Annotated bibliography Research Paper Example | Topics and Well Written Essays - 3750 words

Annotated bibliography - Research Paper Example This implies that TORAP can be used to put together suitable counteractive steps to avoid or regulate accidents. The authors added that â€Å"TORAP enables accident simulation and damage potential estimation of petroleum and petrochemical industries† (262). Thus, the most important feature of TORAP that can help reduce the risks of petrochemical companies is its ability to forecast possible accidents. Being able to determine the probability of accidents is a huge leap for risk analysis at petrochemical companies. The authors further promoted TORAP by declaring that it â€Å"incorporates a larger number of models to handle a larger variety of situations specific to petroleum refineries and petrochemical industries† (260). The complexity of the entire structure of the petrochemical industry will hence be captured and clearly explained by TORAP, reducing the difficulty of developing appropriate safety regulations and risk management strategies. The unique contribution of t his book to the present study is its thorough discussion of risk analysis through the application of computer-automated tools. The authors of Accident precursor analysis and management: reducing technological risk through diligence agree that predicting probable accidents is the best way to prevent or minimize the impacts of accidents in petrochemical companies. On the contrary, the author of Inherently Safer Technology: The Cure for Chemical Plants Which Are Dangerous by Design argues that predicting probable accidents is just one of the many steps to avoid them, and that the real solution rests in the adoption of safer technology. Alson, Gregory. How safe is safe enough?: leadership, safety, and risk management. London: Ashgate Publishing, Ltd., 2003. The author mainly argues that even though many people think that all accidents are preventable, accidents will still happen. The imperfect human attribute and the intricacies of industrial operations attest to the fact that attaining ‘zero’ accidents is not likely. Hence, the author argues that leaders should make every effort to develop the most beneficial and efficient safety measures. As stated by the author, â€Å"such unthinkable accidents can indeed happen, sounding a siren for safety to reduce loss of resources and enhance social responsibility† (19). The value of competent leaders in any organization, especially those which are prone to accidents, is largely manifested in the management of physical resources and human capital. Thus the author suggests, â€Å"an organization can incorporate system safety into a system’s life cycle, bringing with it management’s commitment toward safety† (20). This solution is sound for it has the capacity to create a permanent safe environment for petrochemical companies. This method can significantly lessen the risks associated with petrochemical operations. The author believes that â€Å"while many organizations worry about los t workdays due to unnecessary injuries, in some cases an accident can cause indescribable disaster and grief† (17). It is very crucial that petrochemical accidents are prevented because of the widespread and severe effects of these accidents on the local population, the

Increasing population Essay Example for Free

Increasing population Essay Increasing population poses a greater threat to the future of our planet than consumption. Hinrichsen explains the effects of population to our environment. As the world population grows, the demand for natural resources also increases. Consumption poses a threat in the sense that it is needed to accommodate the worlds population. It is possible to reduce consumption the lesser population the world has, but while the population grows, more and more resources are needed, even at least to support the basic needs like food and shelter. Population has been growing faster than food supplies in 64 of 105 developing countries. Arable lands and forests are also exploited to meet the demand of increasing population. Fresh water sources cannot keep up its pace of renewing itself from a steadily increasing population. The seas are also overexploited to supply the demand of population. Futhermore, human activities also affect the environment through poor sanitation and pollution. The more people there are, the more contributors to threatening the future of our planet. 2) Based on your answer to question 1, please name two potential solutions to mitigate the impact this threat has on the planet (be specific). Hinrichsen suggested sollutions to the problem posed by the increasing world population. The most obvious one is to reduce population growth rate. â€Å"Slowing population growth would buy time to protect natural resources† (Hinrichsen, 2000). Family planning programs, aside from improving the welfare of families, will play a key role to stabilizing world population and the future would benefit from it. Energy conservation would also play a vital role to preserving our future, however little it may contribute. Increasing energy efficiency, like carbon efficiency in automobiles, would eventually reduce pollution. Hinrichsen also suggested that managing cities better and discouraging technologies that produce high levels of wastes would help save the future of the world. Bibliography Hinrichsen, Don and Bryant Robey. â€Å"Population and the environment: A global challenge. † Excerpts from a Johns Hopkins University report. October 2000. American Institute of Biological Sciences. 3 July 2008 http://www. actionbioscience. org/environment/hinrichsen_robey. html

Wuthering Heights and Thrushcross Grange :: free essay writer

Wuthering Heights and Thrushcross Grange   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The setting used throughout the novel Wuthering Heights helps to set the mood to describe the characters. We find two households separated by the cold, muddy, and barren moors, one by the name of Wuthering Heights, and the other by the name of Thrushcross Grange. Each house stands alone, in the mist of the dreary land, and the atmosphere creates a mood of isolation. In the novel, Wuthering Heights and Thrushcross Grange are the two places where virtually all of the action takes place. Wuthering Heights and Thrushcross Grange, differ greatly from each other in appearance and mood. These differences reflect the universal conflict between the storm and calm, that Emily Bronte develops as the theme in the novel. Wuthering Heights and Thrushcross Grange both represent several opposing properties. The residents of Wuthering Heights were that of the working class, while those of Thrushcross Grange were higher on the social ladder. The people of Wuthering Heights aspired to be on the same level as the Lintons. This is evident when Heathcliff and Catherine peek through their window. In addition, Wuthering Heights is always in a state of storminess and its surroundings depict the cold, dark, and evil side of life, while Thrushcross Grange always seems calm.   Emily Bronte describes Wuthering Heights as having "narrow windows deeply set in the wall, and the corners defended with large jutting stones." This description is adjacent to Heathcliff when he is illustrated having, "black eyes withdrawn so suspiciously under their brow." Thrushcross Grange, in contrast to the bleak exposed farmhouse on the heights, is situated in the valley with none of the grim features of Heathcliff's home.   Opposite of Wuthering Heights, Thrushcross Grange is filled with light and warmth. It is the appropriate home of the children of

Free Essays - The Title of The Catcher In The Rye :: Catcher Rye Essays

The Title of The Catcher In The Rye The title of the novel The Catcher In The Rye, by JD Salinger, has a substantial connection to the story. This title greatly explains the main character, Holden Caulfield, and his feelings towards life and human nature. In society he has found enormous corruption, vulgarity, harm and havoc. He knows that the children of the world are ruined by the corruption of adults around them and, he states later in the novel, his new purpose in life will be to help save the children from this vulgarity. Holden wants to be a "Catcher in the Rye." We first hear the title of the novel being used in chapter 16, and in chapter 22 we have the full explanation of this title. Human dignity is vital to Holden's existence and the only way to guarantee this on a long term basis is to assist children in maintaining their innocence from the dangers of adulthood. In chapter 16 we have the first reference to the meaning of the novel's title, The Catcher in the Rye. Holden hears a little boy singing to himself a verse which makes Holden very happy: "If a body catch a body coming through the rye," (Page 115). It is difficult to understand why Holden is made happy by the little boy's singing unless one has an idea of what the song means to Holden. The little boy is described by Holden in gentle caring terms: "The kid was swell. He was walking in the street, instead of on the sidewalk, but right next to the curb. He was making out like he was walking a very straight line, the way kids do, and the whole time he kept singing and humming." (Page 115). Holden notes that the child's parents pay no attention to him. To Holden this child represents innocence and youth unspoiled by adult immorality. Holden wishes to serve humanity by safeguarding the innocence and purity of children, by protecting them from the evils of life. His little sister, Phoebe, asks him what he would like to be and he answers: " I keep picturing all these little kids playing some game in this big field of

The Roman Empire

The Roman Empire was once one of the biggest and most powerful empires in the lands. The empire owned most of the Mediterranean after conquering Carthage, and was immensely powerful. Huge military, very cultured, and massive area, the Roman Empire is the symbol of early, ancient civilizations. But like all powerful and great entities, Rome fell. There were multiple reasons for the fall, economic troubles, the rise of Christianity, and attacks by barbarians. There were other factors of course, but these three things brought the Roman Empire down, starting a new age. Rome had many economic problems that divided the rich and poor. Many emperors debased the currency to supply more coinage, but this had unintended consequences. The coin now only represented gold and silver instead of actual gold and silver. Near the end of the empire, coins meant little to nothing, having little to no silver or gold. Taxes were a big player as well, as Rome had taxed it's citizens too much. The military and imperial guard were absolutely essential, the empire couldn't survive without them. The taxes were so much, that people often sold themselves into slavery, saying that being free from taxes was better than personal liberty. Slavery was the last big player. Rome had a slave issue, relying on slave labor too much. But when territorial gain was halted, slaves and other war treasures stopped as well. Christianity is the largest religion in the world. Back in the age of Rome, it was almost just as massive and fast spreading as it is today. This helped pull Rome into decline. The leader of Rome was seen as divine, chosen by the gods to lead. So when another Godly figure took over, which demanded worship to only him and no other gods before him, the emperor suddenly had fewer supporters. Adding the pope and bishops playing a part in political affairs, the government became more and more confusing and leaning away from the emperor.

How to Study for SAT Subject Tests 5 Expert Tips

How to Study for SAT Subject Tests 5 Expert Tips SAT / ACT Prep Online Guides and Tips Are you taking an SAT Subject Test soon and want to know how to be well prepared on exam day? You've come to the right place! In this guide, I explain everything you need to know about how to study for SAT Subject Tests, including which exam(s) you should take, the five most important steps for preparing for a Subject Test, and additional tips to help you maximize your score. This guide can be used to help you prepare for any and all of the 20 different Subject Tests offered, so let’s get started! Introduction to SAT Subject Tests Before we get into how to prepare for SAT Subject Tests, let’s go over some basic information on them. SAT Subject Tests are meant to measure your knowledge and skills in a specific area. This is in contrast to the ACT and regular SAT, both of which assess multiple subject areas.Some colleges require or recommend that you submit Subject Test scores when you apply to that school so they canget a better idea of your academic abilities. Each SAT Subject Test is an hour long, has 50-95 multiple-choice questions, and isscored on a scale of 200-800. SAT Subject Tests are offered several times a year, on all the same dates as the general SAT except for March. This means that SATSubject Tests are offered in the following months annually: May June August October November December However, not every Subject Test is available on every date. Check out our guide to learn the exact dates each Subject Test is offered.In most cases, you can take up to three Subject Tests in one day. Which SAT Subject Tests Should You Take? Before you can begin preparing for SAT Subject Tests, you need to decide which ones to take. The College Board offers 20 different SAT Subject Tests infive main areas. Here is the full list: English Literature History US History World History Languages Chinese with Listening French French with Listening German German with Listening Italian Japanese with Listening Korean with Listening Latin Modern Hebrew Spanish Spanish with Listening Mathematics Mathematics Level 1 Mathematics Level 2 Science Biology E/M Chemistry Physics The most important factor when deciding which Subject Test to take iswhat the colleges you’re thinking of applying to require or recommend. Some schools want you to take Subject Tests in the area you plan on majoring in, whereas others want one Subject Test score from Math/Science and another from Literature/History to show that you’re well rounded. In addition, some schools require or recommend only one Subject Test score, whereas others expect two or three. Be sure to research this information before you begin studying so you don’t end up preparing for and taking a Subject Test you didn’t actually need to take! The other factor to consider is which subject areas you are best in and/or enjoy the most.For example, if you did well in your chemistry class at school and need a science SAT Subject Test, you might want to consider the Chemistry Subject Test. Finally, it’s often easier to do well on Subject Tests that are closely related to classes you've already taken, especially AP classes. If you just took AP World History and studied a lot for the AP exam, you might not need to do much studying at all in order to prepare for the World History SAT Subject Test, especially if you take it in May right after your class ends. How to Study for SAT Subject Tests After you’ve figured out which SAT Subject Test you’ll be taking, follow these five steps in order to prepare for the exam. These steps cover everything you need to do from the time you begin studying up until test day. Step 1: Take an Initial Practice Test One of the first things you should do istakea full-length practice exam for the Subject Test you’re planning to take.Once finished, complete and score your practice exam to see how well you did. For more tips on how to find high-quality practice exams and how to take a practice test most effectively, check out the "How to Use Practice SAT Subject Tests Effectively" section below. Aim to get higher than the average score for that SAT Subject Testfor the most competitive school you’re applying to.You can sometimesfind average Subject Test scores on the admissions page of a school’s website. If you can’t find this information, though, consider contacting the school directly. You can also check outthe average score for each Subject Test. Ourguide shows you how well test takers do on each SAT Subject Test. But ifyou’re applying to a particularly competitive school, you’ll likely have to aim higher than just the average test score depicted on the chart. Try to aim for the top 25% of test takers, or even the top 5% if you’re applying totop-tier schools. Step 2: Decide How Much You Want to Study Once you have your practice test score, see how far it is from the goal score you’re aiming for. If your practice test score is pretty close to the score you’re hoping to get on the real Subject Test, you might only need to do light studying between now and the exam. If you have some ground to gain, you’ll likely want to do some more serious preparation. Keep reading to find out exactly what you'll need to do. Step 3: Gather the Materials You Need Now, it’s time to start gathering the materials you need to prepare for your SAT Subject Test.Study materials can include class notes as well as review books specifically focusing on the Subject Test you're taking.There are a lot of review books out there, but some of the most popular are those produced by Barron’s, Kaplan, and The Princeton Review. The College Board also offersofficial study books for some of the more popular Subject Tests, such as Math Level 1, Math Level 2, US History, and World History. However, these books are mostly just practice exams and explanations of answers as opposed to thorough content reviews. Visit the College Board's online store for a full list of SAT Subject Test study guides(or scroll down to the next section!). Alternatively, you might want to buyThe Official Study Guide for All SAT Subject Tests, which (as you probably guessed) providesan overview of the Subject Tests, quality practice questions, and one full-length practice test per exam.At present, the book sells for around $10 on Amazon. Finally, we at PrepScholar have created specific study guides to help you prepare for the Biology, Chemistry, Literature, Physics, US History, and World HistorySAT Subject Tests. Step 4: Create a Study Plan Developing a prep plan is important because it helps you commit to study times and track your progress.Try to set aside the same time to study each week, such as 2-4 pm on Sundays or 5-6:30 pm on Tuesdays and Thursdays.This will make it easier to remember when to study and allow you to plan other activities around your prep sessions. You should also set weekly or monthly goals you hope to accomplish. This will help track your progress and ensure you’re where you need to be. Example goals include things such as "I want to understand properties of functions by the end of the week," or "I want to raise my score 20 points by the end of the month." Be sure to also schedule time to take practice tests and track your progress. Ideally, you’ll take at least two practice tests before the real deal, with one at the beginning of your studying and one at the end. If you’re studying a lot or over a long period of time, you might want to schedule one or more additional practice tests during the middle of your studying. Step 5: Start Studying! Now, it’s time to get down to business and begin studying! When you’re reviewing material, your best bet is usually to use your prep book as your main resource,and use your class notes for any topics you want more in-depth information on. Trying to review all your class notes for a subject can be very time consuming and possibly not that helpful if your class didn’t focus on the same topics the Subject Test focuses on. Prep books, on the other hand, are specifically designed to focus exactly on what the Subject Test covers.Below, we give you more information about how to use practice tests as well asfinal tips for studying for SAT Subject Tests. How to Use Practice SAT Subject Tests Effectively Practice tests are one of the most important tools in helping you reach your SAT Subject Test score goals, so you want to use them wisely. These three guidelines will help you do just this. Stick With High-Quality Tests Your practice test results are only as good as the quality of the practice test itself.If your practice test isn’t very similar to the real Subject Test, you won’t be getting an accurate idea of how well you’re scoring or what skills you should improve. Practice tests from the College Board are the best sources to use since you can be sure they’ll give you a good idea of the real exam. As I mentioned above, the College Board'sThe Official Study Guide for All SAT Subject Testsincludes one previously administered exam for each of the 20 Subject Tests. So if you’re planning to take multiple Subject Tests, this is a great resource to use. There are also official prep books for the seven following SAT Subject Tests: Math Level 1 Math Level 2 US History World History Chemistry Biology Physics Unofficial practice books that are still high quality include those produced by Barron’s, Kaplan, and The Princeton Review. There are other resources out there, too, so it can help to go to a bookstore and flip through a few books or read online reviews to decide which resource is best for you. Take the Test Under Real Test Conditions In order to get the most accurate idea of where you're currently scoring on your SAT Subject Test, you need to make sure your practice test conditions are as realistic as possible.This means taking the test in one sitting, timed (each Subject Test is an hour), and with no distractions. Track Your Progress Tracking your practice test scores over time is one of the best ways to see whether and where you’ve made improvements. Almost every practice test has instructions on how to calculate your score, but if you get confused, you can alwayscheck out our guide for a review.Unlike the general SAT, for SAT Subject Testsyou lose a fraction of a point for each question you answer incorrectly, so too many random guesses could very well bring down your score. Here's how scoring works for Subject Tests(all the Subject Tests except the foreign language tests have five answer choices. Foreign languages tests have four answer choices): You get 1 point for each correct answer. A fraction of a point is subtracted for wrong answers: 1/4 point is subtracted for five-choice questions. 1/3 point is subtracted for four-choice questions. 1/2 point is subtracted for three-choice questions. No points are deducted for questions left blank. If yourfinal score is a fraction, it's rounded to the nearest whole number - 1/2 or more is rounded up; less than 1/2 is rounded down. If you aren’t improving as much as you want to, try using different prep resources or changing up the way you study. It might be helpful to focus more on taking practice tests, study at a different time or day, or use other study methods such as flashcards. 3 Tips for Getting Your Best SAT Subject Test Score Now that we've thoroughly covered the basics of how to study for SAT Subject Tests, here are three advanced tips to helpyou get your best score. Know Your Learning Style There is no one-size-fits-all study plan, and the best way to see the results you want is to use your learning style to your advantage.Maybe you’re a visual learner and need to see diagrams, charts, and images for the information you’re learning to sink in. Or perhaps you’re an auditory learner and learn best with audiobooks or podcasts. You might already know what your learning style is, but, if not, try out different methods of studying and see which work best. You can also alter the day of the week, time of day, and length of time you study to see if that makes any difference. Don't Passively Study It might be easiest to let your eyes drift over the pages you’re studying, but this rarely gets you the results you want.Try to make your studying as active as possible. This might mean drawing diagrams, making flashcards, having a friend quiz you, or even just pausing every few minutes to review what you’ve read and ensure you’re actually retaining the information. The less passive your studying is, the more likely you are to see significant improvements. Zero In on the Areas and Skills You Need to Improve When preparing for an SAT Subject Test, make sure you’re spending most of your time on the areas and skills you need to improve the most. If you’re studying for the World History Subject Test and are solid on European history but struggle with Asian history, don’t spend an equal amount of time reviewing Europe and Asia. Instead, you’ll want to spend more time focusing on important Asian events, periods, and people, and only come back to Europe for a quick, occasional review to make sure you still remember everything. By spending the majority of your time on the areas where you have the most room to improve, you’ll likely see score improvements more quickly. Summary: How to Study for SAT Subject Tests If you want to get top scores, you have to understand how to prepare for SAT Subject Tests.Follow these five steps in order to be well prepared for any Subject Test: Take an initial practice test Decide how much you need to study Gather the materials you need Create a study plan Start studying! Additionally, remember to use your practice tests effectively, practice active studying, and focus most of your time on the areas you need to make the biggest improvements in. What's Next? Wondering how to register for an SAT Subject Test? Our step-by-step guide walks you through everything you need to know to get started. Which is more important: AP tests or SAT Subject Tests? Learn how the two tests compareand which examsyou should spend more time preparing for. Not sure whether to take the Math Level 1 or Math Level 2 Subject Test? Our guide explains the differences between the two exams and helps you decide which one to take. Need a little extra help prepping for your Subject Tests? We have the industry's leading SAT Subject Test prep programs (for all non-language Subject Tests). Built by Harvard grads and SAT Subject Test full or 99th %ile scorers, the program learns your strengths and weaknesses through advanced statistics, then customizes your prep program to you so that you get the most effective prep possible. Learn more about our Subject Test products below:

Free Essays on The Fruits Of Love

and raw simplicity in the way he tells his story illustrates his youth and the honesty that comes with it. Everything he says, such as â€Å"The first time I walked with a girl, I was twelve†, is straightforward and simple, much like childhood love. Children tend to have more pure and simple feelings for one another than adults do because their lives are simple and uncomplicated. The tone of the speaker helps the reader comprehend those simple feelings of adolescent love. For his next technique, Gary Soto uses contrasting imagery to portray the feeling of adolescent love. Within the first seven lines of the poem, the narrator tells you that it is a cold, gray December day. The first time the oranges are introduced, the narrator simply tells you that he is â€Å"Weighed down with two oranges in my jacket". The bright image and color of the oranges immediately begins to infuse light, happiness, and love into the scene by contrasting with the cold, frosty December atmosphere. The oranges have the ability to do this because of a connotative connection with the bright color of the oranges and light. Later, the narrator notices that the girl’s porch light is always on despite the weather or the time of day. This image again brings up light that in turn reflects back to the brightness of the oranges. Then the girl appears, â€Å"Pulling at her gloves, face bright with rouge". The brig... Free Essays on The Fruits Of Love Free Essays on The Fruits Of Love The Oranges of Romance Imagine that it is winter and cold outside. Nervous electricity flows around you, and love is a new and exciting experience. In your heart, you feel warmth you have never known before. This is the moment Gary Soto captures in his poem â€Å"Oranges†. The feeling and power of adolescent love is created using tone, contrasting imagery, and symbolism. First, the use of tone in â€Å"Oranges† clearly helps to set the theme of the poem. Children often talk with simple sentences that directly state what happened. The speaker’s choice of words and raw simplicity in the way he tells his story illustrates his youth and the honesty that comes with it. Everything he says, such as â€Å"The first time I walked with a girl, I was twelve†, is straightforward and simple, much like childhood love. Children tend to have more pure and simple feelings for one another than adults do because their lives are simple and uncomplicated. The tone of the speaker helps the reader comprehend those simple feelings of adolescent love. For his next technique, Gary Soto uses contrasting imagery to portray the feeling of adolescent love. Within the first seven lines of the poem, the narrator tells you that it is a cold, gray December day. The first time the oranges are introduced, the narrator simply tells you that he is â€Å"Weighed down with two oranges in my jacket". The bright image and color of the oranges immediately begins to infuse light, happiness, and love into the scene by contrasting with the cold, frosty December atmosphere. The oranges have the ability to do this because of a connotative connection with the bright color of the oranges and light. Later, the narrator notices that the girl’s porch light is always on despite the weather or the time of day. This image again brings up light that in turn reflects back to the brightness of the oranges. Then the girl appears, â€Å"Pulling at her gloves, face bright with rouge". The brig...

Holistic Medicine Essays - Alternative Medicine, Holism, Acupuncture

Holistic Medicine Essays - Alternative Medicine, Holism, Acupuncture Holistic Medicine In a lot of conditions, medical cures and treatments have proven more harmful than the disease itself. In looking for other options, people all over the world have been turning back to the holistic way of health and healing. Holistic medicine is the art and science of healing the WHOLE person, or in holistic terms, the mind body and spirit. The practice of holistic medicine integrates conventional and alternative therapies to prevent and treat diseases and promote optimal health. This condition of holistic health is defined as the ultimate free flow of life energy force throughout the mind, body, and spirit. As I mentioned before, three parts make up the whole person. Based on a common law of nature, whole parts are made up of independent parts. The body, which is treated and cared for through nutritional medicine, fitness medicine, and environmental medicine. The mind (mental and emotional health) which is basically behavioral medicine. The spirit is treated with spiritual attunement and social health. When one of these three parts isnt functioning correctly or is impaired for some reason, the other parts of the person are affected. For example, a person growing nervous or anxious about an upcoming exam can literally give themselves a headache or stomachache. Even Socrates, one of the greatest philosophers in history of time said in order for the whole of a person to be well, the individual parts must be well also. This can be achieved by many things. For example, acupuncture is used to identify and treat disease and improve well being. During acupuncture, needles are inserted into the meridian points of the body. Sickness occurs when the flow of blood or chi is blocked at these points. The pressure applied to these points relieves blockage and buildup thus leaving the patient feeling better. Acupuncture can treat anything from allergies, headaches, sinus infections, stress, insomnia and chronic pain. For those people who dont enjoy needles or wont tolerate needles at all there is colorpuncture. Colorpuncture is basically acupuncture without needles. Meditation is another accepted form of holistic health. Meditation is using different methods of relaxation to calm yourself and make you healthier inside. Candles, salves, oils and incense are all commonly used during meditation. Meditation is an accepted form of recovery and health promotion in the medical field. Eye movement desensitization and reprocessing is yet another form of holistic healing. This helps remove conflict and stress from your life and promote success and happiness. Reflexing and resetting is the vibrating and stimulation of the bodys reflexes. It is most commonly done through the feet and can help with sleep disorders. Biofeedback is recognizing and manipulating the bodys signals. It helps to treat migraines, panic attacks, anxiety, hypertension, and A.D.D. Some of the most common methods of holistic healing are resurfacing just about everywhere. Aromatherapy is therapy using scents to relax the mind, body, and soul. There is a line of products in Wal-Mart now called aromatherapy and even well known companies such as Delias manufacture aromatherapy pillows. Chiropractors are a readily accepted form of holistic treatment. Chiropractors manipulate the bodys muscles and bones to relieve pain and stress. Massage and is a big part of holistic life. There are deep tissue massages, Swedish massages etc All of which help muscular posture, balance, stress reduction, increase of circulation and energy flow. Nutrtiion is also an important part in a holistic lifestyle. Health food stores such as GNC are popping up everywhere. With nutritionists come herbalists who also deal with weight management and vitamins. There is holistic dentistry which is generally mercury free and has less exposure to x-rays and harmful chemicals. There is even Holistic Veterinary care which treats pets in the same way as humans. Pets said to be lost cases are sometimes revived by this form of veterinary care. Anything from arthritis, skin infections, and allergies can be cured. Feng Shui is not as common in the US yet. It is Chinese consultancy in arrangement of objects in the home or office to achieve harmony. It is said your outer world is a mirror of your inner world. Lots of water fountains are used. Spiritual Psychics, Astrologists, Child Birth, Tai Chi, Yoga, even health and beauty are all reviving to holistic methods. These different treatments all fall under

Medical Profession Personal Statement Example | Topics and Well Written Essays - 1000 words

Medical Profession - Personal Statement Example Currently, I am working with multi-disciplinary healthcare teams. This job enables me to experience the many facets of nursing care in nine different wards, including Accident & Emergency, Stroke, Respiratory and Cardiac Units. My duties revolve around holistic nursing care system which requires and allows me to: Furthermore, I am well-versed in using MS Word, Excel, and PowerPoint. Being a computer literate, I can file and sort patients' medical records systematically. As a professional, I am deeply aware that all information is to be regarded as strictly confidential, whether it appears important or otherwise. My excellent report writing skills and experience in presenting information to others can also be tapped by your office. During my free time, I attend training programs, symposia and seminars to improve my ability to: All of these valuable tools, I believe, are instrumental in making me an effective and valuable member of any medical team and I am confident that I will continue to learn and develop my skills as a health service provider, particularly as I provide care to a diverse patient population. With the above-mentioned training and experience not to mention my innate leadership skills, I am confident that I can be a valuable member of the National Health Service. I can adjust to new environment and would be happy to work hand in hand with the best minds in the medical profession. As such, I do not see any obstacle in carrying out my duties and responsibilities that include settings priorities and scheduling work as well as attending to the care, welfare and daily routines of client groups including adults with learning disabilities in a variety of residential settings. These tasks are very similar to the hospital environment which I am familiar with especially that I had a prior experience similar to this field at Queen Mary's Hospital where I assisted on the Reeves Ward and cared for predominantly elderly people with dementia and respiratory

Genetics Assignment Example | Topics and Well Written Essays - 1250 words - 1

Genetics - Assignment Example Explain: This the coding sequence at any place of the gene and depending on the genetic material that is translocated an entirely new protein will be coded. Missense, point mutation, deletion of 3 bases or nonsense mutation at the end has a less severe effect. As these are all point mutation hence have a smaller influence on the entire structure of the protein. Explain: Cro- Magnon is also referred to as Homo sapien inhabited the earth approximately 10Â  000 to 40Â  000 years ago. This species lived in coexistence with the Neandethals in the Middle East and Europe for many years. The Neanderthal is assumed to have become extinct approximately 33Â  000 years ago. Australopithecus had already faced extinction by the time the Neanderthals came into existence. In addition, since Australopethicus had already become extinct it cannot coexist with homo erectus in the above mentioned time frame. Explain: Sickle cell anaemia is disorder that results from a monogenous disorder that leads to heterogenous clinical presentations. However, the disorder can be considered epistatic due to the fact that the phenotype of the disorder can be influenced by epistatic modifier genes Telomeres have repeated sequences and are located on the endings of each of the chromatids. They serve a protective role at these ends either from deterioration or fusing with the neighbouring chromosomes. In the process of cell division there is degradation of the telomeres which means that the repeated sequences are necessary to ensure that even after this process, there are still other sequences to protect remaining genes. In the Avery MacLeod and MacCathy experiment there were more possibilities and several techniques were utilized attempt to retrieve organic compounds and assess how the inheritance too place. These techniques were not yet present during the Griffith experiment. Griffith utilized heat in his experiment and live strains which

Comparative Law Essay Example | Topics and Well Written Essays - 2500 words

Comparative Law - Essay Example Some scholars have furthered the realism and common sense approach to comparative law by arguing that laws can be effectively studied separately from the surrounding concerns and environment. Such formalized and deconceptualized approaches are evident from the fact that law comparists and comparative law scholars have hardly been engaging the other academic disciplines which in one way or the other influence the application and the understanding of law in different contexts (Balakrishnan, 2003). The aim of this treatise is to explore and examine how western approaches like realism and the common sense approach to various business values and ethics have influenced legal studies in comparative law. The paper will look into how attention has shifted in the preoccupation of comparative law and the written law codes to a social and culture based approach of understanding the legal matters. Pluralism is a phenomena whose impact is clearly evident in the field and application of competitive law. Antoine (2000) defines legal pluralism to be a theory that is used by social scientists whose basic idea is that several legal systems can coexist and intermingle in a single legal entity. The historical origin of this influence can be traced back to the middle ages, which faced the problems of the conflicts between the church laws and the sate laws. Anleu (2005) notes that a second historical evidence can be found in the imposition of various western laws in the indigenous laws of the countries that were ruled and influenced by western powers. In the more recent context, the phenomena has been seen as a result of globalization leading to the emergence of the global legal pluralism. The effect of legal pluralism in cooperative law has been witnessed in the legal families and the definition of legal systems. Authors and scholars who subscribed to legal pluralism define law in a very broad context. Their definition encompasses

Explore the relationship between the material and the spiritual in Essay

Explore the relationship between the material and the spiritual in Beowulf and The Millers Tale - Essay Example Geoffrey Chaucer’s â€Å"The Miller’s Tale† is the second part of the Canterbury Tales and narrated by the alcoholic Miller and is a vulgar fable, depicting debauchery in contrast to the heroism underlined in Beowulf. Both Beowulf and the Miller’s Tale have been interpreted as using biblical analogies and allegories and the focus of this paper is to explore the relationship between the material and spiritual in Beowulf and the Miller’s Tale. If we firstly consider Beowulf , it is evident that the recurrent themes of war, tragedy and loss and military heroism are pertinent to historic patterns human behaviour whilst simultaneously providing a clear depiction of Anglo Saxon cultural norms. Moreover, French Historian de Certeau argues that â€Å"history aims at calming the dead who still haunt the present, and at offering them scriptural tombs† (Certau, 1998). Additionally, Certau highlights that the various themes and use of language in Beowulf convey the notion of inevitability through â€Å"labor of death and a labor against death† (Certau, 1998, p.5). This is further reflected in Beowulf by the denial of death and references to fear, loss and death. If we further consider the development of literary historicism, Foucault’s vision propounds that human behaviour is innately driven by motivation for power, which is clearly mirrored in Beowulf (Foucault, 1979, p22). Furthermore, in context of the medieval period within which Beowulf is set, there is clearly a dichotomy between philology, which studies the words and new historicism, which considers the historicism context (Frantzen, 1990, p114). Moreover, Philology posits that to understand people, the literary language must be understood whereas historicism indicates that to comprehend the language, the people must be understood for example the Anglo-Saxon gift culture represented assertion of

Renewable energy disadvantages Essay Example | Topics and Well Written Essays - 1000 words

Renewable energy disadvantages - Essay Example On the contrary, solar power produces little or no carbon emission. Its use will not affect the level of energy in the earth’s crust. Capentieri et al (1993, p.160) argues that it is very important to put into consideration technology used to convert renewable sources of energy to meaningful use. It is critical to carry a feasibility study then match with appropriate technology to covert the energy source. One other factor to consider before investing in renewable energy is the collection of data. Most data is available as a primary source of other activities like flood control and weather forecast. This data may be flawed and lack precision. Once data is, available next is to put the appropriate technology. For renewable energy to be a success story, policies and guidelines should be in place to facilitate the whole process. For instances, stopping the use of coal to produce electricity will promote renewable sources like wind power. In general renewable sources of are friend ly to environment. It makes it appropriate for use in industries and reduces the damage on the ozone layer. Despite renewable energy offering best alternatives for energy, it has disadvantages that affect its use. Disadvantages of Renewable Energy Solar energy- it is the energy derived from the rays of the sun using solar panels. Cost- the cost of installing solar panels is relatively high and few can afford to install large photovoltaic solar cells to produce electricity. So harnessing solar power still remain a challenge. Space-for solar energy to be effective, it requires large space for efficiency of the equipment used to tap its power. It is not appropriate in places where surface area is small. Photovoltaic cells cannot reach optimum level where pollution is high. It reduces effectiveness of solar panels. In winter and rainy weather the solar panels are less effective. Solar panels attract extra expenses in harnessing solar energy. They cannot perform at night, having the need to purchase accumulators to store energy. Wind Power- it is the energy derived from wind using wind turbines. Noise-despite wind being clean energy, turbines produces huge noises. Destruction to animals-birds is the major casualties of wind turbines. Turbines scare away birds in places they are constructed, hence interfering with their habitats. Strength of the wind- at times when large amount of wind power is required, wind may be low to turn the turbines and because of this wind energy is unreliable. Location- coastal receive strong wind completely year round. Areas away from the coastal line do not benefit much form wind energy. Space- wind turbines takes ocuupy much space that would otherwise be used for other economic purposes. Cost- construction of wind turbines is costly. Several turbines should be constructed to produce equal amount of energy produced by other sources of energy. Hydropower-this is the energy derived from moving water. Toxic gases- hydropower produces toxic gases, affecting plants surrounding the dam. This leads to emission of methane gas, which pollutes the environment. Destruction of habitat-animals and people around the dam has to move due to water making conditions near the dam unbearable. Costs-equipments for installation of hydropower are very expensive. Initial cost both capital and labour are relatively very

Explore the relationship between the material and the spiritual in Essay

Explore the relationship between the material and the spiritual in Beowulf and The Millers Tale - Essay Example Geoffrey Chaucer’s â€Å"The Miller’s Tale† is the second part of the Canterbury Tales and narrated by the alcoholic Miller and is a vulgar fable, depicting debauchery in contrast to the heroism underlined in Beowulf. Both Beowulf and the Miller’s Tale have been interpreted as using biblical analogies and allegories and the focus of this paper is to explore the relationship between the material and spiritual in Beowulf and the Miller’s Tale. If we firstly consider Beowulf , it is evident that the recurrent themes of war, tragedy and loss and military heroism are pertinent to historic patterns human behaviour whilst simultaneously providing a clear depiction of Anglo Saxon cultural norms. Moreover, French Historian de Certeau argues that â€Å"history aims at calming the dead who still haunt the present, and at offering them scriptural tombs† (Certau, 1998). Additionally, Certau highlights that the various themes and use of language in Beowulf convey the notion of inevitability through â€Å"labor of death and a labor against death† (Certau, 1998, p.5). This is further reflected in Beowulf by the denial of death and references to fear, loss and death. If we further consider the development of literary historicism, Foucault’s vision propounds that human behaviour is innately driven by motivation for power, which is clearly mirrored in Beowulf (Foucault, 1979, p22). Furthermore, in context of the medieval period within which Beowulf is set, there is clearly a dichotomy between philology, which studies the words and new historicism, which considers the historicism context (Frantzen, 1990, p114). Moreover, Philology posits that to understand people, the literary language must be understood whereas historicism indicates that to comprehend the language, the people must be understood for example the Anglo-Saxon gift culture represented assertion of

Intellectual property project ( Business and Commercial law ) Assignment

Intellectual property project ( Business and Commercial law ) - Assignment Example This paper presents an example of a case in which the intellectual property legislation of the cell phone market has been breached. In the shop where I spotted this original HTC phone, it was selling at $120. However, according to what one of the shop attendants told me, the price was slightly negotiable. I guess it could sell as low as $110. The price of this product according to the shop, in which I spotted it, was $52. Comparing with the previous similar phone (real) that I had seen earlier, I got interested in why it was selling so cheap. At a glance, I could not notice any difference. However, after a close look at the phone, I noticed some differences from the original phone. The original HTC phones are manufactured by a company called HTC Corporation, with its headquarters in Xindian, New Taipei City, Taiwan. The company was formerly known as High-Tech Computer Corporation. State laws protect the intellectual properties. Any attempt use an intellectual property without authorization is considered infringement (Hg.org, 2015). The manufacturers of the fake hTC mobile phones violate the intellectual laws in a number of ways. The first and foremost, their product resembles the HTC corporation’s product by general look as well as the product name. The HTC label used on the phone is a trademark of HTC Corporation. Any other firm that sells products with a similar label violates the federal law No. 8 of 2002, as provided by the trade regulations in UAE. If the firm runs its businesses in United States, it would be a violation of the intellectual law, as provided in section 396(3A) of Act 1988 (Groves, 1997). The production of a product similar to those patented by another company is an offense. It violates the intellectual laws related to copyright, patent, design rights, just to mention a few. The manufacturer of the fake HTC mobile, in this case, violated the intellectual laws by manufacturing phone similar to the ones that existed

Environmental Management Essay Example for Free

Environmental Management Essay The world climate is changing and the effects of global warming are being witnessed in various part of the world. Available researches points out human activities as the major case for climate change and global warming. United States is the world leading emitter for global warming pollution and its emission mainly being from green houses and burning of fossils. The country is now on the forefront in taking the appropriate steps to contain the situation and it have come out with a program known as cap trade program. The cap-trade program which is a market based approach utilizes the market forces to achieve environmental protection which are cost effective by giving business both direct and flexible incentive to find innovative way of pollution reduction. The policy has been implemented successively in several states and it is looking forward to be implemented at the national level. The world climate is changing and the evidence of global warming is unequivocal. According to the report of IPPC synthesis 2001 (Crowley, 2000), the increase in earth warmth is dated back in the years between 1900 and 1940 which later cooled down between 1941 and 1965. Information collected from millions of thermometer in the world since 1860 shows an increase in the average surface air measurement. These data which is believed to be the most accurate and useful in global climate description, shows 1998 as being the warmest year on record with 1990-2000 being the warmest decade. The global temperature has increased by approximately 0. 6 degrees since the start of 20th century with 0. 4 of this occurring during 1970s (McIntosh Roderick, 2006). As result of alteration in the world ecosystem which consists of the atmosphere, ecosphere and social sphere harmful gases have been released impacting negatively to our atmosphere. Scientists believe that the gases have led to global warming due to depletion of ozone layer. They attribute Human activities like deforestation and fossil combustion to increase of carbon dioxide emission while organic wastes and fossil fuel mining increases the release of methane which is affect negatively on ozone layer (Hardoy et al, 2001). Also Nitrogen fertilizers commonly used by farmers and release of refrigerant cfcs in factories increases nitrogen oxide and chlorofluorohydrocarbons gases respectively to the atmosphere (Hardoy et al, 2001). Over the years this gas has accumulated in the atmosphere bring adverse effect ranging from acid rains, climate change and depletion of the layer (Burroughs, 2001). Ozone layer is made up of ozone o3 molecules which three atoms of oxygen. It is located in the stratosphere portion of the atmosphere and it shields the harmful UV rays from the sun to reach the earth. Ozone layer depletion is the major cause of global warming and its effect such as Elevated temperature and weather extremes. Melting of ice as witnessed in the Polar Regions and flooding of major cities are clear indications of temperature elevations (Crowley, 2000). As human being competes to exhaust the precious resources around them they leave behind a serious environmental trauma which pauses danger not only to themselves but also to other living things (Hardoy et al, 2001). The environmental problems of the world today are much greater compared to last century when the damage was smaller. It is predicted that the situation will not reverse in near soon since the population is expanding and also the fact that human being have continued to stress for development without conservation of the environment (Broecker, 1995) In 2007 the panel consisting of the world leading scientist charged with the task of reviewing summarizing and validating the latest research concluded that the warming of the climate is clear. The panel attributed ninety percent of warming in the 50 s to green houses which are human creation. Other scientific reports have documented the specific impacts of warming including the melting down of the artic ice cap, shifting of the wildlife habitat, increased heat waves and wild fires. The United States of America is the global leading emitter of overall warming pollution. The emission is mainly through green houses and also burning of fossils. Their however not spared by the effects of the climate change as they experience glaciers, flooding of cities and intense storms in their backyard (Broecker, 1995) The purpose of this paper is to critically analyze climate change as one of the environmental issues and discuss the policy that united states have adopted in dealing with the issue. I wish to take the proactive side that indeed the climate change is being managed in the correct way in reducing its effects in the present and in the future. Important steps are being taken by various stakeholders in United States to contain the effects of climate change. In order to achieve reduction in large scale emissions as a necessary step to address climate change, there is need to adopt effective policies that stresses on shifting in the way the world uses and produces energy. Policy makers are treating the issue of climate change as an urgent one and are deploying currently available resources to reduce global warming pollution at all cost (Comiso, 2002) United States is now leading the way after years of inaction. The country now recognizes the need for effective environmental program for management of climate change which is perceived is a threat to environment and human beings in general. The climate policy which United States adopted is called cap-trade program. The plan requires the natural gas producers to purchase allowances for emissions from downstream gas consumers with less likelihood that the cost will be passed to consumers. Cap and trade program was designed in united states and also tested and proven by the Americans as a program within the clean air amendment of 1990. Its success as shown in the appendix 1, led to be crowned the green success story by the economist magazine. The program which is a market based approach utilizes the market forces to achieve environmental protection which are cost effective by giving business both direct and flexible incentive to find innovative way of pollution reduction. The policy has been implemented successively in several states Groups of states especially in the east and west coast are coming together to set up market place for electric facilities to buy and sell credits to release carbon dioxide among other gases which lead to global warming (NYT, 2002). In Chicago an emission trading allowance program have been launched which uses electricity utility in more than nine north eastern states. Western states on their side have teamed up with Canadian provinces to unveil yet another ambitious trading system which encompasses both industries and utilities . the plan aim at reducing greenhouse emissions by 15% within 12 years. Also a program to have a carbon trading market aiming to be running by 2010 is underway in Wisconsin, Illinois and other Midwestern states. I am optimistic that this program will go along way in reducing the emissions blamed for global warming and they will do so efficiently and less cheaply than regulatory program. New York merchantile first auction of emission allowance opened a new beginning in America response to change in climate, although reducing carbon dioxide is predicted to increase electric rates the cost will be lesser as compared to convectional regulation . to ensure protection of consumers. The program uses the cap and trade approach to realize proceeds that can be used to promote energy efficiency and conservation saving money for household (Houghton, 2004) Emission dealings began in 1990 and focused on reducing sulfur dioxide which causes the acid rain. The cap and trade program is preferred than the regulatory program since it is effective in cutting emissions quickly. In fact with the both McCain and Obama supporting the cap and trade program there is high likelihood of national trading program which will cover the whole country (Houghton, 2004). The problem related to this policy is that it will lead to fewer natural gas wells which may result to shortfall in production and over all reduction in supplies. High demand and low supply entails that prices will go high in order to meet the new climate goals. An eventual increase in consumer spending is likely and the price will also drive gas dependent industries abroad resulting to job losses (Hardoy, 2001) Conclusion The great scholars seem to agree that the world climate is changing and the earth is warmer than it was a century ago. Scientist attributes the global warming to human activities such as fossil burning and deforestation. An immediate step is required in the establishment of compulsory emission limits joined with a market based system that provide for a reduction in emission which is cost effective. Nevertheless to address the issue of climate change cannot succeed without involvement of united sates. The starting point is a program that will enable United States to substantially and permanently reduce their emission since they are the largest emitters of global warming pollution.There is need for quick enactment of energy policies which include more stern fuel efficiency regulations. Reference Broecker, W. C. (1995). The Glacial earth According to Wally. Eldigo Press, Columbia University, Palisades, New York Crowley, T. J. (2000). Origin of climate change over the past. UK: Cambridge University Press, Comiso, J. C. (2002). A rapidly declining permanent sea ice cover in the Arctic. London: Routledge press. New York Times (NYT) (2002, November 9). â€Å"Waters and dying lobsters and warming waters†. Times, 143, pp. 30-32 McIntosh Roderick (2006). Atmosphere, History, and Human Action. New York: Columbia University Press, Burroughs, W. J. (2001, November 9). â€Å"Climate change† The Journal for Comparative Change, New York Times, Vol. 36-118-134. Hardoy et al, (2001). Global warming: multidisciplinary climatic approach. London: Arnold press. Houghton, J. T. (2004, May 22). Global warming: the Complete Briefing, 89-456-458 U. K: Cambridge University Press.

The meaning and of managing change

The meaning and of managing change The word change itself tends to be very confusing and everybody fears and tends to refuse change. If you ask any employee about change, he/she will have negative responses to change. Despite being complex and confusing yet it is very important due to the changing economic situations facing the world nowadays. However, the meaning of managing change varies according to people. For some people it maybe, a new way toward success for others it may be seen as a way to put its business onto new waves and so on. According to Michael Armstrong, Change management is the process of achieving the smooth implementation of change by planning and introducing it systematically, taking into account the likelihood of it being resisted. Success of implementing change depends largely on the way change it is managed. In this chapter, there will be an overview on different perspectives, importance on change management, including various tools used by researchers to asses change management. 2.2 CHANGE MANAGEMENT 2.2.1 Conceptual matters A.P Sloan (1967) stated that The circumstances of an ever-changing market and an ever-changing product are capable of breaking any business organization if that organization is unprepared for change. In other words, if an organization decides to change it cannot just happen it should be managed properly. 2.2.2 Typologies of change There three types of changes namely: Strategic Change Strategic change is defined as changes in the content of a firms strategy as defined by its scope, resource deployments, competitive advantages, and synergy (Hofer and Schendel, 1978). It is about changing the organizational vision, mission and objectives for a longer term for its betterment. Operational Change Operational change consists of changes occurring in the organizations structures, new systems, procedures or technology, which will contribute towards a better human productivity or increase profitability. According to Gartner, operational change is primordial in the provision of a high IT service quality. Transformational Change Transformational changes occur when there is a shift in the organizational culture resulting from a change in the organizational processes and strategies. 2.2.3 Change Process It is important for organization to understand the change process steps well and subsequently initialize those steps. According to Robert Bacal, it comprises three phases; preparation stage, acceptance stage and commitment stage. Figure 2.0-The steps in the Change Process Preparation Phase: Contact Stage: The very first stage whereby, an individual have direct contact with the possibility of change occurrence. Awareness Stage: The individual is aware that change is being considered. Acceptance Phase: Understanding Stage: Occurs when the individual shows a certain degree of understanding of the nature and intent of change. Positive Perception: The individual starts developing a positive view about change. Commitment Phase: Installation Stage: The change is being implemented and operational. Adoption Stage: The individual has now adopted the change and it is being long time enough to exhibit its positive result and impact. Institutionalization: Change is fully incorporated in the organization and has shown its worth, durability and continuity and is now considered as a routine operating procedures. Internalization: Individuals have become committed to change as they themselves consider it as compatible with their working behaviours, goals and organizational systems. 2.2.4 Change Models Over the past years there have various change models being used, some of the models are described below. Kurt Lewin (1951), The basic mechanisms for managing change In this model Lewin talk about three processes; unfreezing, changing and refreezing. Unfreezing implies changing the current attitudes and behaviours existing at the workplace. However, this process can lead to resistance, so change agent should analyze the possible problems and resolve them. Besides, changing is a process of transition whereby, change starts to be operational. While refreezing occurs once change is implemented and is in need of stabilization. Nevertheless it is a time consuming process, as people will have to adapt to this new development. The process is shown below: Figure 2.2- Lewin Three-Stage Approach to Change There is also a methodology proposed by Lewin for analyzing change, known as Field Force Analysis. This method analyzes the restraining or the driving force which will have an effect on the transition. The restraining force includes those who have a negative view on change. It assesses which one of the two forces has the balance of power. Subsequently, it allow practitioner to take necessary meausres to increase driving force and decrease restraining force. This can be illustrated diagrammatically; Figure 2.3- Source: http://www.valuebasedmanagement.net/methods_lewin_force_field_analysis.html Richard Beckhard (1969), change programme Beckhard initiated the following processes; The organization should set out desired goals and future organizational conditions after the change. Identify the current situation of the organization in relation with the goals. Identify the activities and commitment required during the transition to meet future goals. Develop appropriate strategies and action to manage this transition, taking into account factors that might affect this change. Beckhard alongside with David Gleicher developed a Change Equation which is shown below: Figure 2.3-Source: http://www.greatleadershipbydan.com/2009/01/beckhards-change-equation.html According to them the above factors is necessary for any organizational change, which is applicable before and after the change. Keith Thurley (1979) five approaches to managing change According to Thurley, there are five approaches to manage change which are; Directive This is done without any consultation and is imposed onto the people in times of critical situation or when other methods have failed. Bargained Here change is being bargained whereby employer and employee discuss, negotiate, and compromise before implementing change. The views of the employees are being taken into consideration. Hearts and minds This approach force to change the current attitudes, values and beliefs of the workforce. Through this approach, management seeks commitment, and shared vision from the workforce which does not mean participation. Analytical Analytical approach demonstrates clear definition of problem by diagnosing and analyzing the situation. Afterwards, collect data to set objectives and design change process and finally evaluating the result. This theoretical approach is very difficult to do in practice. Action-based It starts with a broad idea of the problem and it uses trial and error to get a better solution. It is less analytical and more involving. 2.2.5 Resistance to Change People resist change because they fear of the unknown, and thus create negative feelings about change. People want stability and equilibrium in their lives as well as working life and so resist changes. 2.2.5.1 Joan Woodward (1968), reasons for resisting change According to Joan Woodward (1968), resistance to change are due to: Fearing the unknown Many people are suspicious about change because it will disturb their method of work, or working conditions, thus they have a feeling of insecurity. Economic fear People may feel if changes occur they might lose their job. Inconvenience They think changes will make their life difficult. Symbolic fear Changes may affect some symbolic issues that people are attached to, like separate offices etc. Threat to interpersonal relationships They believe that changes may disrupt their working relationships. Menace to status and skill They tend to associate change to a method of de-skilling or a reduction in the status level. Competence fears If changes occur, they fear that they will not be able to adapt to new working demands and lack competencies. 2.2.5.2 Overcoming resistance to change Resistance to change is a problematic situation which organization should overcome. Organization can use the Six Change Approaches (Kotter and Schlesinger) to deal with resistance to change, for example: Education and Communication One of the reason people resist change is because, there is a lack of sharing of information. So management must, share and communicate information about the motives behind the change to its people. Participation and Involvement When employees are involved and participate in the change, they are more enthusiasm about change and hence do not resist change. Facilitation and Support Upper management must support and facilitate the transition; they should help them to overcome their fears, through counseling, mentoring and so on. Negotiation and Agreement Managers may negotiate with group of employees which possess enough power to influence resistance to change. They may offer incentives or make agreement between them to combat resistance. Manipulation and Co-option Kotter and Schlensinger have proposed a method of manipulation and co-option when all other methods seem to be ineffective. This technique manipulates people who are resisting change. An example can be, giving a symbolic role in decision making to a leader. However, if they find out they are manipulated, they will drive resistance to change higher. Explicit and Implicit Coercion This is the last resort that managers used, that is forcing employees to accept change, this can be effected through fear, by threatening employees lost of job, no career prospects and so on. 2.2.6 Implementing Change Nadler and Tushman (1980) have developed some guidelines for effective implementation of change: Motivate people to accept and adapt to changes. Good management and control should be ensured during and after transition through communication and proper image of the future. Ensure that politics dynamics support changes rather than reject it. Build stability of new structures and changes. In addition to these guidelines, changes will take place smoothly with the help of a change agent who can be internal or external. 2.2.7 Organizational Transformation Organizational transformation as per Cummins and Worley (2005) is A process of radically altering the organizations strategic direction, including fundamental changes in structures, processes and behaviours. John P Kotter ((The Heart of Change, 2002) introduced strategies for organizational transformation, which is summed up below: Increase urgency Make real and achievable objectives and drive motivation. Build the guiding team Build a team with right people possessing right kind attitudes, skills, commitment and so on Get the right vision Make the team build simple vision and strategy and focus on emotional and creative aspect for more efficiency Communicate Communicate to people and encourage them to participate. Empowerment Organization should empower its people, remove all obstacles, provide 360 degree feedback, support and recognize and reward them accordingly. Create short term wins Create short achievable aims, which are easy to attain. Organizations should also finish existing aims before starting new ones. Never give up Always encourage and motivate and communicate forecasted results. Stabilize change Once change is implemented should make it stick, by creating a culture of change in the organization. 2.2.8 Role of HR in managing change According to Ulrich (1997) the key role of HR practitioners during change, is to act as a change agent and thus provide for organizational transformation and cultural change. 2.2.8.1 HR practitioners as change agents There are four dimensions according to Caldwell (2001) that classify HR change agent: Transformational Change These are changes having a great impact on HR policies and practices of a business. Incremental Change It is gradual modification of HR policies and practices that have little effect on its activities. HR Vision Set of values and beliefs relating to HR functions which are a strategic business partner. HR Expertise HR professionals can use their expertise and knowhow to contribute for business success. 2.2.8.1 HR contribution in change management Ulrich (1998) says that HR practitioners are not fully comfortable or compatible in the role of change agent. Therefore their duty is not to perform change but is to ensure that change is implemented. Their contributions are mostly about implementing structures, systems etc that support change. So they will have to motivate, communicate and involve people in change management. HR specialist must also provide proper training and development programmes so that employees can upgrade their skills, behaviours to adapt to change. 2.3 Conclusion Changes always happen, so to remain up to date organization should invest in change management. Upper level management should feel the need for change and communicate to its people. Additionally, management should never be demotivated even if there is resistant, they should be perseverant and continue to encourage people to accept change. You should be the change that you want to see in the world Mahatma Gandhi. Information from this literature was used to develop the research methodology in Chapter 4.

Sahara Desert Essay -- essays research papers fc

Sahara Desert The Sahara Desert is the world’s largest desert area. The word Sahara comes from the Arabic word sahra’, meaning desert. It extends from the Africa’s Atlantic Ocean side to the Red Sea and consists of the countries of Morocco, Algeria, Tunisia, Libya, Egypt, Mauritania, Mali, Niger, Chad, and Sudan. It is about 5,200 miles long. Overall, the Sahara Desert covers 3,500,000 square miles. The geography of the desert is varied. In the west, the Sahara is rocky with varied elevation. It does contain underground rivers, which sometime penetrate the surface, resulting in oases. The central region of the Sahara has more elevation than the other areas, with peaks such as Emi Koussi and Tahat. Even though the area lacks rainfall, these peaks are snowcapped during the winter. The Eastern part of the Sahara, the Libyan Desert, is dry with very few oases. The Sahara's landscape features include shallow basins, large oasis depressions, gravel-covered plains, plateaus, and mountains, sand sheets, dunes and sand seas. Sand sheets and dunes cover over 25 percent of the Sahara’s surface. The most common types of dunes include tied dunes, blowout dunes, and transverse dunes. Within the Sahara are several pyramidal dunes that reach over 500 feet in height while others reach over 1,000 feet. Researchers have for many years tried to figure out how these dunes were formed, but the case remains unsolved. The boundaries, however, are not clearly defined and have been shifting for millennia. The Sahara was once a fertile area; millet was cultivated there over 8000 years ago. About 10,000 years ago, the Sahara was used as land for grazing in which elephants, giraffes and other animals thrived. It is estimated that in 4,000 B.C., the climate began to get drier. The fertile landscape dried up and the desert widened, creating the form that appears today. As conditions gradually became drier, however, and desertification set in, farmers abandoned their land and the animals migrated to other areas. The Sahara’s climate is very hot and dry. Although it is very hot during the day, it does become cold at night. On average, it only has 8 inches of rainfall per year. The Sahara's climate consists of b... ... whole, the Sahara is one of the harshest environments known to man. The majority of the people living in the Sahara Desert are nomads, which means that these people continuously move from region to region in search of better living conditions. It is believed that the first nomadic peoples came to this region after domestic animals were introduced to the Sahara 7,000 years ago. Evidence suggests that the Sahara accumulated diverse groups that quickly formed dense populations throughout the region. The majority of the groups lived separately, but depended on each other for trade. One of the main problems that are happening to the Sahara desert is the continuing development of the boundaries of the desert. This is known as desertification. As global warming continues to increase, the probability of more desert regions becoming bigger is more likely. Bibliography n.a. http://library.thinkquest.org/10898/sahara.htm. â€Å"Sahara Desert† ThinkQuest 1998. n.a. http://library.advanced.org/~16645/the_land/saha_cl.shtml â€Å"People and Places: Sahara Desert† 1998. "Sahara," Microsoft ® Encarta ® 97 Encyclopedia.  © 1993-1996 Microsoft Corporation.

Death Of A Planet Essay -- essays research papers fc

Death of a Planet Air pollution is a very big problem in the United States. A large part of air pollution comes from cars. The Environmental Protection Agency says, "The most polluting activity an average person does everyday is drive their car"(1 factsheet OMS-5). Most people probably aren't aware that they are polluting the environment. Maybe if everyone knew how serious this pollution problem is, they would find ways to reduce the pollution. Most pollution that is released by cars comes from the exhaust, mainly in the form of hydrocarbons(1 factsheet, OMS-5). Hydrocarbons are organic compounds ,a combination of two or more elements, that contain only carbon and hydrogen (2 factsheet, OMS-5). Hydrocarbons are released when fuel in the engine burns partially. When hydrocarbons come in contact with sunlight they form ground level ozone. Ground level ozone is a major ingredient in the formation of smog. Ground level ozone is responsible for irritating eyes, damaging lungs, and it complicating respiratory problems. Hydrocarbons aren't the only pollutants released through car exhaust. Two more pollutants released through car exhaust are carbon monoxide and nitrogen oxide. The first reduces the flow of oxygen to the bloodstream, and could harm people with heart disease. Nitrogen oxide is formed when a car engine gets hot. It contains chemicals that aid in the formation of ground level ozone as well as acid rain (2 factsheet, OMS-5). Acid rain destroys the outsides of buildings, statues, etc. Acid rain can also contaminate drinking water, damage vegetation, and destroy sealife. These two pollutants are two of the most dangerous pollutants released through car exhaust. If these two pollutants were cut down just a little bit our planet would be a safer place to live. Carbon dioxide is another gas released through exhaust emissions. It isn't dangerous directly to humans, but it is considered to be a "green house gas." A "greenhouse gas" is a gas that is associated with global warming. Global warming is the gradual increase of temperature due to human activity. Certain gases, such as carbon dioxide, methane, and ozone allow radiation from the sun to break through the atmosphere and go to the earth's surface. Global w... ... recognized sooner than regular testing, done year by year. If the remote sensing devices are used people don't have to worry about their car being tested. They just have to get their car repaired when the device says it's polluting the environment. Air pollution caused by cars is a serious problem that can be reduced by average everyday people. If the citizens of earth don't act fast, and reduce the amount of pollution caused world wide, earth will be a horrible place to live. If something isn't done soon there might not be a place to live at all. Works Cited Brown, Lester R. The World Watch Reader: On Environmental Issues. NewYurk:Norton, 1991. 97-105. The Environmental Protection Agency. Automobiles and Ozone: Factsheet OMS-4. http://www.epa.gov/OMS WWW/04-ozone.htm. 1993. 4. The Environmental Protection Agency. Automobile Emission: An overiew: Factsheet OMS-5. http://www.epa.gov/OMS www/05-autos.htm. 1994. 1-5. The Environmental Protection Agency. Remote Sensing: A Supplemental Tool for Vehicle Emission Control: Factsheet OMS-15. http://www.epa.gov/OMS www/ 15- -remot.htm. 1993. 1-2.

History Of Antimicrobial Agents Health And Social Care Essay

Chemical compounds biosynthetically or synthetically produced which either destroy or usefully stamp down the growing or metamorphosis of a assortment of microscopic or submicroscopic signifiers of life. On the footing of their primary activity, they are more specifically called bactericide, fungicide, antiprotozoal, antiparasitic, or antiviral agents.3.2 History of antimicrobic agentsThe modern epoch of antimicrobic chemotherapy began in 1929, with Fleming ‘s find of the powerful disinfectant substance, Penicillin and Domagk ‘s find in 1935 of man-made chemicals ( sulfa drugs ) with wide antimicrobic activity. In the early 1940 ‘s spurred partly by the demand for antibacterial agents in World War II, penicillin was isolated and purified and injected into experimental animate beings, where it was found non merely to bring around infections but besides to possess improbably low toxicity for the animate beings. This fact ushered into being the age of antibiotic chemot herapy, and an intense hunt for similar antimicrobic agents of low toxicity to animate beings that might turn out utile in the intervention of infective disease. The rapid isolation of Streptomycin, Chloramphenicol and Tetracycline shortly followed, and by the 1950 ‘s, these and several other antibiotics were in clinical use ( 13 ) . The lustre of the antimicrobic epoch shortly began to demo grounds of tarnish nevertheless, as first bacteriums, so fungi, and so viruses began to develop opposition to the antimicrobic agents directed against them. Microbial inventiveness and resiliency have ne'er been more apparent than in their singular ability to develop opposition to chemotherapeutic agents. This is particularly true of bacteriums that have modified their Deoxyribonucleic acid by chromosomal mutant and by geting opposition cistrons via junction, transmutation, and even transduction. There are apparently no boundaries to the capablenesss of some micro-organisms to develop opposition. The acquisition of Vancocin opposition in Enterococci by the assembly of multiple foreign cistrons into permutable elements and the presentation of movable fluoroquinolone opposition cistrons in Klebsiella pneumoniae are 2 graphic illustrations of this ( 14,15 ) . Antimicrobial opposition has been fueled by inappropriate usage of antimicrobic agents, particularly those directed against bacteriums. Widespread industrial and agricultural usage of disinfectants has played a function, but the involuntariness of the medical profession to accept steps for the control of indiscriminate prescribing and inappropriate dosing of antibiotics besides need to be addressed. Clinicians have failed to cover with a potentially solvable job, and others are taking up the challenge. The grim spread of antimicrobic opposition is now of concern to bureaus of legion authoritiess and wellness bureaus worldwide, including the World Health Organization, which has attempted to supply rational solutions to the job ( 16 ) . Several writers ( 7,8 ) have reported concern about the uninterrupted indiscriminate and inordinate usage of antimicrobic agents that promote the outgrowth of antibiotic-resistant beings. Monitoring of antimicrobic usage and cognition of prescription wonts are some of the schemes recommended to incorporate opposition to disinfectants in hospitalized patients.3.3 Drug Utilization researchDrug Utilization research was defined by WHO as â€Å" the selling, distribution, prescription and usage of drugs in a society, with particular accent on the ensuing medical, societal and economic effects † . The primary importance of drug use research is to ease rational drug usage in the population. A good cognition about how drugs are prescribed aids in measuring the reason in drug use and to better prescribing patterns. It besides provides penetration into whether the prescribed drug therapy provides value for money. The part of use surveies for rational drug consists of three of import way s. Description of drug usage forms. Provides early signals of irrational drug usage. Helps in follow up of intercessions to better drug usage. The importance of Drug Utilization surveies increases in pharmacoepidemiolgy by bridging more closely with other countries such as public wellness, rational usage of drugs, grounds based drug usage, pharmacovigilance, pharmacoeconomics, eco -pharmacovigilance and pharmacogenetics ( 17 ) . The research in this field analyses the current province and the developmental tendency in drug use at assorted degrees of the wellness attention system, whether national, regional, local or institutional. They aid in measuring drug usage at a population degree, harmonizing to age, sex, societal category, morbidity and other factors ( 18 ) .3.4 Prescription and OrderingSurveies of prescription and prescribing are an of import portion of use surveies. On utilizing informations on prescriptions it is possible, To analyze forms of drug usage among patient classs defined by age, sex or diagnosing. To analyze the relation between prescribed medical specialty and evident indicant. Identify the unwellnesss most often treated. Identify and analyze prescription determiners, such as the extent to which prescribing has been influenced by peculiar information or promotion runs. Examine specific safety jobs in drug usage in the visible radiation of existent pattern ( 19 ) .3.5 Drug Use IndexsDatas from medical patterns and wellness installations may be used to mensurate specific facets of wellness proviso and drug usage. This information is used to bring forth indexs that provide information on ordering wonts and facets of patient attention. These indexs can be used to find where drug usage jobs exist, provide a mechanism for monitoring and supervising and motivate wellness attention suppliers to follow established wellness attention criterions. Prescription and dispensing informations are utile for finding some of the quality indexs of drug usage recommended by the WHO. These include: Average figure of drugs per brush Percentage of drugs prescribed by generic name Percentage of brushs with an antibiotic prescribed Percentage of brushs with an injection prescribed Percentage of drugs prescribed from indispensable drugs list or formulary Average drug cost per brush The indexs of ordering patterns evaluate the public presentation of wellness attention suppliers in assorted dimensions related to allow usage of drugs ( 19 ) .3.5.1. Average figure of drugs per brushPurpose To mensurate the grade of polypharmacy. Prerequisites Combination drugs are counted as a individual drug prescription. Guidelines are needed on how to number certain equivocal prescribing patterns ( e.g. some standardised consecutive therapies ) . Calculation Average, calculated by spliting the entire figure of different drug merchandises prescribed, by the figure of brushs surveyed. It is non relevant whether the patient really received the drugs.3.5.2. Percentage of drugs prescribed by generic namePurpose To mensurate the inclination to order by generic name. Prerequisites Research workers must be able to detect the existent names used in the prescription instead than merely holding entree to the names of the merchandises dispensed, since these may be different ; a list must be available of specific merchandise names to be counted as generic drugs. Calculation Percentage, calculated by spliting the figure of drugs prescribed by generic name by the entire figure of drugs prescribed, multiplied by 100.3.5.3. Percentage of brushs with an antibiotic prescribedPurpose To mensurate the overall degree of Antibiotic usage. Prerequisites A list must be available of all the drug merchandises which are to be counted as antibiotics. Calculation per centums, calculated by spliting the figure of patient brushs during which an antibiotic was prescribed, by the entire figure of brushs surveyed, multiplied by 100.3.5.4. Percentage of brushs with an injection prescribedPurpose To mensurate the overall degree of usage of two of import, but normally overused and dearly-won signifiers of drug therapy. Prerequisites A list must be available of all the drug merchandises which are to be counted as antibiotics ; research workers must be instructed about which immunisations are non to be counted as injections. Calculation Percentages calculated by spliting the figure of patient brushs during which an injection is prescribed, by the entire figure of brushs surveyed, multiplied by 100. 3.5.5 Percentage of drugs prescribed from indispensable drugs Purpose To mensurate the grade to which patterns confirm to a national drug policy, as indicated by ordering from the national indispensable drugs list or formulary for the type of installation surveyed. Prerequisites Transcripts of a published national indispensable drugs list or local institutional pharmacopeia to which informations on prescribed drugs can be compared ; processs are needed for finding whether or non trade name name merchandises are tantamount to 1s looking in generic signifier on the drug list or formulary. Calculation Percentage, calculated by spliting the figure of merchandises prescribed which are listed on the indispensable drugs list or local pharmacopeia ( or which are tantamount to drugs on the list ) by the entire figure of merchandises prescribed, multiplied by 100 ( 19 ) .3.6 Intensive attention unit ( ICU )Intensive attention unit ( ICU ) is a scene where a big figure of drugs are administered to patients and where the costs of hospitalization and drug intervention are high. The usage of unequal empirical antimicrobic therapy is common in intensive attention unit patients and contributes to a figure of hapless results. In such puting choosing appropriate antimicrobic therapy is complicated by many factors, including the big figure of agents available, the presence of immune beings and the general desire among practicians to utilize the most focussed therapy available ( 20 ) . The prescribing of antibiotics in the ICU is normally empirical, based on general status of the patients hospitalized at that place. Appropriate antibiotic use in this scene is important non merely in guaranting an optimum result, but in restricting the outgrowth of opposition and containing costs. We propose that research in the ICUs is vitally of import in steering antibiotic prescription patterns and thereby advancing rational antibiotic therapy. There is broad institutional diverseness in the comparative prevalence of prevailing pathogens and their antimicrobic susceptibleness between infirmaries. Among different ICUs of same infirmary besides there is fluctuation in prevailing pathogens and their antimicrobic susceptibleness. Therefore, appropriate antibiotic prescription patterns should be formulated based on surveillance surveies and research for single ICUs ( 21 ) .3.7 Knowledge from old surveies3.7.1 In the Medical Intensive attention Unit of measurementsIn a drug use survey done in Western Nepal in 2003 by Shankar PR et Al ( Investigation of antimicrobic usage form in the intensive intervention unit of a teaching infirmary in western Nepal ) it was observed that Mean+/-SD drugs per patient was 3.4+/-1.8. About half ( 50.2 % ) of the patients received an antimicrobic ; 84.6 % of the disinfectants were used without obtaining bacteriologic grounds of infection. The commonest organisms isolated on civilization were Pseudomonas aeruginosa, Klebsiella pneumoniae, Streptococcus pneumoniae, and Staphylococcus aureus. A sum of 28.9 % of the disinfectants were prescribed for lower respiratory tract infections on the footing of the putative site of infection ; 61.9 % of the disinfectants were prescribed by the parenteral path and chiefly the older coevals of disinfectants were used. In 39 of the 149 patients prescribed an antimicrobic, the usage was irrational ( 22 ) . In 2010 Vandana A Bada et Al Studied Prescribing Pattern of Antimicrobial Agents in Medicine Intensive Care Unit of a Teaching Hospital in Central India and reported that in the intensive attention unit Cefotaxime was the most normally used AMA by 32 % patients, followed by Metronidazole by 24 % patients and Ampicillin by 17.29 % patients. 77 % patients were given 1- 3 AMAs, 23 % patients were given 4 – 8 AMAs. Most common indicant for the antimicrobic therapy was infection. Harmonizing to rating usage of antimicrobic therapy was rational in merely 30 % patients. Average figure of drugs per patients were 7.5 drugs ( 23 ) . Lisha Jenny toilet et Al during 2005-2006 studied use of antimicrobic agents in medical intensive attention unit of a third attention infirmary in Bangalore, India and reported that of the 902 patients admitted in the medical ICU during the survey period, male to female ratio was 1.9. The mean for age was 49.21A ±15.84 old ages. Extensive polypharmacy ( 100 % ) was noticed. The mean figure of drugs per patient ( prescription ) was 11.6A ±2.09.Cephalosporins 505 ( 69.3 % ) and aminoglycosides 263 ( 35 % ) were the normally prescribed antimicrobic drug category. Cefoperazone ( J01DD12 ) 218 ( 30 % ) , amikacin 211 ( 28.9 % ) , metronidazole 208 ( 28.6 % ) were the normally prescribed antimicrobic drug category. A sum of 228 perscriptions ( 31.3 % ) contained two antimicrobic prescription and ( 187 ) 25.7 % contained 3 drugs. Cefoperazone + sulbactam ( J01DD62 ) 224 ( 30.8 % ) was the most common FDC noticed ( 24 ) . A survey done in 1992 by MV Srishyla et Al surveyed the Antimicrobial prescribing form in the in-patient scene of a 800-bedded third infirmary in Bangalore, India showed that 56 % of in-patients were prescribed antimicrobic agents and 44 % of them received a combination of disinfectants. In all, 36 different antimicrobic agents were prescribed. Gentamicin ( 17 % ) , Metronidazole ( 9 % ) and Ciprofloxacin ( 8 % ) were the most normally used agents. Lower respiratory tract infection was the most common. The type of usage was empirical in 34 % , directed in 27 % and contraceptive in 32 % of the prescriptions. Of the contraceptive prescriptions, 80 % were for surgical prophylaxis and 61 % of these were administered by unwritten path. Besides, the continuance of disposal exceeded 72 hours in 92 % of the patients prescribed disinfectants for surgical prophylaxis ( 25 ) .3.7.2 In the Paediatric Intensive Care UnitsIn 2003, Palikhe N studied the Prescribing form of antibiotics in pediatric infirmary of Kathmandu vale and it was found that the mean figure of drugs per patient was 5.01+/-1.36 and figure of antibiotics per patient was 2.41+/-1.02. More than 98 % of the patients were exposed to, at least, two drugs. Among 121 patients clinically diagnosed with infective diseases and treated with antibiotics, specimens were taken for civilization in merely 24 instances i.e. ( 19.8 % ) to place infective beings. Merely 13 specimens showed positive civilization consequences. Infants less than 1 twelvemonth received antibiotics more often than 1-5 and 5-12 old ages ( 40, 31 and 29 % , P & lt ; 0.001, P=0.000 ) . Seventy-five per centum of the entire antibiotics were administered parenterally. Cephalosporin was the top most often prescribed antibiotic group followed by penicillin group. Significant difference was found between age group of patient and disease encountered ( chi2 = 42.95, P=0.000 ) ( 26 ) . Shankar P R et Al studied the prescribing forms among pediatric inmates in a teaching infirmary in western Nepal during 2003-2004 and observed that 356 patients were admitted during the survey period, of which 228 were male. The average continuance of hospitalization was four yearss. The average figure of drugs prescribed per admittance was 4.5. 789 drugs ( 48.9 per centum ) were prescribed by the parenteral path. Antibiotics were prescribed in 249 admittances ( 69.9 per centum ) . Staphylococcus aureus, Escherichia coli, and Acinetobacter species were the common beings isolated, and were resistant in some instances to the commonly-used antibiotics. The mean ( +/- criterion divergence ) cost of drugs per admittance was 5.4 ( +/-1.6 ) US dollars ( 27 ) . In the twelvemonth 2004 Ansam Sawalha et Al studied the Pattern of parenteral Antimicrobial Prescription among Pediatric Patients in Al-Watani Governmental Hospital in Palestine and found that three hundred and 40 pediatric patients were admitted to Al-Watani authorities infirmary during the survey period. Gastroenteritis was the most common cause of hospitalization, while upper respiratory piece of land infection ( URTI ) was the most common cause of parenteral antimicrobic agent disposal. Two hundred and 10s ( 61.8 % ) patients received parenteral antimicrobic agents while 16 ( 4.7 % ) received both parenteral and unwritten antimicrobic agents. Single antimicrobic agent was prescribed for ( 50.6 % ) patients. Cefuroxime was the chief individual antimicrobic agent used ; it was administered to 70/226 ( 31 % ) patients ( 28 ) . Aparna Williams et Al ( Antibiotic prescription forms at admittance into a third degree intensive attention unit in Northern India ) analysed Antibiotic prescription forms at admittance into a third degree intensive attention unit in Northern India and found that a sum of 1246 drugs and 418 antibiotics were prescribed in the 200 patients studied, that is, an norm of 6.23 ( A ± SD 2.73 ) drugs/prescription and 2.09 ( A ± SD 1.27 ) antibiotics/prescription. Antibiotics were prescribed on 190 patients ( 95 % ) at admittance. There was a important correlativity between the figure of patients prescribed three or more antibiotics and mortality rates 53 % nonsurvivors vs. 33.5 % subsisters ( P = 0.015 ) . The mean cost of the antibiotics was Rupees 1995.08 ( A ± SD 2099.99 ) per patient and antibiotics outgo accounted for 73.2 % of the entire drug costs ( 29 ) .3.7.3In the Neonatal Intensive Care UnitsWarrier cubic decimeter et Al studied the Pattern of drug use in a neonatal intensiv e attention unit in Children ‘s Hospital of Michigan during 1997 to 2004 and reported that average drug usage was 3.6/infant, with the highest usage in the 24- to 27-week gestational age group ( 11.7/infant ) . Ampicillin and Claforan had the highest exposure rates. Premature babies had high usage of wetting agent, vasoconstrictor agents, and water pills. Caucasians, males, gestational age & lt ; 28 hebdomads, and birthweight & lt ; 1000 g were the hazard factors for higher drug exposure ( 30 ) . T. B. Yves Liem et al did a survey during 2005 by roll uping informations from all third attention NICUs in the Netherlands on clinical and demographic features and the type and measure of systemic antibiotic usage were analysed. It was found that Antibiotic ingestion ranged from 130 to 360 DDD/100 admittances. In entire, 9-24 different antibiotics were used, of which 3-10 were in the Drug Utilization 90 % section. In the bulk of the NICUs ( 6 out of 10 ) , extended-spectrum penicillins ( Amoxil and amoxicillin/clavulanic acid ) , ?-lactamase resistant and sensitive penicillins ( flucloxacillin and penicillin G, severally ) , aminoglycosides ( Garamycin and amikacin ) , Cephalosporins ( first and 3rd coevals ) and glycopeptides ( Vancocin and teicoplanin ) were used ( 31 ) . Another survey done by Fanos V et Al found that penicillins, Mefoxins, aminoglycosides, glycopeptides, monobactams and carbapenems are the categories of disinfectants often used in NICU. Chloromycetin, cotrimoxazole, macrolides, clindamycin, rifampicin and Flagyl are seldom used ( 32 ) . In 2007 Natalie Schellack et Al analysed antibiotic prescribing forms in a neonatal intensive attention unit of the Dr George Mukhari Academic Hospital in Ga-Rankuwa and reported that Of the 100 patients followed, 95 were prescribed endovenous antibiotics. All prescribed antibiotics for 77 patients are listed in the antibiotic policy. Nineteen different antibiotics were prescribed, and 11 of the 19 prescribed antibiotics appear in the antibiotic policy. Most patients received more than two antibiotics during their stay, as the mean figure of antibiotics used per patient during the survey period was 3.4. The mean continuance of usage for all antibiotics, except cefepime and Rocephin, was for longer than seven yearss. Although antibiotics were used harmonizing to the ward protocol in the bulk of patients, divergences from the protocol were associated with patients ‘ clinical status and/or consequences from blood civilizations ( 33 ) . There are no sufficient informations available about the use form of antimicrobic agents in the Intensive attention Units of third attention infirmaries of South India, particularly Tamilnadu. Current ordering form of Antimicrobial Drugs in a geographical country is needed to analyze the reason in use and to do necessary alterations in the use form if needed. It will besides assist to explicate antibiotic policy for the establishment which will assist in the bar of farther outgrowth of antibiotic opposition. So this survey is done to analyze the current use form of Antimicrobial agents in the Intensive Care Units: NICU ( Neonatal Intensive Care Unit ) , PICU ( Paediatric Intensive Care Unit ) and MICU ( Medical Intensive Care Unit ) of Mahatma Gandhi Medical College and Research Institute, Puduche