Protecting Medical Record Confientiality The Right to Know Versus - Free Essay Example

Sample details Pages: 6 Words: 1747 Downloads: 10 Date added: 2019/10/10 Did you like this example? Abstract Medical information is a sensitive issue, and its confidentiality is a matter of concern to any person. Military officers face mental health problems, emanating from occurrences in their line of duty. They need to seek the services of a mental health counselor, on condition that the secret information they give out will remain confidential. They do not do so because their information does not remain a secret as per their expectations. There is the need to have a look at the military rules that weaken the confidentiality of the information given by the soldiers. A person’s medical information needs protection from access by unauthorized parties. Medical information is sensitive, especially to the patients and those related to them. There is the need to ensure that the information that the patients provide remain sealed at all times (National Research Council, 1997). It is for this reason that the Health Insurance Portability and Accountability Act came to force, to ensure that the patients’ medical data remains confidential. Through the Act, there are limits for the use and release of any information regarding patients. It covers most of the health plans that the patients use, as well as the health care providers. With the Act in force, the patients rest assured that their information is confidential and free from unauthorized access. The only time that the health care givers can disclose the information is when the concerned patients allow them to do so. Don’t waste time! Our writers will create an original "Protecting Medical Record Confientiality: The Right to Know Versus" essay for you Create order The rule requires the covered entities to reduce the uses of the information, to the level necessary for the accomplishment of the goal (Roach American Health Information Management Association, 2006). In addition to that, the covered entities should ensure that measures are in place to keep the information a secret. The implication is that there are extents that they cannot release the medical information, and the patient retains the right to sue them for the breach of confidentiality requirement. If the health care providers engage the services of the business associates, there need to be an agreement between the parties. As such, the business associates must maintain the secrecy of the medical information at all times. The covered entities in the Act should have the procedures to follow, in determining the parties that can access the information. In the case of information leakage for whatever reason, the patient retains the right to learn about it. Privacy and strict confidentiality are major elements that define the military profession. The information related to the army officers remains in their safe, and it is not easy for the public or any other third party to gain access to it. The right to know is crucial for any person interested in the information (In Floridi, 2007). However, this is not the case with the military. The right to know is not a guarantee. The level of confidentiality between psychotherapists and their clients is very high in the army camp. As such, the customers tend to believe that the rules are porous. They make the military officers suspect the therapists, and that leads to inefficiency in service delivery. In most cases, the officers are reluctant to professional care from the therapists. They argue that taking any chances to disclose the information would mean that they face prosecution for the information they provide. The members of the military fraternity have the right to receive confidentiality of the medical information they give to anyone (In Floridi, 2007). It is their expectation that all will be well, and they attend the therapies to get the assistance they direly need. However, contrary to the expectations of many, the rules that govern the military create no room for confidentiality of the information. For instance, the communications regarding the mental health do not have the necessary safeguard against any chances of the breach of secrecy. As such, the rules require that the therapist must report the client, if he or she appears to be a threat to anyone. It is for this reason that a sour relationship is likely to occur between them and the military clients. Experts who have been offering psychological services to the patients maintain that in the army, confidentiality is a term that holds little meaning. A military therapist has a legal duty to report the character of the patient, without the consent from the patient (In Floridi, 2007). This move is contrary to the Health Insurance Portability and Accountability Act. It provides that should the medical practitioner need to disclose any information regarding the patient, she or she should consent to the intended disclosure. Much of this information is a secret of the beholder. Revealing it to the therapist means that the client has the confidence in the professional, that the information will remain a secret for both of them only. In the case where the officer faced psychological disorder due to things that happened to him, or those that he committed, there is the need for the therapist to retain the secrecy of the information. If the situation does not receive the necessary attention, then, the officers will keep the secrets however disturbing they might be. They are likely to commit a suicidal crime, such as mass shooting and other fatal cases. They, therefore, need a person who can offer them mental health services, and retain the information they receive from the officers. The most affected group of soldiers are the perpetrators of war crimes. They are aware that chances of them getting prosecution are high, regardless of the fact that they need the counseling sessions. These officers should first look for behavioral health treatment (In Floridi, 2007). They need to do so before seeking the psychotherapy services, which may disclose them if they behave suspiciously. According to the military rules, the officers seeking the services need to sign an agreement that the information may be disclosed without their consent. This rule explains the reason why the officers need to look for the behavioral treatment first; so that they get to avoid the disclosure scenarios that may be costly to them. The defense department directives give a duty to the psychotherapists to report the war crimes possibly committed by the officers. However, it is not necessary for them to do so. Some scenarios exist that warrant the unconsented disclosure of the information. For example, the therapist may disclose the medical information if the state or federal law, or the service regulations, has it that the disclosure is necessary (Siljander Juusola, 2012). In such a case, the therapist has no option but to disclose the information to the authorities. In such a case, he or she would not have breached the confidentiality agreement, and hence not bound by the Act. In addition to that, if it happens that the disclosure leads to the safety of the military fraternity, then the therapist has a duty to disclose. For example, in the process of counseling, the therapist may note that the officer is not in a good state of mind; and he or she may put the lives of the colleagues in danger. The best approach is to report the situation, and then continue assisting the officer to come back to a sober state of mental health. More to that, the disclosure may be to the good of the entire t eam, for the accomplishment of the military mission. The disclosed information is useful if it assists the officers to meet the goal at hand. The military chaplains are the best fit for the therapy, and the soldiers may seek their assistance. The priests enjoy stronger privileges on the rules of communication (Siljander Juusola, 2012). Chances of them disclosing the information that the soldiers provide are slim. As such, the affected soldiers may opt to go the chaplain way of counseling, given the religious heart they possess. For a long time, the commanding officers and military prosecutors could access the confidential information from the therapy clients, and review it without the consent of the patient. It took the ruling of the Supreme Court, which required that the federal courts should not force the psychotherapists to disclose any information from the patients without their consents. According to the ruling, the mental health records of the service men and women were not to be used as a source of evidence in any judicial proceeding involving the officers. Due to the questionable confidentiality, the members of the disciplined forces still raise their concerns; that their therapy professionals may make known the information regarding their activities (Siljander Juusola, 2012). Apart from the major war crimes, the officers express their fear that even minor occurrences may come to light through the therapists. It is for this reason that the troops avoid any counseling session, on the ground that the information they give out may be a source of troubles in their career. They further fear that through the disclosures, they may never again get the chance to take part in the combat operations. The officers face numerous challenges in the line of duty (Siljander Juusola, 2012). Some of them live in anguish and mental problems, because of the issues that surround their past operations. Other officers took part in deadly combat missions, which led to the loss of many lives under their watch. It is for this reason that the officers find themselves in trauma, and the only way out of it is to seek mental health counseling. They cannot avoid disclosing much of the deep secrets they possess, for an effective counseling session. However, the lack of confidentiality makes them vague in their words. They cannot give some details, some of which need to be spoken out for effective healing of their conscience. In the end, such officers remain in anguish and mental disorders, and they can even end up committing suicide. For this reason, there is the need for the military personnel leaders to have a look at the existing rules. They need to move an extra mile and adopt the Supreme Court r uling. This way, they will create a conducive environment for the soldiers to seek the necessary help; and avoid chances of them committing more serious crimes in the future. The ability to air their issues to the counselors is a sure way to assure them of the mental healing. As such, they need to speak to someone who can keep their secrets; in that way, more of the officers will be willing to seek the counseling services and keep in touch with the activities in their line of duty.

Gullivers Travels by Jonathan Swift - 940 Words

In Jonathan Swift’s Gulliver’s Travels, Gulliver is washed up onto a foreign land where he encounters two species: Houyhnhnms, ruling intellectual horse-like species, and the Yahoos, brutish human-like animals. As a foreigner, Gulliver tries to integrate himself with Houyhnhnms community and through his attempts of communicating Gulliver ultimately fails due to his striking similarity to the brute Yahoos. Swifts juxtaposition of two different worlds, made extremely clear by both physical, physiological, linguistic aspects, reveals the futility of any successful integration. As with any interaction there must be some sort of communication between two parties for there to be any understanding. When Gulliver first encounters the Houyhnhnms, he makes an effort to mimic the language to demonstrate some sort of understanding, repeating the word Yahoo over and over again. This is the first example where Swift satirizes foreign interaction. Gulliver ignorance of the language le ads him to repeat Yahoo, a word he later finds out is the insulting title of the brutish human-like beasts the Houyhnhnms enslaved, thus making his attempt look stupid. As the Houyhnhnms take him in, he quickly picks up the Houyhnhnm’s language and is able to give â€Å"the most tolerable answers,† (Swift 217). Even so, language is still a barrier between Gulliver and the Houyhnhnms. Gulliver tries to explain his voyage to the Houyhnhnms, â€Å"It was with some Difficulty, and by the help of many Signs, that I broughtShow MoreRelatedGulliver’s Travels by Jonathan Swift1526 Words   |  7 PagesIn the fourth book of Gulliver’s Travels, Jonathan Swift uses satire to draw reader’s attention towards his concerns about humanity and uses irony to reveal his cynical views towards human kind. 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Throughout the novel, Gulliver repeatedly, finds himself in predicaments because societal norms and the role of government in our society. Swift shows how the idea of who people are due to their position in society. Gulliver is an outsider to the society of Lilliput, he tries to fit into their world but fails, not only because of his size butRead MoreReview of Gullivers Travels by Jonathan Swift Essay1296 Words   |  6 PagesReview of Gullivers Travels by Jonathan Swift Gullivers Travels is a satirical novel. It was written for two different target groups; the first target group is a very young age range and it is a simple but still very exciting fairy tale, the second target group is for a lot older and more sophisticated group as it is a comment that is satirising the life, times and background of Jonathan Swift. An example of Swift making a comment on mankind is in the third part ofRead MoreSatire in Gullivers Travels Jonathan Swift Essay1032 Words   |  5 PagesSatire in Gullivers Travels Jonathan Swift In Gullivers Travels, Jonathan Swift makes a satirical attack on humanity. In the final book, Swift takes a stab at humanity by simultaneously criticizing physiological, mental, and spiritual aspects of humans. Literary critics Ronald Knowles and Irvin Ehrenpreis both agree that the last book focused entirely on satirizing humanity. The Yahoo brutes that inhabit Houyhnhnm Land are a despicable species that have the physical appearance of humansRead MoreSwifts Gulliver’s Travels by Jonathan Swift Essay1267 Words   |  6 Pages Swifts Gulliver’s Travels enables us to critically and harshly analyse our world and encourages us to evaluate the customs of early 18th century English society in relation to an ideal humanity. In order to address the injustices prevalent in human constructs and behavior, Swift uses literary techniques to induce a state of extreme self-doubt. The satires assessment of humanitys positive and negative traits is developed through Gullivers a wkward process of identifying with the loathsome YahoosRead MoreSatire in Jonathan Swift ´s Gullivers Travels1944 Words   |  8 Pagesearly eighteenth-century, Irish writer Jonathan Swift produced one of the most printed novels known to date. The novel, Gulliver’s Travels, not only received recognition for being reprinted an immense amount of time, but also for the satire found within the novel. Swift intended his novel to be used as a scapegoat in which he would reveal his opinion on the English society. Swift was able to demonstrate this satire through the four part plot of Gulliver’s Travels. Each part of the novel told the journeyRead MoreMany Contemporary Issues Tackled in Gullivers Travels by Jonathan Swift894 Words   |  4 Pagestell us that nothing is great or small than by comparison. In the novel Jonathan Swift tackles many of the contemporary issues of his day. His portrayal of English society alludes to the fact that he perceived many evils in the str ucture of society. In the novel Swift puts focus on the issues of economy, government, war, mankind and plictic. As a result of his insightful perspective into the fabric of society, Gulliver’s Travels, is regarded by many as being one of the greatest satires in modern historyRead More Comapring Naivete and Satire in Jonathan Swifts Gullivers Travels and Voltaires Candide2292 Words   |  10 PagesNaivete and Satire in Jonathan Swifts Gullivers Travels and Voltaires Candide       A child has the ability to make the most critical and objective observation on society and the behavior of man. How is this possible? A child has yet to mature and lacks proper education and experience. However, it is for this very reason that a child would make the perfect social scientist; his or her naivete may provide an excellent means of objective criticism and most often satire. A childs curious

Osteoarthritis Sufferers In The Uk Health And Social Care Essay Free Essays

string(80) " protection against prejudice during randomisation is concealment of allotment\." A multi-centre, experimental randomised clinical test is the survey design chosen as it is the recommended attack to obtain a valid comparing of viing intercession schemes ( Green, 1997 ) . The independent variable is the instructional method which will be manipulated to see whether it has any affect on the dependent variables, which are attachment and exercising public presentation. The group having the Digital Versatile Disc ( DVD ) will stand for the survey group. We will write a custom essay sample on Osteoarthritis Sufferers In The Uk Health And Social Care Essay or any similar topic only for you Order Now The group having illustrations will move as the control group as illustrations are supported by literature and presently used in standard physical therapy pattern. It is necessary to include a control group to forestall overestimate of intervention consequence. A true control group ( having no instructional assistance and doing the test a randomised controlled test ) has non been used as it would be unethical to keep back intervention clearly shown to be effectual ( Schneiders et al. , 1998 ) . Recruitment The test aims to be as representative of the UK population as possible to increase population/external cogency. The test will include 84 females and 56 males to stand for the 3:2 female/male ratio of degenerative arthritis sick persons in the United Kingdom ( ARC ) . Under-representation of cultural groups would impact the external cogency of comparative consequence estimations. The National Statistics Office provinces that the 2001 Census found that 8.3 % of the UK population belonged to other cultural groups and this figure appears to hold risen to 10.1 % harmonizing to the Labour Force study, 2006. Thirty per centum of participants will be recruited from other cultural groups so that 1 ) the strata is big plenty and 2 ) cultural minorities are reasonably represented. This figure will nevertheless be checked with the statistician prior to test beginning. Research suggests that people with a lower educational attainment are less likely to adhere to exert, it is hence of import to see where participants will be recruited from. A survey by the Organization for Economic Cooperation and Development ( 2005 ) showed a close correlativity between educational underachievement and countries of societal want in London. Cooper ( 2003 ) found those populating in interior London by and large achieved lower classs than those in Outer London ( appendix1 ) .Therefore to increase external cogency, 2 Inner London and 2 Outer London locations have been chosen. Inclusion Standards Inclusion/exclusion standards are used in this survey to place appropriate participants and guarantee their safety. Strict standards will guarantee 1 ) research workers can non act upon choice to favor or except certain predictive factors, therefore biasing the consequences 2 ) participants are representative of populations to whom the test ‘s findings will use, therefore keeping external cogency. It is besides of import to see that if the standards are excessively restrictive it could restrict the size of test and the findings will miss generalization. Participants will be eligible if they are aged 50+ as 1 in 5 grownups have knee degenerative arthritis by this age and it is uncommon in people younger. By the age of 80, it increases to 1 in 2 grownups ( ARC ) . The test will hold no upper age bound so that the findings are relevant to all age groups susceptible to knee degenerative arthritis. Inclusion of older participants is peculiarly pertinent to this survey as Henry et Al ( 2000 ) found grownups aged 65+ had greater troubles retrieving exercisings which may impact attachment and exercising public presentation. Participants must hold equal hearing, vision and apprehension of written and spoken English to let equal comprehension of the exercising instructions. In pattern this may non be necessary ; nevertheless, for the interest of this test it must be controlled to forestall confusing consequences. To forestall allotment prejudice, participants will be required to hold entree to a DVD participant, irrespective of their allotment. The Office of National Statistics ( 2008 ) found that 86 % of the population owns a DVD participant. This will merely except a little figure of the population so it is considered acceptable. Radiographic grounds of degenerative arthritis, grade 2-3 on the Kellgren and Lawrence graduated table is an inclusion standard as Deyle ( 2000 ) found increased disease badness is associated with lower attachment. Guaranting all participants are mild-moderate makes the consequences comparable. Additionally, it would be unethical to supply unneeded intervention. The Nice guidelines ( 2008 ) recommend beef uping exercisings for degenerative arthritis patients ; therefore participants would be prescribed beef uping exercisings irrespective of the test. Radiographic grounds ensures patients are non given an inappropriate intervention by clinicians who may desire to increase enlisting rate. Exclusion Standards Participants with inflammatory arthritis will be excluded as beef uping exercisings can worsen redness in the articulatio genus articulation during a flare-up ( Luqmani et al.,2006 ) . Similarly, Sharma et Al ( 2003 ) found that in certain joint environments, such as malalignment or laxness, higher quadriceps strength was associated with a greater hazard of disease patterned advance hence such participants will besides be excluded. Participants who have antecedently been prescribed lower-limb exercisings or partaken in regular exercising categories will be excluded as they may demo increased exercising public presentation and attachment. Participants with cognitive damages may non be able to give informed consent, therefore inclusion would be unethical. They may besides hold impaired ability to retain information which could confuse the consequences. Finally, participants will be excluded if they have cardiac jobs or any serious pathology as they may hold an increased hazard of an in auspicious reaction or necessitate onward specializer referral which may detain beginning of physical therapy. Procedure Random allotment and allotment privacy This test will utilize consecutive numbered, otherwise indistinguishable, opaque, certain envelopes ( SNOSE ) to randomize participants and guarantee allotment privacy. Participants will be randomised as it is considered the most dependable method of making homogenous intervention groups in footings of known or unknown predictive factors ( Altman 1999 ) . It controls for unsuspected effects and increases the likeliness that any ascertained differences are caused by the experimental status, therefore increasing the internal cogency of the test. An extra protection against prejudice during randomisation is concealment of allotment. You read "Osteoarthritis Sufferers In The Uk Health And Social Care Essay" in category "Essay examples" This will forestall the research worker from act uponing which intercession group each participant is assigned to, hence forestalling a choice prejudice. A choice prejudice could ensue in an overestimate of the effects of the intercession by about 40 % ( Schulz, 2002a ) . SNOSE is an economical and straightforward agencies of guaranting allotment privacy. The extra safeguards ( e.g. aluminum foil, carbon paper ) increase the trouble of uncloaking the allotment strategy. By puting the group assignment card inside a folded sheet of aluminum foil ensures the envelope is impermeable to light and run alonging the interior of the envelope with C paper allows the envelope to reassign information onto the assignment card, making an audit trail. Stratified randomization is still possible utilizing random ization envelopes by holding a set of envelopes for each combination of stratification factors. Stratification Baseline features such as age, gender, ethnicity and instruction will be recorded at the beginning of the test. As this is a comparatively little test, there is a greater hazard of unequal distribution of patient features between groups ( Kernan 1999 ) . Age, ethnicity and educational attainment are known to be strongly related to attachment and public presentation ( predictive ) therefore stratification is needed ( Schluz, 2002b ) . A big survey by Sluijs et Al. ( 1993 ) found attachment to place exercisings increases with age and is reciprocally relative to educational degree. Rastall et Al. ( 1999 ) and Henry et Al ( 2000 ) found grownups aged 65+ had greater trouble memory exercisings which may impact public presentation. Evidence besides suggests cultural minorities are less likely to adhere to exert ( e.g. Muse, 2005 ) . To let for 3 strata the sample size had been increased. However, as the test is to include merely 30 % of participants from other cultural groups this may impa ct stratification. Therefore, this figure will be checked with the statistician prior to the beginning of test and if found to be excessively low to adequately stratify cultural minorities, either sample size or the figure of cultural minorities included will increase further. Stratified randomisation besides helps forestall type I error ( Feinstein and Landis, 1976 ) and better power ( Lachin and Bautista, 1995 ) and is most good to tests ( such as this ) with less than 200 participants ( Schluz, 2002b ) . As the writer is unsure as to what the existent figure of participants in each stratum will be before the test commences, permuted blocks within each strata will guarantee balance between the chief intervention weaponries. Schluz ( 2002b ) suggests that it may be possible to expect the randomisation sequence in some tests that are block-randomized utilizing unvarying block sizes, hence this test will utilize two different block sizes ( 2 and 4 ) . Blinding Ideally, both participant and research worker should be blinded to avoid the comparing of interventions from being distorted ( Schluz, 2002c ) and to forestall ascertainment prejudice. This test is a single-blind survey as active capable engagement is required. The physical therapist ( who besides acts as the result assessor ) will be blinded as cognition of group assignment could make a prejudice when measuring result steps due to preconceived impressions of â€Å" expected † results. Furthermore, as the Exercise Assessment Scale has a grade of subjectiveness, blinding the result assessor will beef up their objectiveness. Strengthening exercisings Strengthening exercisings were chosen as they have been shown to better hurting and map in degenerative arthritis patients and are portion of the NICE ( 2008 ) guidelines. Previous surveies suggest a HEP can keep betterments ( Huang et al, 2003 ; Huang et Al, 2005 ) , nevertheless long term attachment was low. This suggests a demand to set up ways to better attachment to interventions clearly shown to be effectual. The exercising strength, frequence and repeats will be tailored to the person and based on findings of recent grounds ( e.g. Richards,2004 ; Jan et al. , 2008 ) . Strengthening exercisings are besides more likely to necessitate specific direction than, for illustration, aerophilic exercisings and older persons in peculiar may happen exercising technique hard to retrieve. DVD direction Assorted surveies ( e.g. Grove, 1999 ) find participants utilizing exercising pictures have increased motive to exercising and are less likely to develop bad habits/techniques. It is hence hypothesised DVD ‘s will increase attachment and exercising public presentation. Additionally, if public presentation improves physiotherapist clip rectifying exercising should diminish. Result MEASURES The Exercise Assessment Scale ( Smith et al.,2005, adapted from Rastall et al.,1999 ) was chosen as it enables elaborate appraisal of public presentation and has the highest reported dependability out of the graduated tables found. Validity of graduated table has non been officially reported, nevertheless, inter-rater dependability has been assessed ( Smith et al.,2005 ) utilizing the intra-class correlativity coefficient ( ICC ) . The ICC was 0.99 indicating first-class inter-rater dependability ( Shrout and Fleiss, 1979 ) . Prior to the test, preparation will be given to guarantee truth and consistence of measuring is increased therefore increasing statistical power. As the measuring has a grade of subjectiveness, appraisals will be recorded so that public presentation can be analyzed post-intervention to guarantee participant scaling is tantamount. Participants will utilize a self-report log to mensurate attachment to their HEP. It is a normally used step which has been found to be dependable when compared to spouse studies ( Follick et al. , 1984 ) and nonsubjective pedometer values ( Speck,2006 ) back uping the cogency of the step. The recognized benefits include the ability to roll up informations from a big figure of people at low cost and that it does non change the behavior of the person ( increasing ecological cogency ) . However, as the step is subjective, Vitolins et Al ( 2000 ) recommends more than one method should be used to measure attachment. A widely used nonsubjective step of per centum attending to physiotherapy Sessionss will besides be used. Direction clip will be assessed as rectification of exercisings utilizations valuable physiotherapy clip that could be spent on accessory interventions. It is hence of import to mensurate the effectivity of any intercession in cut downing clip allocated to exert rectification. Analysis Meanss and standard divergences will be calculated for all variables. For parametric informations ( e.g. figure of repeats, exercising frequence ) the agency of the two groups will be compared utilizing the independent-sample t-test as the survey is experimental in design, comparing 2 groups of topics ( Hicks, 2004 ) . The Exercise Assessment Scale provides ordinal informations ( Smith et Al, 2005 ) , hence a Mann Whitney U trial ( a non-parametric trial ) will be used. P-values are used to find whether a void hypothesis formulated before the survey commenced is to be accepted or rejected. To cut down the hazard of type II mistake, the degree of significance will be set at P lt ; 0.05. In explorative surveies such as this, p-values enable the acknowledgment of any statistically notable findings. Assurance intervals will besides be used as they provide a scope of values for the variable of involvement ( the step of intervention consequence ) . This scope has a specified chance of inc luding the true value of the variable, every bit good supplying information about the way and strength of the demonstrated consequence. Decisions can so be made about the clinical relevancy and the statistical plausibleness of the survey ‘s findings. Both statistical steps will be reported because they provide complementary types of information ( Prel,2009 ) . Purpose to handle analysis will be used as it retains balance in predictive factors originating from the original random intervention allotment and gives an indifferent estimation of intervention consequence. Additionally it gives a more valid representation of intervention efficaciousness as it relates to clinical pattern ( Pocock, 1983 ) . Time REQUIRED The test is 18-months to let for a sufficient accrual period and for a long-run intercession. The writer contacted a similar sized Outpatient section, which reported about 30-40 patients present with degenerative arthritis over a 6-month period. In add-on participants will be recruited from physician ‘s surgeries and orthopedic waiting lists. It is estimated that 12-14 participants at each infirmary will come in the test during each enlisting stage. The minimal figure required is 12 so that 140 participants are recruited by the terminal of recruitment stage-3. If merely 2 participants at each infirmary are recruited each hebdomad, it will necessitate a 6-week accrual period for each stage of the test. The clip to enroll the mark population is frequently under-estimated ( Carter,2005 ) therefore the accrual period has been increased to 8-weeks to guarantee equal Numberss are reached. The intercession period will be for 1-year as a recent reappraisal ( Jordan,2010 ) identified a demand for tests with long-run follow ups which explicitly address attachment. Forces REQUIRED Four physical therapists, one from each infirmary will be required to work 153 hours over the 18-month test. Participants will be seen 9 times by their physical therapist. The initial session will be 45minutes and the staying Sessionss will be 30minutes ( as criterion in physical therapy pattern ) . The 3 enlisting and intercession stages are staggered, hence, if the physical therapist sees 3 participants per hebdomad ( the required 12 per month ) and assignments are made for the same clip each month, the physical therapist will be required to work 0-4.5 hours per hebdomad ( see physical therapist timetable, appendix2 ) . The physical therapists will be employed on an hourly footing. The research helper will be employed on a parttime footing to randomize participants and publish the instructional AIDSs. ETHICAL ISSUES This survey addresses ethical considerations highlighted the by the Chartered Society of Physiotherapists ( 2001 ) publication on research moralss ( Appendix3 ) . The survey aims to be of â€Å" value † and to better the wellness of patients with degenerative arthritis of the articulatio genus. It is of import that the test is published so that the participants have non been unnecessarily inconvenienced and subjected to possible hazards. Therefore this test will merely take topographic point after blessing and understanding to print by a well-thought-of diary. How to cite Osteoarthritis Sufferers In The Uk Health And Social Care Essay, Essay examples

Patient Raymond Nguyen for Respect and Information-myassignmenthelp

Question: Discuss about thePatient Raymond Nguyen for Respect and Information. Answer: Introduction Care centered on patients refers to the health which is highly respectful and responsive to various preferences, values and needs of the consumers and patients. The broadly accepted dimensions of the care centered on the patients are emotional support, respect, information, physical comfort, and communication, transition and continuity, involvement of carers and family, care coordination and access to effective care (Hill, Hall Glew, 2017). Various researches demonstrate that care centered on patient and creates value added for services to the public. When the administrators of health care along with patients, families and provide work in collaborative partnership, the safety and quality of health care increases, the costs decrease and the satisfaction of the provider increases. This results in increase of the care experience of the patient eventually. In any kind of occupation, it is crucial to have good establishment regarding effective communication between the patients and the nurses or the other medical carers. Having a very effective communication between the patients and health carers is very important in the Nursing environment as there is dealing of various aspects of life of a patient (Alligood, 2017). In this assignment, there has been discussion on the ways in which nurses and medical practitioners use the professional communication skills for developing a therapeutic relationship with patients. In this regard, the case of Raymond Nguyen is discussed for which the ways in which effective communication skills will be established through verbal and non-verbal communication mode along with the aspect of documentation. Situation Raymond Nguyen is a 63 year old male born in Vietnam which later migrated to Australia in the year 1979 as boat person. Having this basic information prior to his appointment, he has to be treated with modes of patient-centered care. Before having a meeting with Raymond Nguyen, the nurse or the assessor has to be very alert, oriented and cooperative mindset. The nursing care that has to be provided to Raymond Nguyen requires a highly effective communication established between the nurse and him that will be done through appreciating the uniqueness of life history encompasses and influences the health care experiences of Raymond Nguyen (Levett-Jones, 2013). The principles under which counseling and health care provision will be provided to Raymond Nguyen includes dignity, empathy, choice, respect , transparency , autonomy and an unconditional desire to provide assistance to him for achieving the health conditions and life that he wished to have. Background During the counseling session, it has been obtained that Raymond Nguyen does not have any kind allergies and had a habit of smoking for about 42 years which he had recently left. By establishing good and healthy verbal communication with Raymond Nguyen, effective health care can be provided to him. This would basically begin with the use of English as the language for communication. The nurse has to make use of a tone that is very soothing and calm which would provide a feeling of comfort to Raymond Nguyen (Almajali, Masa'deh Tarhini, 2016). In regards to the non-verbal communication methods, Raymond Nguyen needs to be provided with comforting touch by making him sit in chair or assisting him while having a seat in the medical premise. The facial expression of the nurse while providing consultation to Raymond Nguyen needs to be very calm and friendly. Eye contact has to be maintained to make him feel at ease and responsive. As per Parahoo (2014), the nurse needs to observe the expression of Raymond Nguyen to gain comprehension about his mental situation (Parahoo, 2014). The difference between the response of the Raymond Nguyen to any question and the facial expression that he has while answering the questions has to be noticed in order to provide him with effective counseling and health care (Holloway Galvin, 2016). Assessment Considering Raymond Nguyens lifestyle which is has been following for a very long time the documentation of the interaction of all the conversations and consulting between the nurse or medical carer and Raymond Nguyen has to be done for future reference (Chnevert, et al., 2013). This will also assist in managing specific information and data in regards to health of Raymond Nguyen (Nieswiadomy Bailey, 2017). The consultation that the nurse or the medical practitioners would provide to Raymond Nguyen would be in terms of the age, alcohol consumption and food habits of Raymond Nguyen. The conversation or consultation that would be provided to Raymond Nguyen would be in orientation of making him fitter and active by incorporating a regime of mild exercise or activities such as playing with his grandchildren (Durairaj Ranjani, 2013). By engaging in certain kind of physical activity, he shall have lowered levels of stress to a significant extent. He needs to be advised regarding taking care of him in small ways such as using sunscreen while going out with his grandchildren. According to Mosadeghrad Ferdosi (2013), nurses or medical consultants need to make the suggestion regarding engaging a cook who would take care of preparing home cooked meals to him. This ways he shall not be skipping his breakfast and would have nutritious food at home (Mosadeghrad Ferdosi, 2013). The nurses or medical carer would need to document all the conversation in an electronic recorder which will assist in maintaining a register for storing all the relevant information regarding specialized health care routine to Raymond Nguyen (Flores, et al., 2013). The electronic recorder that would be used for the purpose of documentation can be used by Raymond Nguyens daughter and other family members while taking care of him. This ways his drinking habit can be regulated (LoBiondo-Wood Haber, 2017). Recommendation Conclusion In the essay, the significance of conducting documentation of medical counseling is stated. The health condition and requirement of Raymond Nguyen is assessed in the assignment. There has been reflection on the principles which have to be considered while evaluating or conducting consultation of health to Raymond Nguyen. Further, the verbal and non-verbal communication behavior that has to be maintained while providing Raymond Nguyen with medical consultation has been reviewed. This essay has assisted in gaining in-depth analysis of various elements and the ways in which the counseling has to be provided are stated. The significance of having a proper documentation in this regard has been stated. References Alligood, M. R. (2017).Nursing Theorists and Their Work-E-Book. Elsevier Health Sciences. Almajali, D. A., Masa'deh, R. E., Tarhini, A. (2016). Antecedents of ERP systems implementation success: a study on Jordanian healthcare sector.Journal of Enterprise Information Management,29(4), 549-565. Chnevert, D., Jourdain, G., Cole, N., Banville, B. (2013). The role of organisational justice, burnout and commitment in the understanding of absenteeism in the Canadian healthcare sector.Journal of Health Organization and Management,27(3), 350-367. Durairaj, M., Ranjani, V. (2013). Data mining applications in healthcare sector: a study.International journal of scientific technology research,2(10), 29-35. Flores, M., Glusman, G., Brogaard, K., Price, N. D., Hood, L. (2013). P4 medicine: how systems medicine will transform the healthcare sector and society.Personalized medicine,10(6), 565-576. Hill, R., Hall, H., Glew, P. J. (2017). Fundamentals of Nursing and Midwifery: A Person-Centred Approach to Care. Holloway, I., Galvin, K. (2016).Qualitative research in nursing and healthcare. John Wiley Sons. LoBiondo-Wood, G., Haber, J. (2017).Nursing Research-E-Book: Methods and Critical Appraisal for Evidence-Based Practice. Elsevier Health Sciences. Levett-Jones, T. (2013). Critical Conversations for Patient Safety. : Pearson Australia. Retrieved from https://www.ebrary.com Mosadeghrad, A. M., Ferdosi, M. (2013). Leadership, job satisfaction and organizational commitment in healthcare sector: Proposing and testing a model.Materia socio-medica,25(2), 121. Nieswiadomy, R. M., Bailey, C. (2017).Foundations of nursing research. Pearson. Parahoo, K. (2014).Nursing research: principles, process and issues. Palgrave Macmillan.

Investigating Tesco Supermarket free essay sample

The following paper provides an overview of Tescos current environment, their competitors, their ICT configuration, how their ICT configuration conforms with their business needs and the potential for Tesco in future markets.? This paper uses key marketing tools such as PEST, SWOT, Ansoff Matrix, Five Forces Model and Product Portfolio Balance throughout its analysis. These tools help show where Tesco is at currently and where they will be in the future. The final section includes recommendations and cautions in making a decision to pursue investment opportunities with Tesco. From the paper: Tesco has a very strong presence in the UK and is quickly expanding internationally. In fact, they recently received the distinction of being named as one of the top ten grocery retailers. With this distinction, the board decided it was worth investigating Tesco as an investment opportunity. The investigation must take a good look at Tesco?s ICT configuration. We will write a custom essay sample on Investigating Tesco Supermarket or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Their configuration and potentially future configuration is important due to the role technology plays in keeping a company organized and serving its customers.

Essay on INTRODUCTION TO SOCIOCULTURAL AND LINGUISTIC ANTHROPOLOGY

Essay on INTRODUCTION TO SOCIOCULTURAL AND LINGUISTIC ANTHROPOLOGY Essay on INTRODUCTION TO SOCIOCULTURAL AND LINGUISTIC ANTHROPOLOGY Essay on INTRODUCTION TO SOCIOCULTURAL AND LINGUISTIC ANTHROPOLOGYThe history of linguistics and philosophy contains different views on the nature of metaphor and its function from understanding of a metaphor as a linguistic expression and a rhetorical means to hyperbolizing its role in man’s cognition of the world. Modern science recognizes the metaphor as the tool and the result of the interpretation of reality, a way and the fact of thinking; metaphor gets a definition as not merely linguistic but a conceptual phenomenon.From a formal point of view, the metaphorical transfer consists in using words (phrases, sentences) intended to denote certain objects (situations) of reality to name or characterize other objects (situations) based on a conditional sameness of the predictive signs attributed to them. At the level of the structural pattern of a sentence, the metaphorical transfer is expressed in the use of the structural pattern that describes a particular extralinguistic s ituation to refer to the situation of a different kind. From a content-related point of view, according to linguists and cognitologists, metaphor at any level is a cognitive/conceptual mapping of one area of human experience over another (Landau, Meier, Robinson, 2013).As the basic objects of analysis in metaphorology researchers (G. Lakoff, M. Johnson et al.) distinguish three groups of cognitive structures of metaphorical expansion:Source domain (war, theatre, man, inanimate nature, plants, animals, sport, disease, monarchy, family, school, etc.);Target domain (politics, parties, states, the President, elections, parliament, economy, laws, inflation, terrorism, etc.);Basic cognitive structures (ours/theirs, us/them, good/bad, etc.) (Lakoff, Johnson, 2003).Here are some explicit examples of metaphors cited by Max Black (1962):The chairman plowed through the discussion.A smoke screen of witnesses.An argumentative melodyBlotting-paper voices (Henry James)The poor are negroes of Europ e (Sebastian Roch Nicolas de Chamfort)Light is but the shadow of God (Sir Thomas Browne)Oh dear white children, casual as birds, Playing amid the ruined languages (Auden)In this way, when we use a metaphor, we have in mind two thoughts about two different things with these ideas interacting with each other within a single word or an expression, the meaning of which is the result of this interaction. Let us analyze an example from this standpoint: â€Å"The poor are negroes of Europe† (Chamfort). According to substitutional point of view, the statement implicitly says something about poor people of Europe. But what exactly? Is it that they are the oppressed class, the eternal challenge to officially proclaimed ideals, that poverty is indelible and inherited trait? According to a comparative point of view, this expression contains a comparison between the poor and illiterate (taking into account the time when the statement was made). In contrast to both of these points of view, Richards (2004) would say that our thoughts about the poor Europeans and American negroes interact and penetrate each other to generate a new meaning.This means that in this context the focal word â€Å"negroes† gets the new meaning of which we cannot say that it completely coincides with its literal meaning, or that it is equal to the literal meaning of any other word allowable in this context. New context (â€Å"frame† of the metaphor) causes the expansion of the meaning of the focal word. Richards implies that for a metaphor to work, the reader must constantly be aware of the expansion of the meanings and refer to the old and new meaning simultaneously (Black, 1962; Richards, 2004).Peter Newmark, known in linguistic circles as a translator-practician, in his â€Å"Textbook of Translation† highlights two functions of the metaphor: connotative and aesthetic (cited in Geary, 2012). Connotative function refers to the ability of metaphor to describe in more detai l both specific and abstract concepts, to express ideas brighter and deeper characterize the quality of the described object. And it is important to correctly assess whether the semantic domain of a metaphor is positive or negative. Let us consider the following sentence: â€Å"German bosses of the 1990’s were Jack Welches of Germany†. What did the author have in mind comparing the heads of major German companies to Jack Welch? We know that in 1999, Jack Welch was voted the manager of the century. Thus, the metaphor has obvious positive overtones. We can paraphrase the sentence as follows: â€Å"Talented managers headed the major German companies.† Aesthetic function, in turn, refers to the ability of metaphors to have aesthetic impact on the reader, interest and surprise (Geary, 2012).In many areas of social communication, for example, in politics, metaphor serves as an important means of cognition and explanation of the world, an effective means of pragmatic i mpact on the consciousness of the mass audience.Thus, opposition in the Bundestag (German Parliament) uses a metaphor for the negative characteristics of the Kanzler Merkel’s performance: â€Å"Merkel-Regierung hat versagt, sie selbst sei nur noch â€Å"Geschftsfà ¼hrerin† der Regierung† (Merkel’s government is not doing its job, and she is only a manager and not the head of the government) (Frankfurter Allgemeine Zeitung). Accepting the metaphorical model proposed by a politician (e.g., the economy is a sick person), we at the same time accept all the consequences that follow from it (for example, the fact that the patient (the economy) can be saved by the doctor (head of the state) and new methods of treatment (economic reforms). Here it is appropriate to recall the well-known term â€Å"shock therapy†. To illustrate this, we offer the examples of metaphorical newspaper titles in Germany: â€Å"Union und FDP: Die lange Nacht der Gruppentherapie † (CDU and FDP: The Long Night of Group Therapy), â€Å"Regierungserklrung zur Energiewende: Eine Herkulesaufgabe† (Government Statement on Energy Policy: a Herculean Task), Ein Maulwurf in der FDP (A Mole in the FDP) (Frankfurter Allgemeine Zeitung).Thus, metaphor is a powerful means to influence or even manipulate the audience. Should a metaphor be considered a lie then? Based on the definition a lie as a statement of the imaginary as the real, and/or the real as the imaginary, we can infer that metaphors state the true, however, in a misleading way. They contain a cipher. Metaphor is a lie, which does not particularly seek to appear as the truth, because both the speaker and listener as implied understand that the statement is not the truth (Geary, 2012). They seem to wink at each other and slyly smile, and the listener already begins to look for a different meaning of the said (if the one understands the lies, and has a key to deciphering the metaphor). Both are i nvolved in a social game, because the first innocently lies, and the second solves the riddles.On a whole, metaphor is not limited to the sphere of language: the very processes of human thinking are largely metaphorical. As a phenomenon of consciousness, metaphor is manifested not only in communication as such, but also in thought and in action, social and political patterns, as well as involves intercultural meanings and conceptual reality.

History Essay Example | Topics and Well Written Essays - 1250 words - 10

History - Essay Example Judy Morley asserts these districts were created more to make money than to preserve historical sites. Both motives are involved in creating historical districts. As American towns and cities grew and changed urban planning became necessary. Buildings and houses were torn down to create new business and houses. Soon as the cities became bigger and bigger a need to create historical sites became necessary. Some of these neighborhoods were planned; others had natural benefits to the creation. The Old Town District in Albuquerque was merged into the town solely to become a historical district. The LoDo District in Denver was planned due to it being the oldest part of Denver. Pike Place Historical District was created due to Federal funding. Whatever the reason all three cities created a historical district for one reason or another. The Old Town District in Albuquerque was originally formed around the San Felipe de Neri Church. Settlers built homes around the church (Morley 22). In the 1800s, trade created stores and outposts in the Old Town District. Morley points out that like most Western towns, Albuquerque’s Old Town was by the railroad tracks (11). This helped settlers, supplies, and other goods to be delivered. The only main transportation in the beginning was the train. Roads and interstates were not even imagined during this time. As the town spread and transportation evolved, land expansion grew. When Albuquerque grew a New Town emerged that was distinctly separate from the Old Town. Only after the growth in the 1940s did the New Town want to merge with its historical past of the Old Town. New Town was made up of whites; where as Old Town was made up of Latinos. The annexation of the Old Town was done for the sole purpose of creating a historical district. This was a purposeful move on the part of the New Town. As the city continued to grow, Albuquerque moved beyond

Dislocation and strengthening mechanism on various materials Essay - 1

Dislocation and strengthening mechanism on various materials - Essay Example Composites are strengthened in a similar fashion by reinforcing the material matrix with particles or fibers. Fiber reinforced plastics (FRP) are the most commonly used composites [2]. The fibers act as load carrying mediums while the surrounding filler works to transmit the load to the fibers. At times polymers possessing higher material strength are required. There are three basic fundamental means of increasing material strength for polymers; these are crystallization, cross-linking and chain-stiffening [3]. Crystallization causes polymers to gain regularity in their molecular arrangement. Cross-linking is a process by which adjacent molecular chains are bonded with one other through covalent bonds. Chain-stiffening involves a number of methods through which chain bending is restricted. . Strengthening mechanisms for metals include grain size reduction, solid-solution strengthening and strain hardening. Grain size reduction involves reducing the grain size of the metal. The reduction in grain size obstructs dislocation motion when stress is applied. At a macro level, the material appears to have more strength. Solid-solution strengthening involves introducing impurity atoms in the interstitial solid solution. Strain hardening is also known as work hardening or cold work. Cold work is a process by which a ductile metal is plastically deformed resulting in a metal that is harder and stronger. Furthermore, recrystallization is a process by which a cold worked material regains its precold-worked properties. As mentioned afore, cold work or strain hardening is a inexpensive process by which a ductile metal is hardened through plastic deformation. The process is performed well below the absolute melting point of the metal [4]. There are a number of advantages related to strain hardening. The materials maybe strain hardened and molded into desired shape simultaneously while still being able to achieve superb dimensional tolerance and surface

Societal Changes Assignment Example | Topics and Well Written Essays - 1000 words

Societal Changes - Assignment Example We just know we do not want any part of it. Introduction The issue of stereotyping, which also leads to a form of racism, can be seen in both the population and within the police force and the type of interactions that occur. When looking for someone to blame for why certain crimes happen, it is easy to think automatically that if someone thinks, looks and acts within a narrow visual framework, then it is easy to blame that person and that group of people (Bradshaw & Roseborough, 2005). The issue of Muslims has a tender spot in the minds of many Americans who see all Muslims as perpetrators of bombings and terrorism in the country. Whenever something happens in the country, people automatically assume it was done by a Middle Eastern Muslim terrorist. As we have also seen, the bomber can also be a Western Muslim terrorist, such as in the case of the Shoe Bomber in 2001 (Elliot, 2002). 1.With the recent bombing of the Boston Marathon, and the near-beheading and death of a British soldi er on a London street, tensions have been running high with the public, particularly in England. There have been numerous protests, and police, both in England and in the United States, have been told to look for groups of people, who might commit crimes against Muslims directly, or on or around property owned by Muslims. It is very hard for people to understand that when one, or a few, members of a group have committed a crime against others, it does not mean that all people of that group will be doing that same sort of crime (Gabbidon & Greene, 2013). When people look for the enemy, the only thing they have to go on is what the enemy would typically look like. In a war, one side knows that a certain uniform represents the enemy, and that there may be other physical identifications, such as an Asian appearance, for wars conducted in World War II and Vietnam. In a more modern day, and in modern warfare conducted today, appearances are far more deceiving and it is hard to know who th e enemy is. Some have dressed up in Western army uniforms and then turned guns on unsuspecting Western soldiers. Even seeing women with burkas and, especially with full face veils, promotes the concept of hiding something that makes identification possible (Moore, 2010). Therefore, those who hide behind veils, or ski masks, are potentially considered an enemy. It would be easy to suspect that some other person may be under that burka and veil besides a normal Muslim woman. While in Muslim countries, veils are rarely given a second thought, in Western countries, it is important for Muslim people to respect parts of the society they are now living in, and to let women remove the veil so it is not so threatening. Integration with their new society is essential to their success. Living as if they were still in their own land and observing their own rules without regard to the new country, is not acceptable (Moore, 2010). 2. There are several solutions to the issue of racial profiling. A ) In the first case, Muslims can take matters into their own hands by meeting law enforcement members of their community and getting to know the neighborhood police who conduct regular beats in the area (Bradshaw & Roseborough, 2005). Making friends, or at least, acquaintances, allows the police: to 1) know who they are individually; 2) establish

SanGrafix Video Game Company Business Process

SanGrafix Video Game Company Business Process The BMI was part of analyzing and selecting vital areas of SanGrafix Video Game Company. It was prepared on March 22, 2017. Regardless of how well the company plans for downtime errors, there is a chance that this will happen and the main point of consideration is how fast the company is able to recover from such errors. Purpose The purpose of this document is to identify and prioritize various system components in line with business processes that the system supports. It has the following parts: Determining business processes and the areas that require critical recovery Identifying resource requirements as per their urgency within the company Identifying recovery priorities for system resources based on the urgency of required production (Gadir et al., 2015). 2. System Description SanGrafix is a video game company of the 21st century that endeavors to create a scintillating experience with each video game they create. They are known to take the gaming experience to the next level as they aim to create a gaming experience that completely assimilates the real life experience. The company has a majority of its first-hand market in America. It offers a great variety of games from car racing to combat games all of which are the state of the art quality. The company works under the principles of getting better and making the customer experience better and improved with each new product that is launched to the market. The company is highly reliant on top notch technology which drives the innovation behind each of their amazing products and hence its competitiveness is highly dependent on its ability to ensure they minimize errors or enhance their capability to recover from such errors within the shortest time (Master, 2014). The company is setting its footprints in an industry where the competition from other companies is fierce, and the chance of being kicked out and rendered irrelevant are beyond high. The company has a huge basement of employees all performing different specialized tasks aimed at ensuring continuous provision of services to its clients. There are the technical engineers who are in charge of developing and maintain the companys system performing at optimal levels which include the network infrastructure, the hardwar e and software components. They are also in charge of creating the gaming programs that the company uses. The company as well has developers who come up with the games as well as constantly improving on them now and then according to developments in the market. The business has a vibrant marketing department which is always at the forefront of letting the consumers aware of any new products. The marketing team is as well in charge of creating and coming up with news ways through which the company can increase its reach to the market. The marketing team has been using the online platform as the main channel of marketing. 3. BIA Data Collection The company as earlier mentioned uses the online platform as the main tool of marketing. The majority of the sales are recorded through the online shop while other sales are through and online catalogs. Calls can also be made to the head of the department where assistance is offered regarding sales or any other queries that the clients might have. 3.1 Determine Process and System Criticality E-commerce processes are the heart and soul of SanGrafix Company since a huge percentage of the sales are recorded through the e-commerce platform. The majority of the clients do not even have the idea of where the company is located physically their interaction with the company is mostly limited to the e-commerce platform. As a result, the e-commerce processes are quintessential to the firm. The e-commerce processes of online payments include the transfer of funds from the buyers account to the banks accounts. The majority of companies in the gaming industry is set on creating profits and so does SanGrafix and among the key supporters in the gaming profit generators is the E-mail based communications and the network that allows for multi-player support over a network for the company. Far away clients reach the company through emails where they place their orders waiting for delivery or response through the emails. The same emails are highly used within the company structure to pass information from one source to another every time it is deemed necessary to pass information around. The same email communication platform is highly utilized to get information about customers reaction towards certain products as the company has made it their traditions to seek the feelings of the customers towards services delivery and product performance. The customers are encouraged to use the email services more than the telephone mode to let the company know their reactions. The company is practically in existence due to its online presence more than the physical presence. As a result, the Marketing and public relations sector are as well critically dependent on the online platform. The company conducts most of its marketing through its website as well as another host of social media pages it operates. The company has a lot of followers across the various social platforms who keep on increasing every so time. The followers are always keen and eager to learn of new products or any new information regarding their favorite product while at the same time there is a team of dedicated personnel who is always ready to feed the market with any form of information deemed necessary. Through this continuous exchange, the company can expand its market while at the same time maintain a high level of public relations with the clients. Other departments that require the online presence within the company but at a lowered rate include the Research and development activities where research on how to improve on the current products is carried out. A team of developers who work on flexible working durations requires the online platform to expand the creativity into making the video games of the future. Customer service handling can be carried out through the online platform as well as through the telephone channels. Mission/Business Process Description e-commerce processes processes through which the company accepts payments for products Marketing and public relations Mechanism through which the company markets its products to the market Research and development activities Process of coming up with new products and improving existing ones Customer service handling Might require both online and telephone lines 3.1.1 Identify Outage Impacts and Estimated Downtime Some of the potential outages that face the company include power outages which are normally rare and far in between. Nonetheless, the company is well equipped with a secondary source of energy that automatically reconnects as soon as a power outage is experienced which narrows the downtime experienced as the switch the second source of energy is almost immediate. A server crash also negatively affects the operations of the company since most of their online activities would be brought to a halt. Nonetheless, the downtime experienced in this is short since it would only take a few moments to get hosting from other servers while a repair is being done to the companys server. A website hack would also be catastrophic to the company since lots of business is done through the website. The downtime in this would be long since tracking hacking activities could be tedious and long to trace (Cordero et al., 2011). Outage Impacts Severe = a lot of money and time Moderate = low fees and limited time Minimal = limited cost and time If of a power outage the company suffers minimal impact since business is barely affected by the power outage given the time lapse between switching the secondary power source is almost immediately. As a result power outage is a minimal impact outage to the company. Server crash carries the medium impact since getting another web to host the company is both costly and could take some moments hence negatively affecting the business. A hacking problem could have severe impact on the business since the amount of time and data lost in the process is a lot and could compromise the integrity and public confidence of the company besides violating the federation laws of protecting the client information and this could be followed by unending lawsuits that could push SanGrafix out of the gaming industry business (Wiggins, 2008). Estimated Downtime Maximum Tolerable Downtime (MTD) by the company is the least time possible to get the business functioning again at the least cost Recovery Time Objective (RTO) allocated to a power outage as well as server crash is minimal while the RTO for hacking could be extended. Recovery Point Objective (RPO) for the company is daily hence it will lose a days data which is not so devastating for business. Mission/Business Process MTD RTO RPO Power outage Less than 1 hour Less than 1 hour Less than 1 hour Server crash 6 hours 4 hours 12 hours Hacking 72 hours 48 hours 12 hours 3.2 Identify Recovery Priorities for System Resources The recovery time required for several outages is variant from each other. Priority System Resource/Component Recovery Time Objective Power outage Electricity Almost immediately to rebuild Server crash Optiplex GX280 Less than 12 hours to get another host Hacking Optiplex GX280 Less than 72 hours to reconstruct References Master, L. L. (2014). Assessing threats and setting priorities for conservation. Conservation of networks, 5(4), 559-563 Cordero, A., Gonzalez, N., Chen, Z., Campos, R., Polanco, A., Melfi, D., Ouchaou, M. (2011). U.S. Patent Application No. 09/789,834. Gadir, O. M., Subbanna, K., Vayyala, A. R., Shanmugam, H., Bodas, A. P., Tripathy, T. K., Rao, K. H. (2015). U.S. Patent No. 6,944,785. Washington, DC: U.S. Patent and Trademark Office. Wiggins, C. (2008). U.S. Patent No. 5,717,604. Washington, DC: U.S. Patent and Trademark Office.

One Time Offer: Sell your Soul, Receive Eternal Life: Note: Do as I do, or Be Punished :: essays research papers

â€Å"Believe nothing just because a so-called wise person said it. Believe nothing just because a belief is generally held. Believe nothing just because it is said in ancient books. Believe nothing just because it is said to be of divine origin. Believe nothing just because someone else believes it. Believe only what you yourself test and judge to be true.† (Buddha)   Ã‚  Ã‚  Ã‚  Ã‚  We were not given the gift of life to adhere to other’s dreams, we were not born to live in the shadow of another being, and we were not bequeathed with the right of freedom to dwell on other’s visions.   Ã‚  Ã‚  Ã‚  Ã‚  Has our society fallen to such contemptible levels? Are we really that misplaced, that we must look to someone else’s ways to feel whole? We must look somewhere else for guidance? That, to me, is one of the sorrowful things I have ever heard. I fear for our future; I fear that independent thought will someday begin to seize to exist. There is nothing left to fear except the persistent refusal to find out the truth.   Ã‚  Ã‚  Ã‚  Ã‚  Religion; the satisfaction for your needs, a place to turn when you are too weary to continue searching for the truth. You should never believe those who claim they found truth, but only those you are still yearning for it. Religious persons do, have positive virtues, they do, have optimistic morals, but they settle for not their own vision, but someone else’s vision.   Ã‚  Ã‚  Ã‚  Ã‚  Your elders should always be respected, but just because they contain some higher ranking, does not mean that you should follow intently to what they say, and what they tell you to do. It is in your own will, and your own right, to flourish in your own visions, in your own heart.