28 Quotes About Teenage Love

Do you feel woozy every time your object of affection passes by your desk in class? Do you swoon with delirious happiness whenever they say as much as a hi to you? Well, guess whos having a crush? Crushes are a natural part of growing up. During your  teenage  years, your body goes through physical and emotional changes. One such change is an acute awareness of oneself, and the need to be loved. A lot of the trials and tribulations of adolescence can be attributed to teenage love. Seemingly insignificant, teenage love can, in fact, mark the beginning of great, mature, and everlasting love. The following  love quotes  for teens expound on the impish and youthful love that brews between two young hearts. Robert HerrickWhat is a kiss? Why this, as some approve: The sure, sweet cement, glue, and lime of love. J. K. RowlingWhen you have seen as much of life as I have, you will not underestimate the power of obsessive love. William ShakespeareThey do not love that do not show their love. The course of true love never did run smooth. Love is a familiar. Love is a devil. There is no evil angel but love. Elizabeth BowenFirst love, with its frantic haughty imagination, swings its object clear of the every day, over the rut of living, making him all looks, silences, gestures, attitudes, a burning phrase with no context. C. S. LewisWhy love if losing hurts so much? We love to know that we are not alone. Raquel Cepeda, Bird of Paradise: How I Became LatinaNobody, she felt, understood her. Not her mother, not her father, not her sister or brother, none of the girls or boys at school, Nadie, except her man. AnonymousIts funny, most people can be around someone and then gradually begin to love them and never know exactly when it happened. AnonymousLove is like playing the piano. First, you must learn to play by the rules, then you must forget the rules and play from your heart. Margaret Atwood, The Blind AssassinThe young habitually mistake lust for love, theyre infested with idealism of all kinds. MoliereA lover tries to stand in well with the pet dog of the house. John GreenAll sorts of yayness floods my brain. Love is such a drug. AnonymousLove: a wildly misunderstood although highly desirable malfunction of the heart which weakens the brain, causes eyes to sparkle, cheeks to glow, blood pressure to rise and the lips to pucker. George Bernard ShawFirst love is only a little foolishness and a lot of curiosity. Tyne DalyLove is as strict as acting. If you want to love somebody, stand there and do it. If you dont, dont. There are no other choices. Winnie the PoohPromise me youll never forget me because if I thought you would Id never leave. Antonio PorchiaI love you as you are, but do not tell me how that is. Vladimir NabokovI think it is all a matter of love; the more you love a memory the stronger and stranger it becomes. NietzscheThere is always some madness in love. But there is also always some reason in madness. Henry Ward BeecherYoung love is a flame; very pretty, often very hot and fierce, but still only light and flickering. The love of the older and disciplined heart is as coals, deep-burning, unquenchable. Marc ChagallIn our life, there is a single color, as on an artists palette, which provides the meaning of life and art. It is the color of love. Oscar WildeMen always want to be a womans first love; women like to be a mans last romance. William WordsworthThe little-unremembered acts of kindness and love are the best parts of a persons life. Barbara HowerThere is nothing better for the spirit or the body than a love affair. It elevates the thoughts and flattens the stomachs. Suzanne NeckerThe quarrels of lovers are like summer storms. Everything is more beautiful when they have passed. Leigh HuntStolen kisses are always sweetest. Eleanor RooseveltThe giving of love is an education in itself. Lynda BarryLove is an exploding cigar we willingly smoke. Ingrid BergmanA kiss is a lovely trick designed by nature to stop speech when words become superfluous.

The Battle Of The World War II - 2128 Words

World War II, which lasted from 1939 to 1945, is considered the largest armed conflict in human history. This war was fought over six different continents, in every ocean, and ultimately resulted in fifty million military and civilian deaths; including the six million Jews who perished in the Holocaust. Within the course of the seven-year span of fighting in the war, two decisive battles changed the tide of the war in each theater: The D-Day landings and the Battle of Midway. The invasion of Normandy occurred in the Atlantic theater whereas the Battle of Midway took place in the Pacific Theater of the war. Although these battles happened in different theaters of the war, the Allied victories sent both the Japanese and the Germans marching†¦show more content†¦This attack, if successful would be every beneficial for the Japanese. It would not only allow them to enter Hawaiian water with a base in the eastern Pacific, but more significantly, it would strike fear into the Amer ican people. Because this attack was so important to Japan and they depended heavily on it, the Emperor assembled the largest force ever to be assigned in Japanese Naval history. This force consisted of eight carriers and eleven battleships and the Japanese looked to achieve their naval attack on Midway through the use of surprise and stealth. What they did not know is United States cryptanalysts in Hawaii had already decoded bits and pieces of their messages. They were able to decode that a large attack was going to take place but they were unsure of where this strike would take place. All they knew is the location was titled â€Å"AF.† They believed this location to be Midway Island, so through a secure telegraph, the United States told the island to radio message stating that they were low on water. As a result of intercepting these messages and obtaining this important information, the United States were able to prepare for the attacks. As Admiral Chester Nimitz in Honolu lu stated: Had we lacked early information of the Japanese movements, and had we been caught with carrier forces dispersed†¦ the Battle of Midway would have ended differently. Beginning his preparations, Admiral Nimitz ordered for sweeping

Gun Control And The Rights Of A Free State - 1632 Words

A well-regulated Militia, being necessary to the security of a Free State, the right of the people to keep and bear Arms, shall not be infringed. (The Second Amendment of the U.S. Constitution). As Americans we are afforded certain rights that are upheld by the United States constitution, and many citizens believe these rights to be part of our nation’s heritage, or the â€Å"birthright† as Americans. Conversely there are those which are opposed to some of these â€Å"birthrights† which were added to the nation’s constitution almost two hundred and thirty years ago. Although gun control is a major topic concerning Americans and their rights, it is not always on the forefront of the many issues in today’s world. It is only when there is a†¦show more content†¦Later, in 1938, The Federal Firearms Act was put in place which further restricted the state to states movement of firearms. This new law prevented those convicted and without prop er permits from obtaining guns, but there were no consequences to those who sold guns to these people. More and more firearm restriction acts were passed like the Federal Firearms Act of 1938, The Gun Control Act of 1968, and the Brady Bill in efforts to regulate the sale, manufacturing, and purchase of firearms. Opponents of strict gun laws often reference the Bill of Rights, specifically the Second Amendment. Although the Bill of Rights gives Americans certain freedoms, it does not mean Americans are not without certain regulations. Each state has its own constitution, and in each constitution limits can be added to certain freedoms to ensure the safety of its people. For example, Florida, Georgia and Texas’ constitutions allow its citizens to carry arms as a means of self-protection, but it always states that this freedom shall be regulated by the authority of the government. Even though all states feel guns need to be regulated many disagree in which way regulations are set. There are an estimated twenty thousand local, state, and federal gun laws currently regulating firearms in the United States (Gold, 2004). Although each state

Television Programs Can Support And Facilitate Language...

For many years, parents have relied on using educational programs to teach and engage their children with new concepts and materials. Conversely, many children have also used television as an opportunity for learning and language development. For example, the rise of television programs like Elmo Street and Teletubbies demonstrates this upward trend of substituting media sources for teaching and learning. However, despite the increasing support from parents toward television programs, many researchers have mixed reviews on putting our children into viewing long hours of what they considered unnecessary learning. Thus in what follows of this paper, I will focus on explaining how television programs can support and facilitate language development. Moreover, I will also discuss the mixed literacy support for using television as a learning tool and finally, I will conduct a study that measures, specifically, the relationship between watching educational TV and learning novel words. Hopef ully, with these measures, I will be able to find supporting evidence that proves educational TV can be a good predictor for word learning. Through the years, one continuous point of debate has been whether educational TV can facilitate and improve word learning in children. Many studies on this debate have found distinct and mixed research outcomes. For example, one study has been Mabel’s Rice Word from Sesame Street, in which he found mixed supporting evidence that television programs canShow MoreRelated autism Essay923 Words   |  4 Pagestheir own worlds, people with autism appear indifferent and remote. They are normally unable to form emotional bonds with others. Although people with this brain disorder can display a wide range of symptoms and disabilities, many are incapable of understanding other peoples thoughts, feelings, and needs. Often, their language and intelligence do not fully develop. This makes communication and social relationships difficult. 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I’m here to offer three simple steps parents can take to solve the problem of how to use media with your young children. Be educated. Be smart. And don’t be afraid. The first step--becoming educated--is by far the most dense and daunting. There are millions of studies questioning every conceivableRead MoreHow Television Programs Can Support And Facilitate Word Development Essay2078 Words   |  9 Pagesparents have relied on using educational programs to teach and engage their children with new concepts and materials. Conversely, many children have also used television as an opportunity for learning and language development. For example, the rise of television programs like Elmo Street and Teletubbies demonstrates this upward trend of substituting media sources for teaching and learning. 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To benefit children’s development and learning, technology play has to be inclusive and developmentally appropriate with attention to technology placement while ensuring the learning is curriculum based. To extend the learning experience skilled educators have to scaffold children’s learning experience with different tools, technology play can thus be a useful tool. Play crosses socialRead MoreEssay on Media Violence in Childrens Lives2588 Words   |  11 Pagesthere has been an increase in the amount and severity of violent acts observed by children through the media, including television, movies, computer games, and videotapes, and an increase in the manufacture and distribution of weapon-like toys and other products directly linked to violent programming. In response, Governing Board appointed a panel of experts to guide the development of initiatives and resources to assist teachers and parents in confronting the issue of violence in the lives of children

Open Tendering Construction Essay Example For Students

Open Tendering Construction Essay Open tendering is a one-stage command procedure, where all interested and reacting to contract notice will be invited to subject a tender.A The contract notice provinces where to obtain stamp paperss and the last day of the month when stamps will be accepted.A Open stamp is unfastened to public A ; all the interested houses can use for the contract. Outline1 Advantages of unfastened tendering2 Disadvantages of unfastened tendering3 2.0.2 Selective tendering4 One phase selective tendering5 Two phase selective tendering6 Advantages of Selective stamp7 Disadvantages of Selective stamp8 2.1 Factors which used by client to explicate the choice list9 2.1.1 Information of the company10 2.1.2 Awards ; A ; accomplishments11 2.1.3 Successfully complete undertakings12 2.1.4 Work in advancement13 2.1.5 ICTAD scaling and relevant documental grounds14 2.1.6 Fiscal information15 2.1.7 Experience as a chief contractor16 2.2 Typical clients17 2.2.1 Banks18 2.2.2 Merchant19 2.2.3 Government bureau20 2.3 Tender procedure21 Client22 Adviser23 Contractor24 2.3.1Client25 2.3.2 Adviser26 2.3.3 Contractor27 2.4 Contractual certification required for tendering28 2.4.1 Bid bond29 2.4.2 how command bond plants30 2.4.3 Bid bond Requirements31 2.4.4 Form of stamp32 2.4.5 Construction plan Advantages of unfastened tendering No favourism ( everyone can use for the stamp ) High competition in pricing ( client will take good award ) New houses can come in into the market Increased employment chances ( new houses comes ) New experience ( new engineering ) Helps contractors to turn Contractors get new client Disadvantages of unfastened tendering Selected contractor might non accommodate the undertaking ( antique: no experience ) Inexperienced houses can come in into the market Unknown houses can come in into the markets Waste of gauging clip High sum cost for stamp ( antique: electricity, conveyance ) High rating clip ( because we have to look into all the paperss ) Unrealistic competition Arbitrations 2.0.2 Selective tendering A procedure of competitory tendering for award of the contract for building whereby the proprietor selects the builders who are invited to tender to the exclusion of others, as in the procedure of unfastened tendering. It means the client selects the contractor from limited list A ; invitation to stamp is made by client to the contractor by a missive. In selective tendering short listing can be done by, Invitation ICTAD class Prequalification ( fiscal ) Post making Negotiation In selective tendering there can be two phases, One phase selective tendering Two phase selective tendering One phase selective tendering Client advertise for contractor to use for short listing Short list the contractors who are considered suited to make the work A ; approved list is maintained by the client. ( competition ) Two phase selective tendering Single phase for competition, dual phase for competition plus early start of work at site. Contractor s experience/ practical cognition is utile at the design phase First phase Inviting for stamp Inform about 2 phase stamp Pre select the contractor ( a simple BOQ ) Contractors give proposal for the design Second phase Negociate the rates with the contractor for 2nd clip Advantages of Selective stamp Well known contractor Good quality Less aggregative cost for stamp Less rating clip Disadvantages of Selective stamp Favourism Less monetary value competition Cartel tendering New houses can non come in in to the market Regular updating is necessary 2.1 Factors which used by client to explicate the choice list 2.1.1 Information of the company Information of the company is really of import when the clients are giving the stamps. Because they want to cognize how much they can swear that company. Reason is some companies are new to the industry ; A ; some are really old to the Industry. When companies are new to industry, the hazard is more to the client. Because when companies are new to the industry most of the companies are non go on their services. But when we speaking about old companies they are continue their services. Because of that clients like to handover at that place stamp to the old companies than the new companies. 2.1.2 Awards ; A ; accomplishments When the companies are go oning their work some sections showing awards for best company of the twelvemonth etc. When companies are offering awards clients like to handover their stamp to these companies. Because there s no any hazard to the client. 2.1.3 Successfully complete undertakings Client giving a contract to a contractor it is indispensable to cognize the successfully completed undertakings. Because some companies even non finish a individual undertaking even. So that is developing their trust on the contractor. 2.1.4 Work in advancement The work they making during they using for the stamp is more of import for client to handover their stamp for the contractor. That is a benchmark for the company to take a stamp. Sustainability Ethics : Overcome Environmental Ethicss Essay2.3.3 Contractor A contractor is a individual who in the class or promotion of a concern, carries out or manages building work. It means in building he is the adult male who responsible twenty-four hours to twenty-four hours go oning in the site. Actually we can call the contractor as general contractor of the site. The contractor is employed by the client. Imagine 1s contractor got the stamp first thing is he hold to see the site to acquire better understanding about the undertaking. Second the contractor makes the valuing list which called as estimation. A responsibility which contractor has to make is pull off the work. It is the most of import thing in the site. It means he has to be after the twenty-four hours today work like what are the hazards we have to accomplish, when we traveling to finish this undertaking, what are the demands of the labors including wellness ; A ; safety, protecting the populace while making the projectaˆÂ ¦etc. as a contractor if he plans the work in clip we can m aintain the relationship between client ; A ; contractor. Another duty which contractor demands to make is supplying information ; A ; trains them for the regulations ; A ; ordinances. It s includes site debut, hazards, sit rulesaˆÂ ¦etc. 2.4 Contractual certification required for tendering command bond signifier of stamp building plan twenty-four hours work agenda power of lawyer prequalification papers Quality and safety proceeding Transcript of ICTAD, NCASL enrollment 2.4.1 Bid bond On most major building undertakings, work is awarded through a procedure known as command. A command bond is of import to demo cogent evidence of warrant to the undertaking proprietor that you can obey with the command contract and besides that you can carry through the occupation as laid out in the contract. A command bond is a warrant that you provide to the undertaking proprietor saying that you have the capableness to take on and implement the undertaking once you are selected during the command procedure. Normally, undertaking proprietors do non cognize if a contractor is financially stable or has the necessary resources to take on a undertaking 2.4.2 how command bond plants During command, assorted contractors estimate what the occupation will be to finish. They submit this monetary value to the proprietor in the signifier of a command. The lowest bidder will be awarded a contract for the occupation. If this bidder realizes they made a error with their command, or refuses to subscribe the contract for any ground, the adhering company will guarantee the proprietor suffers no fiscal loss. This normally means that the bonding company will pay the proprietor the difference between the lowest and following lowest commands. Sometimes, the adhering company may action the contractor to retrieve these costs. The possibility of cases depends on the footings of the bond. 2.4.3 Bid bond Requirements Under theA Mille act, which is still the criterion today, all bidders are required to subject command bonds on any federal undertaking. Many private houses have copied this tendency to protect themselves from hazard during the command procedure. Geting bond is really of import if you want your company to go competitory in building filed. 2.4.4 Form of stamp A stamp signifier is issued to a provider during the Invitation to Tender procedure. Each Tender Form helps the squad to roll up information about possible providers so that they can name one or more preferable providers to the concern. As each Tender Form is released to the providers, the advancement is tracked in the Tender Register. To salvage clip making each Tender Form, a Tender Template is used. 2.4.5 Construction plan A work method statement, sometimes referred to as a safe work method statement or a safe work process, is a portion of a workplace safety program. It is predominately used in building to depict a papers that gives specific instructions on how to safely execute a work related undertaking, or run a piece of works or equipment. In many states it is jurisprudence to hold work method statements, or similar, in topographic point to advice employees and contractors on how to execute work related undertakings safely. The statement is by and large used as portion of a safety initiation and so referred to as required throughout a workplace. The building plan envelop the followers, intent range

Evidence Based Practice Samples for Students †MyAssignmenthelp.com

Question: Discuss about the Evidence Based Practice. Answer: Evidence Based Practice (EBP) Evidence based practice is the type ofnursing practice in which the current evidence are used in making decisions about patient care (Hall Roussel, 2016). It is a type of problem solving approach for the clinical learning. It is a systematic search and a type of critical appraisal of the evidences to find the answer to a clinical problem. The EBP is a method which allows the medical practitioner to study journals, clinical guidelines and other resources based on the information, and then apply the findings to clinical practice. The evidence does not make the decision but it helps to support the process of patient care. It includes three important components which is needed to the practice, these are: Best research evidence Clinical expertise Patient values and preferences These three components enhance the clinical outcomes and the quality of life. EBP generally requires new skills of clinical learning, which includes literature searching and the application of the evidence for the evaluation of the problem. The EBP is usually needed to generate the questions for the therapy, the diagnosis, and the prognosis of the diseases. Key Steps in the EBP Process Framing the Clinical Question Finding the Evidence Assessing the Evidence Making the Clinical Decision Concepts in Evidence-Based Public Health Systemic Review: basic appraisal and assessment of research that endeavors to address an engaged inquiry utilizing the techniques proposed to lessen the probability of predisposition. The procedure of organizing a systemic review incorporates a search of the writing, also including unpublished examinations. Meta-Analysis: outline that joins a quantitative system for consolidating the results of various examinations into summary. Risk Assessment: It is a type of approach to deal with the threat to people and populations by natural contaminations. Decision Analysis: precise way to deal with basic leadership under vulnerability; includes recognition of every single accessible option and assessing the probabilities of potential results related with every option, esteeming every result, and, on that basis of the probabilities and qualities, a quantitative study is estimated. Economic Evaluation: relative analysis of the alternatives in terms of their expenses and results. Expert Panels and Consensus Conferences: examination of research contemplates and their importance to being healthy conditions, remedial and therapeutic strategies, arranging health policies, and group interventions. Ordinarily the boards of specialists are assembled by government offices or particular wellbeing associations. Practice Guidelines: methodically created to help expert and patients decisions about health care for particular clinical conditions; might be created by government offices, establishments, or by the gathering of master boards. Barriers of evidence based practice The structures and culture of the associations are the main barriers of evidence based practice. Components which are external to the individuals are of most important. Existing hierarchical structures is the proof of the existence of a generally respectful culture which stresses the routine in basic leadership are clearly mentioned in NHS. Given this reality, associations should receive various methodologies to encourage and advance the utilization of proof by and by basic leadership. Barriers to the utilization of research in clinical practice have been cited as often as possible. Studies have researched imaginable barriers to the selection of EBP by medical nurses. These examinations have distinguished regular obstructions over various nations. Truly, the essential boundaries to the utilization of research have been connected to the support given by the association in which medical attendants work, the medical attendants' examination esteems and aptitudes, the nature of research, and how the exploration is imparted or displayed. Facilitators of evidence based practice The key facilitating factors for EBP include support, encouragement, and recognition by the management and administration. Numerous facilitators of research utilization have been recognized in the articles. These facilitators incorporate administrative and associate help, accessibility of time to audit and execute examine discoveries, accessibility of significant research, partners' help, strong arrangements, and preparing openings. Barriers and facilitators to inquire about usage were classified into authoritative variables, singular components, communicational elements, and nature of research (Harvey Kitson, 2015). PICO The PICO is a technique to study evidence based practice and makes a framework to find the answer of a health care question. The PICO stands for P Patient, problem or population I Intervention C Comparison or control O Outcome PICO Does the platelet transfusion indications in pediatric cancer patients works or not? P: population (pediatric cancer patients) (aged less than 18) I: Intervention strategy: blood components transfusion (platelets, red blood cells, cryoprecipitate) irradiated products, leukocyte-depleted products, platelet aphaeresis. Comparison: Platelet transfusion is suitable or not Outcomes: indications for transfusions in the specified population. Introduction Transfusion therapy is the mostly used now-a-days for the treatment of pediatric cancer. In this paper the age group which was taken into consideration for addressing is under 18. Despite the knowledge of the principles of immunology which maintains the transplants of a tissue by minimizing the transfusion therapy risks. Additional evidence is needed to determine the most appropriate instance for using transfusion therapy in pediatric cancer patients. The first step was searching for evidence-based clinical practice guidelines in Pub Med, CINAHL, MEDLINE, WHO - World Health Organization, Google scholar, National Cancer Institute Journal and many more. Keywords that were used for the search are: Infant OR Child, Adolescent OR childhood OR Pediatrics OR Minor AND Blood Component Transfusions OR Erythrocyte Transfusions OR Red Blood Cell Transfusion OR Platelet Transfusions OR Blood Component Transfusion OR Aphaeresis AND Tumors OR Neoplasm OR Tumor OR Cancer OR Neoplasm OR Neoplasm AND Random research design OR Evaluation Studies OR follow-up studies OR prospective studies OR cross-over studies OR control OR prospective OR volunteer AND evidence-based medicine Journal no. Title Authors Year of publication Scoring 1 Platelet transfusion: a Clinical Practice Guideline From the AABB Platelet transfusion: a clinical practice guideline from the AABB. Annals of internal medicine, 162(3), 205-213. Kaufman et al. 2015 Recommended 2 Red blood cell transfusion practice in children: current status and areas for improvement? A study of the use of red blood cell transfusions in children and infants. Transfusion, 54(1), 119-127. New et al. 2014 Agreed 3 Characterization of transfusion-derived iron deposition in childhood cancer survivors. Cancer Epidemiology and Prevention Biomarkers, cebp-0292. Ruccione et al. 2014 Agreed 4 Platelet transfusion: a systematic review of the clinical evidence. Transfusion, 55(5), 1167-1127. Kumar et al. 2015 Strongly agreed 5 Current status of platelet transfusion in pediatric patients. Transfusion medicine reviews, 30(4), 230-234 Sloan Parker 2016 Recommended 6 Transfusion therapy evidence-based recommendations for the pediatric cancer patient. Colombian Journal of Anesthesiology, 44(2), 151-160. Pardo-Gonzlez, Linares Torres 2016 Agreed 7 Explaining the excess morbidity of emergency general surgery: packed red blood cell and fresh frozen plasma transfusion practices are associated with major complications in non-massively transfused patients. The American Journal of Surgery, 211(4), 656-663. Havens et al. 2016 Agreed 8 Transfusion?related alloimmunization in children: epidemiology and effects of chemotherapy. Vox sanguinis, 111(3), 299-307. Solh et al. 2016 Recommended 9 Implementation of Evidence-Based Care in Pediatric Hematology/Oncology Practice. In Patient Safety and Quality in Pediatric Hematology/Oncology and Stem Cell Transplantation (pp. 253-275). Springer International Publishing. Werner Ramirez 2017 Strongly agreed 10 Analysis of Prognostic Factors of Hematopoietic Stem Cell Transplantation Patients Admitted to ICU. Abstracts/Biol Blood Marrow Transplant, 22(S19eS481), S19eS481. Fielding, Grigg, Booth 2016 Agreed A key rule in transfusion treatment expresses that the reason for anaemia might be recognized before RBC transfusion. Moreover, the choice to transfusion of RBC must depend on the symptoms instead of by the hemoglobin levels and remember that RBC transfusion is just suggested in the patients who are suffering from leukemia and unable to manage normal range of hemoglobin. There are two basic therapies for this disease. The prohibitive methodology that demonstrates transfusion is based on two principles: haemoglobin level below 8g/dL and proof of hemodynamic degeneration. The second approach is liberal and sets up more elevated amounts of hemoglobin ignoring the hemodynamic effect. The result of this survey suggests the prohibitive methodology, to diminish the extent of transfused patients and the measure of RBC transfused, with no effect on morbidity or term of staying at hospital. The conclusion is thus stated that the advantages of reducing transfusions are more than the threat of RBC transfusion. Platelet transfusion support is resolved on the principle of two methodologies: a prophylactic technique described by recording platelet count to keep the threat of haemorrhage; and the therapeutic methodology that suggests platelet transfusion when bleeding causes. In the case of platelet transfusions, allo-immunization might be avoided, A with respect to ABO platelets. Un-identical ABO platelet organization is a satisfactory transfusion when platelet count deficiencies are an issue, or when the patient requires HLA platelets that are not ABO coordinated. In RH D negative patients, concentration is to be negative, especially in ladies. The platelet prescribed volume is 10-20 ml/kg for kids under 15 kg and one unit for aphaeresis for patients more than 15 kg, 11 at an implantation rate of 20-30 cc/kg/h. Literature Study Kaufman et al., 2015, told that Platelet prophylaxis, as compared with a therapeutic platelet transfusion strategy, reduces but does not eliminate the risk for bleeding in hospitalized patients with therapy-induced hypo-proliferative thrombocytopenia. However, low-dose platelets must be transfused more often because they provide a lower platelet increment. New et al., 2014, studied and reported that pediatric RBC transfusion practice has demonstrated significant variation in pre-transfusion Hb, frequent prescribing in units rather than milliliters, and a high proportion of single transfusions during admissions. Future education and research should target transfusion triggers and prescription volumes for children in all clinical areas. Ruccione et al., 2014, examine 75 patients up to age 14, who are receiving PRBC transfusions and conclude that excessive iron content may occur in children and also in the adolescent during the treatment of PRBC transfusion. Kumar et al., 2015, had done 17 RCTs and 55 observational studies, and concluded that prophylactic transfusion results in bleeding as compared to therapeutic transfusion is not so different. Results observed do not show a much difference in bleeding in patients. Sloan Parker, 2016, stated that Prophylactic platelet transfusions for children undergoing cancer treatment are not well characterized and require further investigation. The effect of routine platelet transfusion in pediatric cardiac surgery on postoperative outcome is unknown. The determination of platelet count threshold before various invasive procedures and clinical settings should be studied. Pardo-Gonzlez, Linares Torres, 2016, studied 56 journals concluded that Red blood cells transfusion is done by restrictive strategy in which prophylactic platelet transfusion is done. Cryoprecipitate is recommended when fibrinogen levels fall below 100 mg / dL, and indications on irradiated blood products were established. It resulted that transfusion of cryoprecipitate is very limited. Havens et al., 2015, queried at 2 tertiary academic hospitals about the EGS, and got the results that despite of similar blood loss; EGS patients received higher rates of intra-operative blood product transfusion, which was independently associated with major complication. Solh et al., 2016, done a retrospective cohort study at two different hospitals and evaluated two groups: study group, patients with oncology receiving chemotherapy and control group, patients without cancer. They found that alloimmunization frequency was low and it is not possible to determine an association between chemotherapy and alloimmunization due to the low event rate. Werner Ramirez, 2017, discuss five topics, handoff communication, identification and early treatment of sepsis and three approaches to disease prevention or mitigation-influenza vaccination, time to antibiotics in immune compromised patients, and iron chelation therapy for patients receiving erythrocyte transfusion. Each of these is relevant to pediatric hematology/oncology patients and providers and demonstrates how quality improvement methods lead to a higher delivery rate for evidence-based care. Fielding, Grigg, Booth, 2016, although a number of stem cell transplantation (HSCT) patients need intensive care to treat life threatening complications, many of them are hard to be improved. It might be caused by complicated conditions consist of multiple organ failure or immunodeficiency. Conclusion Thus it can be conclude that the platelet transfusion is very risky in pediatric cancer patients, as it leads to heavy bleeding which cause anaemia. References Hall, H. R., Roussel, L. A. (2016). Evidence-based practice.nursing Jones Bartlett Publishers. Harvey, G., Kitson, A. (2015).Implementing evidence-based practice in healthcare: a facilitation guide. Routledge. Kaufman, R. M., Djulbegovic, B., Gernsheimer, T., Kleinman, S., Tinmouth, A. T., Capocelli, K. E., ... Mintz, P. D. (2015). Platelet transfusion: a Clinical Practice Guideline From the AABB Platelet transfusion: a clinical practice guideline from the AABB. Annals of internal medicine, 162(3), 205-213. New, H. V., Grant?Casey, J., Lowe, D., Kelleher, A., Hennem, S., Stanworth, S. J. (2014). Red blood cell transfusion practice in children: current status and areas for improvement? A study of the use of red blood cell transfusions in children and infants. Transfusion, 54(1), 119-127. Ruccione, K. S., Wood, J. C., Sposto, R., Malvar, J., Chen, C., Freyer, D. R. (2014). Characterization of transfusion-derived iron deposition in childhood cancer survivors. Cancer Epidemiology and Prevention Biomarkers, cebp-0292. Kumar, A., Mhaskar, R., Grossman, B. J., Kaufman, R. M., Tobian, A. A., Kleinman, S., ... Djulbegovic, B. (2015). Platelet transfusion: a systematic review of the clinical evidence. Transfusion, 55(5), 1116-1127. Sloan, S. R., Parker, R. I. (2016). Current status of platelet transfusion in pediatric patients. Transfusion medicine reviews, 30(4), 230-234. Pardo-Gonzlez, C. A., Linares, A., Torres, M. (2016). Transfusion therapy evidence-based recommendations for the pediatric cancer patient. Colombian Journal of Anesthesiology, 44(2), 151-160. Havens, J. M., Do, W. S., Kaafarani, H., Mesar, T., Reznor, G., Cooper, Z., ... Haider, A. H. (2016). Explaining the excess morbidity of emergency general surgery: packed red blood cell and fresh frozen plasma transfusion practices are associated with major complications in nonmassively transfused patients. The American Journal of Surgery, 211(4), 656-663. Solh, Z., Athale, U., Arnold, D. M., Cook, R. J., Foley, R., Heddle, N. M. (2016). Transfusion?related alloimmunization in children: epidemiology and effects of chemotherapy. Vox sanguinis, 111(3), 299-307. Werner, E. J., Ramirez, D. E. (2017). Implementation of Evidence-Based Care in Pediatric Hematology/Oncology Practice. In Patient Safety and Quality in Pediatric Hematology/Oncology and Stem Cell Transplantation (pp. 253-275). Springer International Publishing. Fielding, K., Grigg, A., Booth, D. (2016). Analysis of Prognostic Factors of Hematopoietic Stem Cell Transplantation Patients Admitted to ICU. Abstracts/Biol Blood Marrow Transplant, 22(S19eS481), S19eS481. Evidence Based Practice Samples for Students – MyAssignmenthelp.com Question: Discuss about the Evidence Based Practice. Answer: Evidence-based practice (EBP) is a crucial element of optimal quality care in all areas ofnursing and is fundamental to influence positive changes across the diverse health care systems. EBP is known to be a continual interactive process that involves the conscientious and judicious and explicit utilisation of the best available evidence for providing care to patients coming in multifaceted health issues. Since it is the responsibility of the nurses to optimise patient outcomes and improve clinical practice, along with ensuring transparency and accountability in decision making, EBP is to be adhered to at all levels (LoBiondo-Wood Haber, 2017). The position taken in relation to EBP for registered nurses is that EBP is needed for improving patient outcomes in clinical settings. Registered nurses are to provide best quality patient care through acquiring competencies for evidence-basednursing practice as a part of their professional development. In this context, it is to be highlighted that healthcare organisations must come forward and provide support and training to RNs for enabling them to carry out EBP. Without the sufficient training and support, it would not be feasible to place nurses in a position to demonstrate capabilities for EBP. As opined by DiCenso et al., (2014)nursing is a profession that is an amalgamation of both science and arts, relying on knowledge from the physical, social, behavioural and biological sciences for making decisions. Nursing knowledge is to be gained though a number of ways that include formal education, research and clinical practice. For gaining competence in science and art of nursing, one must engage in life-long learning. Evidence-based practice refers to the integration of best available evidence for literature into own practice for the purpose of enhancement of clinical expertise and respect for patient values. It considers external and internal influences on practice, thereby encouraging a critical thinking process while caring for a patient population or a system. EBP is the approach taken by nurses for making decisions that are appropriate and based on clinical expertise in combination with relevant and recent research on the concerned nursing topic. This form of practice has been linked with providing care based on principles understood from critically analysing high quality research and their significant findings (Stevens, 2013). EBP is guided by the NMBA registered nurse standards for practice that entails nurses to engage in continual research for improving their practice. According to Standard 1, nurses are required to think critically and analyse their practice. An RN is required to use a diverse range of thinking strategies and the evidence at disposition for making important decisions and providing safe practice within suitable person-centred frameworks. The Standard 5 entails nurses to appraise relevant and comprehensive information and document them for future purposes. Based on this documentation agreed plans could be developed in partnership with patients. According to Standard 6, RNs are to delegate ethical goal-directed actions on the basis of evidence that ensure planned outcomes (nursingmidwiferyboard.gov.au, 2016). According to Melnyk et al., (2014) the transition EBP is characterised by three phases; practice, evidence and translation. The process is multifactoral and involves a series of key steps. The first and most crucial step is the identification of a trigger that is a clinical question arising from current practice. With knowledge focus, a current practice can be questioned for shared scientific knowledge, while with problem focus an improvement can be made in the existing facts. The following steps consider carrying out a research independently or in teams, critically analysing te research, drawing implications for practice from the research and forming teams to disseminate the findings. The evidence gathered from the research are to be imparted to all members of the professional team, so that collaboration in bringing about a change in practice is fostered. Patient outcomes are influenced largely by EBP with the underlying notion that the care process is guided by recent updates in practice principles. The areas where practice development can be made include acute syndromes for patients, readmission, multifactoral morbidities and mortality rate. The effectiveness of interventions is increased when recent updates are included in this process. The chances of committing errors are also reduced to a considerable extent (Hosking et al., 2016). Emparanza et al., (2015) highlight that though patient outcomes are being improved in the present era with the application of current research evidence, the process is a slow one, with not much achieved within a considerable time frame. The authors opined that failure to translate undertaken research into suitable practice still remains to be a refractory issue. A commitment towards implementing research evidence needs to be coupled with the reorganisation of a healthcare setting to enable a multidisciplinary culture. Healthcare organisations must provide adequate training to RNs so that they are able to work towards better and more eminent performance indicators. A provision of access to research papers and relevant literature is crucial. Any organisation that does not have such form of support would not be able to promote EBP. It is not to be expected that nurses would be at the vanguard of providing EBP without training and support. Patient outcomes can only be made better if more number of RNs are given training in EBP and are provided with easy access to adequate information for supporting this. Mackey and Bassendowski (2017) in this regard state that funding is necessary to support an increase in training and resources. In light of adequate funding, professionals from the field can be appointed for provided training to the nurses and guide them on how to carry out a proper research. Weekly sessions that are interactive are suitable in this regard. Regular feedback given to the nurses is essential for ensuring that the learning is appropriate. Coming to the end of this paper, it is to be highlighted that nurses must critique evidence-informed literature in nursing discipline practice and translate them into practice. Participation in research is fundamental for evaluating and promoting evidence-based nursing practice. It is the responsibility of the concerned healthcare organisations to encourage and train nurses so that they can achieve the aim of delivering suitable EBP. With the support received from their end, nurses can transform their practice for the betterment of the patient populations. References DiCenso, A., Guyatt, G., Ciliska, D. (2014).Evidence-Based Nursing-E-Book: A Guide to Clinical Practice. Elsevier Health Sciences. Emparanza, J. I., Cabello, J. B., Burls, A. J. (2015). Does evidence?based practice improve patient outcomes? An analysis of a natural experiment in a Spanish hospital.Journal of evaluation in clinical practice,21(6), 1059-1065. Hosking, J., Knox, K., Forman, J., Montgomery, L. A., Valde, J. G., Cullen, L. (2016). Evidence into practice: Leading new graduate nurses to evidence-based practice through a nurse residency program.Journal of PeriAnesthesia Nursing,31(3), 260-265. LoBiondo-Wood, G., Haber, J. (2017).Nursing Research-E-Book: Methods and Critical Appraisal for Evidence-Based Practice. Elsevier Health Sciences. Mackey, A., Bassendowski, S. (2017). The History of Evidence-Based Practice in Nursing Education and Practice.Journal of Professional Nursing,33(1), 51-55. Melnyk, B. M., Gallagher?Ford, L., Long, L. E., Fineout?Overholt, E. (2014). The establishment of evidence?based practice competencies for practicing registered nurses and advanced practice nurses in real?world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs.Worldviews on Evidence?Based Nursing,11(1), 5-15. Registered nurse standards for practice. (2012). nursingmidwiferyboard.gov.au. Stevens, K. R. (2013). The impact of evidence-based practice in nursing and the next big ideas.Online Journal of Issues in Nursing,18(2), 4-4.