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Tuesday, August 25, 2020
Long Term Management of Client Diagnosed with Colorectal Cancer Essay Example
Long haul Management of Client Diagnosed with Colorectal Cancer Essay Long haul the executives of customer determined to have Colorectal Cancer is a main source of death worldwide and one of the four driving dangers to human wellbeing and advancement alongside cardiovascular illnesses, ceaseless respiratory infections and diabetes (WHO, 2011). It is evaluated that malignant growth represented 13% of all passings worldwide in 2008, of which colorectal disease alongside lung and bosom tumors added to 45% of worldââ¬â¢s absolute disease mortality (Ferlay, et al. , 2010). Malignant growth keeps on being a main source of mortality and dreariness in New Zealand representing 33% all things considered (MOH, 2012). Colorectal malignant growth influences both Maori and non Maori populaces in New Zealand and the frequency rate rank among the most elevated around the world (Shah et al, 2011). The personality of the customer for this situation study is secured under the Privacy Act (1993). He will, from this point forward, be known as Mr. S. The understudy in this task will evaluate the given contextual investigation (Appendix. An) and examine the pathophysiology of colorectal malignant growth alongside the understanding of the data given (Appendix. A). A proper arrangement of care for Mr. S determined to have colorectal malignant growth experiencing chemotherapy and the job of attendants in the administration of individuals long haul conditions are likewise examined in this task. Foundation: Mr. S is a multi year elderly person determined to have colorectal malignancy experiencing his second course of chemotherapy in the outpatient facility. He introduced to the medical clinic with checked changes in his gut propensity with splendid red blood per rectum and squeezing stomach torment in November, 2012. After definite examination, he has been determined to have stage for colon malignant growth with stomach and liver metastasis. We will compose a custom exposition test on Long Term Management of Client Diagnosed with Colorectal Cancer explicitly for you for just $16.38 $13.9/page Request now We will compose a custom article test on Long Term Management of Client Diagnosed with Colorectal Cancer explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer We will compose a custom article test on Long Term Management of Client Diagnosed with Colorectal Cancer explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer He experienced entrail resection in December, 2012 bringing about colostomy. His current concern incorporates stomach distress, interminable exhaustion, shortcoming, poor hunger, upset rest and heart consume. His exhibition status is declining and he needs help with his exercises of day by day living. He is a known hypertensive with family ancestry of malignant growth and myocardial dead tissue. He is a non smoker and a non liquor consumer with an exceptionally strong family (Appendix. A). The creator (Appendix. A) gave the contextual analysis adequate realities for arranging a synergistic consideration plan for Mr. S. Sufficient data has been given in regards to the introducing issues of the customer alongside ongoing examinations and current prescriptions. The creator incorporated the pertinent family ancestry just as the past clinical history of the customer important to design a fitting consideration for Mr. S. Notwithstanding, the creator hasnââ¬â¢t gave any data with respect to the otherworldly soundness of Mr. S. Otherworldliness and religion can be essential to the prosperity of individuals with malignant growth, which empower them to adapt to the infection in a superior manner (National Comprehensive Cancer Network, 2013). Information with respect to the sexual existence of Mr. S would have been applicable in light of the fact that examination shows that, proceeding with sexual relationship is one of the significant worries for customers with colostomies and critical others ( Black, 1993). It is obvious from the data given (Appendix. A) that, Mr. S has a propelled phase of colorectal malignant growth. In this way, Information on cutting edge order of Mr. S would have been useful in light of the fact that cutting-edge order is a procedure of conversation and shared getting ready for future social insurance. It is centered around the individual and includes the individual, family/whanau and the medicinal services experts answerable for their consideration according to the personsââ¬â¢ wish (MOH, 2011). So as to build up a cooperative arrangement of care, a comprehension of the pathophysiology of the introducing case is required. Colorectal Cancer. Malignant growth is a developing wellbeing worry in New Zealand and colorectal disease is the second most basic disease enlisted for the two people in New Zealand (MOH, 2012). Colorectal disease (CRC), regularly known as colon malignant growth or gut malignant growth is a dangerous tumor emerging from the internal dividers of digestive organ because of the uncontrolled development of cells in the colon or rectum. The reasons for colorectal disease are intricate however are typically a blend of acquired and natural elements. Most colorectal malignant growth happens because of way of life and expanding age with just a minority of cases related with fundamental hereditary issue (Black, 1993; Nugent, 2012; Waitemata District Health Board, 2006). Variables that expansion a personââ¬â¢s danger of colorectal malignant growth incorporates propelling age, family ancestry of colorectal malignant growth and polyps, the nearness of polyps in the digestive organ, provocative inside ailments, principally ceaseless ulcerative colitis and high fat admission ( Nugent, 2012). Mr. S is multi year old and had solid family ancestry of malignant growth. Aside from this he hasnââ¬â¢t got some other hazard factors for colon disease. He is a known hypertensive and had family ancestry of hypertension and myocardial dead tissue which expands his hazard for cardiovascular infections (Appendix. A). Pathophysiology: Structurally the internal organ is a long cylinder involved four layers. The inward mucosal layer through which the undigested food ventures, joined to the slim second layer, called the submucosa. The sub mucosal layer itself appended to a layer of muscle, the muscularis. The whole cylinder is encircled by stringy tissue called serosa. The most widely recognized tumors of the digestive organ (adenocarcinoma) emerge from the internal mucosal layer. These cells are presented to poisons from food and microorganisms alongside mechanical mileage and are continually vanishing and being supplanted. Disease of colon and rectum happens when the procedure of this typical substitution of covering cells leaves (Nugent, 2012). For reasons that are inadequately comprehended, these cells start to partition and develop freely, prompting the uncontrolled multiplication of anomalous cells. As these anomalous cells develop and separate, they can prompt developments inside the olon called polyps. Polyps are precancerous tumors that develop gradually over years and don't spread. Extra hereditary transformation of these polyps further destabilizes the cells and attacks different layers of digestive organ and gets dangerous (Black, 1993; Nugent, 2012). When framed, the colorectal malignancy develops in two different ways. First the malig nancy can develop locally by attacking the adjoining structures, making the mass called the essential tumor which is more earnestly to evacuate. Neighborhood augmentation prompts indications, for example, torment or totality, including blockages of the colon and close by structures. Second the malignant growth starts the procedure of metastasis by shedding various cells daily into the circulation system and lymphatic framework that can make tumors structure in particular areas. Colorectal malignant growths most ordinarily spread first to the neighborhood lymph hubs. When nearby lymph hubs are included, spread to the liver, the stomach cavity, and the lung are the following most regular goals of metastatic spread (Black, 1993; Nugent, 2012; Waitemata District Health Board, 2006). It is obvious from the data given that, (Appendix. A) Mr. S has stomach and liver metastasis and the nearby lymph hubs are additionally included. Side effects of colorectal malignant growth. Side effects of colorectal malignancy are various and regularly asymptomatic. Contingent upon the area, size and kind of disease suggestive introduction may demonstrate a moderately advance tumor. The manifestations of colorectal malignancy are regularly because of the development of the tumor into the lumen of the digestive tract or neighboring structures (American Cancer Society, 2012; Black, 1993). Right sided injuries are bigger and cause iron inadequacy paleness because of the moderate loss of blood over an extensive stretch of time and causes weariness, shortcoming, and brevity of breath. Tumors of the left colon are bound to cause halfway or complete inside hindrance, bringing about blockage, looseness of the bowels, limited stool, stomach torment, squeezes and swelling. Splendid red blood in the stool may likewise demonstrate sores of the lower colon or in the rectum (Black, 1993; Nugent, 2012). Mr. S gave checked changes in his entrail propensity with brilliant red blood per rectum alongside sharp squeezing stomach torment, characteristic of sores in the lower colon or in rectum (Appendix. A). What tests should be possible to identify colon malignant growth? Symptomatic tests are frequently performed when an individual displays the signs and side effects of colorectal malignancy or lab examines recommend a disease might be available. A total blood tally (CBC) is a standard analytic test that decides the measure of red and white platelets in the blood and assists with deciding if the patient has a contamination or frailty (American Cancer Society, 2012; Black, 1993; Nugent, 2012). Frailty can be an indication of malignancy and is frequently a symptom of chemotherapy. Barium bowel purge x-beam or colonoscopy is additionally performed to affirm the determination and find the disease. A barium douche includes x-beam imaging of the colon and the rectum after the patient is given a bowel purge containing barium. The barium plots the internal organ and the tumors and different anomalies show up as dull shadows on x-beams (Nugent, 2012). Colonoscopy is a method where a long, adaptable review tube is embedded into the rectum to investigate within the whole colon. On the off chance that colon polyps are discovered, they are typically evacuated through the colonoscope which forestalls the future improvement of colon disease from th
Saturday, August 22, 2020
How to support a Gifted and Talented child in the classroom in Essay
Step by step instructions to help a Gifted and Talented youngster in the study hall in Mathematics - Essay Example The regular thought is that skilled kids, having capacities predominant than the rest, need less help with terms of instruction. Be that as it may, what is regularly disregarded is the way that these kids are not really, ââ¬Å"academically giftedâ⬠, as it were. Knowledge isn't limited to scholastics. In that capacity, a skilled youngster might be uncommonly proficient to perusing yet poor in number juggling. At the end of the day, skill doesn't envelop all fields, in opposition to normal conviction. Truth be told, analyst Howard Gardner has proposed Multiple Intelligence hypothesis, hypothesizing that there are really eight insight areas â⬠among them are music, phonetic and rationale and science (Visser, Ashton and Vernon 2006, p.487). Of these referenced areas, a significant subject of intrigue is Mathematics, which, as pointed by a few analysts, for example, Mji and Makgato (2006, p.253), most understudies are poor at. All things considered, given that the part of skill a s far as knowledge is multi-faceted, it is important to set up now how the idea of talent would be utilized in this paper. The subject of contention is the talented youngsters who, paying little mind to their keenness in different parts of insight, epitomize high ability in Mathematics. Proceeding onward, it was referenced that a great deal of understudies perform beneath normal in Mathematics; along these lines, because of this, different advances are taken to improve showing abilities of educators in teaching understudies in this subject. Be that as it may, of course, given the normal misinterpretation on talent, skilled kids are frequently disregarded in the study hall, with their uncommon needs ignored. Assorted variety of Experience and Learning In the book composed by Kennedy, Johnson and Tipps (2008, p. 40), it was contended that the point in managing talented kids isn't to make them arrive at an accomplishment level that is built up for every single normal understudy. Rather , backing ought to be outfitted towards addressing the necessities explicit to these youngsters. This is to state that kids have shifting encounters which may influence learning and execution (Bowman 1994). Overestimating the capacities of talented youngsters which may prompt unexpected disregard of their needs may frustrate them from accomplishing their maximum capacity. The current educational plan in most instructive framework is intended for normal understudies. In this situation, the normal understudies are profiting more in the educational plan since they are learning things while the skilled understudies are simply left tuning in to ideas that they have just aced. The normal understudies are constrained to study and practice so as to sharpen their aptitudes. Conversely, the talented understudies don't have to battle to learn. By and large, this experience has instructed them that everything comes out excessively simple; subsequently, they may not be as open to new thoughts as normal understudies do. Since talented understudies can without much of a stretch comprehend and get aptitudes because of the normal pace of instructing, they for the most part experience the ill effects of weariness and disappointment (Collins 2001, p.xiv). Further, since they are not tested, a large portion of them progressively need inspiration coming about to underachievement (Diezman, Faragher, Lowrie and Bicknell 2004, p. 8). Actually, there are talented understudies who don't perform well essentially in light of the fact that they need intrigue or are busy with compulsiveness (CCEA 2006, p.6). Over the long haul, this absence of inspiration may result to being abandoned, accomplishing things underneath their levels. In this way, it is essential to
Sunday, July 26, 2020
Correspondence The Old-Timey Way Richmond Writing
Correspondence The Old-Timey Way Richmond Writing Location: Writing Desk A funny characteristic of the Millennial students who attend Richmond is their preference for old-school communication, at least after graduation. I guess Id expected them to invite me to some social networking site (a few have) but I get more letters than anything else. A printed card or letter comes as a shock to faculty who still remember when this medium was the default choice for communicating between two people at great distances. For a student writer, the letter or card shows real seriousness, and a faculty member is more likely to remember the writer. This is no small thing when a graduate comes asking for a reference or letter of recommendation (usually done online, these days). Today, as a break from grading final projects, Im answering printed mail. That used to be a large part of the day for many people who kept up correspondence with others. Since my stamps are SO old, Im running out to get some one-cent ones to avoid the recipient finding a postage due announcement (if the post office still does that). At times I miss letters. My handwriting is actually decent when I slow down and use my favorite pens. In the crush of answering e-mail, replying to blog-posts, and preparing for class, I do wonder what weve given up in the service of greater productivity. But usually Im too busy to think about that. If youd like to send me a letter, just drop me an e-mail first. Ill clear the desk and pen a reply.
Friday, May 22, 2020
How Bugs Find Their Way Into Your Food
Entomophagy, the practice of eating insects, has been getting a lot of media attention in recent years. Conservationists promote it as a solution to feeding an exploding global population. Insects, after all, are a high protein food source and dont impact the planet in ways that animals higher up the food chain do. Of course, news stories about insects as food tend to focus on the ick factor. While grubs and caterpillars are diet staples in many parts of the world, U.S. audiences tend to get squeamish at the thought of eating bugs. Well, heres someà news for you. You eat bugs. Every day. Even if youre vegetarian, you cant avoid consuming insects if you eat anything that has been processed, packaged, canned, or prepared. You are, without a doubt, getting a bit of bug protein in your diet. In some cases, the bug bits are intentional ingredients, and in some cases, theyre just by-products of the way we harvest and package our food. Red Food Coloring When the FDA changed food-labeling requirements in 2009, many consumers were startled to learn that manufacturers put crushed bugs in their food products for color. Outrageous! Cochineal extract, which comes from a scale insect, has been used as a red dye or coloring for centuries. Cochineal bugs (Dactylopius coccus) are true bugs belonging to the order Hemiptera. These tiny insects make a living by sucking the sap from cactus. To defend themselves, cochineal bugs produce carminic acid, a foul-tasting, bright red substance that makes predators think twice about eating them. The Aztecs used crushed cochineal bugs to dye fabrics a brilliant crimson. Today, cochineal extract is used as a natural coloring in many foods and drinks. Farmers in Peru and the Canary Islands produce most of the worlds supply, and its an important industry that supports workers in otherwise impoverished areas. And there are certainly worse things that manufacturers could use to color their products. To find out if a product contains cochineal bugs, look for any of the following ingredients on the label: cochineal extract, cochineal, carmine, carminic acid, or Natural Red No. 4. Confectioners Glaze If youre a vegetarian with a sweet tooth, you might be shocked to learn that many candy and chocolate products are made with bugs, too. Everything from jelly beans to milk duds is coated in something called confectioners glaze. à And confectioners glaze comes from bugs. The Lac bug, Laccifer lacca, inhabits tropical and subtropical regions. Like the cochineal bug, the Lac bug is a scale insect (order Hemiptera). It lives as a parasite on plants, particularly banyan trees. The Lac bug uses special glands to excrete a waxy, waterproof coating for protection. Unfortunately for the Lac bug, people figured out long ago that these waxy secretions are also useful for waterproofing other things, like furniture. Ever heard of shellac? Lac bugs are big business in India and Thailand, where they are cultivated for their waxy coatings. Workers scrape the Lac bugs glandular secretions from the host plants, and in the process, some of the Lac bugs get scraped off, too. The waxy bits are typically exported in flake form, called sticklac or gum lac, or sometimes just shellac flakes. Gum lac is used in all kinds of products: waxes, adhesives, paints, cosmetics, varnishes, fertilizers, and more. Lac bug secretions also make their way into medicines, usually as a coating that makes pills easy to swallow. Food manufacturers seem to know that putting shellac on an ingredient list might alarm some consumers, so they often use other, less industrial-sounding names to identify it on food labels. Look for any of the following ingredients on labels to find the hidden Lac bugs in your food: candy glaze, resin glaze, natural food glaze, confectioners glaze, confectioners resin, Lac resin, Lacca, or gum lac. Fig Wasps And then, of course, there are the fig wasps. If youve ever eaten Fig Newtons, or dried figs, or anything containing dried figs, youve no doubt eaten a fig wasp or two as well. Figs require pollination by a tiny female fig wasp. The fig wasp sometimes becomes entrapped within the fig fruit (which is technically not a fruit, its an inflorescence called the syconia), and becomes part of your meal. Insect Parts Honestly, theres no way to pick, package, or produce food without getting a few bugs in the mix. Insects are everywhere. The Food and Drug Administration recognized this reality, and issued regulations concerning how many bug bits are allowable in food items before they become a health concern. Known as the Food Defect Action Levels, these guidelines determine how many insect eggs, body parts, or whole insect bodies can get by the inspectors before being flagged in a given product. So, truth be told, even the most squeamish among us eats bugs, like it or not. Sources: The Truth About Red Food Dye Made From Bugs, LiveScience, April 27, 2012. Accessed online November 26, 2013.Scientists Make Red Food Dye from Potatoes, Not Bugs, National Geographic, September 19, 2013. Accessed online November 26, 2013.Calimyrna Figs in California, Wayne P. Armstrong, Palomar College. Accessed online November 26, 2013.Humans as Fig Eaters, FigWeb, Iziko Museums of South Africa. Accessed online November 26, 2013.Laccifer Lacca, Gwen Pearson (Bug Girls Blog), February 14, 2011. Accessed online November 26, 2013.Q A on Shellac, the Vegetarian Resource Group blog, November 30, 2010. Accessed online November 26, 2013.
Friday, May 8, 2020
The Gods Of The Ancient World - 1105 Words
Some of the Goddesses of the Ancient World The goddesses named in this chapter occur in the midst of the earliest pagan deities mentioned in numerous ancient writings; particularly, the ones frequently linked to the land of Canaan. In fact, several of the goddesses that promoted idolatry and prostitution exist directly in the King James Version of the Bible, such as Ashtoreth, Diana and Lilith. Although, the word ââ¬Ëprostituteââ¬â¢ exists only once (Lev 19:29), still, prostitution happens to be identified with various words; such as ââ¬Å"whore(s), whoredom(s). harlot(s), pollute or polluted;â⬠(which can mean prostitute) that encounters being mentioned frequently. The prophets of the Bible warned regarding whoring after other gods and goddesses andâ⬠¦show more contentâ⬠¦For due to the goddess, routinely unmarried women, including those from the chief families in the country, befell being ordered to prostitute themselves in the temple at least once during their lifetime. Herodotusââ¬â¢ describes this ancient practice that exploited women sexually, stating: Emphatically, due to the goddesses, women and young girls required to have their virginity callously stolen awayââ¬âhow sick is that? Indeed, the paint brush of this practice appears to be broad among the fertility goddesses, for this domination became witnessed repeatedly in various lands; instigating unwanted pregnancy. Generally, the most vulnerable time in a femaleââ¬â¢s life occurs generally during pregnancy or the rearing of small children; therefore this reality helped evil cripple women into submission through the centuries. The following occurs as a brief summary of a few of the main goddesses in the land of Mesopotamia, the ancient Middle East and surrounding areas. Lilith Lilith became intertwined with Ishtar and Inanna in Babylonian as sacred prostitutes, and in the Old Testament her existence occurs subtly. Furthermore, Lilith became a sexual predator towards men and dwelled in desolate desert places as stated in the Bible. Along with other demons, Lilith occurs referenced in the Dead Sea Scrolls that contains an undeniable indication of Lilithââ¬â¢s reputation by being grouped with evil. Virtually, early portrayals of various demons identify with Lilith and became
Wednesday, May 6, 2020
Society with Soul Free Essays
A Society with Soul ââ¬Å"As the soil, however rich it may be, cannot be productive without cultivation, so the mind without culture can never produce good fruit. â⬠This quote by Seneca, a Roman philosopher, says that nothing good can ever come out of the absence of culture. Throughout history, many have argued that a society stripped of its culture is a society stripped of its soul. We will write a custom essay sample on Society with Soul or any similar topic only for you Order Now In the novel Things Fall Apart, the Ibo people are completely taken of their culture by the white colonialists. Despite a growing pattern of submission to new culture within the tribe, the people never truly lost their soul. The Ibo tribe was invaded by outsiders, their culture threatened with accusations on their way of life, worship, and customs, practically being forced into submission. The Ibo people may have been entirely stripped of their culture, but definitely not of their soul. Due to the colonialists attempting to assimilate the Ibo people, the tribe lost their culture but not the essence of who they are, allowing them to triumph against all odds. The white people pushed to assimilate the Africans, especially in their religion, ultimately tearing families apart and disconnecting the tribe. Obierika even says, ââ¬Å"The white man is very clever. He came quietly and peaceably with his religion. We were amused at his foolishness and allowed him to stay. Now he has won our brothers, and our clan can no longer act like one. He has put a knife on things that held us together and we have fallen apart,â⬠(Achebe 152). As the British colonized the Ibo tribes in Africa, they brought with them their new religion of Christianity. At first these new beliefs were not accepted by the Ibo people, but quickly became a major threat to their old way of life. The appeal of wealth and the flow of money into their village from British traders, in combination with support for the colonialistsââ¬â¢ new government and judicial system, eventually attracted many Ibos to convert to Christianity. Ibo society was torn in half, with some being lured in by the British, and others staying faithful to traditional Ibo customs. In addition, by the white missionaries seeking to convert children into their religion, there was no one to carry on the tribeââ¬â¢s traditions, resulting in the falling apart of the tribal system. The attempts of the colonialists to assimilate the Africans in religion caused families and the tribe to be divided. Despite these challenges, the tribe did not lose the essence of who they are and stayed true to a lot of the beliefs of their culture. The Ibo people were stripped of their culture by the colonialists, but they never lost their soul. Amidst the invasion of the white people, the Africans still found ways to maintain their beliefs and the essence of who they were. When Okoli killed the sacred python, he clearly went against traditional Ibo customs, but at the same time, he inadvertently reinforced Ibo customs. The Ibo people always look back to their culture for guidance and believe in it regardless of outside threats. Because it is all they have ever known, the tribe maintains their peaceful ways by deciding not to drive the Christians out with acts of violence, but rather, by ostracizing them. Soon afterwards, Okoli dies of an illness, which reaffirms the tribeââ¬â¢s trust in their gods. ââ¬Å"His death showed that the gods were still able to fight their own battles,â⬠(Achebe 141) and would rightfully punish those who went against them. It made the tribe realize that the gods were still with them, causing them to repeal the new policy of ostracism towards the converts. Furthermore, n the end, the colonialists may have ultimately drove Okonkwo to kill himself, forcing him to go against his culture, but in doing so, Okonkwo also reminded the tribe of their culture. In taking his own life, he reasserted Ibo beliefs, one of the tribesman even saying, ââ¬Å"It is against our custom,â⬠(Achebe 178) when asked by the District Commissioner why the tribe could not take Okonkwo down from the tree. The tribesman went on to say, ââ¬Å"It is an abomination for a man to take his own life,â⬠(Achebe 78). In spite of threats to their way of life and a growing disconnection of their tribe, the Ibos remained true to their culture no matter what. In conclusion, the Ibo people never lost what made them who they were despite challenges presented by the British colonialists. The white peopleââ¬â¢s attempt to assimilate Africans to the Christian faith resulted in the tearing apart of families, the disconnection of the tribe, and subsequently, the loss of the entire Ibo culture. Notwithstanding, the Ibo people did not lose their soul, or the essence of who they are. Regardless of accusations on their way of life and mounted submission to new culture, the Ibo people were undeterred by the threat of invaders. The Ibo tribe was a society entirely stripped of their culture that made it out on the other side not stripped of their soul. How to cite Society with Soul, Essay examples
Tuesday, April 28, 2020
Trust or Distrust free essay sample
In developing countries, the low cost of online banking may enable banks to reach new customers, much like the cell phone offered new possibilities in telephony. Banks must understand, however, that the mediating use of technology increases interpersonal distance between banks and their customers, which can both decrease trust and exacerbate distrust. This article examines the role of trust and distrust in online banking. A framework for categorizing existing and potential online banking users based on their trust and distrust of online banking is presented. Categorizations of users are discussed along with recommendations for how banks can address customer concerns. | Introduction: As online banking is becoming the main source of banking during the past years. the emergence of online banking has revolutionized the banking environment and due to this more business , individuals etc use online banking because it saves time , speed up the process , reliable , easy to communicate , feasible , can use it from anywhere any time (availability ) . We will write a custom essay sample on Trust or Distrust or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page These factors encourage the user to use online banking more frequently and relay on the online banking more than normal banking. In many developing countries online banking is preferred over normal banking and it is also encouraged by the banking sector because of the low cost, convenience, reliability. As use of online banking in Pakistan is not common among the business and individual because of the major issues like communication, security, availability, etc. the major banking activities are done the traditional way. As environment is changing so more and more people are moving towards online banking then normal banking . when using online banking security is the major issue faced. Due to security issues the major business online banking users are reluctant on using online services. Due to online banking services the communication and the interpersonal relationship between the bank and the user has decrease which has affected the trust of the user on online banking. In this research we are focusing on the trust and distrust of people on online banking. Hypothesis of this research is to know that do people trust on online banking or not. We try to focus on the following things: * Do people trust online banking? * Do people prefer using online banking over normal banking? * What are the major problems faced by people while using online banking? * If security is not the issue would you prefer online banking over normal banking? * Do foreign bank provide more secured online banking then local banks? * Is normal banking more trusted then online banking? Literature Review
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