Victorian Furniture of the Middle Class :: Victorian Era

Victorian Furniture of the Middle Class According to the Middle Class Victorians, less was definitely not more. In fact, in the case of the Victorians, the more ostentatious and packed a house was, the higher the status of that family. A house in the Victorian Era would most likely be cluttered until nothing else could fit. Not only was there clutter, but the rooms were "quite dark with busily patterned wallpaper (Victorian Home Life Changes)" and lots of gold garnishments. Fashions of Furniture and Their Influences Beginning in the 1830's, the first influences of Victorian furniture were from the English architect, Augustus Pugin. These were of the "Neo-gothic Design (Sometimes More is More)" characterized by dark woods, pointed arches, trefoils and other Gothic cathedral carvings. By incorporating previous influences from cathedrals, furniture represented morality in the Victorians lives (Sometimes More is More). A trefoil looks like a three-leaf clover and is found in wooden furniture. By the 1850's, a new inspiration came from the "Rococo Revival." This was a more "romantic form (Sometimes More is More). " It was characterized by "swirling lines, natural motifs like fruit and flowers, and dark woods like mahogany, rosewood and black walnut (Sometimes More is More)." The design came from France and included the use of not so dark wood and looked more natural. The Rococo Revival ended around 1870. Meanwhile, during that time period, around 1860 until 1880, the Renaissance Revival took place. Instead of having expensive, richly made furniture, the Victorians merely began placing expensive additions to inexpensive, poorly made furniture. During the 1850s, mass production of carpeting took place as well as patterned wallpaper (Sometimes More is More.) This allowed the Victorians to decorate their houses with even more colors and clutter. Who Decorated the House and What Were Some Typical Pieces of Furniture Overstuffed divans and couches were a staple in most middle class houses (Furniture).

Can Telemedicine Reduce Health Costs Health And Social Care Essay

Telemedicine utilizes assorted information and telecommunication engineerings to supply medical services remotely. Besides specific medical processs, nosologies and electronic records, it besides provides supervising systems between healthcare suppliers and patients to advance home-health direction, instruction, clinical position and wellness result followup ( National Association for Home Care And Hospice, 2008 ) . It is frequently seen as a possible scheme to cut down wellness disparities created by geographic or temporal barriers, homebound position, and cultural stigma. It can buoy up the job of disproportionality in the geographic allotments of healthcare resources and work forces, and increase the entree of health care system among the underserved communities and populations ( Cousineau, 2010b ) . It has besides shown an ability to better wellness communicating by exceeding the temporal boundaries and diminishing the waiting clip in the diagnostic procedure. The expeditious ent ree to telemedicine non merely saves clip but besides reduces cost by using the resources more expeditiously and extinguishing unneeded travelling clip for both doctors and patients, courier services, excess staffing, and excess infirmary stay ( Matusitz & A ; Breen, 2007 ) . Therefore it is really likely to be an alternate and economical option to relieve the load of the limited wellness work force and resources in our health care bringing systems. The Healthy People 2010 includes ends of eliminate wellness disparities among sections of different populations ( U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion, 2005 ) . Surveies have shown that rural countries experience more wellness disparities such as both morbidity, mortality, and with insurance coverage ( Agency for Healthcare Research and Quality, 2009 ) . Age is besides an of import factor that contributes to healthcare barriers such as homebound position and transit affairs. The aged have systematically accounted for about 50 % of all health care expenditures in the United States ( Cousineau, 2010a ) . As the demand for the wellness attention additions, there will be fewer health care workers for attention bringing. If the current tendencies continue, the spread between supply and demand of rural doctor and nurses will be even larger than in urban countries ( Cousineau, 2010b ) . Given the continued growing of chronic unwellne ss in our society and the detonation of new health-related engineerings, surgical techniques and drugs ( Cousineau, 2010c ) , inquiries of how, or if telemedicine can cut down costs or better entree must be address in order to see it as a feasible solution for the drawn-out health care bringing in the United State.IssuesIn malice of the progresss of medical engineering and wellness information sciences that have improved the ability for telemedicine to supply entree to a spectrum of attention, insurance companies and funders continue to eschew the issue of reimbursement for telemedicine services. Indeed, though there has been great promise of telemedicine development really small advancement has really been achieved. The primary challenges continue to be limited reimbursement, licensure, and patient privateness ( Matusitz & A ; Breen, 2007 ) . Since Senate Bill 1665 enacted the â€Å" Telemedicine Delivery Act of 1996 † which imposed legion demand regulating the bringing of h ealth care via telemedicine, several related policies such as HR3030 and HR3200 have besides been introduced to Congress to supply low-cost telemedicine services with ordinances. However, they are all still pending and have been unable to continue. Since there is no direct opposition disputing telemedicine-related policies, this paper will concentrate on discoursing the regulative barriers and legislative actions forestalling them from come oning. With respect to the limited research grounds and expertness in telemedicine, this paper will besides analyse the recent Congressional proposal HR 1601 by sing the quality and wellness results of telemedicine system. Last, it will discourse the impact of Healthcare Reform on telemedicine and my recommendation for future waies.Regulative Barriers and Legislative ActionsLicensurePresently each province regulates its ain pattern of medical specialty. This is a jurisdictional right that is recognized by the Supreme Court. For this ground, most healthcare professionals are licensed on a state-by-state footing. Telemedicine hence is besides geographically regulated by single provinces. Many legal issues originate when a â€Å" pattern † is done via a telecommunication nexus across different province lines. Each province they cross into can enforce a demand on the supplier to keep a full medical licence before seeing their out-of-state patients via telemedicine engineerings. It is hard and dearly-won for healthcare practicians to keep and keeping multiple licences, particularly those in the rural countries where the healthcare demand is non stable ( Cousineau, 2010b ) . For this ground, many merely choose to restrict their pattern to a individual province. In 1996, the Federation of State Medical BoardsA developed theoretical account statute law which allows a province to supply and administrate a limited telemedicine licence. This limited licence permits wellness practicians to pattern in different provinces via telemedicine engineerings, but non physically. Conversely, the American Medical Association decided to follow a policy that requires a full and unrestricted licence in order for a doctor to pattern telemedicine across province lines ( Nickelson, 1998 ) . Beyond licensure issues, while interstate telemedicine patterns could better entree to our current health care systems, it besides raises inquiries about malpractice and struggle of jurisprudence. Presently each province develops its ain malpractice insurance evaluation and most malpractice insurance does non use in instances outside of the province. On the other manus the suppliers of each province are besides concerned about how to exercise legal power over such malpractice claim against other suppliers from out of province who may non be capable to the legal power of the administrative regulative organic structures. Although a national licensure theoretical account for telemedicine seems like a logical solution, it is improbable to get the better of the political and constitutional issues in one measure. A regional geographic attack affecting province medical insurance companies to clear up coverage bounds and develop new policies might be more executable. For illustration, based on telemedicine activities from the Governor ‘s Associations and Councils in the yesteryear, Cwiek et Al found that the Southern Governors ‘ Association and the Western Governors ‘ Association demonstrated a important degree of leading in the country of telemedicine. They have proven to better entree to healthcare and medical specializers and cut down medical costs by traveling information alternatively of people ( Cwiek, Rafiq, Qamar, Tobey, & A ; Merrell, 2007 ) .ReimbursementIn 1997, both the House and the Senate passed HR2015 – Balanced Budget Act. It enabled partial Medicare reimbursement f or Telemedicine services. However, professional audience was the lone service allowed by the measure and the payment had to be shared among assorted parties with really rigorous ordinances. In 2000, Congress passed appropriations measure HR 5661, the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act, which significantly revised Medicare ordinances for reimbursement for Telemedicine services ( The American Telemedicine Association, 2010 ) . The Healthcare Financing Administration extended Medicare coverage to medical visits, audiences, mental wellness services, and pharmacologic monitoring of patients populating in the rural country. Further, it extended payment rates to suppliers which were similar to that paid without the usage of telemedicine. Medicare besides pays a installation fee for per telemedicine session. However, obstructions remain because the reimbursement is normally allowed for directed physical communicating merely, such as face-to-face audiences. Besides, the opposition of reimbursement from the private insurance companies continues with non-feasible ordinances ( Matusitz & A ; Breen, 2007 ) .Limited research grounds on Telemedicine and HR1601HR1601 was introduced to the Congress by Jefferson in 2007 and it was referred to Committee for consideration of telemedicine service facilitation ( Thomas Library of Congress, 2007 ) . The end of this measure is to bespeak grants to put up telemedicine services in a spectrum of assorted healthcare systems including nursing place and public clinics. Rather than proposing the solution or overall support mechanism in the long term the purpose of this measure is to bespeak support for telemedicine pilot undertakings and bring forth research grounds. HR1601 would guarantee that the Office for the Advancement of Telemedicine in the Health Resources and Services Administration ( HRSA ) would supervise and organize pilot surveies with related federal bureaus of medical underserved populations in both urban and rural country, with the assistance of grants. HRSA would do recommendation harmonizing to their rating of whether these undertakings consequences in addition of entree and quality of attention, publicity of patient independency, lessening wellness disparities, and betterment of cost effectivity ( Prinz, Cramer, & A ; Englund, 2008 ) .QualityThe quality of telemedicine services has the most direct impact on the likeliness of go throughing policies of support. In order to present the optimum telemedicine service the quality of the telemedicine system needs to be reliable, user friendly and cosmopolitan in order to incorporate into assorted computerized system. Standardized counsel should be implemented so the telemedicine system can efficaciously and accurately pass on with bing computerized system in the infirmary and place wellness bureaus. The challenge lays in the complexness of telemedicine engineering, including hardware and package mutual exclusiveness, syste m integrating complexness, and communicating troubles due to low velocity digital lines ( Prinz, et al. , 2008 ) . Information could be lost while meeting communicating troubles and equipment failures which would earnestly impact the dependability of telemedicine service suppliers, particularly private place wellness bureaus in the rural country.Health resultUse of Telemedicine engineering ( such as picture cameras and supervising devices ) in the Home Care puting additions entree to healthcare bringing by leting direct communicating between patients and wellness practicians beyond geographic and temporal boundaries. There is increasing grounds demoing that that telemedicine is associated with the positive result of self-management and conformity in chronic unwellness such as cardiovascular diseases and diabetes ( Artinian, 2007 ; Chumbler, et al. , 2005 ) . On the other manus, some argue that this grounds is non quantifiable because of the use of assorted telemedicine engineerings in different disease countries. The deficiency of thorough clinical tests might be the ground that holds back reimbursement organisation and promotion of telemedicine uses ( Prinz, et al. , 2008 ) . Some grounds even shows that using telemedicine services contributes no difference in patients ‘ wellness result but a greater cost comparison to other healthcare bringing methods ( Bowles & A ; Baugh, 2007 ) , therefore corrupting the necessity to reimburse a more dearly-won healthcare bringing method.The Impact of American Recovery and Reinvestment Act & A ; Patient Protection and Affordable Care ActBased on the belief that wellness information engineering and electronic medical records are indispensable for the transmutation of telemedicine health care bringing, the federal authorities utilized the commissariats of the American Recovery and Reinvestment Act of 2009 ( ARRA ) to authorise about $ 38 billion in funding for wellness information engineering substructure over the foll owing 6 old ages. The inside informations about how this support will be utilized are written in the Health Information Technology for Economic and Clinical Health ( HITECH ) subdivision in the ARRA. The largest part of this support is targeted at incentive payments by Medicare and Medicaid to eligible suppliers for the execution of wellness information engineerings. Specifically, in order to be qualified for these inducements the health care suppliers must follow a certification for the electronic medical record system and exhibit the practical usage ( Cline, 2010 ) . In March 2009 President Obama signed HR 3590, the Patient Protection and Affordable Care Act ( PPACA ) into jurisprudence. ThisA important wellness attention reform jurisprudence allows advanced payment and service bringing theoretical account to better entree, quality of health care, and cut down plan cost to persons, written specifically in Section 3021 ( Government Relations Staff, 2010 ) . A New Center for Medicare and Medicaid Innovation will back up primary attention practicians on flying telemedicine application in chronic attention direction. It will implement telemedicine plan in infirmaries, accountable attention organisations, and independency at place for distant patient monitoring. This jurisprudence encourages wellness information engineering and electronic medical records acceptance to ease attention coordination. It besides allows each province to utilize the new Medicaid â€Å" Health Home † plan to progress chronic attention.RecommendationsOverall, I believe that the Telemedicine can increase entree and cut down cost in the long tally with the support of American Recovery and Reinvestment Act & A ; Patient Protection and Affordable Care Act. There is no uncertainty that the Telemedicine is capable of transforming our health care bringing system in both positive and negative waies, nevertheless, I believe that the pros outweigh the cons. It is notable that most of the up to day of the month pilot research surveies mentioned supra have made positive impacts on the entree of healthcare bringing. Inadequate and unequal coverage for telemedicine service earnestly delayed the execution of cost-saving and quality-improvement solutions, and constrained the entree and picks in assorted forte services in rural countries. Current expanded Medicare coverage for Telemedicine is in procedure of work outing this issue, but specifically I think Congress should besides widen Medicare coverage to medical services using â€Å" store-and-forward † t elemedicine ( for illustration direction and showing for diabetic related retinopathy ) , and to suppliers whose services are otherwise covered for Medicare. I besides recommend a more aggressive plan for pull offing the demands and costs of chronic patients who are presently homebound or are potentially at hazard to be administered into a infirmary or nursing place. Thousands of veteran patients are profiting from place wellness telemedicine plan to organize their attention. The US Veteran Affairs have found that their patients follow the usage of these devices easy and are really satisfied with their attention coordination service ( US Department of Veterans Affairs, 2009 ) . Therefore, Congress should advance Home Telemedicine and include it in the reimbursement component to cover the costs of related devices and engineering. Most provinces ‘ Medicaid already covered some telemedicine services. It can be optimize by back uping primary attention doctors to suit telemedicine services, maximise the usage of picture and telecommunication to cut down patients ‘ travelling, and increase â€Å" store-and-forward † engineering uses such as sharing medical images for diagnosing. The current rural wellness plan should prolong the operation of high-velocity cyberspace entree and wireless connexion within all eligible wellness installations to accomplish efficiency and cost-effectiveness. Congress should besides set up a licensing board to promote interstate medical licensure cooperation by geographic zone. Finally, I believe that with effectual execution, wellness practicians and patients can get the better of the challenges limited the development and success of telemedicine.

Biology Plasmolysis Coursework - 1680 Words

Intro I am going to do an investigation into what concentration of sucrose solution would cause â€Å"Incipient Plasmolysis†. Theory Plasmolysis is the result of a (in particular) plant cell which has lost vast amounts of water. When this happens, turgor pressure within the cell has decreased to the point where the cytoplasm of the cell membrane peels away from the cell wall. When this begins to happen it is called Incipient Plasmolysis and when the cytoplasm is almost completely gone it is call â€Å"full/complete† Plasmolysis. Plasmolysis is only possible if the cell is placed in a hypertonic solution, which is a solution where the water external to the cell has more solutes than within the plant cell and because of that the water potential†¦show more content†¦Also during the experiment I have to make sure that I don’t mix both liquids. For example, pouring water into the cylinder that contain-s/ed sucrose. In the experiment I cannot write down the result as a â€Å"cell count†, as all red onion skin cells are different (e. g. size, arrangement.). Using the equation above, I will record this as a percentage. If a result doesn’t seem to be consistant with the rest by being either too high or too low then I will repeat the test on that concentration to get a more accurate result. I am going to analyse my results by observing how many cells have had their protoplasm’s peeled away from the cell wall. For acquiring the percentage of that I will use this equation: For acquiring the percentage of cells plasmolysed I will use this equation: Total No. of plasmolysed cells (e. g. 39) divided by the Total No. of cells (e. g. 56). Then multiply this number by a 100 (e. g. 39 divided by 56 multiplied by a 100 = 69.64%). This would be the percentage of cells plasmolysed. Prediction The prediction is, I believe that the highest concentration of sucrose would cause the most cells to be plasmolysed and the lower concentration would obviously produce the least amount of cells being plasmolysed. This prediction is in line with the theory of plasmolysis. Analysis Obtaining: This is my table of results, which also shows the amount of water (H2O) sucrose used to make the different concentrations of sucrose. As you can see I did 3

Fair Trade Is An International Movement Essay - 1930 Words

Around the world, big corporations aiming for huge profits sell many regular daily products that are originally produced in developing countries. Whilst such corporations make money, the farmers that originally slog through out the day to earn minimum wage and sell their products to such businesses go to sleep on an empty stomach. Fairly traded goods do not necessarily have different percentages to non-Fair-trade goods, but they guarantee farmers receive a certain income Fair trade is an international movement, which aims to bring equality and justice to producers in developing countries by exposing them to better trading conditions and promote sustainability. This movement’s focal point remains household and edible commodities (such as sugar, rice, tea, chocolate, honey, cotton and gold) that are usually produced in developing countries such as South Africa and India and are then exported to developed nations such as the United States of America and the United Kingdom or even consumed in domestic markets. This movement hopes to pursue even-handedness in trading done internationally by maintaining transparency, respect and communication between both the parties. It encourages sustainable development by providing improved knowledge of trading and its conditions to the producers and securing the entitlement of the rights of depreciated producers and labours in third world. 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The Implementation Of A New System Or Technology - 1547 Words

A company considering the implementation of a new system or technology will first seek to answer the question of why they should consider a change. In the case of communication technologies, current literature offers myriad reasons for exploring new systems. The literature studies different aspects of corporations that are impacted by a change in communication systems. Before any corporate makes a major change, different costs and benefits must be considered. The literature explored discusses the evaluation of the value, effectiveness and necessity of communication technologies for companies in operations, information sharing, internal and external relationships, and productivity. In order to better understand the literature provided and the elements discussed, a general understanding of key terms commonly used in the literature is helpful. The technology being considered falls under the general platform of information and communication technologies. Information and communications technologies include, but are not limited to intranet, team communication platforms, enterprise social media, instant messaging and wikis. Team communication platforms are a relatively new technology, combining various aspects of information communication technologies such as instant messaging and wikis on a social collaboration platform. The primary information and communication technology the targeted companies will consider is an intranet, which is a private network accessible only to anShow MoreRelatedIntroduction and Implementation of New Technology in a Company1862 Words   |  7 Pagesï » ¿Implementing Technology in a Company: In the current business world, change has become an important aspect of many organizations and businesses. As a result of the inevitability of change in todays business world, the ability to implement and maintain new technology is one of the most vital ways for a company to survive and enhance its competitiveness. 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Responsively, new technology and security measure have to be implemented in order to fill the gaps and heighten security standards in order to enhance customer privacy, information protection

Human Resources and Management Stratergy Free Essays

Analyse two potential benefits of Out and About plc’s current ‘soft’ Human Resource Management strategy. Human Resource Management Strategy is the process of making the best use of an Organisation’s employees in order to achieve its human resource objectives. A soft HRM strategy recognises that the workforce are a valuable asset to the business and are crucial to achieve the organisation’s objectives. We will write a custom essay sample on Human Resources and Management Stratergy or any similar topic only for you Order Now Soft HRM has many benefits to Out and About plc- it’s main benefit is to improve staff motivation. Out and About plc has shown this in many ways. Firstly, all staff are on permanent contracts providing them with greater security. This allows for the workers to provide a greater level of commitment to Out and About plc as it is their major career. This greater level of commitment will in turn produce greater labour productivity as workers who feel loyal and dedicated to a company will have a much more enthusiastic and hardworking approach as opposed to a worker who does not feel greatly involved and concerned of the companies on goings. Furthermore, permanent staff are more likely to commit to training in order to acquire skills that can boost their career- which will again benefit the company. However, it is important to consider whether or not permanent contracts should be used for ALL staff as some groups of staff will most likely not be required at all times. Working in shifts could increase labour productivity as workers are more likely to be ‘fresh’ and more focused on a job in comparison to a member of staff who is to ‘go through the motions’ on a daily basis. Also, permanent contracts for all staff would be a lot more costly than using temporary staff. Out and About plc will need to decide which staff require permanent contracts and which do not to see any benefits financially. Secondly, the company’s current statistics show that the average staff age is 45 and that the labour turnover is 5 percent (which is well below the industry average of 18 percent). This could indicate that staff are loyal and enjoy working for the business. Therefore it is good to question why a change needs to be implemented when staff are clearly happy. Also a labour turnover of 5 percent is not something which Out and About plc needs to worry about, however it is important to realise that changing the HRM dramatically (form soft to hard) could also affect the labour turnover dramatically. Q2) What do you consider to be the most important influence on Lisa’s marketing plan? Justify your view. A marketing plan consists of setting marketing objectives and deciding upon the strategy needed to achieve them. There are many influences on Lisa’s marketing plan. Firstly, I believe that the operational issues such as location of shops and the availability of suppliers will be of great importance. The passage states that: ‘As well as selling leading brands such as Salomon, Quiksilver and O’Neill, Out and About plc will also sell a range of ‘own label’ clothing. ’ This means that the ’25 new out of town stores’ will be heavily reliant on these other brands. Therefore, it is vital to gain information and research on the suppliers and how reliable they are. If this research is not done efficiently, Out and About plc could find that they have low levels of stock which could result in unsatisfied customers and the chance of a bad reputation. Furthermore, the location of the shop is vital as it interlinks with the first problem of suppliers. If the shop is far from the supplier – it will be more difficult and take longer to deliver items which will cause great inefficiency. Another reason that the location of shops will be important is because the market in itself is fairly niche therefore the shops will need to be placed in fairly busy areas – like town centres as if they were on quiet desolate places they will see very little business. Secondly, it is key to note that competitors such as supermarkets – Argos and JJB have already affected Out and About plc current market – ‘profits have declined by 15 percent. ’ Building your way up in a relatively niche market is extremely difficult, especially with well known large stores such as JJB competing. Therefore it will be important to ensure that, Out and About plc maintain competitive prices and high quality products. The competition needs to be closely reviewed – for example, if Argos sells a camping jacket for cheap – Out and About plc will have to emphasise that the slight price difference is due to quality and design. Lisa will have to heavily promote what makes, Out and About plc different to Argos and JJB – and why consumers should choose them over a reputable brand. The above has only discussed (in my opinion) the two major points of the influencing factors of Lisa’s marketing plan however, there are many more. A key influence would be the reaction of the new target market. If the target market are to decide that the cheaper alternatives are more suited towards them Out and About plc will have failed to create a successful business. I believe this factor is most logical as Out and About plc are almost trying to change a previously known ‘cheap’ business to a higher upmarket business. However, this means they won’t be appealing to the same consumers – this consumer market is much smaller than the aforementioned. We can also question whether or not sufficient market research been carried out upon which to base their strategy? How to cite Human Resources and Management Stratergy, Papers

Cheaper by the Dozen Character Analysis Billy Esay free essay sample

Cheaper by the Dozen Character Analysis Billy Essay In the novel Cheaper by the Dozen, Billy who is one of the Gilberts 12 children, along with being a brother to 11 children he is also very impressionable and like anyone, he can be grumpy. Billy can be many different things, one thing that all people are is grumpy, here are a couple examples. When all of the were meeting Mrs. . Gilberts family, they all had to be on their absolute best behavior. After about a week of visiting Mrs.. Gilberts family, all of the children decided to get comfortable, on the day of the armor tea party in honor of Mrs..Gilberts. Billys godmother was telling him how handsome he looked and that he was going to make a good impression on all of the guests not on these pants, Bill said look sissy and Im not going to where them'(66). We will write a custom essay sample on Cheaper by the Dozen Character Analysis Billy Esay or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This reaction reveals that Billy is starting to get peevish because he has to make everyone happy and he and all of the other children are getting tired of it. When all of the kids Aunt Anne takes care of them for a few days, Billy Is troublesome, when she was leaving she rumpled Billys hair.Ouch, Billy whispered to her, grinning in relief. let still hurts. Have a This comment shows that Billy can be crabby sometimes, a couple of days before this Billys Aunt Anne grabbed him by the hair. It was Just the beginning of the Jazz age when Ann. s friend Lobby came over for dinner, Lobby is what you would call a flapper. When she met Mr.. Gilberts she tells him that he Is handsome and gallant. Oh boy, groaned This passage suggests that Billy can be pettish, Billy says this because of all of the other girls at the once said almost the same thing.Billy Is very Impressionable, meaning what ever you do, he will follow. Elf you are someone who Billy likes, there Is a ninety-nine percent chance that he will do the same thing that you do at least once. For example, when all of the twelve children are starting to get on Mr.. Gilberts nerves, the hood of the car starts to smoke! He opened the hood to the car with all of his tools and looked Inside. Nobody noticed Bill, he had crawled Into the front seat. And then-Kodak Kodak, did you see the birdie Dad?