The Original Purpose Of Greek And Roman Mythology

wen Lyons Professor O’Nolan English One Honor August 18, 2015 Introduction 1. The original purpose of Greek and Roman Mythology was â€Å"supposed to show us the way the human race thought and felt ages ago.† 2. The thoughts and imagination of the people helped fuel the stories of Mythology. 3. The types of stories that existed prior to mythology were poems, and the apparent element was, in my opinion, imagination. 4. The â€Å"Greek Miracle† was expressing â€Å"the new birth of the world with the awakening of Greece† 5. In Egypt the gods were portrayed as â€Å"a towering colossus immobile, beyond the power of the imagination to endow with movement, as fixed in the stone.† In Mesopotamia the gods were â€Å"Bas-relief of bestial shapes unlike any beast ever known.† 6. The inspiration for gods was modeled after the world around them. 7. The Greeks were made to be similar to human beings because â€Å"Human gods naturally made heaven a pleasantly familiar place.† 8. 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Rise of Apple Smart Phone Sales in Asian Market

Question: Describe about the Rise of Apples Smart Phone Sales in Asian Market? Answer: Rise of Apples Smart Phone Sales in Asian Market. In September 2014, when Apple introduced large screen smart phones its sales has seen a prominent rise in the Asian Market. Now the company Apple is challenging the South Korean originated Samsung Electronics in its home turf. Through this strategy Apple proves that it has better utilised the product differentiation strategy by bringing regular and timely changes in its product line. Apple has won the markets of Japan, China and South Korea. Few months before Samsung was enjoying the market position in its home countries like Japan and South Korea where it has an impregnable position. It was very difficult for other smart phone companies to break this watertight position of Samsung in its domestic market but Apple has successfully broken this position and entered the domestic market of Samsung. By the end of November 2014, Apples market share in Asian countries like Japan, China and South Korea has increased to 33% from 15% when the company launched iPhone 6 and iPhone 6 plus. Apple has also challenged South Korean Brand LG Electronics by 14% of market share. Thus the company Apple has gained the top position by leaving the Samsung and LG Electronics to No. 2 and No.3 respectively. Till November the Samsung shares were hovering at the rate of 60% but with the launch of iPhone 6 and iPhone 6 plus, its share fell to 46% (Eric, 2015). Apple smartly understood the needs and desires of Asian market consumers. The company successfully conducted the PESTLE analysis and launched its new product by understanding the demographics of the Asian consumers. From the demographic segmentation company realised that consumers have long seen the large screen smart phones and they are using these smart phones as their primary communication tool instead of PCs. Earlier Samsung was enjoying leading position by developing the phablets (a combination of smart phones and tablets). Samsung analysed the South Korean market and created this country as the biggest market for such devices (Eric, 2015). According to Tom Kang, who is the research director of mobile devices at Counter point says that in Korean market no foreign brand has been able to compete the global smart phone leader Samsung by gaining the market share beyond 20%. But with the launch of iPhone 6 and iPhone 6 plus has dent the phablets sale of Samsung not only in Korean market but also in Asian market. Apple has shown good marketing strategy and international marketing by entering the Japanese market which is the strongest market for cell phone industry. In Japan the leading company is Sony which was surpassed by Apple. In November the company sales rose to 51% with the introduction of new series of phone. With new series of smart phones Apple has pull the Sony from first position to second position by 17% of its market share (Eric, 2015). Talking about China, Apple was not able to make the top position, but with its 12% share it gained the third position after Xiaomi with 18% market share and Lenovo at second position with its market share of 13%.Samsung who was the long run leader in China or smart phones has now pulled to fourth position with just 9% of market share (Eric, 2015). Conclusion Finally from the above marketing article published in Wall street journal has proved that Apple has gained the top position in the global market by introducing new product lines and effectively making use of its marketing and promotion strategies. References Eric Pfanner. (Jan 20, 2015). Apples Smatphone sales in Asian Markets Soar-Counterpoint. Wall Street Journal. Retrieved from https://blogs.wsj.com/digits/2015/01/20/apples-smartphone-sales-in-asian-markets-soar-counterpoint/

Outline some of the ways in which Marketisation and Selection Policies may produce social class differences in educational achievement (12 Marks) free essay sample

Marketisation is when schools become more business-like. This could be competition; schools strive to get to the top of league tables, they want the best grades and results, and they try to provide the best. Marketisation introduced funding formula, exam league tables and competition between schools. Due to the Marketisation of schools and the education system, sociologists have found that there is now an A to C economy and educational triage. Due to this change schools are now under immense pressure to stream and select pupils. For schools to receive good funding and pupils they need to achieve a good league table. Due to the league table sociologists, Gillborn and Youdell found that it creates what they call a ‘educational triage’. Gillborn and Youdell describe this as the sorting of pupils with a school. Their idea separates pupils into three categories; those who will pass anyway, borderline pupils (D-C) and hopeless students. We will write a custom essay sample on Outline some of the ways in which Marketisation and Selection Policies may produce social class differences in educational achievement (12 Marks) or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Their study found that teachers were likely to base the student’s ability on class. Those from a working class background are likely to be the ‘hopeless cases’ therefor the students were given no academic help and were ignored. Due to this label, Gillborn and Youdell believe this will lead the students to believing they’re in fact not intelligent and the self-fulfilling prophecy will lead to failure. In some cases the educational triage helps individual students who are C/D borderline, however it therefor does hinder the lower/ high grade students, as they are likely to be ignored due to them having either a very low or have a very high chance of passing. Schools, due to Marketisation, are also under pressure to pick and select ‘ideal pupils’ which are usually middle-class students. They will gain the school they attend higher grades and therefor a higher position in the educational league tables. Schools which achieve good rakings within league tables are most likely to attract more middle-class pupils and then will therefor improve the schools overall results and make the school popular. A school which is popular will receive more funding and thereby improve the schools results and so on, likewise an under achieving school will continue on a downward spiral. In 1993, Will Barlett found that popular schools were therefor likely to cream skin and silt- shift. League tables therefor lead  schools to marketize themselves to the public in order to attract middle-class children as they think they will most probably achieve higher grades leading to higher funding. Marketisation aims to attract middle-class students and not working-class students which may produce social class differences in educational achievement. Will Barlett argued in 1993 that Marketisation leads to schools cream skimming and silt-shifting. Cream skimming in education means that schools select higher ability pupils (mainly middle-class children) who gain the best results and therefor cost less to educate. Silt-Shifting however is the idea that schools also off load pupils with learning difficulties who are there for expensive to teach and will cost the school more money than the average child. This can disadvantage working class students in several ways. One way it disadvantages working-class students is by using home and school contracts. Selective schools usually require parents to sign a document explaining the schools expectations of the students before being offered a place. Sociologist Gewirtz explained that one individual school required parents to â€Å"ensure attendance and punctuality †¦Ã¢â‚¬  Schools do this as they will be attracting the right sort of parents and children. This technique is used to discourage working-class students and parents from applying if they are not willing to work or encourage their children to achieve their best. This technique within marketization also favours middle-class students as their parents are most likely to care about their education. Overall, Marketisation and Selection Policies do in fact produce social class differences in educational achievement. Firstly, league tables are likely to create an educational triage which seems to favour middle-class children more so than working-class children as they are likely to be labelled as hopeless. Next, league tables are designed to attract middle-class families and finally schools try to discourage working-class parents from sending their children to popular schools. We can gather from sociologist’s research that Marketisation and Selection Policies do produce social class differences in educational achievement.

CNG- The only alternative essays

CNG- The only alternative essays Over the past hundred plus years the world has relied on oil as the mainstay fuel for vehicles, and this dependence has backed us into a corner. Many people have introduced solutions to this dependence, but unfortunately, none have been put into real world use. These solutions included Electricity, Hydrogen, Alcohol, and many others. All have been analyzed and scrutinized greatly since their introduction and many have great benefits over oil but none have been put into use on a large scale. This is the result mainly of large oil companies and auto manufacturers, which have heavy weight in politics, who are very complacent to make a large switch. This complacency has caused the world to continually use and process oil nonstop depleting nearly all reserves worldwide. Now the projected life span of oil has been changed to less than fifty years left before all oil has been consumed. People are finally realizing this fact and want to make a change but they do not know where to star t. CNG (Compressed Natural Gas) is another alternative to gas that has not been addressed nearly as much as other solutions. CNG has many benefits and nearly no negatives that give it perfect reason to be the next fuel for our world to rely on. The first alternative that received rave reviews but then lost steam quickly off was that of Electric Vehicles that ran solely on electricity. These cars sounded great for many reasons. The fuel was much cheaper and completely clean. The cars were also touted as the only vehicles that could, Plug into the Sun (John Felt, Ford Motor Company). People bought into this idea and felt they had finally found the solution to their energy needs, but unfortunately many cons showed up quickly. Electric engines did not produce much horsepower resulting in their use in only compact cars and nothing larger. This reason alone made many change their minds because electric vehicles could never be used as "...

Leadership Differences Term Paper Example | Topics and Well Written Essays - 1500 words

Leadership Differences - Term Paper Example New leadership theories attach emphasis on the importance of trust, honesty and long-term partnerships in conducting and running organizations. The 21st century presents a competitive business world and, therefore, needs leaders with novel ideas and that are willing to inspire and motivate others to take risks as well as being able to build new strategic relationships to address the emerging challenges brought about by globalization (Richard Daft, 2010). In the 20th century, leadership was about obtaining a finite objective or goal that is, delivering goods and services with a sole aim of making profits; dominance and the exercise of market power. However, in the 21st century, leadership is about an infinite objective or goal of satisfying customers; cognitive flexibility, vision and mission, authenticity, and the creation of strategic relationships. Organizations in this century make profits by creating value and quality products to customers and not through the solely delivering goods and services to the customers like in the 20th century. For this reason, scholars argue that â€Å"the finite objective of the 20st century about delivering goods and services to make profit was dispiriting and annoying because the goal demotivated and dispirited the workers, in addition to, acting as a source of frustration for the customers since the objective was unsustainable as it ignored quality and value addition† (Denning, 2010). The i nfinite goal of the 21st century, on the other hand, is naturally inspiring and aims at satisfying customers and workers, thus considered sustainable. Conversely, the 20th century business landscape was characterized by linear objectives, which organizations would obtain with ease through internal advantages such as economies of progressively because the organizations were in charge and controlled the consumers. The organizations, thus never minded much about quality and the need to provide innovative and quality

Construction Law Case Study Example | Topics and Well Written Essays - 2000 words

Construction Law - Case Study Example Partnering 1 means a relationship of open communication and close cooperation that involves both Government and Contractor personnel working together for the purpose of establishing a mutually beneficial, proactive, cooperative environment, alliances to contractual partnerships within which to achieve contract objectives and resolve issues and implementing actions as required. Partnering, as I define it, is the process of two or more entities coming together for the purpose of creating synergistic solutions to their mutual challenges. The Construction industry including both private and public sector clients, main contractors, consultants and specialists. The collective spend of the client members runs into billions of pounds and it constitutes the most influential pan-industry body in the construction industry. The building of a Partnering relationship is not straightforward and it is essential that sufficient time and resource is allocated in order to achieve the desired result. Effective relationships are the bedrock of Partnering and the Project culture needs to be one of full openness, honesty and trust in all dealings between the parties. .. The contract has been drafted as a purchase Order with separate Collaborate Construction terms. The former is only six pages long with additional appendices and is completed to fit the requirements of the particular project. In order to achieve a successful Partnering relationship all parties need to adopt a far greater degree of collaboration than would be found in conventional contracting. Partnering requires commitment throughout the business units and its suppliers and is not an easy option. Proactive attitudes and contributions will be required on Partnering from Project Initiation in order to obtain improved performance and shared benefits. The collaboration construction terms comprise some 18 pages and should not change, although some of the provisions may not apply, depending upon how the purchase Order has been completed. The contract is unique in that it can be used for the appointment of both consultants and contractors as a subcontract for appointment of sub consultants or subcontractors. There are already a growing body of evidence that lawyers are providing a different role from that of traditional 'legal technicians' and 'dispute adviser' in favour of movements towards 'assisting the delivery of successful projects'. Lawyers can genuinely 'add value' by explaining how a collaborative relationship can work within a supportive contraction framework. One simple step forward is for lawyers to at least explain the proposed form of construction contract (be it a partnering contract or otherwise) to the project team who will work under or in conjection with it. It is assumed that all parties fully understand what their legal obligations are and how their contract is indented to fit in with

LABOR ROOM ACCOMMODATION OF PREGNANT WOMEN IN TAGUM CITY

LABOR ROOM ACCOMMODATION OF PREGNANT WOMEN IN TAGUM CITY PROBLEM AND ITS SCOPE Background of the Study Comfort is a concept that has a strong association with nursing. Nurses traditionally provide comfort to patients and their families through interventions that can be called comfort measures. The intentional comforting actions of nurses strengthen patients and their families. Caring is about how nurses do their work. The effects of caring are difficult to measure; the effects of comfort interventions (including caring) are measureable(http://www.thecomfortline.com/FAQ.html#beginnings).   Date  Retrieved May 20,2010.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Hospital has been the traditional setting for providing care for people. These individuals were admitted to the hospital and were not discharged until they were fully recovered or had used all of the service available within the hospitals (Fundamentals of Nursing Taylor et al. 1993). Hospital specifically in labor room is  in which women in labor are monitored prior to delivery (http://www.pregnology.com/AZ/L/1). Date Retrieved, May 23, 2010   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Physical comfort include deficit in physiological mechanism that are disrupted or at risk because of an illness or invasive procedure.Social comfort can get through family, friends co-workers, society and relationship with all of the above. Environmental needs include orderliness, quiet, comfortable, furniture, minimal oders and safety as far as is possible in the setting. Psychospiritual comfort needs include the needs of motivation and trust in order for the family to rise above or more peacefully through the discomfort of painful procedure or trauma that cannot be immediately relieved. (Kolcaba).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Todays findings, based on responses 10 NHS health trust, were obtained by the conservatives who attached the government for failing to deliver world-class maternity care for women in London, shadow health secretary Andrew Lasey said, new mothers should not be put through the trauma of giving birth in such inappropriate places. A Washington hospital there were six reported case last year (2008) where babies were born on the antecital ward because of delivery rooms on labor ward (http:www.thisisLondon.comVIC) Date Retrieved, February 22, 2010. Birth Center is designed to provide a comforting, safe experience for every patient during labor. The intrapartum nurses on our unit are attentive to specific patient requests and are recognized for their competence and expertise as key health care providers. Their goal is a safe and healthy delivery for every woman. A large percentage of our direct care nursing staff is nationally certified in their field of expertise and several staff members are also Masters prepared nationally certified nurse midwives. In addition to a highly experienced staff, we also have the pleasure of working with Portland Doulas who are available to support our patients  (http://www.ohsu.edu/) Date Retrieved, May 20,2010 In the hospital of Cebu Puericulture Center and Maternity House all labor-delivery-recovery rooms (LDRs) are designed to accommodate the birthing process from labor through delivery and recovery of mother and baby. Equipment is moved into the room as needed, rather than moving the patient to the equipped room. Each labor room shall contain a hand washing facility and have access to a toilet room. One toilet room may serve two labor rooms. Labor rooms shall have controlled access with doors that are arranged for observation from a nursing station. At least one shower (which may be separate from the labor room if under staff control) for use of patients in labor shall be provided. Windows in labor rooms, shall be located, draped, or otherwise arranged, to preserve patient privacy from casual observation from outside the labor room. Labor room size should be determined by analyzing the needs of the resident(s) to move about the room in a wheelchair, gain access to at least one side of h er bed, turn and wheel around the bed, equipment, including chair, stretcher, and IV stand (http://mapiles.com/cebu-puericulture-center-and-maternity-house-inc/) Date Retrieved, May 24, 2010. The Labor Room of Davao Regional Hospital, Apokon Tagum City is described as one of the most over-populated areas inside the hospital because without complication 3 cms. and up will enter the labor room if with complications they will directly enter the labor room. There were 10 beds available, if a woman belongs to OB ward she will share the bed to another woman; however, if a woman belongs to private rooms she needs not to share the bed to another woman. DRH is considered as one of the tertiary hospitals in the Philippines. In which, this usually has a full complement of services. Since, Davao Regional Hospital cannot say No to patients because it is a public, government establishment. They cannot control the increasing number of patients that were being admitted. Because of that matter pregnant women is subjected to physical, social, environmental and psychospiritual discomfort. The researchers desire to conduct this study because we anticipated that the comfort of pregnant women needs to be studied further if the number of admitted patient influences the comfort. Furthermore, the problem affects the wide variety of pregnant women in Davao Regional Hospital, Tagum City since they are the one who will be deliberated with their situation inside the labor room, because this problem occurs especially if it is a government establishment. Statement of the Problem   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  This study aims to determine the relationship between labor room accomodation and comfort of pregnant women in Davao Regional Hospital, Tagum City. Specifically, this study will answer  Ã‚  the following questions: What is the extent of labor room accomodation in terms of: 1.1 Bed assignment 1.2 Nursing assistance 2. What is the level of comfort of pregnant women in terms of: 2.1 Physical 2.2 Social 2.3 Environmental 2.4 Psychospiritual   Ã‚  Ã‚  3. Is there significant difference on the extent of labor room accomodation when analyzed according to:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  3.1 Parity   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  3.2 Hospital room accomodation   Ã‚  4. Is there a significant difference on the level of comfort of pregnant women when analyzed according to:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  4.1 Parity   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  4.2 Hospital room accomodation   5. Is there a significant relationship between the extent  Ã‚  of  Ã‚  labor room accomodation and the level of comfort of pregnant women. Hypothesis There is no significant relationship between the labor room accomodation and the level of comfort of pregnant women. There is no significant difference on the extent of labor room accommodation when analyzed according to parity and hospital room accommodation. There is no significant difference on the level of comfort of pregnant women when analyzed according to parity and hospital room accommodation. There is no significant relationship between the extent of labor room accommodation and the level of comfort of pregnant women. Review of Related Literature   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Several and varied sources were used and read to gather relevant literature and research. Professional books, journals, periodicals and related research were found valuable sources of articles worthy of being included in the chapter. These article were valuable in the construction of research instruments. Moreover, they helped  Ã‚  enriched the  Ã‚  contents of such. Bed Assignment   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Hospital address capacity issues in a number of ways. A common approach is to seek licensure for more beds an expensive investment. Expanding bed capacity through licensure may be necessary. But incorporating a bed management system is a less costly solution that makes better use of existing resources. Bed management systems maximize existing capacity by efficiently moving patients through care delivery. Bed manages systems provides nurses data necessary to assess performance measures based on activity, thus increasing resource of effectiveness.(Technology alleviates bed management woes by: Pam Parker, RN, C, BSN, MBA; Nursing Management 2005) Date Retrieved, May 21, 2010. Federal health planners proposed a series standards for most of the nations hospitals that they said would reduce the number of unneeded beds by 100,00 over the next seven years. The standards, which are aimed at further constraining almost runaway hospital charges, would limit acute care hospital beds to four per 1, 000 persons throught the country and set a minimum level of 80 percent occupancy in general hospitals in an effort to force the closing of inefficient and expensive facilities. The specifics of the proposals are also intended in the interests of efficiency to concentrate obstetrical and pediatric services in fewer hospitals and reduce the numbers of high cost (http://news.google.com/newspapers) Date Retrieved, May 23, 2010. The bed must be adjustable that can be lowered or raised to the position to make you feel more comfy while laboring. So while setting yourself in your delivery or labor room and you dont want using pain relief be sure to pray first and offer all the things that will happen at that moment then have a relaxation and breathing techniques, find comfortable position while in labor, listen to soft and romantic music. Think of good memories with your love ones and think something that makes you smile to ease your pain in laboring. Always think positive so that you can manage the pain (http://www.helium.com/items/1809340-what-to-expect-in-the-labor-room) Date Retrieved, May 23, 2010. Nearly all hospitalized laboring women spend most of the time in bed. We made simple but radical modifications to a hospital labor room, which included the removal of the standard hospital bed and the addition of equipment to promote relaxation, mobility, and calm (http://www.ncbi.nlm.nih.gov/pubmed/19489810) Date Retrieved, May 23, 2010. The investigators noted that the bed is a major reason for lack of mobility. Its prominence conveys that it is the appropriate place for laboring women, and a woman in bed offers ready access for interventions, an observation backed up by research. (http://rixarixa.blogspot.com/2009/07/beds-and-birth-rooms.html) Date Retrieved, May 23, 2010. Nursing Assistance   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  When a pregnant trauma patient presents, nurses face and unusual situation; there may be two injured patients, one inside the another. As nurses, we must asses and treat one patient whose body has been anatomically and physiologically change by pregnancy and another whom we cannot see, touch, inserted an IV catheter into, or place an oxygen mask on. Its essential that we understand the changes associated with pregnancy, which can affect both the nature of an injury and  Ã‚  the body respones to it, and their implication in the assessment and treatment of both patients. (Prauma in pregnancy by: Laura M. Criddle, PWD, RN, CEN, CRN, FAEN) Date Retrieved, May 21, 2010 The labor nurse is responsible for monitoring, blood work, vaginal exams, paperwork and many things that you need for giving birth. She is your direct connection to your doctor or midwife and informing them how your labor is going on. She can also give you some suggestions for comfort in your labor from positioning to medications. (http://www.helium.com/items/1809340-what-to-expect-in-the-labor-room) Date Retrieved, May 23, 2010. In todays  hospitals  and extended care facilities a nurse assistant is an important part of a health care team that includes many personnel outside of  nurses. Nurse assistants are needed to provide routine care so that nurses can provide care that only they can perform, as outlined by each states Nurse Practice Acts. The nurse assistant must not only be very skilled in the actual  procedures  being performed but must also be able to observe a patients condition and report that information back to the nurse. Due to other responsibilities, the nurse cannot spend large amounts of time in the room with the patient so the nurse assistant is often referred to as the nurses eyes and ears (http://en.wikipedia.org/wiki/Certified_nursing_assistant) Date Retrieved, May 23, 2010. Nurse-midwives are registered nurses with advanced training in care of obstetric patients. They provide care for about 6% of the birth in the United States and Canada (ventura et al. 1998). Nurse-midwives may practice with physicians or independently and with an arrangement for a physician back up. They usually see low risk obstetrics patients .( Wong et al. 2002) Nursing assistance has a traditional role and a professional role to fulfill: of clinical assessment of the progress of labor and physical status of mother and fetus. In addition, emotional support is provided by expressing caring and dependability as well as being an advocate for the childbearing woman if needed.   They should display a tolerant non-judgmental attitude, ensuring that the woman is accepted whatever her reactions to labour may be. Women who feel in control of their own bodies, who retain control of their behavior and who feel they have an active part in decision making have a more satisfactory birth experience. (Green et la 1990, Lindow et l 1998, Wallace et al 1995). Physical   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Bed rest is often prescribed to pregnant women who shows signs of distress of preterm labor, despite of evidenced of its effectiveness in preventing adverse outcomes. Although often thought of as benign, bed rest may include many psychologic and metabolic changes related to musculoskeletal reconditioning. The long term effects of bed rest need to be better understood, and woman who have been on bed rest may need close assessment and rehabilitation to facilitate a return to function and prevent injury (http;//www.medscape.com/viewarticle/436416). Date Retrieved, February 25, 2010.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Back pain during late pregnancy is a frequent clinical problem. Very little is known about the impact of this symptom on the quality of life among pregnant women with back pain. The objective of the study is to know the influence of back pain and physical ability on quality of life in late pregnancy. Irrespective of back pain the pregnant women studied featured lower quality of life (QOL) compared with published data on healthy women. Among the women with back problems, who had the most impaired QOL, the factors affecting QOL were mostly related to physical ability (http;//www.ncbi.nlm.nih.gov/pbmed/10789670) Date Retrieved, February 25, 2010.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  All women stated they were physically supported by their female companions. Examples of this physical help included position changing, massaging, and help with walking them to the bathroom. The majority ( n=18) of women stated that the presence of their female relative helped facilitate communicating their wishes and needs to the care providers. The remaining seven women stated that the presence of their female support relative created some minor conflict with midwives, who seemed to view the relatives as interfering  with the process of care. (Enkin, M., Keriese, M., Neilson, J., Crowther, C., Duley, L., Hodnett, E., et al. (2000). Previous research has shown that intrapartum practices in Jordan are not always based on the best on the best evidenced in the literature (Khresheh; Kresheh et al., 2007; Sweidan et al., 2008). Women in the sample expected poor support from their healthcare professionals, but when allowed to have support in labor from family members, they readjusted their expectations and had a more positive experience (Dahlen et al., 2008) The physical support provided by the female companion encouraged this sample of pregnant woman to relax. This may reduce their stress response resulting in an improved pattern of labor ( Taylor et al., 2000). The physiological dimension addresses factors that affect the clients physical status, such as rest and relaxation, treatment of medical condtions, level of nutrition and hydration, and elimination of wastes (Kolcaba, 1992a, p. 34). Physical comfort encompassed all the physiological ramifications of medical problems, which may or may not result in physical sensations immediately. Example of some necessary condtions for physical comfort, in this board sense, are homeostatic mechanism such as fluid/electrolyte balance, stable and normal blood chemistries, adequate oxygen saturation, and other metabolic indicators of health. An additional insight about physical comfort came form Hamiltons comfort theme of positioning. The importance of this type of comfort was prominent in ergonomics and was associated with increased function and productivity (http://books.google.com.ph/books). Date Retrieved, May 23, 2010. Social   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The friendliness and caring of all staff members was central in achieving social comfort. This included their approach and attitudes, continuity of care and a meaningful schedule of events and activites. In such instances, where patients have a limited network of support, nurses may be the most important source of social comfort and therapeutic use of self may enhance comfort more than nurses might realize. Nurses and other team members can facilitate social comfort of the family unit, however, by making them feel at home, important, intelligent and valued. (http://books.google.com.ph/books). Date Retrieved, May 23, 2010. Many studies have provided evidence about the positive influences that women experience when receiving labor support from a companion present during birth. Sauls 2002 published an overview of the randomized controlled trials related to the effectiveness of labor support on birth and maternal outcomes, reporting that all studies found benefits; the most powerful beneficial effects occurred when support was provided by a birth companion rather than by a health professional. Other studies of laboring have also identified the positive effects of help given by a support companion who was present and provided verbal encouragement (Parpinelli Osis, 2007). A supportive companion has been shown to have a possitive influence on the womans satisfaction with the birth process, and does not interfere with other events, interventions, or neonatal outcome, or breastfeeding. The evidence for the effectiveness of support in labor is strong enough for the World Health Organization to have recommended that woman in labor must be accompanied by people with whom she feels comfortable and trusts ( Bruggemann, , Cecatti, Neto, 2007)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  There is scarcity of evidence on the effects of the presence of companion during the birth process in developing countries. In a larger part of this current study (Kresheh, 2008), a total of 226 nulliparous women who were admitted to Al-karak government hospital for birth were asked if they wanted a female relative to stay with them. Findings showed significant effects on labor and birth outcomes, with less use of pharmacologic pain relief, and improvement in the womens general perception of their birth experience (World Health Organization. 2007). Detractors form social comfort include isolation form family, disregard for cultural traditions, uncaring or anxious nursing behaviors, fragmented care, lack of nursing care when desired, poor social support, and limited resources for ongoing care at home after discharge (http://ivythesis.typepad.com/term_paper_topics/2008/12/sample-resear-2.html) Date Retrieved, May 23, 2010. Environmental   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Clearly, the right environment for healing and health promotion was considered an important source of comfort by nurses interested in holistic care. Today, environmental comfort is a key aspect of units specifically designed to promote physical and cognitive function of hospitalized persons (http://books.google.com.ph/books? ) Date Retrieved, May 23, 2010. There are more than 4 million chemical mixtures in homes and businesses in this country, with little information on the effects most of them during pregnancy. However, a few are known to be harmful to an unborn baby. Most of these are found in the workplace, but certain environmental pollutants found in air and water, as well as chemicals used at home, may pose as risk during pregnancy.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  A pregnant woman can inhale these chemicals, ingest them in food or drink, or, in some cases, absorb them through the skin. For most hazardous substances, a pregnant woman would have to be exposed to a large amount for a long time in order for them to harm her baby. Most workplace have preventive measures to help make sure this doesnt happen. Pregnant women can take steps to help protect themselves and their babies from pollutants and potentially risky chemicals used at home. (http://www.marchofdimes.com/aboutus/681_9146.asp) Date Retrieved, December 19, 2010.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Since almost all non-pharmacological methods of pain relief require you to relax in some ways, having an environment that promotes relaxation can improve your chances of laboring without medication. Even if you choose to use medication during your labor, the environment sets the tone for your labor and may play a part in your mood. (http://www.birthingnaturally.net/birthplan/options/environment.html) Date Retrieved, December 19, 2010. Factors in the environment that distract form pregnant womens comfort are cold, noise, chaos, endless bright lights, bad odors, lack of privacy and uncomfortable stretchers, chairs, and beds. Unmet safety need can detract form comfort and include a lack of properly functioning equipment, security problems, security hazards, inaacurate care poor aseptic/sterile techniques resulting in nosocomial infections and medication or treatment errors. Freeing patients form restraints and restrictive devices such as intravenous lines, noninvasive monitors and intermittent, rather than continuous, monitoring when appropriate (http://ivythesis.typepad.com/term_paper_topics/2008/12/sample-resear-2.html) Date Retrieved, May 23, 2010. The labor room should be such that the woman is not considered is not constrained by lack of privacy or lack of supports such as cushions and beds from adopting her preferred position. In a hospital environment, it may help to move the labor from its traditional place in the middle of the room, and to place other support such as cushions and birth balls the room so that the mother is free to roam from one to another as the labor dictates. Low lighting and music of her choice may help the woman to see a safe and secure place to give birth. Minimizing unnecessary intrusion by the other   member of staff is essential.(Fraser et al.2003) Psychospiritual Anxiety is a major distractor form psychospiritual comfort and some include in this context are confusing, incomplete or negative information; threatening diagnoses; fear and the prspect of a change in routine or health status (http://ivythesis.typepad.com/term_paper_topics/2008/12/sample-resear-2.html) Date Retrieved, May 23, 2010. Hamiltons second comfort theme was self-esteem, including faith in God, being independent, feeling relaxed, being informed and feeling useful. The contexts of pyschological and spiritual comfort are combined to form psychospirtual context. Psychospiritual comfort includes mental, emotional, and spiritual components of self. The definition that has evolved is whatever gives life meaning for an inidvial and entails self-esteem, self-concept, sexuality and ones relationship to a higher order or being. (Kolcaba, K., 1997). Parity Traditionally,  elder or mature pregnant women are believed to have more adverse pregnancy outcomes  than younger pregnant women. In fact, the great majority of  the medical literature concerning late childbearing relates  to women between the ages of 35-40 years. However, many   of these studies showed the pregnancy performance and neonatal  outcome among the group of mothers aged >35 years are similar  to those of younger age (Kirz  et al., 1985; Ho  et al., 1986).  These findings therefore constitute a challenge to the current  definition of advanced maternal age, which uses 35 years as  the cut-off point with reference to the age-related effects  on pregnancy outcome. The primiparous mothers had a higher incidence of antepartum  hemorrhage and hypertensive disorder. The factors influencing birth experience as acceptable were multiparous women (Para 2-3) in 128 (68.08%) cases; primigravidas in 61 (80.26%) cases, study have shown that the pain threshold of pregnant women differs from the number of birth experiences. Furthermore, labour pain is nearly a universal experience for childbearing women but threshold of this pain varies between individuals (http://jpma.org.pk/full_article_text.php?article_id=2106) Date Retrieved, May 24, 2010. Hospital room Accommodation   In some countries a labor companion is not allowed for cultural or other reasons (policy does not allow, place too crowded, no privacy, bad advice from companion etc). It was discussed and agreed that there is need for midwives to use their knowledge and scientific evidence available to influence policy to ensure that in those countries where companions are not allowed, this can be considered. In those countries where the companion is allowed but not permitted into the labor ward because they give bad advice, the midwives were challenged to ensure that the companion is given adequate information before the labor starts so that the companion becomes more positive and helpful during labor.  Ã‚  http://whqlibdoc.who.int/hq/2005/ICM_report_eng.pdf) Date Retrieved, May 23, 2010. According to the CHCAAs interpretation, the Ontario Health Insurance Act requires that public hospital must provide overnight accommodation at the standard ward level at no charge to the patient. In addition, The Canada Health Act states that all Canadians are entitled to the level of accommodation required by the patients medical condition at no charge. Funding including Federal Transfer Payments for these scenarios is provided to the hospitals by the province (http://www.chcaa.org/education/HospitalWP.pdf) Date Retrieved, May 23, 2010. Theoretical and Conceptual Framework In the theory of comfort by Katharine Kolcaba staes that the comfort is a concept that has a strong association with nursing. Nurses traditionally provide comfort to patients and their families through interventions that can be called comfort measures. The international comforting actions of nurses strengthen patients and their families ( who can be found into their own homes, in hospitals, agencies, communities, states and nations ). When patients and families are strengthened by actions of health care personnel (nurses ), they can be engage in health seeking behavior. (http://www.thecomfortline.com/comfort-theory.html) The researcher anchored this theory in their research since the dependent variable in this research is comfort. Basically the main topic here is about the comfort that the mothers in the labor room are experiencing. every patient in the hospital deserves to have comfort. Kolcaba derived the contexts in which comfort is experienced form the literature of holism and she defined them as physical, psychospiritual, environmental and social. The physical comfort pertains to the bodily sensations. Psychospiritual relate to internal awareness of self, including esteem, self-concept, sexuality and meaning in life, relationship to a higher order or being. Environmental have relevance to external surroundings, conditions and influences. Social appertain to interpersonal, family and societal relationships. In this research, the researchers are trying to find out the relationship of lack of beds in the comfort of pregnant women in the labor room of Davao Regional Hospital Tagum City. Figure 1 shows the conceptual framework of the study. It consist of three variables. The Independent variable is the labor room accommodation and the dependent variable is the comfort of pregnant women. The moderators are the parity and ward.   Independent variable Dependent varieable Comfort of Pregnant Women Physical Comfort Social Comfort Environmental Comfort Psychospiritual Comfort Labor Room Accommodation Bed assignment Nursing Assistance   Parity Hospital Room Accommodation   Moderator  variable   Figure 1 Conceptual Paradigm of the Study Significance of the study   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  This study will give benefits and useful information to people in the field of nursing particularly: Pregnant women:  the outcome of the study will help them obtain their desired comfort when in labor. Nurses:  Ã‚  The outcome of the study will give them the knowledge the value of comfort of Pregnant women. Administration:  Ã‚  The outcome of the study will recognize adjustment to cater and to give genuine care for all the pregnant women. Student Nurses:  The outcome fo the study will assist them to provide more extensive comfort of pregnant women appropriately. Definition of terms   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  For easy understanding, in the study the following major terms are herein defined conceptually and operationally. Labor room accomodation. The labor room should be such that the woman is not considered is not constrained by lack of privacy or lack of supports such as cushions and beds from adopting her preferred position. In a hospital environment, it may help to move the labor from its traditional place in the middle of the room, and to place other support such as cushions and birth balls I the room so that the mother is free to roam from one to another as the labor dictates. Low lighting and music of her choice may help the woman to see a safe and secure place to give birth. Minimizing unnecessary intrusion by the other   member of staff is essential.(Fraser et al.2003). In our study, it refers to the intrapartal care received by the pregnant women in Davao Regional Hospital. Bed assignment. Hospital beds are electrically operated. The staff will show you how to work your bed properly. Your hospital bed is probably higher and narrower than your bed at home, and includes bedside rails for your protection. The rails may be raised for your safety or at your request, if youre resting, recovering from surgery or taking certain medications. http://www.multicare.org/allenmore/hospital-amenities/ In our study, beds are classified as to what hospital room accommodation is choosen. Nursing assistance.  The Nursing Assistant is an important member of the health care team who often holds a high level of experience and ability, but without qualification is unable to often perform some tasks due to issues of liability and legality.  http://en.wikipedia.org/wiki/Certified_nursing_assistant. In our study, it focuses on the maternity care from which the pregnant women is subjected inside the labor room until she is