Love Conquers All Free Essays

Love overcomes all, let us also give up to adore. † Love could be depicted as madness and crazy to the individuals who know it or even detest it. Love overcomes all. We will compose a custom exposition test on Love Conquers All or then again any comparable theme just for you Request Now In the event that the deterrents be physical, which we can't change ourselves, at that point our brains will form as we see fit, regardless of whether it implies going crazy. Love vanquishes all in light of the fact that, being just one genuine affection, it has no conditions. Subsequent to experiencing love we will wander, just to return for additional, for it’s what our spirits long for. In this way, vanquishing the hindrances and capacities Of life. Love overcomes the perspectives on society. During the Civil Rights Movement, the â€Å"Blacks† or African-American individuals were being segregated in America and different nations, it got evident to a great deal of African-Americans that brutality against savagery was getting them no where. Blacks cherished their families, companions, nations, and white individuals. They were going to go to bat for their privileges as people, yet to do this they needed to make evident what the whites were doing to the blacks. African-Americans let themselves be beat and killed. They fought by not going to places they were permitted or/and progressing to places they were ‘t permitted to go to. It took some time, it despite everything goes on today, however the marks and perspectives on society have been progressively lifted off their shoulders. Love overcomes all, including time. In the film Maleficent, the pixie whom had lost her wings to her beloved companion and sentimental sweetheart, had reviled his infant young lady as retribution. In the wake of dealing with the infant young lady, Aurora, from a separation, Maleficent idea she detested this youngster. As the young lady developed, Maleficent developed in her affection for Aurora. At long last, when the revile had occurred, Maleficent realized what she had done some time in the past now influenced her and she crushed by this. At the point when all expectation appeared to be lost, she herself had lifted the revile from Aurora as a result of her earnestness of atonement and love for Aurora. From the outset Maleficent had thought there was no such love without conditions, however despite the fact that it required some investment she despite everything realized there was something like this and turned into an upbeat pixie with her wings indeed. Love overcomes all, even the powers of nature and ailment. The vast majority of these may appear to be difficult to many individuals. Jesus, the Son of God, had done bunches of prophets. Be that as it may, He stated, â€Å"Your confidence has spared you. † Love accompanies extraordinary confidence in God. Jesus had passed on for our transgressions on account of His extraordinary love for us and in light of the fact that he is Love. At the Last Supper a marvel happened done by Jesus. He transformed wine into His Blood and bread into His Body and stated, â€Å"DO this in recognition of me. † Thus, Catholics go to mass and remember this wonder of salvation. There have been times when the Blood or/and Body of Christ has been taken and found in later years. At the point when discovered, research had been done on the Blood or/and Body of Christ and finished up in dumbfounding outcomes. There was genuine blood and body pieces still unblemished that depicted a tormented male similarly as Jesus had been tormented. There have been individuals who have appealed to God through the crossing point of Mary by imploring the Rosary. Catholics and Non-Catholics, have petitioned God for other people, who have had an ailment, for instance malignant growth, to be restored. Here and there their supplications weren’t addressed for the time being or at everything except these individuals had confidence in God and devoted themselves to the imploring the Rosary. Their earnestness and confidence incurred significant damage and their petitions replied, the diseases restored, and as mother reaction from Mary, the individuals could smell roses eater their supplications had been replied or regardless of whether they weren’t replied. Love overcomes all. Regardless of whether it be the perspectives on society, time, the powers of nature, maladies, and-ourselves. Be that as it may, we should comprehend that enduring is a piece of adoration as long as we meander this world. We all have attempted to abstain from anguish. Has it not become evident that our affection is most grounded at what appears the most troublesome occasions? God refines us like silver in the fire Of our sufferings. Become hopelessly enamored with God and love will really overcome all. The most effective method to refer to Love Conquers All, Papers

How Can a Nurse Improve and Develop Professional Identity?

By what means Can a Nurse Improve and Develop Professional Identity? As indicated by DeJong 2014, polished skill can be characterized as the methods for acting in an adequate and suitable manner while holding fast to an expert set of accepted rules. It likewise implies finishing given errands and duties on schedule. Then again a Professional personality can be depicted as a lot of rules that characterize an individual in their expert vocation. An expert personality can likewise be characterized by the perspectives, convictions, encounters, standards, proficient association, requirement for progression and codes of a given vocation. These temperances decide the sort of individuals we communicate with in our lines of calling. These encounters and expert connections will in general characterize ones expert personality. In the line of nursing demonstrable skill is fundamentally basic if medical attendants are relied upon to offer quality and successful types of assistance and care to their customers and to the populace in general. In medicinal services Professionalism is viewed as a scaffold between the interests of the attendant and the requirements of society. It is clear that better polished skill is related with acceptable clinical consideration and better wellbeing results by and large. (DeJong et al 2014). Medical attendants should have the option to create and improve their innovative and inventive aptitudes so as to achieve and improve compelling patient consideration. In an exploration by O’Brien, Strzyzewski and Szpara 2013, on medical caretakers working in the careful office it was discovered that by making a sorted out procedure of instructive undertakings to empower, bolster and advance polished skill attendants had the option to improve their expert character and complete their training effectively securely and adequately. So as to accomplish the best outcomes Clinical Nurse Specialist (CNS) and Educational Nurse Coordinators (ENCs) in the careful unit created gatherings for attendants with the clinical custodians and unit pioneers. Educating was completed by utilization of banners and oral introductions. Through this medical caretakers had the option to ace powerful methods of producing thoughts and executing them to finish ventures. (O’Brien, Strzyzewski and Szp ara 2013). There are numerous elements that impact proficient capability for medical caretakers for instance association of work, individual qualities, psychological capacities and clinical information. All together for a medical caretaker to have the option to experience Professional development they should be focused on their work so as to ready to satisfy their work assignments. Proficient personality is normally joined by the workers’ self-idea; sense of pride, character, fundamental nature, camaraderie and qualities. In addition for a medical caretaker to improve their expert personality they should be adaptable and strong in their field of work. This implies medical caretakers need to have faith in oneself and be happy to face challenges. Notwithstanding that they have a profession understanding so as to have the option to build up practical vocation objectives by monitoring their qualities and shortcomings. (Tamm 2010). There are some inescapable factors in the wellbeing part that interest for proficient development and that has sway on the administration, bosses and the representatives. First making of new information, there are changes in the logical and specialized information like clockwork which request medical attendants to refresh their instruction levels every once in a while. Besides mechanical developments are occurring so quickly that attendants must be eager to hone their aptitudes and change with the evolving times. In conclusion, the up and coming of all the more testing undertakings requests for proficient advancement with the end goal for attendants to have the option to adapt productively. (Willetts and Clarke 2012). Improvement of expert personality as indicated by Tamm 2010, begins with how people see their work jobs and how great they deal with their work life and related practices. In addition proficient personality is a procedure of getting autonomous and having mindfulness through work. For a medical attendant to have the option to create and improve their personality they initially must have an expert self-idea and regard, in short they have to acknowledge their jobs as attendants. Attendants start to manufacture their expert characters during their investigation period and keep on building up all through their work life. Advancement of expert character is an actual existence course process containing various stages. Which extend from fledgling to master. (Tamm et al 2010). All in all improvement is joined by proficient development which is a nurse’s readiness to deal with work errands in various periods of their work. Medical attendants should be intellectually arranged, this implies they have to have adequate information on standards of social insurance to have the option to apply them, in actuality, circumstances. In extra to that medical attendant need to have information on the idea of the calling and the word related circle. (Willetts et al 2012). As I would like to think there are various number of components that have impact on the turn of events and enhancement for a nursing proficient personality. I have taken in a ton of new data from this task. It is an expansive theme and I believe I despite everything have a mess more to find out about building up my expert character later on. REFERENCES D. O’Brien, N. Strzyzewski and T.Szpara 2013, Getting to Success: Supporting Staff Nurses to Enhance Practice and Professionalism. Diary of PeriAnesthesia Nursing. Volume 28, Issue 3, June 2013, Pages e34 Available: http://www.sciencedirect.com/science/article/pii/S1089947213002037# Accessed seventh September 2014 G. Willetts and D.Clarke 2012 The molding of Professional Identity in Nursing: An ethnographic Case Study Available: http://worldwide qhr.org/wp-content/transfers/2012/02/Abstracts.pdf Gotten to seventh September 2014 S .M. DeJong 2014 Chapter Oneâ€What is Professionalism? Web based life and Online Professionalism in Health Care 2014, Pages 1â€11 Available: http://www.sciencedirect.com/science/article/pii/B9780124081284000011 Accessed seventh September 2014 Tiia Tamm, 2010 Professional Identity and Self-idea of Estonian Social Workers .University of Tampere Available: http://tampub.uta.fi/bitstream/handle/10024/66631/978-951-44-8115-4.pdf?sequence=1#page=69zoom=180,- 4,613 Accessed seventh September 2014 Stem Bark Extracts of Anthocleista: Antioxidant Properties Stem Bark Extracts of Anthocleista: Antioxidant Properties Unique 1 Research Article PHYTOCHEMICAL AND ANTIOXIDANT PROPERTIES OF STEM BARK EXTRACTS OF ANTHOCLEISTA NOBILIS Conceptual Point: This investigation was completed to decide the phytochemical and cancer prevention agent properties of extractsâ of Anthocleista nobilis. Philosophy: Acetone and methanol concentrates of A. nobilis were researched for their free radical searching exercises within the sight of diphenyl picrylhydrazyl (DPPH) utilizing ascorbic corrosive as positive control. Results: In the phytochemical screening of the plant separates, results demonstrated that the two concentrates recorded the nearness of alkaloids, tannins, flavonoids, and glycosides. The CH3)2CO and methanol concentrates of A. nobilis showed huge free radical rummaging exercises in the DPPH test with theâ acetone extricate recording better movement. The cancer prevention agent action of the two concentrates was in any case, lower than that recorded by the positive control-ascorbic corrosive. End: The outcome recommends that the concentrates have potential cancer prevention agent properties which could beâ exploited in medication and food industry. Catchphrase: Anthocleista nobilis, cancer prevention agent, DPPH. 1. Presentation Plants have been used by people to treat different irresistible and non-irresistible sicknesses since theâ beginning of time as they comprise a dependable wellspring of treatment. Furthermore, they are likewise the primaryâ source for a significant number of today’s prescriptions [1,2,3]. For example, purged optional metabolites, for example, vinca alkaloids are utilized broadly in disease chemotherapy [4].Quinine and artemisinin, got from theâ bark of the cinchona and qinghaosu trees separately and their subordinates have been generally utilized forâ the treatment of intestinal sickness [5,6,7]. A portion of these auxiliary metabolites are incorporated for explicit purposes by plants. Others may beâ by-results of plant digestion which as of now have no known natural capacity. Hydroxylatedâ coumarins have been accounted for to gather in carrots because of parasitic intrusion [8],â glucosinolates, perceived for their antimicrobial properties[9], have additionally been accounted for in Brassiaâ rapa in light of contagious contamination/assault [10]. These auxiliary metabolites fall under one of the significant phytochemicals, for example, flavonoids, tannins,â glycosides, steroids, terpenes, and so on. In spite of the fact that these mixes are known to be bioactive, a great deal is yetâ to thought about their instruments of activity. A portion of these gatherings of mixes, for example, flavonoids,â proanthocyanidins and tannins are polyphenols or phenolic [11]. Phenolics are known for theirâ antioxidant properties [12]. Cell reinforcements are particles that stop oxidation forms while the atoms get oxidized in theâ process. The cell reinforcement action of phenolics is gotten from their capacity to go about as diminishing agents,â donating hydrogen, electrons and settling receptive oxygen species (ROS) [13]. ROS such asâ hydroxyl radicals (OH.), superoxide anion radicals (O2â .) and singlet oxygen (145 O2) have been implicatedâ in numerous illness procedures such disease, diabetes, maturing, atherosclerosis and neurodegeneration[14]. Utilization of new leafy foods wealthy in plant polyphenols(antioxidants) as food hasâ been revealed as a security against a few sicknesses which incorporate malignant growth, cardiovascularâ diseases, diabetes, asthma and so on [15] proposing that the instrument of activity of the secondaryâ metabolites can be followed to their cancer prevention agent properties. ROS can cause the decay of food byâ causing lipid peroxidation. The rotten scent and taste of lipi d containing fo

Hospitals are Driving toward a Leaner Organization Essay

To get maintainable hierarchical productivity and administration quality, numerous medical clinics have embraced an Open Systems Perspective by utilizing â€Å"lean management† methodology acquired from driving vehicle makers, with an end goal to â€Å"reduce and expel squander from work processes†. These procedures improved authoritative effectiveness decreased expenses and gave better patient consideration. I What ‘seems’ to be the Problem: Secondary Symptoms Full sitting areas, long hold up times, wasteful utilization of provisions and financial plans, unnecessary pressure and high death rate is criticism from the outer condition that the medical clinics are not addressing the requirements of their partners, or fitting in with their condition. Before adjusting lean administration forms, emergency clinic staff and patients the same shared the weight of what gave off an impression of being the unavoidable outcomes of social insurance conveyance and a shut frameworks perspective.ii These issues are indications of authoritative insufficiencies which adversely influence the nature of patient consideration, the appropriation of medical clinic assets and worker resolve. The Real Reasons Hospitals are Facing Difficulties: Primary Problems The optional manifestations are characteristic of hidden issues, featuring their poor hierarchical natural fitiii and the insufficiency of correspondence between Internal Subsystems.iv To a huge degree clinics have not adjusted to their outside condition nor have medical clinics oversaw it effectively.v Hospital the board, for instance, has not satisfactorily advanced the fitting utilization of emergency clinics instead of family doctors. The departmentalization of medical clinics has accidentally caused a detachment between inside subsystems. The absence of coordination between clinic the board, doctors, medical clinic staff and patients forestalls the stream and utilization of data inside the association. A definitive outcome is that assets (staff, gear, money related assets) are not distributed to their ideal use causing unnecessary methodology and purchases.vi Solutions, Recommendations and Implementation Plan: Open Systems Perspective and Lean Management procedures will advance authoritative productivity and resolve the hidden issues. Steven L. McShane clarifies that cooperative endeavors between inside subsystems have demonstrated to decrease the time, endeavors and costs adding to the essential issues. vii Hospitals can utilize data innovation and motivations to staff to share data about where efficiencies can be figured it out. For instance, those answerable for emergency clinic buys will be extraordinarily helped by relevant data from those utilizing the gear and supplies. The procedure will be budgetary expensive in the short to medium term as the expenses related with actualizing such a framework won't be made up for until efficiencies acknowledged as time goes on surpass its expense. Besides, cost and exertion might be required to change the authoritative and departmental societies inside emergency clinics to cultivate the coordinated effort important for the trading of data. Counting emergency clinic staff in dynamic of the board may likewise build work fulfillment and confidence. Efficiencies found through data sharing will take worry of spending plans and reserve funds might be distributed to zones needing more assets. A second hierarchical fit technique is to move assets from underutilized zones to zones needing more noteworthy medicinal services administrations. Medical clinics have likely not allotted their assets to react segment changes. Moving medicinal services assets will more likely than not bring about open discontent in regions from which some social insurance assets are evacuated. There is additionally a monetary expense and time related with moving assets starting with one geographic territory then onto the next progressively poor one, for example, development costs. In the medium to long haul, in any case, moving assets from zones where they are not expected to an underserviced situation expands proficiency which tends to long hold up times, lower nature of care and higher mortality. A further procedure from the Open Systems point of view is to deal with nature by drawing in and instructing the general population about how to all the more effectively get to social insurance administrations. Clinic the executives will be required, in seeking after this methodology, to spend assets on advancement and instruction which may fuel hold up times and the other optional issues talked about before. In the medium to long haul, the more productive utilization of emergency clinic assets on those that really require them and occupying other potential medical clinic clients to the suitable medicinal services supplier, for example, a family doctor, will fundamentally mitigate hold up times, increment nature of mind and improve medical clinic financial plans. At last, from the inside sub-systemsâ perspective, through using assets on social affair observational information concerning the connection among assets and medicinal services results, just as creating and utilizing more prominent demonstrative testing, physical assets and time can be overseen all the more productively. Medical clinic the board must execute a framework and allot assets to information social occasion and investigation. Doctors must take an interest in giving information and skill. Through consistent improvement the advantages of not exhausting emergency clinic assets unnecessarily might be acknowledged in the medium to long haul. These arrangements will decidedly affect full lounge areas, long hold up times, wasteful utilization of provisions and spending plans, unnecessary pressure and conceivably add to a reduction in the death rate. This permits clinics to more readily fit and deal with their condition.

Describe the Problem Recognition and Consumer Behavior - 275 Words

Describe the Problem Recognition and Consumer Behavior (Coursework Sample) Content: Problem Recognition and Consumer BehaviorNameInstitution AffiliationProblem Recognition and Consumer Behavior The correlation between problem recognition and consumer behavior is evident in the role of problem recognition as a determinant of consumer behavior. Problem recognition represents a critical variable in consumer behavior evident after initial exposure to new information on a product. For this reason, consumers identifying a discrepancy between the desired state and actual state of a product will be crucial in refining the decision-making process by the consumer because purchase involvement increases. Pride and Ferrell (2010) affirm that the assertion connotes that the capability of the customer to differentiate products heightens through comprehending the consequences that will be apparent from the purchase of a product that is short of the expectations. The ability of problem recognition to distinguish the product value in relation to its optimal use define s the category of consumer decision making. The category of consumer behavior at product adoption is habitual, limited and extended decision-making. Habitual decision-making entails a consumer behavior where customers repeatedly buy the same product. This form of purchase always reflects minimal desire to search for product alternatives signifying predictable product lines. Experience and memory connected to branded product lines are crucial sways at purchasing time. Price resistance along with service or quality dissatisfaction undermines consumption attributed to habit (Cole, 2015). Limited decision-making is observable in a product of unease with status quo evident in consumers seeking additional information before buying. The additional information depends on word of mouth before decision-making. Lastly, extended decision-making is noticeable when consumers are uncomfortable with the existing product lines particularly when price sensitivity underlines differences among multip les alternatives, in addition to, the post-pur...

Helping The Homeless Is A Worthy Cause - 1502 Words

What do you do when you come across a homeless person? Do you give them money and try to help them out ? Or do you keep walking by like you saw nothing? Some people, the majority of the time, tend to just walk by without helping, and this is what makes the homeless population relatively large. Many people are affected globally by homelessness, and the population gets larger yearly. Not only does homelessness affect adults, but it also affects teenagers, and sometimes even children. Eventually after people live a homeless life for a while, they begin to develop mental illnesses and life threatening diseases. This is why it is important to try to help them as much as possible. Helping the homeless is a worthy cause, because people are affected in many ways, and most of the homeless population are families and children, and if they don’t get help they will continue to live a homeless lifestyle, but the government is trying to help by making programs specifically for the homeless. There are many ways people are affected by homelessness. Different people have their own story of how they became homelessness. One of the main reasons homelessness still continues is because of the loss of job opportunities. With unemployment rate remaining high, jobs are hard to find to find in the current economy. Even if people find jobs, it does not automatically provide an escape from poverty. Another reason why homelessness continues is because of natural disasters. Anything fromShow MoreRelatedPersuasive Essay On Homelessness1698 Words   |  7 PagesStates, there are many people who are homeless and without jobs to help them survive. Many mothers and fathers are struggling to keep their homes while others are already out in New York streets trying to seek help. Those who are already on the streets are seeking charity from others as the walk by them. And to stop this from ever happening there should be more shelters, jobs, and help/supporters. Within the streets of New York youll see many homeless people living on the streets withRead MoreThe Stereotypes of Homeless People1574 Words   |  7 Pagesthan words. Clearly, what individuals are exposed in their adolescents shapes their mentality affecting how they perceive situations and people. A lot of things become second nature such as to judging a book by its cover. For instance, when seeing a homeless individual we entitle them to being alcoholics, drug users, dishonest etc. because of previous encounterments with similar individuals. As humans, we all make judgments of people just by their appearance. Not only that but we also judge them becauseRead MoreThe Latest Video Game System983 Words   |  4 Pagesrelated to the latest smart phone.   No, the unique buzz was concerned with having homeless people wear wireless transmitters.   Homeless people were hired by a marketing agency, BBH Labs, to walk around the conference with mobile Wi-Fi devices so that the attendees of the conference could receive Internet access.   The homeless people were paid $20 a day and allowed to keep any tips given to them.   Thirteen homeless people walked around the conference carrying the device, passing out business cardsRead MoreA Vulnerable Population Sub Group1503 Words   |  7 PagesFinally I will discussing the role of social science in informing public health and welfare practice in relation to the chosen sub group. My chosen sub group is homeless people. Homelessness is when people are having to sleep rough, living in temporary accommodation who are currently or imminently without accommodation and hidden homeless families, such as those living in severely overcrowded conditions, squatters or sofa-surfers. Homelessness is about more than being roofless (crisis, 2013). A homeRead MoreNew York Department Of Education1275 Words   |  6 Pagespersistent parent protests. On the one hand, this change would lead to a more diverse student body, reduce overcrowding at PS 199, and break down the walls of racial, political, and socio-economic division. On the other hand, it would potentially cause disruptive relocation, decrease property values, and create awkward zoning boundaries. To say that a particular group is being explicitly targeted in this situation would be a gross oversimplification. Nevertheless, the fight between these two schoolsRead MoreAn Emergency to Support the Indigent in the US890 Words   |  4 PagesBureau, the percentage of Americans in poverty rose from 12.2 to 15.9 percent and the proportion skyrocketed from 33.3 million to 48.8 million between 2000 and 2012 (Bishaw, 2013). The indigent are very poor people, including the disabled, beggars, homeless people who live in slums with lacking of insurance, being unemployed and earning underpaid salaries, about 1.25$ a day (Shah, 2011). Many of them are innocent people who face with mishaps that they cannot control. Consequently, they not only affectRead MoreEssay on Houston Food Bank1327 Words   |  6 PagesHouston Food Bank uses the efforts of volunteers as well as donations to support the reduction of hunger in the community. INTRODUCTION When the topic of people going hungry is presented, it is not far-fetched to think that these people are homeless. In actuality, 94% of hungry people have a roof over their heads. (Transition) This is where the Houston Food Bank steps in. 1. The Houston Food Bank’s mission has been to lead the fight against hunger since 1982. * The Houston food bankRead MoreTyler Perry: the Pursuit of Happiness and Freedom928 Words   |  4 Pagesthings that they had done in the past† that he began to find the path to happiness (Hughes, 2004). Perry’s obstacles didn’t end there, the play was a flop and many people wanted him to give up. He put his all into promoting his play that he became homeless when he couldn’t afford to pay his bills. He lived out of his car while he struggled to get his play off the ground (Hughes, 2004). His own race didn’t support him at first because they believed that his play did not show the race in a positiveRead MoreHow Philanthropy Is An Effort Or Act Of Good1247 Words   |  5 PagesIV. RELATIONSHIPS A. Philanthropy Philanthropy is an effort or act of good will to help others by performing a direct service to people or organizations or by raising money for a worthy cause. Philanthropy is an opportunity for all of us to live our Kappa values. Kappa members believe that philanthropy — or mutual helpfulness — is an important value. Raise awareness of the needs of others by participating in local campus and community philanthropy events, monetarily contributing to the KappaRead MoreThe Strange Case Of Dr. Jekyll And Mr. Hyde1317 Words   |  6 Pageshas an evil alter-ego by the name of Mr. Hyde. So, much like Diana, he lives a double life. However, not all heroes have an alter-ego; for example, mythological heroes like Hercules, or epic heroes like Beowulf. And unfortunately, not all heroes are worthy of recognition. Dorian Gray in The Picture of Dorian Gray, by Oscar Wilde falls under this category. Mr. Gray is a well-liked individual who turns evil and manipulative by the end of the novel. Characters like him should not be idolized. Although

Nuclear Weapons During World War II - 1622 Words

Today, it is known everywhere that if a nuclear war is waged, it could mean the destruction of our world as we know it. Nuclear weapons were used to end World War II, and they could very well be used if WWIII occurred, it may end also using nuclear weapons, which could destroy us. Albert Einstein once said, â€Å"I know not what weapons World War III will be fought, but World War IV will be fought with sticks and stones† (â€Å"I know not†¦Ã¢â‚¬ Einstein, Albert). Einstein was implying that WWIII would set humanity to the Stone Age. Our country and the rest of the countries with nuclear weapons need to get rid of them before one of us start a war. Fears spread in 1939, when it was discovered that the secrets of splitting a uranium atom was discovered by German physicists. Enrico Fermi and Albert Einstien fled to the United States and they wrote to President Roosevelt urging him to create an atomic research program after both deciding that the Roosevelt should be told ab out the possible dangers of atomic technology. The Manhattan Project became the name of the effort to create an Atomic bomb in 1941. Over 120,000 people worked on the Manhattan Project and nearly two billion dollars were spent on research and development. Secrecy was important, not even Truman, the Vice-President, knew until he was President. On the 16th of July, the year 1945, near Alamogordo, New Mexico, the first detonation of an atomic bomb took place. 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After the weapons were created we find that more then five nations and counting have been developing their own weapons besides our very own USA. These other nations include but not limited to Russia, United Kingdom, France, India, China, North Korea, Pakistan and Israel. Throughout this paper we are going

Telemedicine and Telehealth in Malaysia free essay sample

In the early 1990s the term telemedicine became well-known in health care. Then, in the 21st century the term telemedicine change to telehealth because telemedicine is more than delivering medical care and wider services. Telemedicine was started over forty years ago which the hospitals extend care of patients in remote areas. This service rapidly spread and become integrated into the ongoing operations of hospitals, speciality departments, home health agencies, private physician offices, and consumer’s homes and workplaces. Thus, growing variety of applications and services using two way video, email, smart phones, wireless tools and other forms of telecommunication technology. The word Tele- comes from an ancient Greek word of the same spelling that means distant. The late 1960s in the United States where they need to have a system for distance education and teleconsultation facility between the Nebraska Psychiatric Institute and a remote state mental health hospital. The system named as closed-circuit television system. We will write a custom essay sample on Telemedicine and Telehealth in Malaysia or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Other than that, cardiac surgeon Micheal DeBakery performed open heart surgery in the United States and transmitted the procedure live to a hospital in Geneva, Switzerland. He used Comsats Early Bird satellite. He describes the progressed of the operation and answered live questions from Geneva in 1965. This surgery called as telesurgery. Telehealth can be defines as the integration of information, telecommunication, human-machine interface technologies and health technologies to deliver health care, to promote the health status of the people and to create health. In addition, it is the conjunction with better information and communication technology (ICT) growth in the healthcare delivery. It integrates the used of telecommunications and information systems as well as multimedia technologies to promote health care delivery and create health plan for the individual. Telemedicine is the use of information technologies to exchange health information and provide health care services across geographical, time, social and cultural barriers. Hence, as an umbrella that covers any medical activities involving an element of distance. Telemedicine also make the information and communication technology (ICT) play roles supported the complex interactions between patients, doctor or nurse, consultant and medical equipment. In addition, it can define as the use of exchanged medical information from one site to another via electronic communications to improve a patient’s clinical health status. Telemedicine refers to the actual delivery of remote clinical services using technology. At the early stage, the term telemedicine was used but later on changed to telehealth. It is because telehealth refers to a broader scope of services that includes telemedicine and other services that can be provided remotely using communication technologies. It can conclude that, telehealth including telemedicine and a variety of other services such as evaluation research, public health, consumer education, administration, evaluation research and, health professionals education. Besides that, the World Health Organization (WHO) makes a difference between telehealth and telemedicine. If telehealth is understood to mean the integration of telecommunication systems into the practice of protecting and promoting health, while telemedicine is the incorporation of these systems into curative medicine, then it must be acknowledged that telehealth corresponds more closely to the international activities of World Health Organization (WHO) in the field of public health. It covers education for health, public and community health, health systems development and epidemiology whereas telemedicine is oriented more towards the clinical apart. Thus, telemedicine is literally medicine practiced at a distance and telehealth is the delivery of health care services at a distance. In mid 1996, Malaysian government launched multimedia super corridor which include in Vision 2020 for a long term development in order to achieve developed country status in 2020. To attract world class multimedia systems and software companies and jumpstart the industry, seven electronic flagship applications have been designed. There are electronic government, Ramp;D clusters, worldwide web manufacturing, borderless marketing services, a national multipurpose smart card or called as myKad, smart schools and telemedicine. Then, in 1997 the Telemedicine Blueprint of Malaysia was published as reference document for the development of telehealth in Malaysia. Malaysian Health visions are to develop healthy citizens by a health system that is equitable, efficient, technologically appropriate, environmentally adaptable, and consumer friendly which is emphasis on quality, innovation, health promotion and respect for human dignity. Thus, the healthcare system in Malaysia need for a transformation in order to achieve this vision. So, they able increase life expectancy, increased expectations of consumer, rising healthcare cost and changing the pattern of disease. In addition, they focus on the individual and on wellness, care at home, and in the community, self empowerment through information, and seamless access to quality healthcare. In Malaysia, telemedicine was implemented because to ensure Malaysian citizens are receiving the best medical treatment. The Malaysia’s Telemedicine Blueprint 1997 was initiative by the Malaysian government to employ the use of telehealth in the country healthcare systems. Telemedicine was one of the flagships of Malaysia’s Multimedia Super Corridor project. Based on The Telemedicine Blueprint, telemedicine must be aligned to support future healthcare system of Malaysia. There are several objectives or goals need to be achieved such as wellness focus, person focus, informed person, self-help, care provided at home or close to home, seamless and continuous care, services tailored as much as possible, and effective, efficient and affordable services. Telemedicine promote wellness throughout life through network based services and health management tools, provide accurate and timely information, increase the ability of individuals to manage health through knowledge transfer and interactive, and provide enhanced access, integration and timely of high quality services at reasonable cost. This programme involves development of local health information network, infrastructure to improve health treatment, Teleconsultation (TC), Continuing Medical Education (CME), Mass Customized or Personalized Health Information (MCPHIE) and Lifetime Health Plan (LHP). All these sub-applications were related to each others. Firstly, Mass Customized or Personalized Health Information. This project is to provide health information affordable, reliable and high quality using information technology such as the internet, multimedia technologies and mass communications. The project will encourage individuals to take care of their health state and consequently support the government approach to enhance and promote their nations health. Second pilot project is Continuing Medical Education. It was developed to enhance or upgrade the healthcare knowledge through distant education and learning activities using multimedia technology. The project will avoid healthcare personnel from attends course offered by university and training colleges. So, they would not leave their current position. There were three main services offered such as the electronic courses, virtual library and online professional community services. There are two types of electronic courses which are formal distant learning and modular distant learning. In addition, virtual library were develop to help the healthcare professional perform their daily task such give access to the sources of information via the internet such as medical journals, e-books, medical databases and any sources related information. Lastly, online professional community services. Its function as utilize the internet applications such as email and related to create virtual environment for healthcare professionals to interact electronically. Other project is teleconsultation. It provides a platform for healthcare professionals consults their patients distant or remotely. This project use an offline applications such e-mail, or electronics data exchange and also via real time video and audio-conferencing. This project consists of four major parts which are cardiology, radiology, neurosurgery, and dermatology. Lifetime Health Plan also one of the telehealth flagship pilot projects. It was personalized for the individual and use as continuous medical care, informing the individual and healthcare providers with relevant medical information to maintain state of health of individual at the highest state. The project has three sub-application which are Clinical Support System (CSS), Healthcare Information Management and Support Services (HIMSS), and Personalized Lifetime Health (PLHP). In 2004, the application restructured under the Medical Services Programme and the telehealth project was reviewed and the scope was reorganized into the seven components which are Lifetime Health Records (LHR), Personalized Lifetime Health Plan (PLHP), Health Online, Continuing Professional Development (CPD), Teleconsultation (TC), Call Centre and Group Data Services (GDS). Later on, in 2007 the integration with Integrated Health Enterprise reorganized the telehealth structure in five components namely Lifetime Health Records (LHR) and Services, Lifetime Health Plan (LHP), Health Online, Teleconsultation (TC), and Continuing Professionals Development (CPD). Continuing Professionals Development (CPD) is a replacement for Continuing Professionals Development (CPD). It is to enhance the capability and knowledge of healthcare professional. The services provided are virtual library, modular instant learning (MDL), calendar of CPD events, online activity monitoring, online directory, complement assessment and monitoring and evaluation of CPD. Ministry of Health Malaysia had been produced the National Telehealth Policy to ensure the successful implementation of telehealth. This policy consist macro policies which are the issues of access, standards, confidentiality and privacy, accuracy and reliability, legislation, human resources development, ethical considerations, finance, research, monitoring and evaluation and structure and organisation. The objectives of this policy are ensure the health care providers and consumers realise the universal usage of telehealth and accept health as an integral part of the health delivery system, to ensure that telehealth services is affordable by consumers, to enhance the sustainability of telehealth as a part of health care delivery system, to ensure the integration within and between organisations, institutions, and other relevant health agencies. This policy also enhances improvement of quality in all aspects of telehealth services and to facilitate the improvements in equity and accessibility of health services in the manner of seamless care from primary to tertiary level. Next, to implement this program successfully there are many challenges and obstacles to be encountered such as socioeconomic and cultural barriers. In Malaysia, there are four different types of hospitals which are the state general hospital, district hospital, national referral centre and special institution, and non-Ministry of Health hospitals. Some of places is hard to retrieve because the geographical problem. So, citizens could not use the facilities provided by the hospital. Besides that, the shortage of funding. Money is very important because to implement the project we need to buy hardware and software, hired skill staff and other equipments. Other challenge is technologies literacy. Some of the area in Malaysia still not expose with the technology especially in rural area. This will contribute to failure the projects and mission of the government. They do not know how to use communication and it lead to difficulty for them interact with the healthcare professionals. Other than that, difficulties of healthcare professionals communicate each other. It means the healthcare professionals difficult to communicate with other practitioners in the urban area or hospitals. There are four aspects to be studied in using telehealth and telemedicine which are operational, technical, finance and time. According to the respondents, operation aspect is the most important because the system able to enhance the image of these hospitals and organization must provide enough training and supports to medical officers in operation of telemedicine. Few factors that contribute to the successful of telehealth are leadership and management. Top management plays important roles to ensure the implementation of telemedicine in hospitals. Besides that, the security and privacy also contributes to the success of telehealth. Other than that, sufficient basic infrastructures need to be considered in term of to enhance their knowledge and the able to utilize the programme. The benefit of telehealth for patients is improved access to services. Patients able to meet with their healthcare personnel without face to face. They may use video-conferencing and this give wider access for both sides. This is also more timely diagnosis and treatment to patients because they can see their healthcare personnel anytime and anywhere. This service helps patients especially elderly or isolated that difficult to leave home to access health and support services. Besides that, better in-home care. Some of patient comfortable stay at home because more privacy, improve quality of life, reducing social isolation, improve self-management, and telemonitoring can be valuable for elder with chronic conditions. The benefit of telehealth for health professionals is facilitating team-based and multidisciplinary care. It means the healthcare personnel from different speciality like allied heath and specialist can interact and discuss as a team the treatment plan for a patient even they separated by geography. Besides, to enhanced access to professional development and support. They can improve their knowledge not in clinical field only but non-clinical field. Example of continue medical education such as videoconferencing and online collaborative applications such as virtual classrooms can be used by busy practitioners. Apart from Malaysia, there are other countries that have implemented telehealth such Vietnam, United States, Singapore, and Australia. At a general hospital in Orange, New South Wales, Australia, beds have been linked to a clinical information portfolio computer system to give staff immediate access to patients conditions from a central location. Besides, Singapore hospitals have invested in ICU IT solutions to enable critical care medical staff to actively monitor patients in ICUs from remote locations. The Hanh Phuc International Women and Children hospital in Vietnam has a central maternal-fetal monitoring station as well as wireless foetal monitoring solutions which provide clinicians with vital information to track patients throughout the labour and delivery period. Surgeons at the Methodist Hospital in Houston, the United States, use a robotic system controlled from a remote location to unblock the arteries of patients with blocked peripheral arteries. Using video and integrated medical devices, medical experts are now providing services to communities in the most remote areas (New Straits Times, 2012). Other than that, to know the internal and external conditions and situations the study has been done. They use SWOT analysis to know the result. Strength of this program are national level strategy for the development of telemedicine, national level organization established to develop and promote telehealth, long existence and tradition of telehealth and established telecommunication networks. The weaknesses of this program are national strategy for telehealth in needs to be updated because of rapid development of the information technology, telecommunication networks in needs to be upgraded to meet the needs for further development of telehealth, lack of business modelling and operating mechanism for telehealth, and uneven accessibility. Then, the opportunities. There are slower but upcoming population leaves the country few more years to develop its telehealth networks and technical booming of ICT is providing telehealth much better platform than ever before. Lastly, threats for telehealth programs which are changing disease patterns and lack of trained professionals. In conclusion, this term closely allied with the term health information system but a health information system refers to electronic medical records and related information systems. Some of the hospitals have implemented paperless and firmless hospital. During the time telehealth application launched, the Ministry of Health launched their Total Hospital Information System projects which are Hospital Selayang and Hospital Putrajaya. They also need to motivate the clinician to participate in telemedicine programme. They also must eager to use the art information technology while performing their tasks. This programmes shows that the government is in the right track although having some delayed in the execution.