Saturday, October 5, 2019
Safegurading health information and systems Essay
Safegurading health information and systems - Essay Example The other most important wording is the ethical statement. These act as a guide to the ethical behaviors the health care workers such as nurses are supposed to abide by when in use of the information systems (Wager, Lee & Glaser, 2013). This wording is important as it saves on disciplinary actions and prevents nurses and other health care workers from breaching the ethical code of conduct. Lastly, the other most important wording necessary to be included in these health systems is the patient management statement. There are standards of patient management necessary for the nurse to apply in all patients and they should be openly stipulated and clearly worded in the information system for the benefit and frequent reminder of them to the nurses when attending to their patients (Mettler & Raptis, 2012). Failure to follow these statements leads to legal actions being taken against the nurse as is stipulated in the legal and regulatory statement mentioned
Friday, October 4, 2019
Project Management 3 Essay Example | Topics and Well Written Essays - 250 words - 1
Project Management 3 - Essay Example On this note, this paper will mainly focus on the impact of project managers introducing social media into healthcare and how it can be added in various healthcare projects. In this day and age, the use of social media in health is becoming more popular day in, day out. For instance, around 60% of internet users in US access health information online. Over the years, social media has provided an online platform intended for mass collaboration but with the current technology, social media can be added as a tool in various healthcare projects. For instance, medical device manufacturers, through the social media have been able to facilities projects such as body weight management and diabetes management (HIMSS Social Media Work Group, 2012). Driven by the tremendous development in technology and access to technological devices, in 2009, a company came up with Wi-Fi body scale app for those will to lose weight. Through social media such as Tweeter and Facebook, about 40% of internet users had attempted using the app. Secondly, inspired by the numerous numbers of people posting their blood sugar levels on the international diabetes foundation twits, doctors from university introduced an app know as Bant. Bant incorporated wireless digital glucometers to measure blood glucose levels. In the same year, a 49% increase on blood glucose measurement in US alone was recorded (HIMSS Social Media Work Group, 2012). In conclusion, it is clear that social media has not only succeeded as a platform for exchange of information but it has also brought change in healthcare projects. Thanks to social media, it is easy, cheaper and time saving to manage ones health. An individual can receive treatment from his or her house with the help of apps, blogs and websites accessible in the social media. HIMSS Social Media Work Group. 2012. Healthcare ââ¬Å"Friendingâ⬠Social Media: What Is It, How Is It Used, and What Should I Do? Healthcare
Thursday, October 3, 2019
Principles of Infection Prevention and Control Essay Example for Free
Principles of Infection Prevention and Control Essay Employees rights and responsibilities in the relation to the prevention and control of infection are to follow companyââ¬â¢s policies and procedures, keep themselves safe and others, report any hazards which could lead to infection, attend relevant courses, use the PPE provided, keeping the work environment clean and tidy and to maintain good personal hygiene 1. 2: Employers responsibilities in the relation to the prevention and control of infection are to keep everybody safe and to provide a safe work place, they do this by following current legislation. This is why it is extremely important to wear the correct PPE and use the correct hand washing procedure and use the correct cleaning products. 4. 3: To carry out a risk assessment first of all you need to identify the hazards, then decide who might be harmed and how. Then evaluate the risks and decide on precaution and then record your findings and implement on them. After this is done review your assessment and update if necessary. 4. 4: It is important to carry out risk assessments to raise awareness of potential risks and to try and eliminate or reduce them and to ensure enough precautions have been taken to prevent injury. Outcome 5 PPE must be used in the correct way in order for it to be effective in the prevention of infection control. Some different types of PPE and there uses are explained below: â⬠¢Disposable gloves- Wearing disposable gloves will offer a protective barrier against infection when worn when dealing with body products, e. g. blood, urine, mucus, vomit etc, changing soiled bed linen, clearing up spillages and dressing wounds. When wearing gloves they should be put on last after all other PPE is on and should fit the hands comfortably and not rip or tear easily. Hands should be cleaned thoroughly before wearing gloves to prevent germs spreading. While wearing gloves they should be change if they become heavily soiled or ripped and after each resident. Gloves should be carefully removed before any other PPE is removed and disposed of in the correct way in line with companyââ¬â¢s procedures and hands should be cleaned again. â⬠¢Aprons- these are used to provide a barrier which enables clothing to stay clean from bodily fluids, spillages etc. Aprons should be put on first before any other PPE. To put an apron on, one should be taken from the roll and opened out, after the head has gone through the hole the two ties should be tied together around your back. To dispose of carefully tare the ties and roll or fold into a bundle and dispose of correctly. â⬠¢Masks- These are worn to stop airborne infections being inhaled. To put a mask on place over nose, mouth and chin and fit flexible nose piece over bridge of nose. A mask should be removed after all other PPE has been removed and disposed of correctly. Employers must provide appropriate PPE free of charge and ensure it is disposed of correctly. Employees must use this correctly and follow the training and instructions given. The regulations and legislation relating to PPE that we must follow are: â⬠¢The Personal Protective Equipment at Work Regulations 1992 â⬠¢The Control of Substances Hazardous to Health Regulations 2002 Outcome 6 The key principles of good personal hygiene are vital in controlling the spread of infection. The most important action that will reduce the development of infection is regular hand washing. By using a good hand washing technique this will ensure bacteria and viruses have as little chance to spread as possible. You should always wash your hands: â⬠¢Before starting and when finishing work â⬠¢Before and after eating After using the toilet
The Orthodontic Tooth Movement Health And Social Care Essay
The Orthodontic Tooth Movement Health And Social Care Essay Orthodontics tooth movement is achieved by delivering a constant controlled force to the teeth. The duration of the force applied is the key factor for successful tooth movement rather than the force magnitude. The aim of the orthodontics treatment is to achieve good occlusion with minimal side effects. Several factors should be considered during the orthodontic treatment such as force type, force magnitude and the duration of treatment to avoid the undesirable effect. Proffit have defined the orthodontic tooth movement as a biological response due to the changes in the physiological equilibrium of the dentofacial complex when an external force is applied. Theories of orthodontic tooth movement Teeth are positioned in harmony with the oral environment to maintain their position. The applied forces will cause histological changes during teeth movement. These forces will cause bone resorption on the pressure side and deposition on the tension side, most importantly that the capillaries remain patent on the compressed side to allow cell proliferation and avoid the formation of hyalinized zone On the other hand bone formation will occur at the tension side due to the increased periodontal ligament width and the proliferating fibroblast and osteoprogenitor cells. Osteoblast will be formed from the proliferated osteoprogenitor and will deposite osteoid and result in bone formation.( systematic review) Several theories have been proposed to explain orthodontics tooth movement. The main theories are : Biomechanical theory The biomechanical theory is mainly based on experiments and cellular response observation explaining the biological events during orthodontic tooth movement. The earliest evidence supporting the role of Prostaglandin in orthodontic tooth movement was provided by Hang (Hang et al 1976). He noticed that mechanical distortion of the cell membrane in a culture dish will increase the synthesis of Prostaglandin. Later Harrel supported these finding in his in vitro. Harrel showed that mechanical distortion will generate Prostaglandin and cyclin adenosine monophosphate (c AMP).HARREL 1977 Other researchers ( rodan et al 1975, davidaritch and shanfield 1975) have found that mechanical distortion will cause changes in the intracellular nucleotides changes. The biomechanical theory was based on these finding and proposed that mechanical strain of the cell membrane will activate the cell signaling cascade. Initially phospholipase A2 will be activated which will initiate the metabolism of arachidonic acid. The leukotrienes and the Prostaglandins will be synthesized in response to the metabolism of Arachidonic acid. The synthesis of Prostaglandin will increase three time after five minutes. The Prostaglandin then activates the G proteins receptors on the cell membrane which will initiate a second messenger signaling cascade causing a cellular response leading to bone remodeling. Yamasaki provided further evidence to support this theory by designing a three phase split mouth study to investigate the effect of administrating Prostaglandin on orthodontic tooth movement. One side was injected with Prostaglandin and the contra lateral served as the control. Phase one involved the movement of the upper first premolar buccaly. The rate of tooth movement was doubled on the injected side when compared to the control side. Phase two involved retraction of the canine into the upper first premolar space using sectional contraction loops. The findings were similar to phase one. The third phase involved the retraction of the canine with the routine mechanics. The rate of movement was 1.6 faster on the injected side than the control side. No adverse effects were recorded in the gingiva or the alveolar bone. Yamasaki et al 1984 piezoelectric theory This theory proposes that the pressure applied to the tooth will be transferred to the adjacent alveolar bone which will respond by bending and causing small electrical current produced by electrons being transferred from deformed crystal structure to another. The electrical current will activate the osteoclast and osteoblast and result in bone remodeling required for tooth movement (mcdonald 1993) This theory was supported by Baumrinds split mouth study on rats. Baumrind showed that the tooth crown will displace ten times more than the reduction of the periodontal ligaments on the pressure side. The difference in the amount of displacement between the crown and periodontal ligament has lead to the assumption that the alveolar bone deflects more readily than the periodontal ligament. Considering the amount of crown deflection and the periodontal ligament changes, it can be concluded that lower forces can be used to produce bone deflection which will create changes in the periodontal ligaments.(baumrind 1969) Several studies on animals and human investigating an endogenous electric signals, bioelectric potential, showed that the application of low voltage direct current will modify the bioelectric potential and cellular activity causing faster tooth movement when compared to a control group.(giovanelli s à ¢Ã¢â ¬Ã ¦.ref 9 p324) Davidovich showed that by applying electrical current ( 15 Ãâà µ amps) combined with force of 80 g will enhance bone resoprtion near the anode and bone deposition near the cathode when compared to the control.( Davidovich et al 1980) Heller and Nanda demonstrated that periodontal ligaments are less likely to undergo tensile strain or transfer the force directly to the alveolar bone.( Heller and Nanda 1979) Piezoelectric signals characterize by a fast decay rate even if the force is maintained as the crystals will remain stable. If the force was removed the crystal will return to the original shape and an equivalent signal and opposite in direction will be created. The role of stress generated signals during normal mastication is well documented in the literature in maintaining the alveolar bone. On the other hand, the constant orthodontic forces will create a brief signal which will not create a prominent stress generated signals. These signals have little if anything to do with tooth movment.Profit text book Pressure tension hypothesis Classic hypothesis proposed by Oppenheim, Sandstedt and Schwarz based on histological research. This theory proposes that tooth movement will occur in the periodontal ligaments and the collagen fibers will create a pressure and tension sides transferring the applied forces to the adjacent alveolar bone. The forces should be less than the capillary blood pressure to maintain the blood flow and avoid bone necrosis. On the pressure side, the periodontal ligament will display disorganization and the cell replication will decrease in response to the vascular constriction. On the tension side the periodontal ligament will be stretched and increase the cell replication. Baurmrind 1969 report showed statistically significant increase in cell replication during tooth movement and there was a reduction in collagen formation rate on the tension and pressure side. Heller and Nanda (1979) interfered with the collagen function and metabolism by administrating lathyritic agent beta aminoproprionitrile and showed that normal tooth movement will occur in periodontal ligaments with disrupted collagen fibers. Their findings demonstrated that periodontal ligaments are less likely to undergo tensile strain or transfer the force directly to the alveolar bone. Bone bending Orthodontic tooth movement phases Once the orthodontic force is applies to the tooth the bone remodeling process will begin. During the first six to eight days there will be an initial period of rapid movement due to the periodontal ligaments compression and tooth displacement within the periodontal ligament. The blood supply will be reduced or cut off producing hyalinized zone; a vascular cell free zone. In the second phase; the lag phase; tooth movement will be minimal or will stop completely due to the hyalinized zone. On the histological level Retain ( 1957, 1960) have reported that the a vascular cell free zone will be formed even with minimal force and the a vascular cell free zone will occur more with short roots. The lag in tooth movement varies between four to twenty days according to the applied force; with light forces the lag phase will be relatively short and it will increase with heavier forces. The periodontal ligaments will reorganize to remove the hyalinized zone by phagocytosis; foreign body gaint cells, macrophages, fibroblast and pre-osteoclasts will be recruited from the neighboring undamaged alveolar bone marrow cavities and the periodontal ligaments. Once the avascular cell free zone is removed tooth movement will commence again; the last phase. Tooth movement usually begins forty days after the initial force application. Recent study by Von Bohl demonstrated that the hyalinized zone will be formed during the last phase and it is more frequent with high forces and have no effect on orthodontic tooth movement at this stage as the bone remodeling process will continue at a certain rate independently from the force magnitude. Von Bohl concluded that the formation of a vascular cell free zone is apart of the orthodontic tooth movement process. His report supported the pervious finding of Owman moll et al 1996 and Vas leeuwen 1999 Orthodontic force magnitude Orthodontic forces can delivered through the use of fixed appliances, removable appliances , TAD, extra orally such as head gear à ¢Ã¢â ¬Ã ¦etc.to achieve the desired tooth movement different force magnitude will be required. The recommended forces are: bodily movement tipping intrusion extrusion
Wednesday, October 2, 2019
Is Henry James The turn of the Screw a traditional ghost story? Essay
Is Henry James' The turn of the Screw a traditional ghost story? Ghost stories are found way back in history, some dating back to the Victorian times. The Victorians were known to be greatly interested in ghosts and the supernatural and showed this fascination through telling ghost stories. The telling of ghost stories was used as a way of entertainment especially around Christmas time and it was also very common for upper class Victorians to participate in seances where they would try to make contact with the ghosts/spirits of their dead loved ones. However this was not the only reason, in the later Victorian age, with many people having a great mixture of beliefs there was a disaffection with organised religion and more towards scientific influences and discoveries. Therefore this could mean that Victorians societies interest in the supernatural was just a move away from religion and the idea that God provides all the answers. In this essay I will look at Henry James' 'The Turn of the Screw' which was written in the Victorian era. The question I will be looking to answer is, does James' 'The Turn of the Screw' fit into the traditional mode of a ghost story or does he do something different and more sinister? The story is initially about a lonely governess and her new job looking after two young children. The story is set in a large house named Bly which is isolated in the countryside. The governess starts to form a strange relationship with the children and in many ways becomes too attached, finding it hard to separate herself from them, enchanted by their surposide innocence. Life at Bly runs smoothly until the governess receives a letter from Miles' school informing her that he has been exp... ...e contaminating and corrupting of the idea of innocence by the governess and not by the apparitions. There seems to be answers for the happenings at Bly however these answers appear to lie in the mental state of the governess. She seems to have developed delusions, resulting in the obsession with the ghosts and their relationship with the children. This climaxes in Flora's exit to London with Mrs Grose and Miles' death. The role of the governess in Miles' death is not clear, was he smothered by his affection? Or did he die of another cause? This story twists the truth to the extent that the true answer to what is going on is never actually revealed. All traditional aspects of this story are contorted, making it seem far more untraditional, the storyline is designed to make the reader think and ask themselves questions to which there is no clear answers.
Tuesday, October 1, 2019
Grenada :: essays research papers
For a country as powerful as the United States, there comes a responsibility to protect its allies, neighbors, and supremely itself. However, there are times when this sense of responsibility misleads the U.S. into using force that is excessive or unnecessary. We are walking a fine line of political laissez-faire and obligation to intervene, but add the element of a à ¡Ã °Lyndon Johnsonà ¡Ã ¯s obsessive fear of the spread of Castro-style communismà ¡Ã ± (Musicant 363), and consequently, we will find ourselves resurrecting gun boat diplomacy and the Monroe Doctrine. Although under the veil of ensuring safety to our citizens, the invasion of Grenada is an example of where we overstepped our legal bounds, fabricated justifications and reacted without preparation, inconsiderate of the criticism which was definite to follow. à à à à à A main concern of the United States was its 1,000 citizens on the island. Of these citizens, 600 were medical students at St. George University. Because of the political turmoil, the U.S. stated to its public that the students and citizens on Grenada were in danger. President Reagan also stated to the press that there was no way for our citizens to get off the island. However, the State Department had issued a formal note to Grenada asking about the safety of its citizen, to which the minister of external affairs replied, à ¡Ã ° The interest of the United States citizens are in no way threatened by the present situation ... which the Ministry hastens to point out is a purely internal affairà ¡Ã ±(Musicant 374). The Chancellor of the school, Charles Modica, was announcing that the students were in no danger, and that the school was expected to continue to have good relations with the à ¡Ã °Governmentà ¡Ã ± (Weinberger 108). This display of good will coincid ed with the report Margaret Thatcher, Britianà ¡Ã ¯s Prime Minister, received from the Deputy High Commissioner in Bridgetown, Barbados, who had visited Grenada, that the British citizens were safe and that the new regime was cooperating in making arrangement for those who wished to leave(Thatcher 330). The same cooperation was being offer to the U.S., contradicting the Presidentà ¡Ã ¯s statement, which was made long after notification from Grenada that Americans were free to leave on regular or charter flights. Also clearly in contradiction was Lieutenant Colonel Oliver North report to the press stating that the airports were open for two hour even the day before the invasion (Speakes 161-162). There was no evidence that the student or citizens were in any danger, except during the invasion.
My Favorite Player Essay
I have been an ardent admirer of a number of past and present athletes and sportsmen each of whom have won accolades for his outstanding skill in and grasp on a particular sport. They include renowned personalities from India and abroad who have outshone themselves in games and sports like boxing, diving, swimming, weightlifting, archery, badminton, cricket, hockey, tennis etc. Among the sportsmen who have impressed me a lot at one time or the other, the main names are of Mohammad Ali (Cassius Clay), Jaysuriya, Imran Khan, Nawab Pataudi, Sunl Gavaskar, Kapil Dev, Sachin Tendulkar, Prakash Padukone, Gopi Chand, P.T. Usha, Jaspal Rana, Capriati and Milkha Singh, also known as the Flying Singh. But the brightest star in the galaxy of all these famous names is Sachin Tendulkar, a present-day craze amongst the cricket lovers all over the world. He is an astonishing wizard of this highly popular game and has already got his name recorded amongst the four leading names of top batsmen. They are Sir Vivian Richards, Garfield Sobers, Graemen Pollock and, of course, Tendulkar. While on the field, he seems to be possessed by the All Powerful. Owing to his form, unusual game and great capacity to outmaneuver his opponents, his friends admire him in reverence; his rivals lose their guts and stamina at his sight; youngsters adore him and the elderly shower their blessings on him. Leaving his past record-breaking performances aside, we can mention his latest surprises at Centurion in South Africa for assuring his team the entry into the Super Six in the World Cup. With 98 off 75 at a terrific speed, he put India through to the Super Six and Pakistan out of the World Cup. The same day, he completed 12,000 runs in ODIs and became the first to make 1500 runs in the history of the World Cup. The Master Blaster tamed Akhtar in less than two over and left everyone speechless with his stunning assault. The happiest crowning moment in Sachinââ¬â¢s career was witnessed in Johannesburg, South Africa, on Sunday, March 23, 2003. It was the closing day of World Cup Jamboree, where the Master Blaster was given the prestigious the man of the tournament award. He had scored 673 runs at an average of 61.18 in the tournament, a new record aggregate, with one century and six 50s. Dr. Ali Bacher, Executive director of CWC 2003, had correctly remarked, ââ¬Å"We wanted this to be the Best World Cup ever, and Sachinââ¬â¢s brilliant batting has helped the tournament captivate many millions of people around the cricketing world.â⬠Sachin is a rare gem for his innumerable fans all over the world. He is one of the youngest players, is exceptionally smart and agile, is quick in his response and has unusual physical talents. He has outstanding balance, is highly competitive, has rare speed and is gifted with exceptional temperament. He has the desire to be the best and has unmatchable mental ability. He plays well against quality, pace and spins. His clashes with Shane Warne in Australia have provided some excellent theatre. His record in the past games is just superb which makes him a true champion in the world of cricket in the real sense.
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