Are you ready for the Big Data Coursework Example | Topics and Well Written Essays - 750 words

Are you ready for the Big Data - Coursework Example The competitor company had used this ability to carry out myriad of experiments in the real world giving it a competitive advantage. The main point the authors put across is that big data collection is the game changer in the 21st century corporate world. Big data has the potential to revolutionalize the management practices. The authors pose a challenge to the companies to decide whether they are ready to exploit the potential of big data and to manage the threats it could pose effectively. The rest of the article explores the important ways in which big data could transform the competition in the corporate world, alter the corporate ecosystems and improve innovation. One of the major elements of organization development is effective communication across all organizational sectors and also extending to external stakeholders such as the suppliers. This article lays emphasis on the importance of sharing data across the different lines of business such as finance, management, productio n and sales and marketing. It further calls for integration of the organizations data system with suppliers, data systems in order to accrue benefits such as instant stock replenishment and real-time price adjustment. It argues that the tendency of many companies to accumulate huge volumes of data in their silos and other forms of information hoarding impedes timely exploitation of this data. This is not in line with essentials for organization development. Organizations need to open these data enclaves and integrate data from various systems.

Pros and Cons of Cloud Computing Essay Example for Free

Pros and Cons of Cloud Computing Essay With the unprecedented growth and spread of information, there is no wonder why large Information Technology companies have been investing in the â€Å"cloud†. To expand, when referring to Cloud Computing, this means to access and store information not stored with in your computer whether it be public, private, or hybrid cloud computing. In technological terms, the server you are accessing is somewhere else and therefore, the information and tools you are using are â€Å"up in the clouds† but more so stored in another server space. However, whether you are paying for services through software, total usage, or free usage (hence the types of cloud services) Cloud Computing seems to be everywhere. Yet, it is important to recognize what is to gain by using cloud computing from big businesses to individual users and what are some risky moves when utilizing cloud storage over the Internet. Hence, the content of this paper will discuss the pros and cons of cloud computing and where cloud computing is headed in todays online society. Discussion: Moving forward, large companies use private cloud computing on the grounds that it is far more affordable to store and run programs in a server space designed for processing, saving and running information applications and so on. The biggest noticeable advantages in cloud computing have to be the ease of running programs with out installing any new applications (since the provider installs it for you in their cloud), and payment depends on membership, and which billing method you chose; for example, monitored payment or a flat rate (Mitchell). However, there are competing companies such as Google Apps Marketplace, Windows Azure, Amazon Web Services, Success Factors, and so on, that make cloud computing affordable on different user levels. These levels range from individual interest to larger company interests. For example, a company may need thousands of gigabytes worth of storage while I may need a few gigabytes of storage. So when paying for space I will be able to only buy what I need. Additionally, using the cloud allows a user greater mobility since an individual with an account can access the cloud from any computing device (laptop, desktop, tablet, or phone) that has available Internet access. More importantly, it’s easier for multiple users to access the same document and not overload the system and backs up data without someone having to worry about the location. Therefore, utilizing a third-party system server, Cloud Computing perks offer cheaper, reliable storage and retrieval of information. Figure [ 1 ] Although Cloud Computing sounds like a convenient service for businesses and users to take advantage of, there are downsides for paying or using cloud servers. Instances include, system shut downs for maintenance, access of data after canceling a membership, and more importantly privacy. Yet, a simple downside would be â€Å"What if someone uploads data into the cloud server and suddenly loses Internet connection?† The answer would be lost time and an incomplete data upload, not to mention the hassle of finding Internet connection again to access the cloud’s server only to attempt to upload the same work once more. On the other hand, looking back at the 2011 Google Docs incident, when an outage delayed user interaction for an hour starting in the UK and then reached the US (McCaney). Many organizations and people couldn’t access or exchange files via the cloud. So accidents happen, and although people lost out on time and information sharing, no files were reportedly lost. Even so, accidents including shutdown to outages, are rare natural occurrences, yet, inevitable for the current time. Not only are there outages to worry for also, according to Hamad Subani, he asserts that â€Å"Since most of the major Cloud Computing servers are operated by companies based in the United States, data you put on your Cloud is subject to American law.†   Which is also true since authorities only need to file a subpoena to get the information, yet, once information is shared warrants are needed and such (Subani). Hence, privacy is compromised, but to an extent. If someone is engaging in illegal file transfers on a cloud server, it already violates the consumer to provider contract; therefore a person is better off keeping their illegal activities to themselves. Other than that, cloud computing is relatively safe. | Cloud Computing Simplified| Pros| Cheap services, reliable, extra storage space, no worry about the server location| Cons| No privacy, and you must have internet access, maintenance. | After going through the pros and cons of cloud computing, it is necessary to analyze where such services are headed in the near to distant future. According to Brian Donaghy,   Ã¢â‚¬Å"Market Research Media says the cloud market will reach $270 billion in 2012 and Gartner predicts it will be over the $148 billion mark by 2014, much greater than Forrester’s forecast of over $118 billion for the same year.† Without a doubt, cloud computing will continue to rake in the profits since increasing needs for IT services are inflating the cloud’s development. In perspective, social networks (like YouTube or Skype) outsource their work to cloud services to help store user data. More so, it seems as if digital life is linked to the storage systems of cloud servers. Think about it, with out a back up storage in the cloud, there wouldn’t be a free YouTube, Tumbler, and blogging would essentially be news posts by big businesses. Cloud computing will continue to advance in ways that further accommodates all online users. About the only disadvantage of this are those with out Internet connection, the people left out of the Internet community. However, for the time being, cloud computing’s growth in the United States and American websites using cloud resources, prove to be helpful in the spreading of information from social to private perspectives of data usage. Conclusion: Hence, it is evident that cloud computing will be growing exponentially so long as the Information Technology sector continues to be in high demand. Therefore it is up to the consumers individual needs to decide if cloud computing would help them keep tabs with their data usage online or if using their own memory on their computer is a better decision. On the other end, companies should use Cloud Computing servers as a cheaper form of Information Technology management. Especially since investing in a mainframe computer would be far more costly than having some other company do all the work for you for a smaller fee. Therefore, cloud computing will definitely be a primary factor in the growth and facilitation of online data usage and continue to revolutionize modern technology. Bibliography Bauer, Eric and Randee Adams. The Reliability and Availability of Cloud Computing. Hoboken: Wiley, 2012. Donaghy, Brian. Where is Cloud Computing Headed in 2013? 8 November 2012. 1 February 2013 http://www.wired.com/insights/2012/11/where-is-cloud-computing-headed-in-2013/. McCaney, Kevin. Google, Microsoft cloud crashes: Is this the new normal? 12 September 2011. 15 February 2013 http://gcn.com/articles/2011/09/12/google-microsoft-cloud-outages.aspx. Mitchell, Bradley. What is Cloud Computing. 2013. 15 February 2013 http://compnetworking.about.com/od/internetaccessbestuses/f/cloud-computing.htm. Mururgesan, San. Cloud Computing: The New Normal? January 2013. IEEE Xplore (digital library). 1 February 2013. Subani, Hamad. Ten Reasons Why Cloud Computing is a Bad Idea. 2 June 2009. 14 February 2013 http://www.techtangerine.com/2009/06/02/ten-reasons-why-cloud-computing-is-a-bad-idea/. Weinman, Joe. Cloudonomics: the business value of cloud computing. 4 September 2012. WorldCat (databas e engine). 1 February 2013.

Sustainable Energy Sources Essay -- Environmental Energy Solar Power E

Sustainable Energy Sources Energy is life. Life on this planet depends upon a fixed amount of energy. The modern industrialized energy sources such as coal and petroleum were originally utilized for their seeming promiscuity and high energies yielded per unit volume. The world has now become painfully aware of how finite petroleum reserves are, not to mention the political complications associated with being dependent upon foreign countries for an energy supply. To add insult to injury, the limitedness of petroleum resources is not the most pressing problem, their polluting byproducts are. The enormous amounts of byproduct waste that finds its way into our environment is having effects which even the most renowned of experts cannot determine in magnitude. Speaking from an economic standpoint, petroleum will soon become more expensive to find and utilize than reasonable alternatives, raising it’s costs far above it’s benefits. Some could already make the point that the social and environmental cos ts never were weighed appropriately into the cost/benefit analysis of petroleum and that the benefits associated with petroleum combustion have rarely or never outweighed it’s costs. This point will gain a painful clarity in the years to come if the predictions of some meteorologists come true and the effects of global warming are felt. For years developing societies have been taking enormous amounts of potential energy locked within pressurized biomass that took millions of years to store in the Earth’s crust and releasing it into today’s world. The Earth is a relatively closed system and the enormous release of spent energy and its polluting byproducts will have untold effects upon societies for generations to come. The most brazen ... ...echreview/www/articles/july95/Smith.html) Absorbers, Their Coating and Performance, The World Directory of RENEWABLE ENERGY Suppliers and Services, 1996 Solar Glass and It's Transmissivity The World Directory of RENEWABLE ENERGY Suppliers and Services, 1996 Overview of Solar Water Heating in the Caribbean, Griffin R. Carrison , REIA '94 Conference (http://www.solarenergy.net/tsen/database/griff.html) Institute of Space and Astronautical Science Solar Power Satellite Working Group, 1997 (http://www.reston.com/nasa/solar.sats.html) Chemistry 4th Edition, Steven S. Zumdahl, 1997, Houghton Mifflin Company, New York http://www.eren.doe.gov (U.S. Department of Energy) http://www.solarenergy.net/ (Solar Energy Network) http://www.hawaii.gov/dbedt/ert/ert_hmpg.html (State of Hawaii, Department of Business, Economic Development, and Tourism)

Anschluss

Anschluss – A Summary What was Anschluss? The Treaty of Versailles was created in 1919 designating all the new laws being enforced on Europe after WWI. Anschluss was one of these; it forbade Germany from making a political union with Austria. Due to this law Hitler had to find a way of making it seem as though Austria wanted the union. Hitler’s plan: He was boosted by his successes in 1936/1937 and now felt that Austria and Germany should become one German-speaking country. Austria felt the same due to its economic instability.The Nazi party was strong in Austria and Hitler encouraged his party to wreak havoc in Austria through demonstrations and riots. Hitler used this problem as an excuse to bully the Chancellor of Austria, Kurt Schuschnigg, into an agreement. Schuschnigg rebelled by turning the choice of a union to the public through a referendum. Hitler worried that he would not withstand this vote so he used force. His army was brought in as a persuasive element. C onsequently, 99. 75% of the Austrians voted for a union. Hitler had succeeded.This union had been allowed without the interference of either Britain or France. The British Chamberlain actually felt that the TOV was wrong to have disconnected Austria and Germany. Furthermore, Britain’s Lord Halifax had even suggested to Hitler that there would be no protest towards Anschluss on Britain’s part. Consequently, this meant that all of Austria’s wealth would add to Germany’s already expanding empire, through the form of weapons, soldiers, gold and iron. â€Å"The Nazi’s were creeping in like maggots into a dying animal. †

Hamlet Soliloquy Act 4 Scene 4

How all occasions do inform against me,/ And spur my dull revenge! What is a man/ If his chief good and market of his time/ Be but to sleep and feed? A beast, no more. / Sure, he that made us with such large discourse,/ Looking before and after, gave us not/ That capability and godlike reason/ To fust in us unused. Now, whether it be/ Bestial oblivion, or some craven scruple / Of thinking too precisely on th' event—/ A thought which, quartered, hath but one part wisdom/ And ever three parts coward—I do not know/ Why yet I live to say â€Å"This thing’s to do,†/ Sith I have cause and will and strength and means/ To do ’t.Examples gross as earth exhort me. / Witness this army of such mass and charge/ Led by a delicate and tender prince,/ Whose spirit with divine ambition puffed/ Makes mouths at the invisible event,/ Exposing what is mortal and unsure/ To all that fortune, death, and danger dare,/ Even for an eggshell. Rightly to be great/ Is not to st ir without great argument,/ But greatly to find quarrel in a straw/ When honor’s at the stake.How stand I then,/ That have a father killed, a mother stained,/ Excitements of my reason and my blood,/ And let all sleep—while, to my shame, I see/ The imminent death of twenty thousand men,/ That for a fantasy and trick of fame/ Go to their graves like beds, fight for a plot/ Whereon the numbers cannot try the cause,/ Which is not tomb enough and continent/ To hide the slain? Oh, from this time forth,/ My thoughts be bloody, or be nothing worth! (IV. iv. 4-68) After everyone exits leaving Hamlet along with the audience, his true emotions and thoughts comes pouring out. Hamlet is saying how his view of the world points out that all of his actions are wrong and a constant reminder of his inability to complete his revenge for his father’s murder by his uncle. Then points out that a man that only sleep and eat is nothing more than an anime but rather a man is meant explo it all of their senses and utilize for more meaningful pursuits than rather simply to survive.God did not give humans the ability to comprehend so they can ponder about the past and future and that those that are not used, the ability will slowly disappear. Also Hamlet reveals his thought of how he is alive when the deed he set out to accomplish is not completed even with all the desire and strength he has to accomplish the deed of avenging his father’s death. Another point that is revealed is Hamlet’s perspective on how an army goes to war over a worthless piece of land and make a mockery of the battles over that land.Then the soliloquy reaches its climax, Hamlet gives respect to the soldiers that are willing to sacrifice their life in battle for their kings honor and the honor of their land yet Hamlet has not taken action for his own personal honor regarding his father, his mother, and the state of Denmark where he is the known prince. At the end, Hamlet vows to thin k about nothing but his violent and bloody revenge for his father’s death against his uncle, Claudius and that any thoughts that is not violent is not worth thinking about.

Reconstruction of the United States after the Civil War essays

Reconstruction of the United States after the Civil War essays The Emancipation Proclamation in 1863 freed African Americans in rebel states, and after the Civil War, the Thirteenth Amendment emancipated all U.S. slaves wherever they were. As a result of this free African Americans faced the problem of hostile whites around them preventing them to prosper. Despite the defeat of the Confederacy the nation was still unprepared to deal with the question of full citizenship for its newly freed black population. The Reconstruction was the time after the Civil War (1865-1877) when the United States was reorganizing the southern states and providing the means to accepting them back to the Union. Also to define how whites and blacks could live together, peacefully. These two major problems were placed on the weight of the soldiers of Andrew Johnson. Johnson became president after Abraham Lincoln. He was born in to a poor family, so he taught himself how to read and married a wife who taught him how to write. Before his presidency, he was the only senator from a confederate state to remain loyal to the Union. He hated wealthy slave owners. Before Abraham Lincolns assassination, he made it clear that he wanted a lenient Reconstruction plan. In December 1863, he announced his Proclamation of Amnesty which is also known as the Ten-Percent Plan. Lincoln's Reconstruction plan was designed to make an easy, peaceful reentry of the former Confederate states into the Union. Lincoln's policy was to forgive the South, rather than to punish them. Lincoln's Ten-Percent Plan allowed the former Confederate states to rejoin the Union when ten percent of the voters declared their loyalty to the Union. Lincoln's plan would let white southerners control the reconstruction process. Under this plan, Arkansas, Louisiana, Tennessee, and Virginia came back to the Union. Lincoln wanted to let plantation owners keep their property, rather than divide up plantation property and give the land to former slaves. Lincoln's p...

Loss, Grief and Unhappiness

Loss, Grief and Unhappiness Loss, Grief and Unhappiness Loss, Grief and Unhappiness Grief is the deepest pain an individual has to deal with after a loss. When a beloved one vanishes grief sets in, and the life became a complete unhappiness. Mourning is a natural way of expressing grief it is the simplest form of grief management that a human has mastered over time to a substantial extent. In all parts of the world the surroundings of people play a crucial role in grief management. Analyzing the Bharati Mukherjee story Management of Grief this paper gives a brief examination of the three elements: loss, grief and unhappiness. Bharati Mukherjee’s ability to illustrate the life of a group of people in an effective manner, with a number of disturbing concerns as a result of their harsh realities, is commonly perceptive. Shaila’s experienced the demise of her beloved partner. There was the reflection to manage her grief. The pressure from her family to get marry one more time was based on the traditions of the Indian culture. However, being a part of another culture, with its new ideas and practices, Shaila faced a number challenges and circumstances (Mukherjee 1999). To conclude, the traditional way of living determines to a significant extent, how people will cope with their sorrow. However, nowadays the existence of new ideas and solutions affects people’s choices and decisions made towards grieving. It is also a noteworthy observation that when a person grieves, other people play an enormous role. Loss causes grief which brings unhappiness and sorrow. Mukherjee manages to expose these harsh realities in his work The management of Grief. live CHAT

The Connection Between Time and Temper

The Connection Between Time and Temper The Connection Between Time and Temper The Connection Between Time and Temper By Mark Nichol The Latin noun tempus, meaning â€Å"season† or â€Å"time,† is the source of time and other words pertaining to chronological measurement, but it is also the origin of terms associated with literal and figurative measurement in general as well as some that have related meanings, as detailed in this post. Tempus is borrowed directly into English only in the phrase â€Å"tempus fugit,† an abridgement of a quotation from the Roman philosopher Virgil; it translates to â€Å"Time flies,† commenting on ephemerality or expressing impatience. Tempo comes directly from Italian and refers in English to the speed at which music is performed or to the rate of any rhythmic activity. Temporary means â€Å"lasting only for a time† and has developed into a noun referring to someone hired temporarily; this usage is often abbreviated to temp. Contemporary, meaning â€Å"characteristic of the present† or â€Å"modern,† literally means â€Å"with time.† Extempore (literally, â€Å"out of time† and pronounced â€Å"extempory†), formally means â€Å"without preparation or time to prepare† but has the additional connotation of â€Å"spontaneously.† It serves primarily as an adverb but can also be used as an adjective or a noun, although extemporaneous is the preferable adjectival form. To temporize, meanwhile, is literally to conform to the time by adopting to an established opinion, or to draw out discussion or negotiation to gain time, while temporal refers to that which pertains to time, not space, to measurable time as opposed to eternity, or to secular rather than sacred matters, or pertains to a specific time or to the sequence of time. A contretemps- the word is borrowed from the French term contre-temps (literally, â€Å"against time†)- originally described an error in fencing, from the notion of poor timing, and now refers to an argument or an embarrassment. Tense, referring to the form of a verb showing time, comes from the Old French word tens, which derives from tempus. (The sense of tense that means â€Å"strained† or â€Å"rigid† is unrelated; it is akin to thin.) The noun temper, meaning â€Å"composure,† â€Å"disposition,† or â€Å"passion,† as well as â€Å"courage† or â€Å"tone† (as in â€Å"the temper of the times†), or pertaining to the state of a substance, such as the feel of leather or the resilience of steel- and the verb temper, meaning â€Å"moderate,† or â€Å"attune† or â€Å"toughen†- is derived from the Latin verb temperare, meaning â€Å"moderate,† which is likely related to the original sense of tempus, which may be â€Å"stretch.† The Latin verb is also the source of temperature, which pertains both literally to relative heat or cold or figuratively to mood or emotional heat. (To say that someone is â€Å"running a temperature† means that the person’s body heat is abnormally warm.) The sense of temple that pertains to the area to either side of the forehead derives from the â€Å"stretch† sense of tempus, but the meaning â€Å"sacred building† is unrelated. Tempest, meaning â€Å"storm,† is from the â€Å"season† sense of the Latin term, as is the adjective tempestuous, which describes not only a literal storm but also turbulent behavior or a stormy relationship. The idiom â€Å"tempest in a teapot† refers to an event treated out of proportion to its (in)significance. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:20 Great Opening Lines to Inspire the Start of Your StoryAwoken or Awakened?The 7 Types of Possessive Case

Communication, Writing and Professional Practice Essay - 1

Communication, Writing and Professional Practice - Essay Example Most employees are students or other less skilled workers. These workers come from a diverse background, and mostly belong to different age groups, gender and races. The jobs that the employees of a supermarket generally perform, ranges from manual work, such as stocking shelves to management duties. A part of the on-floor employees work description is that they have to help the customer locate what they desire and provide them product information if required. Another form of on-floor activity is performed by the cashiers who man the POS. Apart from the shop floor, most supermarkets have at least one manager present at the store at all times. These are usually college graduates with experience and their job description involves keeping inventory controls to other management related issues. Rest of the work team at a supermarket consist of the office workers, the clerks, secretaries and the accountants. From the order filler to the stocker to the on-floor supervisor, how does the communication occur? And what are the rules and norm patterning that communication? As in all other organizations and businesses, effective workplace communication is among the most important factors that determine the success of a supermarket. Deal and Kennedy (1982, Cited in Gilsdorf, 1998) talk in their book about how a strong corporate culture, effective communication and cost saving are linked together. They say that by knowing exactly what their organization expects of them, employees will waste very little time trying to decide how to act in a particular situation. We can conclude from the above statement that people who know the ropes of their organization; those who know the rules are generally more effective in the work that they perform. The term rule here is used to denote the assumptions organizational members make about the right way to communicate in given situations in their particular organization (Gilsdorf, 1998). In her paper,

Commerce as the Transfer of Goods and Services Coursework

Commerce as the Transfer of Goods and Services - Coursework Example The arena for making agreements prior to sealing of a transaction varies. The buyer and seller may meet face to face, they can communicate through the telephone or they can do that through the web commonly known as the interment. When such agreements are reached over the internet followed by the transaction getting sealed (buyer gets commodities bought delivered to him and the seller gets paid by the buyer), then this is termed as e-commerce or e-business. Just like in any business, there have been instances of fraud in e-commerce. If one is able to commit fraud when the transaction is conducted face to face, how much more is this possible when business is conducted over the web Most businessmen have been defrauded and buyers conned. This led to the need for beefing up security as far as e-commerce is concerned. The security function in the websites belonging to buyers has been the very essence of doing business. One needs to verify the validity of the seller and the buyer needs to pay beforehand. Even though the amount of security has increased in the recent years, the hackers keep on being creative by the day thus also requiring innovation as far as the security function of e-commerce is concerned. E-commerce is picking up as a popular way of doing business not only on the retail section but also the banking section. It entails doing business over the web in which the seller and the buyer are both connected via a web browser. Since anything that deals with the computer and the web to be precise is prone to hacking, spying, sabotage etc, it is important that a security component is emphasized when using the web. This security function becomes mandatory when using the web for business. However, the security needs to be upheld to a given degree which is of dual function in that it doesn't impede on the efficiency of transactions and still it doesn't leave obvious holes to the hackers' advantage. The seller's website needs to be well protected and secure against fraudsters and hackers but at the same time, the security components should not suffocate the website to a level that the efficiency of business transactions is impeded on. The buyer has the obligation to identify his/her s ecurity objectives: there is need to know what it is that the seller needs to protect and what should be left open with considerable trust to enhance business transactions. As much as some reasonable degree of trust is necessary for conducting business but too much trust is dangerous to the wellbeing of the very business that you fight to enhance through trust. Therefore, once the seller has identified what to protect and what not to, he has successfully defined his security objectives and this help does create a security policy which must be implemented.  

Video games Essay Example | Topics and Well Written Essays - 250 words - 1

Video games - Essay Example Video games such as dress up games allow individuals to test various clothing mixes on visual characteristics and this helps users in identifying what mix of clothes look good. Video games such as dating games allow users to identify behaviors that may attract another individual or may turn them off. This enables individuals in identifying behaviors that are socially acceptable. There are various differences in the games that target children and those that target adults. According to Balter children belonging to classes between 4th and 8th grade prefer playing video games that are more violent in nature and these games mostly include characters that are mythical in nature or contain plots based on human based violence (Balter, 2000). On the other hand adults play video games that are more strategy based and linked with their work. These games may include stock market video games as well as games that help adults in creating strategies for attracting

Project Management Managing Projects Assignment

Project Management Managing Projects - Assignment Example This relation is shown in the Network diagram by two rectangles "a" and "b" joined by a directed line going from "a" to "b". This helps the user in tracing all tasks on which a particular task is dependent and in tracing all the tasks which depend on a particular task. It also helps the user in estimating the criticality of a task. Business location is still a primary issue in keeping up a company's competitive position -- whether corporate headquarters are looking forward to recruit and keep top talent or a back office looking forward to reduce the amount of operating costs. As today's business situation alters at an ever-increasing rate, businesses, most of the time, find that their current location is no longer providing the competitive vantage it had once upon a time. (Burke, 1999) Consequently, all the companies should evaluate the chances and hazards of moving to a better location for their company. In this paper we will analyse the key issues that cause a business to change its location as well as the different aspects of a feasibility analysis a manager needs to evaluate the chances and hazards of changing the location of a business. Elaboration and globalization of the world economy causes both new opportunities and new competitors on the other hand. (Boddy, 2002) Companies are finding the location of their business operations not only to purchase global opportunities but also to find a more defensible market position. 2. Alterations in the Need for Labour The global contest for labour especially for knowledge workers, has caused companies to change the position of their businesses and repackage their businesses as an "employer of choice" (Maylor, 2003) to gain a competitive vantage for drawing in and retaining talented labour resources. 3. Internal changes in a Company Businesses are experiencing significant change taken by mergers and acquisitions as well as the want to reduce overall cost for operating, caring knowledge as an asset, sustaining internal business growth, and favourably impact business

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,

Project Management Managing Projects Assignment

Project Management Managing Projects - Assignment Example This relation is shown in the Network diagram by two rectangles "a" and "b" joined by a directed line going from "a" to "b". This helps the user in tracing all tasks on which a particular task is dependent and in tracing all the tasks which depend on a particular task. It also helps the user in estimating the criticality of a task. Business location is still a primary issue in keeping up a company's competitive position -- whether corporate headquarters are looking forward to recruit and keep top talent or a back office looking forward to reduce the amount of operating costs. As today's business situation alters at an ever-increasing rate, businesses, most of the time, find that their current location is no longer providing the competitive vantage it had once upon a time. (Burke, 1999) Consequently, all the companies should evaluate the chances and hazards of moving to a better location for their company. In this paper we will analyse the key issues that cause a business to change its location as well as the different aspects of a feasibility analysis a manager needs to evaluate the chances and hazards of changing the location of a business. Elaboration and globalization of the world economy causes both new opportunities and new competitors on the other hand. (Boddy, 2002) Companies are finding the location of their business operations not only to purchase global opportunities but also to find a more defensible market position. 2. Alterations in the Need for Labour The global contest for labour especially for knowledge workers, has caused companies to change the position of their businesses and repackage their businesses as an "employer of choice" (Maylor, 2003) to gain a competitive vantage for drawing in and retaining talented labour resources. 3. Internal changes in a Company Businesses are experiencing significant change taken by mergers and acquisitions as well as the want to reduce overall cost for operating, caring knowledge as an asset, sustaining internal business growth, and favourably impact business

Does income inequality hurt economic growth Term Paper

Does income inequality hurt economic growth - Term Paper Example The essay further applies the Lorenz Curves model in investigating income distribution in Nigeria and KSA. A deep Lorenz curve implies high level of income inequality in a country. That is the case of Nigeria and KSA. Over the past generations, concern about rising or high-income inequality curtailed primarily from a credence that it is one-sided. In the contemporary world, however, the sources of concern have shifted. The leading concern now is whether income inequality can hurt economic growth. Similarly, income inequality can also have harmful effects on the outcomes people value, such as education, health, happiness, democracy and many other elements that have direct impacts on economic growth. Current studies indicate that income inequality does not only affect people at the bottom but also affects the nation as a whole. The studies explain that the growing income inequality may be the reason that inhibits economies from recovering from the excessive recession. As per a report by OECD, inequality slackens GDP growth through hindering the accumulation of human capital. This trend hurts long-term economic prospects, as well as educational outcomes for persons on the lesser section of a nation’s income ladder. In its recommendation, the report suggests a check-up against this propensity by capitalizing in education and health (OECD, 2015, p. 1). It also calls for a more direct method of assistance to help reduce inequality without hurting economic growth. Furthermore, OECD established that direct cash transfers may not slow down the growth of GDP when these policies are smartly designed, as well as implemented. Depiction based on harmonised data that cover the OECD nations over the past three decades, the econometric analysis submits that income inequality possesses a negative, as well as statistically significant influence on succeeding growth. In specific, the greatest issue is the breach between small income households and the better

The Causes and Development of the Cold War 1945 - 1990 Essay Example for Free

The Causes and Development of the Cold War 1945 1990 Essay The Cold War was not like any war that had occurred before hand. It started from 1945 and went on for nearly half a century. The reason why this war was so special was the fact that it was not fought with weapons or armies but it was a war of words. It was more like a test of nerve, who could scare the other the most? There was a huge threat of a nuclear war between Russia and the west. It was not very active but the threat was still there. The cold War gets its name because of the cruel relations between the two sides; it was extremely icy and cruel. The war all started out because of each nation losing their trust in each other after the Second World War. Russia had reasons to mistrust the west because Russia had been invaded by Germany inn 1914 and the west joined them to crush communism. Also Britain and France refused to join alliance with Russia in 1941, this then resulted in Germany invaded Russia. Suspicions were very high that America was keeping secrets from them and they were right. America had finally invented the A-bomb, now they had this Russia had no importance to the United States whatsoever. But at the same time The U S were had their own suspicions of Russia as well. After the Second World War all the armies had removed their troops from Eastern Europe, but Russia still kept theirs there. The U S knew Stalin was up to something, and he was! Stalin took over all of the countries surrounding the Soviet Union. America was not happy about this at all. But Stalin promised that he would hold free elections in these countries and to not force communism upon them. He lied! He knew that the only way the west could stop him from creating the countries in to communists was to go to war and he knew they would not want to do that because of the consequences they had suffered in the War. America was not ready for another war she was financially crippled. With all the surrounding countries under his rule Stalin knew that if countries were to invade Russia they would have to go through these first. This created a barrier; it bought him time before anyone could reach Moscow to attack. Churchill described this blockade as the Iron Curtain. It separated Russia from the rest of the world. The U S decided they needed to take action, so they devised up a plan of Containment. This was a policy that meant that they would help any country to defend themselves if they were threatened by communism. America and the West were trying to make sure that communism did not spread. Then came the Truman Doctrine. Turkey and Greece were having a lot of problems with the Russians. They had to defend themselves against Russia and its communist regimes. Britain was aiding them with weapons and supplies but an economically crippling winter in 1946 meant that they could not afford to help no longer. So the U S came in to help. The Truman Doctrine that was made was a policy of Americas Commitment against communism. Any country facing a war against Communism would be helped by the U S. Then came another plan by the U S, this one was called the Marshall Plan. A man called George Marshall who was the Secretary of State for the U S at the time of 1947 devised it. George Marshall pledged that the U S government would give Billions of dollars to the poorer countries in Europe. On the outside this was looked upon as a very unselfish and kind gesture. But if looked upon closely you could see that it was just part of a scam. It was in Americas greatest interests to give Europe the money. The reason why? To stop communism! It did this because all the poorer countries were heavily stricken with poverty and hunger, the people were extremely dejected and needed something to look up to, more like a light at the end of the tunnel. To them with the help of Stalins propaganda schemes Communism looked like a way out of poverty. With the U S giving them money it made them happier, they had no more problems, thus giving America the edge on containing Communism away from vulnerable Countries. In 1962 a major development had been revealed. Russia was sending over nuclear missiles to Cuba. This meant that America was now under threat from nuclear attacks. But America quickly intervened they told Russia that if they were to send any more shipments over that they would take immediate action and destroy the vessels. Russia was not expecting that reply they assumed no action would take place. America set up blockades and arranged air strikes over the ocean; Khrushchev decided to deploy their ships back to Russia before another conflict took place. After seeing and hearing of these events taking place it must have been extremely frightening for the people in the world at this time. There was a huge threat of a nuclear war, which could have drastically destroyed the world completely. Each countries nerve was tested to the limit, but luckily no one decided to retaliate in a major way. With the U S inventing new plans and technology the west made it extremely hard for Russia and Stalin to take over the world and make it communist. The Cold war changed the world forever, no longer would wars be fought in trenches and battlefields. They would be fought with words, and with just one switch of a button the whole world could be destroyed.

Nursing Processes for Emesis Management

Nursing Processes for Emesis Management Nausea and vomiting are common complications of multiple conditions, procedures, therapies, and events such as motion sickness, pregnancy, anesthesia (general, regional, or local) or radio/chemotherapy. Symptoms can be debilitating for many patients, and in the case of post-operative nausea and vomiting (PONV) physical damage may result, such as rupture of sutures, stitches, and esophageal tissue, and metabolic problems, such as electrolyte imbalances and dehydration (Golembiewski et al, 2005; Gan 2006). In severe cases of PONV, although rare, aspiration of gastric contents may occur, resulting in pulmonary sequelae, such as pneumonia or pneumothorax (Scuderi and Conlay 2003; Bremner and Kumar 1993). Thus effective treatment of PONV, possibly through multimodal antiemetic prophylaxis, is an important are of research (Skledar et al. 2007). This essay will consider two commonly used, well-recognized antiemetic treatments namely cyclizine and prochlorperazine. Both represent very old drug therapies, with cyclizine having been launched as an antiemetic in 1953, and prochlorperazine as an antipsychotic in 1957 (Broccatelli, 2010), its use as an effective antiemetic emerging soon thereafter (Finn et al, 2005). These drugs are commonly used on most wards in my practice setting and therefore it is vital for nursing staff to understand their respective pharmacodynamic (PD) and pharmacokinetic (PK) profiles. Prior to prescribing it is also important that the nurse have relevant knowledge regarding how these drugs work, how their PD and PK properties are altered by disease processes such as kidney/liver failure and whether there are any relevant contraindications or precautions. Additionally, the potential for drug-drug interactions and the dose appropriate for the patients age and weight should be ascertained if beneficial pati ent orientated outcomes are to be achieved. These issues will be comprehensively discussed within this essay. Pharmacology of emesis There are a plethora of drugs on the market to treat emesis, however, deciding upon an appropriate and effective treatment for patients requires the cause of the underlying nausea and vomiting to be ascertained. This is because the symptoms can manifest as a result of a number of underlying pharmacological processes, as will now be described. Vomiting is a complex reflex action controlled by the vomiting centre (VC) in the medulla region of the brain, an important part of which is the chemotrigger zone (CTZ); stimulation of this in turn leads to VC stimulation which ultimately leads to vomiting (Goodman Gilman, 1996). Neurotransmitter mediated stimulation of the VC can arise from both peripheral and central impulses (Shanbhag, 2008). Thus gastrointestinal irritation, motion sickness and vestibular neuritis all manifest in nausea and vomiting as a result of neurotransmitter release. The three main neurotransmitters involved in the control of vomiting are acetylcholine (ACh; via muscarinic-receptors), dopamine (via dopaminergic receptors), histamine (via H-1 receptors), and serotonin (via 5-HT3 receptors) (Shanbhag, 2008). Inhibition or antagonism of these receptors achieves emetic control. The VC has neurons which are rich in muscarinic cholinergic and histamine containing synapses and is directly stimulated by the vestibular input (e.g. through motion sickness), whilst dopamine and serotonin release are involved in the visceral stimuli pathway (e.g. through chemotherapy treatment) and also in the CTZ stimulation pathway as shown in Figure 1. Thus drug classifications of anti-emetics arise on the basis of which of the three pathways that they target (Flake et al., 2004). Selective serotonin receptor antagonists and antidopaminergics target the visceral stimuli and the CTZ, whilst the antihistamines and anticholinergics target the vestibular input pathway (Hornby , 2001; Flake et al., 2004). Etiology of Nausea and Vomiting Cyclizines anti-emetic effects are not fully understood but it is thought that it works by blocking the transmission of information from the labyrinthine apparatus in the inner ear (i.e. the vestibular pathway) to the VC (Goodman and Gillman, 1996). Cyclizine may also target the CTZ and it thought to exhibit some ACh muscarinic receptor blockade which probably contribute to the antiemetic potential thus operating at several pathophysiological levels. However, a side effect of ACh blockade is sedation in some individuals along with the potential for certain deliriant and hallucinogenic effects, probably responsible for cyclizines abuse potential (Bailey and Davies, 2008). Cyclizine produces its antiemetic effect within two hours and it lasts approximately four hours (emc, n.d.). The exact mechanism of prochlorperazines antiemetic action is also unclear, but the drug is thought to inhibit apomorphine induced vomiting by blocking dopamine D2 receptors centrally in the CTZ and possibly peripherally through dopaminergic receptors in the intestine (Perwitasari, 2011).   However, it also has some potential to block anticholinergic and alpha-adrenergic receptors, and therefore can also result in sedation along with muscle relaxation, and orthostatic hypotension (Kelly, 2000). Following intramuscular administration prochlorperazine has an onset of action within ten to twenty minutes and a duration of action of three to four hours (globalrph, n.d.). Indications and dosage form Cyclizine is indicated for the control of postoperative and drug-induced vomiting and in motion sickness (BNF, 2012; emc, n.d.). It is given by mouth at a dose of 50mg tablets up to three times a day or parenterally as a 50mg in 1ml solution intramuscular (im) or intravenous (iv) injection again at a frequency of up to 3 times a day (Reynolds, 1993). The recommended dose in children aged 6-12 years is lower: 25 mg up to 3 times daily. For motion sickness, it is recommended that tablets be taken 1-2 hours before departure. Cyclizine can also be given for vertigo and, morning sickness in pregnancy, and to combat  opioid nausea. It is also prescribed for radiation sickness (medsafe, n.d.) and PONV (Cholwill et al., 1999), indeed it is given iv before the induction of general anaesthesia at half the recommended dose, to increase the lower oesophageal sphincter tone thus reducing the hazard of regurgitation and aspiration of gastric contents (medsafe, n.d.). Although prochlorperazine is classified as an antipsychotic, its principal use nowadays is in the treatment of severe nausea and vomiting of various causes including, PONV, vertigo and motion sickness (BNF, 2012). It has several dosage forms: tablet (5mg: one or two tablets 3-4 times daily), syrup (5mg in 5ml: 5-10 ml 3-4 times daily), suppositories (25mg twice daily), dissolvable tablet (buccal tablet 3mg: one or two tablets twice a day in adults and children aged 12 years and over), im injection (12.5mg in 1ml; 5-10mg repeated every 3-4 hours with a maximum daily dose of 40mg) and iv injection (2.5 -10 mg by slow IV injection or infusion  with a maximum daily dose of 40mg). The oral (and buccal) route is the only method of administration recommended for children, and it is not recommended in children younger than  12 years (BNF, 2012). The different dosage form of prochlorperazine provides the nurse with flexibility for example the elderly and children may prefer the syrup or b uccal tablet, or in dysphagia suppositories or intra-muscular injections could be more appropriate. Cyclizine and prochlorperazine are both considered first line treatments for nausea secondary to vertigo and motion sickness (Quigley, 2001) and are first line treatments in many hospitals in PONV (NHS, Salisbury; NHS Plymouth). A review by Matchar, et al. (2003) has suggested that oral prochloperazine may also be used as an adjunct in the treatment of nausea associated with migraine (Matchar et al, n.d.). No randomized controlled trial has been found which formally compares efficacy of cyclizine and prochlorperazine, however, two studies comparing cyclizine with perphenazine in ameliorating drug-induced emesis, have shown the former to have comparable antiemetic efficacy to this related phenothiazine drug (Dundee et al., 1975; Chestnutt and Dundee, 1986). These studies are featured in a Cochrane report (Stevenson, 2006) which investigates drugs for preventing PONV and highlights eight drugs which reduce PONV by a similar amount in this patient group, cyclizine being one. The report concluded, therefore, that the most important question to answer when treating emesis is What are the types and risks of side effects experienced by patients exposed to these antiemetics? Thus safe and effective prescribing requires the nurse to identify patient variables or comorbidities relevant to the drugs side effects, for example heart failure patients should not be prescribed cyclizine and individuals susceptible to visual disturbances should avoid prochlorperazine as per the drugs contraindications. It is noteworthy that both drugs may be prescribed in the later stages of pregnancy if considered appropriate by a doctor (Schaefer, 2007; CKS, n.d.).  [1]   The choice of antiemetic would depend upon the precise cause of the nausea in conjunction with the specific receptor affected. However, since several different neurotransmitters stimulate the CTZ, combining drugs with different mechanisms of action can often be more effective than increasing the dose of one individual drug (King and Brucker 2011). Indeed, combinations of antiemetics are often used in palliative care (NHS Scotland, n.d.). Notably, vomiting of unclear or mixed origin may respond to a phenothiazine such as prochlorperazine because, in addition to acting on dopamine and serotonin receptors in the CTZ, it also acts at the VC and vestibular area. Cyclizine and prochlorperazine are both commonly used anti-emetics in palliative care where nausea and vomiting are present in up to 70% of patients with advanced cancer (NHS Scotland, n.d.). Treating this patient population requires particular vigilance, since there may be a number of underlying reasons for and comorbidities contributing to the nausea and vomiting, and antiemetics may be inappropriate. Consideration for causes of the symptoms might include intestinal obstruction or constipation, anxiety, raised intracranial pressure (ICP), oesophageal candida, severe pain or hypercalcaemia all of which might warrant interventions other then antiemetics. Conversely, should the nausea and vomiting be identified as drug induced, then anti-emetics such as cyclyzine or prochlorperazine might be appropriate. Raised intracranial pressure stimulates vomiting centre via pressure receptors and can be problematic in patients with known or suspected brain metastases. Notable, cyclizine can be g iven to such patients, especially where corticosteroids are contraindicated (NHS Scotland, n.d.). Pharmacokinetics Cyclizine, like most antihistamines, is well absorbed from the GI tract. After oral doing the effects develop within 30 minutes, are maximal within 1-2 hours and lasts for 4-6 hours. A single oral dose of 50 mg cyclizine in healthy adult volunteers resulted in a peak plasma concentration of approximately 70 ng/mL, occurring at about two hours after drug administration. The plasma elimination half-life is approximately 20 hours.  [2]  Cyclizine is extensively metabolised in the liver via N-demethylation to the inactive metabolite norcyclizine (Figure 4), which is widely distributed throughout the tissues and has plasma half-life of approximately 20 hours. This metabolite has minor antihistaminic activity compared to parent drug. A single 50 mg dose of cyclizine when given to an adult male volunteer, results in less than 1% of the total dose administered being excreted as parent drug in the urine over a 24 h period. Thus urinary excretion of metabolite rather than parent drug is th e major route of elimination for  cyclizine. The metabolism is thought to be mediated through CYP 2D6 and therefore exhibit inter-subject variability dependent upon the CYP 2D6 genotype as demonstrated by Vella-Brincat et al. (2012) in their study of the PK of cyclizine (Appendix 1) and its major metabolite (Appendix 2) in palliative care patients receiving sub-cutaneous cyclizine. Results indicated that the metabolic ratio of parent drug to metabolite differed significantly according to CYP2D6 genetics.  [3]   Prochlorperazine is reasonably well absorbed from the GI tract and highly protein bound. It undergoes extensive metabolism both in the gastric mucosa and on first pass through the liver via the cytochrome P450 enzyme system (CYP 2D6 and CYP 3A4)  [4]  to inactive metabolites, which are subsequently excreted in the urine. Parent drug has a plasma half-life of between 4 and 8 hours, the precise half-life differing according to the mode of administration. An im injection produces its antiemetic effect in 5-10 minutes and it lasts for 3-4 hours. Onset of effects are related to the mode of administration hence the pharmacokinetic profile, thus an oral dose would have a slightly slower onset of action but would last longer compared with an im injection.  [5]  According to Finn et al (2005), although the drug has been accepted as a useful anti-emetic for over half a century, its therapeutic success has been limited by its low and variable absorption and high first-pass metabolism. H owever, the development of a new buccal formulation has improved the PK, since studies demonstrate that buccal administration of prochlorperazine produces plasma concentrations more than twice as high as an oral tablet, with less than half the variability (Finn et al., 2005)  [6]  (Figure 5). When placed in the buccal cavity between the upper lip and the gum the formulation forms a gel from which the prochlorperazine is released and absorbed. The plasma levels achieved at steady-state on a dosage regimen of one 3mg buccal tablet twice daily are similar to those observed with the standard oral dosage of one 5 mg tablet taken three times daily. The elimination half-life of prochlorperazine in this formulation is 9 hours. The safety and efficacy of this relatively new formulation has also been demonstrated by Bond  [7]  (1998) in a randomised, double-blind, double-dummy trial in patients with vestibular disorders. Side effects By virtue of their pharmacology, cyclizine and prochlorperazine are both central depressants and can cause impairment of performance (Benson, 2001). Consequently, the pharmaceutical data sheets for both drugs have warnings regarding their potential to interfere with the ability to drive or operate machinery safely due to their ability to cause drowsiness (BNF, 2012). Despite the fact that cyclizine is one of the older antihistamines it is considered less potent in this regard compared to others in its class (Broccatelli, 2010), however, there is considerable variability in response to this side effect which can range from slight drowsiness to deep sleep. For this reason in practice, when one drug is not effective or poorly tolerated then it is justifiable to give another drug or combination of drugs (Benson, 2001). This unwanted side-effect is also a feature of prochlorperazine especially in the elderly, and often diminishes with continued treatment of both drugs (emc, n.d.). Cyclizines other more common side-effects include headache and psychomotor impairment plus antimuscarinic effects, such as urinary retention, dry mouth, blurred vision, and gastrointestinal disturbances (BNF, 2012). Less common side effects are palpitations and arrhythmias, also dizziness, hypotension, muscular weakness and poor coordination (Goodman and Gilman, 1975). Prochlorperazine commonly causes CNS related side effect such as acute dystonia or dyskinesia, however these tend to be transitory (usually occur within the first 4  days of treatment) and are more common in children and young adults. Dopamine antagonists like prochlorperazine can also cause extrapyramidal effects, QT prolongation and even severe hypotension, especially in the elderly (emc, n.d.). Muscle spasms and restlessness are other reported side effects. Interactions Cyclizine exhibits pharmacological interactions with other drugs due to antagonism of its action (donepezil, galantamine, rivastigmine) or enhanced anticholinergic actions (tacrine, trimethobenzamine, triprolidine, trospium). Pharmacokinetic interactions may arise since cyclizine is an inhibitor of the hepatic CYP 2C9 isozyme system, which is involved in an NADPH-dependent electron transport pathway. This isozyme oxidizes a variety of structurally unrelated compounds, including steroids, fatty acids, and xenobiotics and contributes to the wide pharmacokinetics variability of the metabolism of drugs such as S-warfarin, diclofenac, phenytoin, tolbutamide and losartan. Pethidine and propanidid are also listed as having a potential to interact with cyclizine. Cyclizine also acts as an inhibitor of estrogen sulfotransferase, the enzyme responsible for estradiol metabolism. Prochloperazine has a plethora of interactions, both pharmacological and pharmacokinetic. The pharmacokinetic interactions are largely due to competitive metabolic interactions at the hepatic CYP 3A4 and CYP 2D6 enzymes. The CYP 3A4 isozymes are responsible for a variety of oxidation reactions e.g. caffeine 8-oxidation, omeprazole sulphoxidation, midazolam 1-hydroxylation and midazolam 4- hydroxylation, plus metabolism of structurally unrelated compounds, including steroids, fatty acids, and many other xenobiotics. Whilst the CYP 2D6 isozymes are responsible for the metabolism of many drugs and environmental chemicals, via oxidative transformation along with metabolism of drugs such as antiarrhythmics, adrenoceptor antagonists, and tricyclic antidepressants.  [9]  Consequently, the data sheet for prochlorperazine lists many drugs with interaction potential including adrenaline, amphetamine, carbamazepine, clonidine, desferrioxamine, guanethidine, levodopa, lithium, phenobarbital and propranolol. Managing Drug Therapy When managing the care of a patient, nursing staff must initially thoroughly assess the patient, then identify significant interactions between core drug knowledge (PD, PK, ADRs, interactions, contraindications) and the patients core variables (health status, age and gender, life-style and diet, environments, culture). Thereafter the nurse can plan and implement suitable interventions, which will maximise therapeutic effects whilst minimising adverse effects (Aschenbrenner and Venable, 2008). In order to achieve such objectives the nurse should ensure administration of the appropriate medication is given through a suitable route on a regular basis or as required, with ongoing patient evaluation and monitoring. Cyclizine and prochlorperazine are both considered first line treatments for nausea secondary to vertigo and motion sickness (Quigley, 2001) and are first line treatments in many hospitals in PONV (NHS, Salisbury; NHS Plymouth). A review by Matchar, et al. (2003) has suggested that oral prochloperazine may also be used as an adjunct in the treatment of nausea associated with migraine (Matchar et al, n.d.). No randomized controlled trial has been found which formally compares efficacy of cyclizine and prochlorperazine, however, two studies comparing cyclizine with perphenazine in ameliorating drug-induced emesis, have shown the former to have comparable antiemetic efficacy to this related phenothiazine drug (Dundee et al., 1975; Chestnutt and Dundee, 1986). These studies are featured in a Cochrane report (Stevenson, 2006) which investigates drugs for preventing PONV and highlights eight drugs which reduce PONV by a similar amount in this patient group, cyclizine being one. The report concluded, therefore, that the most important question to answer when treating emesis is What are the types and risks of side effects experienced by patients exposed to these antiemetics? Thus safe and effective prescribing requires the nurse to identify patient variables or comorbidities relevant to the drugs side effects, for example heart failure patients should not be prescribed cyclizine and individuals susceptible to visual disturbances should avoid prochlorperazine as per the drugs contraindications. It is noteworthy that both drugs may be prescribed in the later stages of pregnancy if considered appropriate by a doctor (Schaefer, 2007; CKS, n.d.).  [10]   The choice of antiemetic would depend upon the precise cause of the nausea in conjunction with the specific receptor affected. However, since several different neurotransmitters stimulate the CTZ, combining drugs with different mechanisms of action can often be more effective than increasing the dose of one individual drug (King and Brucker 2011). Indeed, combinations of antiemetics are often used in palliative care (NHS Scotland, n.d.). Notably, vomiting of unclear or mixed origin may respond to a phenothiazine such as prochlorperazine because, in addition to acting on dopamine and serotonin receptors in the CTZ, it also acts at the VC and vestibular area. Cyclizine and prochlorperazine are both commonly used anti-emetics in palliative care where nausea and vomiting are present in up to 70% of patients with advanced cancer (NHS Scotland, n.d.). Treating this patient population requires particular vigilance, since there may be a number of underlying reasons for and comorbidities contributing to the nausea and vomiting, and antiemetics may be inappropriate. Consideration for causes of the symptoms might include intestinal obstruction or constipation, anxiety, raised intracranial pressure (ICP), oesophageal candida, severe pain or hypercalcaemia all of which might warrant interventions other then antiemetics. Conversely, should the nausea and vomiting be identified as drug induced, then anti-emetics such as cyclyzine or prochlorperazine might be appropriate. Raised intracranial pressure stimulates vomiting centre via pressure receptors and can be problematic in patients with known or suspected brain metastases. Notable, cyclizine can be g iven to such patients, especially where corticosteroids are contraindicated (NHS Scotland, n.d.). Administration Precautions Due to its centrally acting effects, patients taking cyclizine should avoid alcohol and other depressants e.g. hypnotics or tranquillisers. Food may reduce irritation to cyclizine and since there is no interaction with food, this drug can be taken without regard to meals. The datasheet indicates it should be used with caution in hepatic disease, whilst in renal impairment there is a need for dose reduction (BNF, 2012). Cyclizine should also be used with caution in patients with severe heart failure. Other anticholinergic effects include visual disturbances, and sedation, which can make them dangerous for the elderly population or younger patients. Further, cardiovascular side effects e.g. hypotension, tachycardia, and palpitations have been reported, plus minor GI effect e.g. dry mouth and constipation. Cyclizine has a well-known abuse potential (Ruben et al. 2006). In opiate dependents receiving long-term methadone cyclizine is often taken in large doses intravenously to provide a m ore intense high. Thereafter the addict experiences depressive mood changes and a craving for cyclizine. Many individuals receiving long-term prescriptions of oral methadone have been identified as being habitual abusers of cyclizine.  [11]  Consequently, there is considerable reticence by pharmacists in prescribing the drug, and alternative treatments are generally sought. Obviously in the hospital setting there is little opportunity for such abuse, and the efficacy and cost-effectiveness of the drug would therefore take precedence over its abuse potential (Barber, 1995; Philips and Thompson, 1997). Although prochlorperazine being an antipsychotic phenothiazine drug can be employed in psychiatry, in lower doses it is usually prescribed for its anti-emetic properties. Patients taking the drug should take with a full glass of water, avoid excessive quantities of coffee or tea (containing caffeine) and also avoid alcohol. Prochlorperazine should be used with caution in patients with renal and hepatic impairment and cardiovascular disease; also in Parkinsons disease, epilepsy and in patients with a history of glaucoma. While the drug does not deliver the euphoria that is associated with many commonly abused drugs, it still has some abuse potential since it can alter mood and perception, but not to the extent of cyclizine. Moreover, dependence and tolerance can develop, which can drive the individual to continue to seek more of the drug  [12]  and result in overdose, characterised by symptoms of central nervous system depression to the point of somnolence or coma. Agitation and r estlessness may also occur in overdose. Other possible manifestations include convulsions, EKG changes and cardiac arrhythmias, fever and autonomic reactions such as hypotension, dry mouth and ileus. Managing Drug Therapy Nausea and Vertigo: In emetic patients, antiemetics should only be prescribed when the underlying cause is known, indeed antiemetic administration may be harmful when the cause can be treated, e.g. in diabetic ketoacidosis or digoxin/antiepileptic overdose. In addition to motion sickness cyclizine can be given to patients with nausea caused by mechanical bowel obstruction and raised intracranial pressure.  [13]  Once a decision has been made that antiemetic drug treatment is appropriate, the drug and the dosage form should be chosen according to the aetiology of vomiting along with core drug knowledge and patient variables. Thus prochloperazine is useful for episodes of more severe nausea and vomiting e.g. associated with diffuse neoplastic disease, radiation sickness, and the emesis caused by drugs such as opioids, general anaesthetics, and cytotoxics. Indeed, prophylactic use may be required if severe nausea is anticipated such as following chemotherapy treatment. (Aschenbrenne r and Venable, 2008). Prochorperazine may be a suitable choice because of its dosage forms, thus rectal suppositories can be useful in patients with persistent vomiting or with severe nausea and the buccal tablet dosage form is also useful in such instances. However, during use of phenothiazines it is important to monitor severe dystonic reactions, especially in children. It is recommended as a second-line treatment for vomiting in pregnancy after promethazine.  [14]   Whereas the efficacy of cyclizine in treating nausea and vomiting has already been unequivocally proven, it is only available in tablet and injectable form. Nevertheless, cyclizine may be the choice of drug over prochlorperazine in children since in this patient population the latter can only be administered orally (BNF, 2012), and therefore requires patient compliance for success. There is no evidence that either of the two drugs is superior to the other in terms of efficacy; also despite cyclizines longer plasma half-life compared with prochlorperazine, the duration of action is similar at around 4 hours. The adverse event profiles do however differ slightly, because of the differing underlying pharmacology of these two drugs. This is an important consideration in the choice of drug, alongside special precautions which, as described earlier, must be considered in conjunction with patients co-morbidities. It is also noteworthy that educating patients and their families regarding the drug of choice is important; for example warning patients against consuming alcohol with both prochlorperazine and cyclizine and warning patients against driving or operating machinery if susceptible to drowsiness with either drug. In summary, both cyclizine and prochloperazine have similar safety, tolerability and toxicity profiles despite their differing modes of action on a cellular level. Tolerability in terms of drowsiness is a potential problem for both drugs, but is generally dependent upon the individual patients susceptibility, warranting a trial and error type approach when determining which is the optimal drug of choice. Also, due to the drugs both being substrates of CYP 2D6 their phamacokinetic profiles may exhibit inter-subject variability by virtue of the different phenotypes of this enzyme which exist in the population. This differing pharmacokinetic profile would logically translate into a varied response in terms of therapeutic effects. Likewise, their potential to interact with other drugs is inextricably linked with their metabolism, namely metabolic competition at the cytochrome P450 enzyme receptor sites. Thus both drugs have the potential to interact with a wide range of other medications . Moreover, since both drugs are extensively metabolised in the liver, with excretion of metabolites in the urine, there is a need for caution in renal and hepatic disease. Cyclizine and prochlorperazine appear to be similarly efficacious with regard to their treatment of emesis caused by motion sickness. The literature is inconclusive regarding which drug would be more superior for PONV, or vertigo, and even though it has been suggested that prochlorperazine should be chosen over cyclizine when the nausea is severe, there does not seem to be any compelling evidence for this and many hospitals tend to choose cyclizine over prochlorperazine in their antiemetic protocols/guidelines. The most compelling evidence for choosing prochlorperazine over cyclizine in the primary care setting would be the high abuse potential with cyclizine. However, in the secondary care setting this is of minimal concern. Therefore a more compelling reason for choosing prochlorperazine over cyclizine in this setting might largely hinge on the greater flexibility in formulations available for prochlorperazine. Whereas both drugs can be given orally as a tablet, when patients are vomiting this may be inappropriate. The buccal tablet or rectal suppository, which is available for prochlorperazine, and is less invasive than an injection formulation may be more acceptable to many patients in such cases. To conclude, the present essay has demonstrated that the nursing process for effectively dealing with emesis is challenging and complex. Here we have witnessed the plethora of facts which the nurse must take into account prior to prescribing the antiemetic drugs cyclizine and prochlorperazine, and that even after attempting to optimise drug selection on the basis of such facts, success cannot be guaranteed. Ongoing monitoring of patient response/progress with the possibility of altering or augmenting the chosen drug therapy is necessary to improve outcomes, ensure patients receive optimal care, and that they enjoy maximal therapeutic success with minimal side effects. References Matchar DB, Young WB, Rosenberg JH, Michael P. Pietrzak, Stephen D. Silberstein, Richard B. Lipton and Nabih M. Ramadan. Evidence-based guidelines for migraine headache in the primary care setting: Pharmacological management of acute attacks. Available at: www.aan.com/public/practiceguidelines/03.pdf/. Accessed 28/10/12. CKS: Clinical Knowledge Summaries http://www.cks.nhs.uk/nausea_vomiting_in_pregnancy/management/prescribing_information/prochlorperazine/advice_about_prochlorperazine Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 607). Benson A J, Medication for Motion S

The Bay :: The Hudson’s Bay Company

INTRODUCTION The Hudson’s Bay Company is the oldest incorporated merchandising company in the world. The Bay has remained in business in North America after its incorporation on May 2, 1670 by the Royal Charter. The official title of the company is, â€Å"The Governor and Company of Adventurers of England trading into Hudson’s Bay†. This title is usually shortened to â€Å"Hudson’s Bay Company† or, just â€Å"the Bay. I was attracted to the Hudson’s Bay Company because firstly, I am frequently shop at the Bay. As a result of this, I would like to show the pride and respect I have for this successful company and its great history. Secondly, I have easy access to the information required to complete this independent study. Lastly, as I am not an expert when it comes to the operations of the company, this independent study will enable me to achieve a deeper understanding of management, and how it affects me. I utilized a number of resources in order to create this report. The resources are: Hudson’s Bay Company Annual Repoorts of 1996, 1997, 1998, Employee Training handbook, the Internet, and magazines. I combined these resources to produce a very informative report on the Hudson’s Bayu Company. In addition to this, the resources I used gave me a chance to cover many aspects and areas of this corporation. The topics covered in this report are: Company Profile, Human Resources, Customer Services, Organization, and Community Involvement. I included these types of information to give you, the reader, a deep interpretation of the Hudson’s Bay Company. To understand how the Hudson’s Bay Company (HBC) became the corporation it is today, a brief history is needed to gain some background knowledge. In the Bay’s first century of existence, it created forts on the Hudson Bay and traded furs to the Native Peoples. In the Bay’s second century, competition from the North West Company was acknowledged and responded to. This total time period of 200 years assisted in the discovery of Canada. In 1821, the two competitors merged under the name of Hudson’s Bay. In the twentieth century, HBC began to concentrate on retailing which is it’s primary activity today. Between 1913 and 1968, HBC made downtown department stores in the major cities of western Canada. As time rolled along, the Bay moved into eastern Canada and the suburbs of major Canadian cities.

Becoming an Effective Leader Essay

My job title is Training Co-ordinator for an organisation called Lifeskills Centres, I assess in the following areas; business administration, customer service, management, delivering level 2 and 3 and also any supporting key skills needed. I am responsible for my caseload of learners; their progress, learning and achievement of the qualification. I must cater each programme to suit the needs of the individual learner, I do this by setting each new starter off on initial assessments so that I can see what level they are currently at which will help me decide which course is the most suitable and which approach will be the most beneficial for the learner. I am also responsible for creating strong professional relationships with the learners new employers and maintaining relationships with existing employers this is for two reasons so they would recommend us to other employers so we gain a good reputation and so that they will want to use Lifeskills as a training provider for all of their staff and will not use a different organisation as it is a competitive market. I also advertise vacancies for our employers who have had good experiences in the past with apprentices and would like to recruit a new one. I agree with the employer all of the details to go on to the advert and interview all of the candidates and trial period the suitable ones for a week before sending them to the employer themselves to interview and then make the final decision. Within my role I use a number of different leadership styles in different situations and with different people in order to progress and achieve what needs to be achieved for example; I use the leadership style autocratic when I come to the end of the programme and I tell my learners what I want and what needs to be done and how it needs to be done, this is when the learners are short of time if they are leaving the organisation and don’t have much time to complete and it works the best when they want to achieve and are highly motivated. I have used the leadership style democratic when I had a group of learners in one particular placement where I was finding it hard to make them progress as they wouldn’t complete any work unless I was there  with them and they had no motivation towards the qualification. I discussed with the learners my concerns and asked how they thought we could move forward and they suggested one to one meetings, I informed the learners that this would be too time consuming and that I could afford to have a morning or afternoon out of the month for me to come in to the organisation and support them and motivate them to complete the knowledge questions, technical certificate and key skills side of the qualification. The learners confirmed that this was an effective method and I informed them that I will observe them twice a month but they do not have to complete any written tasks for me between observation as it will be done on the one morning / afternoon per month. I used this leadership style so that they felt they were included and to help me gain more respect from them and I do not think that it came across as a weakness from myself I think it showed that I was honest and realised that there was something not right and then discussed and implemented a solution. Lastly the leadership style I use not very often but I do still use is delegative which is where I let the learners make their own decisions on how they can progress through their qualification. I usually use this style when a learner has progressed from a level 2 qualification with myself on to a level 3 so they know the way the programme works and we have a comfortable relationship I also allow some level 3 learners to reference their own work in to their files. Application of emotional intelligence in shaping performance I employ the two aspects of emotional intelligence when dealing with learners and colleagues at all times as I must first understand myself and my goals, intentions, responses and behaviour and understand others and their feelings to be able to manage my learners and their progress. I empathise with learners and use the understanding of their emotions to motivate them and inspire them to complete their work. I am aware of my own feelings and emotions and control these to make sure that I do not behave in a way that is unacceptable towards learners or colleagues, I may not have to say anything to communicate how I am feeling as it can be portrayed in my body language and facial expressions which is also something that I have to control. Based on Goleman’s theory to be an effective leader I must be aware  of my own feelings and emotions and manage these to make sure that my emotions do not show in my behaviour if they are unacceptable. I must motivate myself which I do by meeting appraisal and review targets and setting myself my own goals to achieve. I must also manage other peoples emotions I do this by building a relationship with my learners and getting to know what they like and what annoys them so I can recognise this and stop it from becoming an issue where possible, it also makes the learners feel valued and that I care about the way they feel. It is also stated in Maslows Hieracy of needs that to work to your full ability and progress in your job and grow as a person you must have the following; Be in a healthy state, feel safe, feel like you belong somewhere and have some form of social life (friends, family, relationships) and have self esteem before you are able to grow personally. I must make sure that I show all learners that I care about each of them as an individual and that there progress and growth means a lot to me. I think an area that I personally have to work on is when I worry and panic about things for example we were mock inspected and I felt very anxious about it, I must make sure that this feeling does not come across to learners or employers and that the rest of my work doesn’t suffer from it. I also try to understand and manage the employers I deal with emotional intelligence as I want to build a relationship with them and trust so I make sure that I empathise with them and try not to do anything possible which may annoy them for example if I can see that an employer is very busy instead of updating them after the appointment with their learner I will ask if they would like an update via email as I can see they are really busy and then they can decide how they would like the feedback. Setting direction and gaining commitment I communicate and set direction for my learners by visiting them fortnightly, observing them work, showing them what each observation will cover or link in with, giving them feedback on their performance and setting them targets for the next appointment. I provide ongoing support via email and over the telephone to learners when I am at work but not at an appointment with them and review their progress and set targets formally at their ten week reviews which gives them clear direction and motivation to meet the targets they  agree by the next review. I provide support and tutorials to learners for the whole of the technical certificate and functional skills they complete and also offer training on the telephone, prioritising techniques and assertiveness skills as I have noticed that this is an area for development that employers ask for and the learners too. I also motivate and gain commitment from learners and try and persuade new employers to take on new learners by using myself as a role model example, as I began my career by completing an administration level 2 apprenticeship and have completed enough qualifications and worked my way up to becoming a Training Co-ordinator. I communicate and set direction and motivate employers by keeping them up to date with the learner’s progress and exactly what I have been doing with the learner after each visit where possible and including them in the qualification by asking for witness statements and also asking them to participate in the learner’s reviews. With my colleagues I communicate direction in standardisation meetings where we share best practise on how to cover and assess certain units that we may find difficult or what we have found that works very well. I try to motivate my colleagues by being hardworking and genuinely enthusiastic about my learners achieving and my job .

Overeating In Youths And Adolescents Health And Social Care Essay

Overeating is a major societal job. Throughout the history, perceptual experience of gluttony has been altering with clip owing to the altering societal, political, and economic state of affairss. Overeating is an eating upset which is centrally characterized by dependence to nutrient that leads to gorge eating. Persons who suffer from compulsive eating upset suffer from episodes of uncontrolled feeding. It has been shown to hold psychological connexion as these persons tend to see pressured and manic feeling. As a consequence, the persons continue eating even after they become uncomfortably full. Binge eating tends to be followed by intense guilt and sometimes depression. While bulimics will purge themselves with purging or usage of laxatives, persons enduring from compulsive eating upset seldom puke or usage laxatives and hence they continue to roll up weight. Overeating has been recognized as one of the factors lending to increased incidences of corpulence and fleshiness which are major public wellness concerns. Overeating is a societal job which means that the job has taken different dimensions throughout history. It has been defined and understood in different ways depending on the altering political, societal, and economic conditions. Even during the mediaeval period, gorging was recognized but it was non understood the same manner it is understood today. This implies that understanding of the job has been altering with clip and though it was recognized as a mark of health in the yesteryear, it is considered a major wellness job today. Gorging today affects people across the societal demographic divide. The job is today compounded by societal values and wellness concerns. The authorities has put in topographic point different plans with an purpose of extenuating the consequence of the job but small has been achieved. Despite the current apprehension of gorging as a societal and wellness job, and the plans that have been instituted to extenuate its effects, it still remains a major societa l and wellness concerns in the universe today. Historical Background of Gorging Overeating is a societal job that has changed over clip. Since the mediaeval period, gorging has been understood in different ways depending on the altering economic, societal, and political environments. The job has besides been understood in different ways depending on the dominant societal values and the altering doctrine of societal public assistance ( Levi et al. , 2008 ) . Definition and apprehension of the job have transformed with alterations taking topographic point in the environment. The current definition and apprehension of the job is really different from how it was understood during the mediaeval period. In order to specify and understand gluttony, it is of import to first expression at the historical definition and apprehension of the job. Historical apprehension of orgy eating day of the months back to the mediaeval period. At a clip when the society was extremely stratified, orgy feeding was understood as a mark of surpluss ( Tanofsky-Kraff, 2008 ) . It was chiefly practiced by those who had surplus to eat, chiefly those in the upper category. This means that the apprehension of gorging during that clip was chiefly engraved in indulgence since these were merely those who could afford plentifulness of nutrient who ate more. Interestingly, gorging was non recognized as a wellness job during the in-between ages. Historical histories have revealed that the ancient Greece and Arabia had texts which showed description of binging and purging which means both were recognized at that clip. Besides in ancient Rome, historiographers have shown the being of constructed ‘vomitoriums ‘ – topographic points where persons or feasters threw up nutrient. This is a mark of being of gorging even at those ancient times . It has recorded that Roman Emperor Claudis who ruled between 10 B.C. to A.D. 54 and Vitellius who ruled between A.D 15 to A.D. 19 were both bulimic. These historical histories affirm to the fact that eating upsets were recognized every bit early as 10 B.C. Although it was non recognized, gorging was the chief cause of fleshiness in ancient times. Obesity, which consequences from gorging, is an antique job whose perceptual experience has changed over clip. During ancient civilisation, fleshiness was perceived in much different ways merely like other gorging upsets. For illustration, antediluvian Egyptians considered fleshiness as disease. There have been wall drawing in Egypt which depicted fleshiness as an unwellnesss. There was besides the celebrated figurine of Venus statuettes, which depicted the image of an corpulent female trunk and which are presumed to hold played major functions in transporting out rites. Ancient Chinese besides showed that they understood the job of fleshiness and its consequence on the length of service of the job. The Aztecs steadfastly believed that fleshiness could be considered as a occult job which was affliction of Gods. Hippocrates, who is regarded as the male parent of medical specialty, recognized th at there were many sudden deceases which could be attributed to fleshiness, and this was expressed clearly in his Hagiographas. However, this perceptual experience changed from topographic point to topographic point. In countries where nutrient was scarce, gorging and eventful fleshiness were considered as marks and symbols of wealth and a higher societal position. In some African civilizations, brides were plumped up in order to fix them for kid bearing period. Before a nuptials, a bride was plumped up until she reached the expected weight to help her to bear a kid. This shows that gorging and fleshiness were perceived in different ways. However, serious focal point on the prevalence of eating upsets did non take topographic point until the 19th and twentieth century. At the clip, there was great scientific progress which provided for research model to transport out surveies to understand the being of these diseases. For illustration, it was in 1979 that a British head-shrinker, Gerald Russell, made official description of being of binge-eating syndrome. He is the 1 who gave it its current scientific name, binge-eating syndrome nervosa. He had carried out a scientific survey between 1972 and 1978 ( Munsch and Beglinger, 2005 ) . What sets apart the description of Russell from those of ancient Greece and Arabia is that Russell identified that binge-eating syndrome was carried out in order to cut weight, while the ancient surveies did non place the ground for being of binging and binge-eating syndrome. Throughout history, gluttony has been perceived in different ways. This perceptual experience has changed greatly with altering times, particularly in the class of 1900 ‘s. For illustration, Gallic interior decorator Paul Poiret showed that gorging and eventful fleshiness were unstylish. Poiret designed skin-revealing adult females apparels in order to uncover the organic structure image. In the class of the nineteenth century, the rate of fleshiness continued to increase at an dismaying rate as a consequence of different factors, among them change in feeding forms, particularly gorging and altering life style. Despite the historical records of being of orgy feeding, it had non been recognized as a wellness job until 1959. In 1959 head-shrinker and research worker Albert Stunkard foremost described gorging or orgy feeding as a societal job ( Cooper and Fairburn, 2003 ) . He foremost described it as ‘Night Eating Syndrome ‘ and later the term Binge Eating Disorder was used to depict gorging behavior that did non hold nocturnal constituent. This meant that the job was recognized as a societal job merely in twentieth century despite its being for many old ages. Although the job has been observed for a figure of old ages, there has non been any scientific survey that looked into the tendencies of gorging. At the clip Stunkard described the job, he had observed at that place was increasing figure of people who were going overweight. He noted that fleshy persons had more incidents of gorging compared to the remainder of the population ( Levi et al. , 2008 ) . The clinical observation convinced Stunkard that gorging was someway related to fleshiness and lone persons with fleshiness showed perennial episodes of gorging. With addition in the figure of corpulent persons owing to the altering life style, it was easy for Stunkard to associate the prevalence form and the hazard it posed to the general population. Since so, there have been several surveies that have looked into the job in greater inside informations. From the perceptual experience of a mark of surpluss during ancient times, orgy feeding was now recognized as a wellness issues ( Munsch and Beglinger, 2005 ) . Since Stunkard recognized the job in fleshy persons, it was non recognized by the medical governments in the state despite a figure of attendant surveies that have outlined the effects of the job. It was non until 1994 when Binge Eating Disorder ( BED ) was introduced in the DSM-IV standards. However it was introduced as a proviso psychiatric upset that required further research. It is of import to understand that during 1950s when the job was recognized as a major societal job, there were a batch of alterations that were taking topographic point in the societal, political, and economical environment. This period marked the terminal of the Second World War and the universe was pulling the attending off from war and political spat to concentrate on societal and wellness public assistance of the population. The terminal of the Second World War ushered the universe into a new epoch that was more focussed on societal public assistance of the people. Since the bend of the century, the universe has been much occupied with First and Second World War and the Great Depression that have wiped away wealth and people scrambled for nutrient rations. This means during the period after the terminal of the Second World War, people could entree more nutrient. Change in engineering has been recognized as another factor that contributed to increased incidence of gorging ( Munsch and Beglinger, 2005 ) . The altering nature of life, chiefly driven by engineering, led to nutrient procedure engineerings that made nutrient available outside the kitchen. Traditionally, nutrient was merely found and prepared in the kitchen which meant that people had limited opportunities of feeding. However, the debut of modern nutrient processing engineering, particularly with the outgrowth of fast and convenient nutrient, people have more opportunities of feeding and this factor contributed to incidence of gorging. With handiness of nutrient in different public infinites, and with outgrowth of nutrient ironss like MacDonald ‘s, which have been established in about every corner, people are encouraged to eat more frequently ( Levi et al. , 2008 ) . The increased incidence of gorging led to lifting instances of fleshiness and this was one of the factors that drew attending to the issue of gorging. Changes in societal life, particularly in working conditions, were another factor that contributed to the increased instances of gorging. Unlike times when people labored for hours in the field, the outgrowth of office occupations where manual occupations are left to machines encourages people to eat more ( Munsch and Beglinger, 2005 ) . As the figure of working hours reduced and more work was taken over by machines, people had more clip to loosen up and eat. Even at work, the outgrowth of fast nutrient meant that people could transport nutrient to work and continued to eat while working. There were a figure of alterations at place that besides marked increased instances of gorging. The outgrowth of telecasting sets and other amusement devices stationed at place meant that people spent more hours watching Television while eating. At the terminal, they ate more than they would hold eaten if they were non watching Television ( Munsch and Beglinger, 2005 ) . Apart from positive impacts of technological promotion and wealth creative activity like holding TVs at place, there are other psychological alterations that come with alteration in life that have been pointed out as possible causes of gorging. As people became busy and pre-occupied and the economic system changed, the degree of emphasis kept on lifting ( Levi et al. , 2008 ) . High degrees of emphasis and depression have besides been pointed out as possible grounds why people engaged in gorging. Research grounds has shown that compared to the yesteryear, economic crisis of modern clip, where life is centered on econ omic public presentation, has contributed to high degrees of emphasis. It is hence apparent that throughout history, definition and apprehension of gorging has dramatically changed in line with emerging societal, political, and economic tendencies. Earlier definition of gluttony is rather different from the modern 1. Binge feeding has changed from a mark of wealth in ancient times to a wellness job that is attributed to the alterations in the modern life style. While the gluttony and fleshiness have remained a job for the wealth in earlier times, most of the corpulent persons presents are found in the center and low category. Description of the gluttony in young persons and striplings Since the 1950s, gorging and attach toing corpulence and fleshiness complications have become major public wellness concerns in the United States. As has been the tradition with the United States authorities, it responds with policies aimed at extenuating the consequence of the job but seldom puts in topographic point policies to forestall the job. Since gorging was noted as a public wellness concern in 1950s, it took the authorities several old ages before any policy was put in topographic point to turn to the issue. With clip, gorging, coupled with altering life manner including reduced battle in physical exercisings has led to overweight and fleshiness, which are considered to be the major public wellness issues confronting the state ( Tanofsky-Kraff, 2008 ) . Binge eating upset is presently a major job that cuts across the whole population. Each and every twelvemonth, there are 1000000s of Americans who succumb to different endangering feeding upsets, but orgy feeding remains a m ajor job across the whole population. It is estimated that about 16 million Americans suffer from one or more eating upsets including anorexia nervosa and binge-eating syndrome nervosa ( Tanofsky-Kraff, 2008 ) . However, a higher figure, 25 million Americans, are documented to endure from orgy eating. Interestingly, the job is more marked in adult females than in work forces. Statisticss shows that more than 90 % of those who are affected by these jobs are adult females ( Hudons et al. , 2007 ) . Unlike other wellness jobs that have been known to happen with age, either really early or really tardily in life, eating upsets occur in the in-between life. It has been documented that approximately 86 % of persons who report eating upsets are somewhat below the age of 20, which means the job starts developing early in life. For illustration, research findings show that approximately 11 % of high school pupils have one or more eating upsets, with orgy eating being a major job ( Raderprogr ams, 2010 ) . However, research shows conflicting consequences. A figure of surveies have pointed out that the prevalence of orgy feeding is non clear in the population. This is because the prevalence differs from topographic point to put depending on the societal economic position. However, it has been shown that the prevalence of orgy feeding in the general population ranges between 1-3 % ( Bull, 2004 ) . As was earlier observed in 1950s, orgy feeding remains a major job confronting fleshy and corpulent persons. A figure of surveies have clearly shown that among the corpulence and corpulent persons, orgy eating Texas Rangers from 25 % and more ( Bull, 2004 ) . In striplings and young person, orgy feeding has been described as a major wellness concern. Surveies have shown that doomed of control feeding or BED is prevailing in immature people non merely in the United States but in the whole universe ( Tanofsky-Kraff, 2008 ) . Binge feeding is associated cross-sectionally with adiposeness in kids and young person and has been identified as a major factor predisposing them to overweight and fleshiness. Overeating is hence a major societal job non merely in grownups but in young persons. There are several grounds why the society is acquiring concerned with the job of gorging. Since the 2nd half of the twentieth century, increasing incidence of gluttony has attracted public attending owing to the societal and wellness branching on the general population. Overeating was recognized as a job associated with fleshiness. The ground why the society is going more concerned with increasing incidence of gorging can be related to the lifting instances of corpulence and fleshiness in the population. Obesity is an epidemic in the United States that affects people across the societal demographic divide. It is estimated that about three quarters or accurately more than 64 % of American grownups are overweight while 26 % are corpulent ( Levi et al. , 2008 ) . The figure of corpulent people in the United States has grown steadily from 19.4 % in 1997 to the recent 26.6 % in 2007 ( Hudons et al. , 2007 ) . By 2015, it is estimated that approximately 75 % of the United States population will be overweight while 41 % will be corpulent ( Hudons et al. , 2007 ) .While fleshiness has been considered a job for the ripening persons, demographic prevalence portrays a distressing tendency as kids and striplings shows increasing instances of corpulence and fleshiness. In the last two decennaries, it has been observed that kids and young persons are going victims of complications associated with gluttony, with 15-25 % of American kids considered corpulent while the figure keeps on turning ( Tanofsky-Kraff, 2008 ) . Worrying tendencies show that one in every five kids is fleshy and has a higher likeliness of going corpulent. By any criterions, these statistics are worrying and name for action from the concerned stakeholders. The above statistics clearly reveals why gluttony is considered a major public wellness concern. What is more badgering is the observation that overweight and corpulent kids and teens are likely to go corpulent when they grow up to grownups. This means that there is likeliness of holding a coevals of corpulent grownups in the cause of clip if nil is done ( Munsch and Beglinger, 2005 ) . Although there are multiple beginnings which contributed to overweight and fleshiness, gorging has been singled out as the chief cause of fleshiness in kids and teens. A recent survey that was carried out by World Health Organization Collaboration Center for Obesity Prevention found out that while research workers have long faulted lessening in physical activity as the chief cause of fleshiness, addition in gorging should instead be pointed out as the chief cause of fleshiness. For kids, gorging instead than other intensifying factors is the chief cause of fleshiness ( RWJF, 2010 ) . If the above tend ency is anything to travel by, so gorging should be a major concern for all persons in the society and so, it is a call for the authorities to come up with steps to extenuate the effects of gorging in kids. There are many societal, economic, political, and media forces that have garnered to specify gorging as a major societal job. Socially, the perceptual experience of gluttony has been altering with clip and today it is no longer perceived as a mark of wealth and surpluss but instead as a societal job. Research has shown that kids who are overweigh and corpulent are likely to be bullied or face cynicism from their equals. They are perceived to be irresponsible, which means they suffer socially. This means that gorging is no longer accepted as a societal pattern as it leads to overweight and fleshiness ( Levi et al. , 2008 ) . Economically, people are going good off and the life criterions have truly improved. However researches point out that gorging is non an economic job as it cuts across the divide, which means even kids and teens populating in low income countries are enduring from the job. This means that there are more implicit in economic factors, like the theoretical account of economic system that lays less accents on difficult work that increases Calorie ingestion which has conspired to worsen the job. Political forces that have lead to acknowledgment of the job include authorities policies that have defined the issue. In 1994, the authorities took a bold measure to include BED into the DSM-IV standards which means it was already recognized as a wellness job. Through the relevant organisations, the authorities has funded a figure of plans aimed at extenuating the job ( Munsch and Beglinger, 2005 ) . However, the most instrumental force that has shaped gorging as a societal job is the media. Now and so, the media carries out runs that are aimed at maintaining kids out of gorging. The media has been critical of transnational corporations like McDonalds which have encouraged gluttony. On the other manus, media portraiture of desired organic structure size, particularly for adolescent misss, forces them to prosecute in weight loss plans that lead to emotion al orgy feeding. The public apprehension of gorging is coming to a convergence. As has been reviewed earlier, ancient apprehension of gorging was rather different from the modern apprehension. There were some societies that encouraged gorging in adult females to give them strength to bear kids while in some societies, gorging was perceived to come with wellness effects. Presents, with the increased apprehension of effect of gorging in mention to overweight and fleshiness, public definition of the corpulence portrays it as a major psychological job. Harmonizing to DSM-IV standards, orgy feeding is defined as a upset marked by eating larger than usual sum of nutrient in a short period of clip, most specific, within a period of two hours. It is lack of control on one ‘s eating behaviour or eating that can non be controlled ( Munsch and Beglinger, 2005 ) . In this definition, there are of import values and political orientations that have are put into consideration. Most of import, the definition p uts into consideration the wellness value in belief that while feeding is good ; it may come with eventful wellness effects. Concretely, gorging in young persons and stripling is understood as a psychological and behavioural job that comes with sedate effects particularly fleshy and fleshiness. However, gorging is still understood in different footings by different societal sections. For some parents, gorging in their kids may be a mark of growing in appetency ( Munsch and Beglinger, 2005 ) . Parents understand that throughout the life span, kids feeding behavior supports on altering and hence gorging in striplings corresponds to foods demands in their organic structure, which means they do non see it to be a job. However, for others, gorging is already recognized as a major wellness job and hence they are making their best to help their kids to get the better of it. Prevalence forms show that Binge Eating Disorder affects 1000000s of people in the United States, particularly young persons and striplings. However, the job is more marked in females than males. In the United States, the job affects 3.5 % females compared to 2 % males ( Decaluwe and Braet, 2003 ) . The job is besides more marked in persons who are fleshy and corpulent as more than 30 % of persons seeking weight decrease intervention have shown marks of BED ( Decaluwe and Braet, 2003 ) . The fact that orgy feeding is twice common in females than males shows that the job is non related to caloric demands as assumed by most parents. The most annihilating consequence of orgy feeding is that it leads to wellness complications like corpulence and fleshiness. Binge eating leads to increased adiposeness in kids and grownups which increases incidence of corpulence and fleshiness. Since the job cuts across the societal demographic divide, including affluent people and those from low income co untries, there are no societal unfairnesss which are associated with the job. By and large, it can be recognized as a job associated with addition in wealth, modern nutrient processing engineering, and alterations in different domains of life ( Munsch and Beglinger, 2005 ) . Social value and political political orientations have impacted otherwise on the manner the job is viewed. As societal value keeps on altering, so has the public perceptual experience of corpulence and fleshiness. For illustration, traditionally, people with large organic structures who can presently be categorized corpulent were valued and viewed every bit good up. However, this has changed with the altering media perceptual experience of ideal organic structure weight. If any, there are few persons in the society who want to keep large organic structures ( Decaluwe and Braet, 2003 ) . This means that if corpulence is being viewed negatively in the society, orgy feeding, which is a causative factor for corpulence and corpulent conditions are besides viewed negatively by the people. Politically, there has been less authorities concern on fleshiness and corpulence until late when the authorities took bold stairss in face of public menace posed by corpulence and fleshiness incidences t o establish steps to cover with the job, for illustration inclusion of gorging in DSM-IV ( Levi et al. , 2008 ) . Overweight and fleshiness are tied to the political political orientation of capitalist economy which is specifying the modern society. In capitalist economy, persons amass more, and indulge in civilization of consumerism hence driving frontward the civilization of gorging ( Levi et al. , 2008 ) . Gorging can be explained utilizing different societal theories. One of the recent theories that have been used to explicate gluttony is reversal theory which explains gorging as a response to high-tension emphasis ( Sue et al, 1998 ) . This theory has shown that adult females who engage in weight decrease plan suffer from tenseness and emphasis which forces them to prosecute in gorging. The same theoretical account has besides been expressed by psychosomatic theory which shows that emotional eating consequences from confusion and apprehensiveness related to emotional provinces that are in bend related to hunger and repletion ( Terry, 2005 ) . Another theory that explains gorging is addiction theory which suggest that when one habituates or adjusts a to nutrient cues, one is less likely to acquire satisfied and keeps on devouring nutrient ( Munsch and Beglinger, 2005 ) . In line with this theory, societal acquisition theory besides shows that gorging is a erudite behaviour that is lea rned due to physical surrounding and interactions. Cognitive theories have pointed out that gorging is profoundly rooted in cognitive procedure which means it is a cognitively goaded procedure. This means that the encephalon is motivated to eat more and more with no feeling of repletion ( Terry, 2005 ) . In mention to the above theories, it can be deduced that there are biological, societal, and psychological causes of orgy feeding. In biological causes, it has been revealed that organic structure parts and endocrines like hypothalamus which control appetency may neglect to direct right message for hungriness and comprehensiveness and therefore lead to gorging. Psychological beginnings have shown that depression and orgy feeding are closely linked to each other. The U.S Department of Health and Human Services shows that more than half of orgy feeders are depressed or have suffered marks of depression in life ( Levi et al. , 2008 ) . On societal factors, it has been shown that societ al force per unit area adds shame on crack addict feeders but this lone fuels their emotional feeding ( Munsch and Beglinger, 2005 ) . Environmental factors like parental pattern of usage of nutrient to conform kids fuels binge eating. A causal concatenation that explains pathway to gorging may be constructed as follows:Ideology/Values-Social influence – desired organic structure size, equal influence -Economic influence – alteration in working spiels, convenient and fast nutrient, less physical work -Media influence – force per unit area on desired organic structure sizePositive influenceIncreased nutrient consumption due to positive influence like handiness of nutrient, eating while watching Television, and othersEmotional feedingTriggered by stress/depressionEffectssCorpulence Fleshiness Insomnia Relationship jobs Suicidal ideas Depression and anxiousness Gorging causes many wellness related physical, emotional, and societal jobs, including corpulence and fleshiness, emphasis, insomnia, self-destructive ideas, and many others. Depression, anxiousness, and sometimes substance maltreatment have been pointed out to be possible side effects of orgy feeding ( Munsch and Beglinger, 2005 ) . Binge eating besides comes with societal jobs like intervention relationship and calling. In footings of effects and benefits, gorging can be looked from two angles, from the point of position of those who benefit and those who suffer from the job. To get down with, there are much more people who suffer from the job than those who benefit from it. Those who suffer from the job include persons who are enduring the effects of such jobs like corpulence and fleshiness, close household and relates who are related to the person and besides suffer from the job, the authorities which has to incur one million millions of dollars in handling complications associated with the job, and many others ( Hudons et al. , 2007 ) . On the other manus, those who benefit from the job include concerns which deal with nutrient and others like pharmaceuticss which sell medical addendums to cover with complications of corpulence and fleshiness. Presently, there are many plans which are dedicated to extenuation of the job. It is of import to observe that most of these plans have taken the attack of supplying instruction to young persons and striplings on causes, effects, dangers, and ways to forestall gorging. While the authorities has instituted such policies as school eating policy that encourage healthy feeding, most of the plans are run by the private sector in concurrence with the authorities, most of them bing in their ain microenvironment. Some of these plans include Focus Adolescent Services, The Center- A Place of Hope, Eating Disorder Hope, and many others. These plans have used the most accessible information airing media, chiefly through the cyberspace to make as many young persons and striplings as possible.