Tuesday, January 21, 2020

Book Review: Siberia: Its Conquest and Development Essays -- essays re

Ronald Frank2004-05-03T00:58:00 Beyond the Urals Semyonov, Yuri. Siberia: Its Conquest and Development. Baltimore: Helicon Press, 1963. 414. What would motivate men to venture into some of the harshest areas on Earth, often with a small amount of supplies and an overwhelming chance of not returning alive? Plenty, argues Yuri Semyonov, â€Å"plenty of freedom, plenty of natural resources, and little authority† (86). Yet, Siberia: Its Conquest and Development if far from a simple retelling of several adventure tales. What the author presents is a comprehensive history of Siberian exploration spanning roughly 500 years, complete with thorough analysis of the political, cultural and economic factors that were at play throughout. Semyonov begins with a brief introduction of Russian history prior to Ermak’s journey, discussing key forces ultimately responsible for Siberia’s conquest. All the important expeditions from Ermak, to Deshnev, to Bering are discussed in great detail. Certainly the story of Ermak drowning in his heavy armor has not gone untold; throughout the book Semyonov gives both historical facts and traditional legends in order to create a more complete picture. Siberia covers a broad range of geographical locations, including Siberia, Alaska, and even touches on Hawaii and Japan. In effect, any area related to Siberian conquest is given attention. Yet, just as the title would have you believe, Siberia: Its Conquest and Development, at its heart is still...

Monday, January 13, 2020

Electronic Medical Records Essay

When looking at Electronic Medical Records and how do we get our senior physicians to â€Å"buy in† for successful implementation of computer charting for the hospital there are several things to consider. First, most senior physicians are used to the paper patient charting system and are reluctant to convert to EMR because they feel it would take away from patient interaction and care. According to Griffith and White (2010) diagnostic excellence requires two kinds of knowledge which are rapid communication of patient’s current needs and an understanding of the clinically indicated responses. With this in mind EMR makes recording patient information faster and more complete, includes safeguards to improve accuracy, and it speeds up patient related information. In 2004 president George W. Bush, set an ambitious goal that by 2014 all citizens would have access to their electronic medical record. President Barack Obama reinforced that commitment with nearly twenty billion in stimulus money for hospitals who convert to electronic medical records and a rather recent legislation called the American Recovery and Reinvestment Act further underlined the initiative to move towards the electronic medical record. This legislation is aimed at creating more funding and a network of incentives for healthcare professionals and physicians who are ready to adopt EMR and abide by the concept of â€Å"meaningful use† of electronic medical records. The opportunity for improvement is to optimize the documentation of patient encounters, improve communication of information to physicians, improving access to patient medical information, reduction of errors, optimizing billing and improving reimbursement for services, forming a data repository for research and quality improvement, and reduction of paper costs within the HCO. It is important to resolve this problem of EMR use now because it will considerably increase patient outcomes and patient safety within the hospital. Currently departments within the hospital have difficult time communicating with one another in a timely manner. EMR will enable departments to communicate effectively and cut down on treatment time for patients. This will result in better continuity of care for patients from the outpatient to inpatient and back to outpatient care. HCOs must keep in mind there is a lot of federal pressure to have all patient’s access to their medical record thru EMR by 2014 and the penalties for not being in compliance are levied in reduced reimbursements of Medicare and Medicaid payments with financial penalties as well. The desired outcome from my MAP implementation is to have EMR fully operational within eighteen months and also have an inter workability with other healthcare systems for patients care. I also want to accomplish the ability for all interdisciplinary services to have the ability to communicate with one another and the health team to have access to medical records for patient care in order to cut costs of visits and provide overall better patient care within the HCO. There are several realistic constraints to consider in the implementation of EMR which are the costs of implementing which is normally between one and three million dollars, federal and state compliance issues, and infrastructure for servers supporting EMR. I also have to consider the constraint of time for the implementation process which is usually averages twelve to eighteen months for full system wide usage of EMR. There are several other constraints of EMR which are ensuring financial incentives for physicians, employee training, and sustainment training for updates and maintenance to EMR. The problem exists because senior physicians came thru medical school at a time where computers weren’t being used on a broad basis for patient care and they believe EMR will disrupt their traditional working style and require a greater constraint on them when dealing with EMR. The physicians also are concerned with the complexity and usability of EMR which will require them to allocate additional time and effort which would take away from patient care. There are several actions that are needed to achieve my MAP goal. First, I must have C suite leadership buy in for the implementation of EMR. Next, I must ensure the financial plan is approved for EMR system. I also must ensure to have the physical space for the system within the clinics and facilities of my HCO. I have to make sure a training plan is developed for my IT staff, physicians, nurses, and associates. I have to develop a plan for embedding IT staff within each clinic to provide assistance and troubleshoot any glitches within the EMR system. I must ensure my EMR system talks with the networks of other facilities to ensure the patient information flow is adequate for patient processing time and internal consulting. I also have to ensure protection for HIPPA and the safeguarding of patient information when it is sent to outside servers. Finally, I must ensure my EMR system is in compliance with all federal, state, and local requirements. When looking at the key actions steps and there sequencing the first step I would do is ensure I have C suite buy in for the implementation of EMR. Before I meet with them I would have my total implementation plan completed and ready to present to them and ensure that all key steps are covered. Next, I would ensure with the HCOs building manager that the necessary space is available for the EMR system and all spaces are compliant with fire barriers with in the hospital. The next key action step would be the implementation of the training plan on EMR for my IT personnel to ensure they are fully ready for the launch. I would also have to ensure the training plan for the physicians, nurses, and staff is fully implemented and resourced. This would lead me to ensure I have my IT staff embedded in each clinic for the first month to make sure the implementation goes smoothly as possible.

Saturday, January 4, 2020

Clever Quotes From Great Thinkers

Would you like to sound smart? Do you want to impress your peers with clever words? Here are some clever quotes rescue you when the situation arises. Kiss those thinking caps goodbye because who needs to think on their feet, when they have clever quotes handy? Henry FordWhether you think you can or whether you think you cant, youre right. Nothing is particularly hard if you divide it into small jobs. George Bernard ShawYou see things; and you say Why? But I dream things that never were; and I say Why not? We learn from experience that men never learn anything from experience. Bertrand RussellMost people would rather die than think; in fact, they do so. Maya AngelouA bird doesnt sing because it has an answer, it sings because it has a song. Groucho MarxOnly one man in a thousand is a leader of men -- the other 999 follow women. Albert EinsteinTwo things are infinite: the universe and human stupidity; and Im not sure about the universe. When you are courting a nice girl an hour seems like a second. When you sit on a red-hot cinder a second seems like an hour. Thats relativity. Benjamin FranklinWine is constant proof that God loves us and loves to see us happy. Harry S. TrumanYou want a friend in Washington? Get a dog. Elbert HubbardEvery man is a damn fool for at least five minutes every day; wisdom consists in not exceeding the limit. Ralph Waldo EmersonThe years teach much which the days never knew. Johann Wolfgang von GoetheEnjoy when you can, and endure when you must. Toni MorrisonIf you surrender to the wind, you can ride it.

Friday, December 27, 2019

What Are Genetic Diversity - 995 Words

United States are a home to people from all over the world with different skin tones, languages, cultures, and features. The only way one can tell the difference between individuals are by their appearances. Since America is a diverse country, interracial marriage is a common thing. With interracial marriage being a common thing, babies with two more different genes is not surprising. Genetic diversity can improve the lifespan of a population and individuals and protect the body from foreign substances. What is genetic diversity? Genetic diversity is the different level of genes in an individual. Genetic diversity, in a population, is the population contains most of one or more alternative forms of a gene that mutate at the same place on†¦show more content†¦Within an individual, there is a duplicate genetic information from the mother and the father; it is the same type of information, but the forms may vary. However, when genetic diversity among individual within a group, it is different; every individual has their own genetic information. Every individual has their own genetic information because of the gene pool. Gene pool is the sum of the variances of an interbreeding population. Among a population, genetic diversity are different gene pools in a group of population. Different genetic information in a population is an advantage because it is the key to environment adaptation and local adaptation (NPS). In the United States, immigration plays an important role in genetic diversity. Data from 2014 from the Kaiser Family Foundation shows that there are 62.2 percent Non-Hispanic White, 12.4 percent Black or African American, 5.2 percent Asian, 2 percent two or more races. 0.7 percent American Indian and Alaska Native, 0.2 percent Native Hawaiian and other Pacific Islander, and 17.4 percent Hispanics (may be of any race). Different ethnicity has different genetic information; therefore, everyone from different ethnicities look different. With different genetic information, every individual cope with the environment in America differently. Therefore, different mutations in genetics can help individuals in different environments (Tilman). Genetic information in America and other countries are different due to the

Thursday, December 19, 2019

Personal Experience Being a Transgender is not Matching...

The way I dress tends to leave people a bit†¦confused. For example, when I was younger, when I would go to the grocery store, the salespeople would always refer to me as a boy, saying things like, â€Å"can you tell that boy to put his items on the counter?† Since I have been able to dress myself, I have been wearing boys clothes because I identify as a cross-dresser. I feel more comfortable and more like myself†¦but this is not generally accepted in society, especially in Bulgaria. According to the national climate survey on transphobia in Canadian schools, between 2007 and 2009, â€Å"74% of trans students reported having been verbally harassed about their gender expression†. And what’s more, â€Å"37% of trans students reported being physically†¦show more content†¦If we use the wrong gender, it’s a reminder that they are different. They usually try to brush it off or become defensive even when their mistake is pointed out. Recently, a transsexual woman named Laura was misgendered by a presenter at a famous gaming convention called Eurogamer. As she explained, Everyone else was either gentleman or young woman. Im just something that he was afraid to try to address. And this is not even the worst part. The nightmare began after Laura tried to voice her anger on Twitter. A huge number of people started to tweet her back. Some of the tweets were supportive but the majority of people were sending rude and abusive messages, tweeting that she was a disgusting freak who would be better off dead. It seems being misgendered at Eurogamer was nothing comapered to her punishment for speaking up about it. Second, those who do not fit societys notion of normal are persecuted. There is a definitive issue with gender-identity privileges. Non-trans people can reasonably assume that their ability to acquire a job or rent an apartment will not be denied on the basis of their gender identity. In the 2011 National Healthcare Disparities Report is stated that transgender people are more likely to be uninsured and less likely to have employer-based health insurance than the general population. In the USA it is legal to fire someone solely for being transgender inShow MoreRelatedHealth Care For Transgender Patients Essay1918 Words   |  8 Pageshealthcare, transgender individuals often face the most obstructive barriers when attempting to receive care. Whether they are seeking access to hormones, therapy, general health services, reproductive healthcare, or specialty healthcare, transgender patients typically cannot get what they need without jumping through many hoops or hiding their identities. 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Wednesday, December 11, 2019

Disney-Marvel Merger free essay sample

Marvel’s brand commands a 29% premium of its stock for Disney to acquire them giving Disney more brand popularity worldwide. The strategic reasons for mergers: * * Synergy – revenue growth and cost savings * Increase in Economic Growth. * Acquiring new Technology. * Acquiring licenses, patents and procedures * Globalization * Capacity Reduction * Familiarity between organizations * Increase Marketing and management capabilities. * Increases market share, customer segments and customer base. * Reducing the competition * Deregulations * To gain power and cash flows * Scaling Economies The factors that are influential in implementing a merger: * Integration Plan: Combining corporate cultures, business processes, rewards system and hierarchy. * Strategic Fit: Organizations feel their strategic management is in line, creating a mutually beneficial synergy between both companies. * Rules amp; Regulations: Resistance from some employees may cause a problem and the organization should be prepared to manage the resistance. * Training amp; Development: The organization will incur training and development costs to align workers to the company’s quality level. We will write a custom essay sample on Disney-Marvel Merger or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Stakeholders: Stakeholders have to be on board with the merger for the implementation of the merger making sense for its stakeholders. * Risk: The organization assumes more risk when merging two companies together. The Walt Disney Company has been making many mergers to diversify their market and revenue streams. Overall, they have been successful by acquiring Pixar, abc, ESPN and now Marvel. The mergers have given Disney an increase in growth, value, and competitive advantage by strategically acquiring organizations that expand their market. Disney should create a strategy for implementing the merger as it gets complicated with Marvel licensing to other production companies. This merger will widen the market for Disney creating value for the organization in the ever changing market. Disney’s experience and success in implementing mergers and benefiting from synergies gives the organization greater value for its stakeholders. Disney’s development and marketing is the strategic reason that they are interested in Marvel since they can make the lesser known characters become mainstream characters reducing risk. Disney may have also acquired Marvel because Time Warner owns DC Comics and this may be a sign of a copy cat behavior. Marvel has substantial growth potential since they mainly license out their character to other entertainment companies and once those licenses expire Disney will have full control. As part of the merger strategy, Disney should get as much information about Marvel as they can, such as, finances, debts, legal and ethical issues, cultural environment before the merger. Moreover, Disney should review the risks and implement a post merger strategy to reap the benefits of the merger.

Wednesday, December 4, 2019

Stalins Great Purges Essays - Old Bolsheviks, Marxist Theorists

Stalin's Great Purges Stalin's Purges Soviet Terror Stalin's great purges had a distressing significance during the 1930's. The purges, in effect, started on December 1, 1934 with the murder of Sergei Kirov, a Leningrad party leader. This act, in fact, helped shut ?Russia's window to the West.' These great purges brought on ugly results and severely menaced the Soviet Unions power and future. The purges were designed to expunge any threats of political resistance. ?An important aspect of all Soviet Purges has been elimination of those minor figures whose fate was sealed by the defeat of their prosecutors.' ?Long before the assasination of Kirov in December 1934 Stalin managed by various political maneuvers and violent means to free himself from the control of the party masses.' Stalin was born on December 21, 1879, in the village of Gori, Georgia. He was born to Vissarion and Yekaterina Dzhugashvili. His father Vissarion, was an unsuccessful cobbler who drank heavily and beat him. When Stalin was seven, he caught smallpox, which marked him for life, and then he caught septicemia, which left his left arm slightly crippled. Stalin was one of four chilren to survive infancy. He lived a ?normal life' in the 1920's, surrounded by many relatives who freely expressed their thoughts and had good personal friends among the leaders in Russia. However, in 1932, his life took a change for the worse, arguably, after the suicide of his second wife, Nadezhda Allililuyeva who left a letter incriminating him personally and politically. Stalin's rise to power was a combination of his ability to manipulate situations and the failure of others to prevent him from taking power, especially Leon Trotsky. Trotsky did not take advantage of several opportunities in which would have helped him to eliminate Stalin politically. When he failed to take advantage of these opportunities, Stalin schemed himself into a stronger position within the party by allying with Zinoviev and Kamnev. He manipulated them into shattering Trotsky, thus eliminating the strongest opponent in his path to power. Stalin deftly avoided potential political ruin when Lenin formulated his Testament in December 1922. This Testament illustrated what his thoughts of the future of the Party leaders and the party itself; Especially Trotsky and Stalin. Lenin foreshadowed a division in which Stalin and Trotsky would be the main details. When describing Stalin, Lenin felt that he had an unlimited authority in his hands and whether he will always be capable of usi ng that authority with sufficient caution. The makeup of Lenin's Testament became more damaging to Trotsky than to Stalin. Stalin manipulated the content of the Testament to enhance his position. By mentioning Stalin as one of the prominent members of the Party, Lenin raised Stalin's greatness to that of Trotsky. The equivalent stature of apparatus The purges were set off on December 1, 1934 with the murder of Sergei Kirov. He was a member of the Politburo, leader of the Leningrad party and had substantial influence in the ruling elite. His concern for the workers in Leningrad earned him popularity. Stalin used his murder as a pretext for launching a broad purge that would claim hundreds of thousands of victims. No part of society was left out of danger by the purges. Anyone who caused the remotest suspicion was expunged and numerous legislatures were enacted to help enforce them. For example, a law that was passed in 1935 lowered the age for responsible criminal behavior. That meant the death penalty could be utilized on children as young as twelve. By 1933 Stalin and supporters were not satisfied with Russia's progress and the purge trials. ?They indicted a whole group of industrailists who were alleged to have hindered technological advance.' The terror is commonly thought to be the mode by which Stalin cinched his own personal power. Stalin did improve Russia's industrial system, however, obviously had a negative effect on Russian society. Stalin used the Five Year Plans to make great strides in industrializing Russia. When he tried to equal that success with agricultural growth he met some resistance and ended up liquidating a class and causing famine. Socially, he gave some important social benefits to workers and gave women equal rights. But, he also tried to purge the country and