Friday, September 6, 2019

Climate Change and Global Warming Essay Example for Free

Climate Change and Global Warming Essay Cause Climatologists, who predict short and long-term climate trends, believe carbon dioxide and other emissions, mainly from industrial and commercial activity over the last two centuries, have altered the Earths atmosphere. This change has caused a greenhouse effect which is rapidly warming the planet. Effects The predicted effects of global warming include the melting of polar ice caps; a significant rise in sea levels; more extreme weather events; a reduction in agricultural land; water shortages; food shortages; loss of rain forests; and more species becoming extinct. Solutions Scientists believe all nations must take immediate and urgent action to dramatically reduce carbon emissions. Technological solutions have been proposed, ranging from carbon scrubbers that remove carbon from the atmosphere and reduce greenhouse gases to placing giant mirrors in space to reflect enough sunlight to cool down the planet. Controversy Although an overwhelming majority of scientists accept the man-made global warming theory, a minority have questioned this consensus. They suggest that mans impact on the climate is negligible and that global warming is wholly the result of natural cycles. David Kennedy, nd. Basic Causes of Global Warming Retrieved February 27, 2013 from http://www.ehow.com/about_5057613_basic-causes-global-warming.html Basic Causes of Global Warming Greenhouse Effect When sunlight hits the Earth some is absorbed but most is reflected. The greenhouse effect is when sunlight escaping back into space is absorbed by gases in the atmosphere and then reflected back onto the Earths surface. Most greenhouse gas is water vapor, but other gases that contribute to it include carbon dioxide, methane, ozone, and other gases that have a less significant impact. Carbon Dioxide According to the U.S. Emissions Inventory 2004 Executive Summary, in 2002 around 40 percent of carbon dioxide emissions were the result of burning coal for electricity. Around 93 percent of the electric utility industry burns coal. Carbon dioxide emissions also come from cars and other vehicles, airplanes and buildings. New technologies, like the hydrogen fuel cell vehicle and hybrid electric vehicles, are some solutions for minimizing vehicle carbon dioxide emissions. Methane Methane is the second largest contributor to the greenhouse effect. Methane is a natural byproduct of living organisms and is produced by plants and bovine flatulence. Bacteria decomposing organic material also produce methane. According to the U.S. Emissions Inventory 2004 Executive Summary, methane levels have increased by 145 percent in the last 100 years. In the United States, all rice fields are grown in flooded areas which produce methane gases. Deforestation Deforestation is the process of clearing forests, either rainforest or temperate forests. The burning of forests is responsible for up to 25 percent of carbon dioxide emissions. This is the result of clearing and cutting nearly 34 million acres a year. Forests are also important because they convert carbon dioxide into oxygen. So while carbon dioxide emissions increase, the lack of forests is making the number increase faster. Permafrost Permafrost is a layer of land and soil that has been frozen and kept at freezing temperatures or below. In many northern climates like Alaska, Canada and Siberia, the permafrost layer of soil holds vast amounts of carbon. What researchers and scientists fear is that the permafrost will warm up and microbes will decompose the soil and release carbon dioxide. Permafrost has absorbed carbon dioxide for thousands of years, but may release it back if thawed. Timothy Sexton,.nd. Global Warming Cause Effects retrieved February 27, 2013 from http://www.ehow.com/about_4744736_global-warming-cause-effects.html Global Warming Cause Effects Greenhouse Effect The overriding cause of global warming is an umbrella term known as the greenhouse effect. As the rays of the sun reach Earth, some of the heat is absorbed and some is radiated back into the atmosphere. Greenhouse gases in the atmosphere act similarly to a gigantic mirror and reflect warmth back to Earth that in the past would have continued being radiated into space. It is this reflection of heat back to Earth that is at the heart of the greenhouse effect. Greenhouse Gases These greenhouse gases that are responsible for reflecting back heat that would otherwise be lost include simple water vapor, carbon dioxide, methane and the infamous ozone. Unfortunately, there is no way to know exactly which greenhouse gas is most responsible for the greenhouse effect. Cause of Increased Gases The problem of global warming has been caused by the addition of more greenhouse gas into the atmosphere. The gases responsible will rise into the air whether humans are here or not; the problem is that much of basic human activity in the 20th and 21st century produced greenhouse gas at a level never experienced before. Basically, any activity that produces one of the gases listed above is a cause of global warming; everything from driving a car to using electricity. Because trees act as a natural conversion plant to transform carbon dioxide into oxygen, deforestation contributes to global warming because the fewer trees there are, the more carbon dioxide gets into the atmosphere. Effects The effects of global warming are potentially far-ranging. Increased temperatures means melting of glaciers, ice and snow around the poles, which means an increase in sea levels. Warming water will also increase the potential for hurricanes and typhoons so devastating that they will make Hurricane Katrina pale in comparison. That rise in sea levels could also mean that beachfront property will soon be found 10 to 50 miles inland from where beaches are now. Temperatures The average temperature on Earth has been steadily rising since the mid-1980s, and global warming is expected to continue this trend. In addition to longer and hotter summers, rising temperatures will affect agriculture. Indeed, the effect of a hotter Earth is already increasing the transmission of infectious bacteria that thrive under warm conditions. Hoax? There are still a great many people who believe that global warming is simply some kind of politically-created hoax. Those leading the charge against global warming tend to be industry with a vested interest. On the other hand, the list of scientific entities that have agreed on the reality of global warming include, among many others, the National Oceanic and Atmospheric Administration, the Environmental Protection Agency and the Royal Society of the UK.

Exploitation of Indigenous Peoples Essay Example for Free

Exploitation of Indigenous Peoples Essay The Native Americans were slaves from the north to the South of the Americas and right across the North American continent. The percentage of Native American slaves was larger than black slaves and they were enslaved far longer than Black slaves. Native Americans were slaves for about 500 years, from the 1400s to the 1900s. Native Americans slaves were for 200 years before African Americans made it to the new world. The slaves of Native American were shipped to several areas around the world, the Caribbean, Europe and the Middle East. [1] Native Americans were slaves even after slavery was removed because they were not citizens and the laws did not apply to them, the first Native American group was under Columbus, about 200,000 natives were harshly enslaved by him. Only 500 survived by the year 1550 and the group were extinct before 1650. [2] When Christopher Columbus discovered the New World in the late 1400s, his goal was to take all it natural resources and take it to Spain, he named it the new resource for Spain. Columbus figured an opportunity to convert the natives to Christianity, to provide another trade point with his mother country, and to learn about a vast extent of the agriculture and animals, as well as interesting cultures that the Old World had ever seen. However, one of the strongest causes of this difference in objectives was Hernando Cortes. Hernando Cortes’s purpose for the occupation of present-day Mexico was the conquest of the native peoples. Through harsh force and dishonesty, he destroyed the native tribes, making the Aztec Empire his own empire. In Bartolome de Las Casas writing about the indigenous peoples, witnessed a massive murder of the original people of Cuba, and became an opponent to the violent conversion of the Native Americans. He is considered the Father of Liberation Theology, arguing with Juan Gines de Sepulveda. De las Casas argued that Native Americans should be treated as other Spanish subjects of the king. He suggested that instead of making the Native Americans slaves, the Spanish should ship Africans to the New World for use as slave labor. [3] Alonso Zuazo said in his writings about the native Americans that the. Indians would serve as slaves for the Europeans in the sugar cane plantation in the coasts of Northern Africa. The main thing he was focused on was when the enslaving of the natives was failing in the sixteenth century; they wanted to replace them with slaves from western Africa. He found out that Africans were better slaves than the Native Americans because they came from agricultural societies and they know about agriculture more than the Native Americans. [4] Native Americans interacted with enslaved Africans in every way possible. Native Americans were enslaved along with Africans, They worked together, lived together in the same houses, produced recipes for food, shared herbal remedies, myths and legends, and in the end they breed together. Because both races were non-Christian, Europeans considered them under the Europeans. They worked to make enemies of the two groups. In some areas, Native Americans began to slowly engage with white culture. Africans were not affected with the conditions and diseases. It was because the Africans were already in contact with the Europeans when they had started trading with one another. Europeans felt they could handle the climate because of their skin color. Many Native Americans started to die because of the diseases. A lot of the Native Americans also started to escape and fight back, and many of them died. They also felt that Africans were cheaper. The Native Americans were less resistant to the diseases that the Europeans brought with them. In North America, the conquerors at first werent thinking of taking take Native Americans as slaves because they lived a harsh life that needed to be at peace with the Natives to continue. There were more Africans available and the Europeans found it more meaningful to buy Africans from Africans than to attempt to capture Indians. [5] Bibliography: Ivison, Duncan, Paul Patton, and Will Sanders. Political Theory and the Rights of Indigenous Peoples. 2nd ed. publication place: Cambridge University Press, publication year. http://books. google. com/books? hl=enlr=id=JkqahTHpUmUCoi=fndpg=PA36dq=exploitation+of+indigenous+peoplesots=DojNLSzhZdsig=oW_5zCg8jDjBuKeOQbRVDVO9x9Q#v=onepageq=exploitation%20of%20indigenous%20peoplesf=false (accessed November 23, 2012). Saco, J. A. â€Å"Alonso de Zuazo (1518). † http://www. digitalhistory. uh. edu. http://www. digitalhistory. uh. edu/active_learning/explorations/spain/spain_zuazo. cfm (accessed November 23, 2012). TAINO-L. â€Å"Bartolome de Las Casas and His Defence of the Indians. † http://www. hartford-hwp. com. http://www. hartford-hwp. com/archives/40/186. html (accessed November 26, 2012). Columbus, Christopher. â€Å"Letter to King Ferdinand of Spain, Describing the Results of the First Voyage. † www. xroads. virginia. edu. http://xroads.virginia. edu/ hyper/hns/garden/columbus. html (accessed November 26, 2012). [1] Duncan Ivison, Paul Patton, and Will Sanders, Political Theory and the Rights of Indigenous Peoples, 2nd ed. (publication place: Cambridge University Press, publication year), 36-39, http://books. google. com/books? hl=enlr=id=JkqahTHpUmUCoi=fndpg=PA36dq=exploitation+of+indigenous+peoplesots=DojNLSzhZdsig=oW_5zCg8jDjBuKeOQbRVDVO9x9Q#v=onepageq=exploitation%20of%20indigenous%20peoplesf=false (accessed November 23, 2012). [2] TAINO-L, â€Å"Bartolome de Las Casas and His Defence of the Indians,† http://www. hartford-hwp. com, http://www. hartford-hwp. com/archives/40/186. html (accessed November 26, 2012). [3] J. A. Saco, â€Å"Alonso de Zuazo (1518),† http://www. digitalhistory. uh. edu, http://www. digitalhistory. uh. edu/active_learning/explorations/spain/spain_zuazo. cfm (accessed November 23, 2012). [4] Christopher Columbus, â€Å"Letter to King Ferdinand of Spain, Describing the Results of the First Voyage,† www. xroads. virginia. edu.

Thursday, September 5, 2019

Ethical Decision Making In Nursing Scholarly Nursing Essay

Ethical Decision Making In Nursing Scholarly Nursing Essay Nurses are constantly confronting various ethical issues in their everyday clinical practice. An ethical dilemma is complex situation emerging from the conflict between moral obligations in which complying with one would result in contravening another (College of Nurses of Ontario [CNO], 2009). Nurses using CNOs ethical conducts and decision-making framework will help in directing their ethical course of action. This framework involves the use of moral component such as claim, evidence, warrant, basis, rebuttal and ethical decision to guide in resolving the conflict (Arnold Boggs, 2011). Thus, the aim of this paper is to use ethical decision-making framework step by step in exploring an ethical issue by analyzing a pediatric case study to make significant decisions. Claim is the first moral component of the framework. It emphasizes on various dilemmas arising from the case study such as pediatric advance directive, consent to treatment by being competent minor and decision-making capacity. The ethical dilemma arises from this case study is whether to choose wishes of adolescent patient considering his treatment or should the wishes of his parents outweigh his request. The case study describes Kyle 14 years old male who has stake in outcome of the decision, and suffering from lymphocytic leukemia cancer. The case study involves Kyle as patient with physicians and his parents to determine the care in best interest of patient. The involved Physicians in care stated Kyles health is deteriorating and not responding to the chemotherapy treatment. Hence, the value of Kyles parents is to continue with the chemotherapy treatment in hope to work and prolong his life. However, Kyle having different point of view, refused to take any heroic measure and aske d for DNR order to be placed in his chart. This way, his parents value would be violated if nurse chooses to accept the decision of Kyle. According to article by Tabak and zvi (2008), patient being mature minor competent has right to refuse treatment and is allowed to choose decisions regarding all the aspects of his treatment. Hence, nurse is caught in conflict between parents and Kyle. Thus, Kyle being in client center care, whichever decision nurse chooses from patient and parents will impact the Kyles care. The evidence is next moral component of the framework. According to the scenario, physician sharing information with patient about the health status shows their mutual trust in relationship. This relationship indicates Kyles right to know as being cognitively capable to understand pros and cons of the treatment and participate in the discussion. According to Tabak and zvi (2009), the norm of informed consent is that patient has right to know truthful information about his health status from health care professionals to make informed decisions. From the case study another evidence indicates, Kyle being cognitively mature adolescent with a chronic illness (at the age of 5), knowledge to make informed decisions (DNR) and, experienced with treatments (several dose of chemotherapy). According to the article by Tabak and Zvi (2008), if the adolescent being minor is coping with long term and life threatening situation then patient is cognitively aware of the nature of the illness and has ri ght to give consent. With this fact, his parents are seizing over his autonomy by denying his choices or capacity to make decisions. According to the article by Rogers, Alex, Macdoland, Gallant and Austin (2009), states that allowing children to express and offering choices escalates their quality of life and dignity. In this case, parents emotional grief for child may prevent them understanding childs moral value or quality of life. It seems parents attachment with child making them not to understand childs perception of suffering from medications and wishes to extend his life even if it has to do with holding on to the hope of future medication to work (Macgrawth Phillip, 2008). As a result, parents are going against standards and not performing critical thinking. The evidences found in the case study are true, relevant to make decision, but lacks in sufficiency due to having inadequate in-depth reasoning behind klyes decisions. Warrant is another part of the framework. It requires using professional standard of care, and legal precedents and policies. If I were a nurse confronting ethical dilemma conflict between patient and parents decision over treatment, I would critically examine choices using professional standards. First thing I will take childs age into consideration for informed consent. As stated in pediatric Cancer Society (CPS) (2008), in Ontario there is no age of consent. However, there is mature minor right where patient not being adult in age, but cognitively able are allowed to consider the treatment choices and alternatives based on the evaluation of consequences. This explains Kyle being only 14 years old is able to give consent of refusing treatment, which is on his best interest along with knowing his nature of treatment. As well as, according to CPS (2008), when benefit of the treatment overweighs burden it should be respected. Similarly, Kyles choosing to preserve his quality of life o verweighs the option of treatment associated with pain and suffering which should be respected. Moreover, according to CNA (2008) code of ethics, under promoting and respecting informed decision-making, nurses have right to advocate for the patient if his/her rights are being influences by others decisions. In this case, by abiding this code, I would recognize the kyles right and support his capability to withdraw or withhold the consent for treatment regardless of his parents request. Furthermore, according the CNOs (2009) practice standard ethics clients well-being and client choice are relevant ethical values for nurse when parents and patients view are differentiated in what is beneficial. I as a nurse without judging would evaluate, respect and determine the rationale for the chosen option by parents and patient in terms of benefit vs. risk to assist in making decision. By abiding professional standards and policies will help me as a nurse to have evidence based rationale to de liver ethical clinical care to Kyle. Basis is the next component in the framework involves ethical principles. In this scenario, autonomy, beneficence, and veracity are ethical principles used as guide to analyze ethical issue (Arnold Boggs, 2011). Autonomy refers to patients right to make informed decision about his/her medical care without having anyones influence on it. In this case, parents desired decision takes over Kyles autonomy by contradicting his decision-making capacity (being minor) regarding his treatment and DNR options. Hence, allowing Kyle to make informed decision by allowing him to express his preference, concerns, and wishes would respect his autonomy and will preserve his dignity (Whitty-Rogers et al., 2009). Another principle, beneficence requires to prevent harm to others. In this scenario, kyles going through chemotherapy treatment shows no improvement (beneficences), yet him going through this process for prolong life will increase his pain and suffering. From parental perception, treatment hel ping to prolong lifetime indicates harm in hope of beneficences. For parents, treatment adding to survival period over side effects would appear as convenient option to accept (Mcgrath Phillip, 2008). Last ethical principle veracity refers to responsibility of telling truth. In this case scenario physician or HCP has provided truthful information to patient and family regarding health status and effectiveness of treatment. Hence, there is no other information hidden from patient to help making informed decision. Hence, it is significance for nurse to continue using this principle to support and oppose argument made by each person to solve the conflict. In addition, rebuttal is another component of framework. It focuses on costs and benefits of each choices. The benefit of the choice made by Kyle will alleviate his suffering by refusing the unresponsive treatment and DNR, which will increase his quality of life. It will strengthen the trust in nurse-patient relationship. On the other hand the risk associated with Kyles choice shortens the quantity of life due to having no treatment and DNR actions to rescue his life. Another harm associated is that it would hinder the relationship between parents-patient and nurse-family due to opposing their request. Furthermore, the benefits associated with parental choices of continuing treatment will prolong their and Kyles time of togetherness. As well as, risk associated with parents choice will escalate the pain and suffering of patient by reducing the quality of life. This violates the ethical principle of choosing non-maleficence for the hope of beneficence and reducing patients autonomy an d dignity. As denying parents preference can hinder trusting nurse-patient relationship. Especially when trust, respect and honesty are essential to meet the health care needs of patient and in facilitating end of life care decision making (RNAO, 2006). Although, alternatives could be arranging meeting with parents and patient will help to understand each others perception, as well as allowing to accommodate/negotiate any choices to reach mutual decision. This way parents might be able to see the suffering and pain that treatment brings for child in order to prolong time. Also, Kyle would be able to understand emotional side of parents where his life is more valuable and beneficial over side effect of the treatment. As a result, palliative care could be an alternative option in progressive illness to ease quality of life with quantity of life. Palliative care can benefit in relieving the suffering in holistic way of patients life. For example, chemotherapy being used can have medica tions to relieve side effects of nausea to minimize the suffering (Mcgrath phillip, 2008). As well as, choosing to continue with the unresponsive chemotherapy treatment (side effects) with palliative care may limit the patients quality of life. At last, a nurse being reasonably prudent and ethical should apply moral principles in decision-making. The primary object of the nurse would be to identify ethical issue. The ethical issue in this case study is adolescents treatment decision conflicts with parents decision in determining authority for decision-making. Then nurse will evaluate the evident data to obtain all the relevant and sufficient information. Moreover, nurse should have understanding of CNA, CNOs code of ethics, and RNAO BPGs to have knowledge regarding law, legal action and to have evidence-based rationale in guiding the decision-making process. Nurse would evaluate the claim by recognizing moral reasoning in each persons perspective. According to CNA (2008) values, under client wellbeing and choices, nurse should respect family and patients opinion. Nurse should make parents acknowledge about the adolescents right in making decision. If patient is mature minor and competent to make informed decision then nurse should advocate for patient even if its opposes parental request. Last but not least, nurse should weigh risk and benefits of each persons choices in terms of possible long terms and short-term consequences. Hence, nurse can offer alternative options by collaborating with other HCP if necessary to balance and develop mutual goal between HCP, patient and parents. In conclusion, to achieve resolution in ethical dilemma involves critical thinking. This paper has analyzed an ethical dilemma in determining whether is it Kyle or parents, who has authority to take decision regarding treatment. It evaluated others factors such as pediatric age consent, and being cognitively competent to understand the consequences that could influence the decision-making. Paper also included three nursing journal to support the evidence, professional standards, and ethical principles to direct decision-making. At last, being ethical nurse, to determine decision in patients best interest, possible consequences from the choices were outweighed in terms of risk and benefits. Thus, the use of decision making framework facilitated in deciding what is morally and ethically acceptable in patients best interest while facing ethical dilemma. Kyle is a 14 year old male diagnosed with acute lymphocytic leukemia at age 5. He has endured multiple relapses requiring several rounds of chemotherapy with short periods of remission. He has been readmitted to the paediatric oncology unit after metastases to his lungs and brain have been found. During a family meeting to discuss treatment options, Kyles attending physician explains that the cancer is rapidly progressing and unresponsive to treatment. Kyle feels that he has endured enough and does not want any further heroic measures and has asked that a DNR (do not resuscitate order) be placed in his chart. Kyles parents do not agree with this course of action and are holding onto to hope that more treatment may prolong his life.

Wednesday, September 4, 2019

Search for Identity in Amy Tans The Joy Luck Club Essay -- Joy Luck C

Search for Identity in The Joy Luck Club "Imagine, a daughter not knowing her own mother!" And then it occurs to me. They are frightened. In me, they see their own daughters, just as ignorant, just as unmindful of all truths and hopes they have brought to America. They see daughters who grow impatient when their mothers talk in Chinese, who think they are stupid when they explain things in fractured English. (Tan 40-41) Amy Tan frames The Joy Luck Club with Jing-mei Woo's search for identity. When Jing-mei's mother's friends tell Jing-mei that her sisters have at long last been found and insist that she tell her sisters about their mother's life, Jing-mei emotionally replies that she does not know her mother. However, her mother's friends' generosity helps Jing-mei to realize how much she wishes that she had understood her mother, how desperately she would like to question her if only she could. It is in this moment that Jing-mei recognizes the necessity of understanding her mother's life in order both to figure out who her mother was and to understand herself. Jing-mei's placement at the mah jong table already suggests a link between Jing-mei and her mother that parallels Jing-mei's position in the rest of the novel, for wherever Suyuan should be telling her story, it is told through the voice of Jing-mei instead. While Suyuan should be the one to reconcile with her lost daughters, Jing-mei will go in her place. This planned act of reconciliation where Jing-mei will fulfill her mother's dream foreshadows the other mother-daughter stories in the novel where An-mei, Lindo, and Ying-ying are just as eager to reclaim their daughters as Suyuan, in order to help in their daughters' struggles ... ...perately to connect with her mother. In her quest to close the cultural gap between her Chinese heritage and her American upbringing, she questions what it means to be Chinese. Suffering from a disadvantage compared to the other daughters in the story, since her mother is dead, Jing-mei struggles to remember the foods her mother cooked, her relatives' names, and the stories her mother told. However, it is when Jing-mei finally embraces her sisters, and they observe in the polaroid shot how they all look like their mother, that it occurs to Jing-mei that her family is the part of her that is Chinese. Therefore, in order to understand that part of her identity, she must embrace the memory of her dead mother. With the sisters linked by their mother in their family likeness, the photograph symbolically reconciles the two generations, as well as the two cultures.

Tuesday, September 3, 2019

Reality TV :: Television Media

Whether we watch a group of people live together in a house (big brother), or watch them build the house (the Block), reality television exposes that little peeping tom in all of us. Reality TV satisfies that instinct of prying into the personal affairs of others, and the reality of reality television is that as humans we enjoy this. Reality TV is not much different from normal programs, like any program, reality television has the essentials, it has a mix of characters, it puts those characters in situation, and the result is usually a failure or success. But the catch of reality television is that the characters are real people, the story is not scripted, and with any failure or successes comes emotion. But does this reality TV revolution present the viewers with real life? Or does it present what the TV producers want the viewers to see? Reality TV is built on the foundations of exposing and exciting human emotions. In this aspect reality TV has successfully portrayed human emotions. The cameras have captured all features of being humans. For example, Survivor consists mainly of emotions associated with survival, leadership, the failure and success as co-operating as a team. The cameras have successfully conveyed to the audience all these emotions, and the stories connected with these emotions. There is no doubt that reality TV presents the viewers with small aspects of real life. Reality TV provides the viewers with true conflicts and emotions that have been felt. However, in the attempt to portray all traits of real life, I believe reality TV often fails. There are many contributing factors to this failure. There is the reality that like any show, reality TV’s goal is to obtain and keep viewers. With only an approximate hour of television each week it is difficult to include all stories. Therefore storylines and parts are often cut out, edited or deleted. This not only helps by keeping the show to the hour, it also is used to obtain the most interesting show. By doing this TV stations secure viewers and can get more advertising money. The result is we don’t always hear the absolute truth to any story. Some aspects of reality TV are cut because they threaten our idea about a character. For example in Big Brother there may be a character that is disliked and is receiving many phone votes.

Monday, September 2, 2019

Computers and Medical Database Advances :: Essays Papers

Computers and Medical Database Advances Computers have revolutionized the way we do things in the medical field from the devised used the pharmacy to the databases used to keep patients medical records. Pharmacies, offices and hospitals have been able to take advantage of the benefit computers can bring to their companies. Computers make it easy to keep tack of their patients, as well as what medication they take in order to make it easier for everyone. Computers can be used to advance the uses of health care systems in hospitals in more ways than one. One of the first systems that use computers to store and transfer information for the use of giving advice and solving clinical problems is the HELP system. (Fitzmaurice) This system not only alerts physicians to abnormal and changing clinical values but can generate reminders for physicians. For example: A trial by Indiana University showed that tests for respiratory ailments were reduced by ten to thirty percent because the computer was able to remind the doctor to give a flu vaccine to those patients. In Beth Israel Hospital in Boston computers were also able to alert physicians when kidney failure was a risk. (Fitzmaurice) Another way that computers can benefit physicians in hospitals is the costs it can decrease. Physicians are able to order tests by computers which can automatically display cost affective testing. At Wishard Memorial Hospital in Indianapolis they saved $594 per admission when using computers to write all impatient orders.(Fitzmaurice) That is a total of more than three million dollars in projected hospital savings. Also the physician ordered fourteen percent fewer tests when using computers because the computer was able to show test results, test prices and abnormal results. (Fitzmaurice) By being able to write programs for computers that can contain a database full of patients makes it easier for everyone. In the 1980’s in order for pharmacies to process third party payors, it had to be done the old fashion way-via paper. With millions of people rushing to the pharmacy to get their medication, a more efficient way had to be established to process claims.(Sardinha) During the middle of the 1980’s pharmacies were able to establish online computer claims making it easier to bill insurance companies online.

Sunday, September 1, 2019

Sir Lancelot Analysis

Sir Lancelot is the greatest knight at the Round Table. Lancelot is Arthur’s best friend and yet is completely different in that he performs heroic acts by accident. Lancelot is too humble to allow all his heroic acts to improve his self-image. A hero is someone who engages in a heroic act risking or losing his or her life to save someone else’s. Sir Lancelot is a hero. Lancelot is brave. Lancelot could be called brave because he wasn’t afraid to kill people. If a situation needed immediate action Lancelot was there to battle another knight.Lancelot chose to go on adventures putting aside the dangers he might face. He fought willingly for people, and stood up for himself when he met the witches and battled other knights. Lancelot is loyal. Being loyal means showing support to someone. Lancelot stayed loyal to the one girl he loved even though she was already married. A girl asked Lancelot to fight for her dad and she would free him, and he courageously fought for her dad and didn’t try to get away.Lancelot was loyal to King Arthur by fighting along side him and joining him at the Round Table. Sir Lancelot is a hero. He is considered to be one of the greatest and most trusted of King Arthur’s knights and he played a huge part in King Arthur’s victories. Lancelot is a hero because he battles with honor and strategy, he understands how to win. Lancelot was heroic because he never failed in gentleness, courage, or courtesy. No matter who he was he still served others.