Monday, September 30, 2019

The Concept Of Public Health Health And Social Care Essay

The challenges outlined in this definition are the chief duty of wellness attention professionals, particularly public wellness specializers who receive developing from Schools of Public Health ( SOPH ) . SOPH is a term used to depict a section in an establishment of higher acquisition concerned chiefly with proviso of postgraduate Public Health tutoring, chiefly in the signifier of a Masters grade in Public Health ( MPH ) . ( 3 )1.1 Backgrounds:Globally, there have been important alterations in public wellness, with monolithic betterments in developed states, while stagnancy and even diminution has been observed in the wellness position of developing and under-developed states. In states like the United Kingdom, the class of wellness attention during the 19th and 20th centuries focused on proviso of drinkable H2O and bettering sanitation, and clean air. These purposes have mostly been achieved to a sensible criterion, but unhappily, the state of affairs is far from what is desired i n most underdeveloped states. ( 4 ) The current tendency is typified by the â€Å" reverse attention jurisprudence † , where comparatively few schools of public wellness exist in parts with the greatest public wellness challenges and an extra figure exist in the developed universe, where focal point has shifted to face new epidemics of sick wellness ensuing from, for case drug maltreatment, fleshiness and smoke. The key to turn toing these wellness issues, both in development and developed states, lies with the preparation of competent public wellness specializer ; this undertaking lies chiefly with SOPH. ( 3 ) With the apparent importance of public wellness, the preparation of public wellness professionals plays an indispensable function in undertaking these jobs, as it lays the foundation for the hereafter of this sector. Selection is an built-in portion of any preparation programme and its importance can non be overemphasized. It can be described as the first one of the most of import stairss in the bringing of effectual population based wellness attention in this context. The class constructions of most MPH programmes were traditionally centred on capable countries such as ; epidemiology, wellness policy, wellness publicity, wellness direction, environmental wellness, human biological science and wellness economic sciences. ( 5-7 ) Presently nevertheless, the range has been expanded to include topics affecting statistical analysis and the usage of computing machine programmes ; the ability to entree, manage and work with information ; the ability to show and circulate information in an effectual mode ; interview and communicating accomplishments ; sensitiveness to wellness inequalities and societal accomplishments. ( 7 ) Most SOPH in the United Kingdom are organized around the subjects of capacity edifice, multidisciplinary, balanced instruction and research. Information is dissipated in traditional category room scene, either as full-time 12 month programmes, or as portion clip 24-60 months programmes. ( 8 ) Certain SOPH have adopted more advanced agencies of instruction bringing, choosing for electronic agencies for proviso of distance acquisition.1.2 SCHOOLS OF PUBLIC HEALTH: HISTORICAL PERSPECTIVESInstitutions of larning concerned with educating pupils in the rules of public wellness started emerging in the early portion of the 20th century. The first of its sort was formed in 1916, when the Rockefeller foundation funded the gift of John Hopkins University in the United States. This establishment differed in its proficient attack to public wellness contrasting with the more societal and environmental attack adopted by Charles Edward Winslow at Yale University. ( 3 ) In line with the Rockefeller foundation ‘s aims of developing the scientific discipline of public wellness, it went in front to fund the constitution of legion SOPH within the United States and internationally. Its first international legacy was in the UK, where in 1922, it sponsored the formation of the public wellness section in the London school of Hygiene and Tropical Medicine ( LSHTM ) . However, shortly after the Second World War, the Rockefeller foundation shifted its focal point to other precedences. Despite this, there was still an addition in the figure of SOPH, with the World Health Organization join forcesing with National authoritiess specifically to develop and educate public wellness professionals from 1948. These attempts have seen the constitution of about 357 SOPH in 54 states as at 2006. ( 3 )1.3 SCHOOLS OF PUBLIC HEALTH IN THE UNITED KINGDOM:An cyberspace based hunt of the universities in the UK offering different signifiers of public wellness at station alu mnus degree revealed about 70 eight of such establishments. However, there are differences in the quality and focal point of public wellness research offered by these establishments. These differences were highlighted after the 2008 Research Assessment Exercise ( RAE ) , which identified the figure of research active staff and conducted a peer appraisal of the quality of research within different universities. ( 9 ) Another important difference in UK SOPH is the appellation between programmes offering a Masters in public Health ( MPH ) and an MSc in public wellness as differentiated by establishments established before and after 1992. Evans ( 2009 ) identified ‘pre-1992 ‘ universities as establishments that offer intensive classs and are staffed by internationally recognized research workers and have programmes normally labelled as ‘Masters in Public wellness ‘ ( MPH ) . The ‘post-1992 ‘ universities are largely former engineering schools that run largely parttime classs and frequently have less internationally celebrated staff labelling their programme as ‘MSc in Public Health ‘ . MPH programme are by and large considered superior to most MSc Public wellness programmes for these grounds. However the full clip MSc public wellness programme the London School of Hygiene and Tropical medical specialty ( LSTHM ) is internationally celebrated and stands as an exclusion to the facts stated above. ( 3 ) Over the last two decennaries, there have been important additions in the figure of postgraduate public wellness classs, particularly in new universities. These classs normally have a wider focal point reflecting the more societal facets of public wellness coupled with an admittance of pupils with multidisciplinary backgrounds. It was n't until 1992 that the LSTHM opened its public wellness grade to pupils with first grades other than medical specialty. It took a twosome of more old ages until the Faculty of Public wellness admitted non-medical alumnuss into its preparation programme in the twelvemonth 2000. ( 10 ) One major challenge of SOPH in the UK has been the issue of equilibrating research with learning. Schools that have really low RAE ranking will more likely lose support. Besides, the focal point on research is driven by the desire for equal reviewed publications as a step of the grade of academic success. This tendency has resulted in the prioritization of research over learning for most establishments of public wellness. However, there has been a nexus between the National Health Service and some SOPH, where the MPH class forms the first twelvemonth of public wellness specializer preparation programme which runs for 5 old ages. This agreement it has been argued will likely assist equilibrate research and instruction. ( 3,6 )1.4 THE PROCESS OF SELECTION:The United Kingdom is home to some of the most reputable acquisition establishments in the universe and as such attracts a diverse group of persons every twelvemonth, who come in hunt of quality cognition. The standards used for pupil choice into a Masters Degree programme in Public Health in has important deduction on future quality of the public wellness sector in the UK, and so the universe sing the big inflow of foreign pupils seeking quality instruction in public wellness. ( 11 ) Student choice is normally based chiefly on academic background/achievements. However, in recent old ages, the standard has been widened to include other factors like single attitudes, involvements, and personal features desired ends and work experience. Selection policies based on the traditional academic ability are fast melting out for a figure of grounds. One ground is the deficiency of grounds demoing a correlativity between old academic public presentation and subsequent success in wellness professional courses/practice. ( 12 ) The purpose of any choice procedure is to choose persons who best tantrum certain defined standards. Therefore an indispensable portion of this procedure is the definition of one or more standard by which appliers can be judged. This measure is highly of import, as SOPH are expected to take and develop future public wellness practicians who will be equipped with the needed accomplishments expected to turn to the challenges of this demanding profession. ( 11 ) Until late in the United Kingdom, developing under the Faculty of Public wellness was unfastened to merely medical practician and as a consequence, handiness of infinites on medically oriented public wellness programmes for non-medical appliers were limited. However, in 2000, the module rank was opened to non-medical alumnuss. Despite this alteration, there has been a diminution in module rank. However, these happenings has prompted inquiries about the accomplishments required to be competent public wellness practicians and if it was necessary to hold a medical grade before analyzing public wellness. ( 13 )1.5 Rationale:The thought for this undertaking was conceived by Dr Tom Marshall ( 14 ) after it was observed that admittances into the University of Birmingham ‘s MPH classs had increased significantly following the debut of an on-line choice test, as a pre-requisite for entry in March 2009. ( 15 ) Additionally, inquiries generated following a meeting of 12 MPH/MSc programme managers in September 2009 to discourse affairs of common involvement, besides inspired this undertaking.2. LITERATURE REVIEW:This literature reappraisal seeks to place similar work done on the choice standards for pupils meaning to analyze for a Masters grade in Public Health. It will try to place what the current cognition on pupil choice in the UK is, place countries that have already been researched and highlight what aspects may necessitate farther research.2.1 SEARCH STRATEGY:The writer conducted a hunt for articles written in English linguistic communication on the pupil choice standards for postgraduate public wellness instruction. Databases included in the hunt included MEDLINE, ERIC and ISI WEB OF SCIENCE. The electronic footings used entirely or in combination for the hunt included â€Å" Masterss, † â€Å" PUBLIC HEALTH, † â€Å" MPH, † â€Å" MSc, † â€Å" POSTGRADUATE, † â€Å" SELECTION, † and â€Å" CRITERIA † . Search footings combinations were modified utilizing AND/OR and database specific wildcards ( e.g. $ or? ) . The initial hunt provided really limited relevant informations on the topic being researched. Therefore, the undermentioned hunt footings were included ; â€Å" Undergraduate, † and â€Å" MEDICAL SCHOOL. †2.2 MPH AND UNDERGRADUATE MEDICAL Training:The Rockefeller Foundation ‘s 1916 one-year study noted that the first SOPH was established to supply a sound footing of scientific cognition for the systematic publicity of populace and personal hygiene and besides set up a well defined calling as an attractive force for trefoils interested in the field of public wellness instead than the clinical pattern of medical specialty. These original aims still play a important function in finding who gets selected to analyze for an MPH. The educational course of study of sections of preventative medical specialty of most medical schools is really similar to that of many SOPH ( 16,17 ) and as a consequence the MPH programme was antecedently unfastened merely to alumnuss of medical schools as it was deemed indispensable to posses a medical grade before analyzing postgraduate public wellness. The turning demand for more health care professionals has seen the incorporation of the MPH course of study into the undergraduate medical preparation strategy. In the United States, a few of such programmes exist including classs at Yale, Tulane and John Hopkins. These medical schools run coincident programmes with next schools of public wellness, such that on graduation, pupils possess both an MD and an MPH. Undoubtedly, there is a strong convergence in the choice of undergraduate medical pupils and postgraduate pupils of the MPH programme. Due to the deficiency of literature on the choice standards for graduate student MPH, the writer decided to reexamine the literature on undergraduate medical pupil choice standards in the United Kingdom.2.3 SELECTION CRITERIA FOR UNDERGRADUATE MEDICAL STUDENTS IN THE UK:The standards used for choice of undergraduate medical pupils are mostly vague being more of an administrative exercising to fit the figure of appliers to the available infinites on the class utilizing a movable Markss threshold. The consequences are that the greater the figure of appliers that twelvemonth, the higher the threshold grade used for admittance. ( 18 ) However, most medical schools strive to guarantee that the few available places available for medical pupil admittance are unfastened to pupils who will do the best physicians. With the current consciousness that non-academic personal qualities are basically as of import in the pattern of medical specialty as academic ability, many medical schools require appliers to set about entry trials that step other qualities and features in add-on to academic ability. ( 12,19 ) One of such trial is the personal qualities assessment trial ( PQA ) , which is designed to measure verbal, numerical, and spacial logical thinking. It contains a personality stock list and besides has an ethical logical thinking paper. The PQA has added value alongside the A – degrees leting for an nonsubjective appraisal of non-cognitive features of draw a bead oning medical pupils. ( 19 ) Many surveies have been done to measure the qualities of medical pupil which will do them good physicians in the hereafter. ( 19-21 ) A 20 twelvemonth prospective cohort survey was carried out to find whether A- degree classs and intelligence abilities of medical pupils could be used to foretell physician ‘s callings. The survey was carried out on 511 medical pupils who entered West-minister medical school between 1975 and 1982 with follow up to 2002. The result steps assessed were the clip taken to make different calling classs, postgraduate makings obtained, figure of research publications, and steps of emphasis and burnout related to A- degree classs and intelligence at entry to clinical school. The consequences of the survey showed that an A-level class which has peculiar widespread application in UK pupil choice has long-run prognostic value for undergraduate and postgraduate callings. ( 21 ) Parry J et al carried out a reappraisal of the admittance procedure of five medical classs in UK universities. The aims of the survey were to depict the current methods used by medical schools to place prospective medical pupils for admittance to the five twelvemonth grade class. The reappraisal was carried out on a sum of 20 two universities utilizing documental analysis and interviews with admittance coachs. Their findings revealed that there was a common standard for medical pupil admittance, based on academic ability, coupled with a suited personality consisting motive for medical specialty, leading accomplishments, teamwork abilities and extracurricular involvement. The reappraisal concluded that despite the common implicit in standards for medical pupil admittances, universities differed in their application of their demands for pupil choice. ( 22 )Brown and Lilford in their paper titled â€Å" choosing medical pupils † noted that it cost about ?200,000 lbs to develop ea ch medical pupil in the United Kingdom. However, the deductions, fiscal and otherwise of taking the incorrect pupil to develop in the first case are far greater. Three wide attributes that a suited pupil should hold include ; appropriate cognitive ability, diligence and humanity. However, the current choice tools can merely test suitably for cognitive ability. Most medical schools have introduced aptitude trial based largely on cognitive undertakings. There is grounds to demo that the trial correlative well with presymptomatic scrutiny consequences, but have non been a dependable forecaster of clinical public presentation. They besides questioned the truth of psychological as a forecaster of diligence observing the trouble in finding the appropriate mixture of traits that is most prognostic of persevering service and personal patterned advance. They besides noted that although short medical pupil interviews were effectual enlisting tools, they had low prognostic value. ( 23 ) Anothe r survey noted that while most medical schools may wish to choose future physicians with both cognitive and non-cognitive trial, using the usage of interviews was noted to be labour intensive and clip consuming. ( 19 ) Trial of cognitive ability seemed to be the most valid method with the highest predictive.A recent article proposed a comprehensive theoretical account for the choice of medical pupils based on informed ego choice, academic accomplishment, general cognitive ability ( GCA ) and facets of personality and interpersonal accomplishments. They used informations ( n=1000 ) from existent choice processs to show how their proposed theoretical account can be applied to increase the opportunities of doing accurate and defendable pupil choice. ( 24 )2.4 SELECTION PROCESS FOR MPH ADMISSION IN OTHER COUNTRIESThe choice of pupils into the MPH programme in the United States follows a different format than what applies in the UK. In the US, all SOPH and public wellness plans are accre dited by the nationally recognized Council on Education for Public Health ( CEPH ) . Students meaning to use for a graduate student grade in public wellness direct their application through the Schools of Public Health Application Service ( SOPHAS ) . SOPHAS so completes the application to different schools, on behalf of single pupils. Before pupils can subject their application to SOPHAS, they must sit for an entryway scrutiny. Most schools accept the Graduate Record Exam ( GRE ) , although demands may change for some schools. ( 25 ) It is clear from a reappraisal of the literature that the implicit in rules of pupil choice procedure is geared towards placing persons who are most suited to the entry demands which are designed to choose campaigners that are most likely to win in the class. It besides aims to forestall the credence of campaigners that will most likely constitute a hazard to the profession.2.5 AIMS AND OBJECTIVESThis undertaking aims to measure how pupils are selected for admittance into a Master ‘s programme by assorted schools of public wellness the United Kingdom. Specific aims will include: To measure the differences in MPH pupil choice procedure used by different Universities. To find the coveted qualities of a suited MPH pupil. To determine if entry demands differ for first twelvemonth public wellness trainees when compared to other pupils To determine if entry demands differ for campaigners with or without medical preparation To analyze the differences in entry demand for place and international pupils To increase our apprehension of why pupils chose certain MPH courses/universities3. Methodology:3.1 STUDY DESIGN:This is an exploratory survey which will affect a qualitative appraisal of MPH class manager ‘s sentiments, followed by a cross-sectional survey of MPH pupil ‘s sentiments.3.1 STUDY Setting:The survey will be carried out in different universities in the United Kingdom which offer a postgraduate public wellness grade class.3.2 STUDY POPULATION:UK universities MPH class managers Miles per hour pupils3.3 STUDY TOOLS:A information extraction signifier used to study university web sitesA semi structured telephone recorded interview with MPH class managers.A structured questionnaire for MPH pupils3.4 Sampling:This will get down with an initial study of web sites of all UK universities offering public wellness at postgraduate degree. Universities offering full clip or portion clip MPH/MSc Public Health and/or wellness publicity and classs under alternate names like Global Health will be selected for inclusion in the survey. Exclusion from the survey will be made on Public wellness classs offered at PHD or MPhil degree and Public wellness classs with rubrics such as Public Health Nutrition, Public Health Practice and Public Health policy. Based on the information collated from the website study, universities will be stratified into groups based on the undermentioned features: SOPH affiliated with medical schools SOPH affiliated with schools of nursing/other allied schools of wellness. Sophomore with long distance preparation programmes SOPH with Health Promotion as a strong component SOPH Involved with Public wellness trainees Subsequently, a graded random trying technique will be used to choose participant universities from each group. If an establishment has more than one of the features used for stratification, it will be included in a group with the least figure of universities. The current mark is aimed at choosing 20 universities for the telephone interview stage of the undertaking.3.4.1 UNIVERSITY SELECTION PROCESS:After informations extraction is complete, each university will be assigned a alone designation ( ID ) figure in the Microsoft Access database. Based on the features outlined above, universities will be stratified into different groups. Each group will so be exported into a separate Microsoft Excel dispersed sheet, with the alone ID figure arranged in columns. Subsequently, each column will be indiscriminately sorted utilizing the random generator tool for Excel. ( 26 ) The university at the top of the list from each group will be chosen for the interview procedure. The selected universit y will be excluded from the list, and the procedure repeated ( choosing and excepting the university at the top of the randomly sorted list each clip ) , until the coveted figure of participants has been reached. If there if any trouble contacting or obtaining consent from a chosen university, the procedure will be repeated to choose a replacing.3.4.2 INTERVIEW OF COURSE DIRECTORS:After stratification and random choice of universities, class managers from chosen SOPH will be contacted via electronic mail, and their consent sought for engagement in a semi-structured telephone recorded interview. Questions asked during the interviews will be structured to run into the declared aims of the undertaking. All interviews will be audio recorded with the consent of the respondents. Each telephone interview is anticipated to last between 30 to 45 proceedingss. Notes will be taken during the interview to supplement the sound taped conversations.3.4.3 MPH STUDENT QUESTIONNAIRES:Structured quest ionnaires with be distributed to MPH pupils from two universities affiliated with medical schools, in add-on to the University of Birmingham SOPH, to measure the pupils sentiments on their pick of MPH programmes. The universities will be chosen from those already selected for interview of the class manager. Questionnaires will be distributed via electronic mail to pupils in selected universities.3.5 JUSTIFICATION OF APPROACHThe survey will be executed by blending method, utilizing both qualitative and quantitative attacks. Qualitative methods are suited to for this undertaking as it provides the model for understanding the contexts of societal experience and enhances our capacity for societal account and generalisation. ( 27 ) It besides allows for the incorporation of professional positions, in this survey, those of different MPH class managers. Furthermore, this research method centres strongly on inductive logical thinking when construing informations and normally consequences in findings that were wholly unexpected. ( 28 ) Telephone interviews have been mostly neglected as a qualitative tool by many research workers who prefer face to confront interview. They argue that the deficiency of ocular cues, loss of non verbal informations and trouble set uping rapport brand s telephone interviews less attractive as a information aggregation method. However, it is easier for sensitive information to be disclosed as respondents feel more relaxed. There is besides no grounds demoing that telephone interviews produce lower quality informations than face to confront interviews. ( 29 ) This method is besides rather utile for this undertaking as it is easier to schedule and cheaper, sing the geographical distribution of participant SOPH. Quantitative methods will be used to supplement qualitative methods in this survey, since it has been argued that the logic of qualitative thought can be extended with qualitative methods. ( 27 )3.6 Analytic Method:This will be done utilizing a combination of qualitative and quantitative techniques. Data analyses will get down instantly after informations extraction from surveyed university websites. This will be done utilizing basic descriptive statistics and comparative analyses where necessary. The semi-structured telephone interviews will be reviewed and reported in a structured format foregrounding repeating subjects which will be coded and analysed utilizing a thematic model. Structured pupil questionnaires will be analysed utilizing basic descriptive statistics, rank correlativity and thematic analysis. Statistical bundles which will help in informations managing and analysis include Microsoft Access, Microsoft Excel and NVivo.3.7 Anticipated Problem:The most hard facet of this undertaking is the country of informations aggregation. The study of university web sites has been really disputing so far with tonss of trouble originating from screening out of import information from different university web sites. The writer anticipates that another major jobs associated with informations aggregation will be acquiring consent from MPH class managers for telephone interviews, sing their highly busy agenda. There is besides the issue of holding adequate clip to roll up, collate and adequately analyse informations generated for this undertaking. The job with the usage of pupil questionnaires is the issue of non-responders ( response rate possibly every bit low as 20 % ) . This could be addressed by utilizing on-line study tools e.g. study monkey and directing reminders to non-responders. Data analysis will necessitate some expertness in operating package bundles like Access, Excel an Nvivo. The writer has registered for and attended classs on these package bundles organized by the University of Birmingham IT-services section.3.8 ESTIMATED PROJECT TIMETABLE:The university web site study has reached an advanced phase and will be completed before the terminal of March 2010. Stratification of universities based on the standards outlined above has commenced and will be complete at about the same clip website informations extraction is completed. Subsequent choice of participant universities will be done in April 2010. It is expected that consent from take parting class managers will be received before the terminal of the April, and telephone interviews can be scheduled for May 2010. Data analysis will get down at the same time with the interviews and is expected to run through the month of June 2010. Design of pupil ‘s questionnaires is about complete. Its construction will be refined in April 2010 and distributed by the terminal of the month. Responses should be received during the moth of May 2010. Analysis of pupil questionnaires should get down in June 2010. Compilation of consequences and treatments will be done in July 2010 in readying for concluding entry in August 2010.

Sunday, September 29, 2019

How Dna Technology Are Used in Solving Crimes? Essay

â€Å"I am strongly optimistic that enhancing the generation and the use of DNA information and analyses will contribute greatly to the field of criminal investigation and in effect, downgrade with expediency the crime rate in the country,† Angara said. What are those for? DNA matching will become an ever more powerful weapon against crime. Law enforcement will increasingly be able to identify suspects from biological evidence at crime scenes, saving investigative time and protecting innocent people from suspicion. When DNA evidence is properly handled and stored, it is well accepted by courts, and used to convict the guilty and free the innocent. There were different ways in solving crimes and identifying the correct suspects. This includes estimating time of death, forensic entomology, DNA profiling, analyzing blood stains and doing some autopsy. (Nicholson, 2012) But, which of this ways is the most accurate and which can give an unbiased result? The past decade has seen great advances in a powerful criminal justice tool: deoxyribonucleic acid, or DNA. DNA can be used to clear suspects and absolve persons mistakenly accused or convicted of crimes. DNA can be used to recognize criminals with incredible accurateness when biological data exists. Therefore, DNA technology is increasingly vital to ensuring accuracy and fairness in the criminal justice system. DNA is generally used to solve crimes in one of two ways. In cases where a suspect is identified, a sample of that person’s DNA can be compared to evidence from the crime scene. The results of this comparison may help establish whether the suspect committed the crime. In cases where a suspect has not yet been identified, biological evidence from the crime scene can be analyzed and compared to offender profiles in DNA databases to help identify the perpetrator. Crime scene evidence can also be linked to other crime scenes through the use of DNA databases. (Osuna, 2011) A certain police process covers up to 14-15 days or too long in terms of solving violent crimes. Arizona Scientist early develop rapid DNA testing machine that could cut DNA sequences in two hours. And so, it is easy to see results. Other ways take a lot of time and potentially damage the specimen. DNA evidence is generally linked to DNA offender profiles through DNA databases. For example, assume that a man was convicted of sexual assault. At the time of his conviction, he was required to provide a sample of his DNA, and the resulting DNA profile was entered into a DNA database. Several years later, another sexual assault was committed. A Sexual Assault Nurse Examiner worked with the victim and was able to obtain biological evidence from the rape. This evidence was analyzed, the resulting profile was run against a DNA database, and a match was made to the man’s DNA profile. He was apprehended, tried, and sentenced for his second crime. In this hypothetical case, he was also prevented from committing other crimes during the period of his incarceration. The development of forensic DNA technology in other countries and its potential to improve the Philippine criminal justice system are briefly discussed. The utility of forensic DNA testing in criminal investigations was highlighted using an actual criminal case wherein DNA evidence played a clear role in the resolution of the case. It aims to eliminate the current backlog of unanalyzed DNA samples and biological evidence for the most serious violent offenses — rapes, murders, and kidnappings—and for convicted offender samples needing testing, protect the innocent, improve crime laboratories’ capacities to analyze DNA samples in a timely fashion, provide access to appropriate post conviction DNA testing of crime scene evidence not tested at the time of trial, ensure that DNA forensic technology is used to its full potential to solve missing persons cases and identify human remains and develop training and provide assistance about the collection and use of DNA evidence to a wide variety of criminal justice professionals. (Ridgeway, 2012) In all, the availability of forensic DNA technology in the Philippines necessitates the amendment of current rules of evidence to incorporate scientific advances which enables the judiciary to better appreciate the value of physical evidence in criminal court s. (De Ungria, 2003) Bibliography ARTICLES: Osuna, J.P (2011). Using DNA to solve crimes. Retrieved from http://www.justice.gov/ag/dnapolicybook_solve_crimes.htm. Ridgeway, G. (2012). DNA Initiative: Advancing Criminal Justice Through DNA Technology. Retrieved from http://www.nij.gov/topics/forensics/evidence/dna/dna-initiative/welcome.htm. Nicholson, J. (2012). Crime Scene Science: The Modern Methods for Solving Crimes. Retrieved from http://visual.ly/crime-scene-science-modern-methods-solving-crimes. Balana, C. (2008). Angara bill to provide DNA technology in crime solving. Retrieved from http://newsinfo.inquirer.net/breakingnews/nation/view/20080816-155107/Angara-bill-to-provide-DNA-technology-in-crime-solving. JOURNALS: De Ungria, M.C. A. (2003). Forensic DNA Analysis in Criminal Investigations. Retrieved from http://philjournalsci.dost.gov.ph/vol132no1/pdf/forensic%20DNA%20analysis.pdf

Saturday, September 28, 2019

Social Network Essay

Social network essay Social networking can be a useful tool for keeping in touch with friends and family but when it is used to substitute it for actual face to face contact it can be a dangerous thing. You can't lie; social networking is a very large part of our lives. In September 2011 Facebook registered 800 million users. Social networking can have good effects on people and help them out but it can be used inappropriately and can have very disastrous effects on people’ friends that you want s lives.Social networking may have some cons but if used properly it can be a very useful device. When used properly it can help you stay in touch with people you wouldn’t normally be able to like friends or family overseas. Instead of having to call or write a letter you can just talk over the internet. It may not only be family or friends that you want to talk to, there might be someone that you like but don’t have the confidence to talk to them. You can build up your c onfidence over the internet and not worry about stumbling over your words.One of the arguments that people who are against social networking is that it can reduce face to face contact but if you use it well then It can actually increase it. You can organise things very easily compared to other ways like over the phone. Things like Facebook can be very helpful if used right but that can be the problem. People may feel they are being social but online interaction is no substitute for face to face contact. â€Å"Facebook is a tool. I compare it to a car: you can drive to isolate yourself from others or you can drive to meet people.If you use Facebook to increase face-to-face contact, it increases social capital. † It can help people but only if you do the right thing. This can be a really bad thing about social networking, it can promote loneliness. People will feel as though they are being really social but really they are becoming lonelier. People will feels as though no one r eally knows who they are and what they are really like. It can make people even worse when they see a new photo album or post saying â€Å"best day eva† tagged with some friends. That can make people feel left out and not part of a group.It can make people jealous of others and why they didn’t get invited. It isn’t always accidental when people get hurt though. Social networking can be good if it is used correctly but the problem is a lot of people don't. People don’t always realise that posting something when you ten or fifteen can come back to hurt you when you are twenty-five. You could do something or have photos of you on Facebook when you were younger and then you are going for a job and they find it you could end up missing the job just because of that. It can give kids a much easier way to bully their peers.In the schoolyard you can have teachers around to stop it but over the internet there isn’t someone there to stop it. You do have to be careful about who you are talking to because they might not always be who you think. You shouldn’t add people who you don’t know because you don’t know who they are and what kind of person they are. Social networking can be a good thing but it must be used correctly. Social networking is a good thing but it must be used correctly or else it becomes a very dangerous place for everyone. It can be a very useful and important device but it may be us who end up destroying it.

Friday, September 27, 2019

A3 Essay Example | Topics and Well Written Essays - 750 words

A3 - Essay Example euvers enabled them to report profits and hide losses from the books, and as a result of these maneuvers their stock prices rose steeply as investors were attracted to the potential for future high prices. The machinations in their books of accounts were such that retail investors were had pushed to understand them; as a result, the management through the use of market to market system enabled the company to manipulate profits and hide debts. At the time when the issue came to light, it had already been late, yet the laws that govern separate business from owners frustrated the efforts to compensate the investors. The actions of the managers in the Enron case is a clear violations of ethic principles, and the ethic principles indicate that individuals are bound a certain duty of care to investors, customers and employees. Secondly, auditors failed in their duty of care to the aforementioned parties, and the chief auditor, Arthur Anderson admitted to the errors in the

Thursday, September 26, 2019

Assignment 4 Example | Topics and Well Written Essays - 1000 words

4 - Assignment Example The system should use certain productivity parameters such as the turn-around time for each customer, the number of orders processed per sales person and the amount of revenue generated based on each contact. Being a new system, the marketing manager has to engage a specialist who can design an entity relation structure to implement the productivity rating functions. The design should take care of the flow of data and the processes involved. The specialist has to identify the components of the data flow of the organization before designing a data flow diagram. The entities include processes, external entities, data flow and the data store. The processes in this case are the orders, each of which has an order number, the order description, date, sales person and the amount involved. Data flow here is the link between order process and reporting of the daily sales (Shelly & Rosenblatt 200). Data store includes the information about the sales staff, for example name, Identification numb er, staff reference number and the department name. External processes relates to the integration between Pier Systems Inc. and the manufacturing and production system. The reporting of the processed information will combine data from multiple entities, for example a combination between sales person’s details and the products. ... This will enable him to link the processes to design a relationship diagram that will link all entities and processes together. From the onset of the design process, it’s simple to know how the system will function, and the possible data output to expect. The processes in this system will include product search, location search, order request, order payments and order reporting. The data in this system will majorly consist of product data and location data. The data store will be a database of products and the chain stores, which of course in a relational database have data relations. The link or integration between the processes comes in the area of payment, where the system integrates data from the products and links with the payment module. A proper functioning system has to integrate all processes in a way that there is consistency in data access, processing and reporting. While Harry is assessing the feasibility of the system, he needs to consider performance aspects such as the ease of accessibility of the information during the browsing process. Each data entity has unique identification schemes such as the use of foreign keys and the primary keys. Answer to Question 3 This is a case experiment of cloning of a single organization into two organizations A and B. The two organizations have common features apart from the fact that A has more intangible elements X than B. The observer will of course, identify distinct observations between organizations A and B. An example of observations that can represent X in the two organizations is the qualitative features such as the customer service delivery quality. It therefore implies that organization A has more attributes of customer service

Organizational structure Essay Example | Topics and Well Written Essays - 1000 words

Organizational structure - Essay Example Therefore, organizational structure is beneficial to organizations because it guides the delegation of organizational power, roles and responsibilities. In addition, it monitors and controls the flow of information among different management levels within an organization (Cassia, Paleari & Redondi, 2005). Most organizations base structures on objectives and approaches for attaining them. For example, the top management individuals in an organization make decisions, and there is strict control within dissimilar departments in an organization. Finally, organizations should create appropriate organizational structures, since such models unite and direct employees (Cassia, Paleari & Redondi, 2005). â€Å"Describe the organizational structure of your selected organization, compare and contrast that structure with two different organizational structures† In this research, I will discuss the organizational structure of International Monetary Fund (IMF) organization. IMF is an inter-g overnmental entity that offers policy advices and finances to members facing economic problems. It also collaborates with upcoming nations to assist them attain macroeconomic benefits to lessen poverty levels. IMF activities initiated in 1945 and presently, it associates with 185 countries. The organizational structure of IMF has a governing body that consists of the Board of Governors. Every member state has a Board of Governors that is led by a governor, who most of the time is a country’s finance minister or the central bank. Additionally, the organization has an executive facet that is composed of 24 elected and appointed executive directors. The executive board performs business operations in the organization (Hawkin, 2006). The board of governors performs its duties through two committees, which include the â€Å"International Monetary and Financial Committee† together with the â€Å"Development Committee†. These committees specialize in advising staffs an d reporting different functions to the board of governors (Hawkin, 2006). They also monitor the processes involved in the administration and adaption of international monetary and fiscal systems. The organization entails a collaborative committee with The Board of Governor members’ from World Bank and IMF who controls development processes. These include allotment of resources to upcoming countries. Importantly, the IMF has a managing director who supervises and chairs the executive board (Hawkin, 2006). The IMF Board of Governors has all organizational powers, which are applicable to all constituents in 185 countries. Each representative state has one principle governor and another alternative governor, who controls the organization when the principle governor is absent. The organization has an executive board with 24 directors who supervise general funds within IMF as delegated by the Board of Governors. The regions with leading quotas appoint five directors of the executiv e board and other regional groups appoint the remaining 19 directors. The chief administrator the IMF is the presiding officer of Executive board. The executive board of IMF elects the managing director whose responsibility is to carry out regular businesses within the organization. Furthermore, she chairs executive director’s meetings for 5 years. The IMF consists of 2,650 personnel in 185 countries (Hawkin, 2006). Initially, I will evaluate and contrast the organizational structure of IMF and Google

Wednesday, September 25, 2019

Motivation and Concept Table & Paper Essay Example | Topics and Well Written Essays - 1000 words

Motivation and Concept Table & Paper - Essay Example Therefore, each employee aims to provide the best service possible in order to reach the goal of guest satisfaction. In the hotel industry, cognitive motivational theory through goal-setting provides the operational framework in which the employees approach their work. In creating a successful atmosphere within a hotel, cognitive motivational theory has a significant use in creating the appropriate structure in which to help motivate the employees of the hotel to excel in their positions. An important part of cognitive motivational theory is goal-setting in which the employee sets standards and goals for themselves in order to meet a standard that is more than satisfactory for their guests. According to Bandura (2007), â€Å"By making self-satisfaction conditional on matching the standard, people give direction to their actions and create self-incentives to persist in their efforts until their performances match their goals† (p. 128). The goals of the hotel staff are to create a satisfactory experience for the guests. In order to do this effectively, setting personal standards and levels of service that is above the standard will create a better experience for the guests and a sense of satisfaction for the employees. Usually, the front desk manages the calls from guests who have requests and complaints. Sometimes a large hotel will have a phone center to field calls, but most often in an average through small size hotel it is the front desk who manages these calls. Job satisfaction through goal setting within cognitive based motivation occurs as an employee is able to achieve excellent service for the guest. The front desk is the front line between the operation of the hotel and the multiple departments that must accomplish their goals and missions in order to create guest satisfaction. One way in which management may reinforce goal-setting motivation will be

Tuesday, September 24, 2019

Understanding of the Internets core elements & workings Essay

Understanding of the Internets core elements & workings - Essay Example Understanding of the Internets core elements & workings In client/server architecture, the application and database reside on one host computer, the file server and each server is accessible by all computers on the network. The Internet transmits data from host to client server, and if it finds the receiving computer on a network to which the first computer is directly connected, it sends the message directly. If the receiving computer is not on the same network as the sending computer, the sending computer relays the message to another computer that can forward it. The same way the computers communicate through the network to access Internet. Network that link systems worldwide to access the Internet pass data in form of chunks called Packets, each of which carries the address of its sender and its receiver. The set of conventions used to pass packets from one host to another is known as Internet Protocol (IP). In order to access the Internet one must have an account with the service provider and software that allows a direct link via TCP/IP. LAN/WAN servers are used for communication. Internet is a connection of interconnected networks, which are capable of freely exchanging information while WWW is an Internet service-comprising tens of thousands of independently owned computers that work together as one. These computers are called web servers scattered all over the world and contain every type of data.

Monday, September 23, 2019

Grand Hotel Scarborough Essay Example | Topics and Well Written Essays - 1000 words

Grand Hotel Scarborough - Essay Example This paper discusses the effects of free-thinking and development during this period by citing the multi-dimensional background of this historical landmark. The Grand Hotel is considered to be an important part of Victorian legacy since it was the first custom-built hotel in the whole of Europe. According to Wolff (2009), Europeans were growing wealthier due to the era of colonialism and the benefits realized through the Renaissance. The Grand Hotel was constructed to attract the richest vacationers with some of the latest luxuries of the day. The hotel was first constructed in 1863 at a time when the notion of sub-bathing was gaining widespread popularity. By 1867, the hotel had evolved into one of the world’s biggest luxury hotels and consisted of more than 370 guest rooms. Watkin (2007) says that the architecture of the hotel is truly Victorian in nature and was instrumental in popularizing it as an early holiday resort. Scarborough was a small-town sea resort for almost 25 0 years prior to the construction of the Grand Hotel. The first Spa in the town came up around 1626, when a stream of water containing acidic properties was discovered flowing down from the nearby cliffs. A hundred years later, visitors had the opportunity to have a dip in the sea and could sun-bathe on the shore. But it was not until the arrival of the modern railway during the 1840s that the number of visitors into the town multiplied manifold (Burton, 2008). More than seven million yellow bricks were used for the construction of this hotel and were prepared specially for this purpose in the nearby town of Hunmanby (Burton, 2008). The rise in tourist numbers presented a new business opportunity and prompted an architect named John Gibson to design a magnificent hotel that would be constructed on Scarborough’s South Cliff. The plan to build the world’s largest hotel was unveiled in 1845 and it was not until 18 years later that the hotel was deemed complete. According to Linstrum (2009), the hotel consisted of four large towers at each of its corners and represented the four seasons in a year. There were 12 floors denoting the 12 months in a year. By 1867, the hotel boasted of over 365 rooms signifying the number of days in a year. In fact, the hotel has a total of fifty-two chimneys, one for each week in a year. Hitchcock (2008) says that the time and care taken to construct this hotel projects the prevailing sentiment during the era that inspired achievement and perfection. Guests at the Grand Hotel were provided up to four taps to choose between fresh and sea water (both hot and cold). Kemp (2004) adds that the entire hotel was itself constructed in a ‘V’ shape to commemorate Queen Victoria. The Grand Hotel, together with other popular landmarks in Scarborough, was bombed severely during the First World War. However, it was restored back to its original glory in quick time. The Hotel suffered serious damage when the German Navy bo mbarded the entire coastline in Northern Yorkshire in 1914. Luckily, the attack happened during the off-peak season when there were very few guests in the hotel. Shells from German U-boats damaged the Grand Restaurant while several guestrooms suffered massive damage due to direct bombardment. The cost of refurbishing the hotel during those days was estimated at nearly ?10,000 (Gray, 2006). While the

Sunday, September 22, 2019

Crunchie Bones Essay Example for Free

Crunchie Bones Essay The aim of this experiment is to test whether or not a Crunchie bar could be used as a bone replacement. If this were possible the crunchie would have to be strong enough to support the patients life style. The Crunchie bar will be used to replace a leg bone. After the experiment I will calculate the ultimate breaking stress of the Crunchie and then compare this to the ultimate breaking stress of a leg bone. I will calculate the stress by using the formula: The apparatus is going to be set up as follows: I will tighten both of the G-clamps by 90 at the same time, then I will read off the force on the dial of the scales. I will read the dial from directly above otherwise parallax may occur. I am using three crunchies at the same time, as this will be more reliable. To make the measurements accurate I will calibrate the scales after the crunchies and wooden boards have been put on to it. I will ensure that the G-clamps are placed in the middle of the blocks so that the pressure off these blocks is spread over all of the bars, and not just on one side. The safety aspect of this experiment is that the G-clamps may fall off and cause an accident. Results Degree turns ( ) Force in Newtons (N) 90 58.8 180 147.0 270 264.6 360 431.2 450 617.4 540 833.0 630 1038.8 720 1185.8 810 1176.0 900 1127.0 990 1097.6 1080 1097.6 1170 1097.6 1260 1097.6 1350 1097.6 1440 1097.6 I have, as accurately as possible, measured the surface area of one crunchie, the measurements were: 140mm x 25mm = 3500mm To use the stress formula the surface area needs to be in m , to get this I will: 3500 x 1000000 = 0.0035m As I have used three crunchie bars I will need to times the above value by 3: 0.0035 x 3 = 0.0105m Using the above results table I have constructed a graph. As it and the results table shows the crunchie bars held up against a great force, then went the force reached 1190.0N, the crunchie bars crumbled. This meant the up ward force from the crunchie bars went and the force dropped down to1097.6N this force continued when the G-clamps were continued to be turned. Calculations By doing the following calculations I will determine the ultimate breaking stress of the crunchie bars for one leg. Stress ( ) = force (f) Area (A) Stress ( ) = 1190.0 N 0.0105 m Stress ( ) = 113333.3 Pa = 11 x 10 Pa Due to inaccuracies of the scales I am going to calculate the maximum and minimum values of the force and then calculate the breaking stress due to these differences. Maximum force = 1200 N Minimum force = 1180 N Maximum Stress = 1200 N 0.0105m = 114285.7 Pa (1dp) = 1.14 x 10 Pa Minimum Stress = 1180 N 0.0105m = 112380.9 Pa (1dp) = 1.12 x 10 Pa I have accounted for the inaccuracies of the scales and of the turning of the G-clamps by drawing error boxes on the graph. The size of the error boxes is 20N x 36 . Further calculations will determine whether or not the crunchie bar would be a suitable replacement for a leg bone. Average mass of human = 60kg Weight = mass x gravity = 60 x 9.8 = 588 N Area of crunchie bar = 0.0105m Area for two legs: 0.0105 x 2 = 0.021m Stress = F A = 600N = 600N 0.021m 0.0105m = 28571.4 (1dp) = 2.8 x 10 Pa Stress = 57142.9 Pa (1dp) (1 leg) = 5.7 x 10 Pa By using question eight from the section Spare Part Surgery in the Salters Horners Advanced Physics book I can see that the crunchie bar would not be able to be used as a bone replacement. This is because the value given in the book for stress on the leg bone when someone standing still is 10 Pa and so is bigger than the 2.8 x 10 Pa, therefore the crunchie would shatter when under this stress. When investigating further and by using question nine from the section Spare Part Surgery in the Salters Horners Advanced Physics book I found that there is a bigger value for stress when the person moves or in the case of question nine, jumps off a wall. The below calculations show that the crunchie bar would be unable to with stand the stress of the patient moving: Height of wall = 1.5m Time taken = 0.1s Gravity = 9.8ms = 9.8Nkg Mass = 70kg a = v t = 5.42 0.1 = 54.2 ms F= ma = 70kg x 54.2ms = 3.80 x 10 N Calculations for crunchie bars: Area of both legs = 60 x 10 m Area of crunchies = 0.0105m Calculations for bone: Man lands on two legs = 0.0105 x 2 Stress = F = 0.021m A Stress = F = 3.80 x 10 N A 60 x 10 m = 3.80 x 10 N = 6.3 x 10 Pa 0.021m = 18095238.1 Pa = 1.8 x 10 Pa These calculations show that the crunchie bar could not with stand the stress when the patient moved. This is shown in the calculations because the value of stress on the crunchie bars when put in this situation is greater than that of the leg bones. Therefore the crunchie bars would break. Overall this experiment has shown that a crunchie bar could not be used as a suitable bone replacement as it would not be able to with stand the ultimate breaking stress of a person if they were standing still or if the person was moving. If I had more time to continue this experiment I would make a piece of apparatus, like a protractor, that enabled me to measure the degree turns that I made when turning the G-clamps making my measurements more accurate. Using the apparatus I could also make more turns such as 45 turns as well as 90 turns.

Saturday, September 21, 2019

Ophelia and Gertrude Essay

Ophelia and Gertrude Essay The classical and world-renowned Shakespearean play Hamlet has two very prominent and important female characters as the main roles, Ophelia and Gertrude. As to a surprise, they are similar in many ways. This essay will inform the reader about their similarities or likeness. It is quite obvious that both Gertrude and Ophelia are both motivated by love and a desire for quiet familial harmony among the members of their society in Elsinore. Out of love for her son does Gertrude advise: Dear Hamlet, cast thy nighted color off, And let thine eye look like a friend on Denmark. Do not for ever with thy vailed lids Seek for thy noble father in the dust. (1.2) Likewise does she ask that the prince remain with the family: â€Å"Let not thy mother lose her prayers, Hamlet, / I pray thee stay with us, go not to Wittenberg.† Later, when the heros supposed â€Å"madness† is the big concern, Gertrude lovingly sides with her husband in the analysis of her sons condition: â€Å"I doubt it is no other but the main, / His fathers death and our oerhasty marriage.† She confides her family-supporting thoughts to Ophelia: â€Å"And for your part, Ophelia, I do wish / That your good beauties be the happy cause / Of Hamlets wildness,† thereby attempting to keep a loving relationship with the young lady of the court, even though the latter is of a lower social stratum. When Claudius requests of Gertrude, â€Å"Sweet Gertrude, leave us too; / For we have closely sent for Hamlet hither,† Gertrude responds submissively, â€Å"I shall obey you.† Familial love is first among Gertrudes priorities. When, at the presentation of The Mousetrap, she makes a request of her son, â€Å"Come hither, my dear Hamlet, sit by me,† and he spurns her to lie at Ophelias feet, Gertrude is not offended; her loyalty to family overrides such slights. She considers Rosencrantz and Guildenstern to be friends of her son, and only for that reason sends them to learn about him; she would never use them as Claudius later does in an attempt to murder Hamlet. And even at the moment of her death, her last words include, â€Å"O my dear Hamlet.† Yes, Gertrude is pro-family. Ophelia manifest great familial affection In similar fashion does Ophelia manifest great familial affection, agreeing to comply with the advice of her brother Laertes: â€Å"I shall the effect of this good lesson keep / As watchman to my heart.† When her father, Polonius, makes inquiry regarding the â€Å"private time† which Hamlet has been giving to Ophelia, she replies unreservedly, â€Å"He hath, my lord, of late made many tenders / Of his affection to me,† and elaborates mightily on the subject. Polonius insists that she â€Å"from this time forth† not â€Å"give words or talk with the Lord Hamlet,† and Ophelia dutifully complies with his wishes: â€Å"I shall obey, my lord.† She later even gives him her love-letters from Hamlet. When she acts as a decoy so that Polonius and Claudius can observe the prince, resulting in Ophelias chastisement by the protagonist, she nevertheless keeps him as the main focus in her life: â€Å"O, what a noble mind is here oerthrown!† Her love for brother, father, boyfriend, and others generally, override her love of self. Her respect for the opinions of immediate family is greater than her respect for her own opinions even in the matter of her courtship. Bonds of family and friends Another similarity between these two lady-characters is that they suffer from a severing of the bonds of family and friends. Gertrude is displeased with Hamlet when, with The Mousetrap, he upsets King Claudius: Guildenstern says to Hamlet, â€Å"The Queen, your mother, in most great affliction of spirit, hath sent me to you.† And when the hero meets with his mother, her concern is: â€Å"Hamlet, thou hast thy father much offended.† Of course, Gertrudes grief over the kings upset is soon upstaged by her sons killing of Polonius behind the arras: â€Å"O me, what hast thou done?† and â€Å"O, what a rash and bloody deed is this!† Gertrude, unaware of Claudius murder of King Hamlet, probes the prince for the cause of the disturbance within him: â€Å"What have I done, that thou darst wag thy tongue / In noise so rude against me?† and â€Å"Ay me, what act, / That roars so loud and thunders in the index?† Even when Hamlet has afflicted his mother s soul with great distress, she still tries to preserve the mother-son relationship by referring to him as â€Å"sweet†: â€Å"O speak to me no more! / These words like daggers enter in my ears. / No more, sweet Hamlet!† Even after Hamlet has done considerable emotional damage (â€Å"O Hamlet, thou hast cleft my heart in twain.†) Gertrude still tries to keep the familial bond from being totally severed by asking â€Å"What shall I do?† and by not revealing to Claudius that her son mistook Polonius for his uncle. Similarly, Ophelia suffers from the severing of the bonds of family and friends. She is traumatized by Hamlets visit after the ghosts appearance, when he has assumed the â€Å"antic disposition,† with â€Å"his doublet all unbraced; / No hat upon his head; his stockings fould,† and other aspects which make him appear as one â€Å"loosed out of hell.† Frank Kermode says that this â€Å"antic disposition† is a foil to Ophelias coming madness (1137). Polonius asks, â€Å"Mad for thy love?† and Ophelia responds, â€Å"My lord, I do not know; / But truly, I do fear it.† This is a time of uncertainty for her, for she has invested herself heavily in â€Å"the love for Hamlet, and her filial love† (Coleridge 353). When she later agrees to be a lure for Hamlet so that her father and the king can study his conduct in her presence, she feels the full loss of the princes affection for her: â€Å"Get thee to a nunnery: why wouldst thou be a breeder of sinners? [. . .] We are arrant knaves all; believe none of us. Go thy ways to a nunnery.† The severance of the ties with Hamlet cause her to pray for help: â€Å"O, help him, you sweet heavens!† and â€Å"O heavenly powers, restore him!† and â€Å"O, woe is me, / To have seen what I have seen, see what I see!† Later, as the Mousetrap begins, Ophelia readily consents (â€Å"Lady, shall I lie in your lap?†) to Hamlets resting his head on her lap: â€Å"Ay, my lord,† hoping to somewhat restore a dying relationship along with the heros sanity. And she cannot be too agreeable in her efforts with him: â€Å"You are as good as a chorus, my lord,† and â€Å"You are keen, my lord, you are keen.† Male influences Both Ophelia and Gertrude are victimized by male influences in the play. Ophelia is interfered with in her love-life by her brother Laertes, her father Polonius and by Hamlet himself. She is presented â€Å"almost entirely as a victim† (Boklund 123).Gertrude is intruded upon in her relationship with Claudius by Hamlet, by Laertes and by Claudius. The rejection of Ophelia by the prince, plus the loss of her father at Hamlets hands, brings about madness in Ophelia, and later indirectly her death. The devious machinations of Laertes and Claudius effect the accidental death of Queen Gertrude, who imbibes the poisoned cup. Deaths Both Ophelia and Gertrude die incidental, unostentatious deaths of no special moment. Hamlets death and royal burial by Fortinbras is in sharp contrast to the passing of these ladies. Ophelias demise is publicized by the queen: â€Å"One woe doth tread upon anothers heel, / So fast they follow; your sisters drownd, Laertes.† That Laertes should respond with the question, â€Å"Drownd! O, where?† seems out of place, since the most logical question from a loved one would be, â€Å"How?† or â€Å"Why?† The queen replies that â€Å"her garments, heavy with their drink, / Pulld the poor wretch from her melodious lay / To muddy death.† Laertes says briefly, â€Å"Alas, then, she is drownd?† and the queen even more briefly, â€Å"Drownd, drownd.† Until the reaction of Laertes and Hamlet in the grave, Ophelias passing seems to go almost unnoticed. Likewise, when Queen Gertrude later drinks from the poisoned cup on the occasion of the Laertes-H amlet contest of foils, she experiences a quick, quiet death: â€Å"No, no, the drink, the drink,O my dear Hamlet, / The drink, the drink! I am poisond.† And there is no more to the matter, possibly because everyone else is dying at the same time. Another experience which both Ophelia and Gertrude have in common is that they are both attacked verbally by Hamlet. When the prince suspects that Ophelia is a lure (Coleridge 362), he lambasts her with: â€Å"Or, if thou wilt needs marry, marry a fool; for wise men know well enough what monsters you make of them. To a nunnery, go, and quickly too. Farewell.† The Queen The queen also bears the brunt of Hamlets melancholic mood. After the â€Å"play within a play† Gertrude asks to see her son, who comes immediately but not in a good humor. At one point he is so aggressive that she thinks perhaps he is going to murder her: â€Å"A bloody deed! Almost as bad, good mother,/As kill a king and marry with his brother.† This alarms the queen, who blurts out, â€Å"As kill a king!† in her appalled mental state, shortly followed by â€Å"What have I done, that thou darst wag thy tongue/In noise so rude against me?† Hamlet leaves the queen in an emotionally spent condition: â€Å"I have no life to breathe / What thou hast said to me.† Both Ophelia and Gertrude possess complex temperament and motivation, thus qualify as rounded, not flat or two-dimensional, characters (Abrams 33). Also both women have a delicacy about them. In recognition of this delicacy, the ghost asks the protagonist to disregard revenge on Gertrude: â€Å"Taint not thy mind, nor let thy soul contrive / Against thy mother aught.† Ophelias delicacy is revealed in the appearance of her insanity and later death resulting from the loss of her father and the affection of her boyfriend. WORKS CITED Abrams, M. H. A Glossary of Literary Terms. 7th ed. New York: Harcourt Brace College Publishers, 1999. Boklund, Gunnar. â€Å"Hamlet.† Essays on Shakespeare. Ed. Gerald Chapman. Princeton, NJ: Princeton University Press, 1965. Burton, Philip. â€Å"Hamlet.† The Sole Voice. New York: The Dial Press, 1970. N. pag. http://www.freehomepages.com/hamlet/other/burton-hamlet.htm Coleridge, Samuel Taylor. Lectures and Notes on Shakspere and Other English Poets. London : George Bell and Sons, 1904. p. 342-368. http://ds.dial.pipex.com/thomas_larque/ham1-col.htm Kermode, Frank. â€Å"Hamlet.† The Riverside Shakespeare. Ed. G. Blakemore Evans. Boston: Houghton Mifflin Co., 1974. Shakespeare, William. The Tragedy of Hamlet, Prince of Denmark. Massachusetts Institute of Technology. 1995. http://www.chemicool.com/Shakespeare/hamlet/full.html No line nos.

Friday, September 20, 2019

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

Thursday, September 19, 2019

Drug Identification With Gas Chromatography Mass Spectrometry :: essays research papers

Drugs are used everyday by people in many different ways for many different reasons. Drug testing has become a standard in pre-employment testing, because of the wide variety of drug use in today's society. Drugs tested for by a possible employer include Cocaine (crack), Amphetamines (crystal), Opiates (codeine, morphine, heroin), PCP (phencyclidine), and Marijuana. Gas chromatography/mass spectrometry is used to test hair and urine samples of possible drug abusers or job applicants, and it is the best method for the testing of drug use. Gas chromatography and mass spectrometry are two different methods for identifying chemical substances, and the two instruments have be coupled together to perform a highly complementary analytical function. The gas chromatograph and the mass spectrometer have theories behind how their techniques work, and specific forensic applications for their instrumentation. The history and theory of the gas chromatography started over forty years ago with the invention of the capillary column. The gas chromatograph offers rapid and very high-resolution separations of a very wide range of compounds, with the only restriction that the analyzed substance needs to have sufficient volatility. The theory behind the mass spectrometer is to use the difference in mass-to-charge ratio (m/e) of ionized atoms or molecules to separate them from each other. Mass spectrometry is therefore useful for quantitation of atoms or molecules and also for determining chemical and structural information about molecules. Molecules have distinctive fragmentation patterns that provide structural information to identify structural components. The combination of the gas chromatograph and mass spectrometer is very easy, because both instrument needs to be modified in excess and both are analyzed in the gas phase and have comparable sample levels and temperature ranges. The ! most important feature of the tw o instruments being coupled is that they perform complementary analytical functions.The instrumentation of the gas chromatograph/mass spectrometer is very complex. The instrument's parts include an injector, a carrier gas, a column, a separator, an ionization source, mass separator, and an ion detector. The injector is located on the gas chromatograph and is where the sample gas is injected into the instrument to start the process. The sample gas is then mixed with a carrier gas, which is the mobile phase in gas chromatography. The mixture proceeds into the capillary column where the separation of the sample begins. The capillary column is 15 to 60 meters in length and .25 to