Fragrances in textiles

Abstraction Fragrance coating of fabric stuff has been greatly expanded and used in recent old ages. It can be done by agencies of several aromatic aromas with manner design techniques as embellishment and applique. This thesis focused on aroma and interior decor. In relation to this undertaking, the subject chosen is â€Å"SPA† . SPA in the word which creates an thought of repose, composure and peaceableness in the head. It is the topographic point where aromatherapy is used. The findings provide an apprehension of different techniques and ways used to implement aromatic aroma to fabric for bed sheets. In this probes factors such as comfort ability & A ; relaxation public presentation, lastingness of aroma and laundering belongingss were investigated. The fragranced cloth can be used in place fabric application such as bed sheets, couch screen, table fabric, wall hanging. Chapter 1 Introduction 1.0 Introduction Aromatic aroma is the survey of the consequence of aroma on human behaviour to look into the relationship between feelings and emotions such as relaxation, quieting, alleviating emphasis excitement, sensualness, felicity and good being. ( 1 )Titleâ€Å"Aromatic aroma in place textile†PurposePurposes of this undertaking are to set up a physical connexion between us and aromas through day-to-day usage in place designing 1.3 AimTo analyze the benefits and side effects of aromatherapy on interior designing.To look into the usage of aroma to add olfactory property to bed linen.Explore ways to add aroma finish to textile stuffs.To develop advanced method of fabric use and embroidery utilizing several techniques ( samples )To suggest originative bed sheets and pillow instances designs.1.4 organisation of thesis ( work program ) Chapter 2 LITERATURE REVIEW 2.0 LITERATURE REVIEW This chapter consists of research work carried out harmonizing to the undertaking purpose and onjectives. It provides a brief reappraisal of the method used to add aromatic aroma to fabric and embroidery and technics used to make originative merchandises for interior decor. 2.1 Introduction Home fabric such as bed linen, pillow screens, bed sheets do non stay fresh due to mundane usage. This textile stuff contains a batch of microorganisms that gives off bad smell. Hence aroma coatings are applied. It adds a batch of values to the merchandise and aroma compound infuse a feeling of wellbeing and freshness. 2.2 AROMATHERAPY â€Å"Aromatherapy can be defined as the controlled usage of indispensable oil to keep and advance physical, psychological and religious wellbeing† . ( Gabriel Mojay’s ) Aromatherapy can be defined as the usage of volatile works oil, including indispensable oils for physical and psychological well-being ( hypertext transfer protocol: //www.geocities.com/hotspring/spa/4278/findex.html ) . Aromatic may be classified as a kind of medical intervention or a division of holistic medical specialty. At the same clip it may be believed that aromatherapy is a proved scientific discipline used in the bar and healing of disease. Aromatherapy is the curative usage of plant-derived, aromatic necessity oils to advance physical and psychological well-being. It is often utilize in combination with massage and other curative techniques as portion of a holistic intervention attack. Aromatherapy is the usage of concentrated indispensable oil extracted from flowers, herbs and other works parts for curative utilizations against different provinces. Aroma healer used more than 100 oil, which are separated under the persons which strengthen ( e.g. Rosmarinus officinalis ) , tone ( e.g. lemon grass oil ) or relax ( e.g. orange flower ) other oil usage include basil, Citrus bergamia, black Piper nigrum, camphor, cedar, camomile, fennel, olibanum, Hyssopus officinalis, jasmine, lavender Melissa, patchouly and rose, assorted aromas ( e.g. lemon apple-cinnamon ) are said to better enhanced accomplishment of mental undertakings and cut down clerical mistakes. hypertext transfer protocol: //medical-dictionary.thefreedictionary.com/Aromatherapy 2.2.1 HISTORY OF AROMATHERAPY Aromatherapy has been polished since aged times. But the existent day of the month ( or clip period ) when aromatherapy might hold been introduced is much debated. Most adept claims that the ancient Egyptian was the first to pattern aromatherapy. Ancient Egyptians disposal distinguished the physical and religious belongingss of these oils and used them in their day-to-day life. The Egyptians used these oils for their embalmment method and over clip they became cognizant of the mending belongingss of these oils ( 2 ) ( hypertext transfer protocol: //www.vanderbilt.edu/AnS/psychology/health_psychology/what_is_aromathery.html ) Egypt was considered the birth topographic point of aroma. It’s been 6,000 ago, Egypt discover the curative net incomes of rub downing with indispensable oil. The usage of aromatics spread all around history from Egypt to Israel, Rome, Greek, and the whole Mediterranean universe. Each society formed patterns of aroma utilizing oil, but during that age, a great trade about this acquisition might hold been lost. India is the lone topographic point in the universe where this usage has been ne'er lost. Essential oil landed in Europe from antediluvian states through reformers. The Europeans use this acquisition to their local workss, for illustration lavender, rosemary and thyme. These oil were non accessible to normal or mean individuals, because they were really expensive. Therefore there was a diminution used of indispensable oil. The Gallic chemist Dr. Rene-Maurice Gattefosse who is considered the â€Å"father† of modern twenty-four hours aromatherapy was the first to utilize the term â€Å"aromatherapy† in the twelvemonth 1928. He was really working in his family’s aroma concern and highly fire himself in a bad luck. He burn his manus what’s more forearm to 3rd grade. He puts his manus to the nearest VAT of cold liquid to decrease the hurting. The liquid was lavender oil. He was shocked to happen as much torment lessening and there was no inflammation, redness or rankling. He realized that lavender was mending the burn. The burn cured without a hint or a cicatrix. For Dr. Gattefosse, this started a life-time of find for him larning about indispensable oil. He began to look into lavender oil and continued continuing a big figure of other oils get downing from different workss. He learned after his many researched that the mending belongingss of workss originate in the indispensable oils. In 1937, he published a book on anti-microbial effects of the oils. An probe of history after World War 2 introduces us to Dr. Gattefosse co-worker Dr. Jean Valnet, who was a curative Doctor. He started his ain probe on the belongingss of indispensable oil during the twelvemonth after World War 1. He was a renewing physician in the Gallic armed force during World War 2. Treating assorted kind of lesion. There was an efficiency of supplies and medical specialties run out including antibiotics. He tried indispensable oils, the lesion mended rapidly and infection was lessen. Many combatants were saved due to indispensable oil. Dr. Jean Valnet has written about indispensable oil therapy and in 1964 published the art of aromatherapy and the motion in Europe had metempsychosis. Around those same clip, a Gallic adult male Albert Coureur, published a book on medical utilizations of indispensable oil and Madam Marguerite Maury, a Gallic biochemist make an exceeding system of using indispensable oil to the tegument with massage and established the 1staromatherapy centre in Paris, Great Britain and Switzerland and learned the rejuvenating belongingss of indispensable oils. â€Å"Her research was published as The Secret of Life and Youth ( 1964 ) . Micheline Arcier surveies and worked with Maury and valvet and their combined techniques created a signifier of aromatherapy that is now used around the universe. Many other Gallic medical physicians deeply skilled in curative indispensable oil followed Gattefosse and Valnet. Today thousand pattern aromatherapy in Russia, France, the Ukrain, England and many other states. Most people do non cognize how indispensable oil went to united provinces but if we look at history, we figure a 3rd coevals characteristic therapist from Switzerland, Anna Marie Butler continued the research of indispensable oil. She gets into contact with Dr. Lapraz and Dr. Durrafourd medical practician with indispensable oil. They were besides the president and General Secretary of the Gallic Phyto-Therapy and Aromatherapy association. She took her extended instruction through these and set up the â€Å"phyto-Aromatherapy† institute in the united province to go on her research on indispensable oil. â€Å"as we all hunt for good wellness and look back to the beginning of a circle. Our ascendants gathered medical workss and herbs to make place redresss for all sort of illness† . With scientific discipline exploratory promotion and the presentation of different sorts of chemical drugs, medical specialties we began to put our well-being in the custodies of the medical foundation. For a pill or medicine of some kind for about any complaint ( along with side effects ) we attempt to mend our organic structures and wellness when they are broken alternatively of maintaining them from interrupting in the first topographic point. As a consequence we distance ourselves with nature and the natural ways that could by and large assist us keep our well-being ( mentally and physically ) . Our organic structure can make good occupation at forestalling unwellness and illness if we take good attention of it and supply it with the right things. Our organic structure were non made to procedure chemicals. These same chemicals can be used in natural signifier ( from works non manufactured transcripts ) to maintain us traveling without side effects. ( 3 ) ( hypertext transfer protocol: //www.aromatherapynaturalhealing.com/ ) 2.3 ESSENTIAL OILS Essential oils are the elusive, volatile fluid that is refined from workss, bushs, flowers, trees, shrubs and seeds. They are extremely concentrated oils that have a solid aroma. They are usually made through the process of distillment which separate the oil and H2O based compound of a works by steaming. Essential oil in reverse to the word â€Å"oil† is non by and large oil feelings at all. The bulk of indispensable oil is clear. Essential oil contains the echt kernel of the works it was derived from. Essential oils are extremely concentrated. 2.3.1 DIFFERENCE BETWEEN ESSENTIAL OILS AND PERFUM Essential oils are obtain from parts of workss, aroma oils are stimulated made olfactory property or have unreal substances and do non gives the curative advantages that essential oils offer. 2.3.2 ESSENTIAL OIL APPLICATION Few common ways indispensable oils are used today:TOPICALLY Essential oil have a really little size and of the chemical weight of less than 1000m. harmonizing to scientific testing, any substance with a molecular weight below 1000m should be absorbed by the tegument. This mean that indispensable oil have the capacity to perforate the tegument and base on balls into the blood watercourse and into separate zone of the organic structure for internal curative benefits.Figure 1 locallyAROMATICALLY there is cogent evidence that indispensable oil are absorbed into the blood stream when breathed in. the extended sum of blood vass in the lungs absorbed the oils and so go around them all around the organic structure. Using a diffusor can assist you see the advantages of indispensable oil. You can spread lavender to cut down emphasis, melaleuca to cleanse the air, wild orange to better temper, olibanum for religious enlightenment.figure 2 AromaticallyIngestion indispensable oil can be used as p owerful medical specialties. Most indispensable oils are safe for internal usage but a small spot goes long manner. By and large 1-3 beads is assorted with H2O Oils like Mentha piperita, lemon, frankincense bring extraordinary internal benefit and can be taken with H2O.figure 3 consumptionPERSONAL CARE Today the fastest manner indispensable oils are being utilized by doing place made DIY personal attention merchandises. An first-class manner to take benefits of indispensable oils to heighten your beauty, place and long term well-being. Some of the best DIY formulas to utilize indispensable oil with includes ; shampoo, toothpaste, lip balm, organic structure butter and family cleansing agent.figure 4 personal attentionDr. Axe’s Essential Oils Guide(hypertext transfer protocol: //draxe.com/essential-oils-guide/ ) 2.4 AROMATIC FRAGRANCE AS HOME PERFUME Mentions ONLINE SOURCEAromachology – Wikipedia, the free encyclopaedia en.wikipedia.org/wiki/AromachologyWhat is Aromatherapyand where did it come from,Available at: hypertext transfer protocol: //www.vanderbilt.edu/AnS/psychology/health_psychology/what_is_aromathery.html ( Accessed: 20th January 2015 ) .DebraAromatherapy & A ; natural healing,Available at: hypertext transfer protocol: //www.aromatherapynaturalhealing.com/Aboutme.html ( Accessed: 28th febuary 2015 ) .Dr. Axe’s Essential Oils Guide,Available at: hypertext transfer protocol: //draxe.com/essential-oils-guide/ ( Accessed: 28th febuary 2015 ) .Sophie Borland ( 21 October 2011 )Can aromatherapy oils toxicant you? How bantam atoms ‘may harm liver and kidneys ‘Available at: hypertext transfer protocol: //www.dailymail.co.uk/femail/article-2051976/How-aromatherapy-oils-poison-Tiny-particles-oils-damage-liver-kidneys.html( Accessed: 10th December 2015 ) .Fernando Tovia/Philadelphia University/ ToviaF @ PhilaU. edu /Applied Operations Research Natalie Weathers/Philadelphia University/ WeathersN @ PhilaU.edu /Textile and Apparel Marketing ( 2005 )Scent-Infused Fabrics to Enhance Consumer Experiences,Available at: hypertext transfer protocol: //www.ntcresearch.org/pdf-rpts/AnRp05/F05-PH03-A5.pdf ( Accessed: 30th November 2014 ) .

Trail of Tears

Reading Analysis Guide: Trail of Tears Part A The author, Dee Brown, gives a brief description about Andrew Jackson’s policy on Indian removal in order to gain popularity and power. The purpose of this chapter is to discuss the cause and effects of â€Å"Indian Removal† during Jackson’s terms, ultimately creating the â€Å"Trail of Tears. † As early as the colonial period Indian removal was evident, Brown claims. Indians never really got along with white settlers, and even if they tried to resolve the conflicts, it would fail.Indian Removal calmed down over time but in 1828, Andrew Jackson ran for president and immediately knew he would have to wipe out the frontier states. He made a treaty in which the Indians had to remove themselves from the states and move west toward the Mississippi. On there â€Å"trip† to the Mississippi, Indians faced many hardships that included starvation, death, and disease. Part B I feel that all the information given wa s germane and strengthened the chapter as a whole.The strongest points are found when the author talks about the history of Indian Removal. He states that mistreatment of Indians was evident as early as the Colonial Period. I think starting from the historical view of Indian removal made the story flow well and did a good job at catching the reader’s attention. Brown also tells about how the Indians were in America first, and over the years they began ceding their land and adapting to the â€Å"white man’s way. † Part CThe Trial of Tears reminds me of the Taiwan and China during the domination of Chiang Kai-Sheik and Mao Zedong. Chiang Kai-Sheik was apart of the Kuomintang (KMT), while Mao was apart of the Communist Party of China. This can be compared to the Trail of Tears , because neither Chiang nor Mao would accept each other, which reflects the relationship of the Indians and the white settlers in the states. As a result , Chiang moved to Taiwann and declar ed independence from China causing the ROC, while Mao ruled just the mainland of China.Some of the same aspects occurred during this time period as in the Trail of Tears. Chiang are like the Indians, while Mao is like Andrew Jackson (along with the white settlers). Although Chiang and Mao had conflicts, no major violence occurred, however during the Indian Removal period you had the Black Hawk War and rebellions by the Indians. Also, Mao did not force Chiang to move, but Andrew did force the Indians.

A Unique and Meaningful Life

Unique and meaningful life Unique and meaningful life is compatible with the concept of review framework for ethical actors. To defend this claim, I support Barbara Herman's Kant's debate about moral obligations. The rationale for responsibility is the fact that agents recognize and consider in the ethical review process and they are some facts, since they define the characteristics of our (rational) rational nature so moral meaning It is defined by the CI program (318). [1] The reason is guidance rather than performance reason To seek meaningful links in life is a congenital emotional motive, a distinctive human nature. That is another ability specific to humans - language - is expressed in a complex way, the ability to interpret and manipulate symbols. In many ways, life is a lifelong process of communicating your story, filling in details, explaining what it means, and reinterpretting. In addition to capturing these meanings, this practice is an opportunity to investigate your rel ationships, your self, your life, your past, and your thoughts, emotions, needs, passions, desires, etc. wait. But to free your mind from the old story, but you need courage to stand in the truth of the highest hope you want. It is not necessarily unique to make life worthwhile or make it meaningful. Lan Dao believes that believing that this particularity is related to meaning is another mistake made by many people. He believes that this misunderstanding misses ways to think their lives are unnecessarily meaningful and improves the meaning of life. This may be embarrassing, but very few people are wonderful. Philosopher Richard Taylor argues that in the book Good and Evil published in 1970, doing hard work and accomplishing does not make life important. Because we live, life is essential Theodore Roosevelt stated that the most remarkable thing is the opportunity to work hard. You can enrich your life with meaningful work, but what is creative work worth doing? Even if you are unique and superior to your work, ask yourself if your actual production makes sense. I am a unique supporter, but creativity is not worth it unless it has a significant or positive impact on people's lives. After all, there is a meaningful idea that you can do this. Over time, your creative journey will be more fulfilling

Financial Report on HUAYI BROTHERS MEDIA CORPORATION Essay

Financial Report on HUAYI BROTHERS MEDIA CORPORATION - Essay Example In 2011, the company’s current assets amount, 1403.42 was 3.99 times the amount of current liabilities, 351.91. On the other hand, the company’s 2012 current assets amount, 2,562.33 was only 1.66 times the amount of current liabilities, 1,544.15. The financial statement analysis indicates the company’s current ratio had declined between the 2011 and 2012, comparing their 3rd quarter business performances. The current ratio shows that the company has more than enough current assets available to pay the company’s current liabilities (Drury 496). The company’s gross ratio shows the relationship between the company’s net income amount and net sales figures (http://www.google.com/finance?q=SHE:300027&fstype=ii ). In terms of third quarter financial performance, the Huayi Brothers Media Corporation’s net profit margin ratio shows an unfavorable business performance picture. In 2011, the company’s net profit amount, 102.49 was 21 percent of the amount of net sales, 481.30. On the other hand, the company’s 2012 Net Income amount, 130.91 was only 18 percent of the amount of net sales, 707.80. The financial statement analysis indicates the company’s net profit ratio had dropped between the 2011 and 2012, when analyzing their 3rd quarter financial operations (Drury 185). The above return on investment graph shows how long the company will be able to recover its investments (http://www.google.com/finance?q=SHE:300027&fstype=ii). Recovering the investments in a shorter recovery time is better than a longer recovery time period. In terms of third quarter financial performance, the Huayi Brothers Media Corporation’s return on investment ratio shows an unfavorable business performance picture. In 2011, the company’s net profit amount, 102.49 was 7percent of the amount of Total Assets, 1,403.42. On the other hand, the company’s 2012 Net Income amount, 130.91 was only 18 percent of the amount of net sales, 707.80. The financial statement

Financial managerment Essay Example | Topics and Well Written Essays - 2500 words

Financial managerment - Essay Example Overhead Cost driver ?’000 Percentage Overheads cost Ouse Lendal Clifton Ouse Lendal Clifton Set up costs Number of production runs 350,000 30% 20% 50% 105,000 70,000 175,000 Machine related costs Number of machine hours 900,000 23% 18% 59% 211,765 158,823 529,412 Receiving costs Number of receipts 350,000 7% 10% 83% 25,000 35,000 290,000 Packing Number of deliveries 650,000 36% 14% 50% 234,000 91,000 325,000 Engineering Number of production runs 750,000 30% 20% 50% 225,000 150,000 375,000 800,765 504,823 1,694,412 Overheads Cost per Unit: Per unit Overhead cost = Overheads absorbed / Production volume Production volume (units) Overheads absorbed (?) Per Unit Overhead Cost (?) Ouse 9,000 800,765 89 Lendal 3,000 504,823 168 Clifton 1,500 1,694,412 1130 Cost Per Unit and Profit per Unit: Ouse Lendal Clifton Direct Material Cost per Unit (?) 30 40 15 Direct Labour Cost per Unit (?) 40 60 40 Overheads Cost per Unit (?) 89 168 1130 Total Per Unit Cost (?) 159 268 1185 Selling price per unit (?) 300 400 500 Total Direct Labour Cost (?) (159) (268) (1185) Profit per Unit (?) 141 132 (685) TASK 2: Traditional Full Costing: Full costing is defined as a method of costing of products in which all the manufacturing costs are included in the cost of the products being manufactured. The raw materials, direct labour involved in the production of the product and all fixed and variable products become the part of the items produced. Full costing is also termed as absorption costing. Activity Based Costing: Activity Based Costing is a costing method in which the consumption of resources are traced first and then charged to final products. However, the resources are not directly assigned to manufacturing products in this costing... Direct material cost and direct labour cost are allocated to the products in a similar way in both types of costing methods. These cost elements are allocated to the products as per their production volume. Each of these elements is allocated to each unit of the product that is manufactured. However, the overheads are absorbed in both of these products differently. In full costing method, the traditional approach is adopted while allocating costs to the product units. The approach is simple in which the resources are assigned directly to the units produced. A single volume measure is usually selected on the basis of which all overhead costs are allocated to the products. Thus, this allocation may depend upon a volume measure which may not be suitable for the purpose. Consequently, allocation of overheads may not be suitable and may reflect unrealistic cost of the products. In Activity Based Costing methodology, the overhead costs are accumulated and assigned to the activities of the production and non-production departments. The costs of these departments are then allocated to the product units.

Research and grow Aquilegia flabellata from a plug Paper

And grow Aquilegia flabellata from a plug - Research Paper Example Proceeding further, Aquilegia flabellata is a perennial flowering plant of the family Ranunculaceae. Other varieties of the plant include A. flabellata var. pumila and A. flabellata var. alba (Armitage 111). The species is a native of Japan; in the alpine regions of Northern and Central Japan (Harper and McGourty 53). With regard to its cultivation, it should be planted in a pot size of minimum 7 cm. Its full grown height is 15-20cm. The plant has divided leaves and slightly glaucous. Aquilegia flabellata produces violet-blue, pale blue, or lavender flowers that are about 3cm in width. The floral structures are housed in creamy-white petals. Its fan-shaped foliage is thicker and wider in comparison to other columbines. The blooming time is early spring or late summer. As cited by Seedaholic, the plant’s flowers are produced above attractive fan-shaped foliage. When planted outdoors, the plant’s spacing is 30 cm. The seeds are sown in late summer and covered by 3 to 5 cm of soil. The plant can thrive in moist soil, neutral, alkaline or acidic soil conditions, and also in normal, sandy or clay soil. When planted indoors, the seed composts in the pot. The soil temperature is kept at 15OC to 20OC. The seedlings can be transplanted into 7cm wide pots. Feeding is necessary both organicall and inorganically. Even in winter, their rounded foliage is still attractive. However, they appear more attractive if given a late-autumn hair cut. After the flowers have been produced, the stalks can be cut off, leaving the leaves to do their work. Aquilegia flabellata tends to cross-pollinate and hybridize, thus creating new strains as well as colors. The plant grows best in morning sun and afternoon shade. In relation to its longevity, this Aquilegia flabellata has a tendency to loose vitality after four or five years. Considering that Aquilega flabellata grows up to 20 cm long, the companion

Criminial justice assignment Example | Topics and Well Written Essays - 500 words

Criminial justice - Assignment Example When it comes to social disorganization theory, it dwells on the fact that people who live in slums do not follow the law especially because where they come from has social controls that do not work. This theory comes from works of people like McKay and Shaw who made a conclusion that divergent value marking areas that are not in order together with transitional populations bring about criminal activities. Strain theories on the other hand come because of people’s anger when they fail to accomplish the right economic and social success. Strain theories reveal that many people have similar beliefs and values however, whether or not they are able to achieve them depends on their social structure. One of the most renowned strain theories is that of Merton, which shows the consequences that, follow when people do not have enough resources in order to meet their own needs. Lastly in the social structure theories is the cultural deviance theory that brings out the fact that in low class areas there is an emergence of unique value system (Lantolf & Thorne, 2006). Reason being, in areas where people are of lower class they are taught to always be tough and go against authority. According to Ohlin and Cloward people in low class areas commit crimes because they believe they do not have the best channels to succeed in life. The conflict theory puts its emphasis on the political, social inequality of a social group. It makes people understand the power differences existing in society. It goes on to show how the dominant group, which is the people with power, controls those who do not have (minorities). Multiculturalism can be defined as the acceptance or promotion of many different ethnic cultures. This leads to people of diverse cultures accepting each other no matter how different they might be. Most of the cultural activities done by different cultures tend to step on women’s

Is this Ethical Coursework Example | Topics and Well Written Essays - 750 words

Is this Ethical - Coursework Example According to the code, employees working in an International Widget must always deliver their services to the benefit of the international widget. It is unacceptable for them to provide services to another company or similar service provider that is competing with the one they are working for. This is exactly what John has done and having read the code before he was employed, he remains answerable to the employer for breaking the terms of employment. On top of this, an employee of an International Widget must not engage into any type of a business pact or relationship that will not benefit the one they are working for. Since the aim of the job and its contractual agreement is based on the satisfaction of the customers who guarantees the job and hence the payment, any act that contravenes that can lead to losing the job or any other penalty that the employer sees best to be applied. Gloria being the director of the enterprise can decide to explore the code of conduct that an employee should show in a job scenario to take legal actions against John. When one becomes the employee of a given firm or company he or she must always show impartiality and integrity while performing his or her duties. Interacting with competitors while still being an employee of the International Widget leads to a legal fold up that can lead to paying of damages for the lost clients and the payment you have been getting while not performing your mandated roles as per the law and your contractual agreement. Any employee must perform his or her roles according or adhering to the set federal or local laws and due to this it is clear that John has broken them (Archibald, 2014). Any employee is allowed to offer or present a letter of resignation whenever he feels that he do not want to continue working at the current job. However, working with competitors while still in the job cannot be

The Incredible India Research Paper Example | Topics and Well Written Essays - 1250 words

The Incredible India - Research Paper Example It is also a country where marriage and family are regarded almost as a requirement for a full and happy life. Please join me in attempting to scratch the surface of the seventh largest country in the world, as together we uncover exciting facts about the country and the people that live within it. The Incredible India Introduction India, once a colony under the rule of Great Britain, is today an independent country with its own government, society, and culture. It is the seventh largest country in the world and in 2005 claimed the feat of being the second highest in population (Daniel, 2005). To the world, it is officially known as the Republic of India (Daniel, 2005). It also has two other names including Bharat from the Sanskrit language as well as Hindustan, a name given by the Persians meaning people living near the river Indus (Daniel, 2005). To the people of the country, it is simply called India (Central Intelligence Agency, 2012). It has six border countries, including Nepal , Burma, Pakistan, Bangladesh, Bhutan, and China, some of which were formerly part of what was known as the colony of â€Å"British India† (Central Intelligence Agency, 2012). ... gh India achieved its independence on the 15th of August 1947 after a very long struggle, the last of the British troops did not leave until 1950 (Daniel, 2005). Until its independence in 1947, the present day neighbors of Pakistan, Bangladesh, and Myanmar were all a part of what was known as â€Å"British India† that included what is today the country of India, and were ruled under the concept of â€Å"divide and rule†, which split the areas into many different communities and offered absolutely no sense of nationalism whatsoever (Daniel, 2005).When it became clear that the British were going to leave, India demanded to be made into separate states that each reflected their own religious and political beliefs (Daniel, 2005). The problem was finally solved when two nations were created, India and Pakistan, which continue to this day (Daniel, 2005). India, like many other countries, also had their capital moved by their imperial rulers. The former capital of India was Ko lkata (Calcutta), situated in the east of India (Wright, 2011). However, in 1911, a letter was written by the Viceroy of the country under British rule that endorsed the idea of moving the capital to New Delhi (Wright, 2011). Among the reasons given was that, due to the Morley-Minto reforms, the Indian people were allowed to hold legislative positions (Wright, 2011). This fact meant that a more central capital was needed (Wright, 2011). However, behind the scenes, a storm was brewing, and the movement to give India its independence had gained strength, most notably in Calcutta (Wright, 2011). It was felt that a more hospitable and new city was needed in order to protect the sanctity of the rule, and therefore the capital was moved to New Delhi (Wright, 2011). The city was built for the purpose of holding

Project Proposal Essay Example for Free

Project Proposal Essay Background and Motivation What is the setting and history behind this project? Customer Relationship Management concerns the relationship between the organization and its customers. Customers are the lifeblood of any organization be it a global corporation with thousands of employees and a multi-billion turnover, or a sole trader with a handful of regular customers. Customer Relationship Management is the same in principle for these two examples it is the scope of CRM which can vary drastically. CRM, or Customer Relationship Management, is a way for businesses to find potential customers. While the first iterations of CRM were used in the 1980s, it wasnt until the 2000s that it really began to shine. CRM software helps businesses identify and categorize existing customers. This allows them to see the specific demographics their products appeal to, in turn allowing them to market their products more effectively. What is the problem to be addressed? Many organizations are considering introducing CRM systems or are in the process of doing so. The main concern of these organizations is their ability to make the necessary changes at the level of organizational strategy that the introduction of the CRM system requires. Organizations are also concerned about damaging their existing customer care system. Their fears are based on past failures in their own or in other organizations. What are some current approaches to this problem? 1. The users dont use the CRM system My personal view is that most people do not come to work to fight the system. If users are rejecting the CRM system then we need to try to understand the reasons. In most cases this can be traced to a lack of management support for CRM. If users feel that their conscientious updating of the CRM system is not used then they will stop using it. Examples of managers refusing to use the CRM system, requesting reports in Word or Excel format, and enjoying a successful CRM implementation are nonexistent. The simple fact is that leaders need to lead – that means that everyone from the very top down must use the CRM system. 2. The users want to use the CRM system, but the technology is failing them Another point of belief; CRM software developers do not set out to ship bad software. So even if you have selected a software platform that we don’t sell, it is unlikely that the CRM issue will be bugged software. The most common reasons for technology failing are tied to speed or ease of access. If your users cannot access the CRM system whenever or wherever they want then they will drift away. 3. The original driving force for the CRM project has moved on It is often said that a new broom sweeps cleanest. All too often changes in management herald changes in the CRM system. Users who were previously happily using the CRM system, struggle to adopt changes. Users who were struggling with the system, legitimize their behavior with reference to changes that may, or may not be coming. 4. The CRM system does not deliver all of the functions required This might be the result of changes in the business, or changes in the management or reporting requirements. Typically this is first visible as a potential Business Intelligence (BI) requirement. The need is to integrate all of the systems that surround the CRM system. From quote creation, to web store integration, systems proliferate to surround the CRM system. Requirements, not anticipated in the initial CRM project create additional customer data silos. Left unchecked these will ultimately undermine the â€Å"single view of the customer† CRM seeks to deliver. Why is this problem worth solving or worth solving better? Customer relationship management (CRM) is a widely implemented model for managing a company’s interactions with customers, clients, and sales prospects. It involves using technology to organize, automate, and synchronize business processes—principally sales activities, but also those for marketing, customer service, and technical support.[1] The overall goals are to find, attract, and win new clients, service and retain those the company already has, entice former clients to return, and reduce the costs of marketing and client service.[2] Customer relationship management describes a company-wide business strategy including customer-interface departments as well as other departments.[3] Measuring and valuing customer relationships is critical to implementing this strategy. Benefits of the Project/Product * One of the major benefits of having a CRM is that it improves the quality of service. The CRM collects all information of the clients then analyzes the data and help you in decision- making. With the help of Customer Relationship Management, you will assured that your system is running safe and secure. Another benefit of having a CRM software is that it can help you save a lot of money. Of course, purchasing a software might be expensive but compared on hiring, training and paying employees, it will save you a lot. * Having a Customer Relationship Management software needs to have careful planning. Remember that in this system, the relationship between your company and your clients is at stake. You have to plan out everything. It is also important that you consider its usability. You have to determine the benefits it will bring to your company and its impact in your business as well as your employees. * Since all information provided by the customers were collected by the CRM, it is important to keep them secure. The company as well as the vendors should ensure the quality of the system that it is secure enough to protect confidential information. Scope and Limitations of the Project The scope limitation option on workflows in MSCRM is a great feature that unfortunately has half baked functionality. Particularly when dealing with large organizations with multiple Business Units, it’s compelling to try and limit scope to the Business Unit level. This works fine until you realize the limitations. Seeing as how workflows can only be owned by people, you MUST assign each workflow to a user in the business unit you’d like scope limited to. As soon as you attempt this, you’ll need to deactive the workflow, assign to the appropriate user, have that user log into the system, and re-activate the workflow. Needless to say, this is not a feasible maintenance scenario for organizations rolling out to dozen(s) of business units.

To What Extent is the PM Free From Political Constraints?

To What Extent is the PM Free From Political Constraints? There are numbers of constraints on the Prime Minister. The main constraints are constitutional, political, administrative and personal. The decision making body in Britain is collective; the Prime Ministers role is to provide leadership within a Cabinet context in which collective responsibility remains the rule. Ministerial appointments require some recognition of the need for political balance and administrative efficiency, there is also pressure from colleagues or the media to promote certain people- The popularity of a Prime Minister depends, to some extent, on the media coverage they receive. Which party the Prime Minister represents can also affect media coverage. The press in Britain is biased in its coverage and editorials- some papers are committed to certain parties. This means in practice that Cabinets contain individuals whom the Prime minister would rather be without. All Prime Ministers at least listen to advice from senior colleagues before making appointments. The power of patronage enables a Prime Minister to hire and fire whoever he/she pleases. However, they must consider all types of party opinion when making their selection when allocating ministerial office, as it would not be wise for the prime minister offer cabinet positions to their loyal supporters. Ministers should represent a balanced team in terms of age, experience and forms of thinking within the party if they are not to become alienated from the backbenchers. Backbenchers may also be a constraint, though they risk loss of promotion prospects. Parliament as a whole should be a key constraint; and the Lords have been more active in opposing government bills since the 1980s, but their power is limited. The need to keep the cabinet balanced and to adjust its composition in the light of changing circumstances is illustrated by the cabinet reshuffle forced upon Margaret Thatcher in 1989. Nigel Lawson, the Chancellor of the Exchequer had resigned following conflicts with the Prim e Minister over economic policy and the role of her economics special advisor Alan Walters. There are also constraints on the dismissal of ministers. If the PM sacks too many ministers too frequently it implies poor judgement and the PMs authority will be undermined an example of this would be Macmillans night of the long knives in 1962 when he sacked seven Cabinet ministers overnight. This damaged his own standing and caused resentment in the party. A further constraint would be political e.g. John Majors government was constrained by ideological splits in his party, making it difficult to manage, especially as it had a small majority. The larger the government majority in the House of Commons, the stronger the governments position and with it the power of the Prime Minister. A minority government may be in the weakest position of all would need to compromise with parties on the floor of the house. This makes it much more difficult for the Prime Minister to take a strong line on any policy. Equally constraining, are economic factors e.g. in the early 1990s Britain suffered a bad economic recession, this led to falling popularity, which, in turn created stronger political constraints. The Conservative party illustrates the strength a prime minister can gain from the backing of a united party, it also shows the weakness that can overtake the leader of the same party when it is divided. The thing that divides a political party most, is unpopularity and fear of electoral losses e.g. this is true for the Major government which was seen as weak and divided. A leaders popularity is likely to depend on the state of the economy, the international importance of the country or the general mood of the country, all of which are, to a greater or lesser extent, outside the control of the prime minister. The party may remove a sitting Prime Minister but this is quite rare, this was however the case with Thatcher in 1990. Thatcher resigned after losing the support of senior colleagues (Lawson and Howe) and a huge section of the majority parliamentary party. Cabinet revolts limit a PMs policy-making power. Apart from drawing up the party manifesto, most Prime Ministers do not initiate policy- they have a small staff and most expertise and information and detailed information is located in individual departments. It is therefore difficult for PMs to interfere constantly in the work of a department. Consensus between PM and Cabinet over policies is normal. When revolt do occurs do occur they may suggest misjudgment or mismanagement by a Prime Minister e.g. policy toward Europe caused Major problems of party management. Major resigned the party leadership in 1995 in an attempt to put to rest persistent cabinet and party disagreement over Europe. The Prime Minister can attempt to keep certain issues off the cabinet agenda in order to avoid difficult discussions. The period of time in which an issue may be left off a cabinet agenda depends partly on the personalities of the cabinet ministers. On occasions the Prime Minister will be defeated in cabinet. As Primus inter pares (first amongst equals), the Prime Minister, unlike the American president, is not able to overrule the cabinet. Prime ministers cannot make policy without the support of cabinet colleagues because they do not have the time to control every issue. Moreover, the Prime minister cannot implement policy without the backing of ministerial departments. A final constraint on the Prime Minister is personal constraints; the PM is limited in terms of energy, resources and time. The PMs special concerns (foreign affairs, the economy and security services) are vulnerable to setbacks e.g. Security service disasters undermined Macmillan and problems over Europe destroyed the authority of Thatcher and Major. Overall, the constraints on the Prime Minister are very effective because they prevent the PM from being too dominant a figure. Collective responsibility makes sure there is a balance of power. It can be argued however, that even a strong Prime Minister such as Margaret Thatcher is subject to constraints both inside and outside the cabinet. The constraints that arise depend upon the state of the Economy, the size of the government majority, the character and length of tenure of the PM him/her self. The most effective constraint are those that act upon the cabinet from outside Whitehall, such as the state of the economy, as the Prime Minister has no way of controlling theses. It should certainly have a great effect on the relationship between the Prime minister and the cabinet.

Jane Eyre by Charlotte Brontë Essay -- Charlotte Brontë Jane Eyre

Jane Eyre Jane Eyre, a classic Victorian novel by Charlotte Brontà «, is regarded as one of the finest novels in English literature. The main character, Jane Eyre, demonstrates a strong need to be herself, a young girl trying to retain all the individuality possible for a dependent of her time. Although this effort guides her to a passionate and impulsive nature, Jane is still willing to accept change in her life knowing it may not always seem the most pleasant. Her tolerance of change begins very early in the novel and helps her in developing a strong sense of independence. The first two primary changes in Jane’s life, dealing mainly with setting, are when she leaves Gateshead Hall, the hateful environment containing Mrs. Reed and her children, and when she leaves Lowood, a rigorous Christian boarding school. These two instances are important in the development of her self-assured character and resiliently intense resolve, which will help determine the path of her life. Janeâ⠂¬â„¢s leaving Gateshead and Jane’s leaving Lowood may be compared on the basis of Jane’s desire for change, and may be contrasted on the bases of the reasons for Jane’s leaving and her anticipations for leaving. In each instance of Jane’s departure, whether from Gateshead or from Lowood, she desires change: something new to experience. Before Jane leaves Gateshead, she is even more shut out by the Reeds’ due to the holiday season of Christmas. Because of this extreme separation between her and the ever hardening Reeds, Jane is expecting not to be tolerated among them for much longer (20-22). This prospect elevating her spirits, she narrates, â€Å"I gathered enough of hope to suffice as a motive for wishing to get well: a change seemed near—I desired... ... to embark on a †new life in the unknown† (85). Jane’s leaving Gateshead and her departure from Lowood are the most important two events in her life playing a role in the shaping of her personality. This personality, one of strength, resilience, and spirit, can be regarded as one of the best developed in literature. Jane’s desire, in both cases, leads to the reasons for her departure. Once she knows she is departing, her anticipations, always of something better than the present, guide her and help her survive. After everything, she undoubtedly has a better life with a true sense of satisfaction and gratification. Understanding these two changes in her life can lead to a better explanation of the rest of her life: the path she chooses, decisions she makes, how she interacts with her surroundings, and how she finds happiness ever after: the best part of all.

The Confident Man or Woman :: College Admissions Essays

The Confident Man or Woman I'm one of those people that are never satisfied. That's not to say that I don't enjoy life, far from it. It's more that I am always analysing, thinking and predicting. The outcome of all this, is that I like to try different ways of doing things. Sometimes the new way doesn't work, sometimes it does and I try to bed it down before moving on to the next improvement. Perhaps, part of the reason I am this way is that I'm task oriented, (a psych term if ever there was one). As a rule, I don't care how I get there, but once I set myself a goal, I don't stop till it's achieved. I rarely think about ego, my own or anyone else's, nor do I tend to worry about people's feelings. This has dropped me in a lot of hot water, both in my private life and at school. I say that something is not going to plan and therefore needs to be fixed and the person responsible for that thing invariable takes offence. Clearly I am calling into question their right to exist as a human being. Why are so many people so thin skinned? If I don't feel anything negative towards someone, and therefore no hint of sarcasm or accusation should enter my words, and I am stating nothing but facts and agreed objectives, where is the justification to take offence? Are we so far down the road to political correctness that we can no longer even talk about areas that need work, without being accused of being insensitive, authoritative, etcetera? As another example, while playing tennis doubles I ask my partner to cover more of the centre-court when I am receiving. I explain that the server has a wide angle serve which is forcing me to return from outside of the court entirely. Do I get a nod of agreement and a more effective team? No. I get hostility because the message inferred was that my partner was not pulling her weight or was responsible for the last point lost or some other imagined insult.

Equality: The Destination Yet To Be Reached :: essays research papers

He had a dream. Does anything else come to mind when you mention the one and only Martin Luther King Jr.? For most people, probably not. The truth is, King was recognized primarily for his dream. And why not? It was a good dream, one that promoted peace and equality. It was the dream that was thought to have united the black and white communities, the dream that made America aware of a problem, and the dream that ultimately led to his demise. Let me ask you a question: Would King be happy to see how far his dream has come? Don’t answer so quickly. Instead, let us ponder†¦ Today, there is coracial education. African Americans are in every U.S. school; it’s not uncommon. Blacks and whites can dine together at neighboring tables at any restaurant. Anyone to utter the word â€Å"nigger† is most definitely punished in the harshest form. Caucasians are not considered to be better than their darker friends in any way, shape, or form. Of the ignorant bigoted percentage of the population, whites consider blacks every bit as strong and honorable as themselves. Our schools even hold assemblies to reprimand racism, targeting these horribly self-emulating whites. For the most part, blacks have surpassed the label of â€Å"lower class,† or â€Å"uneducated,† or â€Å" secondary citizens.† For the most part, African Americans have overcome. But have they surpassed and overcame even equality itself? Dr. Martin Luther King Jr. fought for equality goes both ways. Just as it is unthinkable to place a white person above a black person, it should be unthinkable to place a black above a white. Perhaps it is the white community’s guilt or regret for years of oppression that accounts for this, but there is a growing amount of reversed racism in our country today. There are more cases where blacks are being treated differently, being treated special, simply because they are a few shades darker. White children have less oppertunities as a result of this. This is discrimination based on skin color. Is this not racism? The very racism King fought against? If we are all to be treated equally, as stated by our own government, then why is our government promoting the defiance of this very law? Colleges all across our country are responsible for practicing reversed racism. Because of their desire to accept students within a minority, they are in fact excluding many more qualified white students from their education services. Equality: The Destination Yet To Be Reached :: essays research papers He had a dream. Does anything else come to mind when you mention the one and only Martin Luther King Jr.? For most people, probably not. The truth is, King was recognized primarily for his dream. And why not? It was a good dream, one that promoted peace and equality. It was the dream that was thought to have united the black and white communities, the dream that made America aware of a problem, and the dream that ultimately led to his demise. Let me ask you a question: Would King be happy to see how far his dream has come? Don’t answer so quickly. Instead, let us ponder†¦ Today, there is coracial education. African Americans are in every U.S. school; it’s not uncommon. Blacks and whites can dine together at neighboring tables at any restaurant. Anyone to utter the word â€Å"nigger† is most definitely punished in the harshest form. Caucasians are not considered to be better than their darker friends in any way, shape, or form. Of the ignorant bigoted percentage of the population, whites consider blacks every bit as strong and honorable as themselves. Our schools even hold assemblies to reprimand racism, targeting these horribly self-emulating whites. For the most part, blacks have surpassed the label of â€Å"lower class,† or â€Å"uneducated,† or â€Å" secondary citizens.† For the most part, African Americans have overcome. But have they surpassed and overcame even equality itself? Dr. Martin Luther King Jr. fought for equality goes both ways. Just as it is unthinkable to place a white person above a black person, it should be unthinkable to place a black above a white. Perhaps it is the white community’s guilt or regret for years of oppression that accounts for this, but there is a growing amount of reversed racism in our country today. There are more cases where blacks are being treated differently, being treated special, simply because they are a few shades darker. White children have less oppertunities as a result of this. This is discrimination based on skin color. Is this not racism? The very racism King fought against? If we are all to be treated equally, as stated by our own government, then why is our government promoting the defiance of this very law? Colleges all across our country are responsible for practicing reversed racism. Because of their desire to accept students within a minority, they are in fact excluding many more qualified white students from their education services.

Excellence Is Not an Accomplishment

Topic No. 1: Excellence is not an accomplishment. It is a spirit, a never-ending process. A very famous line by Lawrence M. Miller. In order to develop excellence as a leader we must be willing to acknowledge that developing it is not an accomplishment – it's a never-ending process. It's a process full of many awesome moments and many lonely days. It's fun and exciting one day and then the next day we wonder why we ever wanted to lead in the first place. Many of us secretly fantasize about being a greeter at Walmart or on any other platform .Being a leader isn't easy – it requires commitment for the long haul. It's not something we can just accomplish and then move on. Being a leader requires hard work, sacrifice, commitment and a willingness to grow ourselves. The leaders I admire most are the ones who give selflessly of themselves and make personal development a priority. I can not give of myself as I leader if I do not first take care of myself. Great leaders balance personal development and organizational development.Both are important and one without the other does not work. As I have observed great leaders, I find they all have some things in common. â€Å"Be a yardstick of quality. Some people aren't used to an environment where excellence is expected. † ~ Steve Jobs Excellence is an art won by training and habituation. We do not act rightly because we have virtue or excellence, but we rather have those because we have acted rightly. We are what we repeatedly do. Excellence, then, is not an act but a habit. ~ Aristotle

Are Parents Really to Blame for Their Kids’ Behavior?

Vanessa Olson Mrs. Novak September 17, 2012 Final Draft Are Parents Really to Blame for Their Kids’ Behavior? Watching how children, or even teenagers my age, act, I wonder how or why their parents let them get away with their behavior. What causes some kids to talk disrespectful to others or throw temper tantrums for the littlest reasons? My parents would tell me how, when they were my age, no one acted out like how children do today; that parents do not have the morals or values that the earlier generations have.After all, I personally would never allow my children to act in such ways. I started to research if parents were really to blame for the way their children act, or if kids act in their own ways no matter how their parents raised them. At first I searched through Google to see if I could find articles debating whether parents were really to blame for how their children behave. Most of the results came out to be that parents were responsible and that children acting ou t is usually because there is little discipline at home.I was not satisfied with only these results; I felt that there are exceptions to how children behave that are not solely in result of how they were raised by their parents. School, location, ethnicity, age, and religious factors all influence how we behave. Children are like sponges-they model everything a parent does and incorporate what they see into their own lives (Erikson 5). Reading this article, I was almost convinced that parents were actually really the main reason for children to act in the ways they do.After all, negative examples can be unhealthy as a child will mimic these and lead them to bad behavior. I continued to read on what types of factors would influence negative behavior. I found out social skills, stress, discipline, fighting, and child abuse are all major factors that children are exposed to that result in their behavior. Social skills, such as a simple â€Å"please† or â€Å"thank you†, c an be positively influential to kids; they will model what they witness their parents doing.According to the website More4Kids info, a parent’s reaction to stress affects the way a child reacts to stress (Erickson 6). If they believe they are the reason for yelling or lashing out, the child will sometimes shut him or herself down. Discipline, such as spanking or physically harming one’s child, does not teach that child how to modify their behavior; time-outs are alternate forms of punishment that can change their behavior in a calm manner. Verbal and physical fights are extremely hard on kids.Children may develop low self-esteems and may even behave violently toward other children (Erickson 6). Sometimes when children are abused, they shut down and try to understand why they are getting abused. Reading through this article on how all these factors really influence how children act, I started to believe that mouthy children are the result of bad parenting. Still questio ning if there were any other reasons for children to act out I continued to look at other articles online. According to Oxford University, poor parenting is not the reason for increased problem behavior in kids.They found out that there is no general decline in parenting. Parents and teenagers are choosing to spend more quality time together than in 25 years ago (Oxford 3). The most recent studies show how parents now a-days are more likely to know where they children are compared to what they are doing in the 1980s. I found this information to be particularly surprising because I feel that parents were much stricter in earlier generations then compared to now. The most interesting article I found on who is to blame for children’s behavior is on The New York Times website.Dr. Richard A. Friedman, M. D. , talked about a patient he had that dealt with depression and anxiety due to the fact that her son that had been a generally rude and unkind person his entire life. â€Å"I h ate to admit it, but he is unkind and unsympathetic to people,† said his patient (Friedman 1). When tested, the results came back saying he was in the intellectually superior range and that there was no evidence of any learning disability or mental illness. These same parents raised two other children who were socially and intellectually normal.How do parents raise two other well-behaved children while their other one turned out to be so misbehaved? When I read this, I felt that this was the truth. As I began to read the article Accepting That Good Parents May Plant Bad Seeds, part of me agrees with Dr. Friedman; sometimes good parents do have toxic children. Reading multiple articles arguing why parents are to blame for how their children act or how other factors can influence kids, I feel that both are to blame. On one hand, parents are to blame if their kids have no self-control and get away with acting out.But on the other hand, I feel that some kids are just bad kids; the y choose their own path to follow. For better or for worse, parents have limited power to influence their children. This is why they should not be so fast to take all the blame or credit for everything that their children become (Friedman 3). Vanessa Olson Mrs. Novak Annotated Bibliography 22 September 2012 A Selected Annotated Bibliography on Parents Influence on Kids’ Behavior Friedman, Richard A, M. D. Accepting That Good Parents May Plant Bad Seeds. 12 July   Ã‚   2010. Web. 13 July 2010. http://www. nytimes. om/2010/07/13/health/13mind. html? _r=0 This article was published in the New York Times and Richard Friedman, M. D. , explains the experience he had with one of his patients. She claimed to be depressed due to her son’s behavior. He talks about how their one son is not a nice person but they managed to raise two other well-adjusted children. I think this article is helpful; it explains how parents are not always the reason for how every child behaves. Also there is information of another set of parents who have been ignored by his son, having no phone calls or e-mails returned.The best part of this article is that it says that not everyone will turn out nice and loving, and that it is not necessarily because of parental behavior or their environment that they grew up in. Erickson, Rose. Parents Effect on Child Behavior. 21 Jan. 2010. Web. 14 Sept. 2012. http://www. livestrong. com/article/75282-parents-effect-child-behavior/ In this article, parents are to blame for how their children act. It states how negative examples from parents have a great effect and can cause children to develop bad behavior. The author gives particular topics in day to day life that influence how one behaves.I think this article is useful because out of all the articles about children’s bad behavior being a result of their parents, this has the best reasons why. I like how she used examples to show how each topic is the cause and that she backs up her statements. Also I like this article because Rose does not use words that exceed the average reading level. Oxford University. Today’s Parents ‘Not to Blame’ for Teenage Problem Behavior. 31 July 2009. Web. 14 Sept. 2012. This website talked about how most people believe that parents are much worse now than they were in earlier generations.It has statistics on how even though most believe it to be the other way around, teenagers and parents are much closer now than in earlier generations. Parents are more likely to know where their kids are and what they are doing. I found this article to be useful because it talks about how there are other factors, such as cell phones, television, and the internet, that can influence one’s actions no matter how they were raised. I like this article mainly because it talks about what most articles do not; the comparison between earlier generations and this current one.

Computer System Unit 2 – M1

features and functions of different operating systems In this report I will briefly explain about the features and functions of different operating systems. I have chosen to compare windows 7 Mac OS. Windows 7 Windows 7 Microsoft Windows is most commonly used in operating system. Recently the latest version of Windows is released as Windows 8 and it’s commercially available now. There are different editions of Windows 7 available to suit your needs such as (Home Premium, Enterprise, Ultimate, Professional, Starter, and Home Basic).Windows 7 has a reasonable price as $576 and it costs less then Mac OS. Its compatible on most computer system with minimum hardware requirements of 1 GHz processor and 1 GB RAM. The use interference of Windows 7 is called Windows aero and it’s very easy to use. It’s a WIMP (Windows, Icons, Menu, and Pointing Device) environment. It comes with some useful pre-installed application and multiple free software trials. It also comes with fr ee antivirus software called Microsoft Essentials.Windows 7 also offers a large help and support for the users by having Windows Action Center. Also it’s very customizable by the users with the range of themes, wallpapers, Styles and Gadgets. Also it has the task bar where you can pin your favorite applications. It’s very easy to install new devices in the Windows 7. Windows will automatically install the drivers for some software and you can start using the device instantly without having to installing the drivers. However for some devices you need to install the drivers manually.But it’s very easy to install the drivers manually in windows. File management of the windows 7 has improved than the previous versions and it’s now very easier to access the files and manage the folders. File management system of windows 7 is very reliable. Mac OS Mac OS Mac OS is the operating system developed by Apple. It also has various versions available to the users. Mac OS has the simple user interface for ease of access. The graphics interface of a Mac is called Aqua. It comes with some useful software.Mac OS are designed to be a more professional system, to be used by large businesses who work with computers. However it’s expensive to purchase than windows 7. Mac OS is also customizable with the use of wallpapers, Menu Bar and the Dock. Mac OS has many unique functions of user interfaces. File management of the Mac OS is very easy. It has the Finder search bar to organize and manage files. You can View the files in a variety of ways. Also it automatically sorts the files by name, date, or in ascending or descending order.It’s easy to find files using features like Spotlight and Quick Look make finding the file you’re looking for effortless. Mac OS comes with good software such as Mail, Calendar, Safari web browser, Preview PDF and image viewer, iTunes, iPhoto, iMovie and Garage Band. It’s very reliable because it has m ore security than windows. To conclude I would prefer Windows 7 rather than Mac OS because windows is more user friendly and it costs less than Mac OS. Also it the file management and the customer support are better with windows.

The Use of Intraosseous Vascular Access

The Use of Intraosseous Vascular Access Table of Contents Title Page†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 1 Table of Contents†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 2 Executive Summary†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 3 Body of Paper†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 4 Plan†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã ¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 6 Do†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 7 Check†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 7 Act†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦8 Research to Support Change†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â ‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦8 Change Theory†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 6 Conclusion†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 18 References†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 20 Timeline†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚ ¬ ¦. 22 Executive Summary First introduced by Drinker and colleges in 1922, intraosseous (IO) vascular access was a method used during World War II for accessing the non-collapsible venous plexuses within the bone marrow cavity to provide access to a patient’s systemic circulation. This method later fell out of use after the development of intravenous catheters.Then during the 1980s IO vascular access was again introduced as a rapid way of gaining vascular access for swift fluid infusion particularly during resuscitation attempts of pediatric patients. (Tay & Hafeez, 2011) Plan-Being by implementing a policy for the use of IO vascular access within the Emergency Department of Hays Medical Center (HMC) for critically ill patients. This would expedite critically ill and severely injured patients in receiving the intravenous fluids and medications.Currently there is no policy in place for the placement of IO devices as opposed to peripheral intravenous catheters, or central veno us catheters. However, if there was a policy in place the staff would know when it was appropriate to insert an IO device, as opposed to having to make a difficult decision based on personal judgment. Do- Create a group of physicians and nurses to write a policy outlining when it is appropriate for the placement of an IO device compared to traditional techniques for gaining venous access. Once the policy has been written implement its use within HMC’s ED.Check- Keep a careful record of when an IO device is placed, in accordance to the new policy. Monitor the outcomes of these patients. Evaluate the effectiveness of the new policy and determine if any changes need to be made. Act- Based on the information obtained during the check phase of this project, management will determine whether the policy will be continued, improved, or discontinued. The Use of Intraosseous Vascular Access in Critically Ill Patients The origin of the intraosseous cavity as an access sight to the circu latory system was originally discovered during World War II.Medical personnel during this time used an IO route to resuscitate patients suffering from hemorrhagic shock. It was first documented in medical journals by Drinker and colleges in 1922. It was later rediscovered by American pediatrician James Orlowski. During his time working in India, Orlowski observed medical personnel during a cholera epidemic using IO access to save patients in whom IV cannulation was impossible and who might have died without access. He later wrote about his experiences in a paper entitled, My Kingdom for an Intravenous Line. Wayne, 2006) Since Dr. Orlowski brought the use of IO access in pediatrics back into the medical spotlight, the implications for its use within the adult population were soon being addressed. In 2005, the American Heart Association stated in its Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care that â€Å"IO cannulation was appropriate to provide acc ess to the non-collapsible venous plexus found in the bone marrow space, thus enabling drug delivery similar to that achieved by central venous access. (American Heart Association) Intravenous access can mean the difference between life and death when dealing with critically ill patients. IV access means that patients can receive fluids, blood products, and life-saving medications. During situations when time is precious, and access is critical is not when nurses should be making their fifth attempt at a peripheral intravenous catherization (PIV). It also shouldn’t be when chest compressions are stopped, so that the doctor can try for a central venous line (CVL).The average time necessary for PIV catherization is reported to add up to 2. 5-13 minutes and sometimes even up to 30 minutes in patients with difficult to access peripheral veins. (Leidel, Chlodwig & Bogner, 2009) This is one of many reasons why it is imperative to have a policy in place so that the staff knows that IO access should be a go to option rather than a last resort. There are very few contraindications when it comes to the placement of an IO device. However, to untrained medical personnel the thought of having to place an IO device is very daunting.I didn’t realize until this semester that it is within the scope of practice for a RN to place an IO device, but it is absolutely is! â€Å"It is the position of the Infusion Nurses Society that a qualified RN, who is proficient in infusion therapy and who has been appropriately trained for the procedure, may insert, maintain, and remove intraosseous access devices. † (â€Å"The role of,† 2009) There is also the fact that of having to explain the procedure to the patient and the patient’s family. The fear of needles is a real one.The thought of an intramuscular injection can send certain patients into a full blown panic attack. So the thought of actually having their bone pierced with a needle is a frightening o ne. Thankfully most patients who are critically ill enough to necessitate the placement of an IO device are unconscious. In cases where patients are not unconscious, an IO device can be placed with minimal discomfort if proper anesthetic techniques are used. These techniques should be taught along with placement so that nursing staff is aware of how to place an IO with minimal discomfort to the patient.It needs to be noted that â€Å"the pain associated with insertion of the EZ-IO needle is similar to that associated with insertion of a large peripheral intravenous needle and may be alleviate with infusion of lidocaine solution. † (Luck, Haines & Mull, 2010) Unlike PIVs and CVLs, IO access can be obtained from multiple sites with less chance of being unsuccessful. The locations include: proximal tibia, distal to the tibial tuberosity, distal end of the radial bone in the upper imb, proximal metaphysis of the humerus, distal tibia, proximal to the medial malleolus, distal femu r, above the femur plateau, the sternum, and also the calcaneus (Tay & Hafeez, 2011). However, IO access is typically obtained via the proximal tibia or proximal metaphysis of the humerus. There are currently three different ways to gain IO access. The first and oldest way is a manual insertion of the IO device. In this way the device is placed using the force applied by the clinician, and is done in a rotating motion. The second technique is the use of an impact device.In this case, a spring-loaded IO device is to insert the needle into the bone using direct force. The last technique is a powered drill. The small, handheld device drills the IO needle into the bone with a high-speed rotating motion. Plan To implement a policy within the Emergency Department at Hays Medical Center that clearly outlines when the placement of an intraosseous access device should be used as opposed to more traditional techniques for gaining venous access. A committee would be assembled to look at the re search on IO placement.This committee would consist of three physicians and three nurses, and will be given three months to write a policy for the department. This committee will determine in which situations an IO should be placed. The American Heart Association guidelines for intraosseous vascular access should play a major role in this decision. Once criteria has been chosen a checklist will be created that can be hung on the walls of the trauma rooms and handed out to staff. This checklist will aide in helping the staff to be able to more quickly determine in which situations placement of an IO is within the department’s policy.The appointed committee would also be in charge of deciding on which type of IO device the department should use. They will research the availability of the device chosen and what the cost will be to stock the department which the device. Do Once the research is gathered, the assigned research committee will reassemble to compose the policy that wi ll become implemented within the Emergency Department. After the policy has been written, a mandatory unit meeting will be called to introduce the new policy and answer any questions that the staff might have.During this meeting, a demonstration will be given on the correct technique for IO placement, depending on which type of device is chosen during the planning phase. After the demonstration the staff will then be asked to practice placing IO devices using practice bones. One member of the department will then be voted upon to keep track of which patients coming through the department have IO devices placed. They will keep track of for the next six months. The data collected will include any outcomes that the patient experiences, good or bad, in regards to their IO placement.Check The member of the department will look at the data collected from the outcomes of patients who had IO devices placed within the ED in the last six months. This data will then be taken back to the origin ally assigned committee. The committee will be responsible for analyzing the data. They will look at the outcomes and determine if changes need to be made to the original policy. They will also look at the outcomes to determine if there need to be changes made in the placement technique used by the department.For example, is the rate of successful placement higher or lower when done via the humerus verses the tibia? Or is there a problem with post procedural infection? Should the technique be changed from aseptic to sterile? Etc†¦ They will also ask staff within the department to fill out a survey indicating their comfort level in placing IO devices. Act Depending upon the findings of the committee they can either be decided to leave the policy in place, as is. The committee could find that the policy needs to be altered and then reviewed in another six months’ time to see if the changes were effective.Or they could find that within the ED at Hays Medical Center IO devic es for venous access should not be used although the review of literature will prove why this outcome is highly unlikely. Research to Support Change An article published in the Journal of Emergency Medicine, collaborated by three different physicians who work in Emergency Departments in Philadelphia talks about the technical side of intraosseous access. The article states that â€Å"intraosseous vascular access is indicated in the critically ill patient of any age when rapid and timely access via the intravascular route cannot be established or has failed. The article goes on to list conditions in which this might occur, including: cardiopulmonary arrest, shock, sepsis, major traumatic injuries, extensive burns or edema, and status epilepticus. (Luck, Haines & Mull, 2010) Indications may also include obese patients on who multiple PIV attempts have failed. Because studies have shown that IO infusions have the same onset of action, as that of intravenous infusions the authors recomm end that the dose used for IV fluids and medications should remain unchanged when using the IO route.They go one to state that other studies have shown that the results of several different blood test values drawn from bone marrow aspirates are comparable to those taken from venous samples. These include blood gas analysis, blood group typing, and electrolyte, drug, and hemoglobin levels. (Luck, Haines & Mull, 2010) The authors also talk about the relatively few contraindications for IO insertion. These include a fracture to the bone that the IO device is to be placed, an extremity with a vascular injury, placement to an area with an overlying skin infection or burn.IO insertion is also contraindication in patients with certain conditions that make their bones fragile such as osteogenesis imperfect and osteoporosis. The last contraindication is a new IO insertion where another IO needle may have recently been placed. This is because the opening left by the last needle can cause flui ds to extravasate. In their research of other studies, the authors found that success rates for IO insertion vary between 75%-100%, and successful infusion achieved within 30-120 seconds in the majority of cases. Luck, Haines & Mull, 2010) The most common complication was found to be extravasation of blood, fluids, and drugs into the soft tissues surrounding the site, but this occurred less than 1% of the time. With a 0. 6% chance of incidence, the most serious adverse complication was osteomyelitis. However, this was attributed to prolonged infusion. For this reason, it is recommended that the IO need be replaced by either a PIV or a CVL once the patient has stabilized and no longer than 24 hours after IO placement. (Luck, Haines & Mull, 2010)This article concluded that the use of IO access devices is a safe, reliable, and timely way of attaining vascular access. Although vital for critically ill and injured patients, it is also a technique that can be applied in non-emergent cases where multiple attempts at peripheral and central IV access has been unsuccessful. (Luck, Haines & Mull, 2010) In a study conducted by physicians at the University of Medicine Berlin’s Department of Emergency Medicine, they looked at ten consecutive adult patients who each received an IO device and also a CVC placement during a resuscitation situation.The results showed that the success rate on first attempt was 90% for IO access versus 69% for CVC placement. They also found that the mean time required for the IO access procedure was significantly shorter, 1-3 minutes, compared to the mean CVC placement time of 4-17 minutes. While conducting this study, one IO cannulation failed â€Å"due to operator mishandling by not selecting the correct insertion site at the proximal humerus. (Leidel, Chlodwig & Bogner, 2009) The physicians of this study also noted that four CVC cannulations failed on the first attempt at insertion and had to be reattempted. The study then went on to st ate that the failed placement of one IO cannulation was the only complication regarding the IO devices placed. There was â€Å"no malposition, dislodgment, bleeding, compartment syndrome, arterial puncture, haeatothorax, pneumothorax, venous thrombosis, and vascular access related infection observed. † (Leidel, Chlodwig & Bogner, 2009)In conclusion the researchers go on to state â€Å"IO vascular access is a safe, reliable, rapid option in the acute setting of adult patients under resuscitation with inaccessible peripheral veins in the emergency department†¦ Therefore, a change in practice from CVC to immediate IO access for the initial emergency resuscitation should be strongly considered as a reasonable bridging technique to increase patient’s safety in the emergency department. † (Leidel, Chlodwig & Bogner, 2009) Another study found was performed by physicians and researchers in the Department of Emergency Medicine of Singapore General hospital.It is a l arge urban hospital that handles nearly 120,000 patients annually. 9% of these patients are priority 1 patients, or patients that need resuscitation. The inclusion criteria for this study were â€Å"patients who presented to the ED with age greater than 16 years or >40kg body weight requiring intravenous fluids or medication and in whom an intravenous line could not be established in two attempts or 90 seconds. They also had to be seriously ill or injured and meet at least one or more of the following: altered mental status, respiratory compromise, haemodynamic instability, or cardiac arrest. (Ngo, Oh, Chen, Yong & Yong, 2009) The study ran from March 1, 2006 through July 30, 2007. During this time 24 patients were met the qualifications for this study. Of all the IO cannulations, only three attempts failed on the first attempt. No failures were recorded on the second attempt. The researchers also did a comparison between junior operators and senior operators and found that there w ere no disparity regarding success rates between the groups, they both had a 100% success rate. The average insertion time for both groups was approximately five seconds. Ngo, Oh, Chen, Yong & Yong, 2009) There were only two complications regarding the insertion of an IO device with this study. The first was when an operator’s glove was caught on the need during insertion. However, this could have been prevented if the operator was holding the drill properly. The other complication noted was that of extravasation of fluid at an insertion site. This is the most common type of complication, and is seen when the need is misplaced or there is an excessive amount of movement during or after the insertion. Ngo, Oh, Chen, Yong & Yong, 2009) The results of this study concluded that â€Å"the EZ-Io is a feasible, useful and fast alternative mode of venous access especially in the resuscitation of patients with no venous access or when conventional intravenous access fails. Flow rates may be improved by the use of pressure bags. Complications encountered such as extravasation of fluid and gloves being caught in the drill device can be easily prevented. † (Ngo, Oh, Chen, Yong & Yong, 2009)The third research article was a prospective, observational study conducted by researchers in the Department of Emergency Medicine at Singapore General Hospital in Singapore. The study was conducted on a convenience sample of 25 medical students, physicians and nursing staff. They were recruited to secure intraosseous access using the EZ-IO powered drill device. Unlike the previous two studies they only need to secure access on a plastic bone model rather than a live patient. (Ong, Ngo & Wijaya, 2009)The study participants were allowed multiple attempts in placement with the aim of ensuring success in placement. Their placement times were measured by an independent observer with a stopwatch, from the time the participant placed the need set into the driver and attempted to insert the needle with the ES-IO into the plastic bone. The participants then recorded their perception on the difficulty of insertion using a visual analog scale with 0 representing very easy and 10 representing very difficult placement. (Ong, Ngo & Wijaya, 2009) The results showed 96% success rate for placement.Twenty-three of the 25 participants only required one attempt at place the IO device, and only one participant was unsuccessful at securing placement of the device. This failure was attributed to â€Å"unfamiliarity with the equipment and procedure, and hesitating beyond the allocated time given for insertion. † (Ong, Ngo & Wijaya, 2009) The results of this study also showed that the mean placement time was 13. 9 seconds. The researchers also found that 87% of their participants reported that using the EZ-IO was easier compared to intravenous cannula. Ong, Ngo & Wijaya, 2009) The researchers of this study concluded that â€Å"the I/O access device (EZ-IO) evaluated in this study appears to be easy to use with high success rates of insertion with inexperienced participants. There is potential for use in the Emergency Department. (Ong, Ngo & Wijaya, 2009) The next piece of research was a randomized trial conducted by Dr. Reades from Methodist Hospital System, in Dallas, TX, Dr. Studnek from Carolinas Medical Center and the Center for Prehospital Medicine, Charlotte, NC, S.Vandeventer from Mecklenburg EMS Agency, Charlotte, NC, and Dr. Garrett from Baylor Healthcare Systems, Department of Emergency Medicine, Baylor University Medical Center, and Dallas, TX. The purpose of this study was to determine whether the tibial or humeral placement site was more effective for intraosseous placement during out-of-hospital cardiac arrest. â€Å"All patients eligible for inclusion in this study had their first attempt at vascular access randomized to one of 3 locations: proximal tibial intraosseous, proximal humeral intraosseous or peripheral intravenous. ( Reades, Studnek, Vandeventer & Garrett, 2011) Randomized note cards were distributed to the paramedic staff at the beginning of their shifts, and told them which access site was to be initially used if they came had a patient who met the inclusion criteria. There were two outcomes that were being monitored in this study. The first was a first-attempt success at the assigned method of vascular access. This qualified in one of two ways, either as an initial success or an overall success.The second measured outcome was the â€Å"total number of attempts required for successful vascular access, time to successful vascular access, time to first ACLS medication, and total volume of fluid infused during resuscitation. † (Reades, Studnek, Vandeventer & Garrett, 2011) Overall there were 182 patients randomized to one of the 3 vascular access methods. Fifty-one patients had humeral IO placements, 67 had PIV placements, and 64 had tibial IO placements. The results showed that first-atte mpt success was greatest in patients randomized to tibial IO access at 91%, compared to both humeral IO access at 51% and PIV access at 43%.The result of the secondary outcome was also significantly shorter in patients with tibial IO access. These patients had their devices in place and ready to use in an average of 4. 6 minutes. Those assigned to the humeral IO access site averaged a 7. 0 minute placement time, which was also the same time for a PIV access site. (Reades, Studnek, Vandeventer & Garrett, 2011) This study demonstrated that there is a significant different in the frequency of first-attempt success when placing tibial IO access devices as opposed to humeral IO access devices or even PIV catheters.The researchers go on to state that the â€Å"results from this study may help stakeholders such as EMS medical directors choose the most appropriate site for first-attempt vascular access†¦Ã¢â‚¬  (Reades, Studnek, Vandeventer & Garrett, 2011) The last article was a cons ortium on intraosseous vascular access in healthcare practice, published in a journal entitled critical care nurse. It too outlined the history of IO access, dating back to World War II. It discussed the clinical considerations for the use of IO access, and the clinical situations in which IO access should be considered.It went on to talk about the types of IO devices and how they’re used. It mentioned the contraindications for IO use, and also the possible complications. All of the aforementioned material was consistent with research already discussed. This article lends credibility in support of change because it discusses the education and training needed to implement IO device use in the clinical setting. It states that â€Å"to insert and maintain an intraosseous device in a patient, the clinician must demonstrate adequate knowledge and psychomotor skill competency in the procedure. (Phillips, Brown, Campbell, Miller, Proehl & Young-berg, 2010) The article then went on to discuss the economic considerations that must be looked at when considering implementing an IO insertion policy. It states that â€Å"the cost of intraosseous devices and needles should be compared with the cost of central catheter kits, ultrasound evaluation, and human resources required for their insertion. † (Phillips, Brown, Campbell, Miller, Proehl & Young-berg, 2010) The authors also note that â€Å"the economic factors must be weighed along with potential complications of therapeutic strategies should be considered. (Phillips, Brown, Campbell, Miller, Proehl & Young-berg, 2010) This article also brings to light the issue of risk management and patient safety. In this day and age where liability concerns continue to drive clinical decisions, it is important to note that delays in treatments are often cited as the cause of injury leading to malpractice claims. If there is an evidenced based option to safely and quickly provide fluid and drug resuscitation, when vascu lar access is not readily attainable, then it needs to be closely looked at.After reviewing the data the Consortium on Intraosseous Vascular Access in Healthcare Practice reached eight consensuses: 1. Intraosseous vascular access should be considered as an alternative to peripheral or central intravenous access in a variety of health care settings, including intensive care units, high acuity/progressive care units, general medical units, preprocedure surgical settings where lack of vascular access can delay surgery, and chronic care and long-term care settings, when an increase in patient morbidity or mortality is possible. . Intraosseous vascular access should be considered as part of an algorithm for patients treated by rapid response teams in whom vascular access is difficult or delayed. 3. A new algorithm that includes the intraosseous route should be developed for assessing the appropriate route of vascular access. 4. For patients not requiring placement of central catheters ei ther for long-term vascular access or hemodynamic monitoring, intraosseous access should be considered as the first alternative to failed peripheral intravenous access. 5.Techniques of intraosseous catheter placement and infusion administration should be a standard part of the medical school and nursing school curriculum. 6. In evaluating the economic implications of adopting intraosseous technology, the following should be considered: the expense of diagnostic tools to guide and confirm placement, the cost of human resources, the known and unknown risks to patient safety, and the cost of complications related to delayed treatment. 7. Organizational policies, procedures, and protocols that establish the responsibility of insertion, maintenance, and removal of intra-osseous access devices should be developed. . Further research should be conducted on, but not limited to, the safety and efficacy of use of intraosseous access in all practice settings, its economic impact on patient car e, and to support the use of intraosseous access in all health care settings. Change Theory The change theory focused upon in this paper is Gordon Lippitt’s Theory of Planned changed. According Lippitt, â€Å"Planned change or ‘neomobilistic’ change is defined as a conscious, planned effort which moves a system, an organization, or an individual in a new direction.This theory is applies because it can be applied at an individual, group, and institutional level. The basis for Lippitt’s theory of change is center around an agent for change. This agent should be a person skilled in the changed wanted to apply. It is this person who is in charge of planning for the change, initiates the change, and is credited for the accomplishment of change. Lippitt’s theory is centered around 7 phases of change. His phases are not set in stone, and there is no time frame on how long each phase should last. There should be a fluid movement back and forth between thes e seven phases.The first step is identification and diagnosis of the problem. In this case, the problem is HMC not having a firm policy in place recommending when the use of IO access devices should be implemented. The second step is the change agent assessing the client systems motivation and capacity for change. In this case, myself being the change agent, I would talk with the administrators of the ED department and determine if they agreed with my assessment for a policy to be implemented. The third step would be the initiator assesses his or her ability in helping the situation.In this case this flows back to the first step, because I saw the need for change and felt that I was equipped with the skills needed to bring about such a change. The fourth step is the change agent then chooses an appropriate role in the phase. In this case, I would choose to be part of the policy committee who is responsible for researching. The fifth step states that the change agent may be actively involved in the implementation of change, serve as an expert in fathering and providing data, or function as a liaison within the organization. I feel like in this case, I would function as a liaison within the policy making committee.The sixth step consists of maintenance of change. This involved the â€Å"Do† portion of the plan for change. This is where the decisions made by the policy are provided to the department, and the employees become responsible for implementing and maintaining the new policy. The final step is termination of the helping relationship. This step is accomplished when all parts of the PDCA plan have been completed. (Ziegler, 2005) Conclusion In a day and age where medical technology is advancing, the research about IO access devices proves that newer technologies are not always the best for a positive outcome.IO access applications have great potential in patients who are critically ill, injured, or are incapable of having PIV or CVL access. The fact that IO access is fast, reliable, and safe proves that competent placement of IO devices is a medical technique that all Emergency Departments should have in their repertoire. References (2009). The role of the registered nurse in the insertion of intraosseous access devices. Journal of infusion nursing,  32(4), 187-188. American Heart Association. 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2005;112(24):57-66. Leidel, B. Chlodwig, K. , & Bogner, V. (2009). Is the intraosseous access route fast and efficacious compared to conventional central venous catherization in adult patients under resuscitation in the emergency department? a prospective observational pilot study. Patient safety in surgery,  3(24), doi: 10. 1186/1754-9493-3-24 Luck, R. , Haines, C. , & Mull, C. (2010). Intraosseous access. The journal of emergency medicine,  39(4), 468-475. Ngo, A. , Oh, J. , Chen, Y. , Yong, D. , & Yong, D. (2009). Intraosseous vascular access in adults using the ez-io in an emergency department. International journal of emergency medicine,2(3), 155-160. oi: 10. 1007/s12245-009-0116-9 Ong, M. , Ngo, A. , & Wijaya, R. (2009). An observational, prospective study to determine the ease of vascular access in adults using a novel intraosseous access device. Annals of the academy of medicine, singapore,  38(2), 121-124. Phillips, L. , Brown, L. , Campbell, T. , Miller, J. , Proehl, J. , & Young-berg, B. (2010). Recommendations for the use of intraosseous vascular access for emergent and no emergent situations in various health care settings: A consensus paper. Critical Care Nurse,  30(6), e1-e7. Reades, R. , Studnek, J. , Vandeventer, S. , & Garrett, J. (2011).Intraosseous versus intravenous vascular access during out-of-hospital cardiac arrest: A randomized controlled trial. Annals of Emergency Medicine,  58(6), 509-516. Tay, E. T. , & Hafeez, W. (2011). Intraosseous access. In R. Kulk arni (Ed. ),  Medscape reference: Drugs, disease & procedures. Retrieved from http://emedicine. medscape. com/article/80431-overview Wayne, M. (2006). Adult intraosseous access: an idea whose time has come. Israeli journal of emergency medicine,  6(2), 41-45. Ziegler, S. (2005). Theory-directed nursing practice. (2 ed. , p. 204). New York, NY: Springer Publishing Company, Inc. Timeline for Change 1/20-11/27Researched the benefits of having a policy about intraosseous access within the ED at HMC 11/28Spoke with the Director of Nursing for the ED and the Director of Emergency Medicine about my research findings 12/1A committee of three physicians and three nurses is assembled to draft a preliminary policy regarding intraosseous access 12/1-3/1The committee is given three months to compose their policy 3/2-3/10The policy is given to the Director of Nursing and Director of Emergency Medicine, who present it to the board of directors for approval 3/15A mandatory staff meeting is held outlining the new policy and answering any questions or concerns the staff has 3/16-9/16The new policy is put into effect and data is collected 9/16-10/16The original committee will analyze the data, and changes are made as needed. 10/20The final committee approved policy is present to the Director of Nursing and Director of Emergency Medicine 11/1The Director of Nursing and Director of Emergency Medicine, take the final recommendations for the policy to the hospital board of directors for approval