Monday, April 27, 2020
Tarenah Henriques Essays - Louis Armstrong, King Oliver,
Tarenah Henriques Dec. 10, 1998 Period 4 Louis Armstrong Born in August 1901 (not Independence Day 1900, as he was always told and believed), Louis Armstrong sang on the New Orleans streets in a boyhood quartet and in 1913 was admitted to the Colored Waifs' home for firing a gun into the air. In the home he learned the trumpet, and within four years was challenging every trumpet king in his home town, from Freddie Keppard to Joe Oliver, his first father-figure, whom he replaced in Kid Ory's band in 1919. In 1922 Oliver (by now King Oliver) invited Louis to join him in Chicago to play second trumpet. Tempting as it is to echo Nat Gonella's incredulous comment, I can't imagine Louis playing second trumpet to anyone, Oliver was able to teach Armstrong a little. The regular harmonic experience of playing second (his ear, even then, was faultless) and, above all, the importance of playing straight lead in whole notes, as Oliver did, were lessons that Armstrong was to remember for life. Experience was by now, however imperceptibly, toughening the young man up. His second wife Lil Hardin helped to focus his streak of ambition and he was learning that people could be devious - Oliver, it transpired, was creaming his sidemen's wages. Although he loved Oliver until the end, by 1924 Armstrong had made the jump to New York and Fletcher Henderson's orchestra. It was hot city company for a country boy, but he had the humor and talent to counter mockery (I thought that meant 'pound plenty'!, he quipped, when the stern Henderson ticked him off for a missed pp dynamic); somewhere along the way he decided he was the best, and got ready to defend his title if necessary. Louis played the Regal Theater in Chicago, remembers Danny Barker, and they had this fantastic trumpeter Reuben Reeves in the pit. So in the overture they put Reuben Reeves on stage doing some of Louis's tunes. Louis listened - then when he came on he said, Tiger Rag. Played about thirty choruses! The next show? No overture! In 1925 Armstrong, already a recording star, began OKEH dates with his Hot Five and Seven (featuring Johnny Dodds, Kid Ory and his wife Lil, until Earl Hines replaced her). The music on masterpieces such as Cornet Chop Suey, Potato Head Blues, Sol Blues and West End Blues turned jazz into a soloist's art form and set new standards for trumpeters world-wide. At the peak of his young form, Armstrong peeled off top Cs as easily as breathing (previously they were rare) and pulled out technical tours de force which never degenerated into notes for their own sake. His singing introduced individuality to popular vocals and, just for good measure, he also invented scat singing, when he dropped the music one day at a recording session. Best of all was his melodic inspiration: his creations were still being analyzed, harmonized and celebrated half a century later. Rather than playing ever higher and harder, Armstrong simplified his music, polishing each phrase to perfection, while keeping his strength for the knockout punch. By 1930 he was a New York star, with imitators all around him, but his business life was at a temporary impasse. Then he found his Godfather-figure, a powerful, often ruthless Mafia operator called Joe Glaser, who was to steer his client's fortunes for 35 years. In 1935, with Glaser's approval, Louis teamed with Luis Russell's orchestra, an aggregation of old New Orleans friends, and for five years he was to tour and record with them: the records are classics, and helped to get Armstrong into films such as Pennies from Heaven (1936) and Artists and Models (1937). In 1940, Glaser's office brusquely sacked the band and Louis put together another containing younger modernists such as John Brown (alto), Dexter Gordon (tenor) and Arvell Shaw (bass), a long Louis associate, with Velma Middleton sharing the singing. It lasted until summer 1947, but big bands were on a downward slide and Armstrong found leading a headache. In 1947 promoter Ernie Anderson presented him with a small band (directed by Bobby Hackett) at New York's Town Hall. The acclaim that greeted the move signaled the end of his big-band career, and for the last 24 years of
Thursday, March 19, 2020
Free Essays on Assisted Suicide
Assisted Suicide Thesis: We do not have the freedom of speech unless we have the freedom to refuse to speak. And we do not have the freedom of religion unless we have the freedom to not be religious. So then how do we have the right to life, liberty, and the pursuit of happiness unless we have the freedom to deny any of these? ââ¬Å"Our Life Is Not Our Own If We Cannot Choose When To End It!â⬠Euthanasia: the final analysis in America today many arguments are centered around the right to choose: the right for women to have and abortion, the right for gays to be allowed to raise children or to be legally married, and the right to physician assisted suicide. ( ) These arguments all have something to do with the individual having the right to make this choice, but what if they are unable to make this choice? Say for instance, a man was hit by an oncoming truck, and is being held alive by a machine, what will happen to him? Who will make the decision for him to live or to die? In most caseââ¬â¢s it will be the physician. Well you may ask yourself why cant we choose, that is to die? If a person is terminally ill and has a quality of life so low that they do not have the will to go on, ( ) they are not given a choice. Why then are those people not allowed to seek out a painless alternative in their situation? ( ) Though it is illegal many seek out p hysician assisted suicide ( ) or assisted suicide. Most memorable are those involving Dr. Kevorkian. Known as ââ¬Å"Dr. Deathâ⬠as some headlines read, Dr. Kevorkian has become famous for his many assisted suicides and his suicide machine. ( ) This all may sound fine and dandy, but not everyone agrees with it. Many religions contend and advise against a person seeking suicide of any kind. ( ) In religious views, life is a gift from god and one not to be thrown away or wasted. ( ) It is viewed that by committing suicide of any kind we are di... Free Essays on Assisted Suicide Free Essays on Assisted Suicide Assisted suicide, also called euthanasia (originated from the Greek, eu, meaning ââ¬Å"good, and thanatos, meaning ââ¬Å"deathâ⬠)( No Author, http:// www.religious tolerance.org), is the act of assisting a person who wants to die. That person may want to die for a multitude of reasons, be it because of a terminal illness, extreme pain and suffering, or because of an illness that will leave the person with some extremely diminished capacity. This topic has become one of great controversy as of late, with the prevalence of the HIV virus, the virus that causes AIDS, as well as the increase of debilitating diseases like Parkinsonââ¬â¢s Disease and Alzheimerââ¬â¢s Disease. This paper will touch on many points of the issue of euthanasia, as well as a defender of it. At the end of this paper, it will be plain to see by any open-minded individual that euthanasia should be legal. There are several forms of euthanasia. First, there is voluntary (or active) euthanasia. This means that a competent person makes a voluntary request, without changing their mind, to be helped to die. A popular example of voluntary euthanasia was the assisted killing of a patient with ALS by Dr. Jack Kevorkian in 1998. Dr. Kevorkianââ¬â¢s patient was terrified of the advancing illness, and of dying a painful and horrible death in the near future. The patient had Dr. Kevorkian inject him with a series of controlled substances, which caused the patientââ¬â¢s death ( No Author, religioustolerance.org). There is also non-voluntary (or passive) euthanasia, in which case the patient is not able to express the wish, either by incompetence or the incapacity to do so. This is usually fairly simple, such as removing life support, stopping emergency medical procedures, not feeding the patient, causing death, or not delivering CPR when the patient has stopped breathing or the heart has stopped. The third type is involuntary euthanasia. This is when a competent patient is allowe... Free Essays on Assisted Suicide Physician assisted suicide presents one of the greatest dilemmas to the medical profession. Should someone who is mentally competent, but deemed terminally ill, be allowed to engage in physician-assisted suicide? According to the First Amendment of The Constitution of The United States, one has the freedom to petition the government for a redress of grievances. The Fourteenth Amendment states, The State cannot deprive any person of life, liberty or property, without due process of law; nor deny any person within its jurisdiction the equal protection of the laws. The group believes that a terminally ill patient has the Constitutional right to decide whether or not to end his or her life with the help of a licensed medical doctor. There have been many cases over the years where a terminally ill patient who is mentally competent has made the choice to either partake in physician-assisted suicide or euthanasia. Physician-assisted suicide occurs when the physician provides the patient with the means and/or knowledge to commit suicide(Death and Dying,91). Euthanasia is when the physician administers the death causing drug or agent(Death and Dying,92). The most recent case is that of The State of Florida v. Charles Hall. Charles Hall is dying of AIDS and challenged the State of Florida to let him die by a self-administered lethal injection without fear of prosecution(rights.org/ deathnet/open.html). On January 31, 1997, a Judge ruled that Charles Hall could take his own life with the aid of a doctor. Senior Judge S. Joseph Davis, brought in from Seminole County, found that Floridaââ¬â¢s strict privacy law and the equal protection clause in the U.S. Constitution entitled Hall, 35, and Dr. McIver to carry out an assisted death without fear of prosecution (Sun-Sentinel, 1A). On February 11, 1997, Charles Hallââ¬â¢s ruling was overturned by the Florida Supreme Court: he no longer has the rig ht to end his own life. He will have to wait unti... Free Essays on Assisted Suicide Assisted Suicide Thesis: We do not have the freedom of speech unless we have the freedom to refuse to speak. And we do not have the freedom of religion unless we have the freedom to not be religious. So then how do we have the right to life, liberty, and the pursuit of happiness unless we have the freedom to deny any of these? ââ¬Å"Our Life Is Not Our Own If We Cannot Choose When To End It!â⬠Euthanasia: the final analysis in America today many arguments are centered around the right to choose: the right for women to have and abortion, the right for gays to be allowed to raise children or to be legally married, and the right to physician assisted suicide. ( ) These arguments all have something to do with the individual having the right to make this choice, but what if they are unable to make this choice? Say for instance, a man was hit by an oncoming truck, and is being held alive by a machine, what will happen to him? Who will make the decision for him to live or to die? In most caseââ¬â¢s it will be the physician. Well you may ask yourself why cant we choose, that is to die? If a person is terminally ill and has a quality of life so low that they do not have the will to go on, ( ) they are not given a choice. Why then are those people not allowed to seek out a painless alternative in their situation? ( ) Though it is illegal many seek out p hysician assisted suicide ( ) or assisted suicide. Most memorable are those involving Dr. Kevorkian. Known as ââ¬Å"Dr. Deathâ⬠as some headlines read, Dr. Kevorkian has become famous for his many assisted suicides and his suicide machine. ( ) This all may sound fine and dandy, but not everyone agrees with it. Many religions contend and advise against a person seeking suicide of any kind. ( ) In religious views, life is a gift from god and one not to be thrown away or wasted. ( ) It is viewed that by committing suicide of any kind we are di...
Tuesday, March 3, 2020
APA Referencing â⬠How to Cite a Conference Paper
APA Referencing ââ¬â How to Cite a Conference Paper APA Referencing ââ¬â How to Cite a Conference Paper So youââ¬â¢ve been to an academic conference and you want to cite a presentation youââ¬â¢ve seen. Or maybe youââ¬â¢ve just read the conference proceedings and want to cite them. Either way, APA referencing has specific rules for citing a conference paper, so make sure you know how itââ¬â¢s supposed to be done! In-Text Citations In-text citations for a conference paper use the standard APA referencing style of giving the authorââ¬â¢s name, year of publication and relevant page numbers in parentheses: Many academic conferences are ââ¬Å"oversubscribedâ⬠(Chatterton, 2002, p. 16). If the author is named in the text, simply give the year of publication afterwards, followed by page numbers after the quoted text: According to Chatterton (2002), many academic conferences are ââ¬Å"oversubscribedâ⬠(p. 16). If youââ¬â¢re citing the entire proceedings of a conference, give the editorââ¬â¢s name in place of an author. Reference List: Conference Proceedings The papers presented at a conference are often published as ââ¬Å"conference proceedings.â⬠If youââ¬â¢ve cited the proceedings of a conference as a whole, the information youââ¬â¢ll need to provide in the reference list includes: Editor Name, Initial. (ed.) (Year). Title of conference: Subtitle, Location, Date. City of Publication: Publisher. For instance, the proceedings from a (fictional) conference about academic conferences would appear in an APA reference list as: Ditor, E. (ed.) (2002). Getting together: The academic benefits, Atlanta, June 2002. Houston: PME Publications. Reference List: Published Conference Papers Rather than citing the entire proceedings, youââ¬â¢ll often want to cite a single presentation youââ¬â¢ve seen or read. For a published paper, the reference list entry should include: Author Name, Initial. (Year). Paper title. In: Editor Name (ed.). Title of Conference, Location, Date (page range). City of Publication: Publisher. So a paper from our fictional meta-conference would appear in the reference list as: Chatterton, T. (2002). Anachronisms and conferences. In: Ed Ditor (ed.). Getting together: The academic benefits, Atlanta, June 2002 (pp. 15-23). Houston: PME Publications. Reference List: Unpublished Conference Papers You can also cite a conference paper that hasnââ¬â¢t been published, but the format here is a little different: Author Name, Initial. (Year, Month). Paper title. Paper presented at Conference Title, Location of Conference. An unpublished version of the Chatterton paper used in the example above would therefore appear in an APA reference list as: Chatterton, T. (2002, June). Anachronisms and conferences. Paper presented at Getting Together: The Academic Benefits, Atlanta, Atlanta Metropolitan State College.
Sunday, February 16, 2020
HOW DANGEROUS IS SMOKING FOR YOUR HEALTH Research Paper
HOW DANGEROUS IS SMOKING FOR YOUR HEALTH - Research Paper Example Further, it would be interesting to find out how the hot vapor containing fine particles of carbon directly and specifically affect human organs. Its implications to health would also be analyzed through the illnesses and diseases it inflicts. And finally, when people have realized the health hazards of smoking, this essay would explore ways and means to prevent and ultimately stop smoking. Historians traced the origins of smoking from the Mayan Indians of Mexico from as early as the 600 to 900 A.D. (Glantz 1) Tobacco, being the original source for a smoke, was grown as a cash crop in 1612 where the settlers of the first American colony in Jamestown, Virginia started cultivating and growing them. (Glantz 2). By 1800s, historians revealed that people started using tobaccos for various purposes such as: for chewing, smoking in a pipe, hand-rolled as a cigar or cigarette. According to Glantz, ââ¬Å"the first commercial cigarettes were made in 1865 by Washington Duke on his 300-acre farm in Raleigh, North Carolina. His hand-rolled cigarettes were sold to soldiers at the end of the Civil War.â⬠(Glantz 3). The invention of the cigarette making machine in 1881 by James Bonsack paved the way for the widespread production of cigarettes. His partnership with Washington Dukes son, James "Buck" Duke, initiated the establishment of the first tobacco company in the US, the American Tobacco Company. (Glantz 4) Tobacco, is first and foremost, the main ingredient in a cigarette. Tobacco is a leafy green plant widely grown in warm climates. In the planting phase alone, tobacco is already bombarded with chemicals, fertilizers and insecticides to ensure that the plant grows free from insects. In the manufacturing process, the chemicals are added for flavors and to make them combustible. Jacobs averred that ââ¬Å"there are over 4,000 chemicals in cigarettes. 51 of them are known to be carcinogenic. A carcinogen
Sunday, February 2, 2020
Explain how the corporate guided market mitigates the threat of Essay
Explain how the corporate guided market mitigates the threat of under-consumption in the system of abundance - Essay Example Many people may fail to engage in consumption because they lack the necessary information about the available commodities. Therefore, by engaging in activities like branding and advertising, the potential consumers would be equipped with the information about the production, use and benefits of various commodities in the market. Through this, they would be lured to buy them thus increasing their consumption levels to match the level of production (Keynes 75). Apart from intensive marketing of the available commodities, the corporate guided market should consider reviewing the labor market. Since under consumption is attributed to low or stagnated wages, the employees should be offered higher and reasonable wages that correspond with the kind of work that they offer. This can help in empowering them to have enough income that they can use in purchasing all the available commodities in the market (Sullivan & Steven 29). After all, they are produced to be fully
Saturday, January 25, 2020
Impact Evaluation Of Telehealth On Patients Health Essay
Impact Evaluation Of Telehealth On Patients Health Essay This report will show how telehealth has an impact on patients but before future discussion I would like to define telehealth. Telehealth is the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health, and health administration, and includes both the use of interactive, specialized equipment, for such purposes as health promotion, disease prevention, diagnosis, consultation, and/or therapy, and no interactive (or passive) communications, over means such as the Internet, e-mail, or fax lines, for communication of broad-based nutrition information that does not involve personalized nutrition recommendations or interventions (Busey Micheal, 2008). There are two more definitions I would like to add as following. Use of telecommunications to provide health information and services that is, a health related activity carried out at distance (Conrick , 2006). Telehealth refers to the use of telecommunication technology to remove time and distance barriers in the delivery of healthcare services (Artinian, 2007). Telehealth enables remote patient management. From many findings, study shows that patients with heart failure problem who get experience in weight increase or blood pressure would likely involve in negative medical outcomes including expensive hospitalization in later stage. But if the patients symptoms can be monitored on daily basis then disease can be diagnosed in early stages which can prevent expensive visit to hospital and patients life can be saved. Telehealth works as following. The evaluation of any information systems especially health information systems are recognized as a complex and challenging activity. There is no agreement on a best way to evaluate, on what and how to evaluate, who to involve, and within what paradigm to proceed (Klecun-Dabrowska Cornford, 2001). There are unique challenges for evaluators in telehealth services because they are not all the same and can be measured in separate and different terms. Technologies those are used in telehealth are not mature yet and some of them are still in prototyping stage. These telehealth services are developed by expert and passionate people who are working in the field of medical and other technologies which are related to telecommunication like recording, video conferencing. Strengths Telehealth has also enabled efficient distribution of information not only with the patients but also between health care providers who are divided either geographically or within the states. The Utilization this type of technology has been shown to be very cost effective and has proved in favorable health outcomes for chronically ill patients. (Fleming, 2007) Telehealth increases access to health care especially in remote areas where normal access of health care is difficult. It can act as a bridge between the patient and health provider to increase the delivery of care. One of the biggest strength of telehealth is its capability to be an extension of basic health care by enhancing access between the patient and their providers. With the help of telehealth we can have access to ultra specialized services without transferring the patient. The idea is not transferring patients if we can offer the service here. It doesnt make sense to transfer a patient only for a diagnosis when it can be done remotely (Gagnon, Duplantie, Fortin Landry, 2006). Telehealth is believed to produce significant savings for remote hospitals and for the health care system. For instance, teleconference can be used to attend administrative meetings, leading to substantial savings on travel costs. However, the redistribution of savings between organizations and levels of care is an important and complex issue (Gagnon et al, 2006). Telehealth can help to systematize on call duties on a regional level specialists like x-ray specialist. Therefore, as an alternative, sharing the responsibility for on call duties between specialists of a hospital, telehealth can allow a large number of specialist persons from different health care centers to cover whole region. According to Artinian (2007) Telehealth helps patients gain more flexibility in scheduling healthcare visits, provides easier and more convenient access to healthcare, and allows patients to have fewer time-consuming clinic visits. It also allows patients to receive care in a location that does not require the burden of transportation, and in an environment that is less threatening than a clinic or emergency department. Weaknesses There are many barriers in telehealth field. Some states do not allow its physicians to practice outside of the state without getting license from those states first. Reimbursement is also a big factor in this field as many insurers will not reimburse. According to Gustke et al (2000, as stated by Brown (2005)) fear of malpractice suites is another consideration for physicians, as is acceptance of the technology and lack of hands on interaction with patients, although most patient satisfaction studies to date find patients on the whole satisfied with long distance care. Lack of telecommunications technology is also a big problem in this field. As normal phone line can not supply high bandwidth and there are many rural areas where they do not have high speed cabling and can not get high bandwidth telecommunication for telehealth. Getting federal funds from the state is also a problem for telehealth projects. Telecommunication companies and technology manufacturers are competing with each other to produce low price tools and bandwidth needed. Need of telehealth Telehealth was developed because Challenges Telehealth has the potential to change healthcare delivery but faces many challenges in adoption. Despite the benefit of telehealth, the lack of reimbursement for telehealth is a major challenge in widespread adoption of telehealth. (Bushell, 2007 as stated by Change, 2007). With no financial incentive for healthcare providers to implement the technology, providers are likely to view telehealth as an increase in workload without a subsequent increase in pay (Bushell, 2007). The ethical issues unique to telehealth relate to the possible impact on the curing relationship which go outside the expected challenges of privacy and confidentially. The loss of touch, the potential for depersonalization, the potential for exploitation, the possible inequity when distributing the benefits of telehealth services, and the potential burden that this form of new technology may impose on sick and dying patients are some of the ethical concerns that should be considered. Future research and educational initiatives should explore areas of ethical concern that pertain to the innovative and burgeoning field of telehealth, and the potential for good and harm that may result. Potential themes include the following: à ¢Ã¢â ¬Ã ¢ Improving health care access in underserved populations à ¢Ã¢â ¬Ã ¢ Professional expectations in meeting a new, higher standard of car à ¢Ã¢â ¬Ã ¢ Telemedicine as a potential new form of access discrimination à ¢Ã¢â ¬Ã ¢ Technology as added burden for patients with chronic and terminal illness à ¢Ã¢â ¬Ã ¢ When virtual visits replace actual visits à ¢Ã¢â ¬Ã ¢ The impact of loosing touch on trust and the healing relationship à ¢Ã¢â ¬Ã ¢ The risk of exploitation when using new and expensive technology à ¢Ã¢â ¬Ã ¢ Depersonalization in the use of store and forward technology à ¢Ã¢â ¬Ã ¢ Privacy and confidentiality issues (Fleming, 2007). The use of telehealth has raised many legal issues as well like licensing, liability and reimbursement. Data security is also a big concern in telehealth. As personal data is being transferred from patient to health provider, there is possibility of loss of data or could criminal access that should be considered and prevented. (Wootton, Patil, Scott and Ho, 2009) Bandwidth is also an issue, especially when high quality images need to transfer from patient to health care provider and getting the technical support needed to make sure telehealth networks are up and running around the clock is a major challenge for rural programs or those in small hospitals and practices. (Brian, 2009) Opportunities The health sector faces two opposing demands: firstly, it should provide extended and reasonable access to high quality health care services; secondly, it should also decrease or at least control the rising costs of health care. Telehealth assures and offers the promise of giving people equal access to high quality medical health care at reasonable and affordable cost. Information and communication technology has developed very rapidly in the last few years. There has been rapid growth of the telecommunication market and very fast circulation of the internet. Many hospitals have developed information systems which help to share information between different health care providers, and now health sharing networks are being developed in many countries to share health information. Population which is increasing very rapidly with insufficient health resources has produced demands to develop telehealth and the rapid development of information and communication technology has provided the opportunities to do so. (Wootton, Patil, Scott and Ho, 2009) A telehealth consortium led by the University of California, Office of the President and the UC Davis Health System was formed to create a statewide broadband system. ATT was selected to build a secure medical-grade telecommunications system as part of the California Telehealth Network (CTN). ATT with a three year $27 million contract will provide the Network Services to support the telehealth initiative (Bloch, 2010). According to Dr. Cathryn L. Nation, University of California Associate Vice President for Health Sciences and Services, the new network is also designed to address healthcare disparities in the state since millions of Californians live in rural and other medically underserved areas in the state where disparities in care exist. CTN will improve their access to quality healthcare services (Bloch, 2010). Plans call for the network to be a peer-to-peer system enabling each member to have reliable, high quality connections with public and nonprofit healthcare providers located in both rural and urban locations. The network will also provide opportunities for continuing education and distance learning for health professionals, along with access to clinical research, and the possibility of access to commercially hosted EHR systems (Bloch, 2010). Positive Impact Telehealth provides benefits to individual patients, their family members, health care providers, community organizations, governments and health care facilities. Telehealth expands health related skills across geographic barriers using information and communication technologies (Benefits of telehealth, 2007). It improves access to health care providers for remote and rural practitioners. It also provides great access to continuing medical education. It increases access to specialty services for rural patients. Using telehealth, patients can stay in their homes or community rather than travelling to hospitals. Telehealth can be used to decrease number of cancelled appointments due to weather and travel conditions. Telehealth reduces time for investigation, diagnosis and treatment through quicker consultations and patients can get real time second opinions (Benefits of telehealth, 2007). It can reduce the cost of healthcare and increase efficiency through reduced patient and provider travel, better management of chronic diseases and fewer as well shorter hospital stays. Remote monitoring and home telehealth have been demonstrated to improve disease management and reduce re-hospitalization and emergency department visits (Benefits of telehealth, 2007). In a study that evaluated cost savings among patients using telehealth services in rural Arkansas, investigators found that without the telehealth services, 94% of patients would travel greater than 70 miles for medical care, 84% would miss 1 day of work, and 74% would spend $75 to $150 for additional family expenses. With telehealth, 92% of patients saved $32 in fuel costs, 84% saved $100 in wages, and 74% saved $75 to $150 in family expenses (Artinian, 2007). Negative Impact There are many barriers in telehealth delivery. Implementation of telehealth infrastructure can be costly, time consuming and complicated initially. There is lack of information and communication technology usage among healthcare professionals in some areas. Telehealth is a complex matter. Organizational factor is another barrier to telehealth. A change is required for doctors and how hospitals operates which could be avoided by some provided by some professionals. There could be lack of staff with appropriate skills for telehealth. A lack of financial support is a major barrier in the research and development of telehealth. Many potential projects, especially in rural areas and in the developing world have been hampered by the lack of an adequate telecommunication infrastructure. Other barriers in telehealth are the legal and ethical issues. These include licensing, privacy and confidentially (Conrick, 2006). Reimbursement or the lack of it is also a barrier for possible telehealth practitioners and there are some ethical and legal issues about telehealth that need to be resolved. Stakeholders The main objective of telehealth today is to develop next generation telehealth tools and technologies to improve delivery of health care services in underserved areas using information and communication technologies. It also helps to decrease the cost of health care services and increase access to medical related services to the public. Key drivers for these tools and technologies are the need and interest to collaborate among telehealth stakeholders, including patients, patient communities, research funders, researchers, healthcare services providers, professional societies, industry, healthcare management/economists, and healthcare policy makers (Ackerman, Filart, Burgess, Lee Poropatich, 2010). Future of telehealth Telehealth is the future of home care. By its nature, telehealth relies on technology and technology is changing very rapidly these days. If we look at the history, new technologies emerged and then used by people to send information across long distances. The high access of mobile devices and different networks on global level means that mobile technologies can be used very efficiently in healthcare field in order to compensate the lack of resources problem. With the proliferation of mobile technologies, mobile health (mHealth) will play a vital role in the rapidly growing electronic health (eHealth) area. (Vatsalan, Arunatileka, Chapman, Senaviratne, Sudahar, Wijetileka Wickramasinghe, 2010). Due to the large number of mobile technologies adoption, telehealth can play a very important role in the rapidly growing electronic health care area and in future lots of the people will be using mobile devices to monitor their health any time. The future of telehealth will give advantages greatly from this technology innovation, especially in undeserved areas and old homes. Recent trends are beginning to push the demand for and the development of new technologies specific to the individual needs of telehealth applications (Brennan, Holtz, Chumbler, Kobb Rabinowitz, 2008) It is 2014 and Mrs Smith has ongoing trouble with her high blood pressure. One morning she wakes with a headache and worries that the reservoir of her implanted drug delivery system may be running down. Her bedside ambient health orb (see www.ambientdevices.com) is a reassuring green, but she turns to her video wall and asks Cyberdoc, how are my recent blood pressure levels? The simulated voice responds Your records show that the drug reservoir needs a refill in three weeks time. Your telemetered blood pressure readings have been under control for the past month and todays figures are normal. Your implanted blood sugar sensor shows normal readings too. Do you have some symptoms that you want to discuss? Meanwhile Mrs Smiths wall graphs her recent blood pressure readings, and a list of the most common 20 symptoms affecting people of her age group in the locality. She responds, No, dont worry. Remind me to book my repeat prescription (for a refill) in two weeks, please. (Wyatt Sulliva n, 2005) Conclusion Telehealth has signification potential to address a variety of healthcare problems especially in undeserved areas. Has significant potential to address a range of healthcare problems Need to resolve ethical issues Need protection of health information and privacy rights Need for higher speed and higher capacity telecommunications Government, professional groups in healthcare, and telecommunications industry need to work together to develop some standards Next-generation telehealth tools and technologies which use internet and its robust computational resources hold big promise for improving healthcare for the persons who are living in undeserved areas Next-generation telehealth tools and technologies that utilize the Internet and its robust computational resources hold great promise for improving healthcare for medically underserved populations, increasing access to specialty services at lower cost, enhancing health literacy, and expanding the healthcare workforce through virtual education and training. Realizing these benefits will require extensive and ongoing collaboration and coordination among stakeholders across the research and healthcare ecosystem. Communication, training, cultural sensitivity, and end-user customization are critical to success. Extending the traditional point-to-point telemedicine model to include newer cell phone and Internet-based telecommunications tools that are increasingly widespread and affordable, even in rural and remote locations, will be key to putting the person in personalized medicine and making research advances available to everyone. Furthermore, we must appreciate system complexity to rea lize the benefits of telehealth as it evolves toward increasing functionality, integration, interoperability, outreach, and quality of service. The balance of benefits and risks of eHealth for individual patients and clinicians over the next two to three years is unclear. Healthcare organisations and policy makers need to consider the issues that will arise. In the long term, eHealth offers many opportunities for prevention, choice, home based care, and chronic disease management, and it will widen access to health care for most patients.We all need to join the discussion and decide what we want for the future before others, who could be guided by commercial motives rather than quality and equity, do so.
Friday, January 17, 2020
Langston Hughes Essay
Langston Hughes had become one of the most resounding names in American Literature. Of course, the primary reason for his success would be his adept use of words and the message he wants to convey. However, his racial profile could have also come into play in his popularity. But no one could deny the talent of Hughes in his work. His works display intricate design and a significant message such as on ââ¬Å"Salvation. â⬠Langston Hughes had become one of the best known writers because the messages that he wants to convey are of great value to the society, particularly the value of being proud of oneââ¬â¢s race. He was born into a relatively large family wherein he had eight siblings. His parents had separated and he had to be taken in by his grandmother. Unfortunately, his grandmother died and again he had to be taken in by family friends. This unstable custody of Langston Hughes could direct us to the assumption that he did not live a happy childhood. Although, it could also lead us to the assumption that his unstable childhood had profoundly influenced him to be writer later in life. At a very young age, Langston Hughes was seemingly being trained unknowingly by the people around. As a child, he used to listen to the black American oral tradition of storytelling. His young mind was inculcated with the value of race to an individual. As the young Langston Hughes develops consciousness about the things that are happening around him, he is introduced to the bitter realities of life. During Hughesââ¬â¢ time, racism is a prevalent problem of the society. This aspect of his biography is one of the most likely reason why Langston Hughes had become a writer. His passion to fight racism is one of the main driving force of his writings. His first poem was titled ââ¬Å"Crisisâ⬠, which was published in 1921. The concept of salvation had captivated the mind of Langston Hughes. And in relation to his writing, he may have wanted to convey how people like him, who experiences racism, experience real salvation. His works seemingly suggests that salvation could be found from within oneââ¬â¢s self. His messages for the young people are seemingly a call for being saved from the oppression set against them by the society. If Langston Hughes did not become a writer, it is likely that he would have become a full time activist against racial discrimination. His concern for the society, especially for Black Americans is something that even he could not dismiss easily. One of his best known work is on the poem ââ¬Å"The Negro Speaks of Rivers. â⬠From the title alone, the readers are already hinted that this poem would be about race, as hinted by the term ââ¬Å"Negro. Although there could be multiple readings about the poem, the point is that it is a beautiful poem. Hughes may have wanted to tell the world that Black Americans are just as good as any race in terms of poetry. The poem is like Hughesââ¬â¢ statement that dares racists to say to question if Black Americans could write beautiful poems. All in all, Langston Hughes had become of the best known writers because he had become the voice for the underrepresented black community. In many respects, he had introduced the black community to the world.
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