Saturday, January 25, 2020

Poverty in Sudan: Trends and Causes

Poverty in Sudan: Trends and Causes To measure the trends of poverty in a systematic way one needs a continuous flow of household-level data pertaining to income and expenditure. The first household budget survey carried out in Sudan was in 1968 followed by the second one on 1978. In 1992 the ILO funded the migration and labor force survey. Also, in 1992 the Social Solidarity fund funded the poverty line survey. In 1994, Ali adopts a direct approach to assess the impact of the Structural Adjustment Programs (SAPs) (1978-1986) on poverty in Sudan. However, and before reviewing poverty in Sudan let us glimpse the factors behind poverty in Sudan. Causes of Poverty The causes of rural poverty in Sudan are to be found in the sustained urban bias of the development strategies adopted since independence. This tended to neglect the traditional agricultural sector where the vast majority of population lives and is the main source of rural livelihood. This has resulted in high rural to urban migration unaccompanied by either increased productivity in the sector or sufficient urban development to generate the necessary urban employment opportunities. Note that the development of the agricultural sector was completely ignored but it was dichotomous in nature in the sense that the Islands of modern irrigated agriculture coexisted side by side with the vast traditional rain –fed agriculture. While the former benefited from modern scale specific technologies and market access, the latter lagged behind in terms of production technologies, finance, management, research, extension, market access and rural roads. As a result of this unbalanced urban/ru ral development structure, the traditional agricultural sector continued to be the major source of limited supply of unskilled labor to urban centers thereby swelling the ranks of the informal labor markets where there is little employment at or near the subsistence wage level. This has also exerting additional pressures on the already limited and over stretched social services and facilities. These trends were further aggravated by those displaced by both natural (rainfall failures leading to famines) and manmade disasters. El Tahir M. Nur (1992). In addition and throughout the period since independence, there has been a clear pro- urban bias in policies adopted by successive governments. These manifested themselves in the provision of a reasonably adequate social and economic infrastructure not matched by similar facilities in the rural areas. These pro- urban biases were further strengthened by the long running policies of subsidizing a variety of goods consumed by urban population. However, such goods were out of reach of many of most of the urban poor particularly, the recent migrants from rural areas who represent the poorest of the urban poor who are manually employed in the marginal jobs in the informal sector. But, it must pointed out that most of these consumption subsidies have been abolished under the recent economic reform programs, though electricity and piped water are still subsidized such that piped water is cheaper in urban than in rural areas. The effects of urban bias were further aggravated by government ma rketing policies for some of the major export crops mostly grown in rural traditional sector, where export monopolies very much along the lines of the old marketing boards, were established for Gum Arabic, oilseeds (abolished in late 1980s) and more recently livestock. This marketing structure has adversely affected farmers’ incomes, their incentives to increase production and their chances to raise their living standards. In the context of poverty alleviation, the current marketing structure for those exports needs radical reform. As discussed above, causes of poverty are more complex. Part of the explanation is certainly the lack of rural focus in the various development efforts since independence. The other part of the explanation relates to the basic characteristics of the traditional sector. In other words, it is vulnerability that constitutes the major cause of impoverishment and deprivation in the traditional sector. The unstable climatic conditions of rural Sudan, with their characteristics of frequent rainfall variability, have from time immemorial altered rural producers to the periodic oscillation from feast to famine situations. A basic strategy of rural producers was and continues to be hoarding of surpluses in good years to transcend the hardships of lean years. Furthermore, conflict in Sudan, as in elsewhere; represent the most devastating factor to nation’s infrastructure and welfare. Therefore, the civil strife took place in various parts of the country since independence, represents one of the most ravaging factors and has a tremendous impact on poverty situation in the country. Thus, southern Sudan was the most severe conflict and has been counted as the most destructive elements of development in the whole country. The war has also resulted in numerous cases of Internally Displaced Persons (IDPs) and returnees whose situation become aggravated after they were but in zero stage of living. The problems of debt and the deterioration in donor community relations have also a tremendous effect on the poverty situation in Sudan. The International Institutions such World Bank and African Development Bank used to finance several sectoral developmental projects that have a direct impact on population welfare. However, the absence of those institutions has resulted in an un-bridged gap in terms of resources availability that reduces employment opportunities. Magnitude and poverty trends It is most important to note that the poverty trends differ very slightly and sometimes vary greatly between groups. In general terms, the number of the poor people in rural areas has increased with a rate nearly equal to the rate of population increase. And the number of the poor urban household has increased at a higher rate than the urban population growth rate. This situation was created due to immigration took place from the rural areas to urban centers responding to the economic incentives consistent with the objectives of maintaining industrial revolution centered in urban sector. However, as we mentioned earlier, the industrial sector was not able to absorb the rural migration. An elaboration of poverty situation will be presented in the sub-periods below depending mainly on studies made by Ali Abdel Gadir: â€Å"Poverty and Structural Adjustment Programs in Sudan†. The trend of head count index in Sudan over this period (1968-1978) had been increasing at an annual rate of 0.5% Annex 4. Over the same period, the number of rural households had been growing at a rate equal to the rural population growth rate while the number of poor urban households had been growing at a rate higher than the urban population growth rate. Over the same period, the poverty gap ratio in the whole country had been decreasing at an annual growth rate of 0.64%. This shows that although poverty had been spreading at an annual rate of 0.5 % over the period, the economic conditions of the poor had improved over the same period. The rural urban poverty structure emerged as a result of a hasty adoption of dual economy development modules that advocate development through the transfer of cheap labor from the rural traditional sector (agriculture) to the urban modern sector (industry). Urban modern wage sector failed to absorb the rural migrants and marginal urban jobs by the rural migrants (the informal sector) proved not to be a stepping stone to the formal wage sector. During the period (1978-1986) the headcount index increased from 54.3% in 1978 to 77.8% in 1986 at an annual rate of increase 4.6% and the rural urban poverty disparity was that the rural headcount index for urban increase from 20.5% in 1978 to 52.9% in 1986. However, the rural incidence of poverty (83.1) remained higher than the incidence of urban poverty (53%). However, the period had witnessed that the incidence of urban poverty had been growing at a higher annual rate 12.6% than the rural (3.3%). Meanwhile, the number of poor families in Sudan increased from 1.7 million in 1978 to 2.7 million in 1986 in an annual rate of 6.2% which is higher than the population growth rate. Up to 1986, the number of the poor rural families exceeded the number of the urban poor families by 2.33 million but growth rate of the poor urban families exceeded that of rural by 9.4% percentage points ( Nur, 2003:5). The observed high pace of the incidence of urban poverty (12.6%) over the period (1978-1986) was attributed to the structural adjustment programs (SAPs) and the urban bias development policies (i.e. the development that overlooks the rural areas without creating enough urban jobs) coupled with urban poverty growing faster than rural poverty. Sudan poverty gap index, over the period (1978-1986) increased from 23.1% in 1978 to 45.4% in 1986 at an annual rate of increase of 8.8%. This implies that, given the incidence of poverty, the income gap ratio increased from 42.6% in 1987 to 58.4% in 1986 at an annual rate of increase of 3.9%. By contrast, during the period (1968-1976) the incidence of poverty has been increasing at an annual rate of 0.5% but poverty and income gap ratio has been decreasing at an annual rates of 0.64% and both 1.2% respectively (improve economic conditions of the poor). Comparing the two periods, we notice that the poverty levels, both in urban and rural, have in creased sharply. Therefore, the situation has become more and more complicated and the existing social safety nets ( Zakat and other social funds) were unable to address the phenomena at that time. During this period, the incidence of poverty has also increasing. The national headcount index increased from 77.8% in 1986 to 91.4% in 1992. The rural and urban headcount indexes increased from 82.1% to 93.2% and from 52.9% to 84.4% respectively. In addition to, the number of poor households increased from 2.71 million, in 1986 to 3.43 million in 1992 at an annual rate of increase of 4% (Nur, 2003:7). The poverty trend is shown below in Annex 4.The national poverty gap index increased at an annual rate of 1.7% over the period (1986-1992). The rural and urban poverty indices increased at an annual rate of 1.4% and 2.9% respectively. The national urban mean income of the poor as a ratio of the poverty line decreased over this period from 0.42 to 0.33, from 0.54 to 0.43, and from 0.38 to 0.22 respectively. This indicates that poverty had been deepened all over the country, particularly in the rural areas. Generally, three main poverty indicators namely, the head count index, the income gap index and poverty gap index, had been increasing at an increasing rate all over the period. It is also revealed that structural rural and urban forms of poverty exist in Sudan since 1986 and continued to exist at higher rates. Again, the continued urban bias characterized development in Sudan, overlooked the agricultural sector, lead to reduction in rural livelihoods. The result is that high rates of rural migration took place without creating sufficient employment opportunities for immigrants, coupled with displacement resulting natural and manmade disasters has worsened the situation. The public spending on social services like health and education was reduced and the poor are obliged to pay for these essential services, putting more pressure on their earnings in the formal sector defected their coping efforts to catch up with the rising cost of living. During this period, there is a serious vacuum in the data about poverty and other human indicators that have direct or indirect relation with surveys. Therefore, this period depend very much on perceptions and nobody dared to come out with results on poverty since no recognized survey oriented research is conducted in this field. However, several attempts were undertaken to tackle the issue. These attempts were not able to cover that huge gap through time (i.e. time series data to cover the period 1994-2003), although, they were able to produce an acceptable results and arguments that could be used as a proxy for the poverty phenomena in Sudan. The most interesting attempt has conducted by Eltahir M. Nur â€Å"Human Poverty in Sudan (2000); Magnitude and Distribution† then updated in 2003. Human Poverty As poverty in the human development perspective manifests itself in the deprivation of lives that people can lead, Tahir Nur methodology identified three main areas of human deprivation that correspond to the three human choices. These areas of deprivation include deprivation in survival, deprivation in knowledge, and deprivation in economic provisioning. Size and distribution in deprivation in Survival Deprivation in survival is all over the country but particularly high in the rural areas. While the rural national averages of means or the probabilities that a person will die before age 40, a child will die before age 5, and an infant will die before his (her) first birthday are 20.2%, 10.5%, and 7.2%, the urban national means of the same poverty indicators are 19.4%, 9.95% and 6.89% respectively for North Sudan where data is available, are 22.77%, 11.73%, and 8.10% respectively. From this comparison, we conclude that in terms of South–North, urban deprivation in the South is higher than that in the North but the differences in poverty indicators are small. Within the North, the rural deprivation in survival is higher than the urban one and again the rural urban differences in poverty indicators are small. Looking at the state rural ranking of poverty, we note that the top five states in rural poverty are the Red Sea, the Blue Nile, Kassala, South Kurdufan, and North Darfur. Their group means of the three poverty indicators (29.66%, 15.52%, and 10.52%) are higher than the national means (23.59%, 12.3%, and 8.334%) of the same poverty indicators. We also note that the states with the least rural deprivation in survival are El Giezira, the northern, the River Nile, North Kordufan, West Kurdufan, and South Darfur– arranged by the order of being the least poor state. The probability that a person will die before age 40 is the largest component of the deprivation survival index throughout the States – a great loss of productive human capital. Size and distribution of the deprivation in knowledge The rural national deprivation is almost double the urban national deprivation in knowledge. While the rural national means of inaccessibility to media, adults illiteracy rate, basic education dropout rate, and secondary education dropout rate are 67.2%, 27.4%, 9.8%, and 53.6%, the urban national means of the same poverty indicators are 42.4%, 15.8%, 26.8%, and 27.4% respectively. Therefore, priority in the re-education of the deprivation in knowledge should go to rural areas. Provision of basic and secondary education service is vital for the reduction in the deprivation in knowledge because education dropout rate is the major component of the deprivation in knowledge index in all the States and across the board of rural and urban location. The rate of inaccessibility to media (radio and T.V) is the largest component of the rural deprivation in knowledge index. Upon raking the states by the basic education dropout rate, the States of the Blue Nile, North Kurdufan, West Darfur, North Darfur, and South Kurdufan come top in the state – level rural profile of the deprivation in knowledge. Their rural group means of inaccessibility to media (75%), adults illiteracy rate (29.3%), basic education dropout rate (69.6%), and secondary education dropout rate (71.1%) are higher than the national rural means (67.2%, 27.4%, 49.8%, and 53.6%) of the same poverty indicators respectively. For the national urban poverty ranking, while the blue Nile and west Darfur states retain their positions among, Wau, and Malakal replaced North Kurdufan north Darfur, as South Kurdufan as top poor urban areas in knowledge. While rural Khartoum is among the middle poor state in knowledge, urban Khartoum is among the least poor states in knowledge. In view of these results, basic, secondary, and adults education services should be extended to the rural areas with emp hasis on the top five poor states. Size and distribution of the deprivation in economic provisioning Rural national deprivation in economic provisioning is higher than the urban national one. The rural national means of the proportion of people with no access to electricity (75.5%), with no access to safe drinking water (46.7%), with poor sanitation (46.5%), dependent on the use of biomass energy (79.6%), below food poverty line (55.9%) are higher than the urban national means except for the head count index (80.9%) and the proportion of people dependent on the use of biomass energy (82.8%) which are higher in the urban areas. However, the rural national mean of the composite poverty index (59%) is higher than urban national mean of the composite poverty index (54%). Therefore, rural areas rank number one in the deprivation of economic provisioning. On average, while the proportion of people who have no access to electricity (75.5%) and that of those who depend on the use of biomass energy (79.6%) are the highest rural poverty indicators the latter (82.8%) and the proportion of thos e who are below food poverty line (80.9%) are the highest urban poverty indicator The experience of the Sudan, however, is unique. Some studies came out with, â€Å"despite the relatively high growth, evidence seems to suggest that its effect did not trickle down considerably to reduce poverty or expand formal employment opportunities†. Ibrahim A. Ibrahim et al (2001:11) While people expecting the poverty levels be reduced as the country’s GDP increased, there is strong allegation that poverty is increasing. In conclusion, while worldwide benefited from the global economic growth, Sudan did get to know that experience and the effect of economic growth on poverty is still very minute in general perception. Although, the prompt reason to think about is the mal-distribution of income, yet, the situation has many other interpretations and this area will further be elaborated in coming paper.

Friday, January 17, 2020

Boewulf and Gilgamesh Similarities Essay

Beowulf and Gilgamesh were similar in many ways, even though they were written century’s apart from one another. These two stories (similar as they may be), also have their differences. The similarities, differences, character motivations, and use of symbolism make these great stories. A major similarity is that Beowulf and Gilgamesh want to be remembered as glorious heroes forever. They both feel as though they have to do great and daring things to achieve this. They were both in a position of high honor and power. Beowulf became king of the land he had defended against Grendel and his mother. Gilgamesh was one third human and two thirds god. Also, both heroes had won their battles in heroic and memorable ways. Beowulf rips Grendel’s arm off and had decapitated his mother, using a giant forged sword. Gilgamesh had chopped off Humbaba’s head with one mighty slash. There are also some major differences between these epic stories. For instance, Beowulf fought all his battles alone and unaided. Yet, Gilgamesh had a partner, one who acted as his voice of reason, by the name of Enkidu. As Gilgamesh went on into battle, he went in wearing full armor and wielding weapons, but Beowulf chose to enter his first fight wearing nothing at all and wielding no weapon. Each character had their motivations to fight, in some ways they were similar motives. Beowulf fought for nothing but fame and glory. All he wanted was to be remembered for eternity and to accumulate as much wealth as he could. Save us/ once more, and again twisted gold/ Heaped up ancient treasure, will reward you for the battle you win† (Beowulf 445-448). Gilgamesh also fought for fame and glory, but he had other motives too. One of his other motives was to fight to give hope to the youth, giving them something to strive for and model themselves after. â€Å"The youth of Uruk need this fight. They have grown soft and restless† (Gilgamesh 30-32). He was also motivated by wanting to push the limitations that the gods have set for everyone.

Thursday, January 9, 2020

The Crucible By Arthur Miller - 1951 Words

It’s 1692 in Salem, Massachusetts, an extremely pious Puritan settlement in the New World. You are a woman in this strict society, and you are expected to keep your mouth shut and please your husband. You have virtually no power and your opinion is often overlooked, even when you are permitted to express one. This ideal for a woman is what was present in Arthur Miller’s The Crucible. While the women of Miller’s play are diverse, they were generally treated as inferiors and expected to be subservient, although most of the women were adamant to express their opinions when given the chance, and some even went to great lengths to attain power. Some of the key female characters that embody specific archetypes of women are Abigail, Mary Warren, Elizabeth, and Rebecca Nurse, and Miller uses these characters to convey both a message within the play as well as a larger message about society as a whole. Arthur Miller’s The Crucible possesses an intense plot beginnin g with Puritan girls dancing in the woods, only to be discovered by the minister of Salem, Parris. Faced with severe punishment after two of the girls begin acting strange, Tituba, the slave accompanying the girls in the woods, confesses to witchcraft and accuses others of witchcraft. The girls of Salem, seeing an opportunity to seize power, confess also to being forced to pact with the Devil as well as accusing others of being witches, and the leader of their witch-hunting pack is Abigail, a very opinionated girl whoShow MoreRelatedThe Crucible By Arthur Miller1269 Words   |  6 PagesAt first glance, the playwright Arthur Miller in The Crucible highlights the historical significance of the Salem Witch Trials of 1692, but in fact it is an allegorical expression of his perception of McCarthyism. If the reader has some background information on Arthur Miller’s victimization as a communist, it is evident that the play is a didactic vessel illustrating the flaws of the court system in the 1950’s. The communist allegations were launched at government employees, entertainers and writersRead MoreThe Crucible By Arthur Miller1681 Words   |  7 Pagesof their way to the last dying breath to make sure they leave with a good or bad reputation. In one of the recent literature study in class â€Å"The Crucible† by Arthur Miller, Miller uses characterization to illustrate reputation throughout the play. â€Å"The Crucible† takes place in Salem, Massachusetts. It is based upon the Salem witch trails. In â€Å"The Crucible†, we journey through the life of three characters who reputations plays a major role in the play. The three characters are John Proctor, AbigailRead MoreThe Crucible By Arthur Miller1333 Words   |  6 PagesAs the various characters in The Crucible by Arthur Miller interact, the dominant theme of the consequences of women’s nonconformity begins to slide out from behind the curtains of the play. Such a theme reveals the gripping fear that inundated the Puritans during the seventeenth century. This fear led to the famous witch-hunts that primarily terrorized women who deviated from the Puritan vision of absolute obedience and orthodoxy. Arthur Miller presents his interpretation of the suffering by subtlyRead MoreThe Crucible By Arthur Miller998 Words   |  4 Pagesmotivated by jealousy and spite. The Crucible is a four-act dramatic play production that was first performed on January 22, 1953. Arthur Miller used dialogue within the characters to cover the multiple themes; conflicts and resolutions, plus the few directions for the different actions of the play. The Salem Witch Trials were intended to be performed as the play however, when read, it can be more carefully examined and broken down to analyze the techniques. Miller, the playwright, uses literaryRead MoreThe Crucible By Arthur Miller1145 Words   |  5 PagesUnbalance Through The Centuries In Arthur Miller’s play, The Crucible, the author reflects the persecution of communists in America in the 1950’s through a recount of the Salem witch trials. It is often presumed that Miller based his drama directly off of events that were particularly prevalent in the years surrounding the publication of The Crucible- which was released in the year 1953, towards the conclusion of the Korean War. Although there was not a literal witch hunt occurring during this timeRead MoreThe Crucible By Arthur Miller1063 Words   |  5 PagesIn the English dictionary, there are three definitions of the word crucible. One is a metal container in which metals are mixed and melted. Another is a severe test. But the third definition, and the one that I think fits the best for this book, is a place or situation in which different elements interact to create something new. In my mind, this fits because all of the characters had their little grudges and dirty secrets. But when all th ose seemingly little things interact, they formed somethingRead MoreThe Crucible By Arthur Miller1285 Words   |  6 Pages Rationale, Morality, Stereotypes, Pressure, Self-Censorship, Unanimity, and Mindguards. Groupthink has also taken place in our history a a country. The play, The Crucible by Arthur Miller is about a the real-life Salem Witch Trials that happened in 1692 - 1693, in Salem, Massachusetts. Some symptoms of Groupthink found in the Crucible are Rationale, Pressure, and Self-Censorship. The Groupthink symptom, Rationale, is described as when victims of Groupthink ignore warnings: they also collectivelyRead MoreThe Crucible By Arthur Miller811 Words   |  4 Pages While The Crucible, by Arthur Miller, is only a four act play, it still resembles the format of a five act play. The five-act structure evolved from a three-act structure, which was made famous by Roman Aelius Donatus. Donatus came up with three types of plays: Protasis, Epitasis, and Catastrophe. The five-act structure helped to expand the three act structure, mainly made famous by Shakespeare through his many tragedies. Even though The Crucible contains only four acts, it still has the commonRead MoreThe Crucible By Arthur Miller1052 Words   |  5 PagesBuddy Al-Aydi Ms.Healy English 9 CP 14th October 2014 The Crucible Essay The Crucible was a novel written by Arthur Miller in the 1950’s. It was written in a format of the play, portraying an allegory of the Salem Witch-Hunts led by Senator Joseph McCarthy. The book is known to have a inexplicable plot. This plot is advanced by multiple characters in the book in order to ensure that the reader maintains interest with the material that is being read. The farmer, John Proctor, would be theRead MoreThe Crucible By Arthur Miller841 Words   |  4 PagesThe Crucible is a chaotic play, throughout this American classic Arthur Miller takes the reader through multiple events of terror and insanity. While creating a great on-stage play, Arthur Miller portrays his life through the events, the characters, and plot of The Crucible. Using vivid imagery and comprehensible symbolism, Miller manipulates the real personalities of the characters and events in 1600 Salem, Massachusetts to create a symbolic autobiography. Throughout this play, the reader experie nces

Wednesday, January 1, 2020

Essay on American Juvenile Justice System - 2008 Words

The American criminal justice system is comprised of criminal courts, correctional facilities, and law enforcement officials. Each of these components also make up the juvenile justice system but the operations of each differs with juveniles than with adults who are suspected of committing criminal acts. A juvenile offender is an individual under a certain age who is suspected of having committed a crime or a status offense. A status offense is an offense that if committed by an adult, would be legal or acceptable. Examples of status offenses are truancy, under aged consumption of alcoholic beverages, and running away from home. Law enforcement officials use their discretion when determining how to pursue status offenses involving†¦show more content†¦In either case, evidence obtained in violation of Fourth Amendment rights are not allowed to be presented during a trial or hearing. Juveniles may be approached and questioned by law enforcement officers without probable cause and may walk away without answering questions. For example, an officer on foot patrol may stop a young person who just happens to look suspicious. The officer may ask for identification but the young person does not have to comply, and are well within their rights if they respectfully choose to ignore the request. If in the process of questioning, the officer feels that the youth imposes a danger to him, themselves, or any other person, they may conduct a Terry search or â€Å"pat down† to ensure that they aren’t in danger. While adult cases are held in adult criminal court, with offenders being tried by a jury of their peers, juvenile cases are referred to as adjudication hearings and do not involve a jury. Prior to a trial, an adult offender may be placed on bail. A youthful offender has a special hearing in order to determine if they will be allowed to remain with parents or an adult guardian outside of a detention center. Another difference between ad ult and juvenile processes are the initial investigations by law enforcement officers. Miranda warnings must be given to an adult prior to questioning or interrogation. Youthful offenders under the age of 14 must have parents or guardians present before they are questioned. ThoseShow MoreRelatedThe American Juvenile Justice System1043 Words   |  5 PagesThe American juvenile justice system had developed over the past century with a number of variables that makes it different from the adult criminal justice process. Juvenile justice advocates supports the differences on the youthful offenders. Juvenile crime policy over the course of the twentieth century talks about transferring the law’s conceptions of young offenders. Starting from the nineteenth century, many of the youths were tried and punished as adults. However, treatment of juveniles in theRead MoreAfrican Americans And The Juvenile Justice System1248 Words   |  5 PagesRace and Sentencing It has been brought up that certain race and ethic affects a person’s sentencing. Many studies have addressed the question are African Americans treated more severely than similarly situated whites? (Mitchell, 2005). Observers had indeed noted that black defendants get more severe sentencing than white defendants do (Spohn, 1981). For many years’ social scientist has examined this theory and came up with three explanations, racial discrimination, Wealth discrimination, andRead MoreThe High Incarceration Rate Of Juveniles1748 Words   |  7 PagesThe high incarceration rate of juveniles is a significant social problem that affects society as a whole as well as the youth’s individual welfare and developmental trajectory. Adolescents who are incarcerated in the juvenile justice system face a multitude of negative lifelong implications. The history of incarcerating youth in residential facilities such as juvenile halls, camps, ranches or group homes as a consequenc e for committing crimes has a deep-rooted history in the United States. â€Å"For moreRead MoreJuvenile Justice Systems833 Words   |  4 PagesIntroduction Juvenile crime is a term around the world that is difficult to pinpoint and although there are several definitions many fail to be concrete. There are many factors that play into sentencing juveniles or minors upon a crime committed. How old are they? Can they mentally form criminal intent? Are they old enough to no longer be treated as children? Some people would argue that a criminal is just that, regardless of age. Research on the other hand shows that juveniles have underdevelopedRead MoreThe Effects Of Incarceration On The Social Of African American Juveniles1487 Words   |  6 PagesDisciplinary changes applied to the juvenile justice system in addition to negative impressions of juvenile males have caused juvenile male incarceration rates to surge. African American male juveniles encounter racial differences in society everyday due to view that media portrays them to be. Racial bias amongst these juvenile African American males is the principal cause of their incarceration rates climbing higher each year. The lives of these juveniles are seriously altered after being incarceratedRead MoreDisproportionate Minority Contact739 Words   |  3 Pagesdisproportionately represented throughout juvenile justice systems in nearly every state in the nation. Disproportionate minority contact (DMC) in juvenile justice occurs when minority youth come into contact with the system at a higher rate than their white counterparts. African-Americans, Hispanics, Asians, Pacific Islanders and Native Americans comprise a combined one-third of the nations youth population. Yet they account for over two-thirds of the youth in secure juvenile facilities (Armour Hammond,Read MoreThe Juvenile Justice System Is Creating A Criminal Class758 Words   |  4 PagesSuch reactions and critiques of the juvenile justice system enforce the notion that the juvenile system is creating a criminal class. Black’s theory states that patterns of relationships between the parties inv olved in a case predict the styles and forms of social control, relationships between intimates would result in more informal handling of cases. Law and formal control arise when informal control is weak and unavailable. Legal control by the state develops when social control of familiesRead MoreThe Juvenile Justice System Is Not Reflective Of Their National Population1612 Words   |  7 Pagesare roughly 79,000 adolescents held at juvenile facilities all across the United States (Sickmund Puzzanchera, 2014). Of that population, Latino and African American youth represent the majority of those in confinement. This is a problem because the overrepresentation of minorities within the juvenile justice system is not reflective of their national population percentages. Nationally, Latino and African American youth only comprise 38% of the total juvenile population combined, while CaucasianRead MoreShould Juvenile Offenders Be Punished?1423 Words   |  6 PagesTo Americans, justice is important. When harm is done to most Americans, often victims of harm say they want the juvenile offender to pay for what he/she has done. Making someone pay for the harm they have caused is an easy concept when it comes to adult offenders; however, what about juvenile offenders? Should juvenile offenders be punished for what he/she has done? When victims want the juvenile offender to be punished for the harm they have caused, this is called retributive justice. Often AmericansRead MoreJuvenile Offenders And The Criminal Justice System860 Words   |  4 PagesOnce youth is committed a crime he or she must face the criminal justice. Whether it is simple face to face contact with the police officer or trip to juvenile facility, juvenile is becoming part of the criminal justice system. For many youth it is their first contact with the justice system however for some others it is a very familiar process. So once juvenile is making face to face contact with the police officers, his life is in the hands of that officer who can make very important and sometime

Tuesday, December 24, 2019

The American Population Is Suffering From A Bad Food Diet

3.A. The main points I learned about this video was that the American population is suffering from a bad food diet, a sedentary lifestyle, and very fixated on treating health problems with medical drugs. I learned that people thrive on a plant diet and do not have to eat animal products in order to be healthy. I also learned that the proper food diet and physical exercise regimen can reverse many bad health conditions including multiple sclerosis and prevent many detrimental health problems like cardiovascular disease and obesity. B. The thoughts and ideas presented in this video were very interesting. It was great seeing the before and after pictures and health status of people who were on heavy loads of medication for health problems. Seeing the after pictures of people who made drastic food diet and physical exercise changes along with an updated health status of the person no longer having their previous health issue, was a really strong reflection of how important it is to have a healthy lifestyle. So, the thoughts of doctors and nutritionists in a way â€Å"prescribing† a healthy food diet and exercise plan, as a way for people to improve their health problem and ultimately eradicate the problem, is far better than giving people medication to just treat a problem that will allow them to continue living unhealthy. Additionally, the medicology term described by Dr. Joel Fuhrman, suggests that the American population sees medication as the solution to a healthy lifestyle. IShow MoreRelatedAnalysis of the Western Diet and Michael Pollan ´s Point of View on the Subject1037 Words   |  4 Pagestribulations surrounding food in North America and raises questions regarding Western diet, which is mostly comprised of refined sugar and high fructose corn syrup and corn in general. He reiterates that chemically generated food is creating disease in North Americans; If we eliminate these factors and adopt the eating habits of less industrialized places in the world will we in our lifetime see rates of heart disease, type two diabetes and obesity decline dramatically? The western diet has evolved drasticallyRead MoreThe Problem Of Heart Disease And Diabetes Type Two Essay1378 Words   |  6 PagesThe Starting Line This year 76 million Baby Boomers in America are entering their fifties and sixties, yet this generation is not the only one suffering from diseases derived from an unhealthy diet. Advances in medicine have continued to preserve lives, but still researchers have not found a miracle that fully sustains the quality of everyday life. Overcrowding and neglect is the fate of patients seeking long-term medical attention if individuals continue to lack nutritional knowledge, and dependRead MoreObesity Epidemic Of The United States1489 Words   |  6 Pagesdeath in America, heart disease and cancer. Obesity has been growing steadily since 1960, but in the late 80 s obesity levels started to rise like never before. Today six out of ten people are overweight, about 69% and more than one third of our population is obese, about 78.6 million adults (34.9%). This trend is not slowing down as the numbers keep rising. This has been a concern for many people and now we are looking towards government action to stabilize this epidemic. 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Monday, December 16, 2019

Electronic Health Record Implementation Health And Social Care Essay Free Essays

The passage from paper records to electronic wellness records has been a challenge in the province of Mississippi. This research survey will concentrate on electronic wellness record ( EHR ) preparedness of ague attention infirmaries in the province of Mississippi. The survey will turn to the factors associated with execution every bit good as the benefits, barriers and hazards. We will write a custom essay sample on Electronic Health Record Implementation Health And Social Care Essay or any similar topic only for you Order Now The survey will besides supply information as to the position of EHR execution in the province of Mississippi. Introduction. The Bush disposal mandated a call to action for the execution of electronic wellness records within a decennary in 2004. Healthcare suppliers were given a timeline for execution and the confidence that the authorities would be an active protagonist. In 2009, the Obama disposal outlined funding in the American Reinvestment and Recovery Act for EHR support. Suppliers must choose a system and seller that is certified by the Certification Commission for Health Information Technology ( CCHIT ) in order to measure up for federal support. With the 2014 deadline looming, some installations have non started the procedure of EHR choice and execution. In 2008, a comparable survey was performed measuring EHR preparedness in the province of Alabama. A self-completed study was mailed to 131 managers in the wellness information direction ( HIM ) section of Alabama infirmaries. Harmonizing to the research provided in the survey, of 91 reacting infirmaries ( 69 per centum response rate ) , merely 12.0 per centum have completed execution of EHRs ( Houser A ; Johnson, 2008 ) . Background of the Problem. In 2004, President Bush called for widespread acceptance of the EHR within 10 old ages. Traveling from paper to EHRs has been a challenge for many infirmaries and doctors ‘ offices. Although attempts toward EHR execution started about two decennaries ago, the procedure has been slow ( Amatayakul, M. K. , 2007 ) . Harmonizing to a recent study on EHR advancement, the acceptance of EHRs â€Å" is non happening every bit quickly as hoped, † and the U.S. is dawdling in acceptance of EHRs ( Robert Wood Johnson Foundation, 2006 ; Powell, A. , October 12, 2006 ) . Recent studies suggested that EHR execution was between 17 to 24 per centum in doctors ‘ offices in an ambulatory attention puting ( Robert Wood Johnson Foundation, 2006 ; A Jha, A. K. , T. G. Ferris, K. Donelan, C. DesRoches, A. Shields, S. Rosenbaum, and D. Blumenthal, October 2006 ) . EHR usage in any format in hospital scenes was estimated to be 20 to 25 per centum, and the usage of computerized physician order entry ( CPOE ) was about 15 per centum ( Blumenthal, D. , March 2006 ) . Compared to urban infirmaries, EHR usage in rural infirmaries was less common ( Bahensky, J. A. , M. Jaana, and M. M. Ward. 2008 ) .Ward ‘s survey indicated that more than 80 per centum of urban infirmaries reported utilizing computing machines to roll up basic clinical information for possible usage in an EHR and CPOE system, while merely 30 to 40 per centum of rural infirmaries were making so ( Ward, M. M. , M. Jaana, J. A. Bahensky, S. Vartak, and D. S. Wakefield,2006 ) . Purpose of Study. The intent of the proposed survey will concentrate on the figure of healthcare organisations in Mississippi that have implemented electronic wellness records. The survey will place barriers and benefits to execution and buttocks preparedness province broad. Significance of Study. A survey done in April 2009 entitled â€Å" Use of Electronic Health Records in U.S. Hospitals † stated that of responses from 63.1 % of infirmaries surveyed, merely 1.5 % of U.S. infirmaries have a comprehensive electronic-records system ( i.e. , present in all clinical units ) , and an extra 7.6 % have a basic system ( i.e. , present in at least one clinical unit ) . Computerized provider-order entry for medicines has been implemented in merely 17 % of infirmaries. Larger infirmaries, those located in urban countries, and learning infirmaries were more likely to hold electronic-records systems. Respondents cited capital demands and high care costs as the primary barriers to execution, although infirmaries with electronic-records systems were less likely to mention these barriers than infirmaries without such systems ( Jha, 2009 ) . The EHR has several distinguishable advantages over paper wellness records. One definite advantage is the fact that there are increasing storage capablenesss for longer periods of clip. Besides, the EHR is â€Å" accessible from distant sites to many people at the same clip â€Å" ( Young 99 ) and retrieval of the information is about immediate. The record is continuously updated and is available at the same time for usage everyplace. Information is instantly accessible at any unit workstation whenever it is needed. Presently the paper record represents â€Å" monolithic atomization of clinical wellness information. † ( Schloeffel et al. 1 ) This non merely causes the cost of information direction to increase but besides â€Å" atomization leads to even greater costs due to its inauspicious effects on current and future patient attention † ( Schloeffel et al. 1 ) . The EHR can besides supply medical qui vives and reminders. EHR systems have some â€Å" constitutional intelligence capablenesss, such as acknowledging unnatural lab consequences, or possible dangerous drug interactions † ( Koeller 11 ) . Research findings back uping diagnostic trials and the EHR â€Å" can associate the clinician to protocols, attention programs, critical waies, literature databases, pharmaceutical information and other databases of health care cognition † ( Young 100 ) . Computer systems should non take the topographic point of doctors ‘ critical judgements nevertheless, â€Å" a well-designed EHR supports accountable liberty, roll uping and circulating information to help the medical professional in determination devising † ( Wellen, Bouchard, and Houston 2 ) . Another benefit to an EHR is that it allows for customized positions of information relevant to the demands of assorted fortes. The EHR is â€Å" far more flexible, leting its users to plan and use coverage formats tailored to their ain particular demands and to form and expose informations in assorted ways † ( Dick, Steen, and Detmer 46 ) . As a direction tool, the EHR can supply information to better hazard direction and appraisal results. Today, reimbursement is based on results hence healthcare organisations â€Å" must seek advanced ways to better quality of attention and results while pull offing costs † ( Dray 3 ) . An EHR can diminish charting clip and charting mistakes, hence increasing the productiveness of health care workers and diminishing medical mistakes due to illegible notes. â€Å" Reduction of medical mistakes is the concern of the populace at big, province legislators, health care suppliers, and many other wellness professionals † ( Waegemann et al. 11 ) . There have been legion narratives about fatal errors happening because of illegible notes written by doctors. EHRs â€Å" address a job that has plagued medical staff really perchance since the first physician put pencil to paper [ aˆÂ ¦ ] ( Dobias 3 ) . Since â€Å" script is natural, and hence hard to alter † ( Dobias 3 ) automated systems can assist extinguish this job. Although some systems may look dearly-won, the additions in efficiency far offset the costs. Chart chasing is eliminated, as is duplicate informations entry of the same information on multiple signifiers. â€Å" Highly paid, skilled clinicians no longer are delayed by the hunt for elusive paper charts, and useable result information becomes available without several yearss of informations digest † ( Wellen, Bouchard, and Houston 3 ) . Financially, the EHR will supply more accurate charge information and will let the suppliers of attention to subject their claims electronically, hence having payment quicker. The patient is even happier, because old information is available so the patient does non hold to go on to supply the same information over and over once more ( Gurley, 2006 ) . The completion of this survey will add to the organic structure of cognition by detailing the grounds for or against partial or full electronic wellness record execution in Mississippi. Chapter 2 – Reappraisal of Literature Reappraisal of the Literature A literature reappraisal for this topic has provided many relevant articles covering the subject of electronic wellness record execution. After choosing articles that were more closely aligned with the range of this research, I examined the mark population ( infirmaries in Mississippi ) , research intent ( designation of factors, barriers, and benefits of execution ) , the differing research methods, the information analysis method, variables, demographics every bit good as sample size. The literature systematically reflects positive benefits of utilizing this engineering. The study survey design was most normally used in the literature and seems to bring forth more measureable consequences. Sample sizes varied depending on the geographic part. The first article was entitled, â€Å" Percepts Sing Electronic Health Record Implementation among Health Information Management Professionals in Alabama: A State-wide Survey and Analysis. † The intents of this survey were to measure the position of execution of EHRs among Alabama infirmaries ; the factors that are associated with EHR execution ; and the benefits of, barriers to, and hazards of EHR implementation.A A self-completed study was mailed to 131 managers in the wellness information direction ( HIM ) section of Alabama infirmaries. Of 91 reacting infirmaries ( 69 per centum response rate ) , merely 12.0 per centum have completed execution of EHRs. The cardinal factor driving electronic wellness record ( EHR ) execution was to better clinical procedures or workflow efficiency. Lack of equal support and resources was the major barrier to EHR execution. Rural infirmaries were less likely to implement EHRs when compared with urban infirmaries ( p = .07 ) . Adoption of EHRs should be evaluated in deepness for infirmaries, and peculiarly for rural infirmaries. Wayss to seek appropriate support and supply equal resources should be explored ( Houser, 2006 ) .A The 2nd article, â€Å" Use of Electronic Health Records in U.S. Hospitals † is sing the usage of electronic wellness records from a national position. The research workers surveyed all ague attention infirmaries that are members of the American Hospital Association for the presence of specific electronic-record functionalities. Using a definition of electronic wellness records based on adept consensus, the research workers determined the proportion of infirmaries that had such systems in their clinical countries. We besides examined the relationship of acceptance of electronic wellness records to specific infirmary features and factors that were reported to be barriers to or facilitators of acceptance ( Jha et.al, 2009 ) . The research workers collaborated with the American Hospital Association ( AHA ) to study all ague attention general medical and surgical member infirmaries. The study was presented as an information engineering addendum to the association ‘s one-year study of members, and like the overall AHA questionnaire, was sent to the infirmary ‘s main executive officer. Hospital main executive officers by and large assigned the most knowing individual in the establishment ( in this instance, typically the main information officer or equivalent ) to finish the study. Non-responding infirmaries received multiple telephone calls and reminder letters inquiring them to finish the study. The study was ab initio mailed in March 2008, and their in-field period ended in September 2008 ( Jha et.al, 2009 ) . The research workers found that less than 2 % of ague attention infirmaries have a comprehensive electronic-records system, and that, depending on the definition used, between 8 and 12 % of infirmaries have a basic electronic-records system. With the usage of the definition that requires the presence of functionalities for doctors ‘ notes and nursing appraisals, information systems in more than 90 % of U.S. infirmaries do non even run into the demand for a basic electronic-records system ( Jha et.al, 2009 ) . These articles focused on information which will turn out to be good as I move frontward with this research undertaking. There is a demand for extra literature hunt in order to study/research extra stuff related to this peculiar survey. Chapter 3 – Methodology Methodology Research Design. The research worker will utilize study research design and analysis. Each HIM manager was sent a validated study comprised of multiple pick and open ended inquiries. The information for the survey will be collected anonymously via study mailed to infirmaries in Mississippi. A random control figure will be assigned to each study and envelope. There will be no linkage to individuality of establishments, merely aggregated informations will be published. Population and Sample Design. The choice of sample size was based on the figure of infirmaries in the province of Mississippi. This survey will measure perceptual experiences sing electronic wellness record execution in assorted types of infirmaries in Mississippi. The sample will be a convenience sample of all HIM managers in the province of MS, consisting all major geographic locations and/or hospital size. Data Collection Procedures. In September, 2010, the research worker mailed self completed studies to infirmaries in Mississippi. Participating installations had 4 hebdomads from the day of the month they received the study to return it in the ego addressed stamped envelope provided. Addresss and contact information for the installations was gathered from the American Hospital Directory, the Mississippi Department of Health, and the Official State of Mississippi web sites. By December 2010, the thesis will be complete and ready for presentation. Research Questions. Each participant was asked inquiries sing demographics alone to their installation. The study inquiries we focused on sensed hazards and benefits of implementing an EHR wholly and in portion. The participants were besides asked inquiries sing their degree of instruction, certificates, and age scope. Profile of Sample Population A missive and ego completed study was mailed to 90 managers of wellness information direction in Mississippi infirmaries. Data Analysis. A quantitative research method will be used as the method of analysis. The information will enable a graded comparing of infirmaries in Mississippi that have non-implemented, partly and to the full implemented electronic wellness records. We will utilize descriptive statistics to supply a sum-up of the informations collected. Chapter 4- Consequences Features of Respondents Of a sum of 46 study respondents, a big bulk ( 96 per centum ) were HIM managers, and the staying respondents ( 4 per centum ) were hospital administrative forces ( Figure 4 ) . 35 of the 46 respondents ( 76 per centum ) were between the ages of 40 and 59, 6 respondents ( 13 per centum ) were 22 to 39, 4 respondents ( 9 per centum ) were over 60, and one participant chose non to react ( Figure 13 ) . 55 per centum ( 25 respondents ) held Registered Health Information Administrator ( RHIA ) certificates, 12 respondents ( 26 per centum ) held Registered Health Information Technician certificates ( RHIT ) , 1 respondent ( 2 per centum ) held Certified Professional Coder ( CPC ) enfranchisements, 4 respondents ( 9 per centum ) were dually certified keeping RHIA certificates and a Certified Coding Specialist ( CCS ) enfranchisement, 1 respondent ( 2 per centum ) held an RHIT certificate and Certified Coding Specialist ( CCS ) enfranchisement, and the staying 3 respondents ( 6 per centum ) chose non to react ( Figure 14 ) . The highest degree of instruction attained by the HIM professionals was besides included in the information aggregation. 61 per centum ( 28 respondents ) had obtained a unmarried man ‘s grade, 26 per centum ( 12 respondents ) had obtained an associate ‘s grade, 5 respondents ( 2 per centum ) had obtained certifications, 1 respondent ( 2 per centum ) had obtained a maestro ‘s grade, 2 respondents ( 4 per centum ) had obtained other grades in topics non related to HIM, and 1 respondent did non take part in this inquiry ( Figure 15 ) . While 28 per centum of the reacting HIM professionals have strong input, another 56 per centum have small or merely some input on determinations sing EHR execution in the infirmary. Eleven per centum of the respondents had no input sing EHR execution. Of the full pool of respondents, there were no HIM Directors or administrative forces who held the concluding decision-making power related to EHR execution in their infirmaries ( Figure 5 ) .A Among these study respondents, 54 per centum of their infirmaries have less than 100 beds, 31 per centum had 100-400 beds, and 13 per centum had more than 100 beds at their installation ( Figure 1 ) . Of the 46 study respondents, 61 per centum were from non profit/not for net income infirmaries while 24 per centum were for net income infirmaries ( Figure 2 ) . Of the respondents, 76 per centum were from rural infirmaries and 20 per centum were in urban countries ( Figure 3 ) . From a sum of 90 possible infirmary respondents, 46 ( 51 per centum ) responded and 44 ( 49 per centum ) did non react. Status of EHR Implementation When asked about the position of EHR execution in their infirmaries, merely 8 ( 17 per centum ) of the 46 study respondents reported that their infirmaries had implemented an EHR system. Twelve infirmaries ( 26 per centum ) of the infirmaries had non implemented an EHR system when the study was conducted, with the staying 26 infirmaries ( 57percent ) being in the execution procedure ( Figure 10 ) .A Of the 8 infirmaries with to the full implemented EHRs, 3 ( 38 per centum ) are in rural countries, 4 ( 50 per centum ) are in urban countries, and 1 did non react to location. All 12 ( 100 per centum ) of the installations without an EHR or any timeline regarding execution are in rural countries. Of the 26 staying installations with EHRs in advancement, 20 ( 77 per centum ) are in rural countries, 5 ( 19 per centum ) are in urban countries, and 1 is in a suburban country. Harmonizing to the informations collected, rural infirmaries are more likely non to hold a timeline for execution. Of those infirmaries who had implemented an EHR system, merely one had completed the procedure before the twelvemonth 2000, and another seven had implemented it between 2000 and 2006. The figure of EHRs implemented between 2000 and 2006 mirrors the statistics reported in a comparative survey completed among HIM professionals in the province of Alabama. Of the 46 respondents, 32 per centum of the infirmaries with enforced EHRs and in execution advancement, want both inmate and outpatient capablenesss for EHR support.A Of the infirmaries that had non implemented or were in the procedure of implementing an EHR system, 30 per centum indicated that they would implement EHRs within a twelvemonth. Another 14 per centum stated that they would implement EHRs in the following two old ages, and 17 per centum of respondents reported that they were non certain when EHR execution would take topographic point ( Figure 10 ) . Factors Driving the Need for EHR Systems When asked â€Å" What factors drive the demand for the EHR systems within your infirmaries? † 36 ( 86 per centum ) of the 46 respondents felt that the two major demands or concerns were to better the quality of health care and the demand to portion patient record information among healthcare professionals ( Figure 6 ) . Other factors were the demand to better clinical procedure or workflow efficiency ( 34 respondents or 74 per centum ) and regulative demands of JCAHO or HCQA ( 22 respondents or 48 per centum ) . When asked â€Å" what is the greatest factor that drives the demand for EHR systems? † the most of import drive factor was to better health care quality ( 33 per centum ) . Benefits of Implementing EHRs The respondents were asked, â€Å" What would be the benefit of implementing the EHR system? † 42 of the respondents ( 91 per centum ) indicated that bettering work flow would be the major benefit of implementing the system ( Figure 7 ) . Some other benefits were stated as cut downing medical mistakes ( 70 per centum ) , and cut downing cost ( 43 per centum ) , cut downing intervention clip ( 17 per centum ) , increasing gross ( 17 per centum ) , and minimising malpractice claims ( 13 per centum ) . The major benefit, as indicated by the respondents, is the betterment of work flow and efficiency. Barriers to Implementing EHRs The figure one perceived barrier for implementing an EHR system was deficiency of equal support and resources ( 39 per centum ) ( Figure 8 ) . 14 respondents in rural countries and 4 in urban countries cited fundss as a major barrier. Some other barriers were deficiency of support from medical staff ( 37percent ) , deficiency of cognition of EHRs ( 33 per centum ) , deficiency of employee preparation ( 28 per centum ) , and deficiency of structured engineering ( 20 per centum ) . Vendor issues and deficiency of corporate organisation and action were besides stated as barriers to EHR execution. The respondents identified the deficiency of equal support as the major barrier to EHR execution. Chapter 5- Conclusions and Recommendations As the deadline for electronic wellness record transition nears, there are still several Mississippi installations that have non begun or completed the execution procedure. Harmonizing to the informations gathered in this study, EHR execution is mostly uncomplete. Merely 17 per centum of the reacting sites have to the full implemented records. Another 57 per centum are in the procedure of implementing and 26 per centum have no clear timeline as to when execution will get down. There are restrictions sing this study. Without the staying 49 per centum of the studies completed and returned, there is no manner to measure the stage of execution at those installations. However, the figure of respondents that did take part indicates the demand for an immediate call to action in order to run into the 2014 end. Educating clinical and administrative staff and parties with vested involvement will help in undertaking the obstructions impeding EHR execution. Nationally, EHR acceptance rates among infirmaries vary widely. Jha ‘s survey reviewed 36 different studies conducted between 1995 and 2005 and recorded a scope between 4 per centum and 21 per centum for execution of computerized patient order entry among infirmaries ( Jha, 2006 ) . The slow advancement of execution can be mostly attributed to fiscal restraints. Lack of support in fiscal resources is the major factor that contributes to fewer Mississippi infirmaries, rural and urban, holding completed EHR execution. In add-on, deficiency of cognition sing EHRs and a deficiency of bargain in from clinical and administrative staff besides play a major portion in the slow execution procedure. While fundss are a hinderance, there are funding chances through federal statute law to back up EHR execution. The American Reinvestment and Recove ry Act ( ARRA ) of 2009 included the Health Information Technology for Economic and Clinical Health Act ( HITECH ) which seeks to better American wellness attention bringing and patient attention through an unprecedented investing in wellness information engineering. The ARRA developed an Electronic Health Record Incentive plan that authorizes the Centers for Medicare and Medicaid Services ( CMS ) to do incentive payments to eligible infirmaries to advance the acceptance and meaningful usage of interoperable certified EHR engineering ( ( IHS Office of Information Technology, 2010 ) . These incentive programs offer funding to healthcare suppliers who implement an EHR that is certified through the Certification Commission for Healthcare Information Technology ( CCHIT ) . These inducements will countervail the fiscal load of the installations as the passage into an electronic wellness record. HIM professionals play a major function in EHR execution. There is a great demand for persons with cognition and instruction in IT and EHR application and engineering. The 10,000 Trained by 2010 act was introduced in the House of Representatives in 2009 would authorise the National Science Foundation to present grants to establishments of higher instruction to develop and offer instruction and preparation plans. This would include instruction in the field of wellness information sciences. The debut of this measure indicates the turning demand for trained HIM professionals and the built-in portion they will play in EHR transition and execution. In order to accomplish the end of countrywide execution by 2014, there must be a greater push and increased support for health care suppliers. Government statute law and execution inducements are major paces in a positive way but there are still barriers that hinder EHR execution. It is necessary for suppliers to place the hazards, benefits, and factors driving EHR execution in order to cognize where and how to get down the procedure. Increased community consciousness, a good trained work force, support, and support from the clinical and administrative staff are all imperative in the successful execution of electronic wellness record engineering. How to cite Electronic Health Record Implementation Health And Social Care Essay, Essay examples

Saturday, December 7, 2019

Enders Game free essay sample

Wesley Bolton Samuel Good Jake Jones JonMichael Lopez Honors English 9-1 January 28, 2013 WORK CITED INFORMATION: Card, Orson. Ender’s Game. New York: Tom Doherty Associates, 1977. PLOT SUMMARY AND THEME OF THE NOVEL: Ender’s Game, by Orson Scott Card, is the story of Andrew â€Å"Ender† Wiggin, a third born child in a prejudiced, futuristic world, as he is recruited to train at battle school to fight the â€Å"buggers†, an alien species that previously tried to wipe out the human race. Little does he know that Colonel Graff, the commander of battle school, is the puppet master of a scheme to brutally train Ender to lead the human armies to wipe out the buggers; which he unknowingly does. To avoid political repercussions and the greedy hands of his older brother, Peter, Ender and his sister, Valentine, move to lead and populate the new colonies; this is where Ender finds the last bugger queen pupa and works to make it his personal quest to find a place for the species to repopulate and live in peace. The theme of Orson Scott Card’s Ender’s Game is that sometimes you have to sacrifice the few for the sake of many. CHARACTERS AND POINT OF VIEW: Ender’s Game by Orson Scott Card is the backdrop to many in-depth characters that are essential to the plot. The story is written in the third person omniscient point of view but the reader really only hears the thoughts of Andrew â€Å"Ender† Wiggin, the child protagonist of the story. Ender is a round and dynamic character because throughout the story, you watch him grow up fighting prejudices and overcoming challenges that have been placed in his way by the secondary antagonist, Colonel Graff. The reader empathizes with Ender and feels his pain as he is given so many challenges that he almost breaks. The secondary antagonist is Colonel Graff, a flat but dynamic character who acts as a puppet master, controlling, isolating, testing, challenging, and ultimately molding Ender into a commander that can save the human race from the main antagonist, the Buggers. Graff is a dynamic character because at first he seems to only care about getting another kid through to see if they are the leader they need but later decides that he actually likes and cares for Ender. The reader feels a bittersweet empathy for Graff because of his disgustingly cruel acts upon Ender that will eventually lead to the saving of the human race. The main antagonist are a group of aliens that humans call â€Å"buggers† which is a flat, but dynamic race of alien which previously tried to wipe out the human race and have kept the humans in fear for over 70 years. This group is dynamic because when we are first introduced them, they are trying to kill the humans but later try to befriend Ender when they realize that he understands them and they leave their only chance for survival in his hands. Another key character is Ender’s brother Peter. Peter is the cruel older brother of Ender but is also the fuel to why Ender is tough on himself. Peter is a round, static character. He is a round character because we know all about him and his actions that make him who he is. The reader dislikes Peter because he is somewhat of an enemy to the main character and does not care for others. The final character is Ender’s loving sister, Valentine. Valentine is the older sibling of Ender and is his encouragement throughout the story. She is a round yet static character. While we know her very well and her true intentions, she never changes her stance on things or who she is. The reader likes Valentine because she is trying to encourage Ender and love him. LITERARY DEVICES: Ender’s Game by Orson Scott Card uses several literary elements throughout the book to help us understand what is happening. Symbolism, when on object or character is used to represent something else, is used throughout the book. One example is when Ender is back on Earth and is talking with Valentine about how much Ender despises himself. Ender says, â€Å"In the moment when I truly understand my enemy, understand him well enough to defeat him, then in that very moment do I also love him. I think it’s impossible to really understand somebody, what they want, what they believe, and not love them the way they love themselves. And then, in that very moment when I love them-â€Å". (238) This is a symbol because in this novel there is a frequent amount of love-hate relationships. Another literary device is foreshadowing. Foreshadowing is when something is said or done that hints at what is to come. Each chapter usually begins with a conversation between Colonel Graff and Anderson. The discussions that take place usually hint at things to come in the story. In the beginning of chapter three, Graff is having a conversation with Anderson and says, â€Å"Persuade him that he wants to come with us more than he wants to stay with her† (16). This is an example of foreshadowing because it hints to us that Graff will eventually convince Ender to come with him. The final literary device is irony. Irony is when what is said or done is opposite of what is expected. Ender’s Game shows dramatic irony when it tells us the conversation between Graff and Anderson in Chapter eight. Graff says, â€Å"†¦. Think of every impossible, unfair star arrangement you can. Think of other ways to bend the rules. Late notification. Unequal forces. Then run the simulations and see which ones are hardest, which easiest. We want to bring him along†. 97) This is dramatic irony because we know that these bad things will happen to Ender but Ender himself will not know. HOW READERS MAY RESPOND TO THIS WORK: The novel Ender’s Game is a complex, intricate story designed for teenage and adult readers who like sci-fi stories. This group of people would like this book because they could understand and empathized with the character s. The ending leaves the reader filled with confusing emotions. It leaves you feeling happy for Ender finally finding peace with himself but you still feel sad because you realize that while that is making him happy, he will never find true happiness with himself.