Blood spatter Essay

Blood spatter is a common form of physical evidence at a death scene, and is often of major relevance. It is not a field in which all forensic pathologists feel confident, as in some jurisdictions it is regarded as totally within the domain of the forensic scientist and in others, the crime scene investigator. It should be reasonably regarded as a shared topic, one understood by all players, as each expert has an individual slant on the subject, and can thus provide separate insights. It is important to avoid evidence clashes. Examination and documentation of blood spatter, including what, where and how much, allows interpretation of the type and form of bleeding, and may provide a reconstruction of the incident and some surrounding circumstances. The form of report produced tends to vary with different departments, but usually is incorporated into the general scene report. Blood loss itself is due to breaches of blood vessels, and this may be due to natural disease processes or trauma. Typical examples of natural disease-causing problems at crime scenes include bleeding from a varicose skin ulcer, which is at ankle or shin level, and bleeding from lung cancer, which produces coughed-up blood. Both of these may be associated with widespread blood deposition. Commonly, these kinds of cases are associated with some degree of cleaning up or self-help, of a type consistent with a solitary life style. The type of loss is dependent on the kind of blood vessels involved. Veins return blood to the heart, operate at low pressure and flow is at a constant rate. A breach causes an ooze or pour of blood. On the other hand, arteries operate at high pressure and have a pulsatile flow. This produces a very variable flow rate, and a breach causes a spray or spurt of blood. The normal blood pressure peak and trough is 120/80mmHg at rest, but can be as high as 180-200mmHg with strenuous activity or stress, excluding any disease process. Obviously, this level may be expected in violent deaths. As veins and arteries commonly run parallel to each other, both types of vessels may be damaged at once. The size of vessel is also important, as small vessels will produce little blood, whereas the major vessels can bleed catastrophically. An arbitrary level of 200ml has been defined as the cut-off between a small and a large volume. The pathologist can rarely estimate the volume directly at the scene with any great degree of accuracy. The estimate may have to be done indirectly by crime scene examiners, such as by weighing areas of soaked carpet, and comparing this with dry areas. Classifications of Blood Stains: The appearance and the size of the blood patterns depend on the force by which they were created. When a sort of an object comes into direct contact with the blood, the force by which that object makes contact moves the blood and enhances its velocity. In some fashion the blood must react to this force transfer. Velocity is calculated in meters per second. There can be an evidence of three forms of blood spatter at a crime scene, high, medium or low blood spatter or a mix combination of these. The predictable process of categorizing blood stains was based on the connection between the speed of the force pressuring the blood drop or source that administer the individuality and dimension and distance of the resulting bloodstains. The three essential grouping of stain groups which were used based on the idea that the dimension of the blood stain being inversely comparative to the power useful to the still blood. Low Velocity Blood Spatter LVBS (Low Velocity Blood Spatters) are stains of blood which are created when the cause of blood is subjected to energy with the speed of up to 5 ft/sec. Major stains calculate normally 4mm in distance or superior. Medium Velocity Blood Spatter MVIS (Medium Velocity Blood Spatter) are stains of blood which are formed when the cause of blood is subjected to a might with a speed in between the range of 6 to 25 ft/sec. The distances of the consequential stains are in the mass range of 1 to 3 mm, even though larger and smaller bloodstains may be there. Stains in this group are normally connected with beatings and stabbings. High Velocity Blood Spatter HVBS (High Velocity Blood Spatter) are stains of blood formed when the cause of blood is subjected to a power with a speed of more than 100ft/sec. The width of the spatter is mainly less than 1mm, although larger and smaller bloodstains are frequently experiential within the outline. Bloodstains in this group are usually related with gun shots and explosions. Other device that formed bloodstains within the mass range of the usual high and medium velocities such as expiratory blood and satellite spatter bloodstains were not valued to the level that misunderstanding might and do occur. Most of the bloodstains forecasters have selected to stop this conservative terms and categorization for a more holistic advancement to bloodstain categorization. The subject that formed the rethinking of the conservative categorization of high-medium-low velocity was the diameter of sizes of stain among the high and medium velocity group and the understanding that devices other than stabbings, gunshots and beatings often formed stains with the dimension ranges within these groups. The pattern and bloodstains are confidential based on their substantial features of distribution, location, size, concentration and shape into inactive stains, splash stains or distorted stains. These are more confidential relation to method that may create stains with that uniqueness with mention to relevant scene, medicinal and case related history and facts of the proof. The forecaster than may be able to set up the exact method by which the outline was formed. More Analysis on the three classifications An abrasion or superficial laceration involves large numbers of very small to small vessels. This produces diffuse velocity from the whole area, and neither a pour nor a spray of blood would be expected. Incision of a superficial artery, such as in the wrist, involves larger vessels, with a small area of origin. This produces mainly a low velocity of blood due to pumping or spurting. A stab of a deep artery, as in the thigh, may mean involvement of a larger deep vessel. Here the presence of overlying tissues will interfere with the production of a spray, and the blood exits as a rapid pour, usually without spurting. However, there is usually still a clearly pulsatile element. But again this would be said as a low velocity blood spatter. The size of blood spots relates to the impulse of dispersal. Low velocity blood spatter such as venous bleeding, will produce large blood spots. A medium velocity blood spatter, such as produced by the use of a blunt instrument, will produce finer spots. High velocity blood spatter, as in gunshot injuries for example, will produce a fine spray. This can also be used in interpretation, as in the case of a crewman missing after an on-board explosion. There were several areas of very fine blood spray near the relevant hatch cover, and also on a broken ship’s railing. This clearly indicated that the deceased had been hit by the swinging hatch cover, and had broken the railing by force of his impact with it, during the course of being thrown overboard. Some knowledge of the injury pattern will produce the best results in interpretation. For example a slash of the neck might be expected to produce arterial spurts from large superficial vessels. A stab of chest could produce a medium flow, but if the stab is small or angulated, producing a degree of sealing, there may be little external bleeding. For example, multiple heart and aortic stabs with a skewer have been seen to produce only occasional external drops of blood. A stab of the lung may have the combination of direct bleeding from the stab and the expiration of blood mixed with air. Projected bleeding can also occur from mouth and nose following a gunshot wound of the head. During the bleeding process, the blood may be around the injury itself, and be capable of making contact impressions, or may have been projected away from the injury, and no longer be on the body at all. This blood may be around the body, and situated on bedding, furnishings, walls or carpet. The type of patterning will provide the pathologist with insights of where and how the deceased had moved. The blood may be on objects at the scene such as a weapon or a vehicle. The position, patterning and extent may indicate which part of the object caused the injury, and in turn, this may indicate the position of the deceased at the time of sustaining this injury. There may be minimal blood present at the scene, or what appears to be an inadequate amount, in view of the injuries. This may indicate that this is a secondary scene, and that the primary scene must be searched for elsewhere. Produce a fine spatter of blood at low level, with the last drops producing the greatest effect. This may outline the feet on the floor, and will also be present on the inner borders of the feet and the tops of the feet. The blood on the feet may subsequently be transferred elsewhere. The target surface is of major importance, and the effect is far less on a carpet than it would be on tiles, due to the reduced pool effect. Another significant aspect relates to blood which has been deposited from an injury onto a weapon, and is then cast off by the centrifugal force of swinging the weapon again. This may leave blood trails on ceilings or on high walls. There are various forms through which people can be killed. Listed are the few and the classification of which Velocity Blood stain it belongs to: Shootings (Medium and mostly high level Blood Spatter Velocity) Apart from the normal documentation of the scene, it is necessary to consider a number of specific matters. The pathologist must determine if the victim has moved during the course of the shooting, or has shown signs of activity afterwards. This can be done by noting the position of the body, the accessibility of the entry sites in the current body position, the presence of bullets or markings near the exit sites, and blood or tissue spatter patterns. There is usually little back spatter, but there may be considerable forward spatter, especially with more powerful weapons. It is worth bearing in mind that there may also be significant spatter extending from gas splits in the skin, and this could be at right angles to the main bullet track. Knife (Medium Velocity Blood Spatter) As mentioned above, the possibility of movement has to be considered. The volume of blood coming from an injury will depend on factors such as its type, situation and coverings, but if these are held in mind, then useful information can be gathered in order to reconstruct the incident. A knife or other sharp weapon is unlikely to cause damage to the scene, except in the most violent incidents, but it may be wiped or cleaned on the victim’s clothing or on furnishings, leaving a bloody outline. Axe (Mostly Medium Blood Spatter and at time High velocity) Because of the type of injury produced, these scenes tend to be very bloody. As there is a tendency to inflict multiple blows, there may also be evidence of the way in which these injuries were inflicted, as left by the spatter patterns. These patterns will frequently include cast-off spatter, as well as medium impulse spatter. There may even be loose fragments of soft tissue, bone or teeth. There maybe damage to the scene, particularly near to the body, due to missed hits. Fists and feet (Low velocity Blood Spatter) Assaults by kicking or stamping maybe associated with considerable contamination of the crime scene. This maybe in the form of a low-level blood spatter which may be evident up to a meter or so above ground level. Evidence of the type and position of an earlier phase of the assault is to be looked for, and blood pools that are separate from the final position of the body indicate periods of immobility. The ground surface has to be considered from the point of view of its being the possible anvil opposite some of the injuries, and thus help to interpret the assault. Footprint patterns may help to provide information as to whether bare or shod feet were used. Explosion (High Velocity Blood Spatter) Explosion scenes may extend from those where only a gram or two of explosive material is involved, to those involving tonnes of material. The pathologist’s approach will vary accordingly. Where a small quantity of material is involved, the pathologist should attempt to assess if there was any movement of the body from its original site to the point at which it is found. Blood and tissue spatter is most valuable here. The crime scene findings must be correlated with the burns and particulate damage later identified at the autopsy. The presence and role of any primary or secondary projectiles must be assessed. The author was involved in the investigation of an explosion on board a ship, where a crewman caused an explosion that blew him overboard. The body was not recovered, but damage to a hatch cover and the ships rail, both with deposition of high-impulse blood spatter and small tissue fragments indicated the extreme nature of the trauma that must have been sustained. Fragmentary body remains may be all that is recovered following a large explosion. As these may be covered with cement dust or other building materials, recognition of these remains at the scene may prove to be difficult, but this task is usually easier for a pathologist than other investigators. Work Cited Page †¢ Book Title: The Practice of Crime Scene Investigation. Contributors: John Horswell – author. Publisher: CRC Press. Place of Publication: Boca Raton, FL. Publication Year: 2004. †¢ Catten Ely (2000) Blood Spatter, What is it? From Suite 101. Retrieved on October 23, 2007, from http://www. suite101. com/article. cfm/crime_stories/34498 †¢ Louis L Akin (2005) Blood spatter interpretation at crime and accident scenes: a basic approach. (Focus on Forensics): An article from: The FBI Law Enforcement Bulletin. Publication: The FBI Law Enforcement Bulletin (Magazine/Journal) †¢ Book Title Introduction to forensic science & criminalistics (2007) Publishers McGraw-Hill †¢ James, Stuart H. (2005) Principles of bloodstain analysis; theory and practice. Publisher CRC Press †¢ Blood Spatter (2006) Department of Forensic Medicine, University of Dundee. Retrieved on October 23, 2007 from http://www. dundee. ac. uk/forensicmedicine/notes/Bloodspatter. htm †¢ Base Pair (2004), Blood Spatter Pattern Analysis. Retrieved on October 23, 2007, from http://www. tx. ncsu. edu/Science_Olympiad/Coaches_workshop/2007%20Presentations/Blood%20Spatter%20Analysis. doc †¢ Blood and Stain Analysis. Retrieved on October 23, 2007, from http://home. iprimus. com. au/ararapaj/craigslea_testbed/Forensic%20Web%20Test%20Site/blood_analysis. htm

The Use of Intraosseous Vascular Access

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

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Korea culture - Essay Example In relation to music, Korean pop (K-Pop) is arguably the closest and greatest integration of the Korean culture. K-Pop music started around 1885 with the settlement of missionaries that taught a mixture of American and British folk songs to Koreans. However, the songs were sung in Korean lyrics implying that K-Pop is an integration of Western melodies sang in Korean. However, at this time the name K-Pop was not used as in the modern day and the music was commonly referred to as ‘changga’. In the later years during the Japanese rule, K-Pop was used as a mode of expression mainly targeting the oppression of the Japanese rule. For example, the song ‘Huimangga’, meaning the Song of Hope, was quite popular during this period. However, the rapid advancement of K-Pop was derailed by confiscation of the existing K-Pop records such as lyrics books. Nonetheless, there were some developments such as composition of songs that were a mixture of Korean traditional songs a nd gospel music taught by the missionaries. After the liberation of Korea from the Japanese rule in 1945, Korea was divided into two with major western settlements such as US troops focusing mainly on South Korea. During this time musicians like Marilyn Monroe took some performances to South Korea where there was further integration of Korean and Western music. This saw the rise of new Korean musicians such as ‘The Kim Sisters’ thereby increasing spread of K-Pop to different parts of the world. In 1970s there was increased focus on the younger generation such as in Universities. The younger generation was heavily influenced by the Western culture leading to a transformation of K-Pop following incorporation of guitars and the American hippie fashion style. In the 1990s K-Pop musicians such as ‘Seo Taiji and Boys’ adopted some aspects of the like rap, rock, and techno from the American music

Problem-Solution Essay Essay Example for Free

Problem-Solution Essay Essay It only comes once every four years. It is a day of unity, expression, equality and freedom. Every citizen over the age of eighteen in the United States has the opportunity –the right– to be a part of something huge. Presidential Election Day. The long awaited day that is consumed by the media, Facebook, and Twitter months in advance. An individual can choose to voice an opinion with discretion and secrecy in the voting booth, or one could also choose a more vocal approach with heated debates, obnoxious campaign signs, and even the occasional protest. After all, this is the land of the free, and if there’s one thing Burger King has taught me, it‘s that in the United States you really can â€Å"have it your way.† So why is it, then, that in the midst of the exciting and tumultuous day of our general election, I see the youth of the country sitting in their dorm rooms with absolutely no intent of casting their ballots? Seeing firsthand the lack of political activity among my peers and all those belonging to Generation Y makes me question whether or not I should care enough to vote myself. There is no argument that young voters (ages 18-34) have increasingly shown a lack of voter turnout in general elections. According to an article by The New Republic, 53 percent of 18-29 year-olds visited the polls in 1972. By the year 2000, that figure had dropped to 35 percent, which became a new historical low. So why is this a problem for me and my fellow Generation Y brothers and sisters? The answer is clear and simple. By choosing not to vote, we are also choosing not to have anyone represent our ideals and political agendas in government. At a time with increasing student-loan debt, a shocking unemployment rate and overall declination of the quality of life, Generation Y has more reason now than ever to start affecting political change. â€Å"People who try to have influence on government are going to have more influence than people who do not try† (Wilson 161). All of this begins with the polls. Many causes of political apathy among the younger generation have been noted, and in some cases, several attempts have been made to attract these voters. Registration is one of these causes and this resonates in particular with college students. First-time voters have to get a registration form, learn how and when to register, and then deliver it. Most college students will have to request absentee ballots if they are unable to go to their designated polling stations on Election Day. Unlike the older generation, younger voters are typically not yet settled and therefore the voting process takes more effort. According to the Center for Information and Research on Civic Learning and Engagement, over a quarter of college students reported that they did not register to vote because they didn’t know how or had missed the deadline. However, there have been steps to make this process simpler including the motor-voter bill of 1993. This allows citizens to register to vote as they are applying for a driver’s license (Wilson 166). Perhaps one of the biggest causes for lower voter turnout among young people was identified through the honesty of my own roommate. Paige Toepper, my roommate and also fellow first-time voter, did not go to the polls for the 2012 election simply because she had not previously been engaged in the political issues and felt ill-equipped to suddenly be making such decisions. â€Å"I haven’t been following up on politics until this point and I don’t believe I should vote for something when I’m not even sure what it is that I am voting for.† Once I heard this from my roommate, I found it to be a common theme on my entire floor. The problem isn’t that Generation Y doesn’t care to vote but, rather, that no one has really had the chance yet to be exposed to politics in an informative light where we feel confident in our own beliefs. My proposal for the solution to this problem begins in the education system. We should integrate politics and current events into our curriculum for high school students. This would also include the entire process for registering first-time voters, so that those who have not been exposed have a base to fall back on. The lack of voter turnout among the younger generation is a serious problem for the future of America if young people aren’t allowing their voices to be heard and to influence government. If people do not start voting while they are young, there is no way to know if they will ever begin to exercise this fundamental right. Being able to integrate politics as part of high school curriculum is an easy way to start getting the young generation engaged and involved. By doing this we can begin to push forward new innovative ideas and ultimately begin to successfully form our future as a society.

Bsa 375 Week 2 Dq Essay Example for Free

Bsa 375 Week 2 Dq Essay Week 2 DQ DQ1 1.How were the problems with the system missed? Problems were missed by failing to complete the SDLC. The application was developed based on information gathered from agents, but doesn’t seem that it was modified during the system implementation phase. 2.How might these problems have been foreseen and possibly avoided? The problem could have been foreseen and possibly avoided by creating use cases. Use cases will help develop detailed requirements along with expectations, and error handling. 3.In perfect hindsight, the widespread availability of such systems on the internet today, what should the company have done? The company should have taken some time to redesign or retool the application at the first sign of user displeasure. DQ2 1.What is the purpose of developing use cases during systems analysis? How do use cases relate to the requirements stated in the requirements definition? The purpose of developing use cases during system analysis is to help develop the practical requirements, and help understand exceptions, special cases and error handling requirements. Use cases will provide a comprehensive understanding of user interfaces. DQ3 1.A system development project may be approached in one of two ways: as a single, monolithic project in which all requirements are considered at once or as a series of smaller projects focusing on smaller sets of requirements. Which approach seems to be more successful? Why do you suppose that this is true? Be specific. You can answer from your experience or the reading in chapter 3 of this week’s materials.

Determination of crude fiber

Determination of crude fiber Dietary fiber can be defined as sum of polysaccharides and lignin that are not digested by human digestive enzymes. The major components of dietary fiber are cellulose, noncellulose such as hemicelluloses and pectin, lignin, and hydrocolloids (gums, mucilages, and algal polysaccharides). Human foodstuffs contain mainly noncellulose polysaccharides, some cellulose and little lignin. The average proportions of noncelluloe polysaccharides. Cellulose and lignin for common foodstuff are about 70%, 20% and 10% respectively(Laura and other 2003). The crude fiber method was developed in the 1850s to estimate indigestible carbohydrate in animal feeds. Since an easy alternative was not available, fiber in human foods was measured as crude fiber until the early 1970s (except for Southgate in England). Crude fiber method is one of the gravimetric method that measures the organic food residue remaining after sequential digestion with 0.255N sulphuric acid and 0.313N sodium hydroxide solutions, followed by oven-drying at 104 ºC overnight and ignition in muffle furnace at 600 ºC for 3 hours. The compounds removed are predominantly protein, sugar, starch, lipids and portions of both the structural carbohydrates and lignin. Crude fiber method measures variable amounts of the cellulose and lignin in the sample, but hemicelluloses, pectins, and added gums or hydrocolloids are solubilised and removed. Therefore, crude fibre measurement drastically underestimates dietary fibre in foods since it measures only cellulose and lignin. As a result, crude fiber method is only adequate for determination of fiber in animal feed product, but not suitable for human food analysis as lignin is significant to human health (James N.BeMiller 2003) Determination of carbohydrate Carbohydrates are important in food because carbohydrates provide energy, enhance immune function and support cellular communications. Carbohydrates are converted into energy to allow our cells to function. There are two major types of carbohydrates such as complex carbohydrates and simple carbohydrates. Complex carbohydrates are glycogen in human tissue and cellulose in plant tissues. Simple carbohydrates are monosaccharide such as glucose, fructose, galactose and disaccharides like maltose, lactose and sucrose (DeWayne McCulley 2005). The most important sources of carbohydrates are plant food such as fruits, vegetables and grains. Milk and milk products contain the carbohydrates lactose (milk sugar) but meat, fish and poultry have no carbohydrate at all. One gram of carbohydrates has four calories. To find the number of calories from the carbohydrates in a serving, multiply the number of grams of carbohydrates by four. For example, one whole bagel has about 38 grams of carbohydrates, equal to about 152 calories (Carol Ann Rinzler 2006). The determination of carbohydrates is one of the most frequently required analyses in the food analysis laboratory and has considerable application in nutritional and biochemical studies. The variety of food and beverage products from food manufacturers continues to expand. This variety, combines with raised expectations of quality and consistency from the consumer, has created a need for analytical methods that provide specific data on the composition of both raw materials and final products. Analyses for carbohydrates must be applicable to simple ingredients, complex processed foods, and fractions or components isolated in nutritional studies. (Eliasson, 2006) There are several methods of carbohydrate analysis and can be divided into physical methods and chemical method. Physical methods generally determined some overall features of the sugars in food such as total carbohydrates. The physical methods include refractometry, polarimetry and hydrometry. Unlike physical methods, chemical methods are able to determined more specific features, for example, reducing sugar. In this experiment, carbohydrates in foods were determined by difference after knowing the content of other food components. The accuracy of the à ¢Ã¢â€š ¬Ã…“by differenceà ¢Ã¢â€š ¬Ã‚  method depends on the determination of other food components and does not make any distinction between the available and nonavailable carbohydrates. The advantage of this method is carbohydrates content can be calculated without carry out an experiment (Nollet 2004). Determination of Vitamin C Ascorbic acid (vitamin C) which forms cementing substance such as collagen in the body is important in wound healing and increasing resistance to infections. This vitamin also enhances the absorption of non-heme iron and may protect against some cancers and cardiovascular disease. Milk contains only a small amount of ascorbic acid (0.94 mg per 100g milk). Processing or exposure to heat such as pasteurization reduces the vitamin C content of milk. The current RDA for vitamin C for most adults is 60mg per day (Gregory and others 1999). Besides, pregnant women need a moderate increased for vitamin C during last trimester to meet the needs of the growing fetus. The vitamin C content in food is strongly influenced by length of time on the shelf and in the storage and cooking practice likes the heating and exposure to copper or iron or to mildly alkaline conditions destroys the vitamin (World Health Organization 1998). The AOAC method for determining vitamin C in food is based upon the reduction of the dye 2, 6-dichlorophenolindophenol (DCPIP) with ascorbic acid in an acid solution. DCPIP is used as the titrant because it only oxidizes ascorbic acid and not other substances that might be present. Besides, it acts as a self-indicator in the titration because it changes to another color when in excess analyte (ascorbic acid). In the oxidized form, DCPIP is purplish-blue in neutral or alkaline solution, and pink in acid solution; the reduced form of dye is colorless. The solution will remain colorless as more DCPIP is added until all of the ascorbic acid has reacted. As soon as the next drop of DCPIP solution is added at the solution and the solution is turn to light red or pink due to the excess DCPIP, the end point of the titration is reached. Hence, the ascorbic acid is oxidized to dehydroascorbic acid by DCPIP solution. However, this method is not capable of determining dehydroascorbic acid conten t that presents more or less 80% of vitamin C activity shown by ascorbic acid. The diagram below show the reaction between ascorbic acid and 2, 6-dichloroindophenol (DCPIP). (Ball 1997) Redox reaction between ascorbic acid (vitamin C) and 2, 6-dichlorophenolindophenol (DCPIP). Before using DCPIP to quantitatively measure vitamin C, the concentration of the DCPIP solution must be known. The concentration of DCPIP solution can be determined by react the DCPIP solution with a solution of ascorbic acid with a known concentration. This is known as à ¢Ã¢â€š ¬Ã…“standardizingà ¢Ã¢â€š ¬Ã‚  the solution and it must be done before determine the concentration of vitamin C of sample. The vitamin is very susceptible to oxidative deterioration, which is enhanced by high pH and by the presence of ferric and cupric ions. For this reason, the entire analytical procedure needs to be performed at low pH and in the presence of a chelating agent if necessary. (Ronald and Landen 2003) For example, ascorbic acid is extracted from food and titrated with the indicator in the presence of acid like oxalic acid. These acids are used to preserve the correct acidity for reaction and to avoid auto oxidation of ascorbic acid. 1. James N.BeMiller. 2003. Carbohydrate Analysis. In: S. Suzanne Nielsen. Food Analysis. 3rd ed. New York: Kluwer Academic/Plenum Publishers. p144-169. 2. Laura E. Matarese, Michele M. Gottschlich. 2003. Contemporary nutrition support practice: a clinical guide. 2nd ed. USA: Saunders. 173-175p. 3. Carol Ann Rinzler. 2006. Nutrition for Dummies. 4th ed. USA: Wiley Publishing. 102p. 4. DeWayne McCulley. 2005. Death to Diabetes: The Six Stages of Type 2 Diabetes Control Reversal. South Carolina: BookSurge. 56p. 5. 3. Ann-Charlotte Eliasson. 2006. Carbohydrates in food. 2nd Edition. USA: CRC Press. 2-3p. 6. Handbook of Food Analysis: Physical Characterization and Nutrient Analysis. 2nd ed. USA: Marcel Dekker, Inc. 387-393p. 7. G. F. M. Ball. 1997. Bioavailability and analysis of vitamins in foods. United Kingdom: Chapman Hall. 521-523 p. 8. Gregory D. Miller, Judith K. Jarvis, Lois D. McBean. 1999. Handbook of dairy foods and nutrition. 2nd ed.USA: CRC Press. 24p 9. World Health Organization. 1998. Vitamin and mineral requirements in human nutrition. China: Sun Fung. 135-137p. 10. Ronald R.E and W.O.Landen, Jr, 1999. Vitamin Analysis. In: S. Suzanne Nielsen. Food Analysis. 3rd edition. New York: Kluwer Academic/Plenum Publishers. New York. p 182.

Beowulf - The Ideal Hero Essay -- Epic of Beowulf Essays

Achilles, Beowulf, Gilgamesh, Samson and Heracles can all be characterized as heroes. However, each of these characters embodies different attributes that earn them the heroic distinction. This paper will seek to show that Beowulf is the â€Å"most† heroic figure based on his adherence to the heroic ethos. Also, the character of Gilgamesh will be used as a means of comparison to further showcase the heroic nature of Beowulf. The heroic ethos is a set of values that prioritize and glorify the valor of an individual. The motivation of the hero is to garner fame and immortality in legend, resulting in feats of excellence. Characteristics of the heroic ethos include service to people in the upper level of the hierarchy (e.g. relationship between lord and thane), a special relationship to god (special does not necessarily mean positive as in the case of Heracles and Hera), greatness in warfare/slaying, loyal, courageous, indispensable, and (almost) invulnerable. For the hero, the highest good is glory and the highest evil is shame. Beowulf, the son of Ecgtheow and Hygelac’s thane is introduced by Heaney as a valiant warrior. The reader immediately notices that Beowulf is well respected. The tone of the work suggests that even the narrator holds him in high esteem, â€Å"the man whose name was known for courage, the Geat Leader† (Heaney, 11) (the chapter is entitled â€Å"The Hero comes to Heorot†). Beowulf is introduced with grandeur. He is allowed to mention his own name and goes on to describe some of his feats, â€Å"They had seen me boltered in the blood of enemies, when I battled and bound five beasts, raided a troll nest and slaughtered sea – brutes† (Heaney, 13). Before actually seeing him in action, the reader is aware that Beowulf is a great warrior whose father is well respected. From the initial introduction, it is expected that Beowulf will be able to accomplish super human tasks.   Ã‚  Ã‚  Ã‚  Ã‚  Similarly, Gilgamesh is also given a grand introduction. He is described as, â€Å"the strongest one of all, the perfect, the terror† (Ferry, 4). However, the overall view of Gilgamesh is not as honorable as Beowulf. The people of Uruk are lamenting to the god Aruru: (Ferry, 5) â€Å"Neither the father’s son nor the wife of the noble is safe in Uruk; neither the mother’s daughter nor the warrior’s bride is safe. The old men say: Is this the shepherd of the people? Is t... ...fraid of its magnitude. In Gilgamesh, the Gods are humanized. They succumb to desire (as seem with Ishtar when she is lusting after Gilgamesh) and revenge (the flood). In Gilgamesh, the Gods are directly involved in some of the action. In Beowulf, God is a verbal presence. In both Gilgamesh and Beowulf, the heroes had a relationship with God/Gods. However, as outlined above, these relationships were very different. Beowulf had a direct spiritual connection while Gilgamesh questions the actions and even opposes one of them (Ishtar).   Ã‚  Ã‚  Ã‚  Ã‚  Beowulf and Gilgamesh are both deemed heroes. According to heroic ethos, Beowulf proves to be the more valiant, law abiding one. He embodies the necessary characteristics of the Anglo – Saxon/Germanic hero (courage, loyalty, and greatness in warfare/battle). However, it can also be argued that Gilgamesh is a great hero because of his divergence from the classical heroic model. Many readers are able to connect more with Gilgamesh because of his â€Å"humanness†. In the end, he comes to understand that death is a part of life and that one can still live on forever through their accomplishments (for him, it would be through Uruk).

Birth and Beyond :: essays research papers

Birth & Beyond of Sacramento, is a non-profit health care agency whose main focus is to provide family support services in a form of family resource centers and home visitations where a personal home visitor is recruited from the same neighborhood they serve to provide the caregiver the help he/she needs on how to give a better care for the child. Their mission is to support the caregiver in all areas such as job referral and training, how best to communicate with other parents in the neighborhood, the best way to overcome obstacles that the family might be facing, and how to better use the community resources such as transit system or comprehensive health care services. All these services are provided until the age of five of the youngest child in the family. The family resource centers offers support in budgeting, parenting groups, health, immunization, overall child development, class sessions for anybody who would like to learn Spanish, English, Hmong, or Russian, and Play and G row groups which are parent/child bonding classes through arts and crafts and kid connection. In addition to the family resource centers and the home visitations, families also have the support of the team of consultants and specialists such as Nurses and Family health counselors, joined together to coordinate a full range of services for the families. (www.birth-beyond.com/Content/Learn-Participate/Learn_More.htm). The geographical area served by Birth & Beyond is the Sacramento County which houses nine different Family Resource Centers. Each resource center is responsible for certain zip codes areas of the Sacramento County. Many serve up-to five different zip code areas, however Meadowview Family Resource Center only serves the zip codes 95822, 95831, and 95832. (www.birth-beyond.com/Content/Locations/FRC_map.htm). According to Heather Blanchard, Meadowview Family Resource Center serves one hundred and thirty families, in which fifteen are Spanish speaking families and five are English speakers. Home visitation services are provided to ten families. This center has the capacity to serve two hundred families. Birth & Beyond is open to anyone who would like to improve the care of their children. However, since Meadowview Family Resource Center is located on Florin Road, the population that frequents this facility the most is Spanish speakers. The youngest client at this facility as of now is a fifteen year old female who started attending at this facility at the age of thirteen and the oldest person is forty-one. This facility is visited by 99% females and .

Platforms of Different Party Systems Essay

The Libertarian Platform, as presented by the Libertarian National Committee, Inc. placed a high value on the individual freedom and restricts possible limitations that the government or any authoritarian power might inflict. The sovereignty lies upon the individual and not in the government; meaning the individual has a complete control of their lives. â€Å"Freedom† is defined as not being subjected or forced to do something by anyone else. It is further supplemented that the government exist to protect and respect the individual’s freedom and individual rights. The three basic individual rights that libertarians aim to uphold are the right to life, the right to liberty of speech and action and the right to property. The platform further discussed that Libertarians ‘oppose all interference of the government in the areas of voluntary and contractual relations between individuals’ Furthermore, the government reserves no right to force individuals to do’ sacrifices to benefit other people’. The platform also highlighted that the Libertarian supports ‘free trade and free market’. In a more detailed discussion of Individual Rights, Personal Liberty is defined under the consideration that individual freedom requires the individual to accept any possible consequence that may result to his execution of such freedom. To this end, the Libertarians support the proliferation of ‘full freedom of expression and communication, personal privacy, personal relationships (whatever gender or relationship a person may want to engage in), and abortion’. It also supports to recompense the victim to the fullest extent that is achievable at the cost of the criminal and against any possible cutback of legal safeguards of the accused’. The Libertarian party upholds the ‘common-law right’ of the juries to help or guide them in their judgment, not just of the ‘facts alone, but also justice of law’. In terms of Economic liberty, Libertarians oppose any form of ‘redistribution of wealth or control of trade’ by the government and its representative/s. In specific details, concerning property rights and contracts—the individual may engage and may do anything that he/she wants with and/or within his/her property provided that his/her action/s will not infringe the rights of other people. The Libertarian Party Platform also mentioned that the Libertarians oppose possible ‘violations of liberty of contract, right to private property as well as freedom to trade (not to trade)’. Concerning the environment, Libertarians explained in their platform their belief that the ‘free markets and property rights motivate and encourages individuals and companies as well to protect the environment’. Government- the Libertarian claims holds no responsibility for the damage done to the environment. Also, Government according to the Libertarian platform should not ‘subsidize energy’ thus; government shall have no control on the pricing and regulation of energy and its sources. Another issue under Economic Liberty deals with Government finance and spending. The platform stated that the party ought to ‘call for a repeal of the Income tax’ and that the Libertarians support the ‘Balanced Budget Amendment’ which will cut on governmental expenditures instead of collecting taxes. The Libertarians are also not in favor of incurring debts under the assumption that this will burden the future generation. Other Economic concerns deals with free-market banking, opposing government subsidies to businesses, promotion of employment by repealing laws that ‘possibly impede’ employment and oppose other governmental interference in the labor market, non-interference in the children education, re-establishing a free market health-care system and private-voluntary retirement system. In terms of issues surrounding the Security of Liberty, the Libertarian Platform highlights that providing ‘security’ shall be the only ‘purpose of the government’. In regards to National Defense, the Libertarian platform mentioned that they will support ‘sufficient military’ that shall be able to defend the country from aggressor/s; nonetheless, they do not intend to promote or to continue any form of ‘compulsory national service’. In line with the priority of individual tights, the platform described that intelligence agency should be transparent and open to public scrutiny. The libertarians are also against foreign intervention policies specifically providing any military and economic aid/s. Also the platform mentioned that Libertarians are against bigotry and/or any form/s of discrimination. The Libertarians also promotes a more representative form of government to encourage people from all walks of life to participate in the government. Lastly, the platform mentioned ‘self-determination’ which shall support the people if they want to replace the current government with another which shall further protect the people’s liberty. The Democratic Party The Democratic Party Platform is pushing towards the concept of ‘unity in diversity’ with the primary goal of the people and their way of life while helping to construct a more peaceful, more prosperous, safer and more democratic world. The platform includes security policies that are focused on military and supporting national freedom. The platform also includes several criticisms about the Bush administration and the use of force instead of diplomacy in most situations. The democratic platform also encourages that weapons of mass destruction shall be eliminated since it is a threat to the country. The Democratic Party believes that the promotion of democracy, the rule of law and human rights are all vital to the country’s long-term security. The Democrats according to their platform in 2004 would like to uphold an international standard for ‘treatments of Prisoners’ specifying that ‘torture is unacceptable’. The democratic platform also talked about Iraq’s military and political situation, Africa’s health and human rights issues, Europe nations as America’s Atlantic ‘allies’, Asia’s economy and support, securing Israel in the Middle East, help in establishing and/or maintaining peace in Northern Ireland, cooperating with Russia in terms of proliferation of –democracy, rule of law and human rights, reinforcement of democratic values to the Latin America and the Caribbean. The Democratic Party would like to address with the global health issues which the democrats believed to be a ‘humanitarian obligation and a national security imperative’. The platform also mentioned the promotion of international economic development as an imperative which shall spread ‘peace across the globe’. Another focus of the platform is the ‘strengthening of the military’ by expanding ‘active duty personnel’ with an approximate of more or less 40,000 new soldiers. Another proposed strategy was the creation of the ‘New Total Force’ which will be a group of Special Forces that has double capacity than before. Then the democratic platform also suggests the creation of 21st century weapons which will use the modern-day technology. There is also a mention of the best possible training for soldiers, enactment of ‘Military Family Bill of Rights’ and better use of national guards. Other focus of the platform includes independence in Energy resources by finding a way to create renewable energy, building energy-efficient vehicles, finding other alternatives of producing electricity, moving beyond OPEC, cutting energy used by the federal government and promoting conservation among others. The platform also vows to create more good jobs, supporting the middle class, reforming health care system, improving education by making college more affordable and protecting the environment through acts and government programs.

Political Parties of 1800s Essay

The Democratic and Republican Parties can trace their roots back to the 1800s, but some of the most interesting stories in American political history spring from parties which enjoyed flashes of glory before fading away for good. The extinct political parties of the 1800s include organizations which were successful enough to put candidates in the White House. And there were also others that were just doomed to inevitable obscurity. Here is a listing of some significant political parties who are no longer with us, in roughly chronological order: Federalist Party The Federalist Party is considered the first American political party. It advocated a strong national government, and prominent Federalists included John Adams and Alexander Hamilton. The Federalists did not build a sustaining party apparatus, and the party’s defeat in the election of 1800 led to its decline. It essentially ceased to be a national party after 1816. (Jeffersonian) Republican Party The Jeffersonian Republican Party, which, of course, supported Thomas Jefferson in the election of 1800, was formed in opposition to the Federalists. The Jeffersonians tended to be more egalitarian than the Federalists. Following Jefferson’s two terms in office, James Madison won the presidency on the Republican ticket in 1808 and 1812, followed by James Monroe in 1816 and 1820. The Jeffersonian Republican Party then faded away. The party was not a forerunner of the present day Republican Party. At times it was even called a name which seems contradictory today, the Democratic-Republican Party. National Republican Party The National Republican Party supported John Quincy Adams in his unsuccessful bid for reelection in 1828 (there had been no party designations in the election of 1824). The party also supported Henry Clay in 1832. The general theme of the National Republican Party was opposition to Andrew Jackson and his policies. The National Republicans generally joined the Whig Party in 1834. The National Republican Party was not a forerunner of the Republican Party, which formed in the mid-1850s. Anti-Masonic Party The Anti-Masonic Party formed in upstate New York in the late 1820s, following the mysterious death of a member of the masonic order, William Morgan. It was believed that Morgan was killed before he could reveal secrets about the masons and their suspected influence in American politics. The party, while seemingly based on conspiracy theory, gained adherents. And the Anti-Masonic Party actually held the first national political convention in America. Its convention in 1831 nominated William Wirt as its presidential candidate in 1832. Wirt was an odd choice, having once been a mason. And while his candidacy was not successful, he did carry one state, Vermont, in the electoral college. Part of the appeal of the Anti-Masonic Party was its fiery opposition to Andrew Jackson, who happened to be a mason. The Anti-Masonic Party faded into obscurity by 1836 and its members drifted into the Whig Party, which also opposed the policies of Andrew Jackson. Whig Party The Whig Party was formed to oppose Andrew Jackson’s policies and came together in 1834. The party took its name from a British political party which had opposed the King, as the American Whigs said they were opposing  Ã¢â‚¬Å"King Andrew.† The Whigs candidate in 1836, William Henry Harrison, lost to the Democrat Martin Van Buren. But Harrison, with his log cabin and hard cider campaign of 1840, won the presidency (though he would only serve for a month). The Whigs remained a major party throughout the 1840s, winning the White House again with Zachary Taylor in 1848. But the party splintered, mainly over the issue of slavery. Some Whigs joined the Know-Nothing Party, and others, most notably Abraham Lincoln, joined the new Republican party in the 1850s. Liberty Party The Liberty Party was organized in 1839 by anti-slavery activists who wanted to take the abolitionist movement and make it a political movement. As most leading abolitionists were adamant about being outside politics, this was a novel concept. The party ran a presidential ticket in 1840 and 1844, with James G. Birney, a former slaveholder from Kentucky as their candidate. The Liberty Party drew meager numbers, garnering only two percent of the popular vote in 1844. It has been speculated that the Liberty Party was responsible for splitting the anti-slavery vote in New York state in 1844, thereby denying the state’s electoral vote to Henry Clay, the Whig candidate and assuring the election of the slave-owning James Knox Polk. But that assumes Clay would have drawn all the votes cast for the Liberty Party. Free-Soil Party The Free-Soil Party came into being in 1848, and was organized to oppose the spread of slavery. The party’s candidate for president in 1848 was former president Martin Van Buren. Zachary Taylor of the Whig Party won the 1848 presidential election, but the Free-Soil Party did elect two senators and 14 members of the House of  Representatives. The motto of the Free-Soil Party was â€Å"Free Soil, Free Speech, Free Labor and Free Men.† After Van Buren’s defeat in 1848 the party faded and members were eventually absorbed into the Republican Party when it formed in the 1850s. The Know-Nothing Party The Know-Nothing Party emerged in the late 1840s as a reaction to immigration to America. After some success in local elections with campaigns rife with bigotry, former president Millard Fillmore ran as the Know-Nothing candidate for president in 1856. Fillmore’s campaign was a disaster and the party soon dissolved. Greenback Party The Greenback Party was organized at a national convention held in Cleveland, Ohio in 1875. The formation of the party was prompted by difficult economic decisions, and the party advocated the issuing of paper money not backed by gold. Farmers and workers were the party’s natural constituency. The Greenbacks ran presidential candidates in 1876, 1880, and 1884, all of whom were unsuccessful. When economic conditions improved, the Greenback Party faded into history.