Asthma

I'm talking about asthma. A disease that the Department of Health and Human Services has defined as a chronic lung disease that inflames and narrows the airways. Speaker Credibility: I have suffered from asthma. Through the years it has slowly subsided but I remember having to carry my inhaler with me everywhere I went. I also remember nights when I couldn't sleep because I would have coughing fits and I could feel my chest tightening, making it harder for me to breathe. Preview: Tonight I want to inform you about asthma.First, I'll talk about the symptoms of asthma. Second, I'll tell you about some of the causes and lastly, I'll share some of the treatments. Transition: Lets start by talking about some of the symptoms of asthma. Body dJakfJkJdslJfslkJdfl Asthma can be easily triggered by many things. One persons triggers can be very different foreshore of someone else with asthma. According to the American Lung Oscillation there are four main causes which include; genetics, allergie s, respiratory Infection or bad weather such as high humidity, or cold and dry air.About 80% of people with asthma have allergies to learnable substances Like grass, mold or dust. Transitions: The violence of all possible asthma triggers can be difficult and even If an asthmatic sermon Is able to tolerate one trigger, encountering a combination of them can have an asthmatic suddenly slang for air. That's why treatment and prevention are so Important to keep asthma under control. The most used treatment for asthma are Inhaled medication. Unfortunately there Is no definite cure for It.The American College of Allergy, Asthma, and Immunology as mentioned that one of the most effective treatments for asthma Is the Inhalation of corticosteroids, which are Inflammatory medication control for asthma. This medicine Is for a long term relief and can also be taken as a pill form If asthma Is very protestant. It helps reduce the swelling that makes your airways sensitive to certain Inhaled subs tances. A second choice of treatment can be a short acting Inhaled beta agonies for a quick relief. This Inhaler helps relax tight muscles around your airway to let alarm flow more easily. Asthma By narcissistically According to the American Lung Associating there are four main causes which include; genetics, allergies, respiratory infection or bad weather such as high airborne substances like grass, mold or dust. Transitions: The avoidance of all possible asthma triggers can be difficult and even if an asthmatic sermon is able to suddenly gassing for air. That's why treatment and prevention are so important to The most used treatment for asthma are inhaled medication. Unfortunately there is no definite cure for it.The American College of Allergy, Asthma, and Immunology as mentioned that one of the most effective treatments for asthma is the inhalation of corticosteroids, which are inflammatory medication control for asthma. This medicine is for a long term relief and can also be ta ken as a pill form if asthma is very persistent. It helps reduce the swelling that makes your airways sensitive to certain inhaled substances. A second choice of treatment can be a short acting inhaled beta agonies for a quick relief. This inhaler helps relax tight muscles around your airway to let air flow more easily. Asthma I'm talking about asthma. A disease that the Department of Health and Human Services has defined as a chronic lung disease that inflames and narrows the airways. Speaker Credibility: I have suffered from asthma. Through the years it has slowly subsided but I remember having to carry my inhaler with me everywhere I went. I also remember nights when I couldn't sleep because I would have coughing fits and I could feel my chest tightening, making it harder for me to breathe. Preview: Tonight I want to inform you about asthma.First, I'll talk about the symptoms of asthma. Second, I'll tell you about some of the causes and lastly, I'll share some of the treatments. Transition: Lets start by talking about some of the symptoms of asthma. Body dJakfJkJdslJfslkJdfl Asthma can be easily triggered by many things. One persons triggers can be very different foreshore of someone else with asthma. According to the American Lung Oscillation there are four main causes which include; genetics, allergie s, respiratory Infection or bad weather such as high humidity, or cold and dry air.About 80% of people with asthma have allergies to learnable substances Like grass, mold or dust. Transitions: The violence of all possible asthma triggers can be difficult and even If an asthmatic sermon Is able to tolerate one trigger, encountering a combination of them can have an asthmatic suddenly slang for air. That's why treatment and prevention are so Important to keep asthma under control. The most used treatment for asthma are Inhaled medication. Unfortunately there Is no definite cure for It.The American College of Allergy, Asthma, and Immunology as mentioned that one of the most effective treatments for asthma Is the Inhalation of corticosteroids, which are Inflammatory medication control for asthma. This medicine Is for a long term relief and can also be taken as a pill form If asthma Is very protestant. It helps reduce the swelling that makes your airways sensitive to certain Inhaled subs tances. A second choice of treatment can be a short acting Inhaled beta agonies for a quick relief. This Inhaler helps relax tight muscles around your airway to let alarm flow more easily. Asthma By narcissistically According to the American Lung Associating there are four main causes which include; genetics, allergies, respiratory infection or bad weather such as high airborne substances like grass, mold or dust. Transitions: The avoidance of all possible asthma triggers can be difficult and even if an asthmatic sermon is able to suddenly gassing for air. That's why treatment and prevention are so important to The most used treatment for asthma are inhaled medication. Unfortunately there is no definite cure for it.The American College of Allergy, Asthma, and Immunology as mentioned that one of the most effective treatments for asthma is the inhalation of corticosteroids, which are inflammatory medication control for asthma. This medicine is for a long term relief and can also be ta ken as a pill form if asthma is very persistent. It helps reduce the swelling that makes your airways sensitive to certain inhaled substances. A second choice of treatment can be a short acting inhaled beta agonies for a quick relief. This inhaler helps relax tight muscles around your airway to let air flow more easily.

How to Be a Defensive Driver

How to Be a Defensive Driver Most of Americans carry on a DL (Driver License) with them. They know it is mandatory to have a driver license since they drive to work or to school every day; however, that is without mentioning the people that someone else takes to such places. When someone requests a DL, that person goes through a process of practice and examination in order to be able to have one. Most of them pass the examinations and practices, and they become a licensed driver for the State they reside in.Obviously, a good driver is not the one that has received a driver license, but the one that drives defensively. These strategies can only be learned in several stages. Precaution is one of the most important strategies to consider when driving a motor vehicle. When a driver operates his or her vehicle on freeways and highways, there are some precautions that need to be performed. Looking in the sides-mirror is very important since the driver needs to be alert of any strange movem ents of other vehicles.No one knows when others are driving under the influences of drugs or alcohol, or both. Also, paying attention to the traffic is very important. All drivers need to know how the traffic flows in order to consider the speed of the vehicle. Being alert on the road is the important key because other vehicles can also hit the brakes unexpectedly in seconds without the other driver noticing it. Distractions can be a challenge for a motor vehicle driver. Each driver is surrounded by many distractions, and these can be found inside the car or outside of it.While monitoring a motor vehicle, a driver is challenged with today’s electronic devices and technology. Today, cell phones play a big part in a driver’s distractions since they have been improved. The availability of internet on Smart Phones is one example of it, and most Americans own these devices. This distraction can be really dangerous since it encourages the driver to use the Social Medias freq uently. Drivers need to ignore cell phones at all time during operation and concentrate on the road.Moreover, manipulating the radio and changing stations back and forth to find the one preferred can also be quite dangerous since the driver has his eyes concentrated on the radio display. Driver must maintain concentration and avoid distractions as much as they possibly can. One more example of some driver’s distraction can be â€Å"kids†. Children, especially when they are young and immature, can get restless in the back seats which can cause the driver to turn around to see what they need. As a result, the driver loses concentration, and the situation can be seriously risky.In other words, kids can exasperate the driver and keep him distracted from the task behind the wheel. Even though there are so many distractions, there always will be a solution to avoid them in order to be a defensive driver. Sitting on the seats of a vehicle, starting the engine, and pressing th e gas can be an essay way to call someone a driver, but when it comes to the situation when a driver needs to demonstrate some of the skills that he or she has learned, most of those drivers out there can’t show any.A real driver is the one who takes the process seriously to archive the goals of a defensive driver. However, to be on the list of the real drivers only take to know some simple strategies that can be learned and comprehended step by step. Precaution and avoiding distractions are part of how to be a defensive driver, but also experiences in monitoring a vehicle is important to consider.

Kuwaits Foreign Policy Research Paper Example | Topics and Well Written Essays - 2250 words

Kuwaits Foreign Policy - Research Paper Example According to Robert Rothstein, Kuwait’s domestic resources are unable to provide necessary security to the people of Kuwait.3 Kuwait was interested in maximizing their independence and freedom.4 For that, it would be impossible for Kuwait to survive as a neutral country. It should be noted that America and its allies saved Kuwait from the invasion of Saddam recently. Kuwait’s foreign policy has been developed on different perspectives. Oil, Islamic Fundamentalism, Arab Nationalism, Protection from its neighbors such as Iraq and Iran are some of the basic tenants that shape Kuwait’s foreign policy. This paper briefly analyses these four basic tenants that shape Kuwait’s foreign policy It is estimated that Kuwait possesses around 8.6–9.7% of the world’s oil reserves at present.5 Oil revenues account for more than 75% of the governmental income in Kuwait. Moreover, oil constitutes almost 90% of Kuwait’s export earnings. From the above statistics, it is evident that oil revenues play a major role in the development of Kuwait. As in the case of many other Middle Eastern countries, oil has the ability to shape the politics in Kuwait. It should be noted that majority of the foreign countries, irrespective of developed or developing, are facing severe energy crisis at present. At the same time, Kuwait has abundant oil resources. Naturally, the eyes of the foreigners would definitely focus more on Kuwait even though Kuwait is only a small country. The political, social and economic developments in Kuwait will be watched curiously by the foreigners. It would be easy for the western countries to interfere in Kuwaiti politics since Kuwait is facing many threats from its neighboring countries such as Iran, Iraq, and Saudi Arabia. Westerners are providing protection to Kuwaitis while taking oil as the fees or payment for that protection. In short,

Depression Essay Example | Topics and Well Written Essays - 250 words

Depression - Essay Example Low mood is the primary symptom of depression and often clients in pursuit of getting rid of these negative emotions resort to abusing narcotics that do more harm than good. As it is also observed in patient care units, individuals suffering from depression become so heavily dependent on the narcotic that discontinuation is followed by severe withdrawal symptoms. The individual also resort to increasing the amount of drugs taken, which can lead to the individual dying as a result of an overdose. Drug abuse can also result in the individual partaking in activities that may regretted later that can exacerbate the depression experienced by the individual. (Jaekel et.al. 2009) Drug abuse is equally detrimental as depression and can seriously hamper one’s social and occupational functioning. Therefore, in order to help the individual avoid addictive behavior, the clinician must try to effectively treat the depression and if not, client psycho-education is really helpful in getting them to avoid undesirable behavior. Clinicians must explain to them the detrimental repercussions of drug abuse and their vulnerability to it, so that clients do not indulge in such behavior.

Pricing Techniques Assignment Example | Topics and Well Written Essays - 250 words

Pricing Techniques - Assignment Example Elasticity of demand for a service or good is lowest when demand is highest (at peak) and the contrary is true. Price, therefore, depends on demand elasticity. An example of peak load pricing is the case of electricity. During peak, there are uses of power stations that exhibit the lowest cost of operations. Coal-fired stations exhibit low cost of operations and, therefore, most preferable during off-peak demand. Gas and oil-fired stations that have high operations costs are used during peak demand. The marginal cost of electricity production using gas and oil-fired is higher than using coal-fired stations. Peak load pricing principles are developed for the profit-maximizing firm, which is the subject to one or three methods of regulatory constraints (Knieps, 2015). Peak load pricing techniques has a substantial effect on the distribution of price reductions between the peak and off-peak users. Under regulation limiting rate of return on capital investment the price reduction are received mostly by peak-period users. In contrast, when regulation limits profit per unit or returns on cost, there are price reductions for all

Injuries and losses during the 2012 Olympics Essay

Injuries and losses during the 2012 Olympics - Essay Example This essay discusses that since the Olympic site has been opened to visitors and athletes for ticket sales and athletes’ training, the persons at the site are presumed to be lawful visitors to the site. As a result the rights of the various athletes and visitors at the site, and the duty toward the safety of those lawfully at the site are covered by the Occupiers’ Liability Act 1957. By virtue of Section 2(1) of the 1957 Act, occupiers owe a â€Å"common duty of care to all his visitors† unless that duty is restricted or waived â€Å"by agreement or otherwise†. To this end it is first necessary to identify who is the occupier or occupiers of the Olympic site and thus who would be the possible defendants in a claim by the possible plaintiffs. An occupier is any person or official body or agent with control of the premises in question. It was also held in Wheat v E Lacon & Co. Ltd that it is possible for there to be more than a single occupier of a given pro perty. Thus an employee in sufficient control of the premises can be an occupier together with an employer and an owner. Moreover, the owner need not be present to incur liability for damages to a lawful visitor. Based on the definition of occupier, it would appear that liability is shared jointly and severally between the various ticket vendors, the employees operating the various facilities and the owners of the Olympic site. The extent of the duty of care is described by Section 2(2) of the 1957 Act. The duty is a duty to take reasonable precautions to render the premises â€Å"reasonably safe† for visitors who are lawfully on the premises.7 The duty is generally discharged by posting conspicuous warnings of any pending or possible dangers to the safety of visitors lawfully on the premises.8 A mere warning that an event on the premises is dangerous would be sufficient to discharge the statutory duty of care.9 However, there appears to be no warning signs posted and as a re sult, Peter’s injury is indefensible on the grounds that the various occupiers did not take precautions to warn the possible plaintiffs of the dangers associated with the use of the Olympic site. Some precautions were taken with respect to barricading the ticket queues, but those barricades ultimately collapsed so that the question is whether or not those precautions were sufficient to safeguard against the incident of collapse and the resulting injuries suffered by various visitors queuing up to purchase tickets. Therefore while barricading the ticket queues may have been a sufficient precaution or warning of the dangers of the crowds, the main question is whether or not the warning or precaution was sufficient to discharge the statutory duty of care.10 It would appear that the precautionary measures taken by the police were insufficient to safeguard against the risk of harm attending the large crowds queuing up for the purchase of tickets. Remoteness of Damages Causation wo uld be established by virtue of the fact that the occupiers of the Olympic site had a statutory duty to ensure that the safety of the visitors were provided for or that sufficient warning was provided to permit the visitors to remain safe. As established above, failure to discharge the statutory duty will amount to actionable negligence. However, if the defendants can demonstrate that damages sustained were not a

CONTRACT LAW - Consideration Essay Example | Topics and Well Written Essays - 1500 words

CONTRACT LAW - Consideration - Essay Example In accordance, with the principle of promissory estoppel, Peter cannot go back on his promise to Rapid Builders and thereby causing a loss to the latter1. The realisation of a practical benefit to the promisor can be treated as consideration for the extra bonus or incentive offered by him. In CTN Cash and Carry Ltd v. Gallaher Ltd, the Court held that the promisor had received the practical benefit from the promise. The Court further opined that this practical benefit constituted the consideration for the additional payment promised by the promisor2. The reasoning of the Court in Williams v. Roffey suggested that if one party to a contract had promised to perform the existing contractual duty, and if there had been no detriments to the other party, and if the promisor had benefitted, then it could be said that there had been good consideration3. Promissory estoppel can be used as an instrument of defence and not as a cause of action. It was first employed in Central London Property Trust Ltd v High Trees Ltd4 and the ruling in Coombe v Coombe5 relied upon it. Due to financial setbacks and the Yuletide season not proving to be as lucrative as Peter had hoped that it would; he was unable to pay Keg Ltd the agreed upon amount of  £8,000 for the supply of champagne. As per the extant case law, a part payment of a debt cannot be considered as full settlement of the outstanding debt. Hence, Peter has to pay Keg Ltd the remaining  £2,000. The relevant case law has been discussed in the sequel. In D & C Builders v. Rees, the plaintiff sustained substantial financial loss. The defendant agreed to pay just  £300 towards the complete repayment of her debt. The plaintiff accepted this lesser amount due to financial duress. Later on, the plaintiff company sued the defendant, in order to recover the remainder of the amount due from her. The Court held that the plaintiff was

The concept of freedom in Yoga philosophy Essay Example | Topics and Well Written Essays - 500 words

The concept of freedom in Yoga philosophy - Essay Example It describes how one can remove pain and suffering from their minds and body. It describes the different concepts that form part of our world. This philosophy states that when one feels deep pain in their body, they want to destroy their body and mind (Sinha, 2012). This becomes a problem because we do not have the knowledge on how to destroy our body or mind. The philosopher states that â€Å"life means integration of the body; mind and consciousness, whereby some are unwanted while others are desired† (Buley, 2006). We can see that this philosophy combines consciousness and the body matter. This is shown in the two independent variables namely, the Purusha and the Prakriti. The philosopher concludes by saying that real freedom is obtaining freedom from the three types of pain and suffering the physical, emotional and spiritual (Michaels, 2004). Therefore the philosopher identifies with our experience of pain, fear, anger and any other emotional or physical pain. The philosophy then gives us a means by which we can remove or deal with this pain accordingly. The process by which one removes pain is called the doctrine of cause and effect. It states that â€Å"there is a time and process by which undesirable, painful elements get into our bodies and consciousness and there is a means by which we can reverse it. Every effect has its cause and it is possible to remove the cause, thus removing the effect† (Sinha, 2012). This is true, but us as Human beings, are we able to clearly know what is causing us pain? It is not true that we can effectively identify the causes of our problems. The philosopher was not wrong in saying that we can find the cause and effect of pain, although it is still true that many people have been unable to find the root cause of their pain and suffering. In conclusion we can see that the proponent was able to combine consciousness and the body. Research studies have found that the mind can control what

Psy sim 5 Essay Example | Topics and Well Written Essays - 500 words - 1

Psy sim 5 - Essay Example In other words, we conform to the behaviors and opinions of others present in the environment. The ambiguity and uncertainty about the nature of the stimuli are the main reasons behind subjects conforming to other people. Ans: The experimental design and the conditions created, that is the experimental and the control groups differed on the method of reporting results. The independent variable used in the study was the social pressure individuals experienced. It was found that the errors given in by the majority of people in the study influenced the perception of the right answer and the subjects gave in to social pressure. Hence they gave wrongs answers. Ans: informational social influence happens when there is no obvious correct answer to quantify the given question or situation. Therefore we look towards others for the information on the issue and in order to be right we get influenced by what they think. This finally leads to internalization. An example can be that in a restaurant we see how people are behaving and we behave in the same way. On the other hand, normative social influence happens when we accept what others’ perceptions are because we want to be accepted or liked by the group. This influence might also stem from a thought process designed to prevent embarrassment or a possible ridicule from the normative population they belong to. This finally leads to compliance. An example to illustrate is that teenagers start smoking because others in their peer group smoke. Ans: reactance is the desire for personal control. Burger (1987) defined reactance as an emotional reaction in direct contradiction to rules or regulations that threaten or eliminate specific behavioral freedoms. It can cause the individuals to adopt an attitude that is contrary to what others think and increases resistance to social influence. Ans: The thought processes involved the concepts of objects which led the mind to

Law questions Essay Example | Topics and Well Written Essays - 2000 words

Law questions - Essay Example This law also applies to situations which consist of an individual entering into contracts to represent a firm which has been established under law. Applying the law to the facts, we understand that Barkley was not eligible to enter into Contract with Chetum. Along with this, Barkley is not eligible to represent the firm of his father in his absence. Therefore, looking at the overall perspective of Contractual Obligations, Barkley could not have entered into a contract with any other party. In case a contract has been entered upon between a minor and some other party, then such contract happens to not be legally binding on the parties although the work of the contract may be carried out and performed by the parties. Issue 2 Whether Knarles is criminally liable for sending a plumber whose license had not been renewed Knarles was aware that the plumber’s license had not been renewed in the current year, and in spite of that his firm had sent the plumber to Chetum’s buildi ng to do the repair work. The question which arises here right now is whether Knarles and his firm are criminally liable under the criminal jurisdiction for engaging a workman whose license had not been renewed. Under the criminal jurisprudence, there is nothing explicitly mentioned with regard to the renewal licence as a criminal liability. However, on the other hand, it is a civil liability the employer should have taken enough precaution to undergo the renewal process. IN this case, Knarles had not renewed the licence of his employee, and therefore on this point the plumber was not eligible to go and work in Chetum’s building. Whether Chetum is liable for Negligence When Barkley had sent the plumber to do the job at Chetum’s building, there were two options present for Chetum to execute: 1. To change the entire Boiler 2. To repair the Boiler When the plumber had gone there to check for the boiler, he had informed his boss Barkley that the boiler needs to be replaced and not repaired. Let us analyse the facts to get a clearer understanding. â€Å"While inspecting the non-operating boiler at Chetum’s building, the plumber notices that the boiler is one that has been recalled by the manufacturer, Housewarm, because of a defect that does not allow all the carbon monoxide produced by the boiler to vent properly. This boiler was purchased by Chetum at a salvage yard and replaced another non-operating boiler. Further, the boiler has been improperly installed, according to the plumber. The plumber notifies Barkley of the problems with the boiler and Barkley immediately notifies Chetum. Chetum tells Barkley that he does not want to purchase a new boiler. He asks if the existing boiler can be fixed to get through the winter months. Barkley calls his plumber who is still at the Chetum site and asks the plumber about a quick fix for the winter. The plumber tells Barkley he would not recommend the quick fix for the winter as this boiler is defectiv e and has been recalled.† Looking at the facts, it can be directly inferred that the boiler which was in the building was defective and should have been replaced. However, to save costs and other expenditures, Chetum did not want that to happen and therefore asked for the boiler to be repaired. It is pertinent to note that the boiler which had been installed int the building was not only improperly installed but also was defective. Therefore there was an urgent need to replace the boiler, which was concurred by the plumber but not approved by Chetum. The

Truth Is Absolute Not Relative Essay Example for Free

Truth Is Absolute Not Relative Essay Background of the Topic: Many people nowadays seek for â€Å"THE TRUTH†. I searched up the internet and Google gave me 611 million answers in just a quart of a second. As top answer Google gave me this definition from wisegeek.com, â€Å"An absolute truth, sometimes called a universal truth, is an unalterable and permanent fact. The concept of absolute truths what they are and whether they exist has been debated among many different groups of people. Philosophers have waded in the muck of defining absolute truth for millennia. For example, Plato believed that absolute truth existed, but that truth on earth was merely a shadow of great forms of absolute truth existing in the universe which is now commonly called â€Å"universals†. Alternatively, many believe in relative truths, where facts may vary depending on the circumstances.† Simply put, WHAT’S TRUE TO ME MAY NOT BE TRUE TO YOU. It is however difficult to disprove the concept of absolute truth, since saying that there are no absolute truths that it is absolutely true that no absolute truth exists is itself an absolute truth.† Relationship of the Topic- Main: It will help us to know and recognize the fundamental basis of truth. To me: I firmly believe on absolute truth unlike others. I believe in the absolute truth of the Bible and God as its ultimate source. To the society: Living in a society sharing the same ground that there is an existence of absolute truth would eradicate most of today’s debates on non-significant yet intriguing problems. Also, there is the need of a certain and mutual fundamental basis of the absoluteness of truth and from whence it come forth. Problem: Many of us were blinded about what is truth and a lot of us have different queries regarding what is the real meaning of truth whether it is absolute or relative. Definition of the topic: There are a few things that we all agree are absolutely true, but they depend upon an agreement in definition. ABSOULTE TRUTH: †¢ Truth is discovered not invented †¢ Truth is transcultural: it can be conveyed across different cultures. †¢ Truth is unchanging: it can be conveyed across time. †¢ Beliefs cannot change a truth statement no matter how sincere one may be †¢ Truth is unaffected by the attitude of the one professing it †¢ All Truths are absolute †¢ Truth is knowable In order for truth to be absolute and holding these qualities, it must be grounded in a source that is personal, unchanging, and sovereign over all creation. Relative Truth: Truth is created not discovered. Truth is a matter of perspective and each culture or individual defines for themselves what truth is. †¢ Since truth is invented, there is no universal transcultural truth. Each culture or individual will define truth differently according to their background and perspective. †¢ Truth changes since it is inseparably connected to individuals and cultures which continually change truth perpetually to changes. †¢ Since truth is a matter of a group or individual’s perspective, one’s beliefs can change a truth statement. †¢ Since an individual determines truth, truth is affected by the attitude of the one professing it. †¢ There can be no such thing as absolute truth. †¢ Absolute truth is not knowable. Absolute and objective truth cannot be known since it is built on the shifting foundation of man’s perceptions. As each individual’s perception is different, truth cannot be known. References: Bible and Blogs specifically the Truth Project

The Roots and Origins of Islamic Terrorism Essay Example for Free

The Roots and Origins of Islamic Terrorism Essay Since the 1970s terrorism against the US has been growing and on September 11th it became apparent that terrorism will be a major problem the US will face in the years ahead. The question this essay seeks to explore is: what is terrorism and what are some the causes of this anti-US terrorism? In order to find the causes of anti-US terrorism, this essay will research various academic works in an effort to find some explanations of what causes anti-US terrorism. I will examine a couple different hypothesis that try to explain the causes of terrorism, but my research I plan to argue that anti-US terrorism is rooted in political and social movements by angry Islamic fundamentalists who believe using non-conventional tactics are the most rational way to fight the US and the western powers. Terrorist groups, such as Al-Qaeda, do not see diplomacy with the US as an option to voice their demands because they see the US as a superpower that is unwilling to listen to their demands and also because most of the Arab governments are friends with the US. Because diplomacy is not an available option and there is an inability to formally fight the west militarily, terrorists groups have chosen to use non-traditional tactics to fight the west. Research into this issue is very important for political research because terrorism has become a major security issue for the US and other countries around the world. Also, research into the causes of terrorism is important because it is a tactic that non-state actors can and will be using the years ahead as a form of leverage against the US and the West. In my conclusion I will present some possible solutions how terrorism can hopefully be stopped in the future. Defining terrorism as one definite thing is not an easy task, but generally terrorism is considered to be non-conventional form of warfare that individuals or groups can use to fight for their agenda, whether it is a political, social, religious and/or economic cause. Terrorists use many non-conventional ways of fighting such as car bombs, keeping people hostage, and in some cases hijacking air planes. As a ‘weapon of the weak’, terrorism is deployed by groups to gain media attention and visibility as the first step in gaining ‘name recognition’ within the international community. (Nacos 1994). Through the publicity generated by their violence, terrorists seek to obtain the leverage, influence and power they otherwise lack to create political change on either a local or an international scale. The traditional laws of war do not apply  to terrorism, partly because terrorist groups do not abide to treaties on war, and also because terrorist groups use fear as their form of leverage, which is why it is okay for them to kill innocent people. In cases of groups such as Al-Qaeda killing innocent people is not considered a bad thing because to them there is a religious justification. Power has always played a crucial role in the international system and based on this principle we can believe that the struggle for power has a major influence on the decision of terrorist groups to commit acts of terrorism. (Sobeck Braithwaite 2005) In a study by David Sobek and Alex Braithwaite the two researchers hypothesize that as political, military, and diplomatic capabilities become concent rated into American and allied hands, the amount of terrorism directed against Americas interests will increase as a way to counter balance this power. Because terrorists are non-state actors they do not have access to conventional forms of fighting or the diplomatic channels that states use to resolve their disputes, they must use non-conventional forms of fighting. The choice to employ terrorist activities arises rationally from the environmental context within which these groups find themselves in, in that terrorism is the most cost-effective way for the terrorists to accomplish their goals. (Ajami 2001) The United States’ predominant position in the world affects the decision of terrorist groups to launch terrorist attacks against US interests internationally. As the United States becomes increasingly dominant, the amount of terrorism directed against it is likely to increase. Terrorism is seen by the terrorists as a counter-balancing mechanism. (Sobeck Braithwaite 2005) Increasing American dominance limits the ability of groups with revisionist views of the international system, such as that of the Palestinians, to be h eard, let alone changed. (Sobeck Braithwaite 2005) The options available for these groups to act are diplomacy, perhaps through a NGO or their home state if they are willing to listen, or terrorism, which is intended to create an instant response (Most Starr, 1989) From these choices, terrorist groups choose strategies that they see as rational that will maximize their expected outcome. (Sobeck Braithwaite 2005) This means that the decision to engage in terrorism relates directly to the expected efficacy of an action and the likely payoffs received if it is successful. For example the terrorist activities of 9/11 cost Al-Qaeda roughly 400,000  dollars and nineteen lives were lost in the process, but the outcome of causing thousands of deaths, several billion dollars of damage, and most importantly creating fear in the minds of millions of people world-wide was a very ‘cost-effective’ decision by Al-Qaeda to put world spotlight on their anti-US position. (Sobeck Braithwaite 2005) The desire to counter-balance the US and west and remove from the Middle East a long with belief that it possible has caused the creation of many terrorist groups since the 1970s. This anti-western feeling had been around for a long time, but the creation of Israel and the growing amount of western influence in the region really sparked terrorist movements in this time period. Groups such as Hezbollah, a Lebanese group that has been around since the 1980s, have realized that using non-conventional warfare, such as blowing up the US Embassy in Beirut, can be a way to fight and neutralize the conventional military superiority of a superpower. (Cannistraro and Giraldi 2007) This action seemed to be a victory for Hezbollah as US and French forces withdrew from the country after the bombing. This act of removing western countries using terrorism inspired other terrorist groups to try to fight Western influence in their home countries and to fight western countries in their homeland as see n by the attacks of 9/11 and the bombings in Madrid. It is a common misperception that terrorists are insane and not rational actors because they use tactics such as suicide, but this is not necessarily the case. Marc Sageman, a former CIA officer, studied the rationality of terrorists and found that the popular depictions of brainwashed or poor and uneducated terrorists are generally not true. He profiled 382 terrorists and his work reveals that terrorists are more likely to be normal, well-educated types with families and good professional-level jobs. (Sageman 2002) Most are middle or upper class and not poor, young, single, and/or deluded. (Sageman 2002) Only a small percentage had any religious education, and many, more than 70 percent, had some university education. (Sageman 2002) Sageman concluded that Al Qaeda and its associated groups are generally composed of men who are very well educated, well off, and stable. According to Vincent Cannistraro and Philip Giraldi terrorists act as they  do not because they are crazy but beca use they believe what they do will bring about change to the global political status quo. Terrorists see terrorism as a way to create power where there is none or to consolidate power where there is very little. (Hoffman 1998) For the global Salafist terrorists, the objective is to put an end to corrupt Arab regimes, replacing them with theocracies, and to bring and end to western influence from Muslim lands. For the regionally based groups such as Hamas, the purpose of terrorism is national liberation from occupying powers e.g. Israel. (Cannistraro and Giraldi 2007) It can also be argued that even though acts of terrorism are universally condemned, they stimulate media coverage of an issue and provide an opening for moderate organizations to ask the public to consider the legitimacy of what the terrorists are fighting for as a separate issue from the tactics the groups use i.e. it can be argued that the terrorism in Israel has increased awareness of poor conditions of the Palestinian people. (Adamson) Along with being a political movement, terrorism has now also become a sociological phenomenon in parts of the Muslim world and in the west. In parts of the Middle East terrorists groups begin to form when members of the society feel upset with their home government for working with the US or other reasons that make them feel outcast i.e. economic reasons, feeling less dignified than people of the west, etc. It usually takes a charismatic leader to take the frustration of the many outcast people and channel it into a movement. In the words of Eric Hoffer, it is usually â€Å"an externalizing hatemongering leader† who â€Å"manipulates the slime of discontented souls.† (Hoffer 1989) Terrorist group leaders, such as Osama Bin Laden, are considered to be a therapist for the group and they blame an external cause for their difficulties of the group and righteously justify aggression against the believed source i.e. the US. (Robins Post, 1997). Once members are recruited in to these groups, there is a clear fusing of individual identity and group identity, particularly among the more radical elements of each organization. This is true both for the Islamist terrorists of Hamas as well as Al Qaeda and the global Salafi jihad. (Post 2005) For members of these terrorist groups ‘success’ within the community is defined as fighting for ‘the cause,’ which can be thought of as political, social,  and religious growth of the groups beliefs. As young men adopt this view of success, their own self image becomes more intimately intertwined with the success of the organization. (Post 2005) With no other means to achieve status and ‘success,’ the organization’s success becomes central to individual identity and provides a â€Å"reason for living† for group members. (Post 2005) As an individual’s identity succumbs to the organization, there is no room for individuality, meaning no individual ideas, identity, and decision-making. At the same time self-perceived success becomes more and more linked to the organization This creates a cycle where group members have a direct need to increase the power and prestige of the group through increasingly dramatic and violent operations because this will increase their own perceived ‘success’ (Post 2005) This fusion with the group seems to provide the necessary justification for their actions and loss of responsibility to the individual. Guilt or remorse by the individual is not tolerated because the organization does not express it. This is intensified among Islamist groups who feel they have a moral obligation to the cause and a religiously sanctioned justification for their actions e.g. Jihad (Post 2005). In Europe and in the US terrorist groups have formed from a different social phenomenon. When Marc Sageman did his detailed study on 382 terrorists, he found some interesting information about the origins of many Al-Qaeda terrorists. Sageman found that the average al Qaeda–type terrorist has traveled, frequently studied in the West, and that many terrorists developed their radicalism while they were studying or working in the West. (Sageman 2002) He discovered that most terrorists entered into the jihadi cause from the bottom up, meaning that they volunteered and were not actively recruited. Sageman explains that these terrorists frequently drifted into radical mosques as an act of cultural assertion, often because they felt homesick or alienated from the dominant Western culture. Once there, they joined cliques or friendship groups of the like-minded people also searching for a new identity. (Sageman 2002) According to Sageman, â€Å"The groups are characterized by a sense of anomie, their social and political alienation eventually being attributed to the decadence, corruption, and immorality of the West.† The next step for these outcast individuals is to  join an organization that is doing something to combat and roll back the western values. Sageman concluded from his study that it is the â€Å"alienation arising from the misguided multiculturalism that treats Muslims like a group needing to be protected that creates its own sense of victimization.† (Sageman 2002) Another explanation that some might give to explain terrorism is that it is a psychological disorder that is caused by a pneumopathological consciousness that involves the construction of an imaginative â€Å"second reality† where terrorism has intended and magical effects. (Cooper 2005) This belief that terrorism is caused by a second reality says when individuals, who out of necessity exist within commonsensical or â€Å"first† reality attempt to live within the imaginative or fantasy-based second reality and characteristic frictions between the two arise. With respect to modern terrorism, the chief conflicts are between religious or spiritual realities and their symbolization and the realities of unfavorable living conditions in the Middle East relative to countries of the West. The tension between the first and second reality is brought to life by the perverse logic of this second reality that interprets murder as self-sacrifice according to this theory. (Cooper 200 5) No matter how pragmatically destructive these acts of political violence may be in commonsense terms, for the people existing imaginatively within a second reality, they â€Å"are sanitized by virtue of the fact that they are religiously symbolic. They are stripped of their horror by being invested with religious meaning.† (Juergensmeyer 1996) Of the different academic works I have looked into, this theory that terrorism is caused by a psychological disorder seems to be the least plausible. The problem with the theory is that it is not possible to test the psychological dysfunctions of the terrorists partly because of an internal belief in this theory that the terrorists are able to live in the ‘first reality.’ Also since other researchers such as Marc Sageman have done case studies that show that terrorists are rational and normal people, there is strong evidence that contradicts this theory. This theory does not take into account the strong evidence put forth by the other works I have  researched that convincingly explain how terrorism is a rational way for the terrorists to fight the west of social and political reasons. While it is true that some terrorists groups are fighting in the name of religion, most terrorists groups have used religion as a justification and cover up for doing violent acts that are politically and socially motivated. Overall, this belief that terrorism is caused by a pneumopathological consciousness does little in supporting my hypothesis. Some of the articles I read gave me support for my hypothesis that terrorism is caused by political and social forces. â€Å"The Long War† by Vincent Cannistraro and Philip Giraldi was one of the articles that supported my hypothesis. The general theme of the article was that social alienation from the West, revenge for previous blood debt, a desire to put an end to corrupt Arab regimes and replace them with theocracies along with bringing about a retreat of the West, particularly the United States, from Muslim lands is what causes terrorism. Also â€Å"Victim of Success† by David Sobeck and Alex Braithwaite supported my hypothesis because it explained terrorism as political maneuver by groups like Al Qaeda to counter balance the military and political superiority of the US. An article that supported my notion that terrorism also has social motivations was the case study of terrorists my Marc Sageman, which explain how social alienation by Muslims living in the west cau ses these groups to feel hatred toward the west and act on their feelings. With a better understanding of the political and social causes of terrorism better efforts should be made by US foreign policy makers to tackle these root causes. It will be difficult to stop Muslim extremists from feeling outcast from their home governments, but better efforts need to be made by people living in the west to understand Islam and the problems Muslims in the Middle East face. Also people in the west need to do a better job of helping Muslims living in the west to assimilate into western society so they do not feel social alienation. A lot of this social tension between Muslims and the west can possibly be fixed with better education of Islam in schools and less negative depictions of Muslims and the Middle East in the media. The political causes of terrorism will be a little bit more difficult to fix. It is not likely that the US will lessen its power, but the US could try to do more to change its policy that affects the millions of Muslims living in the Middle East. First, the US should stop this double-standard of promoting peace in Isreal, while at the same time giving full support militarily and economically to the Israeli government, which doing very little to help the Palestinians. Next, the US should try to stop supporting Arab governments which are very oppressive towards their people. Although it is unlikely, the US and US companies should try to reduce their presence in the Middle East because we are clearly not welcome and many of the people living in the area think we are exploiting them while also corrupting their way of life with our more liberal social values. Also what the US should do to help stop terrorism is to increase the legitimacy of using diplomacy in the region because doing so would make terrorism not the most rational option for these angry groups. The implications of US foreign policy in the Middle East are very important if we want to see terrorism come to an end. It is unfortunate that the Islamic fundamentalists had to resort to using terrorism to fight for their political and social causes, but if the US does more to understand their needs and frustrations of these peoples and also act on this information, then hopefully we will see an the end of this era of terrorism. References: Adamson, Fiona B. (2005). Globalization, Transnational Political Mobilization, and Networks of Violence. Cambridge Review of International Affairs, retrieved November 5, 2007, From Academic Search Premier database Ajami, F. (2001). The Uneasy Imperium: Pax Americana in the Middle East. How did this happen? Terrorism and the new war. Public Affairs Reports, Retrieved November 11, 2007, from Academic Search Premier database Cannistraro,Vincent; Giraldi,Philip.(2007). The Long War Mediterranean Q., (Duke University Press) Retrieved November 5, 2007 from Academic Search Premier database Cooper, Barry. (2005). Terrorism and Globalization. Perspectives on Global Development and Technology. Retrieved November 5, 2007 from Academic Search Premier database Hoffer, E. (1989). The true believer: Thoughts on the nature of mass movements. Harper and Rowe Perennial Library. Retrieved November 5, 2007 from Academic Search Premier database Juergensmeyer, Mark (1996) The Worldwide Rise of Religious Nationalism. Journal of International Affairs. Retrieved November 5, 2007 from Academic Search Premier database Most, B. and Starr, H. (1989). Inquiry, logic, and international politics. University of South Carolina Press. Retrieved November 11, 2007 from Academic Search Premier database Nacos, B. (1994). Terrorism and the Media: From the Iran Hostage Crisis to the Oklahoma City Bombing. Columbia University Press. Retrieved November 5, 2007 from Academic Search Premier database Post,Jerrold M. (2005). When Hatred Is Bred in the Bone: Psycho-Cultural Foundations of Contemporary Terrorism. Polit.Psychol. Retrieved November 5, 2007 from Academic Search Premier database Robins, R Post, J (1997). Political paranoia: The psychopolitics of hatred. New Haven: Yale University Press. Retrieved November 11, 2007 from Academic Search Premier database Sageman, Marc. (2002). Understanding Terror Networks. University of Pennsylvania Press. Retrieved November 5, 2007 from Academic Search Premier database Sobek,David Braithwaite,Alex (2005). Victim of Success: American Dominance and Terrorism. Conflict Management and Peace Science. Department of Political Science, Louisiana State University Department of Political Science, Pennsylvania State University Retrieved November 11 2007, From Academic Search Premier database

Strategies to Reduce Hospital Acquired Infections

Strategies to Reduce Hospital Acquired Infections REVIEW OF LITERATURE When we think about hospital, one thing comes to our mind is â€Å"Hospital is the place for cure†. This revolutionary idea of treating the patients under the same roof was considered to ease the job of healing. But due to lack of knowledge of sterilization and antisepsis, it turned wrong in Pre- Listerian era leading to gangrene and death of patients which were suffering from wounds. Due to this reason a new discipline was emerged called as senics which was mainly dealing with the Hospital Acquired Infection (Nosocomial Infection). Semmelwis in 1861 with the help of medical officer and students observed the association of Puerperal sepsis in patients. Thus by the introduction of hand washing with chlorinated lime, he was successful to bring dramatic reduction in infection rate. Hospital acquired infection (HAI) are infections acquired during hospitalization, which are not present at eh time of admission (Atata et al, 2006). According to Baveja in 2002, the term hospital acquired infection, hospital- associated infection, hospital infection or nosocomial infection(nosocomion,meaning hospital) is defined as infection developing in patients after admission to the hospital ,which was neither present nor in the incubation period at the time of hospitalization . Such infections may become evident during their stay in the hospital or sometimes after their discharge. Due to its increased mortality and morbidity in the hospital patients these HAIs are of significant cause. HAIs are also caused due to prolonged hospital stay which are inconvenient for the patient and constitute economic burden on health care (Malhotra S, et al 2014). Dancer in 1999, depicts that microorganisms which are associated with hospital acquired infection displays two important characteristics, firstly those are the pathogens of well-established medical importance and secondly they also can withstand the hospital environment which benefits them outside temperature. Thus providing an appropriate environment niche for their survival until they transfer back to patients. Some pathogens originate from patients own flora especially those who are immunocompromised whereas others can survive in human tissues and thus rely upon person to person spread in order to disseminate. The patients who are immunocompromised due to underlying diseases, medical or surgical treatment, age are typically affected by nosocomial infections. In pediatric ICU, the hospital acquired infections are approximately three times higher than elsewhere in hospitals (Weistein 2006). Pathogen transference occurs most commonly by presence of bacterial or fungi in inanimate surfaces and equipment or between the hands of health professionals and patients (Kayabas et al., 2008). The transmission of microorganisms from hands of health care workers, medical equipment and surfaces which has become contaminated with a wide variety of pathogenic and nonpathogenic organisms has become a significant proportion of hospital environment infection which ultimately results in crosscontamination (Sehulster et al., 2003). When compared to other hospital patients, the patients who are hospitalized in ICUs are 5-10 times more likely to acquire nosocomial infection. The risk of infection and the frequency of infection vary by infection site. The increasing incidence of infection is caused mainly by antibiotic-resistant pathogens leading to seriousness of hospital acquired infection (Weber 2006). Some of the common human pathogens like, Staphylococcus aureus, Acinetobacter spp, En ­terococcus spp and Escherichia coli can survive for longer periods of time on the hospital surfaces or formites that can potentially transmit infectious organisms (Kramer et al., 2006). The primary sources of indoor air contamination are the microorganisms. When compared to outside air environment, the indoor air environment can potentially place patients a greater risk because enclosed spaces can confine aerosols and allow them to build up to infectious level. The relative humidity and/ or the moisture content of the materials determine that to what extent different micro-organisms are able to grow on indoor or outdoor materials (Dhanasekaran et al., 2009). Adebolu and Vhriterhire in 2002 reported that magnitude of hospital acquired infection is dependent upon the number and type of visitors, mechanical movement within the enclosed space, quality of hospital systems and level of hygienic conditions in hospital environment. Sites where infections acquired in hospitals and other healthcare facilities. To be classified as a nosocomial infection, the patient must have been admitted for reasons other than the infection. He or she must also have shown no signs of active or incubating infection. Depending on the hospital involved, 1 to 10 percent of the patients affected die as a result of the nosocomial infection (George Krucik 2014). Most of these infections can be prevented while others are unavoidable. In hospitals the contaminated surfaces are increasing the cross transmission which is shown in figure-2. Figure-2 Showing the contaminated surfaces in hospitals (source: Wikipedia). These infections occur: Up to 48 hours after hospital admission Up to 3 days after discharge Up to 30 days after an operation In a healthcare facility when a patient was admitted for reasons other than the infection. In the United States, it has been estimated that 9.2 out of every 100 patients acquire a nosocomial infection Pathogens Causing Infection According to the CDC, the most common pathogens that cause nosocomial infections are Staphylococcus aureus, Pseudomonas aeroginosa, and E. coli (C.Glen May hall 2004). Based in biological and clinical criteria, the national Healthcare Safety network (NHSN) has categorized into 50 infection sites under 13 major types for the surveillance purpose (W. Bereket et al., 2012). When choosing the test organisms that are clinically relevant to human pathogens, six different organisms are considered to be major threats. These pathogens cannot cause the most devastating illnesses but majority of them will compromise with antibiotic resistant infections that are seen in most healthcare settings. These are commonly called as ESKAPE pathogens namely Enterococcus faecium, Staphylococcus aureus Klebsiella pneumonia, Actinobacter baumanni, Paeudomonas aeruginosa and several species of Enterobacter. These (ESKAPE Pathogens) pose a biggest threat that physician face today. To fight with them we definitely need some new drugs and need some cooperation among industry and government to setup RD (research and development) infrastructure to fill the needs of new drugs tha t will tackle tomorrow’s infectious diseases threats. Escherichia Coli It is oxidase negative, Gram negative, and facultative anaerobic. It is one of the common organisms that are involved in Gram negative sepsis and endotoxin-induced shock. It is one if the leading cause of blood stream infections among all other Gram-negative pathogens. It is the fifth leading pathogen for causing blood stream infection in United States (Maazuddin t al., 2014). According to Bijay Kumar Chandra 2012, a study was concluded that Escherichia coli were most common agent found in nosocomial diarrhea. Some of the common infection caused by this organism includes wound infection, urinary infection, meningitis in neonates, pneumonia in immunocompromised hospitalized patients and E. coli associated diarrheal disease or gastroenteritis. It also possess broad range of virulence factors which are responsible for disease such as UTIs and gastroenteritis (Brooks GF et al., 2007). Enterococcus spp These are gram-positive cocci typically arranged in short chains and pairs. These grow optimally at 350C on a complex media which requires carbon such as glucose, nucleic acid base and vitamin B. when enriched with sheep blood agar, it supports the growth with large and white colonies. Enterococcus species are facultative anaerobic and are considered as a part of normal flora in genitourinary tract and gastrointestinal tract of humans. Enterococcus species have emerged as a one of the most important pathogen of hospital environment. The major enterococcal infections of humans are caused by two species namely Enterococcus faecalis and Enterococcus faecium. Enterococci are one of the most important hospital acquired pathogens. Isolates of Enterococcus faecium and Enterococcus faecalis are the third most prevalent pathogens worldwide. The most common infection produced by this organisms are intra-abdominal infection, urinary tract infection, pelvic infection, surgiclal wound infection, endocarditis, bacteremia, neonatal sepsis and rarely meningitis. Enterococcus faecalis is the most common cause of infection (80-90%) followed by Enterococcus faecium (10-15%) (Marothi YA et al., 2005). Staphylococcus aureus Staphylococcus aureus is by far the most important pathogen in the hospital environment in all the genus staphylococcus. It is non-spore forming, non-motile, gram positive, catalase positive facultative anaerobe arranged in clusters (Wahington CW et al., 2006). The indicence of nosocomial blood stream infection is more known to be caused by S. aureus (Rodrigo et al., 2012). S. aureus is rarely isolated from urinary tract infection (T.Grace et al., 1993). This S. aureus is both pathogen and commensal. Approximately 30% individuals are intermittently colonized with S. aureus whereas 20% are persistently colonized. It is one of the leading cause of hospital acquired infections. Methicillin resistance staphylococcus aureus (MRSA) are the one which causes most of the infection and its isolation is continuously increasing (S Khono et la., 2007). Infections may occur during hospital stay by streptococcus and staphylococcus species when compared to other Gram-negative bacteria. Coagulase Negative Staphylococci The coagulase-negative staphylococci (CNS) species are widely known to cause NTs specifically bacteraemia in patients with prosthetic implants and catheter and also in patients who are immunocompromised. Staphylococcus epiermidis and Staphylococcus haemolyticus are the teo well known species and occur most common in CNS species (C.Geary et al., 1997). Coagulase negative staphylococci, Staphylococcus aureus and Enterococcus are the three most widely isolated pathogens which tends to cause blood stream infections. After hospitalization of the patient, the CNS usually takes 19 days to cause bacteraemia. The mortality rate of CNS is less when compared to some other pathogens (Aldof et al., 200). For the colonization of CNS, the main reason is its antimicrobial resistance. This CNS isolates is resistant to Oxacillin or nafcillin and methicillin (T Grace et al., 1993). Pseudomonas aeruginosa It is a Gram-negative with mucoid polysaccharide capsule typically arranged in pairs. It is a well known cause of pneumonia, endophthalmitis, conjunctivitis, sepsis and also associated with high mortality rates. Potential reservoirs include humidifiers, equipment, incubators, sinks, tap water and hands of health care workers. The identification of this pseudomonas aeruginosa is mainly based on simple biochemical test and colony characteristics. It colonizes the respiratory and gastrointestinal tracts of the hospitalized patients. When normal defense mechanism is impaired, the pathogenesis by this organism is initiated. Pseudomonas aeruginosa attaches and colonizes the mucous or skin and invades locally to produce systemic disease. This process is mediated by different virulent factors like enzymes (proteases, elastases, phospholipase C), Pili and toxins (endotoxin A). P. aeruginosa produces infection such as blue-green pus, urinary tract infection, meningitis, and necrotizing pneumon ia (Contreras GA et al., 2008). Many contemporary studies showed that, the antibiotic resistance among the gram-negative bacteria is increasing especially of pseudomonas aeruginosa. The rate of resistance towards ceftazidime and imipenem by Pseudomonas aeruginosa was increasing dramatically. Prevention of Infection There are number of simple care practices that can reduce the probability of developing a Hospital acquired infection. Some of them include sterilization of resuscitation bags and masks, elimination of overcrowding, decreasing number of heal sticks, use of sterile suctioning technique, careful preparation and storage of infants formulas, using single dose administration of medications and avoiding drugs associated with increased risk of nosocomial infection. Infection Control Committee The infection control committee is a board which deals with the preventionof hospital acquired infections. It involves multidisciplinary personals like pharmacists, physicians, clinical microbiologists and others. This committee works on co-operation, information sharing principles and inputs. It has many different tasks to perform for the eradication and prevention of hospital acquired infection. It has to review and approve the surveillance data when needed. It has to examine and encourage the infection control practices and provide proper staff training in infection control safety. It also need to assess the new devices used in the hoapital for their risk in violating infection control stratergies and slso to communicate and co-operate with the hospital control committees for information. According to infection committee statistics, the infection rate were increased from 13.8- 22.1 per 1000 catheter days (Jeffery et al., 2005). Therefore infection control committee plays a key rol e in preventing the nosocomial infection. Hand Hygiene Hand hygiene has been considered to be the most important tool in nosocomial infections control. One of the significant contributors to the outbreaks of this hospital environment infection is failure to perform appropriate hand hygiene. Resident and transient microorganisms are known to be the natural microflora of the skin of hands. The resident microorganisms survive and multiply on skin and does not cause any harm to human flora whereas transient microorganisms represent recent contamination of hands which is acquired from colonized or infected patients/clients or contaminated environment or equipment. These transient microorganisms are not isolated consistently from most of the persons. When compared to resident microorganisms, the transient microorganisms which are found on the hands of health care personnel will become as a primary source of infections. Gram negative coliforms and Staphylococcus aureus has been known to be the most common transient microorganisms (Sarmad et al. , 2009). Appropriate hand washing results in reduced incidence of both nosocomial and community infection (Kampf et al., 2004).An estimated 40 percent of nosocomial infections are caused by poor hand hygiene (WHO). Hospital staff can significantly reduce the number of cases with regular hand washing (Figure-8). They should also wear protective garments and gloves when working with patients (James Chin 2000).

Noise Pollution Essay -- Cause Effect Noise Environment Essays

Noise Pollution Abstract No one on earth can escape the sounds of noise- an unwanted, disturbing sound that causes a nuisance in the eye of the beholder. Noise is a disturbance to the human environment that is escalating at such a high rate that it will become a major threat to the quality of human lives. In the past thirty years, noise in all areas, especially in urban areas, have been increasing rapidly. There are numerous effects on the human environment due to the increase in noise pollution. In the following paper, the cause and effects of noise pollution will be presented in some detail. Slowly, insensibly, we seem to accept noise and the physiological and psychological deterioration that accompanies it as an inevitable part of our lives. Although we attempt to set standards for some of the most major sources of noise, we often are unable to monitor them. Major sources of noise can be airplanes at takeoff and landing, and a truck just off the assembly line, yet we seem accept and enjoy countless other sounds, from hard rock music to loud Harley Davidson motor cycles. The following areas will be investigated in some detail; adolescent education, neural-effects, sleep, hearing damage, occupational environment, transportation, and physiological effects. Introduction Almost everyone has had one experience of being temporarily "deafened" by a loud noise. This "deafness" in not permanent, although it is often accompanied by a ringing in the ears, and one can hear another person if he raises his voice. Likewise, normal hearing comes back within a few hours at most. This sort of partial hearing loss is called Temporary Threshold Shift (TTS) (Bugliarello, et al., 1976). A TTS may be experienced after firing a gun or... ...aft Noise and Psychiatric Hospital Admissions Conducted in the Same Area. Psychol. Med Vol. 9: 681-693. Maser, A.; Sorensen,; and Krypter, K. 1978. Effects of Intrusive Sound on Classroom Behavior: Data from a Successful Lawsuit. San Francisco. Peterson, W. H. and Northwood, T. D. 1981. Noise raised blood pressure without impairing auditory sensitivity. Science Vol. 211: 1450-1452. United States National Industrial Pollution Control Council (NIPCC), 1970 Vallet, M. Psychophysiological 1979. Effects of Exposure to Aircraft or to Traffic Noise. Proc. Inst. Acoustics Vol. 3: 1-4. Von Bekesy, George. 1957. The Ear, Scientific American, 197: 61-67 Council on Environmental Quality. 1979. US Government Printing Office, Washington D.C. US Environmental Protection Agency. 1980. The Extent of the Noise Problem. WHO Report. 1990. UN Conference.

Essay --

The Differences Sunni and Shia Ideology Thesis: The Sunni and Shia ideology in terms of the concept of imamate, their believe on al-Quran and Hadith and the successor of the leadership after the death of the prophet Muhammad i. Sunni and Shia ideology in terms of the concept imamate. A. The appointment of shall be the duty of human priest or God? 1. Sunni a) They stated that the selection of imam is the responsibility among Muslim and it is not duty of God. b) The Sunni say believe in imams excluding priests rule of faith. c) The importance of Salat (prayer) than Imamate by Sunni. 2. Shia a) They stated that the appointment of the imam is the duty and responsibility of God b) Of the fabricated views and beliefs of the shia is that they hold their imams something of divine origin, much above the human beings, and even above Prophets and Messenger. (Tarjman Al-Hadith, The Shi’ites And The Sunna, Idara Tarjuman Al-Sunnah, 1984, p.90) c) The Shia say, believe in twelve imams, including the pillars of faith. (www.wiki.answers.com.) d) The importance of Imamate in Shia is more importance of salat (prayer). ii. Sunni and Shia ideology in terms of al-Quran and Hadith. A. Al-Quran and Hadith 1. Sunni a) Sunni agreed on the truth of the al-Quran and protected from any deviation. b) Sunni Muslims accept this Hadith as Sahih (authentic). The Hadith of al-Quran and Sunnah is used by the Sunnis to stress importance of following the Sunnah. (Yaykh Muhammad Hisham Kabbani, Islamic Beliefs & Doctorine According to Ahl al-Sunna, As-Sunna Foundation of America, 1996, p.242) c) Accept all the hadith narrated by Bukhari and Muslims and other hadith books. 2. Shia a) They had argument on the truth of the al-Quran and accused that al-Quran have devia... ...ussion concluded whereas faith practiced by the Shia obviously been in conflict with the faith that underpinned by Sunni. It is not only against the consensus of â€Å"the scholars, even worse, it has been inverting the texts that have been handed down by God as understood by the majority of scholars to mankind. Based on this differences, there is no way to achieve unity and strengthen them to adopt beliefs or withholding resources unless one of the parties to leave their positions and recognized source of resources. Although there is a meeting point between the two parties, but much dispute on the ground that creates a gap in the far east and far west. In the case, there is no better shield strong in facing the challenges of this movement effectively unless Muslims should return adheres to the belief that authentic knowledge legacy of the Prophet and his companions R.A.

A Fading India :: Journalistic Essays

On the dawn of a June morning, I wait outside the Vasant Kunj residential buildings in New Delhi for a tour bus to the Taj Mahal. It is not yet six but India is never quiet. Nearly a billion people live in this country and need all twenty-four hours to live their hopes, fears, and dreams. The cows from the neighboring dairy farm are moaning wildly in anticipation of being violated to produce milk. Men sit on verandas and read newspapers while women calm whistling tea kettles and fussy babies. On the street a traffic policeman waits to direct the morning commute, fiddling to center his beret and smoking a cigarette from the corner of his wrinkled mouth. I am waiting for the Regal Taj when another bus, advertising itself as the â€Å"premier deluxe air-conditioned Taj Express,† arrives, its seats apparently filled completely with people. I climb up the creaking steps as the driver stretches his hand for a 10 rupee note for the pleasure of this upgraded ride. There is a reason why the bus is â€Å"air-conditioned†; two of the windows are broken. A makeshift cellophane sheet stuck with duct tape over the open space keeps coming undone and rattles angrily against the ledge. This is not a bus for the country club crowd. Men show deep creases of labor and worry on their foreheads and women balance four or five children, on their laps and pressed against their bosoms. But they are Indian, and they have a birthright and an obligation to respect their history. This is the country where spontaneous monuments sprout up in honor of Shivaji, the Hindu warrior who lost his friends, family, and then his life in resisting the conquering Moguls. This is the country where people invoke the name of Gandhi at political rallies, â€Å"Long Live Mahatma,† as if his placid face lingers as a ghost on the stage. The Mahabharat, mostly mythical but historically based, was adapted for television a few years ago and remains the highest rated series of all time. So, as overworked and overburdened as the masses may be, the Taj Mahal beckons to reveal the glory of India’s past to them. The back of the bus has an empty seat, next to a foreign tourist, which I claim as my own.

Bartolome de las Casas: The Devastation of the Indies

The Devastation of the Indies† and was a friar who became famous because he defended the rights of the Indians. He took a brave stand against the horrors and cruel blooded Spaniards, saying he didn't understanding of how God could allow the innocent Indians to suffer. In his document De lass Cases gave his views of the nature and character of the Indians, of the Spanish, and of the Spanish treatment of Indians. De Sis Cases say about the Indians that they don't have malice or bitterness, they are â€Å"humble, patient and peaceable.Physical they can't work hard because they are weak and get sick easily. They don't wont to possess worldly goods and they are not greedy . He says what they really want Is that they just want to learn and Just to learn about God and that they are eagerness and they have goodness† of nature. The Spaniards nature, according to De lass Cases, Is they don't have compassion for anybody they are cruel and blood thirsty people who treat much better horses and cows than a people, and also they are destroying an infinite number of souls and they are just doing it because they are greedy and want to became rich and to acquire De lass Cases views of theSpaniards treatment of Indians was that they type of people they call them as beast because is what they earn all buy their actions that they took, a Capitan order to struggle this Indian nobles just because they disturbed the Capitan sleep because they are screaming, and the person how order the Capitan to executioner did not obey the order that he give you, the Capitan decide to burn them slowly and watch them die.But Hatter comes from Cuba Just to say them that the Christians are coming he Just say this Just for those that are following him The Spanish Capitan he convert as an enemy of the human race, what he do Is that e put a dog as a security so they can escape or try something, the Indians make a mistake they kill some Christians so the Spanish Capitan he take this act us a r evenge so every Christian that they die there goanna kill o capture thousand Indians hatter comes from far away to Cuba to protect the Indians and to fight with them one of the Indians say is that they been struggle them and kill them off just because they don't want be part of them and follow there God hatter say that part of his followers are coming from Haiti ,then they go to see the god the Christians and what happen is hat there was a basket cover a bunch of Jewelry and gold and what they discovered is that if they despaired the gold there goanna forget everything and there goanna stop kill them off so they took the basket and they flung In the river.Then they captured hatter and they kill him Just because he defend those Indians from the cruel and blooding Christians so they tied him to the shake so a friar come to him and he say that he is going to hell just because he didn't be part of the Christian faith go to hell in still of going to heaven because a real God don't not pe rmit. The inclusion is that Bartholomew De lass cases was a man how fight for Justice because there were been cruel with the Indians because they refuse to believe in god so that why they want to kill them of . They couldn't defend them self and then later on the Capitan he made a rules if they kill one Christian there going to kill a thousand Indians so they capture a lot of Indians and they struggle them , with these infernal methods of tyranny they debase and weaken countless numbers of Indians , when Hatter hear about how there been treading the Indians he desire to stand for them ,but later on they capture him and they kill him.

Market Research of Eveready Torches

CHAPTER 1 OBJECTIVES OF THE pass a hankeric ? To k n unitary the node perception towards Eveready woolly mulleins with respective(prenominal) to the mainland Chinawargon make reversible woolly mulleines. ? To stick divulge the itemors that f misfortunate-toneds to perplex an encounter on Eveready direct firees. ? To find come in what be the parameters customers/consumers look into before purchasing flash lite/ woolly mulleines. ? To spang toll sensitivity. CHAPTER 2 adit A flash discharge unremarkably c heartyed a Torch is a take hold electric fountained brightness source. It caters the lighten up needs of consumers.In the case of emergencies when light goes issue, you ar going to your focal point to prognosticate any(a) you need is a flannel mullein or torch to illuminate your way. You may still need to fix things when the sunbathe goes d admit, if you ar building something or on the job(p) on your car, flash lights johnful armed swear un wrap you agree what you ar doing. When you go for a dental check up you force see the dentist development torch. Whether you argon going to take a crack or on your way out of the door at night you need a torch to help you see the way, as healthy as keep on safe. About torchA flashlight (usually called a Torch outside cuttington America) is a hand-held electric-powered light source. ordinarily the light source is a minuscular candent myeline or light-emitting crystal rectifier ( direct). Typical flashlight envisions consist of the light source mounted in a parabolic or new(prenominal) mold reflecting telescope and the power source is electric batteries and an electric power switch. While most(prenominal)(prenominal) flashlights atomic number 18 hand-held, thither argon brain or helmet-mounted flashlights designed for miners and campers and onslaught-powered lights for bicycles.The circumstance flashlight is employ mainly in the United States and Canada. In ot her communicatory countries, the most common term is torch or electric torch. On January 10, 1899, American Electrical Novelty and Manufacturing Comp any(prenominal) obtained U. S. seeming(a) No. 617,592(filed 12 march 1898) from David Misell, its face inventor. This electric device designed by Misell was powered by D batteries rigid front to back in a paper tube with the light bulb and a rough brass reflector at the end.The ships comm social unity donated some of these devices to the hot York City police, who responded favourably to them. These early flashlights ran on zinc- atomic number 6 batteries, which could non provide a truehearted electric on-going and soak up a bun in the oven nightly rest to continue functioning. Because these early flashlights excessively used zip-inefficient carbon-filament bulbs, resting occurred at short intervals. Consequently, they could be used scarce in plan flashes, hence the common head name flashlight. great power sources for light The most common power source for flashlights is the assault and bombardment.Many types of batteries be desirable for use in flashlights, such(prenominal) as button electric booths, salt kindred batteries, lithium batteries and reversible NiMH, NiCd batteries and lithium ion batteries. The choice of batteries exit opine on the light source used, and will usually play a determine role in the sizing and form of the flashlight. Some flashlights are solar powered, employ the energy generated from a solar carrel to charge an on board bombardment for later use. pic COMPANY PROFILE pic 2. 1 COMPANY PROFILE Ask any Indian consumer to name a battery and the first stag that comes to mind is Eveready. non just among batteries, Eveready is a virile tick across categories. Eveready has a portfolio comprising dry electric mobile phone batteries (carbon zinc batteries, rechargeable batteries and alkaline batteries), flashlights (Torches), CFLs (compact light lamps), and mosquito repellent and packet tea leaf. Evereadys military unit is the outcome of a continuous and puff up-orchestrated discolouration development strategy that maximizes the measure out from distributively consumer touch-point. pic Give me red is the iconic urban face of Eveready.The advertising by-line of the popular red series of batteries, it is today exemplary the empowered urban lifestyle that the shuffle reflects. The original, path-breaking campaign won as galore(postnominal) as 11 advertising awards. The current television commercial on Eveready ultima, which has explored and show the technique of light painting( with the TVC) has been very well received and is a one of its gentle commercial in the entire batteries fraction. The one(a) consumer confidence is also reflected with the discordant accolades that the society has got all over the forms.In a demesne where around 40% households dont perplex access to enough electricity and require basic sourc es of light to sustain themselves, Eveready provides portable release themes to more than(prenominal) than 60 one million million households. Highlights ? In the confederation of Indian industry(CII)s Brand of the year 2005 shortlist, Eveready do the top ten finalists list, along with brands give care Nokia, HP, Titan, Dabur and ringball team other Hindustan Lever Brands. ? As per AC Nielsen, Eveready stood 7th among all FMCG companies in cost of produce in the year 2004-2005. The economic times Brand equity position of Brands by deals, april2004, put Eveready at no. 22 across brands in all categories. ? As per vertebrands survey, on a 10-point scale, Eveready s marrowd 8 on popularity and 7. 7 on contemporariness. Of all consumers surveyed, 41% called it The Only Brand for Me. Eveready industries India, ltd (EIIL) antecedently known as Union carbide India, throttle is the flagship company of the B. M. khaitan group. The brand Eveready has been present in India sin ce 1905. EIIL is the grounds third largest maker of carbon zinc batteries, change more than a billion units a year.EIIL is Indias largest merchandising brand of dry cell batteries and flashlights (torches), with dominant foodstuff shares of almost 46% and 85% respectively. HISTORY EIIL started its operation in India in 1905. The first dry cell batteries were imported from the USA and sold in the major cities of the solid ground. These batteries were primarily used in imported torches. In 1939, the company coiffure up its first battery limit in Kolkata. This was fol humbleed by a nonher battery manufacturing plant in Chennai in the year 1952. A torch manufacturing plant was effect up at Lucknow in 1958. like a shot it is one of the largest torch manufacturing plants in southerly East Asia. The plant manufactures the full barf of brass, aluminium and p wearic torches. In 2005, EIIL celebrated its 100 anniversary in India. MILESTONES 1905 position(a) carbon starts its In dian operations with sale of batteries imported from USA. 1934 Eveready Company incorporated as a private company on 12 November. 1939 Camperdown works- first modern battery plant established at Cossipore in Kolkata. 1941 union batteries merges with Eveready Company and the name is changed to interior(a) carbon company. 951 renamed as union carbide India ltd, a subsidiary of world all-inclusive multinational, union carbide tum. 1958 company set its torch manufacturing plant in Lucknow, one of the largest in south Asia. 1996 Mc Leod Russel(India) ltd, merged with EIIL, bulk tea st era employment brought into EIIL fold. 2000 Bishnauth Tea Company merged with Eveready industries India ltd. 2005 brand Eveready is a hundred years old. 2009 EIIL acquires unconditional stake in Uniross SA of France, which is a spark advance rechargeable battery manufacturer. Eveready is Indias largest seller of dry cell batteries selling near 1. billion units annually. It is also the largest marke ter of torches selling more than 20 million pieces per annum. ken STATEMENT For over a century, our corporation has been a partner to consumers with our expertise in portable power and light. Today, we endeavour to be the perfect Companion to consumers by providing value-for- coin brands with plain Differentiation in pure tone any day we seek Consumer Proximity to tally the enjoyment of better living. Our core competency will be based on these three core values for the tot up synergy and future profitable growth of our corporation.Companys philosophy on corporate governance The company believes that close corporate governance consists of a conclave of business practices which result in sweetening of the value of the company to the shareholders and simultaneously modify the company to fol broken in out its obligations to other stakeholders such as customers, vendors, employees, and financiers and to the society in general. The company further believes that such practices ar e founded upon the core values of transparency, empowerment, accountability, independent monitoring and environmental advisedness.The company makes its best endeavours to uphold and recruit these core values in all aspects of its operations. 2. 1. A. MANUFACTURING Eveready has its manufacturing units spread all across the country in order to maximize logistic efficiency and reduce time-to-market. The Companys state-of-the-art manufacturing units are located in Kolkata, Noida, Uttaranchal, Chennai, Lucknow and Maddur. The company has luxuriously-speed manufacturing units, twain for batteries and flashlights, with in-house facilities for surface flashlights along with a fully alter injection-moulding set-up for plastic flashlights.Eveready also has a mature machine design group at Chennai with capabilities of do special-purpose machines for both captive function and customer-specific requirements. The manufacturing units of Eveready are ISO 9000 and ISO 14000 certified. Evere ady has a sophisticated R& D laboratory for design and scrutiny of batteries. The laboratory is NABL accredited. The company also has its own flashlight design and development unit with the latest computer aided design initiation. 2. 1. B. DISTRIBUTION Eveready has a enormous diffusion web all over the country with 15 branches, 40 godowns and 4,000 distributors.Our products are for sale at grocery, general provision, music, electrical, hardware, stationery, gift / bracelet stores, at the chemists shops and at photo studios and stamp centres. So much so, that many of our products are even forth attack at the paan and tooshie shops. According to AC Nielsen, Eveready batteries are available in 3. 3 million outlets out of a total universe of 7. 3 million FMCG outlets. The distribution structure extends reporting out to 5000- tribe villages. The company employs a operose gross revenue force so that they can operate the extensive sales network successfully.As Eveready walks ahe ad in countenance century of existence, we drop the following objectives To merge our benchmark supplier position in all traditional outlets for batteries and flashlights. Employ a systematic and scientific approach towards increase our relate and quality of reach. To leverage our sales & distribution competencies into identified newer channels To helper the outlets with a diversified lop of products. This includes batteries, flashlights, home lights, packet tea, mosquito repellents, CFLs and bulbs. To constantly explore new selling arrangements in identified markets to remediate effectiveness of servicing. 2. 1. C. CORPORATE FACT shred SBUs Batteries(including Rechargeable Batteries) Flashlights piece of land Tea & biting louse repellent fire Products New Products & transmission line Development Powercell Division Workforce As on 31. 12. 08 (including Powercell) 2627 R&D facility Kolkata, West Bengal yearbook Sales 92,530. 74 (Rs Lakhs) Manufacturing Locatio ns and Sales offices pic 2. 1. D. PRODUCTS Eveready products are available below the mother brand name Eveready (batteries and discharge solutions) and also extended brand name like EVEREADY ULTIMA(Alkaline Batteries) ? EVEREADY RECHARGE(Rechargeable Batteries) ? EVEREADY JEEVAN-SATHI(Brass Torches) ? EVEREADY Digi conduct( direct Flash Lights), ? EVEREADY CFL(Compact fluorescent lamps), ? EVEREADY POWERON (homecare products) and ? EVEREADY gift GOLD/JAGOO/TEZ (packaged tea) and so forth Eveready offers a basket of FMCG products that find place in each household- Batteries pic It is indisputablely not an overstatement that battery and Eveready spend a penny been synonymous with each other in India since time immemorial. subsequently all, this is the only battery that has been with the tidy sum- in their good and unsound times, in light as well as in darkness- through generations, for over a century. Eveready has diversified the portfolio to pillowcase eachones needs. Ever eady offers a spacious range of batteries to fulfil the divers(a) portable energy requirements of modern India. It has also come out with the Eveready sulky batteries, which are long-lasting value-for-money solutions for your low-drain devices like TV/DVD remote controls, table/ fence clocks and portable FM radio players. Zinc carbon batteriesEveready is one of the worlds largest producers of zinc carbon batteries, selling more than 1 billion batteries all year. The Indian market for dry cell batteries is estimated at 2. 2 billion pieces by volume and rs. 14 billion by value, and Eveready is the undisputed market leader with more than half of the share of the market. The zinc carbon batteries are ideal for flashlights, remote controls, toys, penlights, cameras, clocks, medical equipments, FM radios/MP4 players, etc. Alkaline Batteries picEveready ultima alkaline battery is the ultimate energy solution to the power-hungry electronic gadgets of modern times.It is undoubtedly a new benchmark of quality & execution of instrument in the category of alkaline batteries. The shout out of performance comes with an affordable price tag, making it truly an ultimate choice. Eveready ultima alkaline batteries are best movemented for power-hungry new age gadgets like- digital cameras, remote-controlled toys, MP3 players, gamey-end portable audio-recording systems, etc. Rechargeable Batteries picThere is a surfeit of power-hungry electronic gadgets in the market today. With every fling day, the list of such gadgets only gets longer.As an firmness to the changing portable energy needs, Eveready has come up with Eveready recharge, world variety range of rechargeable batteries. Since todays high-tech devices demand more powerful batteries, Eveready rechargeable batteries are designed to put on optimal performance. They are ready whenever you are. The high end batteries come with an legal charger. The intelligent charger range includes chargers of unhomogeneous capacities. Lighting Solutions Eveready offers a wide variety of lighting solutions to suit the requirements of throng in both urban and awkward areas.Looking ahead, Eveready sees its business growing in the following business line ? Mass consumption items like candent lamps, colour decoration lamps, etc. ? zero saving alternatives, like T5 lamps, electronic ballasts, luminaries for fluorescent/compact fluorescent lamps with electronic controls. ? New-age technologies like leads & products around LEDs. Compact fluorescent lamps (CFL) In 2007, Eveready forayed into the lighting business with the launch of a range of compact fluorescent lamps (CFL). Halogen lamps The lamps are so designed that they produce more light per units of energy, thus saving energy, and last longer.Halogen lamps are used in a variety of applications. Eveready has on offer halogen lamps that suit every possible requirement for alfresco lighting and video-shooting purposes. General lighting service / can dent lamps (GLS) Eveready offers a vast range of incandescent bulbs in distinct coats, voltages and colours. replace lighting solutions pic pic Eveready digiLED lanterns- with its digiled technology, unlike a kerosine lamp or candle, the Eveready lantern gives bright, continuous and unflickering light from long lasting LEDs.All this at the aforesaid(prenominal) running cost per hour, as that of a kerosene lamp or candle. It illuminates a wide area and is ideal for activities like studying, preparation and other in-house work making it a true light for our home Types of digiLED Lanterns pic pic pic pic pic pic pic pic pic pic Packet tea India wakes up with tea every morning. It is the drink that enlivens, energises and rejuvenates the mind and the body.It is the drink that binds muckle across cultures. This is why Eveready has lined up a wide range of tea blends to match the needs of a diverse tea-drinking nation and the different tea cultures that are an integral part of th e countrys socio-cultural fabric. Eveready today has offerings- Eveready tez, Eveready premium gold, Eveready jaago and eveready classic. Brands which satisfy the diverse moods of the tea drinkers. FLASHLIGHTS pic Eveready has been the pioneer in the field of portable lighting for many a decades.Eveready with a huge variety of products is the largest manufacturer and marketer of torches in south Asia. healthy known for its quality, range, colour options and value for money models. Eveready caters to all the lighting needs of both- the urban and folksy consumers. DigiLED Torches Eveready recently introduced a whole new category of torches with digiLED technology. These torches use passing power efficient LEDs in place of the incandescent bulbs. The long life LEDs, the topping quality lens & the Eveready expertise put together give the consumers an excellent torch with a focused bright bloodless beam of light. pic pic The torches are available in a Variety of shapes & sizes, with a splutter of bright vibrant colours. Mainly for its quality of power efficiency, as batteries lasts longer, these torches have live an instant hit with the value conscious consumers across India. UltraLED torches pic Torches with powerful beams which reach tremendous distances, dependableer light with enhanced efficiency, coupled with superordinate advantages of the original digiLED torches. The range offers the user wide choice in shapes, sizes & new bimetal colours. Brass torches picTrue to its name, the Jeevan Sathi brass torchlight has been a trustworthy, constant companion for the discerning Indians through generations. It is reliable, durable and repairable, making it a must-have level companion especially in the villages. It is one of the most trusted brands in country-bred India across all product categories. atomic number 13 & plastic torches pic Eveready has always gone for variety to bring out new models which suit the diverse requirements of all its customers . These torches have strong durable bodies, slide switches for easily treatment and come in a wide range of models and colours.Rechargeable torches Eveready also provides rechargeable torches to its customers. These have an in-built battery and a plug, for easy recharge. These torches are true value-for-money and are targeted at the urban and semi-urban households. Models like Commander, HiLite, Mobile, RedFlash, Rangoli & CityLite are brands in their own capacity bought by thousands of mass every month. CHAPTER 3 seek method actingology Methodology is a systematic way of solving a problem it includes the investigate methods for solving a problem. Type of investigate Descriptive & Empirical Research entropy source Primary and secondary selective information Data collection method discourse and survey Data collection tools Questionnaires and slack interview Sample Universe Nadia govern (Areas- kastodanga, maniktalapada, kalitala, nimtala, Simurali- narapatipada, shantipur, ranaghat, krishnanagar). Sample size 250 Sample externalize The target population of the study consists of various respondents of various places (mostly through in rural areas and small town targeting low class group people and middle class). This is because to know that if price is the only factor of mend of china made torches.Sample size After due consultation with the company, also keeping in mind the requirements of the company for the research, the sample size that was found to be appropriate for the study was 250(each place 25-35 respondents). take Technique Stratified sampling technique a stratified sample is obtained by independently selecting a separate simplistic random sample from each population stratum. A population can be divided into different groups based on class, income. The survey was conducted by visiting different places(shops, market, respondents home, etc).Statistical tools mere(a) percentage analysis and Ranking method is the main statistical tool used f or study. 3. 1. SCOPE OF THE STUDY ? The result of this research would help the company to market their products. ? The result will help in alter sales. ? The study will help the company to make cognisant the consumers about the product. 3. 2. LIMITATIONS OF THE RESEARCH The following limitations can be pointed out from the research that I conducted in comparison to the problems that were given to me by Eveready industries India ltd. Sample size was not sufficient to know the unequivocal figures. The research got confined to the Nadia district (towns and rural areas). 4. DATA ANALYSIS AND INTERPRETATION The respondents who were cover under this study can be categorized on the basis of certain important criteria like age, annual income (class), propensity towards clean-living LED light and knowingness about new Eveready LED torches in the market. Table-4. 1 Annual Income Level Annual Income Level No.Of Respondent destiny Below 1 Lakh 134 53. 6 1-3 Lakh 105 42 above 3 Lak h 11 4. 4 summarise 250 100 Eveready LED 31 12. % Eveready incandescent modified 3 1. 2% China made Torch 211 84. 4% Others 5 2% pic Interpretation Among the 250 respondents i. e. he consumers, it can be seen that the consumers of china made torches are the highest i. e. 84. 4%. Eveready LED torches have 12. 4% consumers. 1. 2% of respondents are thither who have an attachment with Eveready and thinks there torch is best for them they have modified incandescent Eveready brass torch into white light (because consumers like white led light). 2% of the respondents are the users of other torches. Table 4. 3 Eveready LED torch users Distribution consort to income Below 1 Lakh 1-3 hundred thousand Above 3 hundred thousand 3 users 17 users 11 users Interpretation It can be inferred that among 31 consumers that use Eveready LED torch, there are 3 users from the low income group i. e. below 1 lakh. 17 customers are from 1-3 lakh group and 11 users are from above 3 lak h group. Table-4. 4 AWARENESS about Eveready LED Torches Awareness No.Of Respondents Percentage Yes 65 26% No 185 74% Total 250 100 pic Interpretation Now coming to the point of awareness among the people about the Evereadys new product i. . Eveready LED Torches, the response was very disappointing. Among 250 respondents only 65 people i. e. 26% are aware about Eveready LED flashlight. Table-4. 5 Consumers those are aware but do not like to have due to high price (not affordable) Out of 65 people who are aware, the people who would not like to purchase are 40. 1-3 lakhs Below 5 lakhs 35 people 5 people Interpretation It can be seen that out of 65 people who are aware, 35 people of low class would not like to purchase due to its high price, it is not affordable. CHAPTER 5 RESULTS The findings that can be drawn from the survey- ? 100% positive answer regarding Eveready torches persuasiveness, reliability and longevity shows companys high image. ? 100% consumers like the white LED light torches. ? It was found that most of the low class people are not able to purchase Eveready LED torches because they cannot afford due to its high price. As Eveready LED torches are new entrants in the market, most of the people are unmindful(predicate) about the Eveready LED torches. IMPACT OF chinaware MADE TORCHES ON EVEREADY LED FLASHLIGHTS 1. devious of incandescent torches market to LED Torches market. ? Eveready incandescent bulb torches were used and appreciated by the consumers before China made rechargeable torches with LEDs instead of incandescent bulb came into the market. After china made torches entered the market, people want the white light of LEDs and the low price.As, no Eveready LED torches were available that time (before 5-6 years), the customers/consumers were forced to purchase china made LED rechargeable torches. So, there was a paper bag towards LEDs torches (china made torches). 2. Shifting of normal torches i. e. torches without rechargeabl e factor, to rechargeable torches. ? China made torches came into the market with the facility of recharging the batteries at that time when Eveready have had no rechargeable torches. wad /consumers horizon it more economical than Eveready normal torches and tend towards it. NOTE but it is not true, the fact is that the Eveready torches are more economical because the batteries that are used in it as a power source runs for 4 months in a single time). So, demand given over towards rechargeable torches. 3. Its been 2 years Eveready has launched LED flashlights/torches with high quality light. unless there is a particular segment i. e. low class people have a tendency to buy china made torches due to its low price (although they were using Eveready incandescent torches before ). customers perception has changed . . Considering all the facts, the most important part that has been affected (impact of china made torches) is sales. Although Eveready is doing well but the market that h as been captured by china made torches (mostly the low class people who purchase china made low price torches), Eveready is missing to target that part. NOTE As there are many customers/consumers who are using Eveready LED torches (Eveready is meeting its sale targets) this shows that the impact of china made torches that has been on Eveready torches is diminishing.People are shifting from china made torches due to their lack in reliability, longevity, durability and many factors. They lack in adding value to the customers. CHAPTER 6 RECOMENDATIONS ? Eveready is extensively using its trade strategies to reach customers advertisements are being done but while surveying, the segment of customers that are not aware of the product to reach them we have to make them aware through extensive advertising.There are hoardings determined in the market but they are only seen over the distributors or vainglorious retailers. There must be more hoardings, bill boards showcasing Eveready led to rches. ? Eveready should launch a new led torch with low price particularly focalisation the low class (low income group) people. Advertising should be focusing these people. ? Extensive advertising on radio. REFERENCES ? WEBSITES www. evereadyindustries. com www. wikipidea. org ? credit line Research Methods Donald R Cooper, Pamela Schindler