Effects Of Cognitive Impairment And Low Health Literacy On Medication Adherence Essay Example

Effects Of Cognitive Impairment And Low Health Literacy On Medication Adherence Paper Scientific and social changes of the 21st century have brought a radical change in the Health care delivery system. Medical intervention is an important component of the health care delivery system and the role of a health care professional in patient welfare has no boundaries for praise. The health care profession has evolved through time to establish a firm role in the medical domain based on strong ethical, moral and professional principles. The medical professionals are ‘accountable’ today. The civil war (1860-65) enhanced the growth of health care in United States and the two World Wars saw the ‘nobility’ of the medical practice. The changing role of these professionals as significant members of the health care team has brought about radical change in Health Care delivery system. Practice methods like â€Å"The collaborative model† shows a radical shift from the past. â€Å"Evidence based Practice† is another model in practice today. In such a scenario, clinical care of cognitively impaired is a complex practice and involves the key concepts of knowing the patient and reflective thinking. BACKGROUND Communication is the pulse of medical practice with the elements of intimacy and reflective practice. We will write a custom essay sample on Effects Of Cognitive Impairment And Low Health Literacy On Medication Adherence specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Effects Of Cognitive Impairment And Low Health Literacy On Medication Adherence specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Effects Of Cognitive Impairment And Low Health Literacy On Medication Adherence specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Communication barriers of the mentally and cognitively impaired patients seem to erode the quality of medical care due to assumptions and attitudes. Lack of communication due to cognitive impairment and lack of health literacy clearly affects the medication adherence of the older patients, especially ethnic minority in origin. More than sixty percent of the minority population does not comply with the prescribed drug regimen in the USA. Non-verbal communication seems to be effective in such settings. Effects of cognitive impairment on the reliability of geriatric assessments has been studied recently (Phillips et. al, 1993) to explore the relationship between cognitive status and reliability of multidimensional assessment data. The studies have proved that the reliability of the patients communication and sensory ability are affected by cognitive status. Hence caution should be exercised in treating cognitively impaired patients. The cognitive impairment that contributes to unreliable assessment of patients includes those related to communicating, vision and hearing. Communication problems of hearing impaired patients have been studied as well (Hines, 2000). The studies have proved that such patients are seriously disadvantaged by the disability. The major factor contributing to the disadvantage has been the inadequacy in training of both health care professionals in deaf awareness and associated communication skills. Other factors include the patient’s concealing their disability, work pressure and poor communication of the staff. Monolingual and Bilingual communication between patients with dementia and their care givers have been studied and have shown that the relationship between a demented terminally ill patient and the care giver is an important factor which forms the foundation of the interaction between them. This communications is complex with different aspects of perception and practice (Sirkka, 1996). Non-speaking patients are the worst affected and it is important to improve their communication to allow them receive care and comfort. The ethnic old patients in Canada have been shown to have remained an isolated group as aliens in their own land. This ethnic population has been shown to be unable to communicate with their care givers (Saldovt, al 1994). Problems developed in such patients without interpreter services have been termed serious. Thus, the problems encountered in communication between health care professionals and patients can be based on cultural needs and cognitive status; Cognitively impaired or comatose are often neglected. Studies on demented terminally ill patients to evaluate the time care givers provide for direct patient care have showed that more time is being spent with non demented than with the demented. The patients were shown to react in five categories of communication types during interactions The patients enjoyed contact, Patient avoided contact, The patient was aggressive, Showed only slight reaction and Does not react. Studies pertaining to specific verbal communication interactions in such elderly patients have been carried out (Jones et. al 1986). The studies were carried out under the categories ‘words spoken’, ‘commands given’, ‘statements made’, ‘Questions asked and answered’ with there ethnic groups namely immigrant, Canadian born and Anglo-born. The studies highlighted the need for health care professionals be aware of the implications of differences with there groups. Another studies on communication with severely demented patients by the health care professionals have shown that care of such patients need clear communication during care procedures. Thus, use of non-verbal communication skills (NVC) to improve care, especially with people who have learning disability has been assessed in a study (Chambers, 2003). The study outlines a health care professionals’ diagnosis of altered non-verbal communication and a new wellness diagnoses for enhanced non-verbal communication with detailed discussion on use of NVC with people with comprehension difficulties. The study stresses on the fact that health care professionals can be important in enhancing the non-verbal skills of the patient to help them communicate. Adding support to the view, the importance of improving communication by touch has been documented (Vortherms, 1991). The article views touch as an integral aspect of care, with the language of touch including tactile symbols of duration, location, action, intensity, frequency and sensation. The article classifies touch as affectional, functional and protective. The article stress that age is not a category to decide upon touch in terms of reduced needs of touch. An examination of touch between health care professionals’ and elderly patients (McCann et. al, 1993) has shown that most touch interactions in a care of the elderly are instrumental in nature and expressive touches are usually given to body extremities like the forehead, arms and the legs. Caring mentally ill patients undergoing therapy with antipsychotic drugs like clozapine and benzodiazepines involves careful monitoring of the patient’s physiological condition as well. Such drugs have marked side effects like sedation, hyper salivation, increase in transaminases, EEG changes, cardiovascular respiratory dysregulation, overweight, mild Parkinsonism, akathisia, tardive dysakinesia, increase of liver enzymes, hypotension, fever, ECG alterations, tachycardia, and delirious states. These drugs also pose the risk of seizures. With medical litigations on the rise, the interventions should be based on the competence of the patient. However in psychiatric cases there seems to be a group of individuals who are marginally competent. This group seems to lie in-between the two extremes of competence and incompetence and competence in this case thus appears to be a matter of degree. Mentally retarded persons who have some understanding of the reality and are able to express their wishes and desires can also be considered marginally competent. Mentally ill individuals whose illness has not completely impaired their understanding and capacity to express their wishes and desires are also considered marginally competent. These individuals are not incompetent though they suffer from specific deficits due to destroyed faculties. These marginally competent individuals make a significant group and recognizing the existence of such group of marginally competent individuals will help define competence better towards the documentation of informed consent and advance directives during interventions. A Psychological well being was shown to be enhanced by the humanistic personal interaction with the health care professionals and the professional interaction was shown to enhance physical well being. The patient’s feelings of well being always depended on the psychological well being according to the study. (Jane, 2002). Another studies on communication with severely demented patients by the health care professionals have shown that care of such patients need clear communication during care procedure and the health care professionals were vogue in their verbal communication and some patients were verbally active after the health care professionals leaving the bed side. A small scale pilot study has explored the educational base and needs of qualified care givers with reference to terminally ill patients with learning disability. The study has shown the lack of knowledge and skills in health care professionals to deal with the LD patients. The study has also recommended the introduction of communication and interpersonal skills in the care and Management of terminally ill patients with LD in the curriculum. The role of communication in care for elderly as documented by a literature review (Varhellan et, al. 1997) indicate a lack of observational instruments to effectively evaluate the interactive nature of patients communication especially with reference to reliability and validity. LIMITATIONS AND RECOMMENDATIONS The negative influence of elderly patients mental impairment on patient interaction has been documented in a study using the Clifton Assessment Procedure (Armstrong et, al 1986). 23 students were assessed under three categories of lucid, slightly confused and demented. Data on interactions with nursing staff were gained by direct observation. Studies concluded that health care professionals interact less with confused category them lucid category. Most of the health care professionals were more directed in the physical care of the patients them the psychological interaction or restorative activity. The patient’s inability to provide an accurate history of his problem and to participate in self-care blocks the usual process of care, often resulting in medical uncertainty inadequacy and frustration for the physician (Wendy L. , et. al, 2005). This shifts the goal from cure to care and shifting the goal of care from curing the patients illness to caring for the patients quality of life is problematic. The doctor–patient relationship changes dramatically often with ethical dilemmas related to patient autonomy and decision-making. Communication problems seem to erode health care professional’s commitment to care (Ekman et. al, 1991). Continuity of care seems to be a significant factor in psychiatric care as documented by research studies (Backrush, 1981). Continuity of caregivers where a single, continuous treatment team is responsible for patients in both inpatient and outpatient settings (Fuller Torrey 1986) seem also to complement continuity of care with improved cognitive function self-care skills. Cognitive impairments and low health literacy pose a serious barrier on the reliability of patient assessments. Hence, there is a need for training the health care professionals on communication skills with reference to cognitive impairments and designing awareness programs for such patients towards better health care. GOALS AND OBJECTIVES The main Objective of the study is to evaluate self-reported medication compliance in patients 50+ years of age and to compare physician assessments of patient’s adherence to a prescribed drug regimen provided on the â€Å"Predictive Score Sheet† to data obtained in telephone survey. The main goal of the study is to administer Medication Adherence Telephone Survey to all patients that completed the initial RAND SF-36 Survey, to complete double entry of data using SPSS software, to design and implement a statistical analysis plan to address the stated research question and to understand the effects of self-reported data on the validity of a research study MATERIALS AND METHOD In such a context, a demographic survey and two health assessments were administered to a convenient sample for a consecutive two week period utilizing CLOX, an executive clock drawing test to screen for cognitive impairment and the Rapid Estimate of Adult Literacy in Medicine (REALM) test to measure health literacy. A stimulated patient chart reviews and a telephone survey to record medication adherence behavior was conducted. One hundred cognitively impaired patients with treatment-resistant schizophrenia referred for Clozapine therapy were studied over the period of two weeks of treatment. Clozapine is a tricyclic dibenzodiazepine derivative 8-chloro-11- (4-methyl-1-piperazinyl)-5H-dibenzo [b, e] [1,4] diazepine. It is available as 25mg and 100 mg tablets for oral administration. Clozapine is widely used in refractory Schizophrenia. There seems to be a cultural and geographical variations in dose response relationship and tolerability to the drug making the dose response unpredictable. The effective and tolerable range is between 100 mg to 900 mg, which makes it difficult to make a predictive, significant and valid correlation. There has been no positive correlation with serum level too. Adherence to medication is important in clozapine therapy for results. The study was open level, naturalistic, and prospective, involving all patients, consecutive one hundred, referred for Clozapine during the year 2006. Data was obtained from patients and key relatives after informed consent. After therapy began, patients received a follow-up evaluation on day 4, 8 and again on the last day of treatment. The patients included 62 men and 38 women of low to middle socio-economical class, ranging in age from 52 to 56 years, averaging 54 years of age. 38% were married, 43% were single, and 19% were separated. The duration of illness prior to the study ranged from 5 to 21 years, averaging 7 years. Patients’ duration of illness before first psychiatric contact ranged between 5 months and 46 months, averaging 20 months. Prior to the study, 55% of the patients had a history of hospitalization, averaging 2 prior hospitalizations and the mean duration of hospitalization was 2 months. A history of violence was recorded in 46% of patients and 72% had a history of behavioral disruption. 28% of the patients had attempted suicide. Some were unable to function in society- 66% were socially disabled and 74% had little or no occupational functionality. One fourth of the patients had a positive family history of some psychological disorder. Schizophrenia was diagnosed in 16% of those relatives: 5% in siblings, 8% in parents, and 3% among offspring. Other psychological disorders, including alcoholism, depression, and suicide attempts were confirmed in first-degree relatives among 9% of the patients.

Kerala from Sangam to Dutch Period Essay Example

Kerala from Sangam to Dutch Period Essay Example Kerala from Sangam to Dutch Period Essay Kerala from Sangam to Dutch Period Essay Introduction. ?Kerala has a unique Geographical position. ?Kerala has a rich culture and is the meeting point of many types of ideologies, Ideas and religious views. ?Travelers, merchants and rulers visited kerala and influenced its History. ?Story Behind the birth Of Kerala. ?Parasurama the 6th Incarnation of Lord Vishnuthrew an axe far into the sea and commanded the sea to retreat. ?The land that emerged from the waters became Kerala. ?From where does the term kerala come from ? ?Sanskrit scholars derive the name from â€Å"Kera or coconut†,which is a staple product of kerala. Others say it is derived from the Tamil word â€Å"Charal† meaning Mountain slope. ?Arab and Persian writers and early Malayalam and medieval Tamil Literature say that the word kerala means the land of hills and mountains. Traditional sources. ?Early history of kerala is based on traditions. The two major sources are : ? Archaeological Sources. ?Archaeological survey and excavations were started in Kerala by Ward and Conor in 1819. ? there are 3 relics of the Historical period found in the various parts of Kerala. They are : 1. monuments 2. coins 3. inscription. ?Monuments. 1. Stone images of Buddha, reflect the culture of kerala during the Buddhist era. 2. Religious monuments : Temples , Churches, Mosques and Synagogues. 3. Palaces – famous Padmanabhapuram palace in Kanyakumari district and Dutch palace in Fort Cochin. 4. Forts and historical sites. ?Coins. ? Many foreign and indigenous coins have been found in kerala. Rast is the oldest of them. Roman coins are the oldest Foreign coins. Rulers of Travancore and Cochin Had their own independent coinage. Dutch copper coins and British Indian Coins give valuable information to historians. ?Inscriptions . Throw light on the political,Cultural, and social life of the People of Kerala. 2. Give insight into working conditions of local assemblies, how temples were managed, Relationship between the landlord and tenant and functioning Of educational institutions. 3. Some inscriptions testify the liberal policy of religious tolerationfollowed by the ancient rulers of Kerala. ?Sangam Age(1-500 A. D. ) ? Sang am Literature was composed, In which the Works of poets and writers threw light upon cultural, economic, political, Social and other aspects of the kingdoms of the South. Through these works we get to know what happened during the first 500 years of Christian Era : I. there was monarchy and patrilineal system of succession, II. Women were well educated and had a good position in society, III. Monogamy was the norm, widow remarriage was permitted, Child marriage was not there. ?No division of society into high and low castes,there was no untouchability, ? Rice was the staple food, people had no restrictions regarding beef eating and other non-veg items. Rice-wine was a popular drink. ?It was rare to find Brahmins though some were there as Aryan Brahmins in the royal court. Agriculture was a major occupation and due to trade with countries like Rome, they flourished as a prosperous set of people. Post Sangam Period (500-800 A. D. ) ?Main rulers of this period were Cheraman Perumal and Kulasekara Alwar. ?The former became a Vaishnavite Poet and the latter accepted Islam and went to Mecca. ?Adi Shankara (788-820 A. D. ) lived and propogated the Advaida philosophy during this period. ?After the creation of Kerala it was believed that Parasurama planted sixty-four joint Brahmin Families and gave them rules which would govern them. The Brahmins invited rulers called â€Å"Perumals â€Å" to rule them and each ruler was appointed for a period of 12 years to rule over them. The Kollam Epoch (800-1200A. D) ?Politically Kerala was under the Cholas and Pandyas. A temple was constructed at almost every town and village in Kerala the Quilon calendar was introduced during this time in 25 July 825 A. D. ? Festivals like onam and vishu came to be celebrated. ? The 9th century A. D. saw Malayalam growing as a distinct language. ? Educational institutions like â€Å"Salai† came into existance. ? This period also saw the grow of trade and commerce. There was trade betwe en China and Kerala. ?Tenant system was prevalent whereby the feudal lords enjoyed life at the cost of the poor tenants. ?Sales and tax on vehicles fetched a revenue for the state. ?Ravi Varma Epoch (1200-1500 A. D) ? During this period the land relations showed certain important features : ? Increase of intermediaries as temporary holders of land. ?Increased measures to expand cultivable land and enhance income from land. ?The emergence of cash money in obtaining land rights. ?Traditional landowners held the right of ownership of land. ?Pledging of land of debt on interest. Agriculture was the main occupation. ?There were other occupations like ritual-cum-medicine men, astrologers, washer men and so on. ?There was growth of trade and trading centres; ?Trade was at 3 levels : ?Transport system was essential for trade and in this context there were many boats, ships; even bridges over waterways was essential. ?Portugese Rule In Kerala. ?Political authority was fragmented by the time the Portuguese came to kerala. ?In 1498, Vasco-do-Gamma reached Kappad near Kozhikode. ?Portugese, was the first to achieve a stronghold in Kerala ? A number of battles were fought between the provincial rulers and the Portugese. In 1524 Gamma was appointed the Portugese viceroy of Kerala. ?Apart from commerce, they were also interested in imparting their faith to the people. ?Many people were forced to convert. ?In 1550’s , St. Francis Xavier converted many fisher folk and other socially backward sections along the coastal regions of southern Kerala. ?The chiefs in the state (except the Muslims to whom the Portuguese were hostile) did not resist the conversion as long as they had freedom to do trade and commercial activities and the economic fabric of society was not disturbed. The Portuguese used their own tactics of divide and rule policy for fulfilling their commercial interests in the state. ?New towns had risen and old towns decayed. eg. Calicut, Cochin, Chaliyam gained importance while Quilon and Cranganore languished. ?Crops like cashewnuts, tobacco, custard apple, guava, pineapple and papaya were introduced. ?Gunp owder increased the importance of artillery. This brought unemployment among the Nairs who were well trained in swords and shields. They established seminaries and colleges in Cochin, Angamali and Cranganore. For gtting Christian priests. St. Francis Xavier translated Catechism into Malayalam. Fearing ?The Dutch in Kerala. ?Dutch East India Company was established in the year 1592. ?In 1604 they came to the Malabar coast. ?There was rivalry btw Cochin and Kozhikode during that time and they took advantage of this situation. ?However like the Portuguese their involvement in the local politics was minimal. ?However they had conflicts btw Marthanda Varma of Thiruvithankur and Samuthiri of Kozhikode. ?The Dutch had the main power over the Trade activities. ?Pepper and spices were exported by merchants only after the consent of the Dutch people. They constructed forts and factories here like the Portuguese. ?They sold Indonesian spices and sugar to those ships which were going to Cochin. It turned out to be a success. ?But this didn’t last for long as it declined from 1783 and was completely stopped by 1793 due to poor demand. ?Conclusion ?The History of kerala is very essential part of the heritage of the state and cou ntry as well. ?If we study History well then we would know about the real background in which our state developed through the years. ?We can also see the contrasting practices that were in vogue during the ancient and medieval and the present kerala society.

American Cultural Mythologies Essay Example | Topics and Well Written Essays - 1250 words

American Cultural Mythologies - Essay Example Rhetorical strategies majorly take the form of questions. Their speeches entailed logos, ethos and pathos in their rhetorical techniques. Rhetorical questions do not necessarily require an answer from the audience. They just offer a platform of sharpening and cognitive reflections of the audience. Audiences ponder on the implications of the questions and detect the bias presented by the author or presenter. Therefore, the answers of the questions are already disseminated by the course of the speech. The stand of the author or presenter produces the answer to a rhetorical question. This is an apparent implication that the answers of the questions are already set by the authors and presenters of the speech. This is an evident phenomenon in the speeches by Frederick, Truth and Jefferson. Regardless of the position of the audience, the answer of the rhetorical question remains static during the speech. Therefore, this appeals to the wits of the audience and it possesses a substantial con vincing power. Audiences mostly take the positions of the author or presenter due to the conveyance of the bias through the rhetorical strategies. In this case, authors and presenters have the liberty of capitalize on rhetorical strategies to convey a message to the audience. Rhetorical strategies have a basic role of persuading the audience. ... In this case, his speech starts with a rhetorical question. A rhetorical question is a strategy that has an immense contribution to the persuasive power of the speech. His speech has the title â€Å"What to the Slave is the 4th of July?† Definitely, this qualifies to be a rhetorical question. It does not require an immediate answer from the audience. It also spells the stand of the author or presenter vividly. Therefore, the answer for this question is already set. It spells a definite feeling within the slaves upon the existence of the 4th July date. Ideal expectations of the slaves are major consequences of this day’s existence (Douglass, 7). Frederick appeals to the cognitive reflections of his audience during his presentation of the speech. Ethos is an evident rhetorical strategy in this speech. This speech entails a substantial ethical appeal towards the audience. Through the ethical appeal, Frederick gains a convincing capacity to the audience of his speech. Socie ty has a high tendency to listen and adopt ideas from trustworthy icons. In this case, Frederick’s speech gains much persuasion to the audience due to the ethos technique. Pathos is a rhetorical technique that appeals to emotions of the audience. Frederick uses this rhetorical technique to facilitate his persuasive capacity to his audience. The title of the speech appeals to the emotions of the audience (Douglass, 4). All rhetorical questions also have a substantial emotional appeal, and therefore they facilitate the persuasiveness of the speech. Frederick appeals to the emotions of the audience through the exploration of historical experiences of America’s forefathers (Douglass, 7). By revealing their painful encounters, he convinces his audience to retain their historical glory. Logos

Medical equipment lifecycle ( Medical Equipment & Technology Services Essay - 1

Medical equipment lifecycle ( Medical Equipment & Technology Services Management) - Essay Example The technology life cycle of a medical component initiates in the design and acquisition phase, by means of the acceptance process. The technology life cycle of the medical component extends through its application in the clinical environment . Subsequently, it reaches the obsolescence phase where it is replaced and discarded after reaching its maximum life utility. The acquisition, approval and obsolescence of a medical technology occurs only once in its useful life (Chan, 2003, p. 13). The optimal application of technology incorporates a number of occupations and can occur over a variety of instances. This optimal application of medical technology can be deconstructed into two sub cycles. These sub cycles are the acquisition and application sub cycle. The acquisition sub cycle consists of the following events: Technology evaluation- Technology evaluation is a classification of policy study which reviews the short term and long term outcomes which are societal, ethical, legal and economic. These aspects constitute the comprehensive evaluation of the technology (Banta, 2009, p. 8). The gold criteria for clinical research assessment of novel medical technology is historically recognized as the Randomized Control Trial (RCT) (NHTSA, n.d.). A primary tenet of technology evaluation is â€Å"buying smart, not cheap†(University of Boston Massachusetts, 2010, p 9). In the technology evaluation, the following details are delineated: Guiding adaptation and application in medical equipment technology goes hand in hand. The important factor in being successful is carrying out a comprehensive and thorough planning procedure (NSBA, n.d.). Efficient technology designs are directed towards applications, instead of technology. The technology should be based on inputs and not results (See, n.d.). A new medical technology equipment system

The Lifestyle Theory by Larry Siegal Research Paper

The Lifestyle Theory by Larry Siegal - Research Paper Example Thus the lifestyle theory brings forth the issue of a rational choice that determines an individual’s involvement in crimes (Johnson, 2011). The present study focuses on an understanding of the lifestyle theory and the vital issues that may be associated with the theory as well as understand the probable solutions to complicated problems related to the theory. The Lifestyle Theory: A Brief Overview: As far as the lifestyle theory is concerned there are three interlocking models that constitute the theory. These are the structural model, the functional model, and the change model. Through a structural model, a lifestyle is defined operationally along with its features. It also explains how the lifestyle fits into a larger system of classification. The functional model delivers the developmental features of a lifestyle with respect to the fears, beliefs and values of a person in a community, distinguishing such factors into initiating ones and maintaining ones. The change model of the theory deals with the focus of change in a lifestyle. This is primarily concerned with the changes that occur naturally in the lifestyle of an individual during a lifetime influencing the behavior of the lifestyle (Walters, 2006, p.1). Vital Issues Associated with the Theory: The most important issue associated with the lifestyle theory is the fact that depending on lifestyles, individuals tend to get victimized and get involved into criminal activities. This has been discussed in several studies. Different individuals have different styles of living their lives. The different activities that individuals are involved may be mandatory or optional, leading to lifestyles being patterned, or customary, or persistent, common or involving routine activities (Robinson, n.d.). It can be discussed here that while there are certain activities that are customary or mandatory for almost all individuals to follow regularly which may be the routine activities of life, the discretionary act ivities are the ones that individuals choose on their own to be involved in. A person having a highly active lifestyle are prone to greater victimization since they tend to mix with greater number of people irrespective of whether they are good or bad, having no proper knowledge of their intentions. Hence victimization may be influenced. However the criminal victimization also depends on the individual’s incapability of not being able to predict the wrongdoers and the incorrect activities that might lead to crimes (Robinson, n.d.). With the active lifestyles of individuals, particularly among the youth, there are greater risks of exposures to offenders in a society. This has been more associated with the assaults and criminal activities from strangers. For example, parental violence might also lead younger individuals to perform crimes. However such activities or crimes cannot be associated with the lifestyle theory. Lifestyle theory discusses about the cases where individual s spend large amounts of time out of their homes, with strangers, even at the time of night and become prone to criminal victimization (Finkelhor & Asdigian, 1996, pp.3-4).

History Of The British Raj History Essay

History Of The British Raj History Essay The name of the period of British colonial rule in South Asia between the years 1858 and 1947 is British raj. The region, called India included areas administered by the United Kingdom. The princely states were ruled by individual rulers under the paramountcy of the British Crown. The political union was officially called the Indian company after 1876. It issued passports under that name. The result of this change was that it was a founding member of the League of Nation and the United Nation. Furthermore it was a member nation of the Summer Olympics in the years 1900, 1920, 1928, 1932, and 1936. When the rule of the British East India Company was transferred in the person of Queen Victoria, the system of governance was instituted. When the British Indian Empire was portioned into two sovereign dominion states, the Union of India and the Dominion of Pakistan, it lasted until the year 1947.   In the year 1937 the province of Burma became a separate colony. This province was located in the eastern region of the Indian Empire. Moreover it gained independence in the year 1948. The Geographical extent of the Raj India, Pakistan, and Bangladesh over all these regions the British Raj extended. At various times it included Aden Colony, Lower Burma, Upper Burma, British Somaliland, and Singapore. Only one region was directly administered by the British Crown from 1937 until independence in the year 1948. This region was Burma. In 1802, Ceylon was ceded to the United Kingdom under the Treaty of Amiens. Ceylon was never part of British India, but it was a British Crown Colony .The British having fought wars with the kingdoms of Nepal and Bhutan. They signed treaties with them. Also they were recognized by the British as independent states.  Ã‚   This map shows the British Indian Empire and surrounding countries in the year 1909. The meaning of The Raj The Raj is the name of the British rule in India. This expression was derived from the Sanskrit term raja. The meaning of raja is king. For long time, until after 1858 the term did not have official meaning. But many years before that, it was in popular usage. Many British merchants made a fortune in India and they return home, because they were derided by those in British high society as nabobs. Nabobs was the title for an official under the Moguls. The British public was fascinated by the tales of life in India. They liked exotic Indian scenes, for instance a drawing of an elephant fight.   This drawing appeared in books published in London in the 1820s.   Raj means rule. This word is of Indian languages. British Raj means rule by the British in India. The Republic of India, Pakistan, Bangladesh and Burma were all part of the British Indian Empire. At that time, it was known as the Indian Empire and sometimes now spoken of as the British Raj, which is a term of history. This rule was before 1947. The British Raj is used to talk of the direct British rule over areas which had been conquered by the British. This is known as British India. Undivided India is another term. It is used to mean the whole area of British rule. It does not take in Burma. From 1937 Burma was a British colony on its own. The colony of Aden came under the same government in India. It came from 1858 to 1937.Furthermore the British Somaliland came under the same government from 1884 to 1898 and Singapore from 1858 to 1867. Today Somaliland is called Somalia. The British rule ended in Pakistan and the East Bengal region on 14 August 194. Later the British rule ended in the rest on 15 August 1947. Jammu and Kashmir had not been under direct British rule. Over this area India and Pakistan have gone to war, and it is not divided between them. The beginning of the Raj In the year 1858, the British Crown was established in India. A century of control by the East India company ended. The life and death struggle cost  Ã‚   36 million. It is variously referred to as the Great Rebellion, the Indian Mutiny or the First War of India Independence. The nature of politic, social and economic rule was marked by the consequences of this bloody rupture. The Raj never encompassed the entire land mass of the sub-continent. Over 560 large and small principalities independently governed Two-fifths of the sub-continent. During the rebellion, some of whose rulers had fought the British, but with whom the Raj now entered into treaties of mutual cooperation. The Great Rebellion did more to create a racial chasm between ordinary Indians and the Britons. This social segregation endure until the end of the Raj. On the one hand the British criticized the divisions of the Hindu castle system, on the other hand they lived a life ruled by precedence and class. Rudyard tried to reflect this position in his novels. His books show the gulf between the white community and the Anglo-Indians. The mixed race caused them to be considered racially impure/ unclean. The sources   Ã‚  Ã‚   http://simple.wikipedia.org/wiki/British_Raj   Ã‚  Ã‚   http://en.wikipedia.org/wiki/British_Raj   Ã‚  Ã‚   http://history1800s.about.com/od/thebritishempire/tp/indiatimeline01.htm     Ã‚  Ã‚   http://www.bbc.co.uk/history/british/modern/independence1947_01.shtml   Ã‚  Ã‚   http://www.drake.edu/artsci/PolSci/ssjrnl/2001/nunn.html How did the British Raj influence India? The British Raj was the result of the Victorian erais infusion of British liberal philosophy in colonial policy and social governance. Liberal-minded principles of economics, social responsibility and military administration permeated British legislative and imperial rule as clearly as in the British Administration of the Indian subcontinent. Furthermore the British made positive contributions to Indian life. But the colonialism never brought positive consequences to India. The British crown inherited over 750,000 square miles of Indian territory, when the British Crown took over direct control from the East Indies Company in the year 1857. The British tried to extend their control throughout the region. In the opinion of the Crown, they felt obligated to support the long list of treaties the East Indies Company had made with numerous Indian Princes and regional rulers. India was carved into more than 600 sovereign territories in the sub-continent, because the British government honoured these agreementsThese native states possessed British advisors. The large British provinces, for instance Punjab, Bengal and Assam had British Governors. They reported to the imperial viceroy of India, who in turn reported to Parliament and the monarch in London. This amalgam of colonial control and tradition feudalism reflected the regional and local disunities of India. Moreover it deepened the regional and local disunities of India. Other rejected and repelled them wholly, although certain parts of the sub-continent adopted and promoted the contributions of the colonial era.    GRATIS fà ¼r alle WEB.DE-Nutzer: Die maxdome Movie-FLAT!  Ã‚  Ã‚   Jetzt freischalten unter http://movieflat.web.de

K-Mart :: essays research papers

K-Mart Kmart is the #3 discount retailer in the United States behind Wal-Mart and Target. Kmart sells name brand and private label merchandise, mostly to low and mid - income families. It has more than 1,800 stores and currently employs more than 220,000 associates in all 50 states, Guam, Puerto Rico and the U.S. Virgin Islands and owns an e-tailer BlueLight.com. As of Jan.30, 2002,Kmart had 124 Kmart Supercenters that combine a full grocery, deli, bakery, video rental and 24 hour/seven-days-a-week availability along with the general merchandise selection of a Kmart discount store. A core strength for the company continues to be the expansion of Kmart Exclusive brands such as Martha Stewart Everyday, Sesame Street, Jaclyn Smith, Kathy Ireland, and Route 66. These brands-nationally available only at Kmart- have progressively added to their assortments. Despite that, the company filed for Chapter 11 Bankruptcy protection on January 22, 2002, after a year in which its financial performance declined from unimpressive to bleak. The filing came a day after Kmart's major food distributor, Fleming Cos., said it had cut off most shipments to Kmart because the discounter failed to make its regular weekly payment for deliveries. Fleming said Kmart, its largest customer, owed $78 million. This bankruptcy filing let Kmart rid itself of unprofitable stores and shrink the payroll. The company has closed 284 unprofitable stores and laid off about 22,000 workers to pare costs. Kmart stores have fallen as consumers have slowed their spending and as rivals like Wal-Mart Stores and Target have tried to siphon off Kmart’s customers. In this paper, I will try to suggest some solutions to improve Kmart as a company as a whole and help increase its sales. First of all, Kmart needs to improve its marketing technigues. The problem that it’s facing right now is decreasing sales. What I think it should do is lower the prices. It will definitely attract more customers. For example, the reason that one of Kmart’s biggest competitors, Wal-Mart is doing so well is because Wal-Mart is known for its very low prices. Also, I think that Kmart should increase eye-capturing advertising. Not only should they increase the advertising, but they should try to appeal to different kind of customers. Kmart should make sure that its advertisements attract not only middle-aged population-mostly housewives, but it ought to attract more hipper/younger consumers. In addition, it needs to provide better quality of items. One main reason why Target is a

Latin American History

Ernesto â€Å"Che† Guevara’s work is entitled Reminiscences of the Cuban Revolutionary War. He elaborates on how Cuba was revolutionized and what happened during those days. It was published in Australia in 2006 and runs to 314 pages. Guevara is conscious of his place in history and writes for posterity, to preserve a history of the armed struggle against the tyranny of the dictator Batista. The revolutionary icon Ernesto Guevara states that the Cuban Revolution has had a very important role in bringing consciousness and liberty to the Latin America region.   Because of the Cuban revolution the country has become one of the most influential nations in the world. Cuba has achieved its goal of the gradual eradication of illiteracy and unemployment is solved. Social security is also guaranteed and for the young there is the assurance of education. Aside from all the hindrances and challenges that Cuba had experienced before, the country still manages to stand up and fight for their rights and liberties through social revolution.  Socialism is said to be improved and will be accredited for the duration of the Cuban Revolution. Even through the darkest days and the blockades that were done to Cuba, the people did not stop their revolution. Guerilla warfare played an important role in the Cuban Revolution according to Guevara’s writings. Guevara’s guerrillas were able to overcome superior firepower and succeed over superior forces by living off the land and utilizing hit and run tactics. They knew where they would attack next and the government forces did not. They were trusted by the people and therefore were better organized politically by listening to the people. Guerilla warfare was a rebellious movement which was formed to overcome economic, political and cultural adversities. It promotes changes which aim to eradicate corruption in the government, to stop tyranny, repression and remove the power of aristocratic elites. Guevera relates that in liberated territories the need for health care, industry and education is basic and paramount. Before the Cuban revolution there was exploitation and cultural repression which made clear the division and inequality of wealth within the nation. In this environment the rich became richer and the poor became poorer. From my own perspective it seems that people of Cuba became radical about what was happening in their society, and that made rebellion or insurgency a viable option. According to Guevara’s writings, violence should only be an option if there is an illegitimacy of the government and the people of that nation believe that there is really injustice and inequality in their society.   Local radical tribunals were formed to lead what they call people's justice, to try   to solve public arguments in Cuba. Cuba became the center of international liberalism because of this, but the truth is it was really different. Ernesto Guevara was an influence in building a new political and social government in Cuba. He constantly utilized the teachings of Marxist Leninism leadership in his revolution, but he never confirmed this no did he deny it. Che was very willing to negotiate with the communists in Sierra, and he was likewise intolerant of Fidel Castro’s aggression and distrust of them. But still, Guevara’s attitude toward Castro made him realize that revolution must be done in Cuba and he must apply Marxism. An analysis of Marxism shows that classes are the central players in the process of history, yet for Guevara these classes are lacking and are replaced by the revolutionaries. Guevara used Marxist themes in his writings, and he used the philosophy of Karl Marx in his own theories of economics. In this vein it is also necessary to say that Guevara embraced not only communism but a particular branch of it, called Stalinism. He applauded the Soviet invasion of Hungary that crushed the workers’ uprising there in 1956 and rejected   Khruschev’s denunciation of Stalin’s crimes. Politically he seemed to be a Guevarist. I would say that Guevara played the biggest role in the Cuban revolution in political consolidation and the formulation of economic strategies. Unlike what Castro had believed, being a pragmatist, Guevara used his power in the leadership towards the creation of a powerful and independent state. Guevara did not favor nor did he totally support Fidel Castro’s pragmatic leadership, and he immersed himself in his writing, deciding the best method to refute Castro.   He read a work entitled Eastern European Handbook On Planning during this period. Guevara found that the key to Cuba’s survival is industrialization and economic growth. In his speeches on the economy between 1959 and 1965, his persistent themes were the importance of planning and development. According to Che, there is a need for industrialization and diversification and a need for consequently winning workers over to the idea that they must delay their anticipation of immediate material enhancement in their lives. In addition, Guevara’s analysis of the economy was influenced by Soviet thinking. The state is given authority over the revolutionary army; the guiding tenet of economics is the market, and the perception is that of a beleaguered   state defending its survival in opposition to the looting marketers. But according to Guevara, he knew the dangers of isolation. He then pursued a version of internationalism that takes into consider the problems unique to Cuba when it comes to its dependency. Therefore, internationalism is just a part of the problems that Cuba experiences during the revolution. Knowing that Cuba exists in a global milieu and by the stability of internal forces, then what political, social and economical alterations can make it stable, Guevara asks. For Ernesto Guevara, the response is, of course the Cuban Revolution.  He does not consider the production and exportation of revolution elsewhere. According to him, the only thing that Cuba can export is their political and economical state. Guevara is a most compelling and convincing revolutionary leader. Aside from his health problems, he disregards the material, and his undying dedication evokes the near worshipful devotion of others. At this period, he becomes at ease with Fidel Castro.. Being recommended as the Director of the National Bank made him the center of economic policies. Then Guevara formed the National Institute of Agrarian Reform which he designed for economic transformation. It can be said that agrarian reform becomes the basis of change and the peasants become the first liberating army. Starting with a more competent agriculture, and the eradication of joblessness, Cuba is now ready to become an industrialized country. Guevara also predicts that in five years, his country will be adequate in the production of textiles. It will be able to develop mines for nickel, iron and manganese production. Further, Cuba will have its first car plant up and running. Because of Cuba's economic organization, its reliance on sugar exportation, its need for spare parts, machinery and industrial plants, and also due to the drain of professionals and technicians, it is possible that Che's projections are very idealistic. Politically speaking, Cuba will not work or function independently for long, and formation of socialism in a hostile capitalist hemisphere was unattainable and utopian thinking. Che made his predictions and published them in an article during March of 1962   as he introduced the socialist theory. Simplistically, the impossibility of finding spare parts, the lack of technologies and the shortness of immediate resources needed to raise productivity could only be realized by an intensified management of labor.  Guevara realizes the absurdity of animosity among the leadership and comes to understand what can be lost in the face of fraternal rivalry, and what is to be gained by a cold realistic approach Guevara’s writings are expository and sensitive as to how the revolution in Cuba came about. He also explicitly reveals the scenario of the various occurances during in those days.   Cuba is obviously a nation built on revolution that has made a major impact on the world. The Cuban Revolution might well be considered the greatest contribution to the world of liberalism and revolution. Many transformations and drastic changes have occurred in Cuba. Ernesto Guevara is certainly an icon of revolution. He sets a standard for true revolution through his life, his analyzations and his writings. His writings on the intricate workings of the Cuban revolution is a great contribution to Latin America history for it is stated in his writings what he believes and how he has transformed and liberated Cuba. I enjoyed reading the book. I find it to be full of facts and insights that Guevara conceptualizes. References Guevara, E. Reminiscences of the Cuban Revolutionary War (Authorized Edition)  Ã‚  Ã‚   Melbourne: Ocean Press, 2006.   

Justify the need for keeping records and describe the type of record that i would maintain The WritePass Journal

Justify the need for keeping records and describe the type of record that i would maintain Introduction Justify the need for keeping records and describe the type of record that i would maintain IntroductionTeaching recordsIndividual Records Summaries of complete class performance BIBLIOGRAPHYRelated Introduction Primarily, record keeping is a methodical process of keeping record of an organization or learning personnel by creating, capturing, maintaining, and disposing of. Nevertheless, methodical process guarantee that the record keeping is fundamentally for the purpose of evidence, precise and effective updating, well-timed availability, and restrict access to only accredit personnel (Business Dictionary, 2011). Furthermore, (Virtualib.Org, Unknown) states that assessment is the process of collecting data, which enables the teachers, pupils and parents to evaluate/assess the progress of the learning pupil. However, assessment is key element in the planning process and it can only be achieved through precise record keeping that enables teachers/learners to tracks to learning progress. Be it as it may, assess is a tool for studying the programme planning and teaching. Moreover, assessment calculates and tracks the potential improvement of the learning, teaching and achievement and leads the teacher/learners to the next stage to be achieved. Additionally, the main question is why do we need to keep records? Nevertheless, the types of record differ depending on the level of communication and what the context it will be used. Howbeit, the types of record are teaching records, individual records and overall records. Moreover, as said earlier it is a system of documentation that allows teachers to keep record of communication proceedings. Nonetheless, these proceedings records are kept as evidence for some many reason and they can be in form of Ofsted records, financial audit, information gathered during class/course program, health and safety communication. Conclusively, (Virtualib.Org, Unknown) cited that the types of records to be maintained are any form of communication with learners, parents and teachers. Howbeit, these are written evidence, written comments, observation, task discussing, oral questions, take home assignment and test, assessment work built into schemes of work, extension work, attainment in 5-14 targets (use of checklists), approved test results, cognitive Abilities Tests (C.A.T.) results, project co-operation work, self assessment, feed backs, teacher’s class reports and practical activities work. All the same, keeping records on primary needs enables for a reliable assessment on the act of intervening and this provides for a leaner with opportunity for a suitable progress towards a triumphant on reaching their learning goals. Yet, the types of records we keep ranges from different course activities during the time period of a learning program. Self evaluation form (session plan) Self evaluation form (micro teaching / teaching practise delivery) Summative profile and action plan Evaluation of learning experience Record of achievement: assessment Candidate unit declaration Peer group / tutor evaluation and feedback: micro-teaching / theory assessment Scheme of work Session plan Assignments with assessment front sheet and feedback record Enrolment forms ILPS Initial assessment Registers, training plans Teachers planning booklet Log evidence and Value Students/parents wistful desires Evaluation progress form Directions and visions Portfolio materials Howbeit, these are categorized in three form which are teachers record, individual record and summary record. Teaching records A short evidence of used teaching methods. A grading comment of how the learners are progressing. A short note of next steps. Tracking records of self assessment. Individual Records Collections of work. National test results. Records of self-group assessment. Indications of levels of achievement and progress. Tracking records of individual learners progress assessment Summaries of complete class performance An on-going record for learners working at different learning level based on their abilities. Principal collective courses of study area. Submitted of national test results. In addition, (Wayt, 2008) quotes that the policy on record keeping, assessment, and reporting is centred on the already existing Guidelines on Assessment 5-14 on good teaching practice. Howbeit, a record keeping shows precisely what a learner understands by what teacher has taught. Per contra, it allows the teacher to assess the summative progress of the teaching process with the course unveil who needs more learning assistance or which leaner is ready for more thorough work by showing more improvement or inadequate progress than expected. Moreover, it depict whether the teacher requires reconstructing any specific section of their teaching by assessing successes rate or weak point where teachers needs to improve. Additionally, (City and Guilds, 2007) proclaims that assessment can be classified in terms of their meaning and when they can be used. In any case, these assessment types are initial, formative, summative, formal and informal. Further, these assessment types are related, it is connected directly to teaching cycle and it makes the teaching cycle to be effective. BIBLIOGRAPHY Shelton. B. E, 2009. Real-Life Homeschool Record-Keeping Organizing, [online], Senior High: A Home-Designed Form+U+la, USA (.s.n.). Available at: homeschooloasis.com/art_10_reasons_to_keep_records.htm [Accessed on 11/04/2011]. Business Dictionary, 2011. recordkeeping system, [online], WebFinance, USA (.s.n.). Available at: igindex.co.uk/ [Accessed on 11/04/2011]. Wayt, S. 2008. Explain the need for keeping records and describe the types of records you would maintain, [online], Unknown (.s.n.). Available at:balance-therapy.co.uk/assignment%208.1.6.pdf [Accessed on 11/04/2011]. Virtualib.Org, Unknown. what is the need for record keeping in relation to assessment, [online], Virtualib.Org, Uk (.s.n.). Available at: google.co.uk/url?sa=tsource=webcd=1sqi=2ved=0CBoQFjAAurl=http%3A%2F%2Fwww.highlandschools-virtualib.org.uk%2Fpr_policies%2Fdocs%2FLearning%2520teaching%2Fassess.%2520record.%2520%26%2520report%2FASSESSMENT%2C%2520RECORDING%2C%2520REPORTING%2520POLICY.docrct=jq=what%20is%20the%20need%20for%20record%20keeping%20in%20relation%20to%20assessmentei=3hKlTeXiAsjU4waMv825Cgusg=AFQjCNHUSDzwrSn2UPXNogOg4mFwgLAiNAcad=rja [Accessed on 11/04/2011].

12 Crucial Tips to Protect Yourself from Cyberstalking

12 Crucial Tips to Protect Yourself from Cyberstalking If the idea of cyberstalking scares you, thats good. That discomfort is a reminder that you need to be alert and aware on the internet. Staying vigilant offline is important too. Your cell phone, Blackberry, your home call display all of these things can be manipulated by technology. Awareness is one step; action is another. Here are 12 tips that can prevent you from becoming a victim of cyberstalking. They may take a few hours to implement, but the payoff is protection from the hundreds of hours it takes to undo the damage of a cyberstalker. The 12 Tips Never reveal your home address. This rule is especially important for women who are business professionals and very visible. You can use your work address or rent a private mailbox. Just dont have your home address readily available.Password protect all accounts including cell phones, land lines, e-mails, banking and credit cards with a secure password that would be difficult for anyone to guess. Change it every year. Your secret questions should not be easily answered either. Former VP candidate Sarah Palins secret reminder questions were so easy to answer that a cyberstalker was easily able to gain access to her email accounts.Conduct an internet search using your name and phone number.  Be sure that there is nothing out there that you are not aware of. A cyberstalker may have created a craigslist account, web page or blog about you. Only you can stay on top of how your name is being used online.Be suspicious of any incoming emails, telephone calls or texts that ask you for your identifying information. The Caller ID Spoof can mimic your banks caller ID. It is very easy for a cyberstalker posing as a banking representative, utility, credit card representative or your cell phone provider to obtain your personal private information. If you are suspicious,  hang up and call the institution directly to be sure that you were not a target of a cyberstalker. Never give out your Social Security Number unless you are absolutely sure of who is asking for it and why. With your social as they call it in the business, a cyberstalker now has access to every part of your life.Utilize stat counters or other free registry counters that will record all incoming traffic to your blogs and websites. With a stat counter, you can identify who is viewing your site or blog easily because the registry records the IP address, date, time, city, state, and internet service provider. It is useful for marketing and it also provides a very valuable safeguard in the event that your website or blog is targeted.Check your credit report status regularly, especially if youre a business professional or individual who is in the public eye. Do this at least two times per year, especially if you feel that you may have a reason to be concerned. You can request a free copy of your credit once a year directly from the credit bureaus. It is worth the additional cost to pay f or it the second time. Go directly to each bureau; you will not damage your credit rating if you obtain a copy directly from the bureaus. Avoid paying third parties to obtain copies of the report because often the third parties charge more than what the credit bureaus charge and youll end up on another mailing list. If you are leaving a partner, spouse or boyfriend or girlfriend – especially if they are abusive, troubled, angry or difficult – reset every single password on all of your accounts to something they cannot guess. Inform your bank and credit companies that this person is not allowed to make any changes to your accounts no matter what the reason. Even if you are reasonably certain that your former partner is okay, this is a good practice for moving forward on your own. It is also a good idea to get a new cell phone and credit card that the ex doesnt know about. Make these changes before you leave if you can.If you encounter something suspicious – a weird phone call or an emptied account that cant be explained by your bank – it could be a cyberstalker so act accordingly. Change all your accounts, and ideally change banks. Check your credit report. Note anything else that appears strange. If you have more than one or two strange incidents per month, its possib le you are a target.If you think youre a target, have your PC checked by a professional. If you are already experiencing cyberstalking incidents, your computer may already be compromised. Have someone in the know check it for spyware and other viruses. If you think you have a cyberstalker, move fast. Lots of people dont take action because they think theyre crazy or imagining things. Record incidents – time, place, event. Victims of repeated attacks tend to become paralyzed with fear. Meanwhile, cyberstalkers often get such a rush off the first attack that it encourages them to keep going. The faster you take action and block their ability to hurt or harass you, the sooner they lose interest in their project.Get lots of emotional support to handle the cyberstalking period and to deal with the aftermath. It is normal to feel high levels of distrust and paranoia after a cyberstalking encounter. A lot of people will not want to deal with someone with a cyberstalker; it puts them at risk. You may feel isolated and alone. The best thing I did was learn to keep reaching out until I found the brave people who helped me put my life back together. Having support was what got me through but I had to fight for every bit of it. It may seem  backward  that we cant do more to protect ourselves from cyberstalkers. Lawmakers in the US need to grasp the urgency of the situation and pick up the pace if were ever going fight cybercrime with real legislative tools. While we work toward getting laws caught up with the speed of technology, for now, you are a pioneer. Like the Wild West, it’s every man, woman, and  child for themselves when it comes to cyberstalking. So take care of yourselves out there.

Chinese Contemporary Art Museum Essay Example | Topics and Well Written Essays - 1750 words - 2

Chinese Contemporary Art Museum - Essay Example Noting that the museum has a huge number of Chinese imperial art, this fund is indented to fund the national level museum art that is dedicated to collecting, displaying, and the research of the contemporary and modern China artistic works. Certainly, the fund shall be the key building element of the four stories of the Museum including the areas of a display (Falk 12). Generally, the fund will take care of twenty-one exhibition halls in the museum. These collections are divided into various categories. This includes the Chinese traditional painting, print, oil painting, sculpture, caricature, new year painting, lacquer, traditional story picture, costumes, and pottery. It is worth noting that this category is expected to perform better, as well as improve the performance of the museum. Extensively, the funding provides an opportunity for the museum to increase the level of art and design in China. Unlike others, this category of funding is focused on boosting not only research and outreach in China but also the sector of education. This implies that through this funding, the collections in the museum shall be of great importance to researchers serving as an academic source for varied purposes. These collections have been known for displaying certain species at a certain time and place (Harris 14). Through it researchers shall have an opportunity to examine the temporal and geographical changes in populations, communities and species, thus tracking the patterns relative to human-induced or natural changes (Harris 16). This category of funding is the best since it will enable the specimens of the museum to establish the research basis for the evolution of the research, distribution, and speciation. This will give vital baselines for studying emerging diseases, conversations and artworks. Different specimens are linked to data thus giving out information regarding life history, and natural traits of animals.  

Analysis of the Interview about American Healthcare Sector Assignment

Analysis of the Interview about American Healthcare Sector - Assignment Example Within the current setup, the impact of disparities in the economic gap has remarkably been felt. Indeed, the rich have been able to access quality care and treatment, while the poor are left scrambling for low-quality services (Conklin, 2002). On the basis of personnel, shortages have been constant occurrences, leading to increased instances of duty delegation. Such delegations of duties have been marred with threats to patient safety. Technologically, there is increased digitization of operations in the hospital sector. This has enhanced efficiency with which certain crucial services are performed. Looking forward though, there are many things to hope for. Firstly, there is need to hope that medical errors will be a thing of the past within the next five years. There is also need for active personnel training to cover the staffing shortages currently observed in the sector. In concurrence with the observations expressed by Practice Fusion Inc (2012), it is believable that the next five years will mark an era of digital change, and that such digital changes will enhance efficiency in service delivery. Indeed, it would be a milestone achievement if American health institutions can be fully interlinked remotely within the next five years Currently, there are a variety of ways through which stakeholders in the public health sector interact. The establishment of the hospital information systems has undoubtedly changed the scene of the public health sector. Through such systems, processes involving revenue management, financial budgeting and accounting, and reporting can be facilitated. These systems are, nevertheless, managed through a system of interconnected computers aimed at promoting centralized operations in which the various departments and stakeholders can access crucial data real-time (Healthcare Software Inc, 2015). This promotes an inter-disciplinary approach to issue making them easier to deal with.