Saturday, January 25, 2020

J.D Salinger’s Franny and Zooey Essay -- J.D Salinger’s Franny and Zoo

The Pessimistic and Bitter Franny Glass of J.D Salinger’s Franny and Zooey Young adulthood is often a time for maturing spiritually. Franny Glass, the protagonist of J.D Salinger’s novel, Franny and Zooey, began to question her religious beliefs, during this time of spiritual growth. Franny’s quest for religion caused her to become pessimistic, bitter, and emotionally unstable.   Ã‚  Ã‚  Ã‚  Ã‚  Franny held many strong beliefs that caused her to view her surroundings pessimistically. After spending three years contently in college, Franny changed her view of the college experience. She decided that college was â€Å"one more dopey inane place in the world.'; (Salinger, 146) She failed to see college as a place that allows one to increase his or her knowledge and independence. Similarly, she thought â€Å"that just because [she] wanted enlightenment or peace instead of prestige or fame-doesn’t mean that [she was] not as egotistical and self seeking as everybody else.';(Salinger, 149) Instead of looking for the positive qualities in others, she made a generalization that all people are egotistical and self-seeking. Additionally, she â€Å"raved and bitched about the stupidity of [her] audiences [and their] unskilled laughter.';(Salinger, 199) Despite the fact that the audiences were supporting Franny by watching her perform, she insists all audien ces are stupid. Franny’s religious quest caused her to view her surroundings pessimistically.   Ã‚  Ã‚  Ã‚  Ã‚  Franny was worried by her questions concerning religion...

Thursday, January 16, 2020

Electronic Health Records

In this paper this student will discuss the national mandate of electronic health records (EHR), and how this mandate is being implemented at the Cleveland Clinic Foundation. Also discussed are how Cleveland Clinic is progressing to achieve EHR, and what challenges this brings to patient confidentiality and self-determination. Lastly this student will provide information on the benefits of EHR in healthcare. According to Gunter & Terry (2005), â€Å"The electronic health record (EHR) is an evolving concept defined as a longitudinal collection of electronic health information about individual patients and populations. Primarily, it will be a mechanism for integrating health care information currently collected in both paper and electronic medical records (EMR) for the purpose of improving quality of care†. (p. 1). Office of the National Coordinator for Health Information Technology (ONC), and the American Health Information Community (AHIC) were created to oversee the EHR mandate that was set in place by President George Bush in 2004 (Simborg, 2008, p. 127) This goal has now transitioned to our current President, Barack Obama, who also is setting the goal for the year 2014. Electronic health records are set to take place of traditional paper records with the help of this initiative. The ability to have every healthcare organization operating with electronic health records serves numerous benefits for not only patients but healthcare providers. Some of the benefits include, additional patient safety, ability to communicate and collaborate with other healthcare providers, and the longevity of electronic health records. Patient safety is at the utmost importance to healthcare providers, and EHR enables providers to have an in-depth history of their patients, leading to better care and treatment. Due to patients receiving care from many different health care providers, this can act as a barrier when trying to maintain a collaborative process. By adopting EHR this enables all providers to participate in the care of the patient. When discussing the longevity EHR serves in our society Tang, Ash, Bates, Overhage, & Sands (2006), states â€Å"The 2005 Hurricane Katrina disaster exposed the fragility of America's health information infrastructure. When confronted by a hurricane, an avian flu pandemic, or a bioterrorism attack, the public needs to be able to depend on reliable access to their health information† (p. 27). If healthcare corporations adopt EHR, there will be no threat of patient medical records disappearing. After stating the goals of EHR, and the benefits it serves, this student will now discuss how EHR is being utilized at the Cleveland Clinic Foundation. One could say that the Cleveland Clinic were innovators in EHR, being one of the first institutions to ado pt EHR more than eleven years ago. According to Cleveland Clinic (2012), EHR is â€Å"enabling physicians to actively collaborate and exchange information to ensure appropriate coordination of care throughout a patient’s life†. MyChart has also been a large milestone in development as part of Cleveland Clinics adoption of EHR. MyChart gives patients access to medical records, test results, and physician notes through a portal on the internet that can be accessed at home online. â€Å"MyChart, Cleveland Clinic’s secure, online patient-centered recording tool, connects patients to personalized health information at any time† (Cleveland Clinic, 2010). One benefit MyChart gives to patients is the ability for them to participate in decisions and their care. While analyzing Cleveland Clinics utilization and plans for EHR, this student was able to evaluate strengths and weaknesses. Some strengths of the Cleveland Clinics plans for EHR include their development and growth of the EHR system, the innovation developed into the current plan, and the ability to incorporate patients into their healthcare. Being that Cleveland Clinic was one of the first institutions to start the process of adopting EHR, they in return have the biggest ability to grow, and develop their system. Cleveland Clinic has shown such innovation in their process that other institutions have sought help from them for development of their own system. In an article by the Plain Dealer (Kleinerman, 2013) the chief information officer at Glens Falls Hospital, Joan McFaul stated â€Å"Our relationship with Cleveland Clinic will advance information technology best practices at GFH, and we will benefit by having access to a broad base of knowledge and the expertise of one of the country's premier health systems†. When Cleveland Clinic developed MyChart, this plays a role in the patient self-determination act, being that the patients constantly have the ability to be informed about their healthcare, and to take part in any decision making. A weakness of the EHR system in place at the Cleveland Clinic includes the risk of confidentiality. Even though the ability to access health records online has numerous benefits, the ability that such records could become hacked always poses a risk. The health records are protected by a username and password through the Cleveland Clinic website. With all of the technological advances it seems as though it is becoming easier and easier for unknown people to access personal information. This student believes that more precautions should be taken when a patient’s confidentiality is at risk. This student also believes more information should be needed to access health records online, instead of just a username and password that provides little security. After reviewing the EHR mandate, and the benefits it serves to healthcare institutions, this student believes that if more institutions adopted this system it would ultimately give better patient care. Also after further research into Cleveland Clinics development of EHR, this student feels the growth of this system in endless. While there are some flaws to this system, with time EHR at Cleveland Clinic could ultimately become one of the nation’s leaders that other institutions wish to learn from.

Wednesday, January 8, 2020

INTRODUCTION CHAPTER 1 BY SAQUILAYAN - 2009 Words

Introduction Chapter 1 ( Introduction to Sociology Anthropology by Dr. Victorio Saquilayan) Discussant: Prof. Ferdinand Dupaya Salagan, BSEd, MA,MPA,PhD(c.) Associate Professor V Sociology †¢ Is also concerned with repetitive and recurrent forms of behavior, attitudes, beliefs, values, norms and social institutions that make up the social order ( Panopio Rolda, 2000) Social Interactions: †¢ The responses between individuals are perhaps the basic sociological concepts because such interactions are the elementary components of all relationships. †¢ These interactions can be examined from both MICRO and MACRO perspectives, though neither can be divorced from the other. MICROSOCIOLOGISTS †¢ Are those who concentrate on the details of†¦show more content†¦-( Howard Hattis, 1992) Branches of Anthropology †¢ 1. PHYSICAL ANTHROPOLOGY - Also known as Biological Anthropology. - Deals with man’s biological foundations, race evolution, racial classifications, differentiation. - Study of man’s physical characteristics, the processes by which the biological changes occur, the resultant human variations. ( Palispis, 2007) Branches of Anthropology †¢ †¢ †¢ †¢ 1. PHYSICAL ANTHROPOLOGY Subdisciplines of Physical Anthropology: a. racial history – study of human races B. paleontology – deals with the origin of man; †¢ C. Human Genetics – study of various ways of inheritance that take place in man. Branches of Anthropology †¢ 2. CULTURAL ANTHROPOLOGY - Also known as Social Anthropology. - Deals with one of the most significant revolutionary concepts in the Social Sciences – the concept of CULTURE. Branches of Anthropology †¢ 2. CULTURAL ANTHROPOLOGY - Cultural Anthropologists, study technology or material culture, economic life, community organizations, family life, clans, secret societies, government law, magic, religion, the arts and all other forms of cultural behavior. Branches of Anthropology †¢ 2. CULTURAL ANTHROPOLOGY - Culture can be defined as: - way of life of a people which had been learned; - shared and - transmitted from one generation to another - by means of language symbols. Branches of Anthropology †¢ 2. CULTURAL ANTHROPOLOGY - Subdivisions of Cultural Anthropology: - A. Ethnography – pure