Saturday, August 31, 2019

Human Rights Essay

Human rights and the concepts concerning the treatment of man have received much publicity since 1948 during the formulation of the Universal Declaration of Human Rights. Protection of human rights goes way back to the early society of humans and continues to evolve with time as a leading factor in revolution and politics of any given government (Symonides 2003 p. 15). Power limitation for most governors based on the concept of human rights, which provided the foundation for judgment of the rulers’ leadership standards. United States also adopted this concept in their Bill of Rights that later developed, and through stress put on the need for international rights for human beings, the Universal Declaration got formulated too( Maddex 2000 p. 60). Currently, the human rights concept closely relates to the political organization of a society and the relationship between the government and its people. This entails the right of the citizens’ participation in politics, freedom that people should be entitled to, responsibility of the government to the people and the preservation of the people’s human rights in the process of practicing contemporary politics. Governments and states owe the people their prime dedication to maintaining and protecting the human rights; which involves their participation, recognition and expansion of the basic rights of people without necessarily infringing on meeting their basic needs. In order for a state to ascertain success in practicing contemporary politics, they need to strategize on the importance of maintaining the human rights of the people in the process of legitimizing their power and command for obedience. This paper aims to analyze the depth of concern that maintenance of human rights should receive in relation to practicing contemporary politics. The international body’s concern on rights issues dwells entirely on the policies that countries develop, their politics and the respect they maintain in regards to the rights of human beings. For instance during the end of antagonism in the East-West the United Nations strengthened their policies and stand on protecting human rights (Eade & Williams 1995 p. 3). In their view of politics, in the contemporary world, they formulated ways to protect such rights; such as offering humanitarian assistance to governing bodies, team inspections in relation to weapon destruction and an effort to fight for the internally displaced citizens. The four duty levels of a state in politics require that they respect the rights regime by protecting, respecting and meeting the rights of the people. Therefore in order to achieve this fundamental objective and obligation to the people, the state needs to resist in interfering with the people’s rights, respect them, allow the freedom of sharing resources, taking part in political action and participating in political autonomy, as well. In respect to the rights of the people, the view on socio-economic rights comes into play because for the political government to be able to dispose the resources equally and satisfy the peoples needs; they face an obligation to respect the people’s rights to free utilization of resources. Regarding a collective group, let’s say the family, an association the governing bodies and the contemporary political leaders need to respect the resources belonging to these groups in relation to their rights to the use of basic resources to satisfy their needs; this is what strengthens the human relations arm of politics in any governing state (Eade & Williams 1995 p. 42). Additionally, in an effort to increase and enhance machinery for rights actualization the state has to ensure they meet their obligation in committing to protect the rights of the people. In contemporary politics, the state has to make sure they put measures in place to protect the rights of the people against political, social or economical interference to avoid cases of political wrangles and conflict between the citizens and the arm of the government. This tertiary duty practicality involves establishing and maintaining a legal framework; by effectively implementing laws and regulations that would give the common man avenues to realize and enjoy their freedom and rights. On the hand, human rights form the pivot of moral doctrine that gives political order to the contemporary practice of politics. Hence the observation of human rights in reference to the international bill of rights determine the direction, scope and content usable in contemporary politics in relation to the moral norms of the people. Maintaining this moral doctrine of the rights of human beings in contemporary politics requires the application of convention measures issued in the Universal Declaration of Human Rights to rights of the people to quality health care and fair, legal attention; with the aim of improving lives. While the safest way to secure favourable conditions necessary for people to live exemplary lives still stands out as human rights activism; the public authorities remain best suited to secure those conditions for the people (Carey, Gibney & Poe 2010 p. 32). Therefore, the much needed importance placed on maintaining the doctrine of human rights by most national institutions and international politics; in an effort to primarily avoiding interfering with the interests of the people. Moreover, the human rights doctrine in contemporary politics contributes to the ideological and geo-political order with a clear framework defining the basis of social, political and economic conditions required to lead better lives. Thus, the importance of practically monitoring and maintaining human rights through legal recognition and validation of the doctrine. Additionally, the human rights moral justification defines the sovereignty considerations made by a nation. Since human rights direct the legitimate criteria to be followed by individual nations, any appeals made by through politics should not by any means otherwise deter the nation-states from committing fully to maintaining the basic human rights. Thus, the human rights doctrine should be highly maintained because this determines the effective way of evaluating the contemporary legitimacy of the national and international political authorities (Shawki & Cox 2009 p. 36). Another subject to consider in justifying the importance of maintaining human rights in contemporary politics cuts across the identity role it plays in a community of people. Human rights define the political identity of people living in a certain community; therefore any the political authorities need to be more careful in handling matters bearing the interest of the rights of a people because, in turn this reflects on their moral jurisdiction and legitimacy of order over a sovereign state (Shawki & Cox 2009 p. 0). The morality of logic and justification of the individual rights and the community as a whole adds more weight to the extent of attention paid in maintaining human rights. Authorities in the contemporary politics have an understanding that human rights imposes positively to their control of power and effectiveness in law implementation; hence most of the leaders should formulate legislative laws that grant the people the freedom and the right to universal vision and contr ibution in political issues. Also, in an effort to legitimize authority in current politics, the state will have to stand up and defend the universality and morals of human rights; indicating that their political concern is not entirely based on position and power, but emanates from their primary concern to retain the dignity and rights of the human beings. Considering the legislative role that humanity assumes in politics, the authorities should embrace the concept of human rights doctrine and pursue to promote high maintenance of human rights; to present the people with better living conditions. This is because human rights initiate the orientation and demand certain goods that lack political justification hence guiding the actions undertaken in contemporary politics. Furthermore in the past, human rights took the leading role in revolution activism; the same case applies to contemporary politics whereby the positive the authorities influence put on maintaining human rights the faster they will be able to expand their democratic control and command audience of the people. Therefore, since democracy in politics and human rights directly relate, democratizing the lives of the people and establishing lasting protective measures would go into creating political order and eliminating the ambiguity that politics has on the identity of humans (Neocleous 2006 p. 135). Alternatively, obligation to establishing and maintaining human rights should be emphasized, not just as for upholding the values of the society and mankind but leaders in the contemporary political world need to view human rights as political so that they will continue to defend and formulate new ones in favour of the people they govern. Satisfaction of the people through human rights- oriented politics involves the authorities appreciating the diversity of the peoples culture, understand people’s views, realize the other value of an individual apart from political persuasion and commit to the democracy of the community; allowing them to contribute to the overall contest for political power(Nash 2010 p. 53). The best response and support showed by the people to their political leaders emerges from their willingness to evaluate their own values, their role in the community, listen to the plight of the people, exclude favouritism and exploitation in their political hierarchy and utilize their personal privileges’ in power to improve the lives of the people. This practically justifies how deep the importance of human rights relates to contemporary politics; and so the need to deduce stringent policies that govern the authorities in dispersing their duties in the political setting. The Human Rights council and the International Criminal Court fall under the few international bodies established to direct and penalize the actions of contemporary political leaders; in an effort to maintain the rights of humans. Abuse of human rights results to tension between the authorities and the people; further disrupting the already acknowledge international rights and laws governing the same hence political instability (Baehr 1994 p. 60). Consequently the probing of the ICC, leads to positive change in the doctrine of human rights as the government and political body abusing the rights of man face tough penalties. Despite these changes emanating from negative political conduct, many ascertain their success and relevance in ensuring that people’s protection from greedy and selfish governance; thus ICC has gone further to increase the penalties tied to the practice of politics in the contemporary setting to reduce the political crime against humanity and the common cases of genocide. Despite the cry, for better leadership authorities through contemporary politics continue to violate the rights of humans; leaving humanity the remedy to seal the gap between the political reality and the democracy of a secure future for the people. Addressing the depth of this issue reflecting back to the controversies in United States of the Abu Ghraib Prison and The Guantanamo Bay prisoners (Johari 1991 p. 26); there’s need to address the relevant problems surrounding the fight for human rights and public display of political awareness through varied avenues like websites. Moreover, the common man can initiate the activism to retain the rights of humans through the family unit and the community which ultimately give rise to the leaders in the contemporary world. Direct campaigns on equality and importance of human rights need more boost in creating educative awareness and affirmative action; guiding the conduct of authorities in the modern world politics in relation to protecting the interests of the common helpless man. Since poor humanity directly reflects on global change, there’s need to cultivate the spirit of togetherness between the community and the political structures present in order to improve the living conditions of people and the growing generation(Symonides 2003 p. 8). Other motivating factors that push for the maintenance of human rights arise from the fear of denial from existence. The denial of human rights supports brutality in the regime of contemporary politics, therefore, to counteract this fear from becoming reality there should be incorporation of human rights policies in political debates; in the contemporary politics paired with their respective penalties in case of violation (Baehr 1994 p. 6). Political lea ders in contemporary politics continue to source out dubious avenues to evade observing such rights hence the need for the United Nations Program on human rights to effect change in contemporary politics through legitimate arguments and conferences with the relevant political bodies, humanitarian representatives and authorities. Conclusively, without pressure on appeals made to effect and maintain human rights, authorities, in the democratic political world, would continue to argue and ignore the desirable quality of human existence. Subsequently freedom and equality in terms of speech and sharing of resources respectively, would become less meaningful in comparison to the benefits that human rights induces in politics; hence instead of politics contributing to nation building the result would only push for the eradication of human existence. Therefore, despite the efforts made by international bodies to promote and maintain human rights, the common man also needs to start human rights activism from the grass root level to merge the two(the family or community with the political unit). This will go into fostering a positive political weather and educative awareness of self protection against abuse (Steiner & Alston 2000 p. 55); that ultimately sums up to the minimum efforts towards maintaining human rights to sustain humanity.

Friday, August 30, 2019

A burglary

As I found him suspicious,l continued to monitor his movements. Seeing the man crouching close to the bushes and casting furtive glances every few seconds as he made his way to the black door. ‘ continued to watch him until he climbed over the fence and realized that he was a burglary. Racking my brains as fast as I could and I decided to call the police and my neighbor,whose name was Peter. After calling them,l told them what I witnessed in a muffled frenzy. After a short while,the police were arrived at Pewter's house. The sirens of the police car reverberated through the air. Ran down towards them and told them the burglary was inside. Just then,he was fleeing from the house. L shouted,†let is him! â€Å"the policemen hurriedly ran to catch him. The burglary ran helter-shelter as he headed to the nearest exit This proved to be a costly mistake for him as the police officers gave chase like a group of Olympic athletes. Len no time,they had caught up with him and immedi ately cornered him to one side. After seeing he was caught,I ran into the house to check. When I entered,my eyes dinned and my jaw dropped at the sight of the house.As Pewter's belongings were strewn away,the drawer and cupboard were opened and cleared of all the valuables. The robber had ransacked and rummaged his home. After he was back,l helped him to clean up all the messy and he appreciated to me for my help. Len addition,he told the security to improve the security system and he wanted to be sure that such an unfortunate accident would never happen again. In the end,when came back home and told my parents about how had handled the situation,they were full of praise for me.

Thursday, August 29, 2019

Calcium carbonate

Calcium carbonate Essay Outline1 4.1INTRODUCTION2 4.2AIMS AND OBJECTIVES3 Chapter 24 5.THEORY A ; METHOLOGY5 5.1PRINCIPLE OF THE EXPERIMENT6 5.2APPARATUS AND EQUIPMENTS7 Mortar and pestle Conical flasksWhite tile8 Filter funnelFiltter paper25.00 cm3 pipette9 5.3CHEMICAL USED10 2 M HCl Phenolphthalein11 2 M NaOH12 5.4PROCEDURE13 Chapter 314 6.EXPERIMENTAL Consequence15 6.1THE COLOR CHANGE OF THE SOLUTION16 6.2THE TITRATION RESULT OF BROWN EGG17 6.3THE TITRATION RESULT OF WHITE EGG18 119 220 321 Volume of eggshells solution/cm322 25.0023 25.0024 25.0025 Volume of NaOH used/cm326 20.4027 20.3528 20.0029 Chapter 430 7.CLCULATIONS31 7.1CALCULATIONS32 7.1.1 FOR BROWN EGG33 7.1.2 FOR WHITE EGG34 Chapter 535 8.DISCUSSION AND CONCLUTION36 8.1CONCLUSION37 8.2DISCUSSION38 Beginning of mistakes39 9. Reference 4.1INTRODUCTION Calcium carbonate, CaCO3, is found in nature giving hardness and strength to things such as seashells, stones, and eggshells. Equally difficult as this substance is, it will respond readily with hydrochloric acid to give C dioxide gas ( and two other merchandises ) . In this experiment pupils will plan an experiment by responding eggshells with 2 M HCl to compare the Ca carbonate composing of white ( poulet ) eggshells to brown eggshells. A good quality eggshell will incorporate, on norm, 2.2 gms of Ca in the signifier of Ca carbonate. Approximately 94 % of a dry eggshell is calcium carbonate and has a typical mass of 5.5 grams,1 although these values can differ depending on beginnings. Sums every bit low as 78 % have been published. The staying mass is composed mostly of P and Mg, and hint sums of Na, K, Zn, manganese, Fe, and Cu. In the instance of brown versus white eggs, a unequivocal difference in Ca carbonate sums may be difficult to bring out. However, see this. The colour of the eggs is nil more than a consequence of a different strain. The quality, nutritionary value, and gustatory sensation are indistinguishable between white and brown eggs, though two noteworthy differences are size and monetary value. Brown eggs are normally larger and somewhat more expensive. The ground for the monetary value addition is because brown eggs come from larger biddies, which need to be fed more nutrient daily. With a larger c onsumption of Ca each twenty-four hours, one might anticipate the produced egg to hold a higher Ca carbonate content. However, since the eggs are larger, it must be kept in head that the Ca is spread over a larger surface country during egg formation. A brown eggshell s increased inclination to interrupt, when compared to white, is frequently attributed to this â€Å"thinning out† of Ca during deposition. To avoid the breakage of eggs before making market, the eggshells needs to be every bit strong as possible. The strength of eggshells is chiefly determined by the per centum of Ca carbonate in it. In order to supervise the quality of eggshells, the undermentioned experiment has to be done to find the per centum of Ca carbonate in eggshells.In this experiment, back titration is used. First, extra acid is reacted with the Ca carbonate in eggshells. 2HCl ( aq ) +CaCO3 ( s ) >CaCl2 ( aq ) +H2O ( cubic decimeter ) +CO2 ( g ) Subsequently, if we can happen out the figure of mole of unreacted acid, figure of mole of Ca carbonate can so be found out. The figure of mole of unreacted acid can be found by titration with the undermentioned reaction. HCl ( aq ) +NaOH ( aq ) >H2O ( cubic decimeter ) +NaCl ( aq ) Percentage by mass of Ca carbonate in eggshell can so be calculated by the undermentioned expression: 4.2AIMS AND OBJECTIVES The intent of this experiment is to find the per centum by mass of Ca carbonate in eggshells. READ: I would remind you that extremism in the defense o Essaydesign an experiment that quantifies the sum of Ca carbonate nowadays in a natural substance. associate the sum of a reactant or merchandise of a chemical reaction to another reactant or merchandise. work collaboratively with their equals to work out a given job in the research lab in a manner that theoretical accounts the scientific method. use a common acid reaction between hydrochloric acid and the carbonate ion. Chapter 2 5.THEORY A ; METHOLOGY 5.1PRINCIPLE OF THE EXPERIMENT During this experiment, the per centum of CaCO3 in an eggshell is determined by responding the eggshell with hydrochloric acid. The equation for this reaction is: 2HCl ( aq ) + CaCO3 ( s ) >Ca2+ ( aq ) + CO2 ( g ) + H2O ( cubic decimeter ) + 2Cl- ( aq ) This reaction can non be used straight titrate with the CaCO3. Alternatively, an surplus of hydrochloric acid is added to fade out the eggshell, and the staying acid is titrated with NaOH solution to find the sum of acid that did non respond with the eggshell. The equation used to find the sum of remnant acid is: HCl ( aq ) + NaOH ( aq ) > H2O ( cubic decimeter ) + Na+ ( aq ) + Cl- ( aq ) 5.2APPARATUS AND EQUIPMENTS eaker Pipette FillerElectronicbalance Volumetric flaskBuretteWash bottle Mortar and pestle Conical flasksWhite tile Filter funnelFiltter paper25.00 cm3 pipette 5.3CHEMICAL USED 2 M HCl Phenolphthalein 2 M NaOH 5.4PROCEDURE White and Red coloring material eggshells have taken and the protein membrane was removed on the interior of the eggshells. The eggshell was washed with distilled H2O Dried in an oven for few proceedingss. The eggshell was so grounded into all right pulverization by howitzer and stamp. 2g of eggshell pulverization is weighted accurately by utilizing an electronic balance and it was transferred to a conelike flask. 25.00 cm3 of HCl was pipetted to fade out the eggshell pulverization. Distilled H2O was added to the flask until it reached about 100cm3. The flask was swirled gently. Put the solution into cubed for two yearss. Faltered the solution utilizing filter documents. Pippet out 25.00 cm3 from each solutions to titration flasks. The solution was so titrated with standardised NaOH. Repeat another two samples from each solution. Roll up the right burette readings at the terminal point. Chapter 3 6.EXPERIMENTAL Consequence 6.1THE COLOR CHANGE OF THE SOLUTION White egg Brown egg Colourless pink Colourless pink 6.2THE TITRATION RESULT OF BROWN EGG 1 2 3 Volume of eggshells solution/cm3 25.00 25.00 25.00 Volume of NaOH used/cm3 20.10 19.90 20.10 Average volume of NaOH used: ( 20.10+19.90+20.10 ) = 20.03cm33 6.3THE TITRATION RESULT OF WHITE EGG 1 2 3 Volume of eggshells solution/cm3 25.00 25.00 25.00 Volume of NaOH used/cm3 20.40 20.35 20.00 *Average volume of NaOH used: ( 20.40+20.35+20.00 ) =20.25cm33 Chapter 4 7.CLCULATIONS 7.1CALCULATIONS 2HCl ( aq ) + CaCO3 ( s ) >Ca2+ ( aq ) + CO2 ( g ) + H2O ( cubic decimeter ) + 2Cl- ( aq ) HCl ( aq ) + NaOH ( aq ) > H2O ( cubic decimeter ) + Na+ ( aq ) + Cl- ( aq ) 7.1.1 FOR BROWN EGG Number of moles of NaOH used to respond with HCl =20.03cm3 /1000 ) X2M = 40.06X 10-3 mol Since figure of moles of NaOH = figure of moles of HCl in 25cm3 =40.06 X 10-3 mol HCl mols in 100cm3 = 40.06 Ten 10-3 Ten 4 mol The initial no of moles of HCl: volume X molar concentration = 100/1000 X2M = 200X10-3 mol Number of moles of HCl used to respond with CaCO3 = ( 200X10-3 160.24X 10-3 ) mol = 39.76X10-3 mol Harmonizing to the equation, one mole of HCI required to respond with 2 moles of CaCO3, Number of moles of CaCO3 reacted =39.76X10- 3 /2 = 19.88X10-3 mol The weight of CaCO3 = 19.88X10-3g X100g The % of CaCO3 in eggshell ( brown ) = ( 1.988/2 ) X100 % =99.4 % 7.1.2 FOR WHITE EGG Number of moles of NaOH used to respond with HCl: ( 20.25cm3/1000 ) X2 = 40.50X10-3mol Since figure of moles of NaOH=number of moles of HCl in 25cm3 = 4.50X10-3mol HCl Volume in 100cm3 = 40.50 X10-3 X4 mol The initial moles of HCl: volume X molar concentration = 100/1000 X2M = 200X10-3 mol Number of moles of HCl used to respond with CaCO3: ( 200X10-3 162X10-3 ) mol = 38X10-3 mol Number of moles of CaCO3 reacted =38X10-3/2 = 19X10-3 mol The weight of CaCO3 = 19X10-3g X100 The % of CaCO3 in eggshell ( white ) = ( 1.9/2 ) X100 % =95.0 % Chapter 5 8.DISCUSSION AND CONCLUTION 8.1CONCLUSION Percentage of CaCO3 in ruddy eggshells= 99.4 % Percentage of CaCO3 in white eggshells= 95.0 % Therefore ruddy eggshells has the higher per centum of CaCO3. 8.2DISCUSSION Beginning of mistakes The eggshell pulverization did non fade out wholly Variation in ocular judgement at the terminal point Instrumental mistakes of the electronic balance The eggshell was non to the full dried Some droplets of solution may still adhere on the beaker and the glass rod which lead to the decrease in figure of moles of extra HCl In this Experiment we can besides make the EDTA titration. 9. Reference hypertext transfer protocol: //www.google.lk/search? hl=en A ; source=hp A ; q=caco3+percentage+in+eggshell A ; btnG=Google+Search A ; meta= A ; aq=f A ; oq= hypertext transfer protocol: //wwwchem.csustan.edu/chem1102/Egg.htm hypertext transfer protocol: //www.oppapers.com/essays/Determine-Percentage-Mass-Calcium-Carbonate-Eggshells/165593 hypertext transfer protocol: //ag.ansc.purdue.edu/poultry/multistate/koelkebeck1.htm

Wednesday, August 28, 2019

Discuss this question. ( more likely to discuss the opinion and Essay

Discuss this question. ( more likely to discuss the opinion and knowledge no sources are needed) - Essay Example But mostly, relativistic has been widely used in understanding and interpreting different cultures or distant historical epochs. It begins with possible and even right premises such as we are historically and culturally different. This has again elicited the cultural wars witnessed in the world today. The suggestion that justification or truth is somehow relative would mostly have a dramatic impact on many fundamental issues about knowledge, intellectual progress, and objectivity. As such, relativism believes the relationship between a certain aspect as related to a certain culture, behaviors or moral principles in a given settings. Intuitively, they hardly believe in cross-cultures attitudes, behaviors or principles, and it is common for them to have lower tolerance. There are, however, ways that can be done to change this trend in the society. For instance, the integration of science which is universal across culture can dispel the attitude that certain justifications or truth are tied towards a particular culture. It would make everyone feel that what happens does so because of particular reason regardless of the culture associated with such behaviors. Through this, the premise of relativism stands to be

Tuesday, August 27, 2019

Contract Law (Introduction to Business Law) Essay

Contract Law (Introduction to Business Law) - Essay Example s to contract on certain terms, made with the intention that it shall become binding as soon as it is accepted by the person to whom it is addressed, the â€Å"offeree.3† The â€Å"expression4† may take different forms. The intention element is an objective consideration and the case of Smith v Hughes 5emphasised the relevant consideration as being a focus on how a reasonable person would view the situation. Seddon et al further assert that the â€Å"test for existence and the scope for an agreement is that of an objective manner. When a test is objective, it takes account of what the parties actually did say in order to make an offer and agreement6†. Moreover, in the case of Storer v Manchester City Council7 it was asserted by Lord Denning that â€Å"a man cannot get out of a contract by saying: I did not intend to contract† if by his words he has done so†8. Furthermore, in the case of Acme Grain Co. v Wenaus 9it was asserted: â€Å"to constitute a contract, there must be an offer by one person to another and an acceptance of that offer by the person to whom it is made. A mere statement of a person’s intention or a declaration of his willingness to enter into negotiations is not an offer and cannot be accepted so as to form a valid contract10†. Additionally, the law distinguishes between an offer and an invitation to treat, which is not an offer but an indication of willingness to negotiate a contract11. For example, in the case of Gibson v Manchester City Council12, the words â€Å"may be prepared to sell† constituted an invitation to treat and not a distinct offer. Indeed, the Gibson decision challenged the traditional view for formation of contractual agreement. In this case, Lord Denning asserted that when considering whether there is a binding contractual agreement, it could be argued that: â€Å"there is no need to look for strict offer and acceptance. You should look at the correspondence as a whole and at the conduct of the parties and see therefore

Monday, August 26, 2019

Project Management Plan Essay & Presentation Example | Topics and Well Written Essays - 250 words

Project Management Plan & Presentation - Essay Example Application of these systems have proved to be insufficient in operations of Qatar Hospitals and requires improvement. As such, this current system will be replaced by an Integrated Hospital System (HS) in order to improve the performance of the hospital operations. The new systems seeks to update the hospital system in the wake of technological advancement especially during emergencies. The purpose of Request for Quotes is to request proposal to replace the current Qatar Hospitals Systems with a new integrated Hospital System (HS) for greater functionality and integration with other vital information systems. The Request for Quotes indicates the basic requirements of the project, hardware and software and description of RFQ process. The resolution of this document is to express the communications strategies and goals of the sustainable integration project. These advanced goals and strategies are anticipated to offer direction in planning and evaluating results of the present and forthcoming communications efforts. The sustainable packaging project Communications Management Plan (CMP) expresses the project’s organization and procedures of information screening, collection, distribution and formatting of project information. The communication log for this project helps track communication as follows. The plan will be aimed to document the tools, processes and procedures that will be used to achieve and control those events that could have a negative effect on this project. All the risks that are related to the project. The details regarding identifying the risk, assessing, risk tracking and reporting as well as risk contingency plan will be included. The identified risks are presented as

Personal Statement Essay Example | Topics and Well Written Essays - 1000 words - 3

Personal Statement - Essay Example Since a very young age, I began to understand the technicalities of a business, how money was to be managed, what factors were good for a business, what factors disturbed it. What fascinated me most was the role played by money in every small decision of the business, and that is when my interest in economics started to bud. I began to notice the fundamental role of economics in my everyday life. I began to realize that economics permeated every aspect of the world, from politics to religion to social affairs; the economy had a role to play in every affair. Whether it was an unsatisfactory budget that affected us or the general down-fall of economy which meant less demand for luxuries, the economy has always affected me in a personal way. It comes as no surprise that I’ve always had to keep myself up to date with the ever-changing economic climate. Further aided by the fact that my grandfather happens to possess one of the soundest and most brilliant economic minds I happen to have come across, and when it was time to choose my future, there were no second thoughts involved in opting for Economics. Making a difference and changing the world for the better is a passion I hold very near to my heart. I have always grabbed every opportunity to give back to my society whenever I can. I have done volunteer work at the local church time and again. This has involved usher work as well as organizing events there. Moreover, I have taken part in beach clean-ups and other similar activities around my town. As I grew up and gained a better understanding of the world, I realized that the most effective manner in which I can do this is by altering the economy. With a healthy economy comes a better standard of living, and that leads to a generally happier society. I believe that a good student should encompass all the different dimensions that life has to offer. Fun, learning, leisure, socializing, room has to be made for each and every one if one wants to call himself a complete student. I myself have been able to follow this philosophy quite successfully. Striking the right balance between all these aspects, I have a lot of credentials to show for it. In high school, all my subjects other than economics have helped me in one way or another. Where Mathematics helped me develop fundamental concepts and helped me in economic calculations, accounting helps me understand a completely different side of finance and psychology helped me understand how people’s thought processes work and why they do the things that they do. However, academics are not as wide as my horizon goes. There is so much else more to my individuality. Throughout my school life, I have been involved in a variety of social work. This includes organizing fund raisers for various charities, helping out orphan children or even planting trees in deforested areas. One major activity I was involved in was the raising and distribution of funds collected for the Tsunami that hit the coasts of South and East Asia a few years back. Thereafter, I was elected as President of our school’s Community Service Club. Furthermore, I happen to be a very accomplished sportsman. I have been playing for my House cricket, football and basketball teams since the early days of my school. Even though I take part in all the sports I can, I have a special place in my heart for football. My other activities involve playing rhythm and bass guitar with various bands in the city, writing and helping my parents go on with

Sunday, August 25, 2019

Systems Methods for Problem Solving Assignment Example | Topics and Well Written Essays - 3500 words

Systems Methods for Problem Solving - Assignment Example Based on the metaphor chosen, methodology of Viable Systems Method (VSM) was used to redesign the critical parts of the project execution. The paper ends with the action steps necessary to implement the redesign. A summary and list of references are included at the end. Total Systems Intervention (TSI) is an approach to problem solving for any organization that stands firm with the original holistic intent of systems thinking (Flood 1994). It provides principles, processes and tools to look at problems and organizations from a macro point of view that needs to be considered as the problem is scrutinized and analyzed into its micro components. The micro components must be approached not as a stand-alone entity itself, but as part of a complex system of the whole. This in consideration allows for a more comprehensive analysis and resolution process of the problem. e. The mission and various interpretations must come together at some point, through organizational design and management style, balancing the needs of both the organization and the member ensuring the bottomline business needs is reflected. The TSI process has three phases: creativity, choice and implementation (Flood 1995, p.178). In creativity phase, issues are identified and brought about through the use of decontextualization, or breaking down the issue into micro components, and making sense of such components by contextualizing them into the interacting issues that needs to be managed. This feeds into the choice phase where the use of methods will be implemented to find the most suitable to manage the issues. The methods will have its own strength and weakness, and so depending on how the issues are viewed, the resolution will be influenced by such strengths and weaknesses. The resolution, happening in the last phase of implementation will capture changes needed to be made on the organization, specifically and holistically in order to address the issues identified in the creativity

Saturday, August 24, 2019

Human Resources Policy and Guideline implementation to MEGlobal Case Study - 2

Human Resources Policy and Guideline implementation to MEGlobal - Case Study Example The researcher states that the approach dictates the implementation strategy one may use when implementing solution recommendations. In finding solutions to this problem, there may be severe consequences. For instance, an employee may feel offended by the general perception of their hygiene in the office setting. The employee may terminate their working contract because their self-esteem may be lowered by their colleagues’ remarks. Regardless of the solution achieved, this assertion may make it difficult for a human resource manager to come up with a proper implementation strategy for the solution. Human resource management is an activity based on how satisfied employees are by the working environment in an organization. According to Budd, human resource management requires total commitment from all departmental heads in an organization. However, human resource managers are given the obligation to ensure all employees are comfortable in the organization setting. Employee welfa re ranges from compensation strategies, wages payment, the general environment of the setting, and the organizational culture of the organization to the relationship among all levels of an organization. The authors further argue that fulfilling these wants depends on how well a management system is willing to fulfill these needs. The whole organization needs a human resource framework that covers the needs of the entire staff, in spite of the duty of the human resource manager to make sure employees are contented. With human resource practices developing at a high rate, it has become a downhill task to execute the needs of employees through implementing previous successful strategies.

Friday, August 23, 2019

Executive Summary Essay Example | Topics and Well Written Essays - 250 words

Executive Summary - Essay Example This makes it a highly decentralized entity. This necessitates an internal communication arrangement that can successfully deliver information to its internal audience working in diverse regions (Gillis & IABC, 2011). Using a centralized communication structure facilitates effectiveness in delivering information to relevant people. The structure requires several experts that enhance diverse communication functions with the massive marketplace. This is through initiating information delivery relationships. Furthermore, the organization contains an aspect of dual reporting that facilitates the harmonization of internal information (Gillis & IABC, 2011). Utilizing decentralized communication structure escalates the consistency of relayed information to the inside audience. It also enhances reserve exploitation in executing HP programs. The company’s delivery of information to the outside audience occurs through corporate communication where decided ideas are relayed to the public. The corporate communication office embraces the centralized message delivery tactics (Gillis & IABC, 2011). The ideas that emerge from centralized decision-making are transferred to the outside audience through the media. The notable method entails press releases from the communication office to clients. Communicating information intended for the global audience takes place through writing the message in multiple languages (Gillis & IABC, 2011). This ensures that international clients comprehend the information when it is released in their language. In summary, organizational communication entails offering information to both the workforce and the public. A centralized internal communication structure escalates the efficiency of relaying messages to the workforce. External communications use a corporate approach where decided info rmation is offered through press releases in multiple languages for global client

Thursday, August 22, 2019

Assessment Essay Example for Free

Assessment Essay 1:1 Functions of assessment Initial assessment- the starting part, used to decide what is known, what needs to be taught and what can be assessed. Formative assessment- this stage is where the learner is still in training and requires feedback on how they are progressing. Summative- used to judge completion. Whether you have passed or not. Holistic- clustering of assessments based on the grouping of a work role, rather than stand alone. Functions of assessment in training Identify the skill gap Design the training Deliver the training Plan the assessment Assess Feedback Either move on to the next part of training or go back and re do the previous assessment. This starts from the minute you get a new learner signed on. I do this by, setting out a training plan, giving the training, deciding with the learner when we both feel they are ready to be assessed and then do the assessment. With Sonya, she came from another salon where she had already done her level 2, she was about to be signed on to level 3. Before we got her signed on we done an assessment on a colour and a cut to make sure she was competent at level 2. 1:2 Key concepts and principles of assessment Reliability: By using the criteria and qualification and credit framework any assessor working independently should come to the same decision when assessing a learner. The learner should have been given the appropriate training and be competent to do the assessment. Validity: Is the work valid to the unit? The learner should be watched at all times to make sure the work is authentic. Assessments show us, what the learner is capable of and where further training would be required. It would also show if the learner needed any extra help. 1:3 Responsibilities of the assessor Make sure the candidates logbook is marked of when an assessment has been passed. Provide opportunities for assessment and make sure you book time out in your column. Be fair to all candidates, avoid any discrimination, comparing one against the other. Assess the learner against the national occupational standards and not your own opinion of what the standards should be. Consider the needs of the individual candidates; one might have a different learning style to the other. Learning difficulties should also be taken into account and help appropriate given where needed. Plan and assess assessments with candidates. Make sure learner and assessor think it is the right assessment to be done and that the learner is capable of doing the assessment. Place the learner under no undue pressure. If the candidate does not feel good about doing the assessment you should encourage them, if as an assessor you think they are capable of passing the assessment. But do not apply pressure as this could make the learner worry or feel stressed out by this. Check and ensure all the evidence is valid, authentic, current, sufficient and reliable. Make sure the work is valid to the unit and accurate, the learners own work, the work is consistent and of the appropriate nvq level criteria and is not a fluke. The work should also be current, i.e. if the learner has transferred salons and had some assessments already signed off you should make sure they are currently competent. Give constructive feedback. Using â€Å"complement sandwich† Positive comment Critical comment Positive comment Make sure you include the learner to give self assessment so you know how they think they have done. When giving your feedback always start with â€Å"how do you think you did?† Always give feedback promptly and record all assessment decisions and evidence clearly and fully so that everyone can always look back and see what has been said and done. Also in case there are any disagreements on the outcome you can look back at the records. Agree future action plans with the learner so that both the learner and assessor know what the next stage will be. Any discussions with the learner should be carried out in a professional manor. During meetings with the learner you should review the progress of assessment plans and determine where additional learning and training is required. I have recently had an issue with one of my trainee’s, she did not want to be taught anymore, and just wanted to be assessed on her cutting. She felt she had had enough training , although I didn’t. As she felt very strongly about this I allowed her to do a model we were going to use as training as an assessment, I did this so she would understand that she needs more training. Once she had completed the assessment I checked the cut, and explained to her where she had gone wrong, and also explained to her that with a little bit more practice she would be able to be assessed on models similar to what she had done and would be able to be marked off on them. She has agreed to have a little bit more training and agreed we will decide together in future when she will be assessed so as not to waste models. 1:4 Regulations and requirements relevant to assess hairdressing. Realistic working environment. Must develop realistic management procedures that incorporate a ‘salon image’. All assessments must be carried out under realistic commercial pressures and on paying clients. Assessments should be completed within the commercial timescale. Candidates must be able to achieve a realistic volume of work. The space per working area conforms to health and safety legislation. The range of services, professional tools, products, materials and equipment must be up to date and available for use. A reception area for clients to be greeted must be available. It must also include a payment facility. A retail facility must be provided.

Wednesday, August 21, 2019

Socio-Psychological Study of Personality Essay Example for Free

Socio-Psychological Study of Personality Essay Social psychology and personality psychology have the same job: to seek to understand the meaningful, consequential, and for the most part social behaviors of daily life. Cognitive psychology examines component processes such as memory, perception, and cognition. Biological psychology seeks to understand the physical underpinnings of behavior in the anatomy, physiology, functional organization, genetic basis and evolutionary history of the nervous system. Developmental psychology explores the roots of behavior in genetics and early childhood experience, and changes across the life course. All of these fields could be viewed as foundational for the common concern of social and personality psychology, which is to understand what people do every day. In this light, it is unsurprising that courses in social and personality psychology are among the most popular offerings on most college campuses; their subject matter is not only important, it is personally relevant and intrinsically interesting. This division of labor makes a certain amount of sense, but problems arose as the fields gradually became so specialized that many practitioners of each field became unaware of the basic principles, findings and methods of the other, and grew worse when social psychologists began to suspect that personality psychology’s emphasis on individual differences was misguided. In his memoirs, the eminent social psychologist Roger Brown described one memorably awkward encounter between the two traditions: Personality Psychology Personality can be defined as an individual’s characteristic patterns of thought, emotion, and behavior, together with the psychological mechanisms – hidden or not – behind those patterns (Funder, 2007). The ultimate goal of personality psychology is to explain every individual from the inside out. The mission includes describing, measuring and explaining how people differ from one another, uncovering the conscious and unconscious thoughts and feelings that drive behavior, and predicting what people will do in the future, among other goals. But this mission has one problem: it is impossible. The complete study of the individual encompasses too many considerations at once to be feasibly pursued by investigators with human limitations of time and intelligence. The Basic Approaches to Studying Personality Biological Approach The biological approach to studying personality searches for the organic roots of individual differences using anatomy, physiology, genetics, and evolutionary theory. Anatomy. Research focusing on anatomy attempts to identify brain structures that play a role in various personality traits. For example, research using functional magnetic resonance imaging (fMRI) has shown that shy people, compared to people described as more â€Å"bold,† respond to pictures of unfamiliar people with bilateral activation of the amygdala, and to pictures of familiar people with activation on just the left side of this organ (Beaton, Schmidt, Schulkin, Antony, Swinson Hall, 2008). The challenge for the next generation of research will be to use these intriguing findings to illuminate aspects of personality that were not previously apparent, and to outline psychological processes and interactions among them that are not detectable from overt behavioral data alone. Modern imaging technology offers a theoretical promissory note that will someday be paid but, to date, remains to be cashed. Physiology. Biological research on personality also addresses physiology, examining biochemicals (neurotransmitters and hormones) that might be associated with individual differences in behavior. Dopamine and serotonin are widely studied neurotransmitters. Research suggests that dopamine is involved in the experience of reward and the reinforcement of behavior (Blum et al., 1996), while serotonin plays a role in emotional regulation and feelings of well-being (Knutson et al., 1998). The hormone testosterone has received considerable attention and appears to play an important role in sexual behavior and aggression (Zuckerman, 1991; Dabbs Morris, 1990, respectively). Cortisol, the well-known â€Å"fight or flight† hormone associated with anxiety, fear and aggressive response, appears to be surprisingly low in shy individuals (Beaton, Schmidt, Ashbaugh, Santesso, Antony, McCabe, Segalowtiz Schulkin, 2006). But it also is low in people high on the trait of sensation-seeking, so the situation, as always, is complicated (Zuckerman, 1998). Behavioral Genetics. Behavioral genetics and evolutionary psychology both focus on the inheritance of individual differences in behavior. For the good and the bad, we are more similar to people with whom we share more genes (e.g., our parents) than fewer genes (e.g., our cousins). We look like our parents, we are more likely to have high blood pressure if our parents do, and we even have an IQ level similar to our parents. Behavioral genetics extends this knowledge and studies the question: Are those who are more genetically similar (e.g., monozygotic twins) more similar in personality compared to those who are less genetically similar (e.g., dyzygotic twins)? Decades of research has established that most and perhaps all personality traits are heritable to some degree. Indeed, one authoritative researcher seriously suggested that â€Å"the first law of behavioral genetics† should be everything is heritable (Turkheimer, 1998, p. 789). Genes matter, to at least some degree, to a ny psychological outcome and certainly any personality trait. Evolutionary Psychology. Evolutionary psychology studies behavioral patterns proposed to have been adaptive during the development of the human species. It assumes that behaviors that are common to humans (a) have a genetic basis and (b) increased the likelihood of survival and/or reproduction during evolutionary history. The more a behavior helps an individual to survive and reproduce, the more likely the behavior is to be genetically transmitted, and therefore, appear in subsequent generations. Evolutionary psychology has particularly focused on variation in sexual behavior between males and females. It is commonly hypothesized that gender differences in behavior that are still present today exist because, in the history of evolution, the behaviors that increased the likelihood of reproduction for males were different from the behaviors that increased the likelihood of reproduction for females. Psychoanalytic Approach While biological research seeks to identify the specific physical foundations of behavior and personality, the psychoanalytic approach often operates on a level of almost metaphysical abstraction – one that, nonetheless, leads to unique insights and, on occasion, testable hypotheses. Psychoanalysis seeks to understand personality at the deepest psychological level and takes on the unique challenge of explaining what is going on in the hidden and sometimes dark recesses of the human mind. From a psychoanalytic perspective, personality is shaped by early childhood experiences and behavior is ultimately determined by the outcomes of unconscious processes and conflict. The psychoanalytic approach focuses on constructs such as the unconscious mind, defense mechanisms, attachment, and ego-strength. Humanistic Approach The humanistic approach was originally based on an even less scientific tradition than psychoanalysis. Early pioneers, such as Carl Rogers (1951) and Abraham Maslow (1987), believed that personality is a special entity that cannot be studied dispassionately from a distance. They argued that unlike rocks and trees, people can perceive, think, and feel, and this fact makes the study of people fundamentally different from other sciences and more difficult than is usually acknowledged. The humanistic approach proposes that the key to understanding behavior requires appreciating each individual from his or her own unique perspective. Humanism is also different from the other approaches in that it focuses on human strength, growth, and well-being, rather than human weakness. Humanistic psychology’s core concern with how people construct their views of reality is echoed in cross-cultural research, which involves understanding the ways in which people from different cultures may have fundamentally different views of the world. Learning-based Approaches Classic behaviorists ignore concepts like happiness and construals of reality because their approach strictly dictates that they study only that which can be directly observed. Behaviorism is a learning-based approach to studying personality and it places heavy emphasis on overt behavior and the rewards and punishments in the environment that condition individuals to behave in certain ways. From this perspective, personality is simply the behaviors that an individual performs as a result of environmentally imposed reinforcement contingencies. Cognitive Approach The cognitive approach, which evolved from and overlaps with the social learning theories, focuses on perceptual processes, thoughts and beliefs, and motivational processes that form the basis of personality and behavior. One way of conceptualizing personality traits is to think of them as dimensions along which people think and perceive information differently. For example, one person might have the disposition to have positive thoughts more readily accessible, whereas another person might have the disposition to have negative thoughts more accessible. Trait Approach The trait approach to studying personality places individual difference constructs (i.e., personality traits) front and center. According to Allport (1931), traits are psychological mechanisms that determine people’s responses to stimuli. He believed that traits motivate and organize an individual’s behavior and knowing an individual’s traits requires observing his or her behavior repeatedly. Such observation will reveal the consistent behavioral patterns from which the underlying psychological mechanisms can be inferred. From this perspective, traits are like gravity. Gravity is a concept that describes the force of attraction between objects and explains a wide range of astronomical observations (e.g., how planets orbit the sun). Similarly, traits are psychological concepts that are used to describe individual differences in behavior and give coherence to a wide range of psychological observations. Nobody has ever seen either gravity or narcissism directly, but perhaps their nature can be discerned from their effects. Behavioral Assessment of Personality The foundation of empirical personality psychology is the observation of behavior – the only way to examine a personality construct is to propose a behavioral manifestation and then observe it. This is true regardless of the nature of the construct, which, as we have seen, might be anything from stimulus generalization, to rejection-sensitivity, to self-esteem, to conscientiousness, to gender identity. The scientific study of personality rests on the following simple formula: P → B. A researcher might theoretically view P as causing B, or view P as a summary of B, but the method of study remains the same. Single Traits When a researcher develops a personality test that measures a single trait, the trait is usually one that that seems particularly important and a huge effort may be made to explore all possible implications. The traits that receive this kind of attention vary over the years, for reasons that may be less than clear. Some traits appear to become well-known and widely researched because they address a social issue that seems particularly important at the time. Multiple Traits Other widely-used personality tests measure a large number of traits at once. The â€Å"many-trait† inventories are typically used to examine the many possible psychological characteristics that are related to an important behavior or life outcome. For example, the California Adult Q-set[1] (CAQ: Block, 1978, 2007; Bem Funder, 1978) consists of one hundred descriptions of specific psychological attributes (e.g., Is critical, skeptical, not easily impressed; Is a genuinely dependable and responsible person). Essential Traits Finally, some personality research is motivated by the question: Which personality traits are the most important? Currently, the most widely accepted answer to this question is the Big Five. The Big Five represent the culmination of more than a hundred years of research aimed at reducing the many possible personality traits to an essential few (Galton, 1884; Thurstone, 1934; Allport Odbert, 1936; Cattell, 1943; Fiske, 1949; Tupes Christal, 1961; Norman, 1967; McCrae Costa, 1987; Goldberg, 1990; Digman, 1990). Research on the Big Five traits is based, in part, on the lexical hypothesis (e.g. Goldberg, 1981), which proposes that anything truly important to human life will be labeled with words. This idea suggests that the most important personality traits will be encoded in language. Therefore, researchers extracted trait-adjective words from the Oxford Dictionary and factor analyzed ratings of them, many times over, along with scores on a multitude of personality inventories. Beyond Self-report Although self-report questionnaires have traditionally dominated the literature and probably deserve credit for having contributed most of what has been learned about personality, they entail two major disadvantages. First, people may sometimes be unwilling to reveal undesirable aspects of their personalities. Second, people are not always aware of every aspect of themselves. Several studies suggest that people rate themselves higher on socially desirable characteristics (e.g., trustworthiness) and rate themselves lower on undesirable characteristics (e.g., laziness). Person Perception and Accuracy The way that an individual is perceived by others is highly consequential. Reputation determines the opportunities that others will make available to the individual and the expectations they will hold. A person with a good reputation will be trusted and find that other people like him or her; a person with a bad reputation probably not get the job that he or she wants, not attract his or her love interest, and be generally disliked. Moreover, a people tend to live up or down to their good or bad reputations because they tend to behave in ways that confirm the expectations of others (Rosenthal Rubin, 1978; Snyder Swann, 1978). The study of how people perceive one another is a major research topic in social and personality psychology (Macrae, this volume). It is called â€Å"person perception research† within social psychology and â€Å"accuracy research† within personality psychology and the difference in labels is more than superficial. The two research paradigms are based on fundamentally different philosophical perspectives, focus on different aspects of social perception, and are studied using different methodologies. Person Perception Person perception research in social psychology is based on social constructivism, in the sense that it treats the views people have of one another as mental constructions, a property of the social perceiver rather than of the person who is described. Therefore, the focus of person perception research is on the cognitive processes that underlie the construction of impressions. Accuracy Research Accuracy research within personality psychology follows a fundamentally different strategy. It is based on critical realism (Rorer, 1990), a philosophical approach which asserts that the best way to assess a judgment is in terms of multiple fallible external criteria that probabilistically indicate the degree to which it is a true reflection of reality[2]. Methods of Accuracy Research. The primary methodology involves comparing multiple sources of information about a person in order to evaluate the degree to which a personality judgment is accurate. For example, if Person A is judged to be high in extraversion by his or her acquaintance, we can evaluate this judgment by comparing it to Person A’s self-judgment of the degree to which he or she is extraverted, to direct observations of Person A’s behavior (e.g., does Person A talk more than others?), and to relevant life outcomes (e.g., does Person A successfully engage in an occupation that requires being outgoing and energetic?). Accuracy research differs from person perception research in that the typical study uses real people as the target of judgment and gathers personality judgments from people who know them in real life along with other indicators such as self-judgments, behavioral observations and life outcomes. Competition Although the accuracy and person perception paradigms differ in many ways, they are potentially complementary. It is not difficult to imagine an interdisciplinary effort that combined social cognition and accuracy research into one big theory that ultimately explained how people perceive one another. However, deep philosophical and methodological differences between social and personality psychology have stood in the way of this integration. Towards a Cooperative Social-Personality Psychology The most useful way to consider situational and personal variables is as interactional partners. This view was operationalized in Lewin’s (1936) well-known formula: B = f (P,S), which explicitly defines behavior as a function of the person and the situation. This equation implies that if we knew all of the relevant psychological properties of a person and all of the relevant properties of his or her situation, we could predict with high precision what the person would do.

Tuesday, August 20, 2019

Summary On Luxurious Watch In India Marketing Essay

Summary On Luxurious Watch In India Marketing Essay Good times are predicted and as well as seen for the watch industry in India, where the consumers going unmindful of their prices. Due to the emergence of a powerful middle class in India will keep the countrys economy on an upswing. If industry experts are to be believed then the country holds a very huge potential market for the luxurious watch, where earlier the market was dominated by only HMT and Allwyn brands. The industry currently is holding $195 million despite the fact that the penetration of watches is the lowest when compared globally and this resulting the other global companies to settle up there base in India where the average growth rate can be predicted to be around 20 25 percent per year, total size of the market for luxirous watch is estimated to be 600 cr which plans to stick to high tagline and is ready to witness a whopping 1.40 lakh families spending on such brands by 2010 as compared to 2000 families in 2002. The top brands in luxurious watch segment are the Swiss, Rado, Tagheuar, Casio, Cartier, Rolex, Omega and others. The government has control over the international brand price and there is severe price competition. Porters 5 force model Industry Analysis Intense Rivalry: This is where rivalry exists among competitors of the same industry to an extent where pressure is put on one another and limits each others profit potential. Luxurious watch industry in India is highly competitive as there are various numbers of different players fighting among themselves. The key players of Indian market are following : Titan HMT Timex The new entrants in to the watch industry are the Swiss, Rolex, Omega, and Rado where Omega is dominating the industry by 27 percentages. Due to the new entrants, the market share for the key players has lowered. The top 5players currently holding 15percentage of market share. The industry is very attractive for the new companies to come and therefore growth prospectuses are quite high. The main reason for the intense industry rivalry is due to entry barriers that are quite low. Swiss and Rolex have created big brands over the year. Bargain power of Buyers: Due to changing trend in the market, people have high preference of buying unpredictably. Consumers have been provided a wide scope on selecting on their choice along with the niche market that adds up an advantage to the consumer. As the market prices are not sensitive that is, it does not show the effect when there is change in stock exchange. Moreover, due to the uniqness in the product there is relatively low brand switching. Bargain Power of Suppliers: For an industry, achieving loyalty of customers is difficult, companies within the industry are having, and developing innovative products that fulfil customer needs in order to achieve the loyalty. Since there are number of companies with in the same industry, it has made tough for the suppliers to whom to work and supply. Threat of substitute: having an alternative product with lower price but with better quality and performance explains the concept of threat of substitute. For the watch industry, the threat of substitute is very high since most of us can access to mobile phones, handled computing devices, which are capable of providing correct timings as well for different countries without having to access other mobile phones. Since the growth rate of the market is rising slowly, there is the threat where the population considered to be, as middle class prefer to own watch, which are cheap, and does show time. Threat of New Entrants : threat of new entrants in the watch industry is quite low as India is growing at a slow space and since there is growing number of finance companies coming up to finance, more and more international brands coming in and settling down and establishing themselves. In the situation when a new entrant enters in the market, change major determinants of the market environment, determinants such as market shares, prices, customer loyalty. Entrants as Omega and Rolex consider the market as challenging because of the existing companies have closer relationships with the customers and most importantly have to consider the brand switching from one company to another. Pestle Analysis for the industry Political factors: Stability of government is not well settled and hence requires better stability though it is not highly affected. However, there are cases when instability causes a foreign company or a brand to enter the market. Due to excessive advertisement where family concern has to be taken, in some case it is not done and hence intervenes of the political issues. Moreover, since political issues are involved there are threatening to the investors who had to invest in foreign advertisements. Since most of the materials to build are imported which attracts huge amount of Excise Duty on Manufacturing Retail Price instead of the manufacturing. Due to which most of the luxurious watch are literally out of reach to those who wanted to at least own. Economic Stability : When talking about India, there are various number of taxes like, Excise duty (State and central), Custom duty, Profession tax, Service tax, Income tax, Royalty, Larcenous fees, hazardous substance handling and other charges to be paid which makes the total amount to be around 40 45 percentage of the actual cost. During the recession time, where Asian countries were least affected, where rising incomes in the emerging market which have led to the new categories of buyers. Though huge numbers of taxes are involved, there are still potential opportunities for ultra expensive watch manufactures to set up their base in India. Social Culture: association with the luxury items and having self-esteems and creating a social status of a person creates more demand for having a luxurious product; in this case, it is the luxurious watch. Culture is developing themselves to own a luxury watch in order to full fill their self esteem and also stand out of crowd, this attracting more number of investors to invest into the foreign brands. Technology: Here technology plays an extensive role where conversion of analogue to digital waterproof watches which have created a huge market for the developers to have more innovative watches. Environmental factor: this factor does not affect much of the watch industry, unless if its summer time where over heating of new technologies in watch are noticed and its very rare. The Structural drivers leading to the growth of industry The cost globalisation: this factor gives potential for competitive advantage since some of the international luxurious watch companies, which deal in large volume standardized production required for optimum economics of scale and find the electric components required manufacturing and other parts regarding the watch are easily available with less cost factor. Labour cost in India is quite cheaper than other countries because highly skilled but low cost staffs are available. The drivers to the growth of watch industry are due to the Economic factor, Social factors, Demographic factors which play an extensive role to motivate the consumers to buy which includes occupation, education level of a person, lifestyle of a person, and the main one is the Psychological attributes like attitude, value system which influences people to buying behaviour. Since nature of having a luxurious item is perceived by an individual is a status symbol in a society and displays the wealth or the income are related to conspicuous consumption, which is a socio economic phenomenon. There is an also increase trend in market globalisation where customer needs and preferences are becoming more similar. As markets globalize, those operating in such markets become global customers and may search suppliers who may operate on global basis. Other drivers are globalization of government policies and globalization of competition where most of the international brands find themselves less competitive in India as most of the international brands are not available in all parts of India and government policies have encouraged free trade markets between nations. Industry Life cycle If experts are to be believed then it has said watch industry entered in the market in late 1969 and since then it has been growing drastically. When compared with Switzerland which possesses close to 100percentage of the luxury market value which represents 45percentage of the market value and hence making them the world leaders. India is too coming up with the luxurious watch. However, not entire part of the country holds up the luxurious department stores but do have in majority ones. The watch industry in India is slowly moving from the shakeout stage to the maturity stage. Shake out stage is the second level of stage in industry where new industries are emerged and competitors start to realise business opportunities in the emerging industry whereas maturity stage is where efficiencies of the dominant business model give these organisations competitive advantage over competition (Kotler, 2003). The competition is very aggressive because of many competitors and product substitutes . Market Scenarios Intervene of new technologies, which is causing decline in usage of watches. Due to the involvement of mobile industry, the watch industry is being saturated. The product seems to be in a decline stage especially when seen in Europe where sales having dropped down to 20 % 30 % and globally fell off to 22.4 of percentage. The top leaders Swiss manufactures fell by 22.4% worldwide (Federation of Swiss watch industry). People have this perception when there exists a mobile handy, which could show numerous country timings then why an expensive watch that only shows limited country timings have. Another anticipated market scenario is that there would be no change in the growth rate of the industry, which would probably mean that the industry would not have any diversification and there will be no further expansion of the industry in the market. If profits decline for the watch industry, then it would probably take longer to recover. Another reason to be worried of in future is that the lifestyle and environment factors of younger generation where they prefer to have trendy look kind of product and at the same time the particular trend would be either outdated or faded in the industry and the main important factor is that the limited. Source of getting gems and liquid metals to manufacture watch would mean reduction or decline in growth of manufacturing. The main scenario which could be a problematic in future is the growth of luxurious watch brands in India, where the country is still considered to be as developing country and poverty still exists and due to this number of people who belong to the medium class average income earners would probably have a second thought of getting a luxurious watch which they could feel if mobile exists then why to go for a high end watch. As the industry is not in to that much of advertising about a particular brand or even if a new brand that comes into the market, people have no idea what a particular brand might represent as. In addition, for those who know little about a brand, only prefer a niche segment that is where the Tag Heuer as the brand ambassador of this brand happens to be a popular superstar. Since the growth in India is around 10 15 percentage annually, it is considered to be as the lowest in the market when compared globally.

Monday, August 19, 2019

Reflections of Milton in Paradise Lost and On Having Arrived :: comparison compare contrast essays

Reflections of Milton in Paradise Lost and On Having Arrived At a young age, John Milton was convinced that he was destined for greatness. He thought that he "might perhaps leave something so written to aftertimes as they should not willingly let it die"(Text 414). For this reason he thought that his life was very important to himself and to others. He often wrote directly about himself, and he used his life experiences as roots for his literature. In Paradise Lost and in a sonnet entitled "On His Blindness," Milton speaks indirectly and directly of his loss of vision. Also in Paradise Lost, he uses the political situation of his time as a base for the plot, and he incorporates elements of his own character into the character of Satan. In "On Having Arrived at the Age of Twenty-Three", he speaks plainly about the course of his life. In the latter part of his life, Milton lost his vision. This loss was very traumatic for him because he had not yet completed his mission of writing a memorable work of literature. Soon after, he continued his work with the help of his daughters. He dictated to them a sonnet he called "On His Blindness" in which he asks how God expects him to do his work blind. Milton's ambitious side says that his writing talent is "lodged with [him] useless"(Text 417). His religious side soon realizes that he is "complaining" to God and he takes it back. He discovers that God will not look down on him if he does not write a masterpiece. He granted Milton a great talent, and he expects Milton to be happy. He has to learn to do his work in a dark world. This poem was not the last time Milton referred to his condition in his writing. In book one of Paradise Lost, while invoking the Muse, Milton says "what in me is dark illumine"(Hndout 22). He asks to be granted the power to work through his blindness. He obviously thinks of his blindness as a major weakness. Later in the text, he describes Hell as having "no light, but rather darkness visible"(Hndout 270). It is Milton's way of almost subliminally implying that his condition is comparable to

The Boston Massacre Essay -- Boston Massacre Essays

On March 5, 1770 a fight broke out in the streets of Boston, Massachusetts between a patriot mob and British soldiers. Citizens attacked a squad of soldiers by throwing snowballs, stones and sticks. British Army soldiers in turn killed five civilians and injured six others. The presence of British troops had been stationed in Boston, the capital of Province of Massachusetts Bay since 17681. The British existence was increasingly unwelcome. The British troops were sent to Boston in order to protect and support the crown-appointed colonial officials attempting to enforce unpopular Parliamentary legislation. Boston, the capital of the Province of Massachusetts Bay and important shipping town, was a major center of resistance to unpopular acts of taxation by the British Parliament in the 1760s2. In 1768, the Townshend Acts were placed upon the colonists, by which a variety of common items that were manufactured in Britain and exported to the colonies were subjected to import tariffs3. The Massachusetts House of Representatives began a campaign against the Townshend Acts by sending a petition to King George III asking for the repeal of the act. The House also sent what became known as the Massachusetts Circular Letter to other colonial assemblies, asking them to join the resistance movement, and called for a boycott of merchants importing the affected goods. As a response, Lord Hillsborough, who was the leader of the office of Colonial Secretary, was forced to take action. In April 1768, Hillsborough sent a letter to the colonial governors in America instructing them to dissolve the coloni al assemblies responsible for the repeal4. When the house of colonial governors refused to comply and rescind the letter. Hillsborough then stated... ...An Account.† Accessed 05, 2001. http://law2.umkc.edu/faculty/projects/ftrials/bostonmassacre/bostonmassacre.html. 14. Allison, Robert. The Boston Massacre. Beverly, MA: Applewood Books, 2006. â€Å"The Boston Massacre Trials: An Account.† Accessed 05, 2001. http://law2.umkc.edu/faculty/projects/ftrials/bostonmassacre/bostonmassacre.html. 15. Allison, Robert. The Boston Massacre. Beverly, MA: Applewood Books, 2006. â€Å"The Boston Massacre Trials: An Account.† Accessed 05, 2001. http://law2.umkc.edu/faculty/projects/ftrials/bostonmassacre/bostonmassacre.html. 16. Allison, Robert. The Boston Massacre. Beverly, MA: Applewood Books, 2006. â€Å"The Boston Massacre Trials: An Account.† Accessed 05, 2001. 17. Kidder, Frederic. History of the Boston Massacre. Munsell, 1870. 18. Zinn, Howard. A People’s History of the United States. New York: HarperCollins, 1999. The Boston Massacre Essay -- Boston Massacre Essays On March 5, 1770 a fight broke out in the streets of Boston, Massachusetts between a patriot mob and British soldiers. Citizens attacked a squad of soldiers by throwing snowballs, stones and sticks. British Army soldiers in turn killed five civilians and injured six others. The presence of British troops had been stationed in Boston, the capital of Province of Massachusetts Bay since 17681. The British existence was increasingly unwelcome. The British troops were sent to Boston in order to protect and support the crown-appointed colonial officials attempting to enforce unpopular Parliamentary legislation. Boston, the capital of the Province of Massachusetts Bay and important shipping town, was a major center of resistance to unpopular acts of taxation by the British Parliament in the 1760s2. In 1768, the Townshend Acts were placed upon the colonists, by which a variety of common items that were manufactured in Britain and exported to the colonies were subjected to import tariffs3. The Massachusetts House of Representatives began a campaign against the Townshend Acts by sending a petition to King George III asking for the repeal of the act. The House also sent what became known as the Massachusetts Circular Letter to other colonial assemblies, asking them to join the resistance movement, and called for a boycott of merchants importing the affected goods. As a response, Lord Hillsborough, who was the leader of the office of Colonial Secretary, was forced to take action. In April 1768, Hillsborough sent a letter to the colonial governors in America instructing them to dissolve the coloni al assemblies responsible for the repeal4. When the house of colonial governors refused to comply and rescind the letter. Hillsborough then stated... ...An Account.† Accessed 05, 2001. http://law2.umkc.edu/faculty/projects/ftrials/bostonmassacre/bostonmassacre.html. 14. Allison, Robert. The Boston Massacre. Beverly, MA: Applewood Books, 2006. â€Å"The Boston Massacre Trials: An Account.† Accessed 05, 2001. http://law2.umkc.edu/faculty/projects/ftrials/bostonmassacre/bostonmassacre.html. 15. Allison, Robert. The Boston Massacre. Beverly, MA: Applewood Books, 2006. â€Å"The Boston Massacre Trials: An Account.† Accessed 05, 2001. http://law2.umkc.edu/faculty/projects/ftrials/bostonmassacre/bostonmassacre.html. 16. Allison, Robert. The Boston Massacre. Beverly, MA: Applewood Books, 2006. â€Å"The Boston Massacre Trials: An Account.† Accessed 05, 2001. 17. Kidder, Frederic. History of the Boston Massacre. Munsell, 1870. 18. Zinn, Howard. A People’s History of the United States. New York: HarperCollins, 1999.

Sunday, August 18, 2019

An Unforgettable Person Essays -- Personal Narrative Teachers Educatio

An Unforgettable Person Parents are–or should be–the teachers of their children in many areas, a natural relationship of handing down what they have learned to their offspring. But there is something special about the profession of teaching where an individual chooses to make an impact on students ,they hardly know on Day 1 of class and yet they have a goal of sending those young faces on their way to a well-rounded education in the 180 or so days they will have them in his or her care. At Vikas junior college, more teachers continued their influence on my life, and many of them have enjoyed long teaching careers. Several have retired, but several are still hard at it with the current crop of students The bell rings, and all the students waits for him to come. He is nothing but our math lecturer Mr.P.Ramesh. He is about 6 feet tall, thin man. He dresses himself in formals. He has a good hair style like wave’s .he is handsome too. His classes are so interesting. All the students get involved to listen to his classes. We never miss his classes. He is very friendly, polite, and casual. He is hailed by many students here and there. ``Hello!'' ``Hi!'' ``Nice to see you!'' Whenever he comes across anyone he knows, he always says hello to them first, wearing a big smile, whether or not they are older or younger than him. In this society where many people often pass by without greeting each other, seeing him might be like seeing an oasis in a desert. He loves childre n in ear...

Saturday, August 17, 2019

Ender’s Game Theme Essay Essay

Pressure, pain, corruption, and insecurity; imagine dealing with this every moment of your life. In The Ender’s Game by Orson Scott Card, a young boy genius must take on the weight of the world while dealing with these things. Ender, a nine year old boy, is chosen by the government to go to Battle School, where he must learn to fight and improve his army skills. While he’s there, he struggles with his own morality and insecurity, and tries to do what other people want him to do. Even though he is so smart that he beats every single challenge presented to him, he had to learn throughout the course of the novel to be self-reliant and try to figure out the truth about his whole training. Although Ender is a boy genius and master tactician, he is easily manipulated and has a tough time dealing with the pressure of the world. Ender’s clever genius and amazing military skills has made him become one of the most formidable opponents. His ability to use his genius in any situation combined with his great military skills makes him victorious in even some of the most impossible situations, such as when he had to battle against the humongous bugger army on the battle simulator. The bugger army had outnumbered him, â€Å"A thousand to one (696),† and he needed to think up of a plan. So Ender decided to do the unthinkable, to take out the enemy permanently. â€Å"Then he whispered a command and the ships dropped like rocks toward the planet’s surface. They were starships and fighters, completely unequipped to handle the heat of passage through an atmosphere. But Ender never intended them to reach the atmosphere. Almost from the moment they began to drop, they were focusing their Little Doctors on one thing only. The planet itself (701). † Ender, at first felt like he wouldn’t be able to win the battle with so many enemies against him. But he used his clever wit to think of the impossible and use his military skills to take action. He sent the ally ships as close to the enemy planet as possible and then used Little Doctors (Weapons of Mass Destruction) to nuke the whole planet. This decision eliminated the enemy, but it also killed Ender’s ally command fleet. Ender during the novel showed his great military strength and superior thinking to conquer many of his challenges. He was able to stand up and defeat any bullies who wanted to hurt him, and even with a seemingly useless army he was able to train them using new tactics to win every single battle with them. The final simulator test against the buggers was one of the greatest of his genius military wins, but little did he know that it was just a game. Although Ender is genius in many ways and has great military skills, he is still easily manipulated by adults and starts to crumble under the pressure of the world. Ender throughout the novel has very low self – esteem. He just views himself as a tool under other people’s hands. So, when he is given the chance of a two week break, he takes it and has a three month break. He was tired of being pressured to be the best military leader the human world had to offer. He didn’t believe he could keep enduring, and thought he would fail. On his break, the government got so desperate for Ender they sent his sister to go in and help persuade Ender to keep on fighting. â€Å"Ender insisted that his conversation with you should not be bugged. I promised him it wouldn’t be, and to help inspire confidence, the two of you are going out on a raft he built himself (546). † This scene of the book shows how Ender is still a human being, and everyone’s got a cracking point. In able to go on, many of us find it comforting and strengthening when someone says we can do it and inspires us to keep on fighting. Valentine was Ender’s inspiring push to keep him going, but even she was another tool the government used to manipulate Ender. Ender got manipulated a lot in the novel by adults, especially when he was training in the simulator. The adults acted like it was just a game or challenge, and that Ender was just practicing to face the buggers. But when the final test came and Ender won by destroying the whole bugger race, he realized that the adults lied to him, and it was never just a game. Orson Scott Card illustrated how even the strongest and best of us still has a limit and can crack. Ender proved how he was one of the smartest and most brilliant military leaders alive through his training and thought out decisions in Battle and Command School. He was a genius among geniuses, and always thought of something new and effective. But he too, succumbed under the pressure of the world, and needed inspiration and courage to push through. He became too easily manipulated by adults, which led him to a decision he wish he never made. Orson Scott showed how even the best of us, can give in to the dark and evil intentions of man.

Friday, August 16, 2019

Lack Of Standards For Ehr Health And Social Care Essay

In 21st century Information Technology played an sole function in upper limit of the Fieldss ; nevertheless, health care is one noticeable exclusion. Harmonizing to surveies, U.S. infirmaries and multiple-facility wellness systems are â€Å" merely get downing to round out their clinical webs, but are much farther along than physician patterns. † ( David B. Meinert ) While many inmate or infirmary installations migrating from paper charts to electronic records, but a small advancement has been made in the ambulatory or outpatient scene. Vast bulk medical professionals including doctors have been loath to utilize electronic medical records and go on to trust on paper records. Paper medical records are informations rich by nature, but information is hapless as doctors and other wellness attention suppliers have limited clip to delve through volumes of paper to recover information, use it in decision-making and/or portion it with patients. EMR/EHR systems hold enormous promise fo r non merely bettering the measure and quality of clinical informations that can be recorded, but more significantly the ability to entree wellness attention informations to better quality of attention. This survey will seek to see the perceptual experience of medical professionals towards Electronic medical record. Study has been done as a comparative survey among two different types of scenes that is hospital which are utilizing EMR ( paperless infirmaries that is category A ) and infirmaries which are holding their ain information system where the paper-based medical records are scanned and used ( Category B infirmaries ) . Electronic Medical Record ( EMR ) Harmonizing to the Healthcare Information and Management Systems Society ( HIMSS ) , an EMR is a constituent of an electronic wellness record which is owned by the health care supplier. ( Dr. Chris Hobson ) This engineering, when to the full developed, meets provider demands for real-time informations entree and rating in medical attention. EMR besides provides the mechanism for longitudinal informations storage and entree. The content of an EMR is correspondent to the paper record, but the electronic format creates useable informations in medical result surveies, improves the efficiency of attention, and makes for more efficient communicating among suppliers and easier direction of wellness programs. ( Electronic Medical Record: The Link to a Better Future, Texas Medical Association ) Electronic Health Record ( EHR ) is an electronic version of a patient ‘s medical history, that is maintained by the supplier over clip, These have been used extensively by general practicians in many developed states and include patient designation inside informations, medicines and prescription coevals, laboratory consequences and in some instances all healthcare information recorded by the physician during each visit by the patient. ( Electronic wellness records: manual for developing states. WHO ) EHRs are the following measure in the continued advancement of health care that can beef up the relationship between patients and clinicians.A The informations, seasonableness and handiness of it, will enable suppliers to take better determinations and provide quality attention. For illustration, the EHR can better patient attention by: Reducing the incidence of medical mistake by bettering the truth and lucidity of medical records. Making the wellness information available, cut downing duplicate of trials, cut downing holds in intervention, and patients good informed to take better determinations. Reducing medical mistake by bettering the truth and lucidity of medical records.Background:Hospital information systems ( HIS ) and Electronic Medical Records ( EMRs ) are considered requirements for the efficient bringing of high quality wellness attention in infirmaries. However, a big figure of legal and practical restraints influence on the design and debut of such systems ( Dick RS, Steen EB ) Hence, many EMR execution undertakings do non take at presenting the EMR and extinguishing the paper-based opposite number in one measure ( Laerum H ) . As a start, the EMR is introduced along with its paper-based opposite number, and both are kept updated. In such environments, wellness attention workers have to cover with a intercrossed electronic and paper-based solution. This likely limits the usage of EMR ( Laerum H ) . Furthermore, mistakes are prone to develop due to cumbersome care of the medical record information in double storage media. In many states, most hospital EMR undertakings have non passed beyond this stage ( Dick RS, Steen EB )Electronic Medical Records- the altering tendency:aˆ? Paper based records are being bit by bit replaced by computing machine based records ( which is in being in the West since 2 decennaries ) aˆ? It has non achieved the same incursion in health care as in finance or other industry. Deployment varies in statesAims:To reexamine already bing information system of both class of infirmaries To happen out existent versus perceptual troubles while utilizing EMR both classs infirmaries To analyze the overall perceptual experience of infirmaries about EMR To mensurate satisfaction from EMR in class A infirmary To bring forth a checklist for bettermentMethodology:Overview: Assorted surveies which has been done globally has been surveies to happen out statement of job, since no such survey has been found in Indian context, so all premises from other states has been considered as relevant. Sing the less version of EMR usage, this survey tries to happen out existent versus perceptual advantages, disadvantages and functionality etc to acquire the clear image. Sample: entire four infirmaries have been selected under two different scenes for comparing. Each scene has two infirmaries of same sort. For easiness both scenes have been given name class A and class B. Class A infirmary are EMR user infirmary while class B infirmary are holding their ain infirmary information system in topographic point along with the paper record. For easiness footings category A and B in whole papers alternatively of EMR user and EMR nonuser infirmaries Sample size: Excluding 4 IT caputs, entire 120 responses has been collected form clinical staffs, which includes physicians, occupants, caputs of sections and nurses etc. Thirty responses from each infirmary have been collected. Questionnaire: questionnaires had been used for roll uping informations from both category infirmaries. Questions are of near ended, rated on the footing of likert graduated table from 1-5. Response recording has besides been done for happening out the jobs, so that better suggestions can be made. Interviewing: in deepness interviews has been taken by IT caputs of all the four infirmaries to understand all the factors from their point of position, and to understand their return on different jobs addressed by their clinical staff. Since none of the infirmary is utilizing EHR, so complete survey had been done about EMR merely. Data aggregation had been done as follows- Questionnaires have been used for roll uping informations from medical staff. In depth interview with IT caputs of all the four sections Reappraisal of literature related to EMR Reappraisal of the literature to understand perceptual experience of medical professionals sing EMR usage. Inclusion standards: to guarantee cogency of sample, two inquiries were set in questionnaire. Harmonizing to that who were working in infirmary for more than three months ; were eligible. Another inclusion standard was straight related to patient attention. Those who were utilizing computing machine for come ining patient information/ recovering patient information/ trial consequence retrieval etc ; were eligible.Literature reappraisalThere are many maps associated with patient wellness records. This record is non merely used to document patient attention, but it besides used for entering fiscal and legal information and research and quality betterment intents. ( Young, Kathleen M. ) The conventional paper-based medical record has several restrictions. Though this traditional method is utile for entering patient ‘s inside informations for work outing medical issues, tracking down patients and for organizing in health care procedure, but it has so many disadvantages. These types of records are frequently ailing indexed and sometimes illegible, fragmented, because these records are manus written. The most disadvantageous factor of utilizing this method is that the medical record would be accessible to merely one individual at a clip. These medical records can non be made available to everyone at the same clip. Last but non least there is the job of storage of paper record, most of the times these are non stored decently, which in bend cause failure in retrieval of information, whenever required. Medical record is systematic certification of a individual patient ‘s medical history and attention across clip within one peculiar wellness attention supplier. The medical record includes a assortment of types of â€Å" notes † entered over clip by wellness attention professionals, entering observations and disposal of drugs and therapies, orders for the disposal of drugs and therapies, trial consequences, x-rays, studies, etc. The electronic wellness record ( EHR ) provides the chance for healthcare organisations to better quality of attention and patient safety. â€Å" The greatest challenge in the new universe of incorporate health care bringing is to supply comprehensive, dependable, relevant, accessible, and seasonably patient information to each member of the health care squad, whether in primary or secondary attention and whether a physician, nurse, allied wellness professional, or patient/consumer † ( Schloeffel ) An electronic medical record ( EMR ) is a computerized medical created in an organisation that delivers care, such as a infirmary or doctor ‘s office. Electronic medical records tend to be a portion of a local stand-alone wellness information system that allows storage, retrieval and alteration of records. Some definitions: Harmonizing to National Alliance for Health Information Technology ( NAHIT ) EMR: The electronic record of health-related information on an person that is created, gathered, managed, and consulted by accredited clinicians and staff from a individual organisation who are involved in the person ‘s wellness and attention. EHR: The aggregative electronic record of health-related information on an person that is created and gathered cumulatively across more than one wellness attention organisation and is managed and consulted by accredited clinicians and staff involved in the person ‘s wellness and attention.Purpose of medical record:The chief intent of medical records and medical notes is to record and pass on information about patients and their attention. If notes are non organised and completed decently, it can take to defeat, argument, clinical mishap and judicial proceeding. medical records are now used non merely as a comprehensive record of attention but besides as a beginning of informations for hospital service activity coverage, supervising the public presentation of infirmaries and for audit and research. Many of the causes of inaccurate clinical cryptography of this secondary informations are rooted in the quality of medical notes History of Electronic Medical Records: Doctors are expected to document brushs they have with patients to guarantee important information for decision-making is recorded and actions taken are besides recorded. Documentation is besides required as an archival record of what happened in instances of difference. To a great extent, physicians resent the undertaking of certification, as it detracts from their primary undertaking: taking attention of patients. Doctors besides resent the duplicate of attempt required with certification, as every medicine that is written on a prescription tablet, every lab trial ordered, every X ray ordered has to be re-written in the chart to keep a good record. Communication between practicians is hard as in many instances the information collected is fragmented, often excess and voluminous. Finally, doctors are invariably inundated with new information and have no tools to assist them integrate new techniques and interventions into their daily activities, other than utilizing their memories or holding to tote around big text editions. The thought of entering patient information electronically alternatively of on paper -the Electronic Medical Record ( EMR ) -has been around since the late 1960 ‘s, when Larry Weed introduced the construct of the Problem Oriented Medical Record into medical pattern. Until so, physician ‘s normally recorded merely their diagnosings and the intervention they provided. Weed ‘s invention was to bring forth a record that would let a 3rd party to independently verify the diagnosing. In 1972, the Regenstreif Institute developed the first medical records system. Although the construct was widely hailed as a major progress in medical pattern, doctors did non flock to the engineering. In 1991, the Institute of Medicine, a extremely respected think armored combat vehicle in the US recommended that by the twelvemonth 2000, every doctor should be utilizing computing machines in their pattern to better patient attention and made policy recommendations on how to accomplish that end. Advantages OF THE EHR: advantages of EHR can be divided as following-1 ) Clinical resultsa ) Quality of attention: Improving quality of attention is one of the chief focal points of many EHR surveies. Quality of attention has been defined as â€Å" making the right thing at the right clip in the right manner to the right individual and holding the best possible consequences † , in short â€Å" a procedure for doing strategic picks in wellness systems † .A Quality of attention includes six dimensions, effectivity, efficiency, patient safety, handiness or seasonableness, just entree, and patient-centeredness or acceptableness, but most EHR research has focused on the first three. Last three constituents needed more research in their corresponding Fieldss. Erstwhile patients may non adhere to outdo pattern guidelines ; even the suppliers have best purpose. This sort of state of affairs can originate due to assorted factors like- Clinicians are non cognizant with the guidelines. Clinicians may non recognize that a peculiar guideline applies to a given patient. Lack of clip during the patient visit. EHR systems proved rather effectual in managing such sort of issues and improved attachment rates. For illustration, research workers found that computerized physician reminders increased the usage of grippe and pneumococcal inoculations from practically 0 % to 35 % and 50 % , severally, for hospitalized patients ( exter PR, Perkins S, Overhage JM, et al. ) . Similarity other surveies with computerized reminders on inoculation rates, shows important better attachment to immunisation guidelines. Lower berths the hazard of disease eruptions in communities: There are many other researches have conducted that focused on other preventative services and studied consequence of EHRs on different results to better attention efficaciously. Willson et Al found in his survey on hospitalized patients that after implementing computerized reminders targeted to hospital nurses, there is 5 % decrease in the development of force per unit area ulcer after 6 months. It proves a important association between computerized reminders and hazard of disease. Effective wellness attention bringing: Research workers have besides found that there is a profound relation between EHRs and efficiency in wellness attention bringing. Here efficiency refers to the turning away of blowing resources, including supplies, medical equipment, money, thoughts, and energy. One such signifier of waste involves excess diagnostic testing. Performing excess trials is dearly-won and may take to more false-positive consequences, which will so take to even more costs. Tierney et Al found a 14.3 % lessening in the figure of diagnostic trials ordered per visit and a 12.9 % lessening in diagnostic trial costs per visit when utilizing an EHR with CDS and CPOE constituents. Other, unrelated surveies found an 18 % lessening in trials ordered for medical visits in the exigency section, a 27 % lessening in excess research lab trials of antiepileptic medicine degrees in hospitalized patients, and a 24 % decrease in excess research lab trials in a infirmary. Reduced medicine mistakes: A well-known survey group found in their survey that merely presenting CPOE system reduced serious medicine mistake by 55 % in the infirmary scene. Whereas subsequently in followup survey the same group expert found that, these medicine mistakes can be reduced every bit much as 86 % by adding CDS system together with CPOE system. A similar, more recent survey in the outpatient puting found that cybernation resulted in an mistake rate decrease from 18.2 % to 8.2 % . ( Devine EB, Hansen RN, Wilson-Norton JL, et al. ) . On the other manus many other surveies have concluded that by presenting computerised system, the figure of appropriate medicine orders affecting dosing degrees or dosing frequence can be increased. Better clinical result: Many of the surveies besides focused on clinical results. Randomized test research design used for carry oning these surveies in a clinical scene. An extra organic structure of literature has examined, observationally, comparing of public presentation in between infirmaries that implemented EHRs and other computerized capablenesss with its opposite numbers that have non. For illustration, Menachemi et Al found that Florida infirmaries with greater investings in EHR engineerings had more desirable rates on a assortment of normally used quality indexs. Patient Safety: The challenge of reading handwritten notes, orders, and prescriptions has been eliminated with the EHR. Patients ‘ chart information is clear and legible. Reports and letters to other specializers and patients are comprehensive, professional, and easy to make. Chart information is ever accessible and found in the same topographic point. Paper charts, on the other manus, can go littered with a batch of necessary but misplaced information.2 ) Organisational results:Surveies analyzing organisational results have focused on EHR usage in both the inmate and outpatient scenes. Such results have often included increased gross, averted costs, and other benefits that are less touchable, such as improved legal and regulative conformity, improved ability to carry on research, and increased job/career satisfaction among doctors. Increased gross comes from multiple beginnings, including improved charge capture/decrease in charge mistakes, improved hard currency flow, and enh anced gross. Several writers have asserted that EHRs aid suppliers in accurately capturing patient charges in a timely mode ( Schmitt KF, Wofford DA ) Electronically available patient information generated so many efficiencies, which straight help in debaring cost. Some of these efficiency includes increased use of trials, reduced staff needed for patient direction, decreased written text costs, reduced costs associating to supplies needed to keep paper files, and the costs associating to chart pulls. EHRs besides cut down the redundant usage of trial or the demand to get off difficult transcripts of trial study to all suppliers that save money and clip of organisation. ( Chen P, Tanasijevic MJ, Schoenenberger RA, et Al ) . Surveies have besides shown that holding an EHR can cut down written text costs through electronically available structured certification processs instead than a paper file. ( Agrawal A. ) In add-on, research workers in Massachusetts have found that doctors utilizing an EHR had fewer paid malpractice claims. They found a doctor without EHR have much higher ( 10.6 % ) history of paid malpractice claims compared to those doctors with EHRs ( 6.1 % ) . This decrease is potentially the consequence of better communicating among health professionals, increased discernability and completeness of patient records, and increased attachment to clinical guidelines.3 ) Social results:Another less touchable benefit associated with EHRs is an improved ability to carry on research. As patient informations stored electronically that makes handiness of informations much easier which leads excessively many quantitative analyses to place evidence-based best patterns more easy ( A Aspden P.A ) . Furthermore, public wellness and other interdisciplinary research workers are actively utilizing electronic clinical informations that are existent informations aggregated across populations to brin g forth good research determination, which is good to society. Till today handiness of clinical informations is much limited but as suppliers will get down utilizing EHRs, this dataset will besides get down turning. Subsequently by uniting this clinical information with more informations from other beginnings like nonprescription medicine purchases and school absenteeism rates, our researches and public wellness organisation can break supervise disease eruptions and better surveillance of possible biological menaces ( Kukafka R, Ancker JS, Chan C, et Al ) . Research workers have besides found an association between EHR usage and physician satisfaction with their current pattern, A together with their calling satisfaction.A Harmonizing to many surveies, physician satisfaction should be a precedence in wellness attention organisations, because it is associated with better quality of attention, better prescribing behaviors, and increased keeping in medical patterns, peculiarly those in underserved countries. ( A Elder KT, Wiltshire JC, Rooks RN, et al.A ) Chaudhry et al noted that a big proportion of the surveies that found benefits from EHR were conducted in a selected figure of academic medical Centres in infirmary scene. Due to this ground many research workers are besides seting a inquiry about the generalisation of identified benefits of EHR in existent universe where they may neither hold similar fiscal and human resources nor a decades-long committedness to wellness information engineering. More research on the varying types and grades of benefits associated with EHR is warranted, particularly in community scenes such as physician patterns and non-academic infirmary scenes.Barriers TO THE EHRAlthough Electronic Health Records ( EHRs ) bring enormous benefits to patient attention and to the health-care supplier, usage of the ambulatory EHR alternatively of the paper chart did non become widespread among the independent doctors during the 1990s. Even though the motive of improved patient attention and handiness of medical informa tions was present, health-care suppliers were hesitating to get down utilizing this medical tool. Specii hundred grounds have been hypothesized for the deficiency of EHR execution, and they are outlined below.A Lack of Standards for EHR SystemsThe content within the systems did non hold uniformity for compatibility or interoperability. Assorted plans offered different characteristics and the exchange of informations was non possible. Besides, criterions for the security of confidential information through encoding or informations unity had non been set. The quality of EHR plans and computing machine webs was non sufficiently dependable to forestall downtime, therefore ensuing at times in the deficiency of entree to patient information or medical information. Data for clinical protocols, direction of patient attention, and determination support through algorithms were non yet standard for EHRs.Unknown Cost and Return on InvestmentHealth-care suppliers found it hard to accurately ciph er costs and Return on Investment ( ROI ) with the usage of an EHR. The full cost of an EHR includes the package purchase monetary value, extra computing machine hardware, execution including the preparation of staff, customization of the system, ongoing proficient support, system care, and future plan ascents. Measuring ROI includes intangible, unmeasurable, and nonfinancial information, such as improved patient attention, patient safety, and more efficient procedures. Measurable ROI includes addition in income from more accurate cryptography, greater clip efficiency as a consequence of rapid chart certification, expanded patient burden because of this efficiency, and decreased office supply costs such as paper, charts, and printing supplies. It was hard to accurately cipher costs and ROI with the usage of an EHR.Difficult to OperateDoctors perceived that it took more clip for informations entry than handwriting. A physician order signifier may hold been simpler to handwrite than t o treat through a computing machine system. Learning where the information should be entered or accessed was complicated and computing machines were non ever accessible at the point of attention. System warnings and medical qui vives incorporating critical information had non been developed. The long-run benefit were hard for some health care suppliers to value over the sensed troubles of operationSignificant Changes in Clinic ProceduresAlthough an EHR can be customized for specific medical patterns, there is ever some procedure alteration required by the supplier and medical staff. An EHR may convey a more stiff construction for come ining information than tossing through a paper chart. Adapting to new criterions of operation for come ining and turn uping information can be hard ab initio. Some EHRs have specifications or specific modus operandis for practising medical specialty that the supplier may non accommodate to easy. The health-care supplier may non be able to turn to and a nalyse jobs in the same ways that may hold been done in the yesteryear, even though the information in an EHR is more thorough and immediately available. New tools for improved patient attention require retraining, new procedures, and alterations in the medical pattern civilization.Lack of Trust and SafetyA concern for the security of the medical record stored electronically alternatively of on paper is common. Health-care suppliers may be concerned that the electronic medical record could be altered without their consent or cognition. Suppliers must hold the confidence that the medical records are safely stored for future handiness. Power outages, computing machine â€Å" clangs, † viruses, concerns about equal backup, and so on are issues suppliers must get the better of to be confident in utilizing an EHR.Use of EHR plans, peculiarly in the small- to moderate-sized patterns, is spread outing quickly. About 78 per centum of doctors in private pattern are within this market group of eight or fewer physicians. With the explosive growing of EHR execution in this section of the medical community, a great demand has been generated for both clerical and clinical support staffs that have professional preparation and exposure to the EHR. Concerns about the passage from traditional paper charts to EHRs are now being overcome. Many of the concerns expressed about EHRs have been addressed more to the full in recent old ages. Although the motives vary from a pattern desiring to merely â€Å" go paperless † to another pattern desiring to better patient attention, medical clinics are rapidly acknowledging the unbelievable tool the EHR is conveying to the medical pattern.Disadvantages of EMROn the reverse of advantages some writers have identified several possible disadvantage of utilizing EHRs. These include fiscal issues, alterations in work flow, impermanent loss of productiveness associated with EHR acceptance, privateness and security concerns, and sever al unintended effects. Significant cost: A major ground for deterrence for following and implementing EHR is its cost. It includes loss of gross associated with impermanent loss of productiveness, declines in gross, acceptance and execution costs and on-going care costs. Here EHR acceptance and execution costs includes buying and installation hardware and package, change overing paper charts to electronic 1s, and preparation of end-users. Different surveies documented this cost in both inmate and outpatient scenes. Like a survey conducted in 2002 at a 280-bed ague attention infirmary, the projected entire cost for a 7-year-long EHR installing undertaking was about US $ 19 million. In the outpatient scene, early research workers estimated an mean initial cost of US $ 50,000-US $ 70,000 per doctor for a three-physician office. However, as EHR engineerings have become more platitude over the past decennary, the initial cost of systems has come down dramatically ( Schmitt KF ) , ( Agrawal A ) Care cost besides can be cumbersome as hardware needs to replace clip to clip and package demands to upgrade on regular footing. In add-on, suppliers must hold ongoing preparation and support for the end-users of an EHR. Harmonizing to one survey conducted on 14 solo or small-group primary attention patterns, estimated on-going EHR care costs averaged US $ 8412 per FTE supplier per twelvemonth. Out of entire cost around 91 % of this was related to hardware replacing, seller package care and support fees, and payments for information systems staff or external contractors ( Fleming NS, Culler SD, McCorkle R, et Al ) Break of work-flows for medical staff and suppliers: Another major disadvantage of implementing EHRs is break of everyday work-flow for medical-staff or supplier, which consequences to loss of impermanent productiveness. This break may be because of preparation of end-users which potentially leads to loss in gross. One survey that involved several internal medical specialty clinics estimated, a productiveness loss of 20 % in the first month, 10 % in the 2nd month, and 5 % in the 3rd month before productiveness return to its original degrees as in get downing ( Wang SJ, Middleton B, Prosser LA, et al. ) Research workers besides have estimated that EHR end-users spent around 134.2 hours on execution activities that includes acquiring and larning a new system. These hours spent on nonclinical duties had an estimated cost of US $ 10,325 per doctor ( Fleming NS, Culler SD, McCorkle R, et al. ) Hazard of patient privateness misdemeanors: Another possible drawback of EHRs is the hazard of patient privateness misdemeanors, which is an increasing concern for patients due to the increasing sum of wellness information exchanged electronically between suppliers. To face such sort of state of affairss, policymakers have taken steps to guarantee safety and privateness of patient informations. For illustration, recent statute law has imposed ordinances specifically associating to the electronic exchange of wellness information that strengthen bing Health Insurance Portability and Accountability Act privateness and security policies. Although few electronic informations are 100 % secure, the strict demands set Forth by the new statute law make it much more hard for electronic informations to be accessed unsuitably. ( Zurita L, Nohr C. Patient sentiment: EHR appraisal from the users perspective. ( Stud Health Technol Inform. ) Not merely acts do interchanging electronic wellness informations secure but besides many infirmaries and doctors are implementing rigorous regulations like no tolerance punishments for employees who entree files unsuitably. For illustration, a infirmary in Arizona terminated several employees after they unsuitably accessed the records of victims who were hospitalized after the January 2011 hiting affecting a US Congresswoman. ( Innes S. ) Although privateness will probably go on to be a concern for patients, many stairss are being taken by policymakers and single organisations to guarantee that EHRs comply with the rigorous Torahs and ordinances intended to guarantee the privateness of clinical information.Decrease face-to-face clip with patients, depersonalize brushsEHRs may do several unintended effects, such as increased medical mistakes, negative emotions, alterations in power construction, and overdependence on engineering. ( Campbell EM, Sittig DF, Ash JS, et al. ) Research workers have found an association between increased medical mistakes and CPOE due to faulty system or untrained end-user. Additionally, end-users of an EHR may see strong emotional responses as they struggle to accommodate to new engineering and breaks in their work flow. Changes in the power construction of an organisation may besides happen due to the execution of an EHR which makes it rather more machine-controlled. For illustration, a doc tor may lose his or her liberty in doing patient determinations because an EHR blocks the ordination of certain trials or medicines. Overdependence on engineering may besides go an issue for suppliers as they become more reliant upon itInvention credence:The beginnings of attitude and behaviour day of the month back to every bit early as 1862, when psychologists began developing theories demoing how attitude wedged behaviour. Those surveies by societal psychologists continued and in 1925, many new theories emerged proposing that â€Å" attitudes could explicate human actions † ( Ajzen & A ; Fishbein, 1980, p. 13 ) Several theoretical accounts have been developed and utilized to analyse the credence of engineering. Some of the of import theoretical accounts are as follows-Theory of Reasoned Action ( TRA )Harmonizing to this theoretical account, a individual ‘s behaviour is determined by his/her behavioural purposes ( BI ) to execute that behaviour. That BI is itself determined by both a individual ‘s attitude toward the behaviour and subjective norm refering the behaviour.Theory of Planned Behavior ( TPB )The theory of planned behaviour was proposed by Icek Ajzen in 1985 through his article â€Å" From purposes to actions: A theory of planned behaviour. † The theory was developed from the theory of sound action, which was proposed by Martin Fishbein together with Icek Ajzen in 1975. Harmonizing to the theory of sound action, if people evaluate the suggested behaviour as positive ( attitude ) , and if they think their important others want them to execute the behaviour ( subje ctive norm ) , this consequences in a higher purpose ( motive ) and they are more likely to make so.Technology Acceptance Model ( TAM )Based on the theory of sound Action, Davis ( 1986 ) developed the Technology Acceptance Model which deals more specifically with the anticipation of the acceptableness of an information system. This theoretical account suggests that the acceptableness of an information system is determined by two chief factors: perceived usefulness and sensed easiness of usage. Perceived utility is defined as being the grade to which a individual believes that the usage of a system will better his public presentation. Perceived easiness of usage refers to the grade to which a individual believes that the usage of a system will be effortless Unified Theory of Acceptance and Use of Technology ( UTAUT ) The UTAUT purposes to explicate user purposes to utilize an information system and subsequent use behaviour. The theory holds that four key concepts ( public presentation anticipation, attempt anticipation, societal influence, and easing conditions ) are direct determiners of usage purpose and behavior. Gender, age, experience, and voluntariness of usage are posited to intercede the impact of the four key concepts on usage purpose and behaviour.Factors Affecting EMR AcceptanceAcceptance is defined as the willingness within a user group to use information engineering to the undertakings it is designed to back up ( Dillon & A ; Morris, 1996 ) . Many research workers have stressed the importance of credence survey. For illustration, Kirk ( 2003 ) urged pressing actions on supplying legal and societal model for credence andintroduction of EMR. Likewise, Gefen ( 2003 ) , Zdon ( 1998 ) , Anderson ( 1997 ) , Moore ( 1996 ) , Baroudi ( 1986 ) , Bardram ( 1997 ) , Bowers ( 1995 ) , Graham ( 1996 ) , and Hubona ( 1996 ) , all discussed similar issue. Furthermore, past experiences show that the attempt to present EMR will ensue in failure and unforeseen effects if their proficient facets are over emphatic and their societal and organisational factors such as the user credence and the diffusion of information system are overlooked ( Gefen, 2003, Anderson, 1999, Moore, 1996 ) . Kirk ( 2003 ) has noted that presently there is no societal model for EMR credence. The closest model theoretical account, which measures perceived usefulness and sensed easiness of usage, that can be adopted is the Technology Acceptance Model ( TAM ) proposed by Davis ( 1989 ) . Tsiknakis ( 2002 ) , Einarson ( 1993 ) , and Neilder ( 1997 ) added that hapless presentation of patient ‘s informations can take to ill informed clinical professionals, medicine mistakes, inappropriate repeat of probe, unneeded referrals, and waste of clinical clip and other resources. Indeed, hapless presentation of patient ‘s information is an interface issue, which warrants more investigation.In obtaining the user credence of wellness attention, peculiarly its system interface, Rosenbaum ( 1998 ) proposed six successful techniques: Involving the user community in needs analysis and demands definition. Designating members of the user community who are involved in the system design as don ( people who receive first preparation and extended preparation ) . Conducting undertaking analysis of the full work procedure, non merely the partsinvolving the clinical information system. Performing user surveies of preliminary paper and pencil paradigms with typical users. Conducting iterative serviceability testing of consecutive paradigms. Visiting infirmaries and other scenes of usage to detect the work procedure, usage of predecessor systems, and beta-test installing Surveies statistics: There is scarce of surveies sing EMR usage in Indian context. Results of some relevant surveies are as follows- Consequence of a research done by Sequist et Al was as follows- The overall response rate was 56 % . Of reacting clinicians, 66 % felt that the EHR execution procedure was positive. One-third ( 35 % ) believed that the EHR improved overall quality of attention, with many ( 39 % ) feeling that it decreased the quality of the patient-doctor interaction. One-third of clinicians ( 34 % ) reported consistent usage of electronic reminders, and self-report that EHRs improve quality was strongly associated with increased use of the EHR ( odds ratio 3.03, 95 % assurance interval 1.05-8.8 ) . The bulk ( 87 % ) of clinicians felt that information engineering could potentially better quality of attention in rural and underserved scenes through the usage of tools such as on-line information beginnings, telemedicine plans, and electronic wellness records. In a survey conducted in the United States, the most normally cited barriers to utilize of EMR systems in infirmaries were unequal capital for purchase ( 74 % ) , care costs ( 44 % ) , opposition on the portion of doctors ( 36 % ) , ill-defined return on investing ( 32 % ) , and deficiency of handiness of trained staff ( 30 % ) . Hospitals that had adopted EMR systems were less likely to mention four of these five concerns ( all except doctors ‘ opposition ) as major barriers to acceptance than were infirmaries that had non adopted such systems. When most of the infirmaries or professionals speaking approximately high cost of EMR, a cost benefit analysis of EMR in primary attention done by Wang et Al shows, In the 5-year cost-benei ¬?t theoretical account ( Table 3 ) , the net benei ¬?t of implementing a full electronic medical record system was $ 86,400 per supplier. Of this sum, nest eggs in drug outgos made up the largest proportion of the benei ¬?ts ( 33 % of the sum ) . Of the staying classs, about half of the entire nest eggs came from decreased radiology use ( 17 % ) , decreased charge mistakes ( 15 % ) and betterments in charge gaining control ( 15 % ) . Though non all benei ¬?ts of an electronic medical record are mensurable in i ¬?nancial footings ; other benei ¬?ts include improved quality of attention, reduced medical mistakes, and better entree to information.CURRENT SCENARIO IN INDIAThe Department of Information Technology ( DIT ) , Ministry of Communication an Information Technology ( MCIT ) have funded several undertakings during the past decennary for development of IT based Healthcare solutions. During the class of these undertakings, the demand for a standard EHR for the state has been strongly felt for interoperable health-care solutions. During the meetings of the National Knowledge Commission for making the national wellness information sciences vision for India, the demand for standard EHR with unafraid storage and entree of EHRs in a storage system crossing. TheA currentA wayA ofA developingA andA usingA healthcareA informationA storeA systemsA hasA led toA aA chaoticA stateA ofA affairsA dueA toA followingA grounds: aˆ? TheyA haveA beenA developedA independentlyA andA doA notA easilyA interoperateA withA each other. aˆ? TheyA followA theirA ownA conventionA ofA making, A maintaining, A andA storingA Electronic HealthA RecordsA ( EHRs ) A ofA patients. aˆ? IfA aA patientA isA treatedA atA differentA hospitalsA atA differentA cases, A differentA EHRs areA generatedA andA storedA forA theA sameA patientA byA theA twoA differentA information systemsA inA useA atA theA twoA hospitals.A AA singleA EHRA forA anA individualA isA desirable irrespectiveA ofA his/herA timeA andA placeA ofA intervention. aˆ? EachA systemA hasA itsA ownA wayA ofA creatingA andA managingA itsA storageA ofA EHRs. Obviously, A such A an A information A shop A is A based A on A both A relational A database engineering, A due A to its A ubiquitousness A and A adulthood A in A pull offing A big A volume A of information, A andA mediaA storageA package, A forA exampleA XrayA pictureA file awaying. DifferentA systemsA useA differentA relationalA databasesA andA differentA mediaA storage softwareA makingA dataA transferA acrossA systemsA impossible/inconvenient. aˆ? MostA ofA theA existingA systemsA useA centralizedA storage, A leadingA toA limitedA scalability andA poorA reliabilityA ( singleA pointA ofA failure ) . AsA aA consequence, A itA hasA becomeA difficultA toA exchangeA EHRsA acrossA differentA systemsA andA to haveA aA unifiedA informationA systemA toA dealA withA oneA EHRA perA person, A irrespective ofA theA timeA andA placeA ofA treatmentA ofA anA person.