Marriage and Parenting Essay Example | Topics and Well Written Essays - 1500 words

Marriage and Parenting - Essay Example Thus, here the family is seen "as a place of intimacy, love, and trust where the individuals may escape the competition of the humanizing forces in modern society" (Zinn & Eitzen, 1999: 8), making them salient 'paradigms', images on which cultures around the world are compared. The adherence to this age-old concept of 'family' and the constructs of family-connected-living is found to be mutually fulfilling and beneficial, bringing about care and dependency, and predictability of roles and responsibilities. Thus, the family can also be seen as providing fulfillment, and a place of compensation and protection (Zinn & Eitzen, 1999: 2). But, the traditional family-construct solicited long term commitment and fidelity of both the individuals involved. This was opposite to the fulfillment of self-satisfaction gained in those pursuits, which were the main goals of the value-system present in the society. Here, family and the commitment it envisages, is viewed as a struggle, or as an encumbrance. This gives it a negative image. Under this perception, family-based kinship-relationships are the limiting factors of the individual's quest of fulfillment of aspirations. Thus, in this view, family is a bondage that inhibits full human potential. The relationship between romantic love and sex is effectively explained through biology - which views both as the basis of human behavior. Studies have shown the Man is evolution's tool, not its master (Kelman, 1998, pp.3-24). But, the distinctions of gender, and a more primitive form of romantic love, which signifies some sense of sex or sexuality, is found in most animals too. Gender is understood as the physical evolutionary organs male and female, bestowed by nature, for the 'continuum of the genetic species'. The gender classification inherently denotes the tasks and responsibilities to be performed by either like, females reproduce, prepare food; males hunt etc. Sexuality is explained as the heightened awareness with the aim of procreation, of the "physical evolutionary change related to the sexual act itself" (Kelman, 1998, pp.3-24). Hence, gender is the stereo-type role play determined by the basic sex viz. male or female of the species. For example, animals especially other apes, "enjoy sex only when the females are in their most fertile phase, their estrus" and "would quickly lose interest" (Kelman, 1998, pp.3-24), once it is over, to carry on their social role play such as child-rearing and grooming. This is true for other species as birds and insects too; their mating instincts making them acutely aware of their differences, "birds dance and sing in courtship". Thus sex seems to be a "kind of universal social lubricant" in a complex social world, with the secretion of sex-hormones dictating their behavior. For human beings, though much of the primitive sexual instincts have been retained, they are not exclusively driven by their hormones alone. The effect of culture and the presence of emotional attachment that binds them in relationships cannot be ignored. Thus, they "are bound together by more complicated bonds than an enhanced sexual relationship" and because of the other emotions involved, for human beings "sex is very rarely simply sex" (Kelman, 1998, pp.3-24). Compare and contrast two cultural systems of marriage. "Marriage is about as close as humans come to a universal cultural value"

Obesity in African American Culture Essay Example for Free

Obesity in African American Culture Essay ?Obesity has more that just a physical effect on the body. Obesity also greatly affects the mental and emotional part of the body as well. Although you cannot directly correlate metal and emotional health to obesity, you can see that its effects do in fact play a role in the mental and emotional health of an obese person. While the effects of obesity do indeed reach out to all races, it is easy to see that mental and emotional problems from obesity in the African American culture are present in the culture. Depression, anxiety, and discrimination, are all results that are caused by obesity in the African American community. Many people are familiar with depression, whether it be a friend or family member that went through it or that they themselves went though it. â€Å"Depression is a state of low mood and aversion to activity that can have a negative effect on a persons thoughts, behavior, feelings, world view and physical well-being† (Salmans 1997). African American obesity has a close tie with depression in African American people. When people are self-conscious about their weight they may think that people look down on them for this. This would cause them to think less of themselves or believe that others are better then them. In turn it can cause the obese African American to have a bad view of themselves, other people, and the world in general. This is exactly what depression is. You can see that depression can be caused by obesity in the African American culture. Anxiety is another emotional distress many people are familiar with. Anxiety is know as, â€Å"the displeasing feeling of fear and concern† (Davison 2008). Many people have felt the effects of anxiety in their own lives, whether it is before an important test, a speech in front of many people, or the big gam; many people feel anxiety. Looking only at anxiety caused by obesity in African American people is a different situation. Anxiety or nervousness before a big event is common and in many ways healthy because it motivates us to do the very best we can. Anxiety in African Americans because of obesity is not healthy; in fact it can be dangerous and destructive. By feeling displeased and concerned about their weight African Americans can struggle all through out life to over come these feelings. It could limit their goals and overall make them settle for less then they really can do. Anxiety do to obesity in the African American community is not a healthy and can severely constrain someone’s life. Discrimination in the African American community has always been a problem through out history. Slavery is a very obvious product of discrimination. Taking a more specific look at discrimination of the African American community because of obesity is a different situation. When people discriminate African Americans because of their weight it seriously prohibits their chances of succeeding in life. It could be in the work place or at school. By placing these barriers we are limiting the ability of the African American community and hurting their chances of having a successful and meaningful life. These mental and emotional effects of obesity in the African American community are unfair and wrong. People should not be judged on their weight. Davison, Gerald C. (2008). Abnormal Psychology. Toronto: Veronica Visentin. p. 154. ISBN 978-0-470-84072-6. Salmans, Sandra (1997). Depression: Questions You Have – Answers You Need. Peoples Medical Society. ISBN 978-1-882606-14-6.

Electronic Health Record Benefits

Electronic Health Record Benefits The electronic health record is a mean of organizing patients data making use in the field of information technology. Its purpose is to fulfill the various needs for information not only of patients and healthcare providers but also of other beneficiaries. The implementation of electronic health record system in health care organization is very complex and involves many parameters. Introduction Electronic health record is currently used by 12% of the physicians and 11% of the hospitals nationwide. Industry and government have promoted Electronic health record as a means of controlling costs and improving patients care. The electronic health record has become one of president obama main agenda and the investment necessary to ensure that within the coming years, all of Americas medical records are computerized. Today with the advance of globalization the electronic health record is still highly unlikely to advance in the next five years, governmental, technical and industry advances are adopting, which will drive the electronic health record in the hands of medical providers. The electronic health record (E.H.R) is a digital record of patient health information generated by one or more encounters in any care delivery setting. It contains information of the patient includes demographics, problems, medications, vital signs, past medical history, laboratory data and radiology re port . The electronic health record also promises the removal of many barriers in the medical field such as saving lives, money, and time, but unfortunately the fulfillment of this promise in the real world application has remained with a big question mark due to many factors cost of implementation, privacy and security. The following graph is the result of survey experts at nearly 3000 group practice nationwide. The table below lists barriers to Electronic health record adoption. well known factors such as security and cost are cited as key factors, but other factors which is usability is not mentioned frequent is another barrier to the electronic health record adoption. Usability is a primary concern Usability issues are also a factor why electronic health record implementation fails. In a survey paper primary care physicians were asked the reasons why they did not use the electronic health record system. From the research finding 35% of the physicians listed specific electronic health record usability issues, the most common were: Problems with the screen navigation, and the lack of functioning and the concern that the data will be lost. Anecdotal support for usability and Electronic health record failure comes from Cedars- Sinai medical centre of Los Angeles. They developed a $ 34 million computerized physician order entry system, but only included the input of a few physicians before launching it hospital wide in 2002 without thorough training Physicians who previously used to take notes by hand now required going through nearly a dozen screens and responding through numerous alerts for even common orders. Traditional doctors around 400 of them demanded its removal within three months of its launch. Poor usability can also endanger patients health. The electronic health record should be modernized helping the clinician workflow. In the year 1991, the institute of medicine released a report supporting the idea of implementing the Electronic health record within the coming years. In 2010, researchers believe only a small portion of health providers both public and private implementing the system. The implementation o f electronic health record provides answers to many barriers in the medical world. Background An electronic health record is a digital or electronic record of the patient health information gathered over the history of the patients interaction with the health care system. An electronic health record stores all information concerning the patient health statues. Information varies and includes the following age/sex, medications, and vital signs, past medical history, laboratory data and radiology report. The concept of a medical report goes back to the fifth century B.C developed by the Greek physician Hippocrates, also known as the Hippocratic Oath. Hippocrates described two main goals behind his findings 1- a medical record should accurately reflect the course of disease 2- a medical record should indicate the problem cause of the disease. In the present days, the electronic health record first began to appear in the 1960s. Reported that at least 73 hospitals began to use the electronic health record system. In 1991, the institute of medicine released a landmark report recomm ending the electronic health record be implemented in health system within 10 years. Almost 20 years later, according to the latest researchers only a small portion of health providers have implemented electronic health record. A Meta analysis of diffusion rates of the electronic health record in the United States shows that an uptake has slowed in recent years. The study concludes Electronic health record is the future. President Obama administration has the electronic health record as one of its primarily agenda the investment necessary to ensure that within the next five years, all of Americas medical records are computerized. While still with the advance of globalization the electronic health record is highly unlikely within the next five years, governmental, technical and industry advances are adopting, which will drive the electronic health record in the hands of medical providers. The electronic health record also promises the removal of many barriers in the medical field suc h as saving lives, money, and time. The question is still debatable whether the whole world will move towards the implementation of the Electronic health record. The electronic health record is one of the most important electronic patient data collection of our time and with the expanding population of the world it has become a necessity to implement the system in all public and private hospitals. The G.C.C region Literature review The opinions concerning the positive effects an E.H.R can have on patients health and whether all the healthcares in the world should step in and implement the system. The collection of personal health data is described to have many formats when speaking of systems that manage it. Reduction of the storage necessary to keep paper charts is also a noted as a reason to leverage an E.H.R freeing up of space better used for revenue generation. Paper charts have their own risk associated with them in terms of getting lost, productivity impacts to maintain and retrieve paper records and the resulting negative patient care (Carpenter 2002). An electronic health record system is the collection of data that is central to the patient (Rishel, Handler Edwards, 2005). These opinions agree the importance of the E.H.R and implementation of the system. An E.H.R system exists to facilitate the storage, revival and continuity of the record itself (Gans, Kralewski, Hammons Does, 2005). These opinions also strongly agree with the improvisation of the Medical record with the advances with science and technology. reversing the scenario, an E.H.R system can collect and aggregate information from other sources such as laboratory, X-ray and unstructured data like faxes or handwritten notes ( Wojcik, 2006) the scholar Wojcik agrees strongly with the use of E.H.R talking about the positive of the E.H.R reduces the storage of handwritten notes and stacks and piles of paper. The near term presents providers with realizing the digitization of the boxes of paper that is generated by patient encounters. These paper databases represent the clinical data that is ultimately needed to take EMR systems to the next level. The near term presents providers with realizing the digitization of the boxes of paper that is generated by patient encounters. These paper databases represent the clinical data that is ultimately needed to take EMR systems to the next level. Clinical data is the baseline in whic h all healthcare processes subscribe including decision support, health outcome analysis, billing and claims processing and health maintenance. Correlation and access to this data is what EMR systems seek to facilitate (Handler Hieb, 2007). Electronic health record systems, once materially implemented across the healthcare spectrum, will itself become the framework in which more overarching goals can be accomplished, such as the centralization of a persons health history. With Clinical data as a basis, further utilization of EMR systems can occur. EMR systems, once materially implemented across the healthcare spectrum, will itself become the framework in which more overarching goals can be accomplished, such as the centralization of a persons health history (Gartner. Currently, about 25 percent of U.S physicians are using systems that facilitate electronic health records (Murdock, 2007). E.H.R has become a primary concern in the medical world and the according to past literature re view in this generation we find that it some of the scholars are concerned with the paper works as they say that the E.H.R will help save doctors a lot of time and makes the process more efficient. Some scholars say that paper based system is very negative as it leads to losing important patient data which might confuse the doctor in prescribing proper medication to the patient. There are differences of opinion but according to most scholars the E.H.R is a vital tool in solving many of the issues that both public and private hospitals face around the world Questionnaire Results The questionnaire focuses on the importance of the E.H.R system and its implementation in the United States of America at a nation wide level. With growing medical demands around the world Hypothesis one results Our research finding indicate that the U.S government is encouraging the country medical networks to start using the E.H.R Hypothesis two results Our research finding according to 430 surveyors say that 55.1 % of their medical practices use the Electronic health record system Hypothesis three results Our research finding shows that majority of the surveyors have a positive outlook that majority of the medical practices will start using the E.H.R between the next 1 to 2 years Hypothesis four results Our research finding shows that 41.8% of the surveyors believe that their medical providers will qualify for the Medicare and Medicaid programs Hypothesis five results Our research finding again shows a positive outlook of the near future as 65% of the surveyors say that their practices will qualify for the Medicare and Medicaid programs by the end of 2011 Hypothesis six results Our research finding again shows that the U.S government financial incentive can upgrade the performance of E.H.R surveyors helped us with the conclusion that government financial backing to the Medicaid and Medicare programs can improve the medical performance in the near future Hypothesis seven results Our research finding states the importance of the U.S government testing the E.H.R program before purchasing them according to the surveyors 71% agreed the importance of testing the systems before implementing them nationwide Hypothesis eight results Our research finding concluded that most of the clinicians hire 1-5 physicians which is low according to the demands of medical needs of our current era Case Study Questions and answers regarding on implementing the electronic health record (Case Study). The case study focuses on the systematic reviews and the effects of electronic health record system can have in the medical sector if implemented at nationwide level. In the G.C.C the electronic health record is still new and according to our case study taken from the united states we want to find whether implementing the electronic health record system will add value to the medical sector or not. Will electronic health record improve patients health outcome? In a review evidence results in two study cases came up with the following result In 2004 a systematic review conducted 3 study cases that reported patients outcomes, no benefit was the conclusion In 2008 an analytical survey of several U.S patients found very few data or no association between the use of electronic health records and the improvement of patients outcomes In the end of the study there was no evidence linking between electronic health record with better patient outcomes Will electronic health record improve the quality of care? Evidence proves that the following result might occur on the electronic health record if implemented in practice In 2004 a review of 26 studies analyzed several outcomes related to the quality of patient physician encounters and with the research it discovered a sharp incline in provision of preventing care In 2006 a review on health information technologies and their impact on quality, efficiency and cost findings were: Increased adherence to guidelines based care, advanced surveillance and monitoring and a decline in medication errors In 2007 a study of data from some community health centers over the course of one year concluded that while electronic health record related costs had not been recovered, the quality of care improved In 2008 a review on the advantages and costs of electronic patient Concluded that concerning the influence of EPRs on the quality of care The studies did not clearly identify a clear answer to the questions of Benefit In 2009 a review of 7 countries experience implementing health information systems concluded that they had a neutral experience where neither benefit nor harm between the system implementation and quality of care The conclusion of the study indicates that the electronic health record has a positive effect on the quality of care; however some of the reviews still find it neutral so the opinions of the doctors and physicians are still conflicting. Will the Electronic health record be cost effective? In 2003 cost benefit analysis on the electronic health record in primary care settings concludes that electronic health record can result in positive return on investment In 2007 review on informatics system designed to improve care of chronic disease found that both cost effectiveness and adherence were significantly improved In 2008 report on the United States budget office summarized evidence supporting the practice of health information technologies describes the benefits on cost saving as limited In 2010 assessment on the quality of care resulting from hospital computerization concludes that currently implemented hospital computing might improve process measures of quality but not administrative or overall costs The research cite modest cost benefit associated with electronic health record, however based on results for small trails or projections based on modeling: empirical evidence supporting the cost effectiveness on electronic health record remains limited or conflicting Will the electronic health service save time and improve the efficiency of health services delivery? In 2006 a review of quality measures on the use of electronic health records indicated that the lack of implementing health services has been demonstrated, but the author notes that the outcome is limited to a wider health service provider A systematic review in the year 2008 analyzed six studies that addressed electronic health record with respect to consultation time, one study found the decrease in consultation time and the other found no difference A 2008 report from the United States congressional budget office summarized evidence supporting the adoption of health information technologies described the evidence around efficiency as conflicting In 2009 a review examined the impact on regional health information system and figured that, studies were of variable scope and quality improves the medical data access, timely information, and medical data exchange and improvement in communication and coordination within a region between health care professionals While there are some evidence supporting an association between the electronic health record and efficiency, there is also evidence which does not support this conclusion Will electronic health record improve physicians and patients satisfaction? In 2004 a review found that results were mixed with both the patients and physicians expressing enthusiasm for electronic health record and on the other hand expressing significant concerns about the impact of their use on a variety of outcomes A 2009 review of seven united based studies examined patient satisfaction with the electronic health record and figured that: one out of seven studies reported a positive effect on patient satisfaction, five out of seven studies reported a neutral effect and one out of seven studies reported a negative effect Evidence on patients and physician satisfaction is scarce An interview with Dr Michael Shuskho on the electronic health record As a professional in your field how do you find the electronic health record system? Michael: the E.H.R is an advanced system which is very useful for doctors especially in the current Era. It provides better patient care, and makes a permanent record that is legible that other doctors can review the system and also actually streamlines patient care Will the electronic health record improve efficiency and reduce time Michael: yes, the electronic health record is a valuable system to most of the doctors because it replaces the piles of paper and with a few click on your computer screen the doctor can view all the patients past medical record and send all the information to the other doctor within minutes Is the electronic health record system better than the manual paper based system? Michael: yes, the E.H.R is clearer and safer than the manual system provided that it is used carefully. Exg: a doctor can view patients X-Ray, picture of his electro cardio graph in a much clearer and digitalized form while in the paper based system the pages might wear or get old and by the time the picture of the X-Ray gets more aged, it makes it hard for the doctor to identify the exact diagnosis Is it cheaper to implement an electronic health record? Michael: The electronic health record system is expensive and the start up cost of the Medicaid and Medicare programs is high but in the long term it will eventually become cheaper for the clinics and hospitals to use them What are the barriers that prevents the electronic health record system by being in practice at a larger scale Michael: some doctors who arent familiar with updated technology and use practical manuals prefer not to implement the E.H.R in their clinics. Another barrier to the electronic health record is the upfront cost which is expensive and the some doctors find it hard adapting to the system Dr. Michael one last question before we conclude our interview. In your personal opinion will the E.H.R be mandatory by 2015 in the U.S Michael: I assume the probability that the electronic health record system might be mandatory in the U.S and the government might take actions in seeing that all the practices and clinics use the system The implementation of the E.H.R IN Kuwait and Bahrain Based on our research we have found that the electronic health record still needs to adapt at a global scale and the system is new to the G.C.C countries compared to the western countries such as United States, United Kingdom. Kuwait started using the E.H.R in 2005 in private and public clinics replacing the paper based system. According to the hypothesis questions and results in the U.S case studies it shows clearly that the E.H.R is on the way of improving and use the E.H.R rather than the traditional filing system. Bahrain is also taking a step further in implementing the system and the public and private clinics and with the help of the MGA methodology and the case study we have come with proposed solutions and the benefits that the kingdom of Bahrain and other G.C.C countries will achieve through the E.H.R December 2010 The health ministry in Bahrain will launch its national e-files project early 2011. It will cost the ministry between BD 25 Million to BD 30 million. Files of patients at salmaniya Medical complex and health centers will be converted into e-files. The first phase will cost BD 1.5 million and include all SMC and health care patients. Private hospitals and clinics can also be part of the system by paying a fee The health minister stated that many countries were struggling to meet the challenges of providing adequate health care for citizens. Changing demographics increased patients expectations, a global shortage of health professionals and rising costs associated with innovative technologies and new drugs means that healthcare is consuming an increasingly large proportion of gross domestic product and is becoming a priority for most governments. The minister also discussed Bahrain healthcare agenda through some strategic objectives which includes health promotion and prevention by strengthening primary healthcare services, the provision of quality health services by maintaining international accreditation of facilities and enhancing access to all health care services (Gulf Daily News- [emailprotected]) Plan for online health service Patients in Bahrain may soon be able to manage their healthcare online. Patients know best (PKB) enables people to communicate securely with doctors and nurses, access their medical records and send and receive health data. The medical group was founded two years ago by Bahraini Dr Mohammed Al Ubaydli in the United Kingdom. He has more than 15 years of experience in the medical software and trained as a physician at the Cambridge University. The expert worked as a staff scientist at the national institutes of health and was a management consultant to US hospitals at the Advisory board company and is the author of six books. PKB is the first company to integrate into Britains NHS secures connecting for patients to work online with clinicians. The group was voted as the best social innovation start up at tech crunch europas European start up awards 2010. At least two hospitals in Bahrain as well as others in the UAE and Malta have shown interest in signing up to the initiative. In the U.K, PKB affiliates includes great Ormond St hospital, Thalidomide Trust, Cure Parkinson and Two NHS hospitals will also sign up soon Access Dr Al Ubaydli said hospitals and medical centers that have affiliated with the PKB give their patients an online ability to securely access their medical documents, history and test results, have online consultations with their doctors and receive prescriptions. Once you give the medical record to the patient they can give them to their GP, relatives, social workers and so on he told the GDN. The patient can start an online consultation with any doctor they have added, it works a bit like the face book. They can also reach their doctor at any time say, for example, their child is taking medication but develops a fever at 3am and they can go online and ask the doctor how to adjust their medication. The system asks automated questions that your doctor would ask so that when the doctor sees this in the morning it saves them a lot of time and they can quickly respond with advice. ( Gulf Daily News 8 Dec 2010) The articles concludes the following results The kingdom of Bahrain is taking new measures in implementing the E.H.R in the G.C.C and mena region Many of today healthcares can be solved through networking Globalize E.H.R System Networking communication is an intermediary between practicing doctors implementing the E.H.R in their private clinics or public clinics. The information process is much faster through communication networks which reduces time, saves lives and improves efficiency Exg: Steve Dr Akram Favorite doctor has a patient and needs emergency solution to a problem through a communication network can achieve his goal browsing the Globalize E.H.R network finding solutions through other Doctors specialized in that field. An E.H.R system that works like a face book Doctors can log on their account and log on the system with other health professionals and discuss emergency situations and provide solutions The problems can be solved through fast communication and accurate knowledge the tacit knowledge key challenges to health practitioners implementing the E.H.R in the GCC countries Cost of implementation is not offset by the efficiencies in the E.H.R Technical support needs to be modified due to the advancement in IT Stress on staff and the practice in general was significant A 2007 review article recommended strong physician leadership and a staged approach to successful implementation In 2010 an article challenged conventional assumptions that the physicians were to blame for low uptake of electronic health record. Electronic medical records vary greatly in capability, quality, and cost. Doctors will become enthusiastic users if the electronic medical records are helpful in the care of their patients There are significant challenges associated with implementing E.H.R in the Mena or G.C.C countries Benefits of networking for the G.C.C Region Improves patient care through greater access to information Reduces test result times Decrease paper work for clinicians Integrate communication Helps ensure that patient medical data and stats are there when patients need to find his/ her test results Compliance with privacy regulations Proposed solutions for the electronic health record A 2008 synthesis of 3 qualitative studies identifies essential components of successful electronic health record implementation A project champion Realistic expectation of the challenges of implementing an electronic health record Addressing existing staff attitude towards IT Provide adequate training to staff A systematic review of 7 countries experience implementing health information system in primary care identified the following factors Quality of the graphical user interface and feature functionality Quality of implementation project management Users previous experience with information technology systems The Electronic health record today application The adoption of the electronic health record is difficult to overcome due to the lack of the return on investment. Scholars and writers on the subject noted that health care decision makers find it difficult to demonstrate return on investment to undertake a comprehensive electronic health record system within their organization. The health care costs continue to increase and the fact that the initial investment on equipment can be quite expensive. Another fact that complicates the adoption of the electronic health record is that the data is heavily structured, being recorded in the allotted space. Training is an important issue and this is required by a large amount of population. One should keep in mind that the population has different levels of computer literacy (Upham 2004). These contributors of the electronic health services contributed to a slow increase in the adoption of such systems in many hospitals. In a survey question regarding the E.H.R and the implementation of the m ethod out of 436 who have responded to the question, 35.6% said that they have already implemented the electronic health services. The percentage is expected to grow in the coming years of application. The G.C.C is taking all the necessary step in implementing the system with an enhanced knowledge in the field and the governments should test all the Medicare and Medicaid programs before implementing the system The Evolution of the Electronic Health Record The electronic health record is an open field of debate amongst the doctors, physicians, clinicians and scholars. In the electronic implementation of such records, we may also expect to find populations of patients, integrated access to biomedical literature and interactive environment for offering clinical guidelines or consultative advice. Throughout ages the world is becoming more globalized and in the age of science and technology the computer is being the number one tool. The (local area network) is connected to the full internet, with an integrated access to a wide variety of information sources that are geographically distributed well beyond local institutions. The electronic health record system is expanding worldwide and some of the future implementation An enhanced internet: an internet with much higher bandwidth and reliability, increased response time and financial models that makes the application cost effective and practical is required. Major research effort is underway to address some of these concerns, including the federal next generation Internet activity in the United States exploratory effort that continue to push the state of art in internet technology, and all significant implication for the future of health care delivery in general for computer- based health record in particular Better Education and health care training for health care providers: there is a difference between computer literacy (familiarity with computers and the routine users in society) and the knowledge of the role that computing and communication technology can and should play in our health care system. More medical information training programs and the expansion of existing programs are needed. Junior faculty in health science schools who may wish to seek additional training in this area should be supported Changes in the management and organization of health care institution: health care provide some of the most complex organizational structures in society, and it is simplistic to assume the off shelf products will be smoothly introduced into a new institution without major analysis. Discussion The project mainly discusses on electronic health record system that the implementation of the idea goes back to Hippocrates who laid the foundation in the 5th century and by the following years doctors, physicians, pharmacists and clinicians tried to improvise the idea of the health record system on paper but in the 1960s the standards of the paper based changed to the electronic health record systems and hospitals welcomed the new system which was more efficient and reduces paperwork and time. The electronic health record according to numerous researches and articles emphasized that the system should be introduced worldwide. the G.C.C region is expanding in both size and capacity since the countries like Bahrain, Kuwait, Qatar, Uae opened door to foreign investment in their respected countries. Our research focuses on the implementation of the E.H.R in the U.S and the results of the case study gave us a better understanding on whether to implement the system in the G.C.C countries. The results were positive and the need of the system is becoming compulsory in our world today. Kuwait have already

World History: How Can a Discipline Remain Relevant? Essay -- World Hi

â€Å"Historians are a contentious lot. While their arguments are usually conducted in polite language, the disputations are conducted on a number of fronts at once, and the frame of mind of the disputants ranges from a sporting pleasure with making point after point to a savage determination to win the day.† Although a sense of negativity creeps into this notion of Manning’s, a strengthening of world history can also emerge from this back and forth debate. World history will take shape as scholars push each other to clarify and defend ideas, while remaining skeptical and critical readers. This debate is key to avoiding either a stagnation of ideas or a dilution of possible new insights. As Manning asserts, â€Å"The exciting debates and the real advances in knowledge come when multiple scholars are working on related topics, testing their assumptions, data, and interpretations against each other’s.† As world history moves forward, as a disc ipline, historians would do well to keep this in mind. In addition to internal debate, a need to defend world history as a discipline is still necessary. A significant amount of work was done on defining and defending world history in the early to mid 1990’s. Any cursory look at the Journal of World History during this time period highlights this fact. In addition if you look to the May 1995 issue of History and Theory you see a thematic take on world history. As a result of this scholarship the discipline of world history gained momentum in academia, especially at the teaching level. Despite this trend, world history still finds itself defending its ideas. World history has yet to gain support from the elite universities and those that wish to pursue a PhD in world history have limi... ...r than a series of airtight specialist monographs.† Only by engaging in the debate within and from outside of world history will the discipline continue to be relevant on both an academic and popular stage. Works Cited Duchesne, Ricardo. â€Å"Asia First?.† The Journal of the Historical Society 6, no. 1 (March 2006): 69-91. Frank, Andre Gunder. ReOrient: Global Economy in the Asian Age. Berkeley: University of California Press, 1998. Hobson, John. â€Å"Explaining the Rise of the West: A Reply to Ricardo Duchesne.† The Journal of the Historical Society 6, no. 4 (December 2006): 579-599. Landes, David. The Wealth and Poverty of Nations: Why Some Are So Rich and Some So Poor. New York: WW Norton and Company, 1999. Manning, Patrick. Navigating World History: Historian Create a Global Past New York: Palgrave/MacMillan, 2003. World History: How Can a Discipline Remain Relevant? Essay -- World Hi â€Å"Historians are a contentious lot. While their arguments are usually conducted in polite language, the disputations are conducted on a number of fronts at once, and the frame of mind of the disputants ranges from a sporting pleasure with making point after point to a savage determination to win the day.† Although a sense of negativity creeps into this notion of Manning’s, a strengthening of world history can also emerge from this back and forth debate. World history will take shape as scholars push each other to clarify and defend ideas, while remaining skeptical and critical readers. This debate is key to avoiding either a stagnation of ideas or a dilution of possible new insights. As Manning asserts, â€Å"The exciting debates and the real advances in knowledge come when multiple scholars are working on related topics, testing their assumptions, data, and interpretations against each other’s.† As world history moves forward, as a disc ipline, historians would do well to keep this in mind. In addition to internal debate, a need to defend world history as a discipline is still necessary. A significant amount of work was done on defining and defending world history in the early to mid 1990’s. Any cursory look at the Journal of World History during this time period highlights this fact. In addition if you look to the May 1995 issue of History and Theory you see a thematic take on world history. As a result of this scholarship the discipline of world history gained momentum in academia, especially at the teaching level. Despite this trend, world history still finds itself defending its ideas. World history has yet to gain support from the elite universities and those that wish to pursue a PhD in world history have limi... ...r than a series of airtight specialist monographs.† Only by engaging in the debate within and from outside of world history will the discipline continue to be relevant on both an academic and popular stage. Works Cited Duchesne, Ricardo. â€Å"Asia First?.† The Journal of the Historical Society 6, no. 1 (March 2006): 69-91. Frank, Andre Gunder. ReOrient: Global Economy in the Asian Age. Berkeley: University of California Press, 1998. Hobson, John. â€Å"Explaining the Rise of the West: A Reply to Ricardo Duchesne.† The Journal of the Historical Society 6, no. 4 (December 2006): 579-599. Landes, David. The Wealth and Poverty of Nations: Why Some Are So Rich and Some So Poor. New York: WW Norton and Company, 1999. Manning, Patrick. Navigating World History: Historian Create a Global Past New York: Palgrave/MacMillan, 2003.

Gender Representation Essay

How stereotypical are the representations of Gender in my chosen texts? My chosen texts are ‘The Inbetweeners’ , ‘X Factor’ and ‘BBC News’. All three texts represent gender in different ways yet I wouldnt say that any of them truly represent both genders in stereotypical ways. In ‘The Inbetweeners’ the main characters are portrayed in a very stereotypical way at first glance, they are boystrous and objectify women in the crude way in which they speak about them. Yet when you look deeper into their characters you realise that they are not typical at all. The females in the show are typical in a sense that they are pretty, well dressed and are purely there for the â€Å"male gaze.† It is this male gaze that ultimately makes them more powerful than the males in the series as they have the power to either sleep with, or not sleep with the males which takes all control away from the men which is not a typical trait. When you think of a typical male in tv they are strong, handsome and in control, this is not always evident in ‘The Inbetweeners’ which supports the masculinity in crisis theory which states that males are no longer the dominant sex in modern society. Women may be objectified still but they use their sex appeal to there advantage and get their own way leaving the males powerless. You do how ever have the very typical character of Jays dad which is a hyperbolic example of a male as he passes gas, swears and acts in a completely innaproriate way for the comedic value. The ‘X Factor’ has a very contrasting representation of gender. In one way the male characters are very stereotypical as they have the power to say yes or no to the acts as judges. Males are stereotypically known for being in a position of power so this is a typical representation. Yet you have Dermot O’leary who is very masculine in his appearance yet is very caring and sympathetic for the contestants. This is not typical as males arent usually shown to have a caring side or emotions as that is left for the women. This again supports the theory of masculinity in crisis. The Female Judges do not have a very typical representation. They are in a position of authority and power and to an extent in the new series do have more power than the male judges as they are more forceful and get their point across better. This is not typically the way women are represented fitting into the theory of Masculinity in crisis. The BBC news is very much like the ‘X Factor’. When the males are the anchors they are in a position of power and knowledge which is a typical representation. They appear to the nation as a pillar of knowledge and the public give them a vast amount of respect which is typical of the representation of men. When the women are anchors they too are looked upon as a pillar of knowledge and are given the same respect which does not fit into the typical representation of a female.

Coca-Cola and Pepsi harm India’s ecology The WritePass Journal

Coca-Cola and Pepsi harm India’s ecology Introduction Coca-Cola and Pepsi harm India’s ecology IntroductionLiterature reviewProposed studyReferencesRelated Introduction Coca cola and Pepsi are MNC’s localized in almost every country. Their approach towards making profit is strategically not the same everywhere. India is a developing country, are the rules and regulations strict enough to stop these corporations to exploit the Indian locals. We are focusing on marketing communications strategy followed by these corporations also other unethical activities carried out in India. The purpose of this research is to explain that the rules and regulations of a developing country are not enough to stop the localized MNC’s to continue their unethical activities keeping India as an example. The objective of our research is to analyze weather the actions of these MNC’s are ethical. Coca cola entered India in1956 since they had no foreign exchange act it made huge profits. After the formation of Indian foreign exchange act coca cola left India in the late70’s. Coca cola made its reentry in the 1990’s when the environment was liberalized and deregulated. Pepsi entered in 1986 as a joint venture with two local ventures in India.   Both companies soon discovered competing in India requires special knowledge skills and local expertise†¦Ã¢â‚¬ what works here not always work there† (Cateora Graham, 2008, p. 604). Literature review Our research is based on different issues regarding environment and consumer rights violation. Previously Dr S.K. Chokroborty in 1997 wrote an article on the journal of business ethics about business ethics in developing countries. Harvard law review wrote   on international environmental law Also Dr Panchali das researched on deception on advertising ethics. Chicago journal on Nationalism and Ideology in an Anticonsumption Movement. The global strategies of coke and pepsi are explained in economic and political weekly 1999 by Arijit biswas and Anandya sen Proposed study Our research study seeks to analyze three controversial issues related to operations of coca cola and Pepsi in India Advertisement in rocks of India Use of ground water in India and dumping of chemical wastes Pesticides in products of India The research seeks to study the background and the regulatory framework within which it functions. Issue 1: Advertisement in the rocks of India Advertising is a non-moral force, like electricity, which not only illuminates but electrocutes. Its worth to civilization depends upon how it is used. J. Walter Thompson International soft-drink rivals Pepsi and Coke spend millions of rupees on a marketing war in the mammoth Indian market. They have marketed many super stars of Bollywood, who are admired in whole South Asia. The most prominent cricketers have also been roped in. As brand ambassadors their well-known faces are seen on billboards, newspaper pages and television. The Coke-Pepsi rivalry is so vigorous that nearly every shop, bus-stop stall and roadside restaurant has been created into the one or the others empire. In September 2002 both companies were blamed for winding mountain road from manali to the 4000 metre-high Rohtang pass in himachal Pradesh, Northern India. There were averages of 4 to 5 ads per kilometer either painted on to rock faces or nailed on to trees on the mountainsides, the billboards for almost 56-km stretch. The forest conservation act 1980 of India makes it clear that no individual must use forest as a source of making personal gain. It was a clear violation of the act. The first to react was Indian express with an article â€Å"rape of the rock†. The Supreme Court had put a stop to the advertisement campaign. . The intervention brought to the notice of the Supreme Court the painting of huge Pepsi and Coke logos on rocks that has destroyed geological evidence dating back to 45 million years. Geologists understand the geology of the area by studying and observing rocky outcrops. If the area has been painted over they cannot do research. The newspaper quoted a profes sor in the Geology Department of Punjab University saying these mountain facades have a huge eco-system. There is moss that grows on these rocks, and then there are innumerable species of microorganisms. All is completely destroyed when the rock surface is painted. After the case was solved both the companies had to pay 10 million for compensating the damage done to the ecology. The Supreme Court also asked the forest department to look around for such activities prevailing in some other states. Issue 2: Use of ground water in India The village of Mehdiganj is located approximately 20 kilometers from the holy Indian city of Varanasi. In Mehdiganj, a resistance was started in 2002 by farmers under the banner of Gaon Bachao Sunghursh Samiti to protest the pollution and water shortage attributed to Coca-Cola. Farmers in Mehdiganj and surrounding villages are agitating against the Coca-Cola bottling plant located in Mehdiganj. The anti-Coke activists further claim that the Coca-Cola plant is destroying the region by consuming 2.5 million liters of water every day and is contributing to a serious water crisis. In highlighting the problem of water, activists claim that Coca-Cola uses its financial muscle to buy government favor and influence its functioning as a regulatory authority. They say The company dumped sludge in the fields around. People started to develop sores on their feet after they walked through the water discharged was the flooding of their fields. Mosquitoes were a serious threat, and malaria cases have increased. Many have said that some hand pumps in the area have been issued for errors, unsafe drinking water. Still both cola rivals are carrying out operations in India putting their future at risk. Issue 3: Pesticides in products of India In 2003, the Centre for Science and Environment (CSE), a non-governmental organization in New Delhi, said aerated waters produced by soft drinks manufacturers in India, including multinational giants PepsiCo and Coca-Cola   Company, contained toxins including lindane,DDT,malathion and chlorpyrifospesticides, that can contribute to cancer, a breakdown of the immune system and cause birth defects. Tested products included Coke, Pepsi, 7 Up,Mirinda,Fanta,Thums Up,Limca and Sprite. Today’s youth icons from the cricket world like Sachin Tendulkar, Virender Sehwag and Dhoni freely endorse Pepsi coke. The sponsorship of a sport like cricket in particular may cultivate positive attitudes by associating the product with characteristics which young people admire. In the wake of the recent controversies shrouding Coke and Pepsi, regarding allegations of containing pesticides, these stars not only endorsed these soft drinks but also went so far as to claim that they were safe. This was advertising going too far Aerated soft drinks, apart from promoting the wrong kind of images, have long been suspected of leading to lower calcium levels and higher phosphate levels in the blood. When phosphate levels are high and calcium levels are low, calcium is pulled out of the bones. The phosphate content of soft drinks like Coca -Cola and Pepsi is very high, and they contain virtually no calcium. In the Indian state of Kerala, sale and production of Pepsi-Cola, along with other soft drinks, has been banned. Five other Indian states have announced partial bans on the drinks in schools, colleges and hospitals East India Company that came into the country for trade robbed India of its wealth for 200 years and soon invaded us. Today in place of East India Company, 14,000 multinational firms are robbing India. Leading this pack are Pepsi and Coca Cola. These firms sell several varieties of cold drinks and are taking away 5000 million rupees. References Nationalism and Ideology in an Anticonsumption Movement Author(s): Rohit Varman and Russell W. Belk Source: Journal of Consumer Research, Vol. 36, No. 4 (December 2009), pp. 686-700 Published by: The University of Chicago Press 1997 A Conceptual Review Of Advertising Regulation And Standards: Case Studies In The Indian Scenario -panchali Das* Ivan L. Preston (1987). A Review of the Literature on Advertising Regulation, 1983-87. Current Issues and Research in Advertising, 10 (2): 123-152. Michael A. Kamins and Lawrence J. Marks (1987). Advertising Puffery: The Impact of Using Two-Sided Claims on Product Attitude and Purchase Intention. Journal of Advertising 1997 A Conceptual Review Of Advertising Regulation And Standards: Case Studies In The Indian Scenario -panchali Das* Agrawal, Anil, and Sunita Narain 1991 GlobalWarming in an UnequalWorld:ACase of Environmentalism. Delhi: Centerfor Science and Enviroment.