Islamic Fundamentalism Essay Example for Free

Islamic Fundamentalism Essay 20 March 2007 Introduction On September 11, 2001, the United States of America experienced the worst act of terrorism ever perpetrated on American soil, as major targets in New York, Washington DC, and Pennsylvania were the scenes of the massive slaughter of innocent civilians. From the moment that the first act commenced, the rumor mill flew into overdrive, conveniently blaming the terrorism on â€Å"militant Islamic† people, and implying that this movement had suddenly sprung up out of obscurity to strike at the heart of America like a thief in the night. The reality is much more complex, for fundamentalist Islam has a much longer history, and the threat it continues to pose to Western Democracy, even today, had been growing and mutating for generations prior to 9/11. In this paper, the very definition of fundamentalism at its beginning will be presented, as well as the perversion of it that has led to the challenges and threats the West now has come to bear. Roots of Fundamentalism. To begin, one needs to understand two very different and specific terms: followers of Islam and Islamic Fundamentalists, as the two groups are vastly different, yet both claim legitimacy under the same doctrine. In its purest form, Islam is based upon the ancient teachings of the prophet Muhammad, who was said to have been given the Quran, or holy book of Islam, by God himself, with Muhammad as the messenger and deliverer of the Quran and its teachings to the masses (Davidson). If one were to follow the teachings of Islam in a more traditional sense, as Muhammad is said to have received the word from God, they would be peaceful, obedient servants of God, and Muhammad, thereby enriching their lives, raising solid families and leaving the world a better place than what is was when they were born into it. Eventually, however, political turmoil distorted this message and gave rise to a strain of Islam that is known as Fundamentalism or Extremism, depending upon the source of the material. This interpretation of Islam and the Quran takes the inflexible view that those who do not believe in Islam, and follow the Quran, are characterized as â€Å"Infidels†, and the price of their infidelity to Islam is death. Of course, the Christian ideals of the West make America a convenient target of this sort of massive hatred, but this hatred has also been fueled over the years by America’s defense of other enemies of the fundamentalists/extremists such as the people of Turkey and Israel (Mustikhan). Eventually, the rage of these Islamics would erupt against the US on a large scale, beginning in the 1970s. The Islamic Terrorist is Born It is generally agreed that those who are today termed â€Å"Islamic Terrorists† were first given that moniker by the West in 1979, when the United States Embassy in Tehran, Iran was seized by terrorists, taking hundreds of American diplomats and their support staffs hostage in a siege that ultimately lasted 444 days, and brought the United States to the brink of war with Iran. The group of Iranians and assorted others who were in essence the foot soldiers who undertook the plot, led by the extremist leader Ayatollah Khomeini, came to be called Islamic Terrorists (Hoveyda). From there, the stereotype of what a terrorist is, and their potential to wreak havoc on innocent people, began to grow in the minds of the world community. Threats to Western Democracy Due to the widespread presence of Islamic Extremists/Militants, the threat to Western Democracy has become very real, and of course has manifested itself in such tragedies as the Iran Hostage Crisis and 9/11. Given the humble beginnings and admirable teachings that are found in the Quran, and were exhibited by Muhammad and carried down by his disciples, it is a wonderment as to exactly how/why Islam eventually spawned a militant faction which goes against the foundations of the faith itself. In a word, the violent offshoot is the byproduct of fanaticism. Fanatics are those members of the Islamic community who have taken the position that any government, or religion (in their mind, they should be one in the same) that does not practice the teachings of the Quran are the equivalent of parasites that must be eradicated for the good of the human race. The defense of this attitude, and the resultant violence which comes out of the attitude, is due to misinterpretation of the Quran, hence making these individuals worthy of the extremist label. Because the Islamic Extremists have convinced themselves that they are doing the will of God, as laid out in their creative interpretation of the Quran, there quite literally is nothing stopping them from continuing to launch attacks against the Western Democracies, as well as other â€Å"infidels† who hold views and practice lifestyles which are contrary to theirs. One particularly chilling reality of the threat against Western Democracy is the fact that Islamic Extremists, while found in large numbers in some nations more commonly than others, really do not have a nation with borders, do not fly an identifiable flag, or wear a uniform that indicates that they are Islamic Extremists, despite what the leadership of the United States may choose to claim in the present day. Rather, the Extremists have the ability to move freely about the globe and do not have a set territory where organized armies can pursue and battle them. This sort of an invisible threat, not centered in a geographic location but highly organized and well financed as well as armed to the hilt, holds the potential to destroy their enemies, such as the Western Democracies, which are somewhat restrained by physical borders and the need to engage in conventional warfare. Because of this, the paradox is clear- how can an enemy be fought if it cannot be readily seen or tracked? Also, the inability to negotiate with Islamic Extremists closes another avenue of resolving differences and stopping the bloodshed. Conclusion- What is the Future Threat? This paper has shown that Fundamental Islam has the means, mindset, and determination to bring Western Democracy to its knees, as well as the point of annihilation. What this will mean for the future is anyone’s guess but one thing is for sure- without some sort of decisive action against Islamic Fundamentalists, many more innocent lives may be lost, and hard lessons may be learned too late and at too high of a price. Works Cited Davidson, Lawrence. Islamic Fundamentalism. Westport, CT: Greenwood Press, 1998. Hoveyda, Fereydoun. The Broken Crescent: The Threat of Militant Islamic Fundamentalism. Westport, CT: Praeger, 1998. Marin-Guzman, Roberto. Fanaticism: A Major Obstacle in the Muslim Christian Dialogue. the Case of Twentieth Century Islamic Fundamentalism. Arab Studies Quarterly (ASQ) 25. 3 (2003): 63+. Mustikhan, Ahmar. The Roots of Islamic Extremism. World and I July 1999: 74.

Relativism And Realism Debates

Relativism And Realism Debates Should psychology pursue the path of realism or relativism? Critically discuss the implications of the relativism realism debate for psychology. In the field of psychology, there is a debate amongst psychologists about which scientific approach to take when it comes to studying psychology. Whilst some psychologists prefer the realism approach, other psychologists prefer a different approach, relativism. The debate argues over which approach is the best theory for psychology to adopt; how research should be conducted, what assumptions can be made by psychologists, and which approach is the best way to gain knowledge about the world. So what is realism and what is relativism? Realism is what could be considered mainstream psychology, where knowledge about the world can be acquired through methodical and systematic experimentation. Fletcher (1996) states that realism is focused mainly on behaviour, and that empirical research is the cornerstone of the scientific method (pp. 409). This approach is widely used in psychology to study behaviour and to gain facts about the world, which can be used to build psychological theories (Cac ioppo, Semin Bertson, 2004, pp 215). Relativism, on the other hand, offers an alternative approach to realism. Relativism argues that the world is created by the human mind, and the realism approach is no more rational or trustworthy than ordinary thinking (Fletcher, 1996, pp. 410). Cacioppo, Semin and Bertson (2004) suggest that the relativism approach argues that theoreticians should recognize that all forms of theories are worthwhile and the key is to evaluate the relative informativeness of each theory (pp.219). This indicates that all theories are valid, but they are based upon the relative ideas and assumptions of the theoretician that put it forward. These relative ideas and assumptions of the theoretician are based on societal contexts which are part of the defining statement (Kagan, 1964, pp.131), meaning that what is stated is relative to the state of the individual and the context it is said in. But which approach should psychologists take and what does this mean for psy chology? The realism and relativism debate has been ongoing for a long time in the field of philosophy and more recently, psychology (Fletcher, 1996; Parker, 1998). In the field of philosophy, an empiricism approach has been widely abandoned in favour of a relativistic approach (Fletcher, 1996, pp. 410). However there is little consensus about which is the best approach to adopt by psychologists. There are arguments both for and against relativism and realism, and there are benefits to both approaches. This essay will look at both realism and relativism as philosophical approaches to psychology and which approach is more appropriate for the field. The realistic approach to psychology has been used in most psychological research that uses an experimental design. The assumption of the realism approach is that there is a real world that can be tested to establish facts; which experiments adopt to establish facts about behaviour. This, in a way, lends support for itself in psychology; by creating theories that can be tested, psychologists are able to predict behaviour, which is what some would say is the central aim of psychology (Gergen, 1973, pp. 317). Haig (2005) suggests that realism alone can offer an all-encompassing approach to psychology. It is argued by Haig (2005) that whilst there can be no proof that realism is a deficient philosophy for psychology, there is no need for other philosophical approaches to the field. However, it can be noted that this would be a very realist view; Haig (2005) needs proof that realism is deficient before it can be considered deficient. Whereas from a relativist point of view, proof would n ot be needed for realism to be considered a deficient philosophy, it would be relative to the context and person stating that it is deficient. This poses a problem; if realism is based on facts and wants proof that it does not provide an adequate philosophy, and relativism does not need facts or proof that realism is not an adequate philosophy, then a consensus of which approach is the most appropriate for psychology can never be made. One argument by Sankey (2004) suggests that the physical existence of the world provides evidence for a realist approach. It is suggested that the existence of the world around us does not depend on our thoughts, perceptions or experiences of it, it just exists. Whatever way we think about the world, or try to change parts of it (constructing buildings, growing crops, polluting the environment etc, pp.63), we did not create the world itself. It is argued that from this, human thoughts do not create the conception of reality, it is physically around us and this lends support to the realism approach. This would seem plausible, the fact that there are physical objects around us, that we can touch and interact with would suggest that there is a real world, and that we can acquire knowledge about that world. Sankey (2004) goes on to suggest that Mental representations are but a small part of a greater reality in which we find ourselves embedded. Any philosophy which seeks to ground our co nception of reality on our own mental representations commits the fundamental error of anthropocentrism, and should therefore be dismissed as fatally flawed, (pp.64). This suggests that by assuming that reality is evaluated exclusively through human representations of the world, relativism is flawed. It can also be noted that if relativists argue that all theories are worthwhile, then this argument by Sankey (2004) is perfectly reasonable in providing evidence for the realism approach. However, one thing that may go against this argument by Sankey (2004) is that there is no way of knowing whether everyone perceives the physical world around us in the same way or not. This means that the physical world as evidence for realism could be perceived in many different ways, suggesting that in fact a relativist approach is more appropriate for studying psychology. Whilst the realist approach lends support to the experimental side of psychology; enabling a psychologist to assume what they have found to be factual and free from representations, there is an increasing number of psychologists and psychological fields that are adopting a more relativist approach. These include social constructivism, discourse analysis and feminist psychology (Fletcher, 1996). But why adopt a relativist approach when a realism approach has been used so widely in the mainstream field of psychology? There are several arguments against using a realist philosophy for psychology. One argument that is highlighted by Fletcher (1996) is the idea that the empiricism approach to a lot of psychological research is based on a set of rules set out by psychologists that all experiments adhere to, for example significance levels (p.411). There is a question of why those particular values are deemed significant and why others are not, and what made those values significant. It can be supposed that somewhere along the line, humans decided what results could be considered significant and what results could not. This provides evidence for the relativism approach; everything is relative to the persons thoughts, assumptions and experiences. In this case results may only be significant to some people whilst the same set of results could be completely insignificant to others. However, because of the significance values used in the methodology employed by the realism approach, results that could seem significant to some people are deemed insignificant by the constraints of realist psychology. Rosnow and Rosethal (1989) criticise the methods of analysing data, stating that determining the particular level of significance of the data at which a null hypothesis will be rejected is essentially a personal decision, (pp.1277) which strengthens the argument that psychology is based on social constructs and is relative to the psychologist. The relativist argument that realis t methods are too dichotomous is also supported by Loftus (1996). Relativists have also rejected realist arguments that because we can physically touch and interact with our environment that this proves the world is real and that it can be tested in order to gain knowledge (e.g. Sankey, 2004). Edwards, Ashmore and Potter (1995) identified two arguments used against relativism, (being able to touch furniture and the reality of death) and argue that these are still socially constructed. Edwards, Ashmore and Potter (1995) suggest that a realist would hit a table and the resulting sound shows it is physical, and not socially constructed. The table, in the eyes of a realist, would be a real object that can be touched, physically in the real world. However, what Edwards, Ashmore and Potter (1995) argue is that the table, whilst displaying physical properties is still a socially constructed object. The person that hits the table experiences it as real, but only the part that is touched by the hand. In addition to this, how does anybody else watching the t able being hit know it is real (pp.29)? It is also argued that by hitting the table, it does not prove that tables continuing existence (pp.29), nor does it prove that everything else around that table and other objects in the world exists. This highlights a flaw in what realists would count as evidence that the world is real and free from human interpretations. Edwards, Ashmore and Potter (1995) also state that a realist would use death as evidence for a world that is free from human perceptions. It is said that a realist would ask how a relativist can question whether death is a reality or not. To dispute that death is a reality would seem immoral and it would be impossible to say that the death of something or someone is just a social construct. However, it is argued by Edwards, Ashmore and Potter (1995) that even death is socially constructed. It is suggested that when you look at death and everything that relates to it, for example, resurrection, the afterlife, survival of the spirit, the non-simultaneous criteria of brain death, the point when life support might as well be switched off, cryogenic suspension, the precise (how precise?) moment of death, (pp. 36), it becomes clear that there is a lot of social construction surrounding death. Along with the different ways it is possible to die, it is stated that everyone knows, these are c ategories which are as constructed as can be, (pp.36). This is a convincing argument for relativism; there are things in the world that appear to be reality, physical and factual. However, as shown in the case of death, there are more components to death than just the umbrella term which are clearly socially constructed. When someone dies, are they truly dead? What if they are, instead, reincarnated as something else? In a realist world, these questions would seem scientifically impossible to test which leads to the question of whether death can really be established as fact and a realistic truth. The way in which we would class someone as dead is only to the extent of our own knowledge, tools and assumptions, but this would mean death has to be classed as a social construct and not free of human interpretation. As presented, there is support for adopting a realist philosophy and there is support for adopting a relativist philosophy. So which approach is best for psychology? As previously stated, Fletcher (1996) highlights that realism has been overlooked in favour of a relativist approach in several areas of psychology, in particular, social constructivism, discourse analysis and feminist psychology. Within feminist psychology there has been an increasing use of relativist philosophy. A paper by Riger (1992) suggests that relativism is the most appropriate approach for studying women and feminism in psychology. It is suggested that gender is a socially constructed phenomenon; we are members of gender through our thoughts and actions rather than just having the gender of male and female. In addition to this, it is argued that the relations between men and women are a result of patterns of social organisation (pp.737). Therefore, it is suggested that psychology as a discipline should consider the social context of gender and womens activity, promoting the use of a relativist philosophy in this particular branch of psychology. Support for a relativist approach in psychology is provided by Hepburn (2000), who points out the advantages to using such a philosophy in feminist psychology. It is stated that relativism clears the way for addressing the many competing versions, contingencies, arguments and agendas that go with doing feminist research (pp.103). This suggests that the relativist assumption that all theories are valid, allows for the many different paths of research in feminist psychology to occur. Therefore, it also has to be considered whether a realist approach would be appropriate for feminist psychology. Gender differences in empiricist research do not take the social context and human perceptions of those gender differences, which could mean that psychologists who follow a realist approach to psychology may not know every reason for those gender differences. Therefore, it can be questioned whether or not empiricism really does gain factual knowledge about the world, if it does not take into account everything that could contribute to those facts. In this case, it would seem that for feminist psychology, realism would not be the most appropriate philosophy to adopt. In contrast, there are some that promote realism within feminist psychology. New (1998) defends realism as the most appropriate philosophy for feminist psychology to adopt. It is stated by New (1998) that despite realisms current resounding unpopularity among feminist theorists, they cannot do without it, (pp.366) suggesting that whilst relativism is popular within feminist psychology, there is also a need for realism. It is argued that realism is needed to understand the underlying concepts in the history of feminist psychology and to understand the knowledge that has already been obtained of feminist psychology, and this cannot be done without assuming that the relativist social constructions are also true. This could mean that in psychology, you cannot have relativism without realism. In order to understand the knowledge that is gained through a relativist approach it may mean that realism is also needed. In other words, if relativism argues that gender differences are a social co nstruction, then they have to assume that these social constructions are true and real. New (1998) adds to this by suggesting that when arguing the case for relativism, relativists have to regress to realism in order to articulate the case. In addition to this, Parker (1999) supports realism in other branches of psychology. In his paper against relativism in psychology, Parker (1999) points out that some psychologists believe realism warrants psychology as a real science. Therefore, this could mean that by adopting a realist approach psychology could be put in the same category as what are commonly called real sciences such as physics, chemistry and biology. This has implications for psychology as a science and not just for psychologists either. If psychology is classed as a real science, the results of psychological research may carry more weight in everyday life, where not everyone is aware of the debate between realism and relativism. Therefore, as presented with the example of feminist psychology, there is a strong case for both realism and relativism within psychology. This leaves the question of which approach to adopt for psychology up in the air; the debate seems to have no solid consensus of which approach to adopt. Even in the case of feminist psychology, which is suggested to have predominantly accepted the relativist approach, there are still some that argue for a realist philosophy (e.g. New, 1998). However, there may be other philosophical approaches more appropriate for psychology. For example, Cacioppo, Semin and Bertson (2004) evaluate instrumentalism as an approach for psychology. According to Cacioppo, Semin and Bertson (2004), the aim of instrumentalism is not to discover truth, but instead aims to construct intellectual structures that provide adequate predictions of what is observed (pp.217). Therefore, whilst not searching for the truth like realism or proving that instead everything that is th ought to be true is instead a social construction, like relativism, instrumentalism provides a way of predicting and describing what is observed rather than persistently debating whether what is observed is true or not. In a way, instrumentalism positions itself in between realism and relativism, it just utilises the observations without having to assume whether it is real or not. So, aside from realism and relativism, would this be a better approach for psychology? Instrumentalism would seem to be a compromise between the two approaches and so this could be the path psychology should pursue. As highlighted by New (1998), it seems relativism cannot be without realism and as highlighted by Edwards, Ashmore and Potter (1995) it is argued realism cannot be without relativism. Therefore, as the debate between realism and relativism can become blurred, it may be that instrumentalism is a more suitable approach to psychology. In conclusion, with no consensus between realists and relativis ts, it is unclear whether psychology should pursue the path of realism and relativism. As proposed by Cacioppo, Semin and Bertson (2004) an integrated approach between realism and instrumentalism may be the best approach for psychology. Word Count Excluding References : 2,847

General Components of an EHR System

General Components of an EHR System Electronic health records and presents the advantages and benefits that will provide for hospitals and health institutions. Doctors, physicians, and nursing become an important factor of the EHR; Barbara A. Gabriel did a research to see whether electronic medical records made the doctors and the patient outcome better. Also Jeffrey Linder, an internist and assistant professor of medicine at Harvard Medical School asked these questions: Does having an EMR really help you? Are patients more likely to get the tests they need, timely diagnoses, and proper treatments? Do you code more accurately now that your EMR is a part of your daily work flow? Does this result in higher reimbursements? And for Doctors he asked in brief Are you a better doctor both clinically and operationally with an EMR than you were without one?These questions were asked by Jeffrey to improve his study that was about the relationship between electronic medical record usage and quality care. A recognized supporter for electronic medical record implementation, he got the impression that made him strongly sure the answer to all these questions would be a resounding yes. 1.1 Definition of EHR: EHR stand for Electronic Health Record according to the policy journal of health sphere. It accumulates patient health files in a computer database more willingly than with physical paper. The data that is accumulated in the computer is producing by several users in any care delivery institutions. The data contains patient demographics, past health history, diseases, progress notes, very important signs, vaccinations, laboratory data and radiology repots. One of the elements of the Electronic Health Record is that it can generate a complete record of a clinical patient user consisting of quality management, outcomes reporting, and evidence-based decision. It is essential to state that an EHR is developed and maintained within organizations, like hospitals, integrated delivery network, clinics, or medical doctor offices. History of EHRs: In the fifth century B.C the earliest health record was produced by Hippocrates. He put two main objectives: A medical record should accurately reflect the course of disease. A medical record should indicate the probable cause of diseases These objectives are still proper, but the latest technology that identified as electronic medical record adds functionality, such as interactive flow sheets, interactive alerts to clinicians, and every feature that can not be made with manual system. In 1960s: a problem-oriented medical record was planned by Dr. Lawrence weed which is a kind of EHRs. His aim was to provide better health care by integrated the medical data of patient from special doctors. According to his idea, in 1970s the first Electronic Medical Record system established at the Vermont University. Its structure was uncomplicated, as it worked with touch-screen technology offered at the period to record procedures and various kind of pharmaceuticals used throughout those procedures. In 1967: a premature Electronic Medical Record system was implemented and applied at the Latter Day Saints Hospital in Utah, this project was developed by (HELP) the Health Evaluation through Logical Processing. In 1968: the Multiphasic Health Testing System (MHTS) and Computer-Stored Ambulatory Record (COSTAR) were produced Until 1973: the MHTS was applied at Kaiser Permanente in San Francisco Until 1980s: the COSTAR was applied at Massachusetts General Hospital in Boston In 1973: the Regenstrief Electronic Medical Record program was applying in Indiana, and is yet in progress today. 2.2 Development: In 1969: the initial main shift of manage patient information was completed with the Problem-Oriented Medical Record, making use of the so-called SOAP structure that included knowledge about the topic, the health goals, evaluation and a plan for the patient. 2.3 Technology: In that time while a large amount of medical offices continue to accumulate patient data on paper using manual system in huge Chart Libraries where the system was used the alphabetical order, and some technological developments have made by medical imaging. The LanVision system catalogs logical images that have the ability to move without difficulty from one office to another on the system. The most important components of Electronic Medical Record applied in hospitals contain patient billing, pathology, radiology, admission, laboratory, scheduling, discharge and transfer, intensive care and Emergency Room units, pharmacology records, and the master Patient Index (MPI). 2.4 Governments Role: The federal government decides to set a time limit for computerized patient record system for 1999, but that time limit was neglected when groups disagreed with computerization on patient-privacy grounds. The group also mentioned the inability of programs to integrate images, texts and numbers, but all of these factors had definitely incorporated by latest computer programs. Benefits of EMR: Electronic Medical Record systems are much more fitting, important, and efficient than manual medical records, says the Mayo Clinic. Several Doctors have the ability to update patient record at the same time. Furthermore, Electronic Medical Record does not need huge capacity of space and manual work to record and accumulate data. Organization The most important benefit of EMR is the way that a patients records can be managed and arranged. Paper records or files can simply be misplaced in a file room at the clinic, but an electronic medical record is accumulated on a network that is available throughout the service. Also IT professional are searching for the best way that connects the specialists with a network that give them the ability to treat the patient that are sent from another city. 2- Access Physicians can access quickly to patient file using electronic medical record system. In each of the patients room and practice rooms there are computers that are provided with the facilities that are prepared with this technology. The patients record can be log on from any computers to update conditions, medications and procedures that have been performed on the patient. 3- Decision Support Improved health decisions can be prepared for the patient, when his EMR is accessible by more than one physician. Repeatedly a patient is sent from physician to another when health problem appear to be dangerous or need to be diagnosed. These physicians may not have the ability to communicate or transmit the patients medical records to every facility. In this case, the patient can be subjected to repetitive or unwarranted actions because of the lack of transmission. 4- Standardization Electronic medical record system will also provide better standardization once it takes place to keeping patient records throughout the health care system. Several medical services apply various terminologies for the similar procedures. Other services apply structures that are totally dissimilar from another facilitys. Electronic medical record system will make it easier for physicians and nurses to get the information they want for every patient by providing a standard way of filling out data on patients file. 5- Patients A few Electronic medical record systems give the Patients the ability to log on their test results and other vital information from their health record through a protected site on the internet. This help patients better understand their health-care choice. Also the patients with restricted access to their personal Electronic medical record systems will be better notified and can be feasible with the decision that they require to generate. Key Components of Electronic Health Records Nearly all the commercial Electronic Health record system are made to merge data from the huge ancillary services, such as radiology, laboratory, and pharmacy with diverse health care components (for example medication administration records [MAR], nursing plans, and physician orders). The Electronic Health record possibly will bring in information from the ancillary system throughout a tradition interface or may provide interface for clinicians in order to log on the silo system through a portal. Administrative System Components The main components of electronic health record are registration, admissions, discharge, and transfer (RADT) data. These data contain essential information for correct patient classification and evaluation, also it include name, demographics, next to skin, employer information, patient disposition, chief complaint, etc. the section of registration in electronic health record system has a unique patient identifier which generally consisting of numeric or alphanumeric order that is unidentifiable external the company or institution in which it serve. The medical data of the patient will be collected for use in medical analysis and research while use the RADT. All medical observations, tests, procedures, criticisms, assessments, and diagnosis to patient will be linked by the patient ID because it is the core of the electronic health record. The ID is sometimes known as medical record number or master patient index (MPI). Nowadays in computerized information systems the master patient index enterprise has applied extensively in the organizations or institutions, called enterprise-wide master patient indices. Laboratory System Components Laboratory systems are interfaced to electronic health record systems which commonly are independent systems. Also there are (LIS) that stands for laboratory information system that are applied as centers or hubs to combined orders, schedules, billing, results from laboratory tools and other administrative data. Rarely laboratory information is integrated completely with the electronic health record. Lots of technologies and analyzers are applied in the diagnostic laboratory procedure when laboratory information system is prepared by the similar vendor as the electronic health record which is not simply integrated with electronic health record, such as the Cerner laboratory information system interface with more than 400 various laboratory tools. Cerner, a very important vendor of both systems the (laboratory information system) (electronic health record system), stated that 60 percent of laboratory information system installations were not included with electronic health record sys tem, and electronic health record system are implemented in federal form, which lets the user to log on the laboratory information system from a link within the electronic health record system interface. 6.3 Record keeping and mobility Electronic health record systems gain a unique trait which is the benefit of being capable to connect to various EHR systems. Patients are shopping for their procedures, in the recent global medical environment. Also patients can easily check in their files whether they have been admitted to such a health center or if they contain any kind of allergies since they have been admitted before. Other Advantages of Electronic Medical Records Software Chart Room. By converting a paper chart digital, a procedure can change the physical place of a chart room into workplaces, or extra rooms for exams, procedures, imaging equipment, labs, or other income generating spaces. Managing Paper. A lot of procedures waste numerous hours of workers time searching for, moving, and organizing paper charts. By computerizing the health record, this procedure is rationalized and costs are eliminated. Other cost savings are achieved by the elimination of the paper, printers, toner, and other physical costs of the paper world. Archived Records. Health practices are needed to remain patients health record for 7 years in nearly all countries. Accumulated an inactive patients chart offsite is a shared procedures. This cost is eliminated by accumulating the reports electronically. There are more advantages of an entire EHR, which both Chart Logic EMR and Chart Logic iAchieve electronic medical record consist of: Best Practices. By integrated a model based health office software; a medical procedures may ensure that all providers are achieving the needed goals of documentation and process. Increased Reimbursement. The EM coding tool can also indicate methods to properly up-code your document to a higher level, rising reimbursement. Efficient Charting. Using templates lets the physician to finish documentation rapidly. By tinplating shared words or phrases, the documentation is quick, reliable, correct, and complete. Cost and return on investment It is not easy to measure the return of investment (ROI) of information technology systems for any commerce. Nearly all research has been alert on how to calculate the return of investment for medical information technology systems such as electronic health record systems. The cost of implementing the EHRs will differ considerably; depending on what systems are now in place and what is being implemented. Fundamentally, in order to smooth integration and make customer commitment the vendors add the electronic health record capabilities at a favorable rate. However, there are installations that can be very expensive, e.g. Across the whole Kaiser Permanente network the roll out of an Electronic Medical Record was reported to cost over $1 billion. A new American Hospital Association analysis and survey noticed that the median yearly funds investment on information technology was greater that $700,000 and stand for 15 percent of all fund expenses. And above $1.7 million were the Operating expenses, or 2 percent of all operating expenses. Barriers to using EMR Technical Barriers It is expensive to implement an Electronic Medical Record system in a physicians office, mainly for minor practices. Moreover, install such a system in minor hospital institutions require external industrial support. Cultural Barriers According to For the Record Magazine the patients and doctors could feel unsafe risking patient MRs to possible electronic theft. Furthermore, an Electronic Medical Record will extensively change a physicians flow and potentially decrease the quality of service the doctor provides by giving him more patients, however, before physicians expected a specific amount of work flow, because they were spending time filling out paperwork. Significance According to Robert H Miller and Ida Sim of the Policy Journal of health Sphere In 2004 just 13 percent of physicians stated that using an Electronic Medical Record and 32 percent said they would consider as using an electronic filing system. EHRs keep your health information safe and private: You can choose and decide who gets to see your information: EHRs are locked. Nobody can access your account except you because there is a special password that will keep your health information private. EHRs have many security settings. The only ones that can access to your information and can see them your health provider, and the office staff can only see your name, address and birth date. Whether or not your health care provider uses EHRs, you sign a consent form if you want to share your information. Ask your doctor for a copy of your consent and explanation of what it means Private notes can be made in EHRs that only your health care provider can view. The patient can ask his doctor to see his information and tell him dont let anyone else see them and keep them in secure that only you can read. Electronic Software People go to hospitals to better their state; they rely on hospitals and physicians to practice the most advanced standards. The staff that works at the hospital faces many challenges at the day. They need highly efficient software and instrument to work properly and to finish their jobs requirements. Electronic software helps them meet the demands of the hospitals setting. In order to make sure that the health practice takes care of its operations in a prepared and well-coordinated manner Electronic Medical Record (EMR) Software is essential. The cost is around $850 dollars for setup and about $2500 for annual maintenance but is worth it for the reason that they save time and run the operations using the best defense mechanisms against liabilities electronic medical record software is used to manage and maintain EMR systems, patient or insurance billing, patient information management, multi-provider scheduling, electronic faxing, instructions and lab management, document management , and custom report templates. And an example of that software is a Visionary Dream EHRs Dream EHR Workflow When converting from a paper-based organization to a nearly paperless organization planning, preparation, training and a person within the office to make easy the change is an essential. A process that relies on an electronic health record, the visual signs are on the desktop computer or tablet PC screen rather than placed on the wall or taking up space in the records room. Shifting from a paper-based practice to an electronic health record provides the process with the opportunity to assess its workflow for an electronic environment. Several administrative and operational steps may be considerably simplified. The workflow steps in an electronic health record can be decreased significantly. The workflow in the health office has two main categories: administrative and clinical. Lets have a look at some administrative and clinical workflow procedures so you can evaluate how the work flows in a paper-based environment and what that similar workflow procedure looks like in an electronic environment. Paper-based Environment Electronic-based Environment Patient comes, signs in Patient comes and enters new data into electronic health record desktop Patients name be seen Administrative employee is gave notice that patient has came and patients MR are got over from the procedure management scheduler and prepared for the days appointments. Receptionist confirm for scheduled appointment Receptionist greets patient, checks updates and sends record electronically to nurses in-box. Receptionist asks for updated personal and insurance information Patients record is into nurses in-box. Patient returns data form with updates Nurse calls patient into examination room, release patient records, takes and check in family history, medications, vitals, presenting symptoms, and makes a face sheet on the Tablet PC. Medical records clerk drags chart and insert updated data. Once done, nurse sends MR electronically into physicians in-box. Clerk gives chart to nurse Patients file is in physicians in-box. The doctor can look at this file before to entering the examination room. Chart is located in nurses review stack Physician enters the examination room and visits with patient. Nurse checks chart and calls patient Nurse captures crucial signs and files show symptoms on face sheet. Nurse places medical chart out of examination room door. Doctor looks into medical chart on door, knows that patient is waiting and checks information on face sheet. physician enters and visits with patient Features and Software Screens Point-and-Click Chart Entry Rapidly capture and produce chart notes with pre-defined medical templates. It presents hundreds of specialty templates to lessen the operation time. Check chart notes, allergies, medications, procedures, diagnoses and further in one simple to navigate screen. Customizable, user-definable chart areas. Easy to Use Files with electronic handwriting stylus pen, pre-defined or user defined templates, macros and / or voice dictation. View or edit patient information from a desktop or tablet PC. Simple direction-finding menu is planned to raise usage speed while streamlining the information recording process. Point-of-Care Decision Making Manage your reports with quick chart access and file patient documentation at the point-of-care. One-click retrieval of patient notes, medications and very important documentation to assure the greatest medical decision. Managing Orders / Lab Tracking Check and get back test results, makes orders, doctor consultations or surgical procedures immediately from the patients chart. Track past due lab tests and procedures as well as inform users through e-mail. Lab results review reports feature side-by-side history of results and permits inter office lab result communications. Differential Diagnosis Simply file one or more differentials associated with a diagnosis. This module can in addition be used to rapidly replace with a specific diagnosis for a non-billable or non-specific code. Furthermore diagnosis connected practical codes, prescriptions and lab orders can be selected while seeing that diagnosis. Coding Assistance

The Pearl : Appearances Can Be Deceiving Essay -- essays research pape

John Steinbeck's The Pearl tells the story of Kino, a poor pearl diver who lives in Mexico with his wife, Juana and his baby boy, Coyotito. One day Kino finds a huge pearl worth a great deal of money. Kino dreams of being rich and buying all that he wants after he sells the pearl. The one thing that Kino doesn't realize is that there are many people who will do anything to steal the pearl from him. No one ever suspects the pearl's power todeceive, corrupt, and destroy. Hence, The Pearl depicts the ultimate battle between good and evil. When Kino finds the pearl he is shocked. " It was as large as a seagull's egg. It was the greatest pearl in the world" (Steinbeck 19).Kino and Juana revel in the excitement thatsurrounds Kino's finding the pearl, but their happiness soon turns to distrust. The pearl buyers, whoKino has to sell the pearls to in order to make a profit, try to cheat him. They tell him that the pearl is so big that it has no value. Kino has to hide the pearl, but while he sleeps a thief tries to steal it. The doctor who would not treat Coyotito's scorpion bite when they had no money now comes to them offering the best medical care he can provide.As the story of Kino's situation unfolds, Kino is forced to kill three men, and worst of all, Kino accidentally shoots Coyotito in the head while he is trying to shoot his pursuers. Finally, at Juana's urging, Kino throws the pearl back into the sea. He has made nothing from his fin... The Pearl : Appearances Can Be Deceiving Essay -- essays research pape John Steinbeck's The Pearl tells the story of Kino, a poor pearl diver who lives in Mexico with his wife, Juana and his baby boy, Coyotito. One day Kino finds a huge pearl worth a great deal of money. Kino dreams of being rich and buying all that he wants after he sells the pearl. The one thing that Kino doesn't realize is that there are many people who will do anything to steal the pearl from him. No one ever suspects the pearl's power todeceive, corrupt, and destroy. Hence, The Pearl depicts the ultimate battle between good and evil. When Kino finds the pearl he is shocked. " It was as large as a seagull's egg. It was the greatest pearl in the world" (Steinbeck 19).Kino and Juana revel in the excitement thatsurrounds Kino's finding the pearl, but their happiness soon turns to distrust. The pearl buyers, whoKino has to sell the pearls to in order to make a profit, try to cheat him. They tell him that the pearl is so big that it has no value. Kino has to hide the pearl, but while he sleeps a thief tries to steal it. The doctor who would not treat Coyotito's scorpion bite when they had no money now comes to them offering the best medical care he can provide.As the story of Kino's situation unfolds, Kino is forced to kill three men, and worst of all, Kino accidentally shoots Coyotito in the head while he is trying to shoot his pursuers. Finally, at Juana's urging, Kino throws the pearl back into the sea. He has made nothing from his fin...

Compare the two poems, Presents from my aunts in Pakistan and Essay exa

Compare the two poems, Presents from my aunts in Pakistan and Search for my tongue. Both poems shows people thinking about their roots and how each poem conveys their thoughts and feelings. In this essay I will be evaluating two poems from different cultures and traditions. Both poems 'Search for my tongue' and 'presents from my aunts in Pakistan' are about true identity and searching for your roots. 'Presents from my aunts in Pakistan' is mainly about a girl who is of mixed race and how she describes the gifts of clothes and jewellery sent to her in England by her Pakistani relatives. There is no rhyme scheme and the poem is written in free verse. Free verse simply means that the phrases are arranged loosely across the page. It is divided into stanzas of varying length. The girl contrasts the beautiful clothes and jewellery of India with English clothing. She describes how it feels like wearing the 'salwar kameez' and how she longed for denim and corduroy. She's drawn to the loveliness of the gifts but feels awkward wearing them because she is more comfortable in English clothes. The poem is full of associated, sometimes contrasting images. An example of a contrasting image is ' of no fixed nationality staring through fretwork in the Shalimar gardens.' Fretwork is basically decorative carving and the Shalimar gardens is an ornamental ark in Lahore, her hometown. The girl describes how life in England differs from life in Pakistan. She talks about the salwar kameez as 'alien' but wanting cardigans from Marks and Spencer's. The way the women live is somewhat different from that of England. For example her aunts were in shaded rooms, screened from male visitors whereas the women in England go o... ... left with. The speaker imagines herself there in Lahore - somewhere she has been only in her thoughts. However she is of no fixed nationality. This sounds a slightly threatening phrase. After thoroughly reading the poems, I have arrived at two main conclusions. Firstly it is important to know where one comes from, which is perhaps what the girl in the poem was lacking as a child and it is also important to know what has gone into one's making, even quite far back, I think it gives you a sense perhaps of richness. Secondly it is sometimes very difficult knowing two languages but having to neglect the one that belongs to you. One's mother tongue is an important link to your family and your childhood. Last but not least I agree deeply with the statement and I quote ' that's the deepest layer of my identity' which was said by Sujati Bhatt, the writer.

Comparing William Blake and William Wordsworth

Sonnet 18 In Sonnet 18, William Shakespeare begins by considering what metaphorical comparisons would best reflect the young man, in fact a typical convention of Renaissance poems is to compare beauty and youth with aspects of nature. In the first and in the second stanza he develops the idea of summer: in the first stanza (the introductory part) he wants to compare the young man to a summer day, but he also says that the man is more beautiful and more lovely than a summer day; in fact, he knows, summer can be very short and the weather is changeable: sometimes it’s too hot and sometimes the sun has disappeared, but he can’t be obscured.Then the poet adds that it is also true that, like a real summer, the young man’s youth will not last forever, because it is how nature goes (it’s temporary). The third stanza starts with an adversative, here the poet concentrates in the man’s beauty and he says that his beauty won’t disappear; not even death can take his beauty, because in poetry the poet is able to preserve the idea of beauty and youth. It is something like a promise: in the world of the poem, the young’s man beauty will never die, but it will go on growing in the minds of readers; Shakespeare wishes to preserve the young man’s beauty against the effects of time.The poem carries the meaning of an Italian or  Petrarchan Sonnet (Petrarchan sonnets typically discuss the love and beauty of a beloved). The theme is the transience of beauty, the poet tries to immortalize the young man’s beauty through his own poetry. Sonnet 130 This is a sonnet written for a dark lady, in which Shakespeare criticizes the idealising tendency of the most Elizabethan love poetry to compare the beloved with nature. Sonnet 130 is clearly a parody of the conventional love sonnet, made popular by Petrarch.In describing his dark lady, he is careful to emphasise how little she corresponds to the conventional idea of beauty of h is time; in fact from the sonnet we can understand that the woman is not beautiful: she doesn’t have soft hair, instead she has got black wire hair, she doesn’t have brilliant eyes and red lips , she has dark skin (breasts), moreover he can’t see the colour of the roses in her cheeks and her breath can’t be compared to perfume, her voice is not as pleasant as music and she doesn’t walk like a goddess.For him, however, the fact that she is not conventionally beautiful is an indication of her â€Å"natural† beauty; what fascinates the poet in his lady are the things that make her unique in his eyes, these things make her rare in a world in which the women have to correspond to an ideal notion of beauty. So Shakespeare ends the sonnet by proclaiming his love for his mistress, so he does finally embrace the fundamental theme in Petrarch's sonnets: total and consuming love.Romeo and Juliet (balcony scene) After seeing Juliet at the Capuletâ€℠¢s house during the feast, Romeo secretly return to see her again: Romeo, hidden amongst the shadows outside Capulet’s house, sees Juliet in the balcony; Juliet, believing that she is alone, professes her love for Romeo and her profound sorrow that he is a Montague. Romeo reveals himself and the lovers speak to each other.Romeo is very poetic when he speaks about Juliet, he is a platonic lover, in fact he describes Juliet as a perfect woman (he idealizes Juliet): he says Juliet is the sun and the moon is jealous, her eyes are far more brighter than the sun, they are so brighter that the birds sing all the time. He describes her using some of the conventions of courtly love and Neo-Platonism found in sonnets of the time.Instead Juliet, even if she has the passion, goes right into the problem, which is the name; she is more realistic and she’s worried because Romeo shouldn’t be there and if someone sees him he could die. The dominating image in Romeo and Juliet is light: Romeo associates Juliet with sunlight and stars and the light emanating from angels. Shakespeare's works are written in Early Modern English; the language used by Romeo and Juliet, particularly Romeo, is often lyrical.

Hemoglobin Model

Hemoglobin model: note the 02 being carried by molecule. Pipe cleaners=subunits Green marsh mellow=iron molecule Yellow marsh mellow=oxygen molecule Orange cards= heme groups (wolfe, 2000)Oxygenated/deoxygenated oxygenated †¢ 02 bound †¢ Bright red †¢ Subunit is in relaxed form †¢ Higher affinity for 02 †¢ Affinity for oxygen is  cooperative, which means  that the affinity for 02  increases with each bound  molecule. ( Ahern & Rajagopal, 2013)Deoxygenated †¢ 02 not bound †¢ Dark red color †¢ In tense form which has lower affinity for oxygen. †¢ When 02 binds to  deoxygenated hemoglobin,  hemoglobin transitions from T  state to R state. This occurs  when 02 binds to iron, it  causes a change in the  subunit. ( Ahern & Rajagopal,  2013)Bohr Effect Hemoglobin has a high affinity for 02 at a high PH, low Co2. Hemoglobin has a lower affinity at a low PH, high Co2.  At a high Co2, low PH hemoglobin is more stable in the T state which decreases its affinity for 02. Oxygen needs to be delivered to the tissues. Tissues have a low PH. Hemoglobin needs to release 02 at low PH. Low PH = low 02 saturation.  ( Wolfe,2000 )Myoglobin: wants to store 02 for when tissues need it. Has a higher affinity than hemoglobin. ( Ahern & Rajagopal, 2013) Hemoglobin: wants to unload 02 in the tissues. Has a lower affinity than myoglobin. ( Ahern & Rajagopal, 2013 )  (Genetic science learning center, 2013)Difference between normal and sickle forms of hemoglobin.Normal and sickle RBC’s at the cellular level.  (Genetic science learning center, 2013)Diseased RBC’s vs. Normal RBC’s Diseased †¢ Have a sickle shape, and are  thick and sticky. Clumps  together in small blood  vessels. †¢ Blocks normal hemoglobin  to deliver 02 to tissues. †¢ Short life span of 10-20 days †¢ Body can not keep up with rbc production leading to  anemia and pain. (Wolfe,  2000)Normal †¢ Round †¢ Doughnut shape †¢ Life span of 120 days (Wolfe, 2000)  (Ahern and Rajagopal, 2013)