Tuesday, January 28, 2020

Study Into Female Pain During Childbirth

Study Into Female Pain During Childbirth SUMMARY Delivery is a one of the miracle of every womens life. The mothers suffer much distress. After child birth due to painful perineum. Perineal pain is most commonly associated with child birth by vaginal delivery. Pain following episiotomy appears to be universal. The mother undergoing episiotomy is characterised by greater blood loss in conjunction with delivery, and there is a risk of improper wound healing and increased pain during early puerperium. Various interventions are found to aid the healing process, which include cleanliness, applying ice pack, topical application by dry heat (infrared therapy), sitz bath performance of kegels exercise and perineal care. Any outward incident in the family may cause shees and stain which in turn will affect the psychological well being of the mother. Aromatherapy is effective for reducing labor pain, decreasing stress hormones, alleviating depression and anxiety, and increasing interactive behaviors between parent and child. Lavender oil is a great aid to perineal healing. So, the investigator assessed the effectiveness of lavender oil sitz bath on reduction of episiotomy wound healing and psychological wellbeing among postnatal mothers in Gani hospital, Tirunelveli district, Tamil Nadu. Objectives of the study were To assess and compare the pre and post test level of episiotomy wound status and psychological wellbeing among the experimental group of postnatal mothers. To assess and compare the pre and post test level of episiotomy wound status and psychological wellbeing among the control group of postnatal mothers. To compare the pre test level of episiotomy wound status and psychological wellbeing between the experimental and the control group of postnatal mothers. To compare the post test level of episiotomy wound status and psychological wellbeing between the experimental and the control group of postnatal mothers. To associate the post test level of episiotomy wound status and psychological wellbeing among the control group of postnatal mothers with selected demographic variables The assumptions of this study were The assumptions of the study were. Unhealing and inadequate care of episiotomy wound may predispose to vulval haematoma, infection, wound dehiscence and scar endometriosis. Lavender oil sitz bath may improve the wound healing psychological wellbeing. Hypotheses of the study were RH1 There is a significant difference between pre and post test level of episiotomy wound status and psychological wellbeing among the experimental group of postnatal mothers. RH2 There is a significant difference between pre and post test level of episiotomy wound status and psychological wellbeing among the control group of postnatal mothers. RH3 There is a significant difference in pre test level of episiotomy wound status and psychological wellbeing between the experimental and the control group of postnatal mothers. RH4 There is a significant difference in post test level of episiotomy wound status and psychological wellbeing between the experimental and the control of group of postnatal mothers. RH5 There is a significant association of post test level of episiotomy wound status and psychological wellbeing among the experimental and the control group of postnatal mothers with selected demographic variables. Review of literature collected for the studies related to The literature gathered from exclusive review is depicted under the following heading. Section A: Literature related to episiotomy. Section B: Literature related to episiotomy wound healing. Section C: Literature related to psychological wellbeing of mother with episiotomy. Section D: Literature related to lavender oil sitz bath on episiotomy wound healing and psychological wellbeing The conceptual frame work opted for the study was based Ludwig Von Bertalarffy `s general system theory and it provided a complete framework in order to achieve the objectives of the study. The research design selected for the study was true experimental pre and post only design was used and the study was conducted in the postnatal ward in Gani Hospital, Tirunelveli Dist, and Tamil Nadu. The tool used for data collection consisting of demographic variables which include age, education status, work pattern, type of the family and parity. The assessment level of episiotomy wound and psychological wellbeing among the experimental group and the control group were measured by using REEDA scale and structured observation check list . The tool was validated by 2 experts in the field of obstetrician and gynecologist and 3 experts in obstetrician and gynecologist nursing personnel and the reliability of the tool was established by interpreter reliability method. The value of the reliability was r=0.9. The tool was highly reliable to conduct the main study. The pilot study was conducted in Gani Hospital, Tirunelveli district among 6 samples out of which 3 were in the experimental group and 3 were in the control group of postnatal mothers. The experimental group received lavender oil sitz bath but no one had lavender oil sitz bath in control group. The finding revealed the feasibility, reliability and practicability of the tool for conducting main study. No modification was made after pilot study. Pilot study period was 4 consecutive days from28-4-2010 to1-5-2010 from 9am to5pm. The main study was conducted at Gani Hospital, Tirunelveli district. Tamil Nadu. The 60 postnatal mothers who fulfilled the inclusive and exclusive criteria were selected for the study ,out of which 30 mothers were the experimental group and 30 of them were the control group . Sample was selected by using simple random sampling method by Lottery method. Mothers who came under group A lottery will come under the experimental group of mother and mother who came under group B lottery will come under the control group of mothers. The investigator gave lavender oil sitz bath to the experimental group . Lavender oil sitz bath is Lavender oil is added with warm water in a basin and asked the mother to sit for 15 minutes 2 times per day about 3 days in the experimental group. Hospital routine care was given to the control group. The collected data was analyzed and interpreted based on the objective by using descriptive and inferential statistics. The findings of the study revealed that the calculated t value was 8.75 which showed highly statistical significant difference in post test level of episiotomy wound status and psychological wellbeing among the experimental group and the control group of postnatal mother at p

Monday, January 20, 2020

The Importance of Birth Control :: Contraceptives, Birth Control Essays

We have all heard sad stories of unwanted teenage pregnancies. There are the girls who drop out of school to care for babies they did not really want, having to work to support their unexpected new "families." There are the guys who marry before they are ready and perhaps to wives they would not otherwise have married-so often these marriages end in divorce. Most tragic of all, though, are the children who grow up knowing that they were not wanted in the first place, knowing that they were more a burden to their parents than a joy even before they were born. Clearly, we as a society need to get a grip on this problem of teenage pregnancy, and the obvious solution is to encourage teens to be responsible and practice birth control. But we face so many choices in deciding which type of birth control to use. Condoms? IUDs? Diaphragms? DepoProvera injections? "The Pill"? Abortion? Abstinence? Which method of birth control is the most practical and the most likely to provide a legitimate s olution to the problem of teenage pregnancy?      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Far and away the most common method of birth control today is the birth control pill. The pill is relatively easy to obtain through Planned Parenthood clinics, the price is not unreasonable, and the pill has an excellent record of success in pregnancy prevention. However, the pill places all the burden of birth control on women, and although it is usually the women who have the most to lose in unwanted pregnancy, shouldn't [GR#1] men take some of the responsibility for birth control, too? Plus, the pill is something that users must remember to take every day, even if they do not engage in sex for months or years. The pill may have the added advantages of making menstrual cycles more regular, and decreasing the sometimes painful intensity of a woman's periods, but as far as being purely a method of birth control, the pill has drawbacks, too. Besides being something that the user must remember to take each and every day regardless of the frequency of sexual activity, being on the pill involves visits to the doctor's office or to Planned Parenthood with annual or even more frequent exams and tests that may be unpleasant and cost more money.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Diaphragms? IUDs? DepoProvera Injections? These methods, too, place all the burden of birth control on the woman.

Sunday, January 12, 2020

Market Entry Essay

Value chain outline Business model restructuration Domestic market 1. Analysis 2. Factors of success 4. International expension strategy 1. Management method 2. Analysis 3. Factors of success 5. 6. Value creation Debate   Top quality products Adapted and productive management style Group capacity to restructure and timulate other companies Value chain analysis & good partnership Value Chain Outline Business model restructuration Domestic Market International expension strategy Value Creation Debate Value Chain Outline Business model restructuration International expension strategy Domestic Market 1984 1988 Zhang become Manager of Quingdao General Refrigiretor Factory Gold medal for product quality in national competition Value Creation 1989 1991 Chinese market face oversupply Diversification through aquisitions (eg, telecommunication, equipment†¦) Debate Raise the price and move to high quality strategy 1998 Operational restructuring Value Chain Outline Business model restructuration Domestic Market Diversification and internal reorganization ? 7 product divisions ? Glocal strategy: ? 4 Group-wide  « Development Divisions  » International expension strategy Value Creation Debate Value Chain Outline Business model restructuration Domestic Market International expension strategy Value Creation Debate Market share in 2004 Refrigerator Washing Machine Air conditioner 28% 18% 30% other ? ? ? By 2002, they accounted for 61% of industry profits. From 1989 to 1996, the number of refrigerators producers :100 to 20 3 Chinese manufacturers = 60% of the market ? Kelon is the main competitor Value Chain Outline ? Business model restructuration Domestic Market After the Chinese entry in WTO: ? new entrants (Electrolux, Siemens†¦) ? Refrigerator unit sales: 31% in 2002 vs 26% in 2001 ? Automatic washing machine: 38% in 2002 vs 31% in 2001. ? Before 2000: ? Core profit ? state-owned department stores ? In 2004: ? individual specialized shops/ private retail International expension strategy Value Creation Debate % Haier’s sales Domestic Chain International chain Licensed dealers Independent retail shops Government purchases. Management method Market responsiveness: focus on meeting customer needs Good after-sale service: offerings that Chinese customers was not accustomed (free replacement, warranty†¦) Distribution network: one single company (Haier logistics) serving the entire group, good network Be cautious: These points can be learnt, copied and imitated by multinationals International expension strategy Value Creation Debate Value Chain Outline ? ? Business model restructuration Domestic Market International expension strategy Value Creation Debate Key factor for international strategy Focus on market pressure: choose difficult market (eg. US, Europe)  « If we can succeed there we can succeed in easier market  » ? Look for hard challenges ? Focus on Human Resources assets ? Implement a  « local thinking  » ? Hire Local employees Value Chain Outline Business model restructuration Domestic Market International expension strategy Value Creation ? Since 1997: Willpower of a global expansion strategy (3third) ? Joint ventures ? Manufacturer of Liebherr (Germany): 8 top ranking ? 1999: Willpower of Haier to make a brand reputation overseas. Difference with the domestic rival Kelon ? Take example of the successful Japanese and Korean model. % of sales in the US an EU Export from China (% of total revenue) 1998 – 3% 2004 – 17% 1998 – 3% 2004 – 8,3% Overseas Made and Sold (% of total revenue) 2002 – 4,6% 2004 – 8,3% 70% of Haier overseas’ revenues come from developed markets Debate Value Chain Outline Business model restructuration Domestic Market.International expension strategy Value Creation Debate Focus on difficult (flat market) and highly competitive markets Penetrate the market with niche products Hire local people Make JV on five continents ? Benefit from existing networks. Pay close attention to market specifications Make  « response speed  » Satisfy customer needs Value Chain Outline Business model restructuration Domestic Market International expension strategy Value Creation Debate Growth leverage Restructuration Differentiation Know How After Sales Management Vision Market responsiveness Distribution Glocal Strategy Value Chain Outline ? ? Business model restructuration Domestic Market International expension strategy How would Haier evolve in order to gain more market share internationally and in their home market?

Saturday, January 4, 2020

Latin Americ The Era Of Colonization - 2711 Words

Latin America as continent is a very diverse, culturally, geographically and in the people who inhabit the land. Some are ancestors of the indigenous people to the land, some are African Americans whose ancestors were brought over during the slave trade, others are of European descent, specifically Spanish and Portuguese who’s ancestors came to Latin America during the late 1400’s to either acquire land through the encomienda, capitancy or intendancy system; or to follow the â€Å"Spanish Dream† of coming to the New World and creating a life with prestige and wealth. Latin America was developed through imperialism, the idea that one country could control another country and that country’s economy, and political system from outside its borders. Through this idea of imperialism came the era of colonization. Latin America was colonized by Spain and Portugal, but mostly Spain, Portugal colonized Brazil. The failure of Latin America as a state can be attributed to the act of colonization by the Spanish and Portuguese. When Christopher Columbus sailed to the New World for the Spanish in 1492 under the rule of King Ferdinand and Queen Isabella, he was sent with three ships, The Nina, The Pinta, and The Santa Maria, these three ships carried European men who acted as Columbus’s crewmen for the voyage. The men who were sent over to the New World brought with them the mindset of the European, as well as violence. The men sent were purposely sent from Europe to the New World to rid

Thursday, December 26, 2019

Collection Of 24 Stories - Free Essay Example

Sample details Pages: 4 Words: 1267 Downloads: 5 Date added: 2019/08/12 Category Literature Essay Level High school Tags: Canterbury Tales Essay Did you like this example? Geoffrey Chaucers The Canterbury Tales is a collection of 24 stories written between the years of 1387 and 1400 in Mid-Century England and runs over 17,000 lines. The question is How is Chaucers Canterbury Tales an accurate representation of the middle class in the middle ages? Canterbury Tales is much more than an interesting collection of character and their tales, but a representation of the middle class during the time in which the stories were written. As the church was losing its leading role in the latter half of the 14th century, people started to realize the importance of being in the forthcoming middle class. Chaucers Canterbury Tales is a microcosm of this general public since it exhibits the social divisions known as the Estates, it outlines the development of the white collar class and the decrease of the medieval framework, and it demonstrates the debasement and intensity of the Church, and it epitomizes most parts of the Middle Age. Don’t waste time! Our writers will create an original "Collection Of 24 Stories" essay for you Create order Primitive society was generally isolated into three estates, which were generally equal to social classes. The first estate which was the Church, which was composed of the pope, the second estate which was the noble, the king/queen and prince/princess, and the third estate which was the lower class. The harsh division of society into the three estates was starting to separate in late 14th century England, and when the time of Chaucer, there was an increase of the middle class. In The Canterbury Tales, Chaucer is exceedingly aware of the social divisions known as the Estates While the class of The Canterbury Tales all in all is a casing account, the General Prologue to The Canterbury Tales is a case of Bequests Satire, a type which censures the maltreatment that happens inside the three conventional Estates. Geoffrey Chaucers The Canterbury Tales encapsulates most parts of the Middle Ages, regardless of whether it is an indecent religious minister, poor, idealistic agriculturists, or the good knight. Every one of these characters gives great precedents of the numerous ubiquitous subjects of the Middle Ages. The predominant qualities and topics of the Middle Ages included brutality and vengeance, religion and debasement, and societal position and chain of command. The occasions in which Chaucers The Canterbury Tales is set are wild and are loaded up with anguish, struggle, and general ill will; all things considered, the thoughts of reprisal and hence viciousness are genuinely common. In a considerable number of Chaucers stories, this topic is framed flawlessly. An example towards the end of the Reeves story after the miller finds the researchers injustice. He grabbed Allan by the adams apple, and he, in return, roughly grabbed the miller and hit him on the nose with his fist (Chaucer). On this occasion, not only a simple reflex to fall back on violence is shown, yet brutality is utilized as retribution as the miller assaults Allan after understanding that he has had an affair with his wife. Confirmed by this, violent behaviors were regularly the most widely recognized, and the most suitable reaction. In all of England, violence was seen as something of a way of life Curtis Gruenler, in a literary analysis, states, In England, Curtis Gruenlers life was viewed as a violent way of life, from a literary standpoint, [V]iolence on a large scale held English attention as spectacular victories against the French early in the Hundred Years War were followed by a series of costly, disastrous campaigns (Gruenler). War was a calling of numerous individuals in England including a character of Chaucers, the Knight had battled in no less than 15 fights and had basically worked out his whole job dependent on the fights he was called upon by his ruler to partake in. Generally, viciousness was an all around perceived type of equity and requital something that was unequivocally called attention to in Chaucers accounts. One more subject is the nearness of religion, or all the more particularly, the nearness of defilement inside religion. Numerous individuals from the journey have connections to a religious office, and everything except the Parson has here and there damaged their promises or generally acted to some degree out of their limits as a high positioning individual from the Church. Chaucer shows this carefully as the Pardoners introduction where he states make an offering to my relics in this church [] make an offering in the name of God, I shall absolve them by the authority of which was granted to me by papal bull (Chaucer). Subsequent to telling the pioneers of this trap unmistakably went for taking a decent arrangement of cash, he clarifies, By this trick I have gained a hundred marks year after year since I became a pardoner (Chaucer). The Pardoner isnt, nonetheless, the main improper religious character engaged with the journey. The Friar, for instance, has broken his pledges as an administrative individual from the Church, most unmistakably his promise of virtuousness. The Friar has occupied with connections that have disregarded this promise, and when a youngster comes because of this cooperation, he has ventured to such an extreme as to wed the lady to her darling in order to cover his very own tracks. These parts of chapel defilement in The Canterbury Tales inevitably come down to a craving for joy and cash, something that tormented the authenticity of the Catholic Church and in the long run prompted the religious transformation. Among the characters, a kind of social chain of command turned out to be rapidly obvious amidst these numerous voyagers. A general character developed that isolated the pioneers dependent on their monetary and social standings. There was a fairly expansive differentiation between the most extravagant of the voyagers and the poorest. For instance, the Franklin was a proprietor of a vast home and sumptuous individual products. Despite the fact that he is profoundly in the red, his societal position is still far higher than that of say, the Plowman. The Plowman is one of the poorer individuals from the journey, yet in spite of this, he is one of the sprightlier and beneficent individuals from the journey. This can be viewed as Chaucers methods for communicating his sentiments toward the social chain of the importance of the occasions. Chaucer likewise says something regarding feudalism, the financial arrangement of the time. [Chaucer represents the] feudal arrangement of society [] around the figure of the knight as a conception of nobility, and around the laborer a conception of commonality (Morgan). Chaucer appears to consider feudalism to be a framework that partitions individuals into the well-off nobles and the poor workers. Chaucer likewise appears to perceive the nearness of a white collar class that appears to ascend out of feudalism. For instance, the figure of a vendor who picks up his riches by his own agreement, particularly cash exchanging, and is on the whole free of the primitive framework. The Merchant is portrayed in the general preface as [a] responsible man [who] kept his wits about him [] Nevertheless he was really a worthy man (Chaucer). So, Chaucer saw the social structure of his time and saw certain things he had dissatisfaction with, yet without a doubt, he saw some different parts of it as valuable to the advancement of society. To close, Chaucers showstopper The Canterbury Tales displays numerous common topics and in such a way illustrates the occasions. He does this by discussing viciousness, religious debasement, and social organizing, which were all extremely appropriate bits of society in the time as they all shaped a framework that is thought back on and translated through works of reality and fiction, for example, The Canterbury Tales.

Wednesday, December 18, 2019

Brian Is The Owner Of R R Construction - 1437 Words

Brian Rosenbarger was the entrepreneur that we chose to interview to gain more insight into what it takes to be a successful entrepreneur. Brian is the owner of RR construction and it is a sole proprietorship that he started in 1999. Since he has been in business for 17 years, he was able to offer a lot of advice to us as young entrepreneurs. We will discuss the advice he gave more in depth later. There were quite a few things that stood out to us about Brian that allowed us to better understand the life of an entrepreneur. It was very prevalent to us that Brian is extremely determined. He actually had dropped out of Jeffersonville High School in the 1990’s. Although he didn’t finish his high school career, it did not stop him from†¦show more content†¦Not only does he know about construction, but he is also really good at engineering and handling mechanical issues. When asked about these topics, he said that they have always come easy to him. When he has spare time he also hunts raccoons with his dog. He has been able to train his dog well enough to make him the 5th ranked dog in the U.S. and 4th in Indiana. This additional passion he has helps him to earn an extra $2,000-$3,000 on the weekends. We believe that his business is interesting, because he not only operates his business in Indiana but he also works in Virginia. He has to make several trips a month to Virginia to oversee projects and things of that nature. One of the great things about his business is that he sometimes is able to take his family along with him to Virginia. This allows him to still have the work-life balance that he needs. As with most entrepreneurs, Brian has to put in long hours. Another thing that is interesting about his business is that he doesn’t have to pay for any kind of marketing. He has been able to use word-of-mouth and networking to generate more customers. Marketing is a big expense for most companies, and it is interesting that he was able to be successful and maintain his business without it. He wanted to own his own business in order to make a better life for him and his family. Brian has certainly done just that. The main reason that

Tuesday, December 10, 2019

Significance of Employee Motivation-Free-Samples-Myassignmenthelp

Question: Identify the Impact of Employee Motivation on the Organizational Performance in the retail Industry. Answer: Project Context Employee motivation is crucial for the employee and the organization to maximize the overall performance of the organization. I would like to be a human resource manager in a retail sector in future. Hence, I need to understand how to motivate the employees and its necessity in the retail sector as it is a prime duty of HRM and will enable me identifies the motivational issues in an organization. Problem Statement Motivational issue related to the employees affects the performance of the organization. However, if the employees are not properly motivated in their work then they fail to cope up with the challenges that will hamper their performance as well as the productivity of the organization (Wright, Hassan Christensen, 2017). Aim of the Project This research aims to identify the impact of employee motivation on the organizational performance in the retail industry. Research Questions What are the factors of employee motivation? What is the impact of employee motivation in the retail sector? Literature Review According to Pradhan et al., (2017), employee motivation includes the benefits of employees like financial and non-financial reward systems that easily motivate the employees in their work. As argued by Lira, da Silva Viseu, (2016), inappropriate employee motivation process may harm the employee satisfaction as well as organizational performance. Employee motivation provides empowerment to the employees that insist them in their work (Mikkelsen, Jacobsen Andersen, 2017). Person correlation is an effective process of employee motivation (Kanfer, Frese Johnson, 2017). According to (Wright, Hassan Christensen, 2017), there is a strong relationship between the organizational effectiveness and the employee motivation. Methodology This research study will be carried out through the secondary data analysis. However, article review will be conducted through the exclusion and inclusion criteria from different databases. Proper citation will be done and no manipulation will be occurred. References Kanfer, R., Frese, M., Johnson, R. E. (2017). Motivation related to work: A century of progress.Journal of Applied Psychology,102(3), 338. Lira, M., da Silva, V. P. G., Viseu, C. (2016). Performance Appraisal as a Motivational Tool in the Portuguese Public Administration.Portuguese Journal of Finance, Management and Accounting,2(3), 91-118. Mikkelsen, M. F., Jacobsen, C. B., Andersen, L. B. (2017). Managing employee motivation: Exploring the connections between managers enforcement actions, employee perceptions, and employee intrinsic motivation.International Public Management Journal,20(2), 183-205. Pradhan, R. K., Pradhan, R. K., Panda, M., Panda, M., Jena, L. K., Jena, L. K. (2017). Transformational leadership and psychological empowerment: The mediating effect of organizational culture in Indian retail industry.Journal of Enterprise Information Management,30(1), 82-95. Wright, B. E., Hassan, S., Christensen, R. K. (2017). Job choice and performance: Revisiting core assumptions about public service motivation.International Public Management Journal,20(1), 108-131.