Wednesday, April 15, 2020
Public Research Sample Essay
Public Research Sample EssayA public research sample essay can be defined as a sample essay that has been created for use in the laboratory, a test, or any other type of setting where learning is part of the study. They are typically used by high school students in their college admissions essays are by far the most common. However, they can also be used by adults who want to help them with college essays. This is great because it gives you a little insight into what you can expect when you submit your own college essay.The best thing about writing an essay on college admissions or any other type of essay is that you do not have to write anything. You are essentially testing out the abilities of the company you are doing business with. All you have to do is describe what you are expected to do and how you are going to use those abilities.When you first look at a sample research paper it will usually be a short one. It does not take very long to create one and most of them are not ver y long. In fact, most of them are only about a paragraph long.To make your essay easier to write you can make use of language. All you have to do is be specific in what you are trying to say. Use the language of the people you are writing for.Be as detailed as possible. Don't put any filler words between sentences. Include every single detail. You can even include some pictures.Take time to see what you have written so far. There is no point in re-writing things unless you are specifically doing this. However, if you are making an application that you are just guessing at, you might as well throw out the essay. Then you can simply answer the questions and find out if you made the right decision.The next thing you can do to improve your public research sample essay is to add a photo or two. However, it is not a good idea to use the picture of you. Instead, use a picture of the student to use as a guide.It is good to avoid using words like 'like'like' in your research paper. These wor ds will mean 'I think'. The goal of your essay should be to make it about yourself and not anyone else.
Thursday, March 12, 2020
Practice in Identifying Metaphors
Practice in Identifying Metaphors A metaphor is a figure of speech in which an implied comparison is made between two unlike things that actually have something in common. This exercise will give you practice in identifying the elements that make up a metaphor. Metaphor Exercise Each of the following passages contains at least one metaphor. For each metaphor, identify the subjects or activities that are being compared- that is, both the tenor and the vehicle. Laughter is the mind sneezing.ââ¬âWyndham LewisSuddenly the black night showed its teeth in a flash of lightning.The storm growled from the corner of the sky, and the women trembled in fear.ââ¬âRabindranath Tagore, Fruit-Gathering. English Writings Of Rabindranath Tagore: Poems, 1994They say that life is a highway and its milestones are the years,And now and then thereââ¬â¢s a toll-gate, where you buy your way with tears.Its a rough road and a steep road, and it stretches broad and far,But at last it leads to a golden town, where the golden houses are.ââ¬âJoyce Kilmer, RoofsWhy you miserable, cowardly, wretched little caterpillar! Dont you ever want to become a butterfly? Dont you want to spread your wings, and flap your way to glory?ââ¬âMax Bialystock to Leo Bloom in The Producers, by Mel Brooks, 1968I made Bubba up in the spring of 1963 in order to increase my popularity with my girlfriends at a small womens college in Virginia. I was a little bit in love with th em, too. But at first I was ill at ease among them: a thistle in the rose garden, a mule at the racetrack, Cinderella at the fancy dress ball. Take your pick.ââ¬âLee Smith, The Bubba Stories. News of the Spirit. Penguin, 1997 Even the way he looked was contrived, and if, on bad days, he resembled nothing so much as a failed actor afflicted with dreams, he accepted this resemblance, putting it down to artistic fatigue. He did not consider himself a failed anything. Success can only be measured in terms of distance traveled, and in Wisharts case it had been a long flight.ââ¬âMavis Gallant, Travelers Must Be Content. The Cost of Living: Early and Uncollected Stories. New York Review of Books, 2011If on leaving town you take the church road you soon will pass a glaring hill of bone white slabs and brown burnt flowers: this is the Baptist cemetery... Below the hill grows a field of high Indian grass that changes color with the seasons: go to see it in the fall, late September, when it has gone red as sunset, when scarlet shadows like firelight breeze over it and the autumn winds strum on its dry leaves sighing human music, a harp of voices.ââ¬âTruman Capote, The Grass Harp. Random House, 1951For Dr. Fe lix Bauer, staring out the window of his ground-floor office on Lexington Avenue, the afternoon was a sluggish stream that had lost its current, or which might have been flowing either backward or forwards. Traffic had thickened, but in the molten sunlight cars only inched behind red lights, their chromium twinkling as if with white heat.ââ¬âPatricia Highsmith, Mrs. Afton, Among Thy Green Braes. Eleven. Grove Press, 1970 One afternoon while we were there at that lake a thunderstorm came up. It was like the revival of an old melodrama that I had seen long ago with childish awe. The second-act climax of the drama of the electrical disturbance over a lake in America had not changed in any important respect. This was the big scene, still the big scene. The whole thing was so familiar, the first feeling of oppression and heat and a general air around camp of not wanting to go very far away. In mid-afternoon (it was all the same) a curious darkening of the sky, and a lull in everything that had made life tick; and then the way the boats suddenly swung the other way at their moorings with the coming of a breeze out of the new quarter, and the premonitory rumble. Then the kettle drum, then the snare, then the bass drum and cymbals, then crackling light against the dark, and the gods grinning and licking their chops in the hills.ââ¬âE.B. White, Once More to the Lake. One Mans Meat, 1941One inconvenience I sometimes experienced in so small a house, the difficulty of getting to a sufficient distance from my guest when we began to utter the big thoughts in big words. You want room for your thoughts to get into sailing trim and run a course or two before they make their port. The bullet of your thought must have overcome its lateral and ricochet motion and fallen into its last and steady course before it reaches the ear of the hearer, else it may plough out again through the side of his head. Also, our sentences wanted room to unfold and form their columns in the interval. Individuals, like nations, must have suitable broad and natural boundaries, even a considerable neutral ground, between them.ââ¬âHenry David Thoreau, Walden, 1854
Tuesday, February 25, 2020
Interest Groups Essay Example | Topics and Well Written Essays - 250 words - 2
Interest Groups - Essay Example Politicians are well aware of the popularity of interest groups and their ability to sway public opinion, which is very important to their election success. The political process dominated by the political parties but kept in check by the presence of interest groups is more favorable than the reverse. This is because politicians are elected to govern with the mandate of the people in diverse areas, which makes them accountable to the public. Interest groups are not elected officials and it is very difficult to hold them to account for their actions since they represent opinion. Also, interest groups depend on lobbying, which includes a lot of lawsuits, which would conflict with legislative agendas of politics. Interest groups serve the purpose of putting pressure on political parties in order to bring about change through amassing public support. If interest groups were to dominate the political process then they would most probably push only those interests that they find important producing a skewed type of governance. Politicians are best positioned to lead the governance process as they have more to lose and will naturally find balance through political pressures both the interest groups and other rival political
Sunday, February 9, 2020
Case study on intellectual property right Essay
Case study on intellectual property right - Essay Example In a context of intellectual property rights, perhaps most common are copyrights and patents. Both are designed to protect those who had invested their talents in producing their works and allow for a reasonable financial return for their efforts within a certain time frame, after which the right or patent will expire and become a common good subject to the commerce of man. The advent of new technologies has made it imperative for all the producers of values embedded in intellectual capital and knowledge-based assets to assert their rights and protect these assets. The convergence of electronics consumer products, the rise of Internet usage and the digitization of most communications technology has made it quite easy to copy anything. A precedent case was filed by the music group Metallica against the founder and those who had availed of the file-sharing services of Napster software as a copyright infringement. Intellectual property right pertains to a right that gives a producer (ei ther author, artist, composer, inventor or publisher) the exclusive right to produce and distribute expressive work and this expressive work must be reproducible in some tangible form (means it can be copied) on some material like paper, tapes, films, clay or computer disks. It must be substantially new and lastly, only expressive works can be protected but not the original ideas behind it. Discussion Most business organizations would immediately patent any invention by an employee as a strategic and economic policy to enhance their competitiveness within their industry and further protect themselves from imitations (Andersen 148). There are various country, federal and state laws regarding who owns the rights to an invention (as an example here) discovered or made by an employee. Generally speaking, it is the employer who has the right to patent an invention by virtue of an employment contract with the employee, who in exchange for wages or a monthly salary, is willing to cede the rights and ownership of such inventions in favour of the company he works for. The new invention is therefore the property of the old employer. It is not absolute, however. There is usually a clause in such employment contracts termed as a ââ¬Å"trailing obligation clauseâ⬠in which a previous employer has the rights to such an invention or innovation for up to between six to twelve months only after the end of employment. If the company does not show interest in said invention, then the employee owns the rights. The employer organisation has the option of either patenting the invention or not. It is up to the company to decide on this matter since other issues might negate the necessity of the patent application. Reasons could include the conclusion that the invention is not patentable or there is a high cost in detecting and pursuing patent infringements (Davis 148). A primary responsibility of the employer is to explore all possible options regarding the commercial and tech nical viability of the invention or innovation. This is especially true in large firms which have big departments devoted to technical research and product development. This means the employer can choose to revise the invention or pursue further technical work and research that will improve the invention and remedy its flaws. The firm cannot hope to market an invention that is flawed as it will destroy its good reputation and brand name; it will further subject it to possible consumer suits if the buyer of
Thursday, January 30, 2020
Technology and Decision Making Essay Example for Free
Technology and Decision Making Essay The quality of patient care, communication between health care staff, and the safety of patients has greatly improved since the onset of technology. Through the improvement of information technology, the ability to collect data and manage the decisions based on the data collected has enhanced in the clinical setting as well as in the business portion. Health care informatics incorporates theories from informational science, computer science, and cognitive science (Englebardt Nelson, 2002). This information helps to gather and process it in order to make an informed decision. Important information could be missed if the data is ignored. Some of the most recent technology which includes the internet and cell phones has made it possible to access information quickly in order to make the best decision for the patient in order to provide good quality care. Technology changes every day and it is important to keep up with these changes that will help support clinical decisions made by the caregivers. This paper on informatics will show the systems and information theories, the DIK model, and the role of the expert system in nursing care and medicine. System and information theories System. ââ¬Å"A system is a set of related interacting parts enclosed in a boundaryâ⬠(Englebardt Nelson, 2002, p.5). There are many types of systems which include but are not limited to: computer systems, school systems, health care systems, and people. Systems can be living or nonliving, open or closed. Closed systems do not act with the environment whereas open system have the ability to act with the environment. Open systems can be used to understand technology and those individuals associated with its use. This type of system takes input from the environment, processes it, and then returns it back to the environment as output, which serves as feedback. This theory can better help the individual understand the way people work with systems in the health care industry and allow for a visualization of the whole picture. A common term using in computer science is GIGO, ââ¬Å"garbage in, garbage outâ⬠. This applies in the sense that a system is only as good as its user. If the user is inputting garbage, or poor quality data, the computer is likely to output the same. A system requires an accurate source in order for accurate material to be produced as a result. Open systems have three types of characteristics which include: purpose, functions, and structure (Englebardt Nelson, 2002). The purpose is the reason for the existence of the system or the program and is most often stated in the organizationââ¬â¢s mission statement. This is true for health care organizations, churches, and schools. For example, the mission statement of the local public health department to promote health, prevent illness, and control communicable disease by providing quality services, health education, and environmental services for the community. Computer systems are often classified by their purpose and may have more than one purpose. By selecting a purpose that all individuals agree upon within the organization, a system can be chosen. It is important to take the time to identify the purpose with all those who will be using the system. Functions identify the methods in which the system will achieve its purpose. ââ¬Å"Functions are activities that a system carries out to achieve its purposeâ⬠(Englebardt Nelson, 2002, p.6). When a computer system is chosen a list of functional specification must be put in writing to identify each function and how it will be performed. Systems are structured to allow the functions to be carried out. Some examples of structured systems include the nursing department. The nurse in charge will assign patients to the staff nurses with the purpose to provide care. The charge nurse will ensure that the team is functioning with the ability to provide the care the patient needs and deserves. Two different models can be used to visualize the structure of a system: hierarchical and web. In the hierarchical model, each computer is a part of the local area network (LAN) which in turn is part of a wide area network (WAN) that is connected to the mainframe computer system. The mainframe is the leader of the system or lead part. The web model functions much like that of a spider-web. It has the capability to pass information to many departments that may use it for different purposes. For example,à laboratory results may be sent to the pharmacy to calculate a medication dosage and patient vitals may be sent to another department for review and use. ââ¬Å"A system includes structural elements from both the web and hierarchical modelâ⬠(Englebardt Nelson, 2002, p.7). Everything living or nonliving are in a constant state of change. Six concepts are helpful in understanding the change process: 1)dynamic homeostasis, 2)entropy, 3)negentropy, 4) specialization, 5)reverberation, and 6)equifinality. Dynamic homeostasis consists of maintaining an equal balance within the system. At times, increased stress can throw off the balance and cause challenges to the organization. A health care informatics specialistââ¬â¢s job is to decrease the stress and restore the balance within the organization. Entropy can be best described as the tendency of the system to break down into parts. This can be the loss of some data when transmitted from one department to another. All systems, living or nonliving, reach a point where they are no longer repairable. When this point is reached, a system must be replaced. Negentropy is the opposite of entropy and is best described as the systemââ¬â¢s ability to multiply and become more complex. As the size of the health car e industry grows, so do the health care information systems. Information technology. ââ¬Å"Information technology has the potential to greatly streamline healthcare and greatly reduce the chance of human error. However, there is a growing literature indicating that if systems are not designed adequately they may actually increase the possibility of error in the complex interaction between clinician and machine in healthcareâ⬠(Borycki, E., Kushniruk, A., Brender, J., 2010, p. 714). The term information has more than one meaning and the term information theory refers to multiple theories. The two common theoretical theories of information theories are: Shannon and Weaverââ¬â¢s information-communication model and Blumââ¬â¢s model (Englebardt Nelson, 2002, p. 10). The information theory was presented as a formal theory in 1948 with a publication by Claude Shannon titled ââ¬Å"A Mathematical Theory of Communicationâ⬠. In this theory, the sender is the originator of the message and then the encoder converts the message into a code. A code can be a number, symbol, letters, or words. The decoder then converts the message to a format that can be recognized by the receiver. Shannon was a telephone engineer and explained this theory in a way that the decoder was theà telephone converting sound waves into a message the receiver could understand. ââ¬Å"Warren Weaver, from the Sloan-Kettering Institute for Cancer Research, provided the interpretation for understanding the semantic meaning of a messageâ⬠(Englebardt Nelson, 2002, p. 12). He used Shannonââ¬â¢s works to explain the interpretational aspects of communication as each individual perceives things different from the next. Different types of circumstances may occur causing a message to be interpreted wrong. For example, if a physician is using medical terminology that the patient cannot understand there is definitely a communication problem. If the patient cannot hear what is being said because the ear is not transmitting sound, then there is a different type of communication problem. The message must convey meaning and produce the intended result. Bruce L. Blum defined three types of health care computing applications called Blumââ¬â¢s Model. He grouped these applications in data, information, or knowledge. Data are those things such as height, weight, age, and name. Information is defined as data that has been processed. Knowledge is the relationship between data and information. Using these concepts, it is possible to identify different levels of computing and automated systems. Data, Information, and Knowledge (DIK) model Healthcare informatics can be explained using a model consisting of three parts: data, information, and knowledge (Georgiou, 2002). The three parts are demonstrated using a hierarchy pyramid. Data is the platform in the model, representing the foundation. Data is represented as facts and observations, but without supporting context, the data is irrelevant. Until the information is validated or manipulated the data is not significant, once it is manipulated, the data can provide value to the user. Information is the product of data once the data has been manipulated. The result of data and information is evidence-based knowledge. Evidence based knowledge can be used to support evidence based medicine. Some individuals feel that too much focus has been put on data, limiting the ability to practice medicine as a science. Instead, the use of data suggests that medicine is being practiced based on statistics instead of science. Yet, the same critics will use the same hierarchy of data, information and knowledge to treat a patient that develops a fever after hip surgery. The fever alone does not provide significant information but combined with information of aà recent surgery, a physician will test further for signs of infection. The end result is the knowledge of why the patient is feverish. Viewing informatics in the form of the decision-information-knowledge (DIK) model allows individuals to see the process as a whole. The data must be accurately representing what is occurring or the information will not be accurate. The statement, ââ¬Å"dirty in, dirty out,â⬠can be applied to the platform of the model. It is essential that clean data be entered into the system, allowing clean data and information to be produced. The product, knowledge, can then be substantiated through the evidence produced. Just as evidence is used to make clinical decisions, the DIK model is used, in conjunction with the scie ntific information, to build evidence based medicine. Health informatics involves spreading and distributing information as just one piece of the process of producing knowledge which is multifaceted (Georgiou, 2002). The role of expert system in nursing care and medicine Nurses and other health care professionals make decisions on a daily basis that affect patientsââ¬â¢ care and treatment. Nurses and health care professionals are not expert in all areas of nursing care and medicine. Health care workers specialized in certain area or field of medicine or nursing are not always readily available to everyone. Expert systems have been developed to assist medical and health care providers with decisions about care and treatment of patient. An expert system is a knowledge-based computer program designed to ââ¬Å"enhance the human ability to analyze, problem solve, treat, diagnose, and estimate prognosis of health-related conditionsâ⬠(Englebardt Nelson, 2002, p. 114). ââ¬Å"Nursing expert systems can improve the overall quality of care when designed for the appropriate end-user group and based on a knowledge base reflecting nursing expertiseâ⬠(Courtney, Alexander, and Demiris, 2008, P. 697). Examples of expert systems include MYCIN, a system that advise physicians about antimicrobial selection for patients with meningitis or bacteremia and INTERNIST-1, a system that assist with diagnosing complex problems in general internal medicine (Shortliffe, 1986). Health care workers may not always have the knowledge base to diagnose and treat every condition or situation encountered. Expert systems are used to close the gap in knowledge providing effective, efficient, andà accurate care. The concept of expert system is driven by the desire to improve patient care, reduce cost, and disseminate expert knowledge. Expert systems are used just as x-rays and lab values are obtained to improve the human understanding of a patientââ¬â¢s condition. The human memory has limitations. Expert systems can be the answer to eliminating a large number of preventable medical mistakes. This system can alert health care workers about drug interactions and allergies, and provide preferable form o f treatment. Expert systems can assist in diagnostic suggestions, testing prompts, therapeutic protocols, and practice guidelines. The utilization of expert systems has an impact on the quality of care, economy, and medical education of staff. Expert systems, when used effectively can improve patient outcomes and decrease health care costs. Fewer mistakes lead to lower financial expenditures and increased profits. Improved quality of care result in improved patient satisfaction that leads to increased reimbursement from Medicare and Medicaid. Expert systems can also decrease the variation in medical practice emphasizing standardized and evidence-based practice of care. Along with expert systems, decision aids and decision support systems are used to improve patient care. The use of decision aids and decision support systems Clinical decision aids help to identify solutions to clinical situations. Decision aids can be either paper-form or electronic. The electronic decision aids can be accessed via recorded media or the Internet. Decision aids are utilized to facilitate shared decisions between the patient and interdisciplinary team taking care of them. They help the patient to think about the multiple decisions they must make in the course of their treatment regimen. An example is the Ottawa Patient Decision Aid. This decision aid helps to determine whether or not patients should seek antibiotics for bronchitis. Another example is a decision aid about whether or not someone should place his or her family in a long-term care facility for Alzheimerââ¬â¢s disease (Englebardt Nelson, 2002). A decision support system (DSS) is an interactive, flexible, and adaptable computer-based information system (CBIS), which was made to support decision-making as it relates to the solution of an individual problem. ââ¬Å"A clinical decision support system (CDSS) is an automated decision support system (DSS) thatà mimics human decision making and can facilitate the clinical diagnostic process, promote the use of best practices, assist with the development and adherence of guidelines, facilitate processes for improvement of care, and prevent errorsâ⬠(Englebardt and Nelson, 2002, p. 116). Decision support systems utilize data and provide easy user interface that permit for the decision makerââ¬â¢s own insights. Four components of decision support systems are user interface, model library, model manager, and report writer. User interface makes communication between the executive and decision support system. Model library includes statistical, graphical, financial, and ââ¬Å"what ifâ⬠models. Model manager accesses available models. Report Writer generates written output (Englebardt Nelson, 2002). Four types of CDSS used in patient care decision-making are systems that use alerts to respond to clinical data, systems respond to decisions to alter care by critiquing decisions, systems suggest interventions at the request of care providers, and systems conduct retrospective quality assurance reviews. Examples of nursing-specific decision support systems are nursing diagnosis systems such as the Computer Aided Nursing Diagnosis and Intervention (CANDI) system, care planning systems such as the Urological Nursing Information System, symptom management systems such as the Cancer Pain Decision Support system, and nursing education systems such as the Creighton Online Multiple Modular Expert System (Courtney, Alexander, and Demiris, 2008). The uses of technology for patient and client management As Information Technology continues to have more presence in health care, patients, physicians, and staff are benefiting from on-demand access to information anyplace, anytime it is needed. Advances in technology provide healthcare organizations the ability to improve the quality of patient care. An ultimate goal of using technology is to improve the quality of care patients receive (Become a Meaningful User of Health IT, 2010). Technology can be found patient homes, clinics, extended care facilities, and hospitals, to name just a few. As the number of chronic diseases continues to increase technologies like telemedicine and video-conferencing can improve the quality of life of patients with chronic conditions, and reduce costs caused by these illnesses (Finkelstein Friedman, 2000). Improving quality, access, and client management is done by enhancing theà exchange of information between providers, institutions, and payers, allowing patients to receive uninterrupted continuity of care. For the people living in rural areas, the restrictions placed on services and specialists can be improved using technology (Smith, Bensink, Armfield, Stillman, Caffery, 2005). Telecommunications in the healthcare environment can provide patients and providers an opportunity to meet and even exceed expectations clients and the community have. A physician accessing a patientsââ¬â¢ record from his home can provide treatment and develop a plan of care without sitting in his clinic to access the patientsââ¬â¢ chart. Caregivers are no longer at the mercy of ongoing education provided at a variety of locations and cost. Learning management systems available via the Internet allow staff to review material and participate in competency testing. Tools are available through the advances in technology, which allow training by developing simulations of patients used for assessment training in virtual environments, assessing cognitive skills of providers (McGowan, 2008). As technologies in healthcare continue to improve, caregivers and patients will continue to experience changes in many areas.à Communication, teaching, and documenting will be affected, which change the way clinicians provide care and the way clients will receive it. Analysis of the effect of technology on health care and health status Prior to computers and digital equipment seen in todayââ¬â¢s healthcare facilities, most of what was done for patients was done manually. Manual processes could be time consuming and the opportunity for human error, which could affect the quality of care a patient received, was real. In a recent report from the Institute of medical care, it was stated that humans are inherently imperfect, and error is frequent in medical car (Patton, 2001). Technologies affecting patient care and a personââ¬â¢s health status include improvements to imaging systems, documentation solutions, and scheduling systems. Modern medicine relies on technological systems coming together: the operating room, clinical laboratory, radiology department, and radiation oncology facility each incorporate interrelated networks of technologies (Patton, 2001). Surgeries that once required large incisions can be done through microscopic incisions resulting in shorter hospital stays. Early diagnosis and improved treatment plans have been inevitably affected by technology. Although technology allows healthcare to improve access to patient information allowing easier access that is current and up-to-date there are also disadvantages to this kind of access. Consumers and caregivers have large volumes of information, which can be accessed, not all of the information accessed will be understood or accurate. Society must be aware that not all sites will be able to monitor and ensure information being accessed is credible; it is inevitable some of the information provided and retrieved will be inaccurate. Worse yet information which are by law confidential, may also be accessed without the consent of the patient. In addition to the ability to monitor healthcare information, technology may also make it challenging for physicians to practice under complete autonomy. With the increase in the complexity of technology, physicians must agree on how components relate to one another, also known as standards (Patton, 2001). As a result, some physicians can be seen resisting the adoption of new processes, but with ongoing development of user-friendly systems, resistance can be overcome. References Become a Meaningful User of Health IT. (2010). HHN: Hospitals Health Networks, 84(12), 47. Borycki, E., Kushniruk, A., Brender, J. (2010). Theories, models and frameworks for diagnosing technology-induced error. Studies In Health Technology And Informatics, 160(Pt 1), 714-718. Finkelstein, J. J., Friedman, R. H. (2000). Potential Role of Telecommunication Technologies in the Management of Chronic Health Conditions. Disease Management Health Outcomes, 8(2), 57-63. Retrieved from EBSCOhost. Courtney, K. L., Alexander, G. L., Demiris, G. (2008). Information technology from novice to expert: implementation implications. Journal of Nursing Management, 16(6), 692-699. doi:10.1111/j.1365-2834.2007.00829.x Englebardt, S. P. Nelson, R. (2002).Health care informatics. An interdisciplinary approach. St. Louis, MO: Mosby Elsevier. Georgiou, A. (2002). Data information and knowledge: the health informatics model and its role in evidence-based medicine. Journal Of Evaluation In Clinical Practice, 8(2), 127-130. McGowan, J. J. (2008). The Pervasiveness of Telemedicine: Adoption With or Without a Research Base. JGIM: Journal of General Internal Medicine, 23(4), 505-507. doi:10.1007/s11606-008-0534-z Patton, G. (2001). The two-edged sword: how technology shapes medical practice. Physician Executive, 27(2), 42-49. Shortliffe, E. H. (1986). Medical Expert Systems- Knowledge Tool for Physicians. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1307157/?page=2 Smith, A., Bensink, M., Armfield, N., Stillman, J., Caffery, L. (2005, October-December). Telemedicine and rural health care applications. Journal of Postgraduate Medicine, 51(4), 286.
Tuesday, January 21, 2020
Parental Conflict In Turtle Mo :: essays research papers fc
The Parental Conflict in Turtle Moon à à à à à For the average person, occasional inter-personal conflicts are a fact of life. Nowhere do these conflicts manifest themselves with greater tension than in the parent-adolescent relationship. Through their works, writers of fiction illuminate the sources of strain common to parent-child interactions. In the novel Turtle Moon, Alice Hoffman exemplifies this conflict in the relationship between Keith Rosen and his mother Lucy. There are several factors that contribute to this conflict and the work as a whole. The strife between Keith and his mother results from Keithââ¬â¢s desire to live in New York with his father, the lack of parental involvement, and the lack of communication between Keith and his mother. à à à à à The discord between Keith and his mother results from his preference to live with his father in New York. Keith has no choice in the decision and now he lives in Verity, a town he hates. This situation lies at the root of his rebellion against his mother. When he lives in New York he is never particularly well behaved, ââ¬Å"but after eight months in Florida, he is horridâ⬠(5). Through his rebellious actions Keith generates grief and worry in his mother Lucy. His backpack must be checked ââ¬Å"for contraband everydayâ⬠(31), and he and his mother fight constantly. Because he is forced to live with his mother, Keith resents her. Keith is angry with Lucy because he feels as if he is trapped in Verity. ââ¬Å"He wanted to live with his father, but who asked him?â⬠(6). Keith deliberately disobeys Lucy and has no respect for her. He counts down the days until he can go back to New York and this ignites many arguments between them. Keithââ¬â¢s rebelli ous actions advance the novelââ¬â¢s theme of searching for identity and independence. McBane In addition to living in Verity, another source of the conflict between Keith and Lucy is her lack of parental involvement. Lucy and Keith grow more and more distant from each other because Lucy stays out of Keithââ¬â¢s life. In the same way Keith avoids his mother at every available opportunity. ââ¬Å"He waits in bed until heââ¬â¢s sure sheââ¬â¢s left, so he wonââ¬â¢t have to see her and pretend to be normal or cheerful or whatever it is she wants him to beâ⬠(6). Because Lucy does not involve herself in Keithââ¬â¢s life she wonders what he is doing and tends to assume the worst about him.
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