MAR project team Essay

Strength Integrated Health consists a number of hospitals. Has an internal technology department – MIS. Has a large number of staff MAR project team is well rounded with technology. The institutions of Integrated Health are well known by the people in Tempe, Arizona. A non-profit organization, which means all the earned money minus the salary and daily operational costs of the institution, can be used for development. Weaknesses Utilizes manual processing of information. Low investment on automation. Chief Information Officer doesn’t have technical background. Some Directors doesn’t support automation and would rather have the traditional process. A large number of staff doesn’t agree with the change. Due to manual filings, specialists reported that patients endorsed to them doesn’t have files 30% of the time. Doesn’t have a change management process. MIS Staff are underestimated and their relevance is not clear to the whole organization Opportunities Lower of costs by investing on computerizing MAR. Can attract partnerships with insurance companies as they are becoming a trend. By investing in computerized MAR, less information would be missing or incorrect If medical tests would not be repeated unnecessarily, then operational costs can be lessen. Computer management of patient medication profiles offers the opportunity to enhance communication between pharmacists and nurses decrease medication errors and delays in delivery of therapy. enhance medication delivery accuracy and timeliness Threats If the computerized MAR is not implemented, insurance companies would not want to partner with Integrated Health. Increasing incorrect medical profiles of patients. If the computerized MAR is implemented, There will be dependence on its automation in the future and when it fails, operations will stop. Cost for further upgrades to fix bugs and improve services will be considered.

Disc Arthroplasty Essay

Degenerative disc disease have been a problem for many people as this disease brings about low back pain that seems to paralyze the working force,   the middle adulthood population (Smeltzer, 2004). Not only does it bring impaired quality of life to those who suffer from it, but Arvind Kulkarni adds large health care expenses to the list of problems brought about by this disease as seen in his article entitled Prosthetic Lumbar disc replacement for degenerative disc disease. Spinal fusion, which is the medical management for degenerative disc disease, has been criticized by several doctors in the practice due to its untoward effects in the patient’s overall recovery and lifetime improvement. Specialist in the field, Christoph Siepe, identified these unpleasant effects as accelerated adjacent system degeneration, pseudarthrosis, spinal canal stenosis, and donor site morbidity. Adjacent segment degeneration, as mentioned by Peter Ullrich in his article entitled Fusion versus Artificial Disc Arthroplasty for Lumbar Degenerative Disc Disease, stated that this is the major complication of spinal fusion and the reason why most surgeons want this procedure replaced. Adjacent segment degeneration or ASD happens when mechanical stress is transferred to the adjacent segment, also mentioned by Peter Ullrich. But research showed that this procedure can be modified to show more positive results. An anterior lumbar interbody fusion showed a low occurrence of revision surgery needed, which meant low frequency of adjacent segment degeneration, all pointed out in Mr. Ullrich’s paper.   However, to achieve this outcome, Mr. Ullrich declared that there should be an improvement in patient selection and in the procedure. The patients should be those patients having degenerative disc disease in their 5th lumbar to 1st sacral segment, because there is minimal motion at this level. By doing so, he states that fusing these segments do not change the patient’s mobility as much.   But not all are satisfied of this result. Doctors and specialists are continuously making efforts to totally changing the primary medical management for degenerative disc diseases. Studies have been conducted, and several replacement procedures were approved by the FDA. Peter Ullrich stated in his paper that the total disk replacement procedure was approved for medical use by the FDA in the year 2004 using the Charite artificial disc but for only one level of the spinal vertebrae, being the L4 – L5 or the L5 – S1. This is not the first time that a total or partial disc replacement was done. The history of this procedure was mentioned in an article in a website by Spine-Health that disc nucleus replacement was done first in 1955 by David Cleveland by injecting methyl-acrylic. Ever since then, there have two other FDA approved products aside from the Charite, the website Spine-Health states that the Prodisc was approved on August 2006 and the Kineflex lumbar on June 2005.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   A total disc replacement is being described by Jose Reyna in his article, Advances in Artificial Disc Technology, as being composed of two pieces of plates made of metal that has teeth to be able to attach itself to the end plates of the vertebral bones above and below it. This means that the particular intervertebral disc that is causing pain has to be removed and replaced by an artificial disc. Several artificial discs have been developed by various manufacturers in the country and they only differ in design and composition. The Charite, as mentioned earlier, is made up of a unique sliding core with two metal alloy end plates. The Prodisc being based on spherical articulations is made up of cobalt chromium molybdenum alloy as stated in the website Spine-Health. Inventors Qi-Bin Bao and Paul Higham developed a hydrogel prosthetic nucleus made up of PVA powder and a solvent mixed together, as seen on the article, Hydrogel intervertebral disc nucleus with diminished lateral bulging. The total disc replacement procedure has its advantages and disadvantages. Even after some models being approved by the FDA, it is still being assessed thoroughly by specialists in the field. Charles Rosen and Douglas Kiester report poor results and complications in the total disc replacement procedure. As it was mentioned in their study, this procedure causes fractures, severe pain, dislocations, extrusion of the implant, facet joint degeneration, and unexplained radiculopathy. They attribute these substandard results to the fact that the center of rotation of segmented motion is erroneous. Jose Reyna Jr. also mentions several disadvantages of the procedure in his study, stating that the anterior approach to the surgery can cause injury to the aorta and the common iliac vessels, can cause retrograde ejaculation in men by injuring the superior hypogastric plexus, hemorrhage can result from the retroperitoneal approach, and infection can occur. However, he also stated some advantages, as this procedure is said to maintain range of motion in majority of the patients as a long-term outcome. There are still a lot of studies to be conducted, and patients to be experimented on. A three year study conducted by Christoph Siepe et al., entitled Clinical Results of Total Lumbar Disc Replacement With ProDisc II: Three-Year Results for Different Indications, intended to assess total disc replacement outcome in patients who actually underwent the operation. Their results showed that not all degenerative disc diseases can be treated with this medical management. The best outcome was seen in patients exhibiting degenerative disc disease condition plus soft disc herniation or nucleus pulposus prolapse. Outcome was measured against the patient’s improvement from their preoperative levels. There were inferior results from the patients who had bisegmental damages, and a higher complication rate. Also it was mentioned that the younger patients, more specifically those aged below forty exhibited better outcome than those older than forty. Technology like this is still being developed, studied and modified as we speak. What is important is that there are people out there who care and who try to make a difference, whether it is by inventing, criticizing or being the experimental person wherein these new devices will be made a reality. References Charles Rosen, Douglas Kiester, Thay Q. Lee: The Potential Biomechanical Etiology for Lumbar Disc Replacement Failures: Review of 24 Patients and the Rationale for Revision . The Internet Journal of Minimally Invasive Spinal Technology. 2007. Volume 1 Number 2. Medscape. (2002). Advance in Artificial Disc Technology. Retrieved January 22, 2008 from http://www.medscape.com/viewarticle/445057 Medscape. (2002). Clinical Results of Total Lumbar Disc Replacement With ProDisc II: Three-Year Results for Different Indications. Retrieved January 22, 2008 from http://www.medscape.com/viewarticle/542479 Neurology India. (2005). Prosthetic Lumbar disc replacement for degenerative disc disease. Retrieved January 22, 2008 from http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2005;volume=53;issue=4;spage=499;epage=505;aulast=Kulkarni Neurospine. (no indicated year). Fusion versus Artificial Disc Arthroplasty for Lumbar Degenerative Disc Disease. Retrieved January 22, 2008 from http://www.neurospinewi.com/newsletters/fusionvsartificial.html Patent Storm. (1996). Hydrogel intervertebral disc nucleus with diminished lateral bulging. Retrieved January 22, 2008 from http://www.patentstorm.us/patents/5534028-fulltext.html Smeltzer, S. and Bare, B. (2004). Medical-Surgical Nursing. Philadelphia: Lippincott Williams & Wilkins. Spine-Health. (1997-2007). Lumbar artificial disc surgery for chronic back pain. Retrieved January 22, 2008 from http://www.spine-health.com/research/discupdate/artificial/artificial01.html

Crystal Science Fair Project Tips and Ideas

Crystals can make interesting and fun science fair projects. The type of project depends on your educational level. Here are some examples of crystal science fair projects and ideas to help launch your own creativity in choosing your own project. Make a Collection Younger investigators may want to make a collection of crystals and work out their own method for grouping the crystals into categories.  Common crystals include salt, sugar, snowflakes, and quartz. What other crystals can you find? What are the similarities and differences between these crystals? What materials look like crystals, but really arent? (Hint: Glass doesnt have an ordered internal structure, so it isnt crystal.) Make a Model You can build models of crystal lattices. You can show how lattice subunits can grow into some of the crystal shapes taken by natural minerals. Prevent Crystal Growth Your project can involve ways you might prevent crystals from forming. For example, can you think of a way to keep crystals from forming in ice cream? Does the temperature of the ice cream matter? What happens as a result of freezing and thawing cycles? What effect do different ingredients have on the size and number of crystals that form? Grow Crystals Growing crystals is a fun way to explore your interest in chemistry and geology. In addition to growing crystals from kits, there are lots of types of crystals that can be grown from common household substances, such as sugar (sucrose), salt (sodium chloride), Epsom salts, borax, and alum. Sometimes its interesting to mix different materials to see what types of crystals result. For example, salt crystals look different when they are grown with vinegar. Can you figure out why? If you want a good science fair project, it would be better if you tested some aspect of growing crystals rather than simply growing pretty crystals and explaining the process. Here are some ideas for ways to turn a fun project into a great science fair or research project: How does the rate of evaporation of the crystal-growing medium affect the final size of the crystals? You can change the rate of evaporation by sealing the container (no evaporation at all if there is no air space) or by blowing a fan over the liquid or enclosing the jar of medium with a desiccant. Different places and seasons will have different humidities. The crystals grown in a desert may be different from those grown in a ​rainforest.You will usually heat water or another liquid to dissolve a solid to grow your crystals. Does the rate at which this liquid is cooled affect the way the crystals grow? You can compare crystals allowed to cool at room temperature to those formed from cooling the liquid in a refrigerator.What effect do additives have on the crystals? You could add food coloring, flavorings, or other impurities. How do crystals grown from non-iodized salt compare with those grown from iodized salt?What steps can you take to maximize crystal size? Developing a pr ocedure is a form of experimental science. You can affect parameters such as vibration, humidity, temperature, the rate of evaporation, purity of your growth medium, and time allowed for crystal growth. The type of container used to grow your crystals may make a difference, as could the type of string used to suspend a seed crystal (or other method used to grow a crystal). Are you changing containers when crystals start to grow that could compete with your seed crystal? There are lots of things to think about! Some may have a major effect on crystal growth and others may be negligible. Does light/dark effect growth? Probably not for a salt crystal, but it could for a substance that is degraded by visible radiation.If you are up for a challenge, you can make predictions about the shapes of crystals before you grow them, based on their molecular structures and molecular geometry.

Communication Skills - 2217 Words

Module: Interpersonal Skills Student: Indiyana Saad Tutor: Pauline Pearsons Assessment name: interpersonal communication skills Term: 1 Year: 2008 Assessment: 1 Assessment Type: Essay Word Count: 1929 Date due 21/04/2008 Details of Assessment Discuss the following statement in the light of the theory covered in this module: Communication is not an easy process. It involves verbal and non-verbal attempts to assist the other person to understand what we are trying to communicate. Yet it often fails. Introduction Everyone communicates, everyday, in a different situations, and places; be it at home, work, and college. This communication takes many forms and styles, has elements and processes. Likewise, interpersonal communication is useful†¦show more content†¦More to the point, the communication takes place within a context that applies great influence on what people say and how they say it. DeVito (1991) declared, People would not communicate at an important job interview in same way they would talk with a friend or family member (p.22). Although the communication process may seem simple, it in essence is not. Certain barriers present themselves throughout the process. Those barriers are factors that have a negative impact on the communication process. Some common barriers include the use of an inappropriate medium (channel); language that becomes a problem when the sender and receiver do not have a similar vocabulary level (Walton and Jeffery, 1995, p.5). In other words using unclear terms that conflict with body language, and technical jargon, will leads to failure and the receiver will fall short to understand readily the purpose of the message. However, poor listening skills or when the receiver is interrupted by noise or distractions, as well as personal bias or individual thoughts and feelings that based on experiences, background, cultural or sociological factors that leads to changes in sending and receiving information. As well as communication, styles between cultures can interfere with communication. Again , the environments in which people send or receive messages influence how effective the communication is. Being a good communicator is vital in helping people increasing effectiveness when workingShow MoreRelatedEffective Communication And Communication Skills Essay1146 Words   |  5 Pagesa team to collaborate, delegate and consult. In order for this team effort to be effective, good communication skills must exist between medical professionals. Many times, messages can be altered and interpreted differently; if the conditions for transmission barriers develop. 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While some of our daily interactions may only be impersonal communication, or interacting with someone based on their role, such as a sales clerk, interpersonal communication helps usRead MoreCommunication Skills17602 Words   |  71 PagesPractice-Based Learning Communication SKILLS www.practicebasedlearning.org A resource commissioned by the Making Practice Based Learning Work project, an educational development project funded through FDTL Phase 4 Project Number 174/02 and produced by staff from the University of Ulster. www.practicebasedlearning.org Tara Dixon, Project Manager, University of Ulster Martin O’Hara, Management Consultant Author Aims and Learning Objectives 2 Introduction 3 Section 1: The Communication Process 4 Section 2:Read MoreInterpersonal Communication And Communication Skills Essay1785 Words   |  8 PagesThere are many aspects of interpersonal communication that one must be able to manage with proficiency in order to be considered a competent interpersonal communicator. These aspects have been divided into six different categories including appropriate, effective, adaptable, conversational involvement, conversational management, and empathy. The table below indicates my personal scores in each of those six areas, and following the chart is an in-depth analysis of appropriate, effective, conversationalRead MoreCommunication Skills For Managers : Acceptable Communications Skills791 Words   |  4 PagesCommunication Skills for Managers Acceptable communications skills help reduce the barriers associated with language and cultural differences. Managers avoid cultural confusion and miscommunication by taking diversity training early in their careers. Effective communication increases productivity and helps the department run steady. Managers are responsible for their staff s cohesiveness. Employees have a sense of trust for their manager when they have an open dialogue. This dialogue includesRead MoreThe Art Of Communication Skills804 Words   |  4 PagesThe Art Of Communication   Good communication skills are a vital component in the corporate world. Brian Williams | Writer Individuals in the present society have discovered advanced and technological ways of communication. Technology has made it tremendously easier for people to communicate. The world has grown into the center for technology with new technology being created on a daily basis.   Communication   Communication is a is a two-way processRead MoreTeam Communication Skills1014 Words   |  4 PagesTeam Communication Skills In addition to good individual communication skills, the team itself needs to form communication skills. Cohen (2008) looks in detail of the communication skills the team should establish for good overall communication. In addition, the article also goes to explain how commutation plays a role in conflict resolution, and what group rules the team should create when conflict occurs. As a team, creating a protocol for conflict management is important. This includes how theRead MoreImproving Communication Skills1095 Words   |  5 PagesImproving Communication Skills Action Plan Aim: The aim of this experiment is to develop a better degree of communication skills. This purpose will be met by using different communication skill management strategies. Communication is targeted at conveying your message to others clearly and without any ambiguity. According to Wikipedia Communication a process whereby information is enclosed in a package and is channeled and imparted by a sender to a receiver via some medium. TheRead MoreCommunication Skills For Patients With Cancer4432 Words   |  18 PagesCommunication skills, a core element in the care of patients with cancer, is essential for properly managing the expectations of patients and carers, especially in difficult consultations like breaking bad news and in end of life care situations. According to Maguire(2002), â€Å"Good communication skills in medical practice can be learned and can always be enhanced†. Results of the randomised studies by Fallowfield (2002,2003) have shown that key communication ski lls can be improved by trainingRead MoreInterpersonal Communication Skills Test On Communication754 Words   |  4 Pages I took the Interpersonal Communication Skills Test on â€Å"Queendom.com†. It seemed relevant to my work as a counselor since I will be communicating with clients on a daily basis. The goal of this test is to determine how effectively someone communicates with others, as well as to offer beneficial advice in order to improve any problems one may have that could slow down the communication process. This test is a valuable instrument for employees in the counseling profession since it is a career of

The Eagles As A Backup Band For Linda Ronstadt - 1471 Words

Better Let Somebody Love you The Eagles started out as any other band would by strumming their guitars and beating the drums in their garage of their parents house. Later, they began their real career as a backup band for Linda Ronstadt. The Eagles began as an all American Rock band in Los Angeles in 1971 by band members Glenn Frey, Don Henley, Bernie Leadon, and Randy Meisner. The Eagles, being number one in the world in the 70’s, have been given awards for their creativity and meaning in their music. â€Å"With five number-one singles, six Grammy Awards, five American Music Awards, and six number one albums†(Graff), the Eagles were one of the most successful bands of the 1970s. Their music changed history in their time. Many of their songs on their number one albums got into the â€Å"Rolling Stones Top 500 Songs of All Time† list†(Graff). This song Desperado means a lot to me because it played on the album that I used to sing along in the car with my mom and sister when I was a smal l child. It acts as part of a symbol in the childhood that I so dearly cherish, and long to return to. The song is played on the album â€Å"Their Greatest Hits† and has a more country beat to it, which I enjoyed more, than their more rock and roll take on their music. When I sing along to this song, or any song on this album, I am taken back to the days where all the windows were down in my mom’s white minivan, blowing my blonde wispy curls in my face, and the heat of the warm sunshine on my skin. I thinkShow MoreRelatedI Am A Long Time Fan Of Diana Krall1684 Words   |  7 PagesDiana Krall, that would not happen. Being the smart woman that she is, she starts the album with two of the strongest songs â€Å"California Dreamin’† and â€Å"Desperado.† These were definitely worthy of a fresh, new cover; Ms. Krall, with a couple amazing backup singers, Graham Nash and Stephen Stills, provides exactly that. While it wasn’t all downhill after the first two songs, there was more waxing and waning in finding value in her covers of the songs. While none of them were bad, some just didn’t seem

Cleopatra Queen of Egypt Essay Example For Students

Cleopatra Queen of Egypt Essay Cleopatra Queen of EgyptWhat would you be doing when youre 17? Most teens would party, but whenCleopatra was 17, she became the Queen of Egypt. Cleopatra V11 was born in 69BC. and died in 30Bc. Between 69BC. to 30BC, she was the last pharaoh. Cleopatralived most of her life in Alexandra with her brother Ptolemy. Cleopatramarried her brother Ptolemy, because they wanted to rule Egypt together. Theydid for quite some time. But it all changed when Ptolemy got sick and died. After the death of Ptolemy she found a great emperor who she then fell in lovewith, and then married. She then became a woman of great ambition, intelligence,vigor, and fascination. Thats when she gained both the love and thepolitical and military support of first Julius Caesar and then Mark Antony. Because she was a Ptolemy, Cleopatra had a negative effect on Egypt as seen inher relationship with Julius Ceasar and Mark Antony. English

Marine Corps Issue Viewpoint Essay Example

Marine Corps Issue Viewpoint Essay Is a very well written story told from the 1st person point of view. If It was written In any other point of view the essence of the story would be lost. 1st person point of view reveals the most about the character, It shows the emotions and the different phases he/she passes through In the story. I think that It Is best that It Is written In 1st person because It becomes more readable and Interesting to hear a personal account. If It were to be written In 3rd person (limited/ omniscient) it would not be the same and would not be as emphatic and moving. If it as told in 3rd person it would have sounded like a story in a history book. The author wants us to realize the real damage done by war on the victims and their families that are not taken into account but scar them emotionally. For this reason a first person point of view was the only way to tell the story. Flashbacks are used effectively to give us the sense of the past and help us identify with the characters. We are shown the war through the eyes of Jonathan. First person view gives the plot its strength, because it has the power to move our emotions. We will write a custom essay sample on Marine Corps Issue Viewpoint specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Marine Corps Issue Viewpoint specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Marine Corps Issue Viewpoint specifically for you FOR ONLY $16.38 $13.9/page Hire Writer It is not an interpretation of the events by an outsider but a firsthand experience narrated by one affected. The point of view effects the characterizing in the story because you see the characters through a persons eyes, and whatever the person thinks of these people is what passes on to you as their description. The theme presented in the first person is all the more dramatic, shown through a person eyes it wouldnt be powerful enough in another view. The conflict essential to the plot of a story, it doesnt have to be spelt out but is conveyed throughout the story in silent tones. It could be involved in another perspective but would not be expressed as naturally. As I mentioned before, the story is very moving because we can Identify with the feelings and experiences of Jonathan. A different perspective of third person would still tell us the story but we would not be able to develop as close as an empathy with him. The most Important part which plays In first person In Marine Corps Is the choice of character. In choosing a child as the mall character and the narrator In order to present a frightening truth, the author ensures that the Impact Is great. I think the respective In which the story Is told fits perfectly with the purpose of the story. If the view point was changed the outcome would be completely different. Ail Razz M. Seed is a very well written story told from the 1st person point of view. If it was written in 1st person point of view reveals the most about the character, it shows the emotions and the different phases he/she passes through in the story. I think that it is best that it is written in 1st person because it becomes more readable and interesting to hear a personal account. If it were to be written in 3rd person (limited/ errors is all the more dramatic, shown through a person eyes it wouldnt be powerful enough in another view. The conflict essential to the plot of a story, it doesnt have to mentioned before, the story is very moving because we can identify with the feelings most important part which plays in first person in Marine Corps is the choice of character. In choosing a child as the main character and the narrator in order to present a frightening truth, the author ensures that the impact is great. I think the perspective in which the story is told fits perfectly with the purpose of the story. If the