Friday, May 22, 2020

Open Health A Research Prospectus On HMIS Research - Free Essay Example

Sample details Pages: 8 Words: 2517 Downloads: 7 Date added: 2017/06/26 Category Information Systems Essay Type Essay any type Level High school Did you like this example? Open Health: A research prospectus on HMIS research Introduction Change management decision models based on shifts within the global economic order have forced administrators to seek new systems and relationships of oversight as organizations switch from traditional vertical work relationships to horizontal interactions. Much of the insight built into recommendations toward better change management models has been developed in scientific fields of practice. The interest in management of knowledge by science communities, and especially the integration of practice into localized IT systems has long been promoted by consultants and advisors to those fields, whom look to channels of facilitation as viable strategies toward competition in the context of change. Don’t waste time! Our writers will create an original "Open Health: A Research Prospectus On HMIS Research" essay for you Create order The popularity of IT systems management as strategic model for practice field growth, as well as a core competency for institutional change, is well established. Cost cutting and innovative, IT knowledge sharing networks expand the options of institutions and professionals. Competitiveness now equates with interface with the highest calibre artificial intelligence in advancement of human potential toward global solutions that promise to enhance a new generation in oversight. Andrew Grove, former CEO of Intel once observed that â€Å"only paranoid firms survive, primarily because they continuously analyse their external environments and competition, but also because they continuously innovate† (Hitt et al. 1995). Groves assertions are echoed by many corporate executives, whom have become sold on the constancy of research and development as the single most powerful source of competitive capital in organizations faced with ‘new market competition. For instance, the equity of ‘value is a price statement or ‘proposition, as well as a method of translating brand identity within the market through illustrated performance of a product. For service organizations, structural response to delivery is still inherent to value. Practice settings are environments desire synthetic opportunities to forge alliances between internal and external forces as they navigate against risk. Value increases continuously, and incrementally as capitalization is realized in relation to those activities. Early responses to the local-global equation looked to structural articulation in what became known as ‘matrix organizations that allowed for retention of rational-analytical choice models, with modified response through process-oriented incremental decision. More recent organizational approaches, and especially in capital intensive fields such as IT, offer support for the benefit of incremental decision making with the salient distinction betwe en the form and function of decisions. Content in both cases is driven by challenges to productivity, and executive direction is now more than before forced to consider incremental decision making as strategic option, despite the fact that rational choice inevitably overrides constant reinvention (Tiwana, A. et al. 2006). Responsive to the aforementioned challenges in the emergent healthcare environment, leaders looking to new IT HMIS operations systems are seeking change management solutions that will enable them to forge lean and agile strategic growth models in settings known for fiscal and resource waste. Six Sigma approaches to analysis have allowed businesses to streamline operations through combined methodologies of analysis (Edgeman and Dugan 2008). In the past ten years there has been increased demand for seamless service between hospitals, clinics and multidisciplinary teams concerned with the wellbeing of patients and their families. Healthcare organizations se eking competitive and more efficient options to serving patients now look to IT Healthcare Management Information Systems (HMIS) for optimizing capacity both in terms of finance and in standard of care to patients (Tan and Payton 2010). Despite the upfront costs of planning and implementation that go into introduction of new IT systems into an existing HMIS setting, integrated operations enable the advancement of fiscal and other controls not previously realized due to time lapse, as well as precision in every step of the service provision process from decoupling point between allocations to actual delivery of patient services. If efficiency in information is directly linked to ‘duty of a reasonable standard of care within hospitals and healthcare institutions, the benefits to those organizations in terms of direction and better control of liability issues through information channels, offers new promise in terms of comprehensive patient care through â€Å"patient-cen tric management systems,† and ultimately sustainable organizational growth (Tan and Payton 2010). The foregoing research proposal outlines the development of HMIS in the medical field of practice in the United Kingdom. Literature Review The 1990s marked the dawn of knowledge sharing systems in the space science industry, and the landmark mission deployed by NASA IT engineers in the development of what would come to be known as a Competency Management System (an online system that maps individuals to their competencies). Out of that seed project, the 2005 initiation of the NASA Engineering Network (NEN) was formed under the Office of the Chief Engineer in furtherance of the space agencys knowledge-sharing capacity. Coinciding with a to benchmarked study with U.S. Navy, U.S. Army Company Command, the U.S. Department of Commerce, and Boeing Corporation, the NEN network enables â€Å"peers and experts through communities of practice, search multiple repositories from one central search engine, and find experts† (Topousis, D.E. et al. 2009). The research study follows this idea, and proposes to contribute to three (3) bodies of literature pertinent to the field of knowledge sharing: 1) General history of I T integration as change management strategy for advancement of purpose in science; 2) studies on the development of IT networks of practice within the health science community in particularly and the development of heath management information systems (HMIS); 3) literature dedicated to risk mitigation and compliance within legislative policy, and elements of security within institutional networks subject to oversight by chief information officers (CIO). Invitation of recognized Technical Fellows noted in their discipline to facilitate their respective community of practice within the network set the pace for portal integration of human resource tools, such as jSpace. The platform can be utilized as communicator/research source for professional recruitment to projects and permanent roles. Links to related associations and professional societies offer participating fellows and partners access to an integrated contact source of engineers, â€Å"while fostering an environment of sharing across geographical and cultural boundaries.† The next step in NASA NEN is incorporation into the larger NASA Enterprise Search, and potential accommodation of oft requested ITAR-restricted information. The extension of the NASA space science knowledge sharing concept has done two things: 1) further the advancement of space science objectives through KMS (Knowledge Management Systems) and PMS (Plan Management Systems) toward design and launch of multinational space missions; and 2) extend the idea of an IT integrated field of scientific practice to other scientists in distinct fields of practice throughout the scientific community (Quattrone and Hopper 2004). The emergent emphasis in organizational theory on IT Healthcare Management Information Systems (HMIS) as presented by Tan and Payton (2010), initiates query into the integration of extended practice setting networks. Interested in the advancement of IT platforms and software driven data bases as solutio n to change operations in global institutions, the search for approaches that succeed at meeting core competencies through risk reduction and resource maximization are the most sought after technologies for the betterment of the ‘total organization. The new IT systems offer interconnectivity between operational units within healthcare institutions, and link human intelligence to the logistics data analysis for in-depth insight into the history of expenditures and allocation requests. Some institutions have joined supply chain cooperatives in their region to further enhance the use of network logistics and stem of the flow of fiscal waste – a persistent concern within healthcare organizations – saving literally hundreds of millions of dollars annually (Healthcare Finance News, 2010). Healthcare Management Information Systems (HMIS) offer integrated systems platforms and applications to the entire range of chain operations management activities within and between institutions that provide patient care. Consistent with the emergent interests in organizational knowledge sharing networks, healthcare institutions are looking to IT solutions for a number of reasons, and especially the growing impetus toward: 1) healthcare provider connectivity; 2) increased focus in tracking and management of chronic diseases; 3) heightened patient expectations regarding personal input in care process; 4) market pressures driving hospital-physician alignment; and 5) advances in the technological facilitation of systems operability in this area (Tan and Payton, 2010). Design of systems architecture from institution to institution still varies, as data management and interconnectivity may be distinct and also subject to existing ‘legacy systems issues that might be incorporated in the new HMIS model. The core competency of HMIS is the more ephemeral side of systems planning which is the knowledge sharing path – where data and informat ion become meaningful. The other key components to consideration of HMIS integration include: 1) the basic hardware, software and network schema; 2) process, task and system(s); 3) integration and inoperability aspects; and 4) user, administration and/or management inputs and oversight. For instance, IT HMIS designed to enhance the networking of financial operations in hospital institutions must be especially responsive to the growing complications in the US insurance industry as product options such as bundled claims force institutions into synchronous attention to patient demands. Convenience and competitive pressures to supply those services supersede mere fiscal allocation in service to patients amidst conglomerate interests in the healthcare industry (Monegain, 2010). Chief Information Officers (CIO) are critical to the administration and planning of HMIS systems, and in particular, security measures and oversight of privacy protections. Unlike Chief Executive Officers (CEO) that serve as the primary responsible party for general governance, the CIO is more directly involved in the scientific praxis of organizational management; as precision in systems that retain data for record, and for analysis toward organizational growth are in their hands. CIOs are increasingly drawn into this external environment based on the nature of transactional relationships, as they are called upon to find IT systems of accountability within their own institutions (cio.com, 2010). Regulation of computer and telecommunications activities in the UKs Computer Misuse Act (CMA) of 1990 has impact in regard to the stipulations pertaining to definitions of personal and professional use of HMIS by employees, partners and clients (Crown Prosecution Service Advice on CMA 1990). Aims and Objectives to the study The aim of the research is to study successful approaches to knowledge sharing, risk reduction and resource maximization through HMIS IT systemization. The most sought after technologies are those that expedite a ‘total organizational approach to information management. The goal of the research is to conduct a Six Sigma analysis of an IT based knowledge sharing infrastructure of a scientific community of practice. In spite of the nascent value of space science as a critical beginning to baseline assumptions the study proposes to survey the development of HMIS in the medical field in the United Kingdom. The three (3) core objectives to the study on healthcare IT infrastructure will be: 1) review of HMIS infrastructure as it is understood by healthcare administration in contract with systems engineers; 2) fiscal accountability is the second priority objective toward the goal of projected and actual capitalization on IT systemization in the practice setting; and 3) the sig nificance of quality control of those systems in relation to government reporting and policy. Methodological Consideration Methodologies to the study will be implemented toward building a portfolio of practice on HMIS in the British healthcare industry based on data drawn from the following sources: Survey of lead UK health institutions The structured Survey instrument will be comprised of (50) questions and will be circulated in the HMIS practice community in the UK. A series of open queries at the end of the Survey will offer an opportunity to CIOs and IT administrators to contribute unique knowledge about their systems. Interviews with CIO Depth content to the research will be drawn from two (2) semi-structured Interviews with CIOs selected from information obtained from data generated in the Survey. Findings on the development of HMIS onsite in those chosen institutions will open up a new field of query into the actual challenges faced in planning, implementation and updated maintenance of architectural systems as new enterprise systems come on the market. Policy and procedure will also be discussed, as well as extended referral networks. 3. Internet Research a. Patient Research. Review of patient interface with HMIS portals at lead organizations and community healthcare providers. b. Aggregate Index. Research Data collected from healthcare industry indexes toward furtherance of trend analyses. c. Risk Management. Recommended best practices, policy and security protocol toward risk management of fiscal information, institutional and staff privacy and non-disclosure of patient record will be investiga ted. Review of open source software as protective measure as well as sufficient firewalls, intrusion detection, and encryption. Sources and Acquisition of Data Acquisition of data on the study will be conducted in three phases: 1) Survey; 2) Interviews; and 3) Internet. Phases 1 and 2 will focus on CIO and other lead IT staff in selected UK healthcare institutions, and incorporate information from the two instruments, as well as augmentation of the research with information on engineer consultancy relationships that they have worked with, and institutional documentation on HMIS and unit databases. Phase 3 will be conducted consecutive to the latter two phases of the research toward supplementation of policy and other details to the project. Data Analysis Examination of standardized taxonomies to open source database repositories used in HMIS will serve to further data analysis: Customer Relations Management (CRM); Electronic Health Records (EHR); Enterprise Resource Planning (ERP); Personal Health Records (PHR); and Supply Chain Management (SCM) dedicated to total operations management control, patient referral and professional knowledge sharing (Tan and Payton, 2010). Analysis of data on the project will be based on a Six Sigma solutions oriented approach. Table 1 Approach Description ITIL Area Charter Defines the case, project goals of the organization Policy and Procedures Drill Down Tree Process Drill Down Tree Engineering Process Unit Oversight FMEA Failure Modes Effects Analysis Risk Assessment QFD Quality Function Deployment Compliance SWOT Strengths, Weaknesses, Opportunities, Threats Planning and Implementation (ongoing for future inputs) Trend Analysis Aggregate Narrative HMIS industry trends Table 1: Six Sigma methodologies for analysis of HMIS survey, interview and internet archive sources. References Computer Misuse Law, 2006. Parliament UK. Available at: https://www.publications.parliament.uk/pa/cm200809/cmhansrd/cm090916/text/90916w0015.htm#09091614000131 Crown Prosecution Service Advice on CMA 1990. Available at: https://www.cps.gov.uk/legal/a_to_c/computer_misuse_act_1990 Edgeman, Rick L. and Dugan, J. P., 2008. Six Sigma for Government IT: Strategy Tactics for Washington D.C. Available at: https://www.webpages.uidaho.edu/~redgeman/RLE/PUBS/Edgeman-Dugan.pdf Hitt, Black Porter, 1995. Management. Upper Saddle River: Pearson Education, Prentice Hall. Jones, R.E., et al., 1994. Strategic decision processes in matrix organizations. European Journal of Operational Research, 78 (2), 192-203 Monegain, B. N.C. health system to launch bundled payment pilot. Healthcare Finance News, 22 June 2010. Available at: https://www.healthcarefinancenews.com Quattrone, Paolo and Hopper, T., 2004. A ‘time-space odyssey: management control systems in two multination al organizations. Accounting Organizations and Society 30, 735-754. The imperative to be customer-centric IT leaders (2010). CIO.com. Available at: www.cio.com Tan, J. and Payton, F.C., 2010. Adaptive Health Management Information Systems: Concepts, Cases, Practical Applications, Third Edition. Sudbury, MA: Jones Bartlett Learning. Tiwana, A. et al. (2006). Information Systems Project Continuation in Escalation Situations: A Real Options Model. Decision Sciences, 37 (3), 357-391. Topousis, D.E. et al., 2009. Enhancing Collaboration Among NASA Engineers through a Knowledge Sharing System. Third IEEE International Conference on Space Mission Challenges for Information Technology. Pasadena, CA: Jet Propulsion Laboratory.

Monday, May 18, 2020

The first thing that they said, when I told my friend I...

The first thing that they said, when I told my friend I wanted to further my studies in Reading is: â€Å"even in Malaysia you haven’t finished your studies how come you want further studies in England? And suddenly my face became white as sheet and my heart seemed like to stop beating immediately†! How could my close friend really say â€Å"rude words† to me without caring for my feelings? After this happened to me, those really mean words kept playing on my mind. Sometimes I heard people whispering in my ear and it make me harder for me to get to sleep. In spite of this, if he knew what I felt would he feel guilty? Everyday before I went to sleep, I will cry until I fell asleep because those words kept playing on my mind. When I woke up, I felt†¦show more content†¦He’s the only one can makes me happy without thinking my problems. He knows everything about my problems, especially in FCE class. I told him I couldn’t get along with FCE. Each time on Thursday I refused to come to class because I hated my self. When it speaking time I will felt aversion and embarrassed to myself. I’m the only one can’t speak properly. Without further ado I changed my mind and whispered to myself â€Å"that’s you studying English† and sometimes I felt weary because always remind my mind these words. But a sense of inferiority and shyness still reoccur. One day on Friday, which is the tutorial time. I spoke to my teacher, Ruth. She seemed like knows what is my problem. After a few minutes we was talking about my problem, then she came out with the pulchritudinous ideas which is, she asked me to tried participate with activities outside the classroom, to read a lot of books, buy a grammar book (Raymond Murphy), and so many things she asked me to do it! So I took her challenges and I test the waters. The first things I did it is I read a lot of books, I studying grammar book by myself and showed to her my notes, I wrote a diary, I went to French class and the last thing I did is I go to music class which is cello class. Now she’s really happy with me because I’m totally changed and too many improving and exulted! Now I’m not looked sad or upset in class, but I still cant changed my bad attitude such as rather quiet andShow MoreRelatedMy Personal Experience : My Experience In Nursing School1068 Words   |  5 PagesThere are many things throughout life we all look back on and really can not understand how we made it through that time in our life. My hardest time would have been the period when I was in nursing school for me. So let us start from the beginning so you may have the view that I had, not so many years ago.      Ã‚   In 2013 I was attending Walter State in the pre-nursing program, upon applying for the nursing program there I was told that they did not believe it was a good idea I attended nursing schoolRead MoreThe Most Punctual Recollections Of My Life1573 Words   |  7 Pagesrecollections that I have about learning to read and write throughout most of my life wound up being exceptionally unpleasant for me. I assume that in a manner you could even say that some of these encounters were very traumatizing for me, yet that may be a slight distortion. I can remember is as though it was genuinely the first time that I can ever recall feeling second rate about myself. I can think back about trying to figure out how to read and it seemed to be so natural, I thought I was comprehendingRead MoreAnalysis Of Augustine s Augustine 863 Words   |  4 Pagesstates, For as I became a youth, I longed to be satisfied with worldly things, and I dared to grow wild in a succession of various and shadowy loves (24). Any young adult experiences the same things that Augustine is going through. Augustine struggled with knowing the difference between pure affection and unholy desire. He becomes ashamed of himself and goes into a spiral of sorrow. In chapter one Augustine says, If only there had been someone to regulate my disorder and turn to my profit the fleetingRead MoreShort Story1728 Words   |  7 PagesAND I WAS CARRIED AWAY Ug Gianod Ako Marcel Navarra I do not want to see you again. I am angry at myself for what I have done. We haven’t seen each other for five months or more. But last night, we met at Letoile Parlor. I didn’t expect to see you there, but I found you seated in front of me. You probably noticed that I immediately look down the minute I saw you. Why I behaved that way, you will soon know. For the time being, it is enough for you to know that something had sneaked into my breastRead MoreEssay On Importance Of Reading1301 Words   |  6 Pagesif you want to develop and further your skills you need to motivate your self to read or write. You cant just assume that if you push off your reading assignments and just read quick descriptions of page numbers or articles online or just not read it at all that its better off because you will get the same grade or so on. As people always say the more you read the better you develop as a reader and writer. If you keep pushing it off over time you will regret it whe n you have to analyze hard piecesRead MoreNarrative of the Life of Frederick Douglass1581 Words   |  6 PagesPatrick Henry once said, â€Å"give me liberty, or give me death.† In the eyes of Frederick Douglass and countless others enslaved, this took on a much deeper meaning to them. â€Å"It was doubtful liberty at most, and almost certain death is we failed.† [51] Frederick Douglass was one of the most commonly known slaves to have existed. Slavery has been around since the 1700s, but the subject of slavery is controversial because it not only includes information written from former slaves, but information acquiredRead MoreThe Pursuit Of Happiness : Time, Money, And Social Connections1570 Words   |  7 Pagesbeing happy as â€Å"feeling pleasure and enjoyment because of your life, situation, etc..† Although there are a few set definitions for the word, the definition of happiness can range from person to person. Most people define happiness by naming ma terial things in their life as well as people. Setting goals to achieve one’s definition of happiness can cause them to alter their definition later on and want more than what they already have. This brings to question whether anyone is ever truly happy. In theRead MoreDescriptive Essay - Original Writing1262 Words   |  6 Pagessilently I pick up the very same pen that I had just recently moments ago put down in frustration. I go in for another attempt to write and build up a large assortment of words. As a few seconds pass, with the pen firmly gripped in my right hand, the pen and paper come together. Disregarding my momentary lapse of a creative flow, I stare down at the endless rows of horizontal blue lines. Memories surface of myself being in this situation many times over, especially being creatively stuck before I breakRead MoreBecoming A Medical Doctor1368 Words   |  6 PagesAlthough I have wanted to become a medical doctor since a young age, I have constantly challenged my career choice, but my experiences have shown me that becoming a medical doctor is still the career I want to pursue. Being a small child with parents still in school gave me many unique experiences. For example, my mother would take me with her when she would teach a late-night nutritional science lab at South Dakota State University, which was where she studied, to give my father silence to study. OftenRead MoreThe Importance Of Life In Todays Life1692 Words   |  7 PagesIt is said to never judge a book by its cover. The same should really be said in regard to the human person. Unfortunately, all too often first impression judgements are made which can fix the tone of someones entire existence. Behind his big blue eyes and under his bleached white hair, is a mind of a man who for most of his life has dealt with struggle and turmoil in regards to being comfortable in his own skin. If only humanity could look past what is seen of someone on the outside and begin to

Thursday, May 7, 2020

Carter Cleaning Cases 9-10 Essay - 821 Words

Carter Cleaning case: Chapter 9 1. Is Jennifer right about the need to evaluate the workers formally? The managers? Why or why not? Jennifer is absolutely correct in having these employee evaluations done formally. Reason for is to protect Carter Cleaning Company and its business goals from discrimination charges or violations of Title VII of the 1964 Civil rights Act. Informal evaluations can lead to unfair appraisals which can open a can of unexpected problems. All employees should receive formal evaluations via by paper or electronic forms in order to have a documented history. Keeping employee evaluations on file makes it easier for employers to reference certain information needed for promotions or projects, etc. Jennifer†¦show more content†¦2. 3. 4. 5. ------------------------------------------------- Below Expectation Meets Expectations Role Model ------------------------------------------------- lt;performance standards heregt; lt;performance standards heregt; lt;performance standards heregt; ------------------------------------------------- Personal Effectiveness ------------------------------------------------- Below Expectation Meets Expectations Role ModelShow MoreRelatedGroup Final Essay705 Words   |  3 PagesContinuing Case: The New Benefits Plan Chapter conclusion: Benefits for employees are very important for companies. Benefits for employees include various insurance plans, paid vacation days, paid sick leave, paid days off, etc. Different companies need to establish different benefit plans based on their company conditions. In brief, benefit in one of the bridge between employers and employees. 13-21. Draw up a policy statement regarding vacations, sick leave, and paid days off for Carter Cleaning CentersRead MoreManagement and Job Description1311 Words   |  6 PagesResource Management Lecturer: Dr. Salmiah Mohamad Amin Group assignment: cases studies Carter cleaning company Hotel Paris case Group Member: Yaser Hassan Al-Quadhi MH112130 Zaid Alfayad MH112084 Tounsi Marwa MH102259 Amri Yanuar MH102204 Hassan Nematzadeh MH111001 Mina Soltanabady MH102047 The Hotel Paris Case: Job Description The Hotel Paris Case: Question 1: Based on the hotel s stated strategy, list at least four importantRead MoreMonetary Policy When A Central Bank Has An Influence On A Country s Money Supply1617 Words   |  7 Pages Monetary policy when a central bank has an influence on a country’s money supply. Monetary policy is a large factor when it comes to a country’s economy it can either affect them in a positive way or in a negative way. One case where a successful implementation of monetary policy in the United States occurred in 1982: the anti-inflationary recession caused by the Federal Reserve under the guidance of Paul Volcker.You will notice the steps that mR Volcker took to help lower these rates. How he helpedRead MoreUnsw Legt 1710 Assignment 23685 Words   |  15 Pagesclaimant, irrespective of whether the contract was read or understood by the signatory - as was the case in L’Estrange v Graucob Ltd (1934). 7 However, 8 where there is a case of fraud or misrepresentation of the contract, the exclusion clause is held to be ineffective and therefore the signatory will not be bound, as illustrated in the case Curtis v Chemical Cleaning Dyeing Co (1951). In this case, it seems unlikely that Claude had incorporated the exclusion clause into a signed document,Read MoreCamp David - Case Study6041 Words   |  25 PagesWWS Case Study 1/02 The Camp David Accords A Case Study on International Negotiation JONATHAN OAKMAN The Camp David Accords A Case Study on International Negotiation Jonathan Oakman WWS 547- Final Project January 8, 2002 1 On November 19, 1977, Egyptian President Anwar Sadat shocked the international community by traveling to Jerusalem to speak before the Knesset. This unprecedented olive branch, offered to a country upon which he had ordered a surprise attack just three yearsRead MoreEssay about Exclusion Clause2390 Words   |  10 Pagesclause, the court needs to verify where the exclusion clause is contained. Where the exclusion clause is contained in a signed contractual document, the person is bound by the clause no matter the person really read the terms or not[1], showing in the case L’Estrange v Graucob (F) Ltd. It is reasonable to expect that a person being aware of all the contractual terms in which the signed document contains. The only exception is that the signatory can prove fraud or misrepresentation in regard to the clauseRead MoreChurch Dwight: Time to Rethink the Portfolio? A case report prepared for MG 495 Business Policy3875 Words   |  16 Pagesï » ¿Church Dwight : Time to Rethink the Portfolio? A case report prepared for MG 495 Business Policy Fall 1 2013 September 8, 2013 Church Dwight: Time to Rethink the Portfolio? 1. INTRODUCTION A. EXECUTIVE SUMMARY Church Dwight is a major manufacturer of household and personal products, including the popular Arm Hammer brand along with well-known labels like Aim, Brillo, Nair, Oxi-Clean, and much more. TheirRead MoreHas 9 / 11 Benefited America?1969 Words   |  8 Pages Has 9/11 Benefitted America? Total devastation, thousands of lives lost, the worst terrorist attack in American history. On September 11th, 2001, Islamic terrorists had hijacked four American Airlines planes with the intentions to reign terror on the United States of America, two of the airplanes crashing into the Twin Towers, one into the Pentagon, and one in a field in Pennsylvania. Many people speculate that these attacks were the responsibility of Osama Bin Laden, especially after a recentRead MoreChurch Dwight: Time to Rethink the Portfolio Essay2926 Words   |  12 Pagespantry shelf because of its several uses other than baking (Wheelen Hunger, pp.35-2). It can be used as a dentifrice, chemical agent to absorb or neutralize odors and acidity, a kidney dialysis element, a blast media, an environmentally friendly cleaning agent, a swimming pool pH stabilizer, and a pollution control agent. The company has gained a steady growth over the years and was able to expand several consumer products. They were able to have several company acquisitions due to its huge revenuesRead MoreEssay on Obsessive Compulsive Disorder (OCD)3370 Words   |  14 Pagesthis compulsive hand washing then meets the eye. While it could technically be classified as a need to feel cleansed, it is actually more of a fear of germs or other impurities. The cleansing will proceed until the person is satisfied, which in some cases is never. This is the reason a person with OCD will wash their hands repeatedly. People with OCD also are known to have a fear of unlucky numbers or words, illness or injury (which relates back to the hand washing), uncertainty, thinking bad or harmful

Wednesday, May 6, 2020

Health Consequences Of Domestic Violence - 997 Words

Domestic Violence, as is explained on the online journal of issue in Nursing by Claire Burke Draucker, is one of the first concerned worldwide; it does not only cause damages physically but mostly mentally. Many of this damage and violence may go unreported because the victim may be scare of the abuser and not reported to the police at all. It’s classified into three different categories, Spouse Partner Abuse, Child Abuse, and elder abuse. First, spouse or partner abuse is considered: â€Å"intimate partner abuse includes abuse by current or former spouses or romantic or co- habituating partners† (Claire Burke Draucker, 2015, p 2). Health consequences related to this may include from mayor to minor injuries like bruises or factures. Some stress related consequences like headache and eating disorder. Sexual violence may result into urinary tract infections, sexual dysfunction, and pelvic pain. Also, mental effects include depression, substance abuse, and suicidality. Se cond, child abuse is â€Å"non-accidental physical injury that results in harm or substantial risk of harm; some statutes specify the types of acts or overt consequences that constitute to physical abuse† (Claire Burke Draucker, 2015, p 4). Laws related to child abuse differ by state. Child abuse includes emotional abuse such as verbal assaults; physical abuse include body assaults that cause a risk for any kind of damage; and sexual abuse considered any sexual act between underage person and an adult. Lastly, elderShow MoreRelatedDomestic Violence : A Global Phenomenon1653 Words   |  7 PagesIntroduction Domestic violence is considered a global phenomenon; research suggests that up to fifty percent of women worldwide have been physically abused by their intimate partner. Domestic violence can be defined as an incident or threatening behavior regarding violence or abuse between adults who are or have been considered intimate partners (Bradbury-Jones, C., Duncan, F., Kroll, T., Moy, M., Taylor, J. 2011, p 35). Domestic Violence is a serious and prevalent health issue that affects victimsRead MoreGender And Gender Violence1482 Words   |  6 PagesGender-based violence is the unequal power relationships between men and women. It includes rape, sexual assault and harassment, domestic abuse, and stalking. Gender violence reflects the idea that violence is often used to uphold structural gender inequalities. Gender violence includes all types of violence against men, women, children, gay, lesbian, and transgender people. Gender violence may be experienced differently based on the social variables of race, age, gender, social class or anotherRead MoreThe Domestic Violence Act 1995 Essay1499 Words   |  6 Pages1 in 4 woman will experience a form of intimate partner violence (IPV) throughout the course of their relationships (New Zealand Family Violence Clearhouse, 2015). The Domestic Violence Act 1995 (2014) defines violence in this instance as physical , sexual and psychological abuse. This abuse has a myriad of health consequences on all members of the whÄ nau, including children who witness or are subjected to this violence. The primary health care (PHC) nurse has a range of responsibilities in theseRead MoreThe Effects Of Domestic Violence On Children1207 Words   |  5 PagesShadows of Violence Domestic violence and abuse can happen to anyone, regardless of their race, gender, age, ethnicity, education, income, or other factors. In the homes where violence and abuse are present, every member of the family is affected. Almost every healthy intimate relationship experiences ups and downs, but when the behavior of one person consistently tears down the other person -whether physically, mentally, emotionally, or economically- it is considered abuse. The abuse usually isRead MoreIntimate Partner Violence ( Tda )1654 Words   |  7 Pageswith, Intimate Partner Violence (IPV) has been around for a very long time and it is still a present issue in the United States. There are many forms intimate partner violence such as, sexual, physical, emotional, and psychological. IPV occurs among all religious, socioeconomic, and cultural groups in the United States and other countries. As many people know intimate partner violence tends to come with consequences after the damage is done to t he victim. Intimate partner violence does not just happenRead MorePrimary, Secondary, and Tertiary Nursing Care for Domestic Violence1427 Words   |  6 PagesRunning head: Nursing Interventions to Combating Domestic Violence Domestic Violence: Primary, Secondary, and Tertiary Nursing Interventions Jason Holt, RN Grand Canyon University NRS429V Diana Anderson, RN, MSNEd, CMSRN August 27, 2010 Domestic Violence: Primary, Secondary, and Tertiary Nursing Interventions Approximately 2 million American women are assaulted each year at the hands of their intimate partner and an estimated 1,200 are murdered as a result of intimate partner abuse (BlackRead MoreThe Effects Of Domestic Violence On Women1654 Words   |  7 PagesIntroduction Violence against women has been recognised internationally by the world Health Organization (WHO, 2013).Women has been facing different types of violence since the age of 15 such as physical, emotional or verbal abuse. The highest prevalence of domestic violence (DV) is from their intimate partner/perpetrator both physical emotional (WHO, 2013). It has been depicted by the Australian Bureau of Statistics (ABS, 2013) that rate of domestic violence against women by their intimateRead MoreIntroduction. This Paper Describes The Headline Findings1409 Words   |  6 PagesINTRODUCTION This paper describes the headline findings from Crime Survey for England and Wales (CSEW) on the extent of, and trends in, domestic abuse among the black women in the United Kingdom aged 18 to 45, who are the resident in households of England and Wales. Domestic abuse includes a number of various forms of physical as well as non-physical abuse consisting of partner and family abuse, sexual assault and stalking. The abuse can be either of the victim-offender relationship or of the abuseRead MoreDomestic Violence Affects Women Health1399 Words   |  6 Pagesfrom domestic violence every day, from physical, emotional, and even verbal abuse. Violence towards women is very important because it can cause a huge impact on women’s health and can even get as serious as death. So many women are getting some form of abuse and aren’t aware of how serious it can be. The problem that I will be discussing is how domestic violence affects women health. When previously taking Women’s Studies and Intro to Women’s Health, this problem was discussed. Domestic ViolenceRead MoreTheoretical Framework on Domestic Violence1416 Words   |  6 PagesTheoretical Framework on Domestic Violence Theoretical Framework Domestic Violence among Women and Children A Theoretical Framework are theories that is formulated to explain, predict, and understand phenomena and, in many cases, to challenge and extend existing knowledge, within the limits of the critical bounding assumptions. The theoretical framework is the structure that can hold or support a theory of a research study. The theoretical framework introduces and describes the theory which explains

King Richard Iii and Looking for Richard Essay Plan Free Essays

ESSAY PLAN!!!!!!!!! Intro * Both Shakespeare’s Richard III and Al Pacino’s Looking for Richard both portray central values and ideas of the time. * The texts ideas are reflected by the context of the time. * Both texts written in different time periods meaning completely different contexts which shape the text. We will write a custom essay sample on King Richard Iii and Looking for Richard Essay Plan or any similar topic only for you Order Now * Through Pacino’s hybrid style docudrama, he attempts to demystify Shakespeare’s Richard III, making it more accessible to the everyday person. Shakespeare shows the journey in Richard III of Richard himself on his dark quest to becoming king by both using his literary skills and performance to attain what he wants, ultimately being power. * Both texts use propaganda but whereas Shakespeare alludes to the Tudor Myth which is ingratiating himself to his patrons. Whereas Pacino is being more provocative. He is challenging the authority that the British literary world has over Shakespeare. * Both texts also use performance to connect ideas between the two Para 1- Richard III * Context – War of the Roses – now that his house has won the battle. He wants to be king – Tudor Myth – had to ingratiate to the Tudor house and uphold their reign. This too is one of Pacino’s main challenges as he is expressing an egalitarian society where all people and their views are equal as he speaks to various people on the street. However Shakespeare had to ingratiate his monarch, the Tudor House and ensure Tudor patronage. * Throughout the entire play, Shakespeare depicts Richard as a monstrous Machiavellian. Who Nicollo Machiavelli described in his book which was written in Shakespeare’s time is when a person may use craft or deceit in order to maintain or achieve power. Shakespeare presents Richard in this way as he was from the House York which is what the Tudors opposed when they first came to power. * Opening soliloquy – See Richards true character and his intentions in the play. Recognises himself in the play, â€Å"I am determined to prove a villain. † Metafiction shown. Richard feels that he needs to get into power to make up for him being â€Å"rudely stamped,† and â€Å"Cheated of feature by dissembling nature. † * Shakespeare exaggerates and devalues Richard in this manner to perpetuate the Tudor myth whilst demonising Richard, which institutes the Tudor reign as one of providence and divine sanctioning. Para 2 – looking for Richard * CHALLENGES – Pacino isn’t challenging the actual information and ideas expressed in Richard III. But rather he is challenging the British literary world, and their belief that they hold all the knowledge to Shakespeare’s plays. He does this constantly throughout the entire film, showing scenes of British scholars where he has put them on the spot making them seem as if they don’t know anything. A great example of this is when he is interviewing Emrys Jones, a well-known Shakespeare academic and he is asked a question to which he responds, â€Å"I don’t really know the answer. Straight away the scene is cut and immediately followed by a different scene of Pacino explaining exactly what the British scholar couldn’t. The constant use of cutting and framing different scene helps Pacino not only challenge the British literary world by giving them the message that he and numerous other Americans which he inter viewed on the streets hold knowledge about Shakespeare. But also, the fact that he can make it into a film as well proves that they are wrong that the actor holds the power to. â€Å"You want to do it wiz your American accent? Shows jarring which stirs the audience’s image that Pacino can produce a successful version of the play. Pacino challenges not only this question, but the actual theory that Shakespeare put forward * REFLECTS – I do believe however that in this aspect of Looking for Richard, Pacino challenges the ideas more. In one scene of the play Pacino and Kimball travel to England and visit the house which Shakespeare grew up in, in hope that they would achieve some sort of epiphany of knowledge about the plays. Linking back to the point that the British believe they ‘own’ the knowledge on Shakespeare. However they find that they did not feel any epiphany or difference at all, proving again that the British do not hold all the power and knowledge over Shakespeare and his plays and that actors like himself can possibly hold more knowledge that the academics and scholars. Para 3 – Richard III – performance * Lady Anne scene – Richard turns from the monstrous Machiavellian character we see throughout most of the play, into a romantic wooer. He uses rhetorical language such as pathos to connect with her emotions which assists him in essentially ‘capturing’ Lady Anne. The fact that Richard had just killed her husband King Edward, with her still being with his coffin just makes Richard seem even more powerful as he still manages to pull Lady Anne into marrying him. Although in this scene Lady Anne proves to hold the knowledge of language too as there is constant stichomythia between the two characters through most of the scene but the line which best shows this is when Richard says â€Å"Bid me kill myself. I will do it. † And Lady Anne responds with â€Å"I have already. † Showing that she can be quite witty too, but not enough for Richard. Pacino shows his power of being director by taking out a lot of the stichomythia between Richard and Lady Anne which removes some of her agency, that causing Richard to seem more powerful, convincing and in control. Para 4 – Looking for Richard – performance * CHALLENGES – Penelope Allen shows the power of both the actor and method acting. It challenges the fact that women had no dominant role in society, whereas in this scene of Looking for Richard, we see her using method acting to get into character in rehearsal and raise her voice over all the other men and women in the room when she says, â€Å"If he were dead, what would betide on me? Pacino provides the point here that using performance to change into character, can allow women to be completely dominant over men in a modern society. * REFLECTS – Both Pacino and Shakespeare’s Richard both change character to essentially get what they want. Richard, wanting power to be king. Pacino wanting power over his film. Pacino, the star actor and also director of his own film, changes character various times throughout the film. One of the key scenes depicting his want for power is when he is being the actor and discussing a few lines in the play with his assistant director, Kimball and Pacino decides to completely change the script. â€Å"G of Edwards heirs the murderer shall be. † Is what the line usually says. But Pacino changes it to, â€Å"C of Edwards heirs the murderer shall be. † This gives Pacino the power as he now has control over both the film and its script. He changes this as he believes it will be easier for people to understand and ultimately once again make the play more ‘accessible’ for the audience. How to cite King Richard Iii and Looking for Richard Essay Plan, Essay examples

Cholecyctokinin and panic disorder Essay Example For Students

Cholecyctokinin and panic disorder Essay Cholecyctokinin is a neuropeptide found in the gastrointestinal system and brain. Research has shown that it has various isolated fragments that may influence several important areas of human behavior, such as nociception, satiety and anxiety. Cholecystokinin receptors located in the central nervous system (CNS) are known as CCK-B receptors, and they have high affinity for the tetrapeptide fragment CCK-4. Anxiogenic effect of CKK-4 in humans suggested that it might be involved in pathogenesis of panic disorder, and opened new avenues of research into biological aspects of anxiety. Further research showed increased sensitivity of panic disorder patients to CCK-4 in comparison with normal volunteers. Next, substances capable of blocking CCK-B receptors (CCK-B antagonists) were synthesized and their action was evaluated. One of such antagonists, L-365,260 proved to be effective in blocking CCK-4 induced panic attacks in panic disorder sufferers. However, a pilot study failed to show the effectiveness of the same antagonist in decreasing the frequency of spontaneous panic attacks in panic disorder patients during the course of six weeks. Though CCK-B antagonists may prove to become great potential anxiolitic agents, more research has to be done in order to understand the mechanism of CCK-4 action as a neurotransmitter and its role in naturally occurring panic attacksEthiology of panic disorder: a brief overviewPanic disorder, (PD) is a recognized psychiatric condition and is identified in DSM-III-R as a condition separate from other anxiety disorders. Its main feature is occurrence of unprovoked panic attacks, which happen at random and cannot be explained by the patients. These attacks of fear are closely associated with an overwhelming subjective feeling of anxiety in connection with unpleasant bodily sensations, such as increased heartbeat/palpitations, hot flushes/chills, abdominal distress, nausea, sweating, trembling/shaking, etc. Along with objectively groun dless emotional symptoms, e.g. fear of losing control, sense of unreality and detachment, even fear of dying they affect PD sufferers, interfering with social and professional aspects oftheir lives. Some PD patients associate panic attacks with certain objects or situations, and therefore phobias, especially agoraphobia , are closely associated with the PD. The ethiology of PD is not clear, and most theories support either a psychological or a neurobiological view. The most developed psychological explanation is cognitive theory of PD. According to Clarks model, the panic attack develops as a result of misinterpretation of unpleasant bodily sensations,which leads to increasing feeling of anxiety and progresses to a fully developed panic. This misinterpretation is defined as anxiety sensitivity, and it present in PD patients. When challenged by panicogenic pharmacological agents, anxiety sensitivity causes a faster and stronger response in PD sufferers than in healthy individuals.2 B iological theories concentrate on implicating pathological disturbances in the neurotransmitter systems, including GABA, serotonin (5HT) and noradrenaline. Recently attention was given to a less known neuropeptide cholecystokinin (CCK). Though it was first discovered in the gastrointestinal tract (it is secreted by the small intestine and stimulates gall bladder contractions), its abundant presence in the mammalian brain indicated on its possible functions as a behavior-regulating neurotransmitter. Various electrophysiological data and animal studies linked CCK to anxiety regulation. For example, its excitatory role on pyramidal neurons of hippocampal area was first observed in rats after electrophoretic administration of CCK, and increased density of CCK-B receptors was detected in rats with low exploratory activity and with novelty-avoidance behavior.7 The later, also known as novelty stress sensitivity, is often observed in panic disorder patients.. Anxiogenic properties of CCK w ere demonstrated in various animal models of anxiety, and results of only one of these studies suggested anxiolytic rather than anxiogenic properties of CCK.7 The first human study which demonstrated CCK anxiogenic properties was conducted by De Montigny in 1989. The study did not include a control group and all participants were healthy volunteers. Upon injection of various doles of CCK (20-100 mg) 70% of participants developed panic attack symptoms.7 This discovery was confirmed a year later by Bradwejn and colleagues, who have contributed heavily to the research on the role of CCK as panicogenic agent. In 1991 they confirmed De Montignys observation with the use of a double-blind experimental design.7 Unlike de Montigny, Bradwejns study included no healthy volunteers, but rather panic disorder patients, who were randomly subjected to injections of either .ufc605166400bccbd8bf9a487c192e73b , .ufc605166400bccbd8bf9a487c192e73b .postImageUrl , .ufc605166400bccbd8bf9a487c192e73b .centered-text-area { min-height: 80px; position: relative; } .ufc605166400bccbd8bf9a487c192e73b , .ufc605166400bccbd8bf9a487c192e73b:hover , .ufc605166400bccbd8bf9a487c192e73b:visited , .ufc605166400bccbd8bf9a487c192e73b:active { border:0!important; } .ufc605166400bccbd8bf9a487c192e73b .clearfix:after { content: ""; display: table; clear: both; } .ufc605166400bccbd8bf9a487c192e73b { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ufc605166400bccbd8bf9a487c192e73b:active , .ufc605166400bccbd8bf9a487c192e73b:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ufc605166400bccbd8bf9a487c192e73b .centered-text-area { width: 100%; position: relative ; } .ufc605166400bccbd8bf9a487c192e73b .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ufc605166400bccbd8bf9a487c192e73b .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ufc605166400bccbd8bf9a487c192e73b .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ufc605166400bccbd8bf9a487c192e73b:hover .ctaButton { background-color: #34495E!important; } .ufc605166400bccbd8bf9a487c192e73b .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ufc605166400bccbd8bf9a487c192e73b .ufc605166400bccbd8bf9a487c192e73b-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ufc605166400bccbd8bf9a487c192e73b:after { content: ""; display: block; clear: both; } READ: Detailed Lesson Plan in Science Iii(Parts of the Ears Essay