Management of Poor Nutrition in Child

Management of Poor Nutrition in Child In each phase of life, human beings have specific dietary needs. During the first six months of life an infant acquires all its dietary needs from either breast milk or formula milk (Department of Health, 2005, p2). However after the age of six months it is important that the infant begins to complimentary feed in the form of a well-balanced diet that has the correct macro/micronutrients for optimum growth and development (Morgan Dickerson, 2003, p234). This part of the assignment will critically discuss the benefits of a well-balanced diet for the growing and developing infant. This will be undertaken with regards to the scenario given. The scenario is about a ten month old infant girl called Jasmine. She has been admitted to hospital for initial management of poor growth and malnutrition. The term malnutrition refers to both under-nutrition and over-nutrition. However, for the purposes of this essay the term malnutrition will be used for the term under-nutrition. Malnutrition can result from too little or the wrong kinds of food, or can be secondary to an underlying illness. Signs of malnutrition include short stature, thin arms and legs, skin and hair in poor condition, clearly visible vertebrae and rib cage, wasted buttocks, and in extreme cases, oedema, wasted facial appearance and lethargy (RCN, 2006, p30). Jasmine is still being fed on formula milk; however she has not be successfully weaned onto a solid diet. Delayed weaning can lead to slower growth and deficiencies in nutrients such as iron, zinc, fat soluble vitamins and fatty acids (EUFIC, 2000, p2). Adequate calorific intake is required for the infant’s growth, digestion, physical activity and maintenance of organ metabolic function. Carbohydrates are very important in the diet of a young infant as babies have only small hepatic glycogen stores and have a limited ability to carry out both gluconeogenesis and ketogenesis. It is recommended that carbohydrates should make up at least forty-forty-five percent of the infant’s total calorific intake (Turner, 2001, p572). Similarly, fat should make up around fifteen percent of an infants calorific intake. It is needed to provide energy and essential fatty acids, required for growth and tissue maintenance. As mentioned dietary fat is an important part of an infant’s diet. Infants need energy to enable the enormous growth of the first year and also facilitate high activity levels. Therefore, it is suggested that they require an energy-dense diet. Although this can be provided by carbohydrates, fat has almost twice as many joules of energy for weight than carbohydrate. As well as the energy component of fat in the diet, the infant requires the essential fatty acids for correct development of the nervous system (Livingstone, 1997, p9). It has been suggested that the lack of essential fatty acids may explain why malnourished children consistently achieve lower intellectual level, compared with their well nourished counterparts (Walker et al., 2007, p146). It is important to note however, that studies into this issue have methodical limitations that affect the results of the studies. The research had only a very small cohort of children, who had other psychosocial problems apart from being under-nourished. It is argued therefore that the findings can not be generalisable to al under-nourished children. Essential fatty acids can only be obtained from lipids (oils and fats) in the diet. Fat is also a source of the fat-soluble vitamins A, D, E and K, each of which is needed by the infant to some degree. In very young infants the lack of vitamin D may produce hypercalcaemia and or hypocalcaemia convulsions alongside poor quality bone growth, resulting in rickets. Dietary vitamin D can be obtained through fish, cream and cheese (Morgan Dickerson, 2003, p315). Iron is another nutrient that is particularly important in an infant’s diet. By the age of six months, iron from foetal stores, breastfeeding or fortified formula milk is no longer sufficient to meet the infant’s demands. It is during this period of rapid growth and a simple weaning diet that dietary intake of iron may be insufficient to maintain normal haemoglobin. Therefore, infants need to be consuming significant amounts of iron in their diet. Iron is found in red meats, fish, liver and some leafy green vegetables. Absorption of iron can be enhanced by Vitamin C and intake of protein in the same meal or inhibited by phytates in cereals, legumes and tannins in tea and coffee (Neill Knowles, 2004, p162). Therefore, it is essential that Jasmine eats foods that have sufficient iron for her needs, in meals that have the correct amount of protein and Vitamin C. Iron-fortified infant cereals, alongside pureed iron-rich foods are a good start to the weaning process. Iron is essential to all cells. It is so important that the body has evolved specific mechanisms for its absorption, transportation and recycling. Iron is a mineral found in every cell of the body. Iron is considered an essential mineral because it is needed to make part of erythrocytes. The human body needs iron to make the oxygen-carrying proteins haemoglobin and myoglobin. Haemoglobin is found in red blood cells and myoglobin is found in muscles. Iron also makes up part of many proteins in the body. Haemoglobin is a protein found in erythrocytes that helps to transport oxygen around the body. Lack of iron in the diet can lead to iron-defciency anaemia (IDA). IDA is characterised by falling haemoglobin levels and increasing problems with breathlessness with ultimately, high output cardiac failure. Infants over the age of six months with IDA, which at this stage is primarily dietary in origin and which can develop slowly may reach extremely low levels of haemoglobin before any problem is diagnosed. Clinically, iron-deficient infants are often miserable, apathethic, with poor appitites and negative behaviours (Morgan Dickerson, 2003, p309). Besides calcium that is needed for the healthy growth of bones, another micronutrient that is important in an infant’s diet is zinc. Zinc has been found to be deficient, even in generally well-nourished infants. Zinc is an essential mineral that is found in almost every cell. It stimulates enzyme activity (substances that promote biochemical reactions the body). Zinc also maintains a healthy immune system, is required for wound healing, assists in sustaining the sense of taste and smell, and is necessary for DNA synthesis. Zinc also supports normal growth and development during pregnancy, childhood, and adolescence. Mild deficiency can lead to dermatitis, gingivitis, diarrhoea and loss of appetite. If the deficiency is severe and persistent this may lead to â€Å"failure to thrive† and neurological changes. Meat is a useful source of zinc, alongside dark green, leafy vegetables (Coutts, 2000, p2206). Infancy is a critical period for growth and development. After the first six months of life, babies can no longer acquire their nutritional needs from breast or formula milk alone. Weaning is the term used when solid foods begin to be introduced into the diet alongside milk feeds. From the evidence given, it appears that infants are at risk from certain disorders, diseases and delays in growth and development if certain macro/micronutrients are absent or deficient in the diet. It is essential therefore, that growing infants are given a well-balanced diet, which promotes and maximises the chance of the child having a long and healthy life. References Coutts A (2000) Nutrition and the life cycle 2: infancy and weaning, British Journal of Nursing, 9, 21, 2205-2216 Department of Health (2005) Weaning, http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4117080, date accessed August 2007 EUFIC (2000) Getting a Good Start in Life, Food Today, 11, 2 Livingstone B (1997) Healthy eating in infancy, Professional Care for Mother and Child, 7, 1, 9-11 Morgan J Dickerson JWT (2003) Nutrition in Early Life, Chichester, Wiley Sons Inc Neill S Knowles H (2004) The Biology of Child Health, Hampshire, Palgrave Macmillan RCN (2006) Recognising Nutrition, Paediatric Nursing, 18, 5, 30 Turner A (2001) Infant nutritional needs: an overview, British Journal of Midwifery, 9, 9, 572- 574 Walker S, Wachs T Gardner J (2007) Child development: risk factors for adverse outcomes in developing countries, Lancet, 369, 145-157 Essay question 2 The biological sciences in nursing curricula encompass anatomy, physiology, biochemistry, immunology, pharmacology, genetics and microbiology, a group of disciplines frequently referred to collectively as the biosciences (McVicar Clancy, 2001, p1415). This kind of scientific knowledge consists of facts, information, principles and theories. Debatably, in nursing, it includes evidence-based research findings and conceptual models of nursing, as well as research findings in other disciplines such as psychology, physiology, pharmacology and genetics. It is proposed that having this scientific knowledge base can help nurses describe, explain and predict (Wilkinson, 2007, p41). It is important to note that the study of biosciences and the specific study of child anatomy and physiology should go hand-in-hand with the social science of nursing and care so that a fully holistic approach to care and nursing is undertaken (Richardson, et al., 2001, p34). This will then empower and enable the paediatric nurse to give best-practice care that is person-centred and family-centred. This part of the assignment will discuss how knowledge of biosciences informs practice and contributes to the ability to meet both the nursing and dietary needs of Jasmine in a family-centred manner. It is proposed that understanding the biological influences on development allows for a better understanding of what possible errors may occur. With regards to nutrition, it is suggested that a paediatric nurse needs to know how various nutrients help the anatomical and physiological development of an infant. Jasmine has been admitted to hospital for initial management of poor growth and under-nutrition. It is suggested that it is a multi-disciplinary responsibility to ensure that Jasmine’s nutritional needs are met, and paediatric nurses have particular areas of responsibility and expertise (RCN, 2007, p2). These occur at all levels, entailing screening, assessing, planning, implementing, evaluating and monitoring the delivery of evidence based care that meets the nutritional and hydration needs of Jasmine. It is argued that, the ability to assess an infant’s nutritional status using anthropometry, observation and history is vital, but it is also as important for the paediatric nurse to have an understanding of the implications of information gained during an assessment. It is debated therefore that this is when knowledge of the biosciences is of particular importance. For instance, anthropometry, the measurement of the human body, can give useful information about growth and current nutritional status when compared with established norms. Here, knowledge of normal child anatomy and physiology is important so that any differences can be recognised. It is important to note however, that an assessment of nutritional status or growth should not rely on these measurements alone. Consideration must also be given to other factors, such as feeding history (Khair Morton, 2000, p2). It is debated that, knowledge of the biosciences if used with knowledge of psychosocial and environmental influences on health within a nursing context, will enhance patient care. Just relying on the importance of biological influences and not taking into account external influences on health can said to be â€Å"reductionist†. Arguably, reductionism in any form will lessen the quality of care. When taking into account external influences on health, the nurse in charge of Jasmine’s care must involve the family in the education of Jasmine’s nutritional needs. It is proposed that the greatest influence on a child is the family. Debatably, the infant’s experiences within the family have a considerable effect on their health, social and emotional development and these influences are not always positive. It is suggested that, there may be problems of poverty and depravation in Jasmine’s family and the paediatric nurse must have knowledge of other profess ionals who can give help and guidance to the family (Ross, 2003, p37). Arguably, in this way the family can learn together in partnership with other health and care professionals such as dieticians, social workers, psychologists, etc. From the evidence given, knowledge of biosciences when used in conjunction with other nursing care concepts can help paediatric nurses influence future health risks by educating families on the necessity of a well-balanced diet. However, nurses must first acquire an understanding of how nutrients affect a body’s growth and development. This understanding, alongside multi-disciplinary team work will provide the best holistic care possible. References Khair J Morton L (2000) Nutritional assessment and screening in children, Nursing Times, 96, 49, 2 McVicar A Clancy J (2001) The biosciences and Fitness for Practice: a time for review? British Journal of Nursing, 10, 21, 1415-1420 Richardson J, McEwing G Glasper EA (2001) Pre-registration children’s and young people’s nurse preparation: A SWOT analysis, Paediatric Nursing, 18, 10, 34-38 Ross A (2003) Promoting health: Challenges for children’s nurses, Paediatric Nursing, 15, 4, 37-39 RCN (2007) Nutrition Now: Principles for nutrition and hydration, www2.rcn.org.uk/__data/assets/pdf_file/0004/33898/Nutrition_now_Pamphlet_V7.pdf, date accessed August 2007 Wilkinson JM (2007) Nursing Process and Critical Thinking, New Jersey, Pearson-Prentice Hall

Examining The Business Sectors Of Projects Information Technology Essay

Examining The Business Sectors Of Projects Information Technology Essay This project is done individually and it is a research project. In this project we will look at two different large organisations and compare them with each other. The two companies I have chosen are part of the SATRIX top 40 on the JSE list. I have chosen the two most popular Cell phone providers in whole South Africa, VODACOM and MTN. Over the past years, these two companies became very successful and they grow more and more everyday. They both have been fighting against each other on who is the better and more successful provider in South Africa. I have researched a lot about the two companies and they both have a lot of differences. I made research on the shareholders of each business, the Corporate Social Responsibilities and Environmental Sustainability, the BBBEE Compliance and the Companies Performance of each business. This project will also show you which company complies more with the King 11 Report and Triple Bottom Line Reporting as well as the company which will be the best proposition for a prospective investor. CSR related Issues in South Africa The needs of our society in South Africa are called the CSR (Corporate Social Responsibility). Social Responsibilities are not only important in South Africa but also in the rest of our world. Social Responsibility is a very important part in many spheres of any business; examples are poor working conditions, dumping of waste or abuse peoples savings to enrich them. CSR addresses the legal, ethical, commercial and other expectations society has for business. The CSR needs to deal with shareholders, customers, suppliers, employees and other communities. Major issues are: Human rights Labour conditions Environmental impacts Operations Products and services In South Africa, growing demands are imposed on any type of society. Business needs to contribute to a huge extend to solve any problems which accrue in the business. In South Africa, CSR refers to operate and organize everything in a good manner. It can be measured be performance indicators, which include: less operating costs, advanced brand image, higher salary and employee retention. Environmental Issues In South Africa Environmental issues in South Africa are mainly caused by us humans who dont look after our environment and just do what they want to. People like that, dont really care about our nature and they just dont follow the rules which help our country to be cleaner and healthier. Most of those issues have a huge impact on us humans. Issues like that include; safer water supplies, population explosion and depletion. The problem with South Africa is that it is to over populate and the population needs to be cut down by quite a lot in order to have a better environment. There are many types of issues which we have in South Africa. Issues like climate change, land use, farming, nuclear issues and pollution are the most common issues in South Africa. But you get many other issues which affect our environment everyday. Stakeholders Stakeholders are the most important people in any business. Without them, its not possible to run any type of business. Every business has to have stakeholders. Stakeholders are the members of a business. You get 2 different types of Stakeholders, namely internal and external stakeholders. Internal Stakeholders: Employees Manager Owners External Stakeholders: Suppliers Society Government Creditors Shareholders Customers Social CSR Issues Different forms of CSR have been found in South Africa over the couple of years. Apartheid played a huge role in it to shape these programmes and to run them successfully. After the 1990s, South Africa ranked into the global economy and new dynamics and programmes have been added to the CSR. The CSR works its way though many policy debates and corporate agendas. The CSRs issues are very important to any type of business, because it helps you to be more successful and improve the working condition of each member. Major issues are: Human rights Labour conditions Environmental impacts Operations Products and services Yes, there are many more issues but those are the most important ones I have found and chosen. These issues are very important for each business doesnt matter what type of business it is. It helps to make your employees happier and make them feel comfortable at their working place. Environmental CSR Issues An environmental issue is the way how a human treats and looks after our environment. Its the humans who dont look after our environment and because of that; our environment is not in a great shape at the moment. Nature dies and animals are starting too die because us humans dirty the nature and environment. Environmental issues in South Africa are mainly caused by us humans who dont look after our environment and just do what they want to. Issues like that include; safer water supplies, population explosion and depletion. The problem with South Africa is that it is to over populate and the population needs to be cut down by quite a lot in order to have a better environment. More types of issues are; Climate change Dams Energy Land use Farming Nuclear issues Pollution If most of the people in South Africa would look after our environment a lot, we would have a great environment and the nature would be cleaner. But unfortunately, most of the population in South Africa dont care about their environment. They destroy our environment more and more day after day. BBBEE BBBEE (Broad Based Black Economic Empowerment) is a form of empowerment created by the South African government in order to make it even for blacks and whites. As you know, in South Africa we have Whites, Blacks, Coloureds and Indians. Most of the people in South Africa think that the white people should be supported more in getting a job. They think whites are the highest race in South Africa; they are at the top and think they better than the blacks or Indians. But its so not true. Every human, doesnt matter what colour their skin has every human should be treated the same in any way. Thats why the BBBEE plays a huge role in South Africa and its very often used by a lot of companies around South Africa. Every year, the country sets a vision statement by reaching some goals. Some of the goals include; 50% of management is black 40% of the total staff are woman I think that the BBBEE plays a huge role in South African businesses and it helps the business to have an equal amount of employees. They should have different races and genders and I mean a business is only going to be successful when there are different types of people in it. More ideas will come and the business will be more successful. Stakeholders The companies I have chosen are very large and they have a lot of stakeholders which work for the company. Vodacom Stakeholders Employees Shareholders Communities Business partners Regulators Customers Government Shareholders analysis Shareholder No of shareholders % No of shares 1-100 65798 69.14 2334687 101-1000 26016 27.34 7631889 1001-10000 2553 2.68 7206854 10001-50000 409 0.43 9814621 50001-100000 148 0.16 10787017 100001-1000000 204 0.21 59739289 1000001 and over 35 0.04 1390439643 Totals 95163 100.00 1487954000 The price of a share changes a couple of times per day. Share Current price % Change Time 5465 1.20 4.March The dividend a shareholder will receive is 36.00 cents per share. MTN Stakeholders Employees Regulators Shareholders Customers Communities Government Business partners Shares Current price % Change Time 11510 -0.77 3.March The dividend a shareholder will receive is 65.00 cents per share. Comment: Ive researched the different stakeholders the 2 companies have and the shares they each charge. At the end, it was MTN who sells his shares for much more money. The dividend MTN shareholders will get is more than double the amount you get from Vodacom. So, it is better at the moment to buy shares from MTN rather then from Vodacom. Responsibility towards Stakeholders Vodacom: Communities: Vodacom plans to improve the engagement processes further this year. Suppliers: Vodacom improved its BBBEE score from 55.2% to 68.0%, according to DTI Codes. Employees: Vodacom invested over R70 Million on training employees only. Vodacom tries his best to make it the most comfortable for their employees by improving the working conditions. HIV tests are regularly done. MTN: Employees: Created an awareness training 5 years ago, this improves year by year. Makes sure the employees are comfortable at their working place, so they will be able to work the best they can. HIV tests are made every month. Government: Government focuses on creating small groups to make it easier to work. Annual interviews conducted. Communities: Press conferences are held every week. Annual interviews conducted. Good education. Most Credible Policy Both companies, Vodacom and MTN, have very good policies which they follow all the time and try too improve them as much as they can. A big role in both companies is HIV/AIDS. They both test all their employees nearly every month and thats good to hear. It gives other workers more confident to work now that they cant get sick or infected by any viruses. But when I go more into detail, Vodacom has impressed me more. Theyve spent so much money on training employees and making their working place comfortable for them. Policy Projects of each Company Vodacom: Education project Health project Security project Penryn Mobile Lab Schola Amoris School Committee for Crime prevention Mahumani Empowerment centre Reagona Disability Unit SAICA NMMU Scholarship Cities of Africa Wits centre of Excellence Vodacom Education Project- the Company invests money to equip and educate young people with the skills they will need when they go out to the big world. Vodacom Health Project- the company invests quality health initiatives to develop to their full potential. It focuses on surgery, HIV/AIDS and feeding schemes. Vodacom Security Project- security is the secondary focus of the whole Vodacom foundation. Projects like Men against child abuse or committee for crime prevention were created. MTN: Yello Care South African Red Cross Fifa World Cup Cancer Research Centre Yello Care programme- a volunteer campaign that involves every employee in community building projects in addition to the MTN Foundation initiatives. Fifa world cup- MTN supports the fifa world cup 2010. A lot of money will be donated to the cancer research centre. At the last years qualification, every goal a team made, R10000 were donated to the cancer centre. Cancer Research Centre- MTN has made an agreement with United Nations Development programme to fight against cancer. Most Sustainable projects: Vodacom and MTN, both have a lot of projects created and most of them were really successful. But again, Vodacom has better projects and all of them were successful. Vodacom helped South Africa a lot more than MTN. Vodacom helped kids to have an education and get work. They also have created a health project which runs since 2008. BBBEE Policies Vodacom: Equity ownership Management control Employment equity Skills development Enterprise development Socioeconomic development Preferential procurement Management control- Black representation rose very high. More black people have joined the management team. Employment equity- Vodacom are adding hundreds of employees to their team every month. Year after year, more black people come and work at vodacom with the right education. Skills Development- over R90 million has vodacom spent on training employees only. R68 million were spent on Black Designated Groups. MTN: Increasing access to MTN procurement for blacks Increasing human resource and skill development Encouraging partnerships between Black enterprises Promoting economic transformation MTN has a license to promote Broad-based Black Economic Empowerment within South Africa through its procurement procedures. Broad Based Black Economic Empowerment was integrated with the tender rules and policies to assist disadvantaged communities. Companies Performance Vodacom: Group highlights: 16.5% growth in group customers to 39.6 million 10.5% growth in group EBITDA to R18.2 billion 28.8% growth in group data revenue to R6.4 billion BBBEE transaction completed in South Africa in October 2008 Acquired Gateway on 30 December 2008 Listed on the JSE Limited on 18 May 2009 R500 million spend by Vodacom Foundation in its first ten years Financial Information Summary of Vodacom MTN: Highlights: 90,7 million subscribers up 48% from December 2007 R102,5 billion up 40% from December 2007 R43,2 billion up 36% from December 2007 R904,4 cents up 33% from December 2007 Financial Information Summary of MTN Vodacom: Balance Sheet of Vodacom as at 31.March.2009 MTN: Balanced Sheet of MTN as at 30.April.2009 Conclusion The 2 companies I have chosen are South Africas biggest cell phone providers. Ive done a lot of research and came to a final conclusion. Both, Vodacom and MTN have positives and negatives but for me Vodacom is a better provide between the 2. Vodacom is more reliable, I can trust it more, it has many more projects done than MTN and its more successful. For me, Vodacom is the best cell phone provider in whole South Africa.

A Soldier’s Embrace by Nadine Gordimer :: Nadine Gordimer A Soldier’s Embrace

A Soldier’s Embrace by Nadine Gordimer Nadine Gordimer is a white author who lives in the country of South Africa. She is known for her excellent characters and the vivid details of her books. Her stories are written in the context of her South African experiences. She also writes about the previous challenges of South Africa under apartheid, at a time when society was split by race.   Ã‚  Ã‚  Ã‚  Ã‚  South Africa’s racial problems began when the white people came and discovered South Africa with its black population. The white people wanted power because there were many fewer whites than blacks. The only way to achieve that was to change the government around so that only white people had political power. The three terms that were used to describe racial groups under the system of apartheid were European, Native and Coloured.   Ã‚  Ã‚  Ã‚  Ã‚  Gordimer explains the many aspects of this problem in South Africa with her stories in A Soldier’s Embrace. In her last short story, simply titled, â€Å"Oral History†, she writes about the Europeans finding out that there were Native rebels in a village. The chief of the town wanted to get rid of them, so he asked the white army to do it. The white army bombed the village and killed everyone who was in it, too. When the chief came back and found out what had happened, he hanged himself from a tree.   Ã‚  Ã‚  Ã‚  Ã‚  Gordimer’s message in this story is that the people who split themselves by race (or by anything else for that matter) will eventually destroy everything for different reasons. One cannot label someone by their race because it can be hard to draw the line in some situations. It is also impossible to make laws about love. In one of Gordimer’s short stories, â€Å"Town and County Lovers†, she wrote about a white man and a black woman in love and the consequences of that relationship for them. European South Africans were selfish, and made the people of other cultures separate from them. The Europeans were also the ones who made the Coloureds and Natives do menial work.

Euthanasia: Humane and Dignified Essay -- Euthanasia Killing Argumenta

  Ã‚  Ã‚  Ã‚  Ã‚  Advances in modern medical technology have served to deny people the right to die, and euthanasia, it may be argued, has emerged with the purpose of reclaiming that right. Euthanasia, which is defined as â€Å"granting painless death to a hopelessly ill patient with a non-curable disease,† is a very controversial issue (Russell 3). Illegal in all countries, except the Nertherlands, it is still practiced all over the world in an attempt to give people the right to a painless, and natural, death (Emanuel 1). In short, the advances in modern medicine and its techniques, have created a situation whereby people’s lives are artificially extended, despite the fact that they could be in an irrecoverable coma or suffering from an incurable chronic illness, leading increasing numbers of people to support euthanasia, as an option for a humane and dignified death.   Ã‚  Ã‚  Ã‚  Ã‚  While there is a tendency to treat euthanasia as a single concept, it is actually a very general one involving two distinct methods and practices. In general terms, it is defined as â€Å"the mercy killing of a person, that is to say, the intentional and express termination of a life whose quality is such that it is not worth living† (Kluge 132). In more specific terms, euthanasia is either active and positive, or passive and negative, with both being further defined according to whether they occurred voluntarily, involuntarily, or nonvoluntarily. That is, whether it occurred according to a person’s wishes, or against his wishes, or simply without his wishes due to his being in a condition where he can’t express himself.   Ã‚  Ã‚  Ã‚  Ã‚  In examining the different forms of euthanasia, it ultimately becomes clear that both voluntary and non-voluntary passive, or negative, euthanasia do not violate ethical principles as they act in such a way that they basically restore man’s right to death. This form of euthanasia â€Å"means discontinuing or desisting from the use of extraordinary life-sustaining measures or heroic efforts to prolong life in hopeless cases when such prolongation seems an unwarranted extension of either suffering or unconsciousness† (Russell 20). That is, it is an action that has the purpose of allowing death to occur naturally, whereby it becomes very difficult to criticize passive or negative euthanasia according to ethical and religious arguments. This form of euthanasia, although it can occur without ... ...ed before carrying it out.   Ã‚  Ã‚  Ã‚  Ã‚  When reviewed from ethical perspectives, it becomes increasingly difficult to defend the artificial extension of life, and to reject passive euthanasia. If one were to consider the doctor’s role as a healer, or a reducer of pain and suffering, it would seems that medical technology actively prevents the fulfillment of this role. Thus, the objective has become the extension of life, through unnatural and artificial means, regardless of the hopelessness of recovery, or the pain and suffering experienced by the patient. It would not be an exaggeration to call this unethical, both from the religious perspective and the medical one. According to the first perspective, it is unethical insofar as it interferes with God’s wishes that a person die. In relation to the second, the unethical aspect emerges from the fact that many doctors are no longer fulfilling their professional duty to reduce suffering but are, in reality, prolonging and intensifying it. Thus , to support passive euthanasia means supporting traditional religious and medical ethics. That is, the simple right to a natural and humane death, with as little extension of suffering as possible.

Elbow or Shoulder Pain and Professional Baseball Pitchers :: essays papers

Elbow or Shoulder Pain and Professional Baseball Pitchers It’s fair to say that a good baseball game can lie in the hands of the pitcher. According to an article by the American Journal of Sports Medicine, 50 percent of professional baseball pitchers experience elbow or shoulder pain due to the way they throw the ball. Because not much research has been done on professional baseball athletes, the purpose of this publication was to find at what point in the pitcher’s technique does most of the damage occur. The study began by taking 40 pro-baseball pitchers, all ranging from the age of 23-33 years old with relatively the same height and weight. Also, thirty-two of the 40 selected are right-hand dominant. Then they placed 3 cameras in different parts of the field. These cameras would take still frames of the pitchers and their technique when throwing the ball. They found that at the point where there is maximum rotation (aka the cocking phase) the distraction force was low. Also, it was stated that because of the elbow angle at foot stride and ball release that the shoulder joint was affected more so than at any other time. Finally, in order to understand why the injuries occur we should learn the joint ranges of motion so we can develop better preventive methods for injuries. I don’t believe that this article is very reliable, because the way the chose their subject wasn’t very scientifical. First, The range of age is too broad, and it doesn’t mention how long the pitcher has been in the sport. For example, the could have chosen a 23 year old with a good arm, but bad technique compared to a 33 year old who has been pitching for years and has loosened the ligaments in his arm. Also, they selected 32 that were right-hand dominant. That became the majority. I believe that the data would be wrong if the numbers of right-handed to left-handed pitchers weren’t equal, because they are the control group in the experiment, which makes the variable the pitchers’ technique. Overall, this experiment shouldn’t be considered a reference for students or others to depend on. When it comes to the relevancy of this article to the field of athletic training, I believe that it is somewhat helpful. In order to understand and prevent injuries, an athletic trainer must understand why and how the injuries happen.

High School Enrollment System

Chapter II Review of Related Literature These are the studies and documentation that were gathered which can support the proposed system and will serve as an overview of the presentation of the system analysis. The remarks that have been gathered show the demand for this kind of software. It not Just ease the burden of the users but also it gives the system consistency which only specialized software can provide. It includes the foreign and local studies. These data are important aspect in the development of the project. The following are the works the researcher have taken into consideration: Local StudiesHealth system around the world are now facing a crisis of personnel shortage, low morale, and fading of trust. This has led to loss of health workers, weakening of health services, and erosion of public trust in the health system. For the enhancing and effectiveness support from the government must apply to them definitely. 1 . Provincial Government of Vulcan District Hospital Info rmation System (THIS) The District Hospitals serve areas in the Province of Vulcan which are outside the catchments area of the Provincial Health Office, based in the City of Mallows . The THIS was piloted in Reaction M.Mercado Memorial Hospital (RUMMY) in Sat. Maria, Vulcan in the year 2003. To date, all the other district hospitals in Baling (Baling District Hospital), Hexagon (Emilio G. Perez Memorial District Hospital), Vulcan (Gregory Del Pillar District Hospital), Calumet (Vulcan Maternity and Children's Hospital), and San Miguel (San Miguel District Hospital), are starting to utilize the system in their daily operations. THIS transforms the administration of the district hospitals under the Provincial Health Office from manual to digital. The system automates transactions, linking data entered at the Admission Section or PODDepartment, the Pharmacy, Laboratory, X-Ray, Billing, Collection and Records Section. Inventory and supplies data are entered at the Supply Section. Becau se the system uses an integrated database, it reduces the volume of redundant paper files kept in separate locations within the District Hospitals. The centralized database also makes it easier for users to process and retrieve data. The THIS thus enables the hospital staff to deliver services faster in a more organized manner, more accurately, and more conveniently. They can now process data and provide feedback to clients.The automation has also decreased the time spent by staff on their routine work. The THIS provide a number of support services, Entry of Incoming Supplies, Requests, and Issued Supplies, Patient's Bill, Accomplishing Patient's Philately Form. Compared to MASH Record and Billing System include administrative services relating to personnel, supplies, inventory, and finances. The staff maintains an inventory of medical supplies and medicines. The billing section computes bills for patients. These support services require an organized management and presentation of d ata, accuracy in recording, computation, and reporting, and nonviolence of use. . Medical Center Manila Nursing Services Monitoring System Department of Health and accredited by the Philippine Health Insurance Corporation. Managed and operated by Hospital Management Services, Inc. (HAMS), MGM was established in 1967 by a group of distinguished physicians who were graduates of the University of the Philippines-Philippine General Hospital (UP-PUGH), headed by Nobel Prize Nominee and National Scientist for Nuclear Medicine Dry. Paulo C. Campus, made possible with the whole hearted support of Mrs.. Caseload Lori Dildo and Mrs.. Josephine Murphy-Conjuring.The Nursing Services Monitoring System will feature a network of computers that transmit and receive scheduled of nursing services. Access to the system is limited through password for ever user and user domain. A user must first log-in into the system before he can actually penetrate any module in the system. Main menu is displayed aft er logging in. The system feature the kinds of nursing services rendered to the patient as well as the schedule of these. Compared to MASH Record and Billing System, The MOMS focus only on the improvement of the quality of nursing services.The system aims at providing support for the nurses who are under heavy loads of patients. The MASH Record and Billing System is developed to improve the quality of services that the hospital can give to the patients. It utilizes a centralized patient record to connect the people and process that drive the business. 3. Philippine General Hospital Care System The Philippine General Hospital (PUGH) is a tertiary state-owned hospital administered and operated by the University of the Philippines, Manila, the University of the Philippines System's Health Sciences Center.It is the largest overspent hospital administered by the university, and is designated as the National University Hospital. It is located at Eremite, Manila in the Philippines. It is t he biggest hospital in the country with a 1,500-bed capacity. It is a mixed-use hospital, with 1,000 beds for indigent patients and 500 beds for private patients, and offers some of the lowest rates for patients and is generally known as the hospital for indigent patients. The computing history of the Philippine General Hospital has proven its capacity to maintain its vision to be premiere institution to take care of problems and related diseases.The Philippine General Hospital (PUGH) had been using a computer for its business operation, particularly for its Patient Billing. With the purchase of its first general-purpose computer, programs were developed automate the process of Discharging of Check-up Package Medical Patient, Notice of Additional Deposits, Balance Summary Report, Income Center Report, and Patient Directory. Access to the system is limited through password for every user and user module in the system. Main menu is displayed after logging in.It has management mechanis m that efficiently locates and monitors nursing human availability. The Philippine General Hospital Care System developed the automate process of Discharging of Check-up Package Medical Patient, Notice of Additional Deposits, Balance Summary Report, Income Center Report, and Patient Directory that is limited only to patients. Compared to MASH Record and Billing System, it improve the quality of services that the hospital can give to the patients and also manages the stock of medicines.It utilizes a centralized Inventory system to monitor and to prevent shortage of medicine availability. 4. Capitol Medical Center Record System the year 2003. Capitol Medical Center Inc. Hurst to digitize the medical records is a major step in providing the patients and medical professionals with a more efficient system of archiving and retrieving patient records. It is a user friendly and each record contain all necessary information related to a patient, from time of admission, diagnosis, to date of discharge, and procedures performed.This database will include no less than 40 fields in each patient's record that will make it wholly complaint with the reporting standards of Department of Health (DOD) and Philippine Health Insurance Corporation (PHILATELY). The CM record archiving system will have the ability to access the millions of records we now have in storage. Where it would normally take us three days to retrieve and print out a patient's medical records, the archive system can help us to dramatically reduce this waiting time to Just minutes.Compared to MASH Record and Billing System, The CM have the ability to access medical records in providing the patients and medical professionals that is limited only to patients. MASH Record and Billing System, improves the quality of services relating to personnel, supplies, inventory, and finances, maintains an inventory of medical supplies and medicines, computes bills for patients. This is a valuable tool for Hospital management. 5. Computerizing of Medical Record (COM) The developer Dry. Victor E.Pollack developed the software for keeping the medical records of the patients and for the fast and easy access of user in searching the information. The system implement includes the on-line computerized data handling system. The system has objectives to the successful computerized system which includes a demonstrated superiority to the current record systems in case of clinical SE while providing pertinent and complete information, and while recording important and unexpected complications or physiologic processes.The capability of improving the decision making processes in clinical data; the provision of a model for monitoring the quality of medical care, and on-line availability of the data at any time for clinical use and interpretation. The COM uses on-line computerized data handling system to access current record systems that is limited only to having an Internet connection that will be costly for a hospit al. Compared to MASH Record and Billing System, it allows the user to access, edit, check, print and store record of a selected patient without the use of Internet connection.Foreign Studies The Science and Technology of medicines has incredibly advanced from simple medical practices to computer-aided robotics that literally performs. The developers of this system expect the readers to be enlightened with vision of conducting more thesis that concern the innovation and creation of utility aids for the purpose of improving medical services. 1 . Patient Management Information System (MIS) MIS by Dry. Usury Bali is used by several hospitals in the U. S. Because of its functionality, efficiency and effectiveness.It was improved legibility and completeness of documentation, data with better accessibility and accuracy. The Patient Management System is a user-friendly, window-based system software that includes billing, scheduling and management reporting. It has additional modules that in terface to MIS includes collections clinical information and third party products. An effective information system of Patients in hospital is critical to the directly affected when are record are wrong or someone's are missing a file or record. The MIS will organize, systematize, and it will take care of the records.Changes in reimbursement rates and regulations for the outpatient rehabilitation industry are motivating clinic owners and administrators to find new ways to improve productivity, slash administrative costs and eliminate sources of claim denials. Connecting the people involved in these processes when they need it is key to improving your clinic's business performance. This study is similar to our research in a way they're objectives in making this system is the same. They both target to have a organize, systematize records. The patients will have accurate patient files.But on the contrary this system targets also on the unrelated studies and additional modules includes c ollections clinical information and third party products. While in the our system focuses only the patient and the hospital management that is much related to the study. 3. Hospital Information System of SCM Corporation This Creative Socio- Medics Corporation's mission in providing hospital information system is to deliver the best technology, application and services to the health and human services industry by Pill Chunk, Thomas You and Noah Schneider. CreativeSocio- Medics Corporation provides hospital information system and software, such as its Avatar Suite products to both the public and private health and human services, healthcare, medical system, plastic surgery, health development for integrating EMMER, managed care, Doctor Technology, computer systems Electronic Medical Record, Cross-platform. Well-known system such as this provides the hospital along with its employees and patients, much ease, reliability and functionality. It provides one place to go for referrals, pati ent intake and scheduling, clinical documentation, charge entry, insurance authorization and billing management.Comparably this system is the same with the research study we conduct. They both provide medical records of patient, billing statement, patient intake and scheduling by the use of computerized technology. On the other hand our research only focus on the medical problems. Likewise these system also focus on the Hospital Information that are not related to patients. 4. LLC – Hospital Management Information System Hospital Management Information System by Rowena Luck and Melissa Ho in Ghana, addresses the entire major functional areas of modern multi-specialty hospital.Package enables better patient care, patient safety, and efficiency and reduced costs. Provide easy access to critical information. The system provides the benefits of streaming of operations, enhance administration and control, improved response, cost control and improved profitability. Hospital Managem ent Information System is developed on the latest relational database system Visual Basic 6. 0. Hospital Management Information System can be easily customized to the experiments of any hospital. It helps in maintaining a totally secured database of Patients and business information.This system is GUI with user friendly screens and has an easy installation. Has an easy data retrieval with single mouse click and fully parametric billing structure with security features and Service provided by hospital. It can easily Back-up and restore facility without manual intervention. This system is very much related with our Basic 6. 0. And it also provide patient's record. The difference, is our system don't provide easy access to critical information that is limited to the Administrator but can be viewed by user. Some hospital prefer to restrict access of Patients personal Record because it is much safer. . Master Hospital Information System The Master Hospital Information System by Julienne Pays, Frederic Serviceman's and Gallinule Gingered help you ensure that your organization has a clearer claim before dropping the bill. Some hospital, medical groups, and other Healthcare organizations have installed computer system to manage patients information. This will give immediate access to complete patient information as well as tools to guide decision- making and help prevent errors. The complexity of outpatient data flow creates problems many hospital are endings extremely difficult to solve.Master Hospital Information System has develop a software solution to support outpatient coding and basic patient data management task. Hospital enjoy the flexibility of choosing the software modules they need and also implementing them in phases. The Master Hospital Information System provide patient information and bill limited only to patients. Compared to MASH Record and Billing System, it manages and monitor the patients and also deal with the stock of medicines. It has an Invent ory system to monitor and to avoid shortage of medicine availability.

Against Space Program Funding Essay

Opening Statement: The government uses approximately 17.6 billion dollars of the taxpayers money to fund NASA every year. We shouldn’t be funding NASA that money when our economy is the worst it’s been since the Great Depression; we need to focus and spend our money on the problems here on Earth. NASA hasn’t done anything significant in space in years. And it’s incredibly risky and dangerous going up there. Arguments: 1)Our economy is the worst it’s been since the Great Depression, why are we even considering funding NASA 17.6 billion dollars when we have big problems here?! Barack Obama, our soon to be President, agrees. We elected him so he must be doing something right with the changes he wants to make. Millions of Americans die from preventable diseases all because they don’t have healthcare, and millions more go to bed hungry at night because they can’t afford to eat. If we took that 17 billion dollars and used to help people get health insurance at least our world would be a better place. Also, global warming & issues like that are happening. If those NASA scientists used their knowledge to figure out a way to better help the earth instead of space, we’d be so much better off. 2)NASA hasn’t made any kind of discovery in recent years that’s been of any kind of use to us. Sure, finding out Pluto doesn’t really count as a planet is cool and all, but how does that help us in anyway?! It doesn’t make a difference if we know how many planets there are right now, what matters is that we use our money to help stop destroying the Earth & try to fix the damage we’ve done. It’s great that we have the technology and skills to travel into space, but it’s becoming unaffordable and we have bigger expenses on our hands. 3)Its incredibly risky and dangerous traveling to space. Remember the space shuttle Columbia tragedy? Also, the radiation on Earth and Space is very different and the radiation in space can cause damage to human cells and possibly cancer. Osteoperosis is another risk. Because of microgravity, bones become brittle and a full recovery when arriving back on Earth may not occur. Space travel can also cause temporary and sometimes permanent hearing loss. And the biggest danger while in space? The debris that is constantly orbiting earth  travels at high speeds and can be deadly if collided with. Closing Statement: Before we continue any more exploration in space, we need to focus on exploring the ways we can help the Earth. We don’t need to spend 17 billion on NASA to find out facts that aren’t of great importance, to put the astronauts and people on the launch site in danger, and when we have so much work to do on Earth. The money will be better spent on fixing the economy and making the Earth a better place.