...Case Study 2-The Case of Jesica Santillon Effective communication requires messages to be conveyed clearly to the appropriate parties, but along the way there are many communication barriers that can create misunderstandings and misinterpretations of the intended message (Burns, Bradley & Weiner, 2012). Such misunderstandings and misinterpretations are apparent in the case of Jesica Santillon. This case study will identify the social and cultural barriers that may have made it difficult for the doctors to communicate with Jesica’s family. This case study will also offer recommendations to modify the transplant process to ensure that misunderstandings are eliminated or minimized; and lastly it will propose some general communication strategies to manage communication with each group involved in this tragic case. Social and Cultural Barriers to Communication There may have been many communication barriers that hindered the doctors from effectively communicating with Jesica’s family. The language differences may have been a leading obstacle to effective communication between the physicians and the family. The family recently migrated to the United States seeking treatment for Jesica's condition and were not fluent in the English language. Immigrants that lack English skills and familiarity with diagnostic techniques and treatments used in the United States are less likely to receive the care and medical information they need (Freeman, 2013). Health literacy may have...
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...Improving Transplant Outcomes Through Shared Imaging Old Dominion University Health Informatics CHP 485 Dr. Ann Marie Kopitzke IMPROVING TRANSPLANT OUTCOMES THROUGH SHARED IMAGING “Organ donation and transplantation have saved countless lives.”(New York Organ Donor Network, 2012, p. 1) When organ transplant first started, organ allocation started simply with calling local or regional transplant centers to offer an available organ. Today, the organ allocation system is much more complex and utilizes multiple platforms to ensure the best possible placement of a transplantable organ. Currently, the United Network of Organ Sharing (UNOS) is the federally designated entity that maintains the organ waiting list and allocation system. The UNOS system is similar to a clinical data warehouse (CDW), which “is a shared database that collects, integrates and stores clinical data from a variety of sources including electronic health records, radiology and other information systems.” (Hoyt, Yoshihashi, & Bailey, 2007, p. 45) The system not only stores information about organ donors and potential transplant recipients, it also maintains the waiting list and “generates a ranked list of candidates for each available organ in ranked order according to OPTN organ allocation policies.” (UNOS, n.d., p. 1) The UNOS data warehouse is a great system, but lacks one key piece of technology that would allow transplant centers to more quickly and efficiently evaluate an organ. For example...
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...Barriers to Increased Organ Donation Paige Lockwood RN Immaculata University Abstract In the United States there are not enough organ donors to meet the ever- increasing demand. Barriers to increased donor registration include lack of education, communication and cultural differences. Public education should be focused on dispelling myths and misconceptions about organ donation. Attempts should be made to deliver education through a variety of different formats in order to reach all citizens. Education should be tailored to meet the needs of specific groups in society. Americans should communicate their preferences about donation to family and friends and register to be organ donors. Highly trained staff should communicate requests for organ donation in a compassionate manner at the appropriate time. Communication among large hospitals and organ procurement organizations is vital to achieve and sustain high rates of organ donation. Religious beliefs can be barrier to donation so religious leaders should be involved with outreach, education and organ requests. Sensitivity to cultural differences and language barriers can help increase organ donation rates among different ethnic groups. Distrust in the health care system is prevalent among different ethnic groups and efforts should be made by hospitals and organ procurement organizations to organize outreach to build trusting relationships. In order to improve donation rates, further research needs to be...
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...death. In this paper we explain the origins and history of organ donation, the process by which organs are donated, the ethical implications behind organ donation and discuss many of the proposed solutions to solve the organ shortage issue. HISTORY OF ORGAN DONATION The origins of organ donation arose with several experimental transplants. The first successful transplant was a bone transplant in 1878, which used a bone from a cadaver. (14) Experimentally, bone marrow transplants began by giving patients bone marrow orally after meals to cure leukemia. This had no effect, but later when they used intravenous injections to treat aplastic anemia, there was some effect (14). One development that largely aided organ donation was the discovery of blood groups in the early 20th century. The first recorded kidney transplant was in 1909 and was a rabbit kidney inserted into a child suffering from kidney failure. The child died after two weeks (8). The first human to human kidney transplantation was in 1936 and failed. The first successful kidney transplant wasn't until 1954 and was between two identical twins. Soon after, heart transplants began,...
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...Collaborative Approach to End Stage Renal Disease Patient Care Chronic kidney disease (CKD) affected 15.1% of the U.S. population in 1999-2000. During the fifth stage of kidney disease, kidney failure occurs. This is known as end-stage renal disease (ESRD). As of 2006, 25% of the Medicare budget was being used for the treatments for CKD and ESRD patients. As the baby boomers age, these numbers are expected to rise as well. An innovative and collaborative approach, such as a patient-centered medical home (PCMH), to ESRD treatment will provide higher quality patient care while reducing cost (Odum &Whaley-Connell, 2012). A case study using the PCMH approach will be conducted. Case Description Natalie is a 53-year-old African American woman. She...
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...Ethics Steven J. Ramsey University of Minnesota Introduction In this paper, I will be applying ethics – principles of right and wrong – from an administrative perspective to three specific situations. In the first situation I describe the application of two ethical principles in relation to access to healthcare at a hospital. The next situation deals with the moral issues raised by mandating the use of ultrasound technology. Here I explain which ethical principles are used to justify this practice, and which ones are violated by this practice. In the last situation, I describe an ethical dilemma I was personally faced with and the ethical principles I used to resolve it. 1. Access to HealthCare The Principle of Utilitarianism Utilitarianism is the moral theory that says the rightness of an action is determined by its contribution to the greatest good for the greatest number. This theory argues against specific actions that would benefit an individual in favor of actions that serve to benefit society overall. Using this theory as a principle for making healthcare decisions, the objective becomes to maximize the health of the population served, which is in conflict with the widely held objective to maximize the care to every individual patient. For example, when having to choose between offering a program that benefits one thousand patients every year verses a program that benefits only five patients...
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...Emerging market report 2007 Disclaimer PricewaterhouseCoopers has exercised professional care and diligence in the collection and processing of the information in this report. However, the data used in the preparation of this report (and on which the report is based) was provided by third-party sources. This report is intended to be of general interest only and does not constitute professional advice. PricewaterhouseCoopers makes no representations or warranties with respect to the accuracy of this report. PricewaterhouseCoopers shall not be liable to any user of this report or to any other person or entity for any inaccuracy of information contained in this report or for any errors or omissions in its content, regardless of the cause of such inaccuracy, error or omission. Furthermore, to the extent permitted by law, PricewaterhouseCoopers, its members, employees and agents accept no liability and disclaim all responsibility for the consequences of you or anyone else acting, or refraining from acting, in relying upon the information contained in this report or for any decision based on it, or for any consequential, special, incidental or punitive damages to any person or entity for any matter relating to this report even if advised of the possibility of such damages. The member firms of the PricewaterhouseCoopers network (www.pwc. com) provide industry-focused assurance, tax and advisory services to build public trust and enhance value for its clients and their stakeholders...
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...Diabetes transition Assessment of current best practice and development of a future work programme to improve transition processes for young people with diabetes. Transition in healthcare is only one part of the evolution from dependent child to independent adult (David, 2001). Submitted by Ruth Gordon, Ruth Gordon Associates Ltd to NHS Diabetes. Supporting, Improving, Caring August 2012 Acknowledgements This project was funded by NHS Diabetes and supported by Gillian Johnson, North East Regional Programme Manager. The expert panel was made up of a group of clinicians and others who provided information, commented on the process and contributed to the views included in this final report. Others have influenced the later stages of the work and will be involved in planning how to take this project forwards. Therefore thanks go to: • Fiona Campbell • Deborah Christie • Chris Cooper • Julie Cropper • Gail Dovey-Pearce • Jane Edmunds • Gavin Eyres • Sue Greenhalgh • Peter Hammond • Gillian Johnson • Susannah Rowles • Carolyn Stephenson • Helen Thornton • Peter Winocour • Alison Woodhead Without the two clinical leads, Peter Hammond from Harrogate and Fiona Campbell from Leeds, this work and report would not have been possible. Contents Executive summary Context Background and rationale Aims of the project Timing of the project Process undertaken for the project Evidence base and policy background Results from the snapshot research Good practice Examples of good practice...
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...CHAPTER 8 IMPORTING, EXPORTING, AND SOURCING SUMMARY A company’s first business dealings outside the home country often take the form of exporting or importing. Companies should recognize the difference between export marketing and export selling. By attending trade shows and participating in trade missions, company personnel can learn a great deal about new markets. Governments use a variety of programs to support exports, including tax incentives, subsidies, and export assistance. Governments also discourage imports with a combination of tariffs and nontariff barriers. A quota is one example of a nontariff barrier. Export-related policy issues include the status of foreign sales corporations (FSCs) in the United States, Europe’s Common Agricultural Policy (CAP), and subsidies. Governments establish free trade zones and special economic zones to encourage investment. The Harmonized Tariff System (HTS) has been adopted by most countries that are actively involved in export-import trade. Single-column tariffs are the simplest; two-column tariffs include special rates such as those available to countries with normal trade relations (NTR) status. Governments can also impose special types of duties. These include antidumping duties imposed on products whose prices government officials deem too low and countervailing duties to offset government subsidies. Key participants in the export-import process include foreign purchasing agents, export brokers, export merchants...
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...Medical Tourism Medical Tourism Introduction Medical tourism is the act of traveling to other countries to obtain medical, dental or cosmetic care. Medical tourism is a new term but thousands of years old act. People have been traveling across the continents in search of cures for any imaginable illnesses and making therapeutic trips for health wellness. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, Asklepios at Epidaurus, and from the 18th century wealthy Europeans have been traveling to spas from Germany to the Nile. In recent years, medical tourism is becoming more popular with patients seeking treatment for health and well-being purposes abroad. Medical Tourism is also known as Medical Travel, Health Tourism, Surgical Tourism, Health Travel, Treatment Abroad, Surgeries Abroad, and Medical Outsourcing. Medical Tourism Concerns Though many are eager to be the right pieces in the puzzle, many are still struggling to get the right fit. There are a number of concerns and risk factors for patients getting treatment much less seeking them abroad. Some concerns for patients include a consistent quality of care, lack of extensive dialog between the patient and the doctor, lack of post-op follow up, cultural differences and difficulty in obtaining sufficient insurance coverage. In order to mitigate the risk, it’s essential that the patient works with well reputed facilitators. Medical Tourism Accreditation ...
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...UNIVERSAL PICTURES and EMMETT / FURLA FILMS Present A MARC PLATT Production In Association with OASIS VENTURES ENTERTAINMENT LTD / ENVISION ENTERTAINMENT / HERRICK ENTERTAINMENT / BOOM! STUDIOS A BALTASAR KORMÁKUR Film PAULA PATTON BILL PAXTON JAMES MARSDEN FRED WARD and EDWARD JAMES OLMOS Executive Producers BRANDT ANDERSEN JEFFREY STOTT MOTAZ M. NABULSI JOSHUA SKURLA MARK DAMON Produced by MARC PLATT RANDALL EMMETT NORTON HERRICK ADAM SIEGEL GEORGE FURLA ROSS RICHIE ANDREW COSBY Based on the BOOM! Studios Graphic Novels by STEVEN GRANT Screenplay by BLAKE MASTERS Directed by BALTASAR KORMÁKUR –1– CAST Waitress Margie . . . . . . . . . . . . . . . . . . . . . LINDSEY GORT Roughneck #2 . . . . . . . . . . . . . . . . . HILLEL M. SHARMAN Robert “Bobby” Trench . . . . . . . . . DENZEL WASHINGTON Roughneck #3 . . . . . . . . . . . . . . . . . . . . . . . . AARON ZELL Marcus “Stig” Stigman . . . . . . . . . . . . MARK WAHLBERG Roughneck #4 . . . . . . . . . . . . . . . . . . . . . . . HENRY PENZI Deb . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PAULA PATTON CREW Earl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BILL PAXTON Admiral Tuwey . . . . . . . . . . . . . . . . . . . . . . . FRED J. WARD Quince . . . . . . . . . . . . . . . . . . . . . . . . . . JAMES MARSDEN Directed by . . . . . . . . . . . . . . . . . BALTASAR KORMÁKUR Papi Greco . . . . . . . . . . . . . . . . . EDWARD JAMES OLMOS Screenplay by . . . . . . . . . . . ...
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...keeping informed of official policies and meeting all relevant requirements. When required changes to the Catalog occur, they will be communicated through catalog inserts and other means until a revised edition of the Catalog is published. The policies in this Catalog have been approved under the authority of the ECPI University Board of Trustees and, therefore, constitute official University policy. Students should become familiar with the policies in this Catalog. These policies outline both student rights and student responsibilities. The University reserves the right and authority at any time to alter any or all of the statements contained herein, to modify the requirements for admission and graduation, to change or discontinue programs of study, to amend any regulation or policy affecting the student body, to increase tuition and fees, to deny admission, to revoke an offer of admission and to dismiss from the University any student at any time, if it is deemed by the University to be in the best interest of the University, the University community, or the student to do so. The provisions of this publication are subject to change without notice and nothing in this publication may be considered as setting forth terms of a contract between a student or a prospective...
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...schedule as Vice Chairman of Neurology and Director of Acute Stroke and TeleStroke Services meant he had little time to chat, Farrell used the near-collision as an opportunity to quickly mention a recent conversation with a nurse from Falmouth Hospital on Cape Cod. An active participant in the TeleStroke service, Falmouth Hospital was regularly honored for its adherence to best practices in stroke care. “Recently some Falmouth nurses asked how we can convince other MGH departments—such as in critical-care pediatrics—to provide similar telemedicine consultation services,” Farrell stated, adding “Their nurse stroke coordinator, Jean Estes, is a huge cheerleader for TeleStroke.” Dr. Schwamm continued moving toward his office as he replied, No tC Shawn, don’t we already have too much to do? I need to see patients, complete the analysis for a study I am working on, submit a grant application. Next week I will speak at an international neurology conference. Telemedicine can certainly be invaluable in many clinical domains, but there just are not enough hours in the day for us to get involved beyond stroke care. Before entering his office and shutting his door, Dr. Schwamm added one last remark: “We can’t do everything, Shawn—but we can do TeleStroke very well.” Shawn Farrell was not a medical doctor. A graduate of the Boston University School of Management, he had worked as an operational manager in several Boston area hospitals...
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...*Daryoosh Hayati Lecturer of English Language, Lamerd Branch, Islamic Azad University, Iran Journal of Subcontinent Researches University of Sistan and Baluchestan Vol. 3, No.7, summer 2011 (p.p 31-52) East meets West: a Study of Dual Identity in Mohsin Hamid’s the Reluctant Fundamentalist Abstract This essay will present a postcolonial study of how Eastern identity and Western identity clash in The Reluctant Fundamentalist by Mohsin Hamid, the Pakistani- American novelist, and make the character of the protagonist a glocal one, (A mixture of global and local), a term newly coined by Postcolonial scholars to show the ever clashing mixture of global and local dualities in immigrants’ personalities. The basis for this research paper is the postcolonial theories of Edward Said, Fanon and Homi K. Bhabha. The aim is to question simply and sardonically the human cost of empire building, moreover it is discussed how the people in a totally alien culture are faced with different cultural predicaments, dilemmas as well as contradictions threatening their identity. Identity is supposed to be stable, while as this novel indicates, it is more of glocal identity which is at risk due to the cultural conflicts, as a result of which identity and ethnicity are subjected to change for the benefit of the hegemony. In line with Edward Said’s: “the East writes back” it is shown how this novel is a reaction to the discourse of colonization from the Pakistani side (which stands for the East)...
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...informed of official policies and meeting all relevant requirements. When required changes to the Catalog occur, they will be communicated through catalog inserts and other means until a revised edition of the Catalog is published. The policies in this Catalog have been approved under the authority of the ECPI University Board of Trustees and, therefore, constitute official University policy. Students should become familiar with the policies in this Catalog. These policies outline both student rights and student responsibilities. The University reserves the right and authority at any time to alter any or all of the statements contained herein, to modify the requirements for admission and graduation, to change or discontinue programs of study, to amend any regulation or policy affecting the student body, to increase tuition and fees, to deny admission, to revoke an offer of admission and to dismiss from the University any student at any time, if it is deemed by the University to be in the best interest of the University, the University community, or the student to do so. The provisions of this publication are subject to change without notice and nothing in this publication may be considered as setting forth terms of a contract between a student or a prospective student and ECPI University....
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