Org/let/readers PHOTOCOPIED bevel 4 Summary of Chapters 1-?4 Characters High Life, Low Life starts when Nat Marble, a private investigator, saves a homeless woman called Annie Clayton, when she has a heart attack in the street.He as known Annie for some time and when he visits her in hospital she says she wants him to find her son Jackie whom she hasnt seen for twenty years, and to bring her a lawyer so that she can write her will. Nat Marble: New York private investigator The story of Nat helping Annie appears in the paper, along with his photograph, and after that he receives a letter from Mrs. Joanna Whittaker the rich widow of Tom Whittaker, an airplane magnate. She has decided to make her will out in Gnats favor because he looks like her dead husband, and she is estranged from her own children, Charlie and Betty. Wilma Patterson: a lawyer Extracts 1 d Mrs. Joanna Whittaker: a rich widow Charlie Whittaker: Mrs.. Whittaker son Betty Osborne: Mrs. Whittaker daughter Jackie Robinson Clayton: Annie Claytons son Tom Whittaker: Mrs. Whittaker dead aircraft magnate husband Ernest Washman: criminal, pretending he owns a taxi business Extracts 2 W?eve lived on the streets, Leona said. l can tell you, its safer underground. Everyone knows each other here. If a stranger comes, we know about it. The subway workers know us. They leave us alone. Leona started moving piles of black plastic bags.Underneath was an old metal box with a lock. Looked around the room which was full of beautiful asses furniture. Nothing had been changed for years and felt like I was in an old Hollywood movie. The guy behind the desk looked as if he hadnt slept, washed or shaved for days. He smelled even worse than me. He lit a cigarette then coughed for a full fifteen seconds. Finally he was able to speak. The Chelsea Arms hotel had seen better days. Now it just looked like any other cheap hotel. The floor was dirty white Stone in the lobby. A guy was working on the computer, behind the window at the reception desk.There was another big guy sitting at a table opposite the reception desk. He was obviously there in case of any trouble. Inside the elevator, it was all dark wood, thick carpets and mirrors. If this was just the elevator, imagine what the apartments were like. Annie Clayton: a homeless woman Do you have any family? asked Stella. A son and a daughter. They dont live in the city. Id like to see more of them. Especially the grandchildren, but She wants it all [her money] to go to you. She read about you in the papers. Says you remind her of her late husband Says she couldnt think of a utter person to leave everything to. De went on to tell me that [the man] worked hard and played hard. Even after he was married he played around with other women. It wasnt a happy marriage . l hope appearance is the only thing I share with your father So moms been on the street all this time? he asked. Ever since she last saw you in a cell, I said. I can never be a real father to the child. Heres some money to help with food and clothes. And something for the future. Keep these stock certificates. One day they might be worth a lot of money. And thats not all Youve got family.A halfhearted and half-sister upstate. They live h Finally, wed all like to say a special thank you to the man whose hard work made this all possible. Without him, we might never have met. Extracts 3 b After leaving the NYPD, I became a private investigator. Although dont make that much money, Im my own boss and I dont have to take orders from anybody. I prefer it that way. Most offices in the building had their own air conditioning. Mine didnt, so it was hot and uncomfortable. New York private investigators dont normally use public transportation. But Im different. GFor once, I looked smart. Had put on a clean shirt and my good jacket, which was just back from the cleaners. Left and took the number seven train home to Queens. Couldnt eat much Of the takeout meal got from the diner down the block. Wandered over to McFadden Bar on Second Avenue. The usual crowd of Daily News reporters was there I needed information and knew just the guy who could help -? De Winchester. Felt both sad and angry as I put down the phone. Sad for the people who had to live out their lives on the streets. Angry about the society that put them on the streets.
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