The Existence Of Computerized Databases Essay Example for Free

The Existence Of Computerized Databases Essay When should patient be advised of the existence of computerized databases containing medical information about the patient? On AMA the patient and physician should be advised about the existence of computerized data both before and information is store http://patient.ezinemark.com/data-collection-in-a-computer-7d2eae229a7f.html website below Data collection in a computer Computerized database collection is commonly known as collection of large amount of data in a computer. The information collected can be organized to enable expansion, updating and retrieving for different uses. The collection of this information is organized in such a way that it can be retrieved in pieces form the organized automated system. In the medical field, the information collected concerning patients, process of treatment and other medical activities that are happening in a given medical facility. 1. Should corrections be dated and time-stamped? Collections are any amendments done on any filed record. In any medical activity, the alteration of any filed procedure may cause severe consequences, therefore, any collection made should be dated and time stamped. This will help in understanding the procedure that was initially followed and the preferred procedure which in turn will even show the time and the date the amendments were done. The dating and stamping time is therefore required incase of any collections. 2. When should the patient be advised of the existence of computerized databases containing medical information about the patient? The patient should be informed of the existence of a computerized database containing their information as soon as possible.his will help the patient in making decision as to whether his information should be disclosed or should remain anonymous. Informing the patient of existence of computerized database will help in safe guarding the patient’s right to privacy and confidentiality. Informing the patients about the existence of the system will avoid any conflict of interest between the patients and the medical practitioners in future. 3. When should the patient be notified of purging of archaic or inaccurate information? Purging[-0] is referred to as clearing of any unwanted information. When such information is noticed in the database, the patient and the medical practitioners should be notified before any action is taken. After their notification, the information should be replaced with accurate information and again they should be notified of the action taken. This will helps in safe guard the right of information in regard to their medical process. 4. When should the computerized medical database be online to the computer terminal? Online information is the information that can accessed through internet regardless of location and the necessity of information to the reader. The patient’s information should only be available online with the consent of the patient and full information has been fully credited by the patient and the concerned physicians. The information should be clear and should not violate any right. This will help in conveying any intended information to any interested party. (Jaeho Barley 2003) 5. When the computer service bureau destroys or erases records, should the erasure be verified by the bureau to the physician? Should the computer service bureau erase any stored record, the information deleted should be verified by the bureau to the physician. The patient and the physician have the right to know any little alteration on any record. This will help in knowing what information has been erased and what significance it has as far as patient’s medical process is concerned. Verification of the erased data will help in fixing or replacing the data with appropriate information. 6. Should individuals and organizations with access to the databases be identified to the patient? The patient has all the rights to know who have an access to his/her information and why. This will for the respect of the patient’s right to privacy and confidentiality. The patient has the right to restrict or allow his/her information disclosed to the third party or a court order may all ow or restrict if the patient is not in a position to act. The respect of personal information should be practiced and thus only the involved party has the authority over the information. 7. Does the AMA ethics opinion mention encryption as a technique for security? The computerized data systems have a compromising information security. The AMA opinion is that â€Å"there should be controlled access to the computerized database via security procedures such as encoding, passwords, and other user identification including scan able badges†. Confidentiality agreements should be made with other health-care professionals whom the office networks with. Encryption is recommended if the network entails public channels of communication such as radio waves, telephone wires, and microwaves. This will increase the chances of information confidentiality. (Jerome, 2001), 8. What does the ethics opinion say about disclosure by recipients of authorized data to third parties? According to the ethics opinion, disclosure of confidential medical information from the data base should be limited to the particular purpose for which the information is demanded. Nevertheless, authorized release of medical information to them does not warrant their further disclosure of the data to other individuals or organizations, or consequent use of the data for other reasons. Any person or organization found guilt of this offence; it may be obscured from accessing any further information and could be charged in court for violation of patient’s right to privacy. Reference: Jaeho, L. Barley, M. (2003),Intelligent Agents and Multi-agent Systems: 6th Pacific Rim International Workshop on Multi-Agents, PRIMA, Seoul, Korea, Jerome, C. (2001), Electronic Medical Records: A Guide for Clinicians and Administrators. American College of PhysiciansAmerican Society of Internal Medicine. ACP Press, [-0] http://ezinemark.com/goto.php?url=http://www.uktopessays.com

An Analysis of On Sitting Down To Read King Lear Once Again Essay

An Analysis of On Sitting Down To Read King Lear Once Again The poem "On Sitting Down to Read King Lear Once Again" by John Keats is a sonnet about Keats' relationship with the drama that became his idea of tragic perfection, and how it relates to his own struggle with the issues of short life and premature death. Keats uses the occasion of the rereading this play to explore his seduction by it and its influence on himself and his ways of looking at himself and his situation in spite of his negative capability. From the first few lines Keats alludes to the great romances of the previous ages as opposed to William Shakespeare's great tragedies. While it could be discerned that Keats is referring to his poem Endymion: A Poetic Romance, the underlying meaning of the lines remains. Keats writes "O golden tongued Romance, with serene lute!/ Fair plumed Syren Queen of far-away!/ Leave melodizing on this wintry day,/ Shut up thine olden pages and be mute." (Lines 1 - 4). Keats here is shutting out the idyllic romantic notions he cannot at this time cling to due to the ever present spectre of death that hangs above him. Keats forsakes the romantic here leaning instead toward the tragic, which is what he perceives his short life to be. In these opening lines Keats seems to be a desperate, and morose storyteller who forbids himself the taste of the ideal, regardless of how strong a pull romance has for him. Keats is forced to command the romance to "Shut up thine olden pages and be mute!" (4) in orde r to pull himself away from it. This shows not only the strong attraction romance holds for Keats, but also Keats' recognition of the Romance as a personified thing he can converse with and bid "Adieu!" (5). The use of ... ...ime it is clear that Keats has succeeded in accomplishing the transition of the Phoenix into immortality, as Keats still lives on over one hundred seventy five years after his death in his poetry and our memories ON SITTING DOWN TO READ KING LEAR ONCE AGAIN by John Keats O golden tongued Romance, with serene lute! Fair plumed Syren, Queen of far-away! Leave melodizing on this wintry day, Shut up thine olden pages, and be mute: Adieu! for once again the fierce dispute (5) Betwixt damnation and impassion'd clay Must I burn through; once more humbly assay The bitter-sweet of this Shakespearian fruit. Chief Poet! and ye clouds of Albion, Begetters of our deep eternal theme! (10) When through the old oak Forest I am gone, Let me not wander in a barren dream, But when I am consumed in the fire, Give me new Phoenix wings to fly at my desire.

Psychological Disorders Essay

Psychological Disorder Analysis This psychological analysis is about Maria a 42 year old Hispanic female who comes into the mental health clinic complaining of feeling jumpy all of the time, she has trouble sleeping and is enable to concentrate on her work as an accountant. These symptoms are causing problems for her at work. There can be many causes for her symptoms but to get to the root of her issue a clinical assessment, diagnoses, and proper treatment for her disorder will be submitted. Maria comes into the clinic complaining of having trouble sleeping, feeling jumpy all the time, she has trouble concentrating on her work which seems to be causing an issue. A clinical interview is done first on Maria to attain some background information. Clinical interviews questions are 1. What brings her to the clinic? 2. When did these feelings start and did an event trigger them? 3. Do these feelings last long? 4. What is her relationship with her parents? 5. What is her relationship with her siblings? 6. What type of work does she do? 7. What are her romantic relationships like? 8. What was her childhood experiences like? 9. What makes her happy? 10. Does she have any medical problems or medication she is taking? A possible disorder is causing her symptoms. Because information was not given concerning her background, family or social life Maria’s symptoms coincide with Dysthymic Disorder with major depression (University Of Phoenix, 2007). Dysthymic Disorder is known as double depression (Comer, 2011). It has symptoms of chronic and low level depression which reduces one’s ability to function. Some individuals with Dysthymia experience insomnia, or hypersomnia, poor appetite and overeating. They also experience poor concentration or have difficulty making decisions. Some fail to attend to daily hygiene, some experience low energy and low self esteem which cause them to overlook their daily duties or job responsibilities (University Of Phoenix, 2007). Most say they have been unhappy or sad all of their lives which cause them not maintain healthy relationships (University Of Phoenix, 2007). Dysthymia also causes changes in feeling, thinking, and physical well-being (University Of Phoenix, 2007). Dysthymic disorder share symptoms with major depression. Both disorders share symptoms such as sleep difficulties, shyness, and social withdrawal; poor work performance,  irritability, and conflict with family and friends (University Of Phoenix, 2007). The main difference between the two disorders is the intensity and duration of the disorder. With major depression symptoms are more severe such as the individual may be so depressed they cannot get out of bed and have thoughts of suicide whereas with Dysthymia the depression is more muted where the person is able to function on some level, he or she may be getting out of bed, but they may not groom themselves (University Of Phoenix, 2007). The other difference is major depression needs episodes that last for at least two weeks whereas dysthymic disorder symptoms persist for at least two years (University Of Phoenix, 2007). Major depression is also common with minorities. Minority groups that live below poverty or come from family wh ose environment was impoverished tend to suffer from depression in higher numbers (Comer, 2011). Gender also plays a role in major depression women are twice as likely as men to receive a diagnosis of depression (Comer, 2011). To assess her case the DSM-IV is used. According to what Maria says her symptoms meet the criteria on the DSM-IV. Maria must display two of her symptoms for a period of 2 weeks or longer (University Of Phoenix, 2007). Maria did not indicate in this case study how long she had been experiencing symptoms. The case study did not indicate Maria’s dress condition or hygiene neither did it indicate that she was shy or socially withdrawn. Maria may have developed dysthymic disorder through a behavioral process called learned helplessness. (University Of Phoenix, 2007). During an experiment dogs were placed in a cage with barricades and were exposed to a stimulus light which was followed by a shock (University Of Phoenix, 2007). They learned quickly through classical conditioning to fear the light (University Of Phoenix, 2007). In phase two of the experiment the shock was turned off and when the first group of dogs was exposed to the light they jumped over the barricade jumping to safety (Comer, 2011). When the second group of dogs encountered a large barrier they could not jump from the fear producing light to safety. When the light came on they ran around the cage barking and when they discovered escape was impossible they lay down and whimpered (University Of Phoenix, 2007). In ph ase 3 of this experiment all the barriers were removed, and the dogs could escape easily however, when the light came on the dogs that had been trapped made no effort to leave the cage, instead they lay down and whimpered (University Of Phoenix, 2007). What the experiment revealed is the dogs learned that even though they can escape nothing they can do will improve their conditions so in effect the dogs learned to be helpless (University Of Phoenix, 2007). Because Maria is Hispanic the multicultural perspective plays a role. Because of social norms, family structure, and background this should be all taken into account with minorities. Maria probably grew in an impoverish environment. Research shows that Hispanics are more likely to live a poorer environment that White American (Comer, 2011). Maria may feel that her life was precondition to remain this way even though she has made a life for herself as an accountant. Just like the dogs in her thinking she feels nothing she can do will change her conditions, even though she has opportunities to improve her life she has learned to be helpless which makes her sad and depressed which are symptoms of the disorder (University Of Phoenix, 2007). Multicultural research also shows that prejudice and discrimination against multicultural groups leads to higher anxiety and depression in minorities (Comer, 2011). Other probably causes for Maria’s disorder is a biological imbalance or hormonal imbalance like those seen in major depression. Biological theorist believes abnormal behavior as an illness is brought on by a malfunctioning organism in the brain or brain chemistry (Comer, 2011). The brain is made up of billions of nerve cells called neurons (Comer, 2011). When an electrical impulse reaches a neuron it is stimulated to release a certain chemical called a neurotransmitter which travels to receptors (Comer, 2011). These receptors travel to other neurons telling them to fire or not fire (Comer, 2011). Neurotransmitters play a key role in carrying information through the brain. In Maria’s case her neurotransmitters may be defective causing her symptoms (Comer, 2011). A hormonal imbalance can also trigger depressio n (Comer, 2011). A woman’s biological life changes as she ages triggering different hormone levels (Comer, 2011). Although hormonal changes cannot alone cause depression alone important social and life events that occur with puberty, pregnancy, or menopause can (Comer, 2011). To treat dysthymic disorder biological treatments such as psychotherapy and medications like Prozac and Tofranil have proven to be helpful in reducing symptoms (University Of Phoenix, 2007). A variety of psychotherapeutic approaches can work as well. Cognitive behavioral therapy can challenge Marias unrealistic ideas,  pessimistic expectations and self-critical evaluations (University Of Phoenix, 2007). Therapy can help her to have a more positive outlook on her life, and can help her to prioritize both opportunities and challenges concerning her life (University Of Phoenix, 2007). Multicultural treatments such as culture-sensitive therapy can be used in which the therapist addresses issues faced by minority groups (Comer, 2011). In addition behavioral oriented therapy can help her adapt better coping skills and help her communicate more effectively with friends and coworkers (University Of Phoenix, 2007). In this case study Maria went to the mental health clinic complaining of having trouble sleeping, feeling jumpy all the time, an inability to concentrate on her work as an accountant. Interview questions were asked which lead to a diagnosis of dysthymic disorder with major depression. Probable causes for her disorder are rooted in a neuro chemical imbalance or a learned helplessness from her environment (University Of Phoenix, 2007). Treatment for dysthymic disorder is psychotherapy and medication to reduce the symptoms (University Of Phoenix, 2007).

Sexist Language Definition and Examples

Sexist language refers to words and phrases that demean, ignore, or stereotype members of either sex or that needlessly call attention to gender. Its a form of  biased language. On the surface level, eliminating sexist language from your writing can be just a matter of word choice or making sure your pronouns arent all he and him. Sentence-Level Revisions Look at your pronouns. Have you used he and him throughout the piece? To revise this out, you can use he or she, or maybe, if context permits, pluralize your references to use the cleaner they and their instead of he or she and his or her in one sentence, as it could become awkward, wordy, and cumbersome. For example, When a person sells a car, he or she needs to locate his or her title paperwork could be more smoothly done by revising to plural: When selling a car, people need to locate their title paperwork.   You can also try and revise out pronouns to be articles. You could locate the title paperwork in the example sentence instead of their paperwork and not lose any meaning.  If  you would like practice recognizing and eliminating sexism from writing, see this  exercise in eliminating gender-biased language. Looking for Bias On a deeper level, youll want to look at details of the piece youre writing to make sure that it doesnt somehow portray all scientists as men, for example. In A Canadian Writers Reference, Diana Hacker wrote, The following practices, while they may not result from conscious sexism, reflect stereotypical thinking: referring to nurses as women and doctors as men, using different conventions when naming or identifying women and men, or assuming that all of ones readers are men. Some job titles have already been revised out of sexist usage in our everyday vernacular. Youll probably more often hear the phrase flight attendant nowadays  rather than the now antiquated-sounding stewardess and hear  police officer rather than policeman. And people dont use male nurse anymore, now that nurses of both genders are a common sight in medical settings. Youll want to look at the undercurrents in your writing. If youre writing fiction, youll look at things like, for instance, are the female characters (or male) portrayed as complex people, or are they used just as plot devices, flat as cardboard stand-ups? Examples and Observations Ensuring parity is an important topic. Here are some examples of the many sides  of the issue, including one where satire helps make the point:   Questions and criticisms of sexist language have emerged because of a concern that language is a powerful medium through which the world is both reflected and constructed....Some have claimed that the use of generics (such as mankind to refer to both men and women) reinforces a binary that sees the male and masculine as the norm and the female and feminine as the not norm...(Allyson Jule, A Beginners Guide to Language and Gender. Multilingual Matters, 2008) Language in Context The language as sexist prong of language and gender studies has faded in the last two decades....It was soon realized that a word could not unproblematically be derided as sexist since it could in principle be reclaimed by a given speech community (queer probably being the most famous actual example).( Lia Litosseliti, Jane Sunderland, eds. Gender Identity and Discourse Analysis. Johns Benjamin Publishing Company, 2002).   Sexist Language in The Office Michael: Okay, so what I want to engage us in today is a hardcore discussion about womens problems and issues and situations. Magazines and TV shows and movies portray women as skinny, tall goddesses. Well, look around. Are women like that? No. No, they are not. [Points to Pam] Even the hot ones arent really that skinny. So what does that say? That says that you women are up against it. And it is criminal. Society doesnt care. Society sucks. I dont even consider myself a part of society, FYI, because I am so angry over all of this....Karen: What youre saying is extremely misogynistic.Michael: Yes! Thank you. That was not necessary, but I appreciate it. And it proves my point: women can do anything.Karen: Im saying that youre being sexist.Michael: No, Im being misogynistic. That is insane, Im not being sexist.Karen: Thats...its the same thing.(Steve Carell and Rashida Jones, Womens Appreciation. The Office, 2007)