Thursday, November 21, 2019

The language of health informatic Essay Example | Topics and Well Written Essays - 500 words - 1

The language of health informatic - Essay Example Consequently, nurses and other practitioners serve patients based on the use of evidence based care, which goes a long way to improve the quality of health care given to patients. Indeed, almost every other department utilizes the data stored in the system in one way or the other. This is because of the integrating nature in which the system has been created. Due to the integration, the system is not useful only to the departments directly health service like pharmacy, nursing, physiologist, radiology, laboratory and specialist care. Rather, non-health service departments like accounts, security and customer relations also use the system. As far as the non-health service providers are concerned, they use the data to have a fairer understanding of patients under the care of the hospital and how their entry and movements from the hospital are proceeding. For example, the accounts department needs to have basic data on medications received and general service rendered so as to use the electronic billing section of the system (U.S. Department of Health and Human Services, 2012). The database has been made in such a way that it has been sub-divided among various departments. This way, all departments within the system has its own miniature system that is together networked to a centralized system. Within the miniature or decentralized systems, language is used as and how it suits the department. There is basically variation of language on the system. However, when it comes to the centralized system, there is a summative section that has been produced in clear cut and ordinary language easy for transversal interpretation. The way and manner in which the present system has been arranged, making the system run on both decentralized format and a centralized format makes the access to data very unique. Basically, everyone on the network can have access to data from every

Common Agricultural Policy Essay Example | Topics and Well Written Essays - 3000 words

Common Agricultural Policy - Essay Example Since then, the CAP has now changed dramatically after three successive reforms, the last one taking place in 2003 and being progressively implemented. According to the Common Agricultural Policy, with regard to developing countries the EU is committed to the principle of special and differential treatment. It appeals to all developed and the wealthiest developing countries to provide significant trade preferences to developing countries and it pleads for making these trade preferences more stable and more predictable. On domestic support, the EU is prepared to accommodate concerns of developing countries on food security, rural development and rural poverty by adjusting the "green box"(Harrison et al, 1995). In this paper, we would be discussing the effect of Common Agricultural Policy on developing countries to arrive at a conclusion whether CAP helps or harms the developing countries. When the EU was formed in 1958, two important conditions already existed. Firstly, all the countries that established the EU or joined it before 2004 had already been protecting their farmers. Secondly, these countries had signed the GATT that asked to combine agricultural protection with supply management (Polaski, 2006). The EU simply harmonized and integrated the existing farm policies of its member countries, so that one common policy was created instead of a patchwork of national policies. In doing so, it adopted a number of guiding principles. The first one was that of a unified market. Within the EU, the borders were opened. Farm products could freely move from one country to another. It was only at the outer border that import tariffs were imposed to protect EU farmers against cheap imports from the world market. The second principle was that of communitarian preference. This closely resembles the principle of food sovereignty that ECOWAS farmers and policy makers are discussing today. It meant that farm products that were consumed in the EU and that could reasonably efficiently be produced in the EU itself should come from the EU rather than from the world market. The external tariffs should be sufficiently high to ensure this. The third principle was that of parity and productivity. Parity meant that farm incomes should be equal to those in other sectors. This should partly be achieved by price support, but prices should not be too high, for affordable food prices for consumers were also important. Therefore, the produ ctivity of agriculture should be stimulated so that farmers would be able to produce at lower cost. The fourth principle was that of financial solidarity. All costs of the common agricultural policy were financed out of a communal treasury, which in turn was filled with funds originating from import tariffs and some other government revenues. From a developing country point of view, the impact of the reformed CAP on agricultural markets has become more complex. Even though the "new CAP" still has some unwanted effects, they are less direct and more difficult to assess (Herok & Lotze, 2000). The traditional image of a "fortress Europe" that is closed to developing countries' exports, while the EU dumps considerable

Wednesday, November 20, 2019

Retailing and Wholesaling MBA (Masters Level) Essay

Retailing and Wholesaling MBA (Masters Level) - Essay Example Value-added resellers normally have a disadvantage in cost structure compared to channel members that compete mainly on the basis of price or convenience, such as discount stores or mail-order firms. This means that the value-added reseller in a diverse multiple channel context must either (1) charge a higher price than other channel members based on the provision of valued services or (2) live with a relatively small gross margin (Dunne and Lusch 2007). Professor Leo Aspinwall advanced the depot theory to explain some of the reasons for the changes that have occurred in the physical handling and storing of goods, the growth of manufacturers' wholesale branches, and the changing position of general-line wholesaling. The depot theory of distribution states that goods tend to move toward the point of final consumption at a rate established by the ultimate consumer. The theory views depots as places that move rather than store goods -- that get goods to retailers at the lowest handling and transportation costs (Dunne and Lusch 2007). Accordingly, a steady flow of goods is envisaged from production to final consumption. The intermediaries facilitating the flow are in essence depots that perform a largely service function on the basis of costs of services performed, and so tend to eliminate merchandising profits. For example, backward integration of retail food chains and cost-plus wholesalers illustrate the performance of the depot func tion and the elimination of merchandising costs (Dunne and Lusch 2007). If the retailer links with independent channel members in one or several of its multiple channels (e.g., it uses independent sales representatives), the same basic challenges faced by the manufacturer in utilizing multiple channels could be faced by the retailer as well. Intrabrand or intratype competition could be heightened in the territories served by the retailer's multiple channels, prices and margins could be reduced, conflicts and alienation could arise, and support and control could wane (at least in the independent channels) (Dunne and Lusch 2007). The functions of retailers in the channel have been to assemble merchandise, maintain an inventory, price, promote, advertise, sell, and account for the merchandise, again as a service to the manufacturer and the ultimate consumer. Further, retailers have also provided a place for consumers to shop and find other services that might assist them in obtaining or using the available goods. The channel systems that have developed and, granted, have been improved over the years, have been built on some very basic beliefs about consumers, their needs and wants, and what they are willing to accept from channel members. It is these basic marketplace assumptions that are being challenged by direct and database marketers (Dunne and Lusch 2007). As was discussed earlier, technology and communication allow consumers to learn about and demand increasingly differentiated and even personalized products. As this occurs, the traditional economies of scale that have accrued to those manufacturers and retailers with extensive facilities and large sales volumes are no longer important in the marketplace. Smaller companies, using technology and direct and database marketing approaches, can compete not only effectively, but in many cases more efficiently than can large companies. As technology expands and sales-driven inventorying become

Tuesday, November 19, 2019

Diversity management Essay Example | Topics and Well Written Essays - 1000 words

Diversity management - Essay Example This research will begin with the statement that one of the greatest tasks individuals face is communicating across differences resulting from different cultural diversity. There is always fear that exists that what an individual will intend to say will be understood in a way that they never meant it to be due to cultural differences in a team. The author’s research team was composed of seven members that were four local students and three Chinese. Through the group activity, the researcher has personally gained a lot from working with his research team on diversity management. From the group activity, the researcher was able to learn that cultural awareness is the base of communication and it entails the ability of individuals to stand back and become aware of their cultural values, beliefs, perceptions, and differences. It is essential for individuals to understand the reason why they do things differently, why they react differently in particular ways and perceive the world in different ways. Cross-cultural awareness is central when individuals interact with people from different cultures as individuals will evaluate and interpret things in different ways. What can be considered as inappropriate behavior in one culture is considered as appropriate behavior in another culture. As a U.K local, it is almost automatic to perceive the Chinese as individuals who always work and talk about business over tea and lunch breaks instead of sitting down and enjoy their meals. Thus, it is crucial to understand the meaning that people give to certain activities according to different cultures. DIVERSITY MANAGEMENT Essay Example | Topics and Well Written Essays - 1500 words DIVERSITY MANAGEMENT - Essay Example Furthermore the authors relate these two modes to six dimensions of cultural diversity. Their main idea is to consider interrelation between cultural diversity and co-operation. Respondents were chosen from France Telecom Mobile and Orange UK’s integration team thus showing that diversity has not influenced much on co-operation. Furthermore the authors suggest an interesting explanation of cultural diversity: they consider it to be a means for explanation ‘interindividual difficulties’ (Dameron, Joffre). It is possible to claim that this article does not only directly concern issues of diversity management, but also suggests a new and unique point of view; it considers diversity management in another perspective. A consideration of human interaction in business world is one of the most striking issues of the modernity. Interpersonal differences caused by cultural, moral and religious background are more often obstacles in the working environment that innovative visions. Diversity in the business world has started to be considered separately from domestic diversity issues quite recently. A new approach to consideration of diversity management in the business world is caused by a high-speed development of national and organizational cultures. Cross-cultural studies of diversity management are helpful for joint-ventures and other forms of organization. The conducted studies reveal peculiarities of business conduct on the international arena with representatives of different cultures. There is another important tendency in modern diversity management: a consideration of cultural diversity to be a motive force of business conduct. Cultural diversity is a common phenomenon nowadays. It is considered to be prestigious to have foreign business partners and culturally diverse employees. This tendency can be explained by the fact that sharing culturally diverse experience can become another asset of the

Sunday, November 17, 2019

Assignment (Microeconomics) Example | Topics and Well Written Essays - 500 words - 3

(Microeconomics) - Assignment Example It also assists government to take advantages of expenses associated with clerical works. Moreover, government can effectively avert unhealthy market competitions. 3. Utilities such as water, gas, and electricity are some of the examples of natural monopolies. Government must set price ceilings in national monopoly markets since products and services under this category are necessities that people may buy at any higher prices. 4. In both the cases, profit must be zero in long run equilibrium. Firms are affected by changes in demand conditions under both cases. A major similarity between monopolistic competition and perfect competition is that competition in pursuit of profit encourages efficient resource movements. 5. In the case of a monopolistically competitive firm, demand will increase and average cost will increase in the long run. Under such circumstance, monopolistically competitive firms end up making zero economic profits. 6. A monopolistically competitive firm chooses the level of output where marginal cost equals marginal revenue. The firm maximizes its profits so as to achieve this situation; and it is called short run equilibrium of the firm. This condition adds to the price fixation flexibility of the firm. Moreover, it enables the firm to rapidly adjust with unexpected market fluctuations. b. Availability of different varieties of breakfast cereals gives an opportunity for consumers to distinguish them on the ground of their quality and price. It also gives consumers chance to buy their most preferred

Immanuel Kant Essay Example for Free

Immanuel Kant Essay HYPERLINK http://www. philosophypages. com/ph/kant. htm Immanuel Kant answers the question in the first sentence of the essay: â€Å"Enlightenment is man’s emergence from his self-incurred immaturity. † He argues that the immaturity is self-inflicted not from a lack of understanding, but from the lack of courage to use one’s reason, intellect, and wisdom without the guidance of another. He exclaims that the motto of enlightenment is â€Å"Sapere aude†! – Dare to be wise! The German word Unmundigkeit means not having attained age of majority or legal adulthood. Unmundig also means dependent or unfree, and another translation is tutelage or nonage (the condition of not [being] of age). Kant, whose moral philosophy is centred around the concept of autonomy, here distinguishes between a person who is intellectually autonomous and one who keeps him/herself in an intellectually heteronomous, i. e. dependent and immature status. Kant understands the majority of people to be content to follow the guiding institutions of society, such as the Church and the Monarchy, and unable to throw off the yoke of their immaturity due to a lack of resolution to be autonomous. It is difficult for individuals to work their way out of this immature, cowardly life because we are so uncomfortable with the idea of thinking for ourselves. Kant says that even if we did throw off the spoon-fed dogma and formulas we have absorbed, we would still be stuck, because we have never â€Å"cultivated our minds. † The key to throwing off these chains of mental immaturity is reason. There is hope that the entire public could become a force of free thinking individuals if they are free to do so. Why? There will always be a few people, even among the institutional guardians, who think for themselves. They will help the rest of us to â€Å"cultivate our minds. † Kant shows himself a man of his times when he observes that â€Å"a revolution may well put an end to autocratic despotism . . . or power-seeking oppression, but it will never produce a true reform in ways of thinking. † The recently completed American Revolution had made a great impression in Europe; Kant cautions that new prejudice will replace the old and become a new leash to control the â€Å"great unthinking masses. † Immanuel Kants Ideas on Science and Morality According to the 18th-century German thinker Immanuel Kant, no person may possess inherent wisdom about reality. This is best summarized in the philosophers famous expression, Thoughts without content are empty; intuitions without data are blind. Indeed, Kant believes that in order for us to utilize our sensible intuition, we must possess two stimuli, physical sensation and moral duty. The first of the two addresses a portion of Kantian thought known as empirical realism, a reasoning that defines that absolute reality as the entire universe in which all human beings dwell. Every time we acquire external data from that absolute reality, our perception of it assumes a greater degree of accuracy. And what would be the optimal way of acquiring such data with only minimal if any contact with other persons perceptions (which are, like ours, inaccurate, only in different ways, since each human being possesses a unique arsenal of experiences)? Scientific exploration is, therefore, the key to an ultimate comprehension of things-in-themselves. Kant was a fervent admirer of Newtonian thought and the Scientific Method, which permitted scientists to ascend to unprecedented heights in their understanding of and control over nature. The second stimulus to action, moral duty, provides the explanation for the purpose of all human actions toward the comprehension of the universe. This portion of Kants doctrine has been dubbed by the philosopher as transcendental idealism, since it establishes a framework outside the natural world upon which correct actions are based. Kant sees the ultimate virtues to be the attempts to reach three goals which are not yet found in reality, God, freedom, and the immortality of individuals. God, the Creator and Supreme Being of the universe, must be fathomed, properly interpreted, and obeyed in accordance with his true desires. Freedom, the individual liberty to act as one wishes and to grant all others this right, must be instituted through societal reforms and a development of ideology to understand the proper order that would establish such an atmosphere. And, at last, every human being must rise to possess the right to exist for an indefinite length of time that he may 1 / 3 obey the commandments of God and practice his freedoms. Kant states that all which is right and moral must be based upon those three principles. As such, Kant separates the scientific realm (which describes what is) from the moral realm (which explains what ought to be), but he considers these two realms to go hand-in-hand ultimately advocating putting the scientific realm in service to moral one. Kant: The Copernican Revolution in Philosophy The philosophy of Immanuel Kant (1724-1804) is sometimes called the â€Å"Copernican revolution of philosophy† to emphasize its novelty and huge importance. Kant synthesized (brought together) rationalism and empiricism. After Kant, the old debate between rationalists and empiricists ended, and epistemology went in a new direction. After Kant, no discussion of reality or knowledge could take place without awareness of the role of the human mind in constructing reality and knowledge. Summary of Rationalism The paradigm rationalist philosophers are Plato (ancient); Descartes, Spinoza, Leibniz (modern). Don’t trust senses, since they sometimes deceive; and since the â€Å"knowledge† they provide is inferior (because it changes). Reason alone can provide knowledge. Math is the paradigm of real knowledge. There are innate ideas, e. g. , Plato’s Forms, or Descartes’ concepts of self, substance, and identity. The self is real and discernable through immediate intellectual intuition (cogito ergo sum). Moral notions are comfortably grounded in an objective standard external to self — in God, or Forms. Kant says rationalists are sort of right about (3) and (4) above; wrong about (1) and (2). Kant would like (5) to be true. Summary of Empiricism The paradigm empiricist philosophers are Aristotle (ancient); Locke, Berkeley, Hume (modern). Senses are the primary, or only, source of knowledge of world. Psychological atomism. Mathematics deals only with relations of ideas (tautologies); gives no knowledge of world. No innate ideas (though Berkeley accepts Cartesian self). General or complex ideas are derived by abstraction from simple ones (conceptualism). Hume — there’s no immediate intellectual intuition of self. The concept of â€Å"Self† is not supported by sensations either. Hume — no sensations support the notion of necessary connections between causes and effects, or the notion that the future will resemble the past. Hume — â€Å"is† does not imply â€Å"ought†. Source of morality is feeling. Kant thinks empiricism is on the right track re (1), sort of right re (2), wrong re (3), (4), (5), and (6). Summary of Kant’s Argument The epistemological debate between rationalism and empiricism is basically about whether, or to what extent the senses contribute to knowledge. Both rationalism and empiricism take for granted that it’s possible for us to acquire knowledge of Reality, or how things really are, as opposed to how they seem to us. But both rationalism and empiricism overlook the fact that the human mind is limited; it can experience and imagine only within certain constraints. These constraints are both synthetic and a priori. All our possible experience must conform to these SAPs. The SAPs include location in space and time, causality, experiencing self, thing-ness, identity, and various mathematical notions. (Twentieth- century Gestalt psychology’s attack on psychological atomism is based on Kant’s views. ) Therefore, we must distinguish the world we experience, bounded by SAPs, and the world of things as they really are â€Å"in themselves†. Kant calls these two worlds the phenomenal (apparent) world versus the noumenal (real) world. Empiricism pretty much nails what it means to know something, once the SAPs are in place; i. e. , within the phenomenal world, empiricism rules. The phenomenal world is a world of things, publicly observable, describable by science, known to the senses, determined by physical laws. No God, no 2 / 3 freedom, no soul, no values exist in this world. If God, freedom, souls, and values exist, then they must be noumenal and unknowable by any ordinary means. Thus, according to Kant: Both rationalism and empiricism are wrong when they claim that we can know things in themselves. Rationalists are wrong not to trust senses; in the phenomenal world, senses are all we have. Rationalists are right about â€Å"innate ideas†, but not in Plato’s sense of Forms— much more like Descartes’ in argument of the wax. Hume is wrong when he claims the concept of self is unsupported by senses, and thus bogus. Rather, the experiencing self is a pre-condition for having any experience at all (Descartes was right). Hume is wrong when he says the notion that the future will resemble the past is due only to â€Å"custom and habit†. That notion is a SAP; we couldn’t have ordinary experience without it. Hume is wrong when he says the source of morality is feeling. Morality, properly understood, provides the key to linking the noumenal and phenomenal worlds. Kant argues that if morality is real, then human freedom is real, and therefore humans are not merely creatures of the phenomenal world (not merely things subject to laws). Ramifications of Kant’s Views Kant revolutionized philosophy. Kant showed that the mind, through its innate categories, constructs our experience along certain lines (space, time, causality, self, etc. ). Thus, thinking and experiencing give no access to things as they really are. We can think as hard as we like, but we will never escape the innate constraints of our minds. Kant forced philosophy to look seriously at the world for the agent (what Kant calls the phenomenal world) independently of the real world outside consciousness – the world in itself (the noumenal world). Ethics had long recognized the importance for moral evaluation of â€Å"how things seem to the agent. † But the ramifications of Kant’s noumenal-phenomenal distinction extend far beyond ethics. Philosophers like to take credit for all the big events in 19th century intellectual history as direct consequences of Kant’s philosophical legitimizing of the perspective of the subject: Hegel and German idealism, Darwinism, Romanticism, pragmatism, Marxism, the triumph of utilitarianism, Nietzsche, and the establishment of psychology as a science, especially Gestalt psychology. Phenomena and NoumenaHaving seen Kants transcendental deduction of the categories as pure concepts of the understanding applicable a priori to every possible experience, we might naturally wish to ask the further question whether these regulative principles are really true. Are there substances? Does every event have a cause? Do all things interact? Given that we must suppose them in order to have any experience, do they obtain in the world itself? To these further questions, Kant firmly refused to offer any answer. According to Kant, it is vital always to distinguish between the distinct realms of phenomena and noumena. Phenomena are the appearances, which constitute the our experience; noumena are the (presumed) things themselves, which constitute reality. All of our synthetic a priori judgments apply only to the phenomenal realm, not the noumenal. (It is only at this level, with respect to what we can experience, that we are justified in imposing the structure of our concepts onto the objects of our knowledge. ) Since the thing in itself (Ding an sich) would by definition be entirely independent of our experience of it, we are utterly ignorant of the noumenal realm. Thus, on Kants view, the most fundamental laws of nature, like the truths of mathematics, are knowable precisely because they make no effort to describe the world as it really is but rather prescribe the structure of the world as we experience it. By applying the pure forms of sensible intuition and the pure concepts of the understanding, we achieve a systematic view of the phenomenal realm but learn nothing of the noumenal realm. Math and science are certainly true of the phenomena; only metaphysics claims to instruct us about the noumena. POWERED BY TCPDF (WWW. TCPDF. ORG).

Friday, November 15, 2019

Effectiveness of Garlic Cloves on Reducing Blood Pressure

Effectiveness of Garlic Cloves on Reducing Blood Pressure SUMMARY OF THE STUDY The purpose of this study was to evaluate the effectiveness of garlic cloves on reducing blood pressure level among patients with hypertension. A quasi experimental pretest post-test design was used to conduct this study at PHC Alangium and 50 patients with hypertension were selected through non probability convenience sampling technique. Among 50, 25 patients were assigned to experimental group and 25 were assigned to control group. A structured interview schedule was used to collect general information and Digital blood pressure monitor was used to check the pretest and post test blood pressure level. The patients of experimental group were given 10 gm of garlic cloves once a day for 21 days. Post test for both the group was done on 22th day. The baseline data was tabulated by formulating frequency table. The blood pressure level was assessed using descriptive statistics. The comparison of pre and post test and the effectiveness of garlic gloves was evaluated by inferential statistics test Major Findings Of The Study Majority of patients in experimental group 9(36%) were 56-60 years and in control group 9(36%) were 51-55 years. Majority of patients in experimental group 19(76%) and control group 15(60%) of patients were females. Majority of patients in experimental group 17(68%) and control group 11(44%) of patients were formal education. Majority of patients in experimental group 24(96%) and control group 21(84%) of patients were Hindu. Majority of patients in experimental group 17(68%) and control group 13(52%) of patients were sedentary workers. Majority of patients in experimental group 11(44%) and control group 9(36%) of patients were had1-3 years duration of illness. Majority of patients in experimental group 14(56%) and control group 15(60%) of patients were had hospitalization. Majority of patients in experimental group 22(88%) and control group 19(76%) of patients were had treatment. Majority of patients in experimental group 24(96%) and control group 24(96%) of patients were non-vegetarian Majority of patients in experimental group 24(96%) and control group 19 (76%) of patients were not doing regular exercise. Majority of patients in experimental group 24(96%) and control group 23(92%) of patients practiced recreational activities. Majority of patients in experimental group 23(92%) and control group 18(72%) of patients were watching TV. Majority of patients in experimental group 16(64%) and control group 13(52%) of patients were had no family history of hypertension. There was a significant difference found (P Conclusion This study was to evaluate the effectiveness of garlic cloves on reducing the blood pressure among patients with hypertension in selected rural area at Alangium. The result showed that the garlic cloves is effective in reducing blood pressure levels among patients with hypertension. Implications The findings of the study have the following implications in the various areas of nursing service nursing education, nursing administration and nursing research. Nursing service The nurses should develop sensitivity to the effect of garlic cloves in reducing blood pressure level. The nurse should understand the importance of garlic cloves as an adjunct to pharmacological therapy in nursing practice. The nurse should teach the benefits of garlic cloves in reducing blood pressure level among hypertensive patients. The nurse should provide adequate exposure to settings where adjunct treatment is used for management of blood pressure level. Nursing staff can take specialized training in adjunct treatment to prevent complications of Hypertension. Nursing education The medical surgical and advanced clinical oriented curriculum imparted to nursing students should emphasize more on garlic cloves on blood pressure. The nurse educator should involve the concept of alternative and complementary therapy in nursing profession. The nurse educator should provide exposure to alternative and complementary therapy to encourage the students to expand their career in that field. The nursing curriculum should emphasize on adjunct therapy along with pharmacological management of diseases. The nurse should encourage the students to educate their patients regarding adjunct treatment during their clinical exposure. Staff nurse must be encouraged to actively participate in in-service education and workshop regarding the importance of complementary therapy on hypertension. Nursing Administration The administrator should collaborate with governing bodies in formulating policies to employ qualified nurses in medical units and periodically supervise their application of garlic cloves. Nurse administrator should arrange for public awareness programme regarding cost effective means of preventing hypertension Administrator should initiate health education in community by utilizing the staff preparing through adequate training and encouragement in adjunct therapy. The administrator should organize in-service education programme in adjuvant therapy for the nursing personal Nurse should organize formal training programme in alternative system of medicine. Administrator should appoint separate complementary therapist to guide the nursing personnel regarding adjuvant therapy Nursing research The researcher should encourage for further research on use of garlic cloves on blood pressure Researcher should concentrate on non-pharmacologic interventions to reduce the blood pressure level Disseminate the findings through conferences seminar and publications in professional, national and international journals More researches can be done to establish effectiveness of garlic cloves throughout the world. As per the study a nursing care guide can be developed for future references. Recommendations Similar studies can be done with the large group Similar study can be done with the hyperlipidemia patient Comparative study can be done on the effectiveness of garlic and hypertensive patients without taking anti-hypertensive agents. Comparative studies can be done with pharmacological and non pharmacological management of hypertension Summary This chapter dealt with summary, conclusion, implications for nursing practice and recommendation.