Saturday, August 22, 2020

Cheyenne Autumn essays

Cheyenne Autumn expositions Cheyenne Autumn is a film of differentiating perspectives. On one hand it attempts to feel for the Native Americans and yet it gives little an incentive to their lives. The film shows how out of line they were dealt with yet does so unreasonably. It is essential to see for our course since it shows how Hollywood can attempt to depict Native Americans in a light that is vastly improved then the past depictions yet at the same time come up short. The initial scenes are intended to show how glad and honorable the Native Americans are as a people. They look out for the administration authorities until the central falls and still, at the end of the day he denies help. Simultaneously the two principle American Indians haul around a piece pipe with them any place they proceed to even now talk with the Indian talk that is so pervasive in John Ford motion pictures. The fighters are portrayed as upsetting characters since they show how little they vehicle for the Indians. This is clear by how the character Tom Archer alludes to them as being, ...fighters from their first slap on their rear end. He is stating that they are savages since early on and he was prepared into being a savage of sorts, a fighter. This is by all accounts a method of pardoning his brutality. The American Indians, tired of the flake-out by the administration heavy hitters, conclude that it is time they returned to their own territory. The land the legislature has saved for them isn't useful for much and they are disappointed by their treatment. The movie producers were indicating how the American Indians were being misdirected and treated inadequately from the legislature. At a certain point the character, Little Wolf, depicted by Ricardo Montalban says that the white keeps an eye on words are poison. He says when he figured out how to communicate in the white keeps an eye on language it was not loaded up with so much toxic substance. He can talk with intelligence yet not with appropriate English. Cheyenne Autumn is a fascinating film that shows a transitional period in film making. The movie producers tri... <!

Thursday, July 16, 2020

Should You Externalize Your Eating Disorder

Should You Externalize Your Eating Disorder Eating Disorders Treatment Print Should You Externalize Your (or Your Loved Ones) Eating Disorder? Who is Ed Anyway? By Lauren Muhlheim, PsyD, CEDS facebook twitter linkedin Lauren Muhlheim, PsyD, is a certified eating disorders expert and clinical psychologist who provides cognitive behavioral psychotherapy. Learn about our editorial policy Lauren Muhlheim, PsyD, CEDS Medically reviewed by Medically reviewed by Rachel Goldman, PhD, FTOS on January 30, 2020 Rachel Goldman, PhD FTOS is a licensed psychologist, clinical assistant professor, speaker, wellness expert specializing in weight management and eating behaviors.   Learn about our Medical Review Board Rachel Goldman, PhD, FTOS Updated on February 18, 2020 More in Eating Disorders Treatment Symptoms Diagnosis Awareness and Prevention Externalization of the eating disorder is a therapeutic technique popularized in the book Life Without Ed, by Jenni Schaefer and Thom Rutledge. In her recovery, which is summarized in the book, Jenni Schaefer personified the eating disorder as “Ed,” an abusive boyfriend. As Jenni explains on her website, “By thinking of her eating disorder as a unique personality separate from her own, [she] was able to break up with Ed once and for all.” In the book, she and Thom (her therapist) describe the various exercises she used, including talking back to the eating disorder and creating a “divorce decree.” In an Academy for Eating Disorders (AED) tweetchat (2014) on the topic, Jenni Schaefer tweeted, “Ed could say whatever he wanted. To be in recovery, I had to make the decision to disagree with and disobey him.” The strategy itself, referred to as “externalizing” the eating disorder, stems from narrative therapy. A central tenet of narrative therapy is that the person is not the problem â€" rather, the problem is the problem. The person is in a relationship with the problem. Through externalization, the problem is viewed as being something that is affecting the person rather than being a part of the person. Family-based treatment (FBT), an evidence-based treatment for adolescent eating disorders, borrows the process of externalizing the eating disorder from narrative therapy. In FBT, clinicians work to separate the adolescent from the eating disorder. In consultation with the family, they use a metaphor to paint a picture of an external force having invaded the youngster and hijacked their brain. It is common to assign a name to the illness such as “the monster” or “Voldemort” and encourage parents to unite to help their teen fight off the eating disorder. For many patients and family members, externalizing the illness makes sense because the individual does appear to become a “different person” under the influence of the eating disorder. The externalization reframes the situation: rather than saying that the patient wants to restrict their eating, we say that the eating disorder is an alien force that makes them do this. While externalization has gained popularity, research cannot answer definitively whether it is a helpful technique. We do have evidence on the efficacy of FBT, of which externalization is a key component, but FBT includes so many elements that for all we know FBT might work without it. We would need dismantling studies (studies that look at each individual component of a full treatment)  to determine the contribution of externalization to the overall treatment outcome; this is a low-ranking research priority. Potential advantages of externalizing the eating disorder: It offers an efficient and simple metaphor, The eating disorder is possessing you/your teen.It may be helpful in separating patients from symptoms that are egosyntonic (meaning not bothersome to them).It may help mobilize the patient to fight back against the eating disorder by seeing it as separate and alien from their self.It may help families and caregivers direct their anger towards the eating disorder and, as a result, retain empathy for the sufferer.It can put everyone on the same team fighting a common enemy (the eating disorder).It can help the patient be accountable for his or her own recovery by learning to disagree with and disobey Ed. Potential disadvantages of externalizing the eating disorder: Some professionals worry that:Giving the eating disorder its own persona gives the eating disorder too much power.It might allow a patient to blame the eating disorder and not take responsibility for their recovery.Externalization might reinforce dichotomous thinking and helplessness on the part of the patient.This framing can seem to idealize the “true self” and absolves the patient of all responsibility.Patients may:Dislike the idea of separating the eating disorder as it feels like a part of them.Find this technique dismissive or invalidating of their experience.Be angry when their family members externalize the eating disorder.Since many of the characteristics of patients with eating disorders are actually personality traits that are not in and of themselves problematic, there is a risk of inadvertently demonizing the patientSome people find externalizationâ€"which is essentially only a metaphorâ€"too (for lack of a better word) “cutesy” and are put off as a result. So, Should You Do It? Clinicians and family members wanting to use externalization will benefit by considering the potential risks and benefits of using this strategy. If you are a person in recovery and this metaphor makes sense to you, you can learn more about the technique by reading Life Without Ed. If you are a family member of a person in recovery and/or a parent doing FBT, it can also be helpful to consider this as a strategy for talking about the eating disorder with your loved one. Life Without Ed is also good reading for parents and even some adolescents in recovery. An exercise based on this technique can also be found here. If you are supporting a person in recovery and he or she dislikes talking  about the eating disorder as an external force, then you can still use it for your own understanding while minimizing talking about it in front of your loved one. Similar but alternative strategies to externalize include the following. You can listen to the patient and use their words to refer to the eating disorder. An alternative strategy used by eating disorder expert Carolyn Costin, MA, MED, MFT is to think of the patient as having two aspects of their own self, a “healthy self” and an “eating disorder self.” Another option espoused by eating disorder researcher Kelly Vitousek, Ph.D. is to abandon the metaphor altogether and explain these behaviors to the patient as symptoms of starvation. Any of these alternatives can similarly highlight for a patient his or her own ambivalence about recovery. Finally, it is important to emphasize that, regardless of the way an eating disorder is framed, cognitive behavioral change is critical for recovery because individuals with eating disorders need to work on the problematic cognitions that are keeping them from potentially making healthy behavior changes.  Many of the symptoms and dangers of an eating disorder can be related to nutritional deficits and these symptoms are often improved with proper nutrition and normalization of eating behaviors. Medical supervision is usually recommended to manage recovery from an eating disorder.

Thursday, May 21, 2020

The Mexican Gray Wolf - 1543 Words

The Mexican gray wolf is a large prey that, in the past, preyed on livestock which contributed to their near extinction by humans. However, the decline in the Mexican wolf lead to an overabundance in plant life which had a direct effect on other wildlife. There are many challenges involved with re-introducing wolves to other stakeholders such as to academics, mangers, ranchers, or landowners. It is not as simple as taking the Mexican wolf from where they are now and placing them in different areas in Arizona, New Mexico, the US, and across the border in Sonora, Mexico. This is a very large area of land that policies would have to cover. The best ways to illustrate that this concept is not as easy as it may seem are best described by nature culture dichotomy, social-ecological systems involving ecosystems with people, and the Anthropocene comprised with the idea of humans as agents of change. Nature culture dichotomy is a Western world view so it is appropriate to use this analytical approach when discussing the issues associated with the re-introduction of the Mexican wolf to other stakeholders because of the areas where they would be re-introduced. The area is important because the people in these areas will have many of the same thoughts on how they view the re-introduction of the wolves and would possibly react to the re-introduction in similar ways. To elaborate, humans have changed every aspect of nature, mostly for the worse and for our own consumption. People are notShow MoreRelatedThe Mexican Gray Wolf1528 Words   |  7 PagesThe Mexican gray wolf is a large predator that, in the past, preyed on livestock, which led to their near extinction by humans because they were tired of the wolves eating their livestock, they were a danger to people, and there were land use conflicts. 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Both Aztecs and Mayans had many beliefs, rituals, traditions and gods. One of the most important symbols for all the Mesoamerican cultures was the wolf, known in Nahuatl (ancient Aztec dialect) as Cuetlachtli. The wolf was one of the species most appreciated for its bravery and strength and was associated with war, strength, the sun, individual power, and sacrifice. It is many times associated with the goddess Chantico Mexica, theRead MoreRestoration of the Red Wolf Essays2334 Words   |  10 PagesRestoration of the Red Wolf; preventing their extinction once more Ref: (4) USFW (US Fish and Wildlife Service) and IUCN status of the Red wolf The red wolf is listed as endangered under the U. S. Endangered Species Act (ESA) (United States Public Law No. 93-205; United States Code Title 16 Section 1531 et seq.). 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When American soldiers shoot his father−in−law, Mangas, Cochise rides to Mexico and forces a Mexican surgeon to save Mangass life. Cochise is able to secure a reservation that encompasses part of the Apaches land. Crazy Horse Crazy Horse is a Sioux chief who refuses to live on a reservation. As a young man, Crazy Horse distinguishes himselfRead MoreSummary of Bury My Heart and Wounded Knee4423 Words   |  18 Pagesan Apache chief who fights many battles with the American military, escapes capture on several occasions, and helps lead raids against white settlers. When American soldiers shoot his fatherà ¢Ã‹â€ Ã¢â‚¬â„¢inà ¢Ã‹â€ Ã¢â‚¬â„¢law, Mangas, Cochise rides to Mexico and forces a Mexican surgeon to save Mangass life. Cochise is able to secure a reservation that encompasses part of the Apaches land. Crazy Horse Crazy Horse is a Sioux chief who refuses to live on a reservation. As a young man, Crazy Horse distinguishes himselfRead More Proposing Taxation of Products to Preserve Wildlife and the Environment1887 Words   |  8 Pagesnative fish. It is the ignorance of the American people that has lead to the decline and the destruction of wildlife throughout the years.   Stephen Earl Cook was convicted in June 1994 of illegally importing, transporting, and selling more than 600 Mexican red-kneed tarantulas in violation of the Lacey Act. This act prohibits the importation of wildlife taken, transported, and acquired in violation of international or foreign law (Tarantula Trafficking, 14). Collecting this many species from one areaRead MoreEssay about Summary of History of Graphic Design by Meggs14945 Words   |  60 Pages* piet mondrian * bart anthony van der leck * abstract geometric style which sought universal laws of equilibrium and harmony for art * piet mondrian is probably the most famous artist of this style * he used the primary colours with neutrals (gray, white, black) with straight horizontal and vertical lines + flat planes limited to rectangles and squares * artists of the movement sought to use mathematical logic to construct the visual representations of the ideas example of mondrian: ...Read MoreProject Mgmt296381 Words   |  1186 PagesControl for Supply Chain Management, Sixth Edition Jacobs and Chase, Operations and Supply Management: The Core, Second Edition Jacobs and Chase Operations and Supply Management, Thirteenth Edition Jacobs and Whybark, Why ERP? First Edition Larson and Gray, Project Management: The Managerial Process, Fifth Edition Leenders, Johnson, Flynn, and Fearon, Purchasing and Supply Management, Thirteenth Edition Nahmias, Production and Operations Analysis, Sixth Edition Olson, Introduction to Information Systems

Wednesday, May 6, 2020

The Progresive Reform Movement Essay examples - 945 Words

The Progressive Reform Movement played an instrumental role in uplifting American society to new heights. The movement was fairly successful in curing the ills brought on by the massive industrial growth of the late 19th century. Rich executives who had created monopolies and trusts were deemed to have become too powerful, and political imbalances were ruled to be unacceptable. Progressive reform was a cornerstone of the early 1900s and was the issue that defined several presidencies. The Progressive Movement was a result of a century of economic and social neglect. It strived to correct the economic, social, political, and moral justices that had plagued the 19th century and to instill fairness and equal rights for all. Two key goals†¦show more content†¦This modification of the Constitution gave women the right to vote, and effectively created a whole new slant on politics. Corrupt governments began to falter because of the new voting bloc and political party hierarchies began to crumble. The Progressive Movement not only revolution the political landscape of America, but also molded a brand new economic infrastructure. Prior to the movement, the US government enacted a policy of laissez-faire towards the economy. From the early 1800s till the panics of 1893 and 1907 the economy boomed. Politicians were skeptical of pushing reform because they feared that public opinion favored less regulation. However, by the turn of the century this began to change. Due to the Panics of 1893 and 1907 Americans began to demand change. The rise of a more liberal middle class began to change the political outlook of the early 1900s. These people favored fairness in the workplace and more regulation. Two key actions taken by the government to support these goals included the creation of the Federal Reserve and the Federal Trade Commission. The Federal Reserve Board became the central banking system of America. First, it removed the lack of elasticity in the American c urrency. It also prevented privately-run banks from exploiting the currency or banding together in order to drive up premiums and fees. The Federal Reserve was effective in driving down economic corruption and regulating the economy. The Federal Trade

Parasitological examination of biological specimen Free Essays

Ginger Ginger is a knotted, thick, beige underground stem (rhizome). The stem extends roughly 12 Inches above ground with long, narrow, ribbed, green leaves, and white or yellowish-green flowers. The Important active components of the ginger root are thought to be volatile oils and pungent phenol compounds (such as gingerers and gasohol). We will write a custom essay sample on Parasitological examination of biological specimen or any similar topic only for you Order Now 1. 1 Parasitological examination of stool specimen This Is the examination of intestinal parasites. This aspect of the training was designed to Introduce students to the area of Woolgathering. Helmets refer to arms and can be divided to 3 groups: a. Nematodes-Round segmented b. Custodies-Flat segmented c. Dermatomes-Flat engorgement’s. During the collection of stool sample, samples to be examined must be freshly passed. The first test carried out on samples is the macroscopic test which involves the use of the unaided eye to see basic morphological features Including the presence of blood or mucus. The next step Is the microscopic test which Involves two steps: 1 Direct wet preparation 2. Concentration techniques. The procedure of the direct wet preparation is as follows: A drop of normal saline is deed to a clean, grease free slide using a Pasteur pipette. With a swab stick, a tiny quantity of the stool specimen Is collected and placed on the slide containing the normal saline, and Is emulsified with it. After emulsification, the slide Is covered with a cover slip and allowed to stand for 30 seconds to a minute and examined under a microscope using both low and high magnifications(ex. and ex.). It was noticed that the number of parasite eggs determine the degree of infectious parasite that could result. Concentration of the stool specimen allows for easy viewing of hidden micro organisms. Its advantage over the direct wet preparation Is that In cases of light infections, the causative agents can still be viewed and detected. Concentration can be carried out either using brine, or 10% formaldehyde ether. Summarily, brine concentration is a floatation technique employing the use of density. Some substances will float and stick to the cover slip and will be examined, while 10% formaldehyde ether is a sedimentation technique, where the substance desired to be examined descends to the bottom of a tube after centrifugation. The stain used for 1 . AAA Collection and examination of blood specimen This involves in the collection and examination of blood samples. Collection can occur through either finger prick using a sterile lancet-when little quantity is required, or vein puncture using a syringe-when a relatively larger quantity is required. After collection, preparation for microscopic examination follows, and this could be done by direct wet preparation, thin film or thick film methods. The direct wet preparation is carried out as follows: With a Pasteur pipette, 2 drops of blood is placed on a clean, grease-free slide and covered with a coveralls and allowed to stand for seconds to minute, and then viewed under a microscope using low and high magnifications. Note that the standing is for easy identification of motile parasites. In the thin film preparation, a drop of blood is placed on a clean glass slide, CM from the edge (for labeling). Use another slide, inclined at 30-450 as a spreader. (Allowing the blood to spread within the width of the spreader before pushing forward to obtain a monolayer. ) When the thick film method is employed, 2 drops of blood is placed at the centre of a clean slide, and using the edge of another slide, spread the sample in n anti clockwise manner until a diameter of 1 centimeter is obtained. 1. B Staining techniques Staining is employed only when thin or thick layer preparations are used. Stains include: Wright stain, Leaching stain, Ageism and Field stains. It should be noted that Leaching stain is used for only thin films, while Ageism stain is used for both thick and thin film preparations. 1. C Blood group determination Three antiserum- A, B and D are used to determine the possible blood grouping of a given blood sample. 3 drops of the blood sample is placed on a clean slide. A drop of entities A, B, and D are placed on drops 1, 2 and 3 respectively and the agglutination of any of the spots determine the blood grouping. How to cite Parasitological examination of biological specimen, Papers

Saturday, April 25, 2020

The Emotional and Psychological Abuse in “Eveline” free essay sample

In the story â€Å"Eveline† by James Joyce, the main character Eveline is a young daughter of an abusive father. He is not physically abusive though, he is emotionally abusive. The scares of emotional abuse, though invisible, hurt harder and run deeper than physical scars. The Emotional and physiological abuse of Eveline’s father causes her/leads her to become in a paralyzed state of denial insecurity and guilt. Evelines state of denial causes her to create illusions and to deceive herself about frank, her father, and her own strength. Eveline deceives herself about her father to create the illusion that she is not really being abused, but rather that they are living a healthy and happy life. Rather than facing the truth that her father is a possessive and abusive man that treats her like she is an animal, Eveline would prefer to live in denial of that fact because she is not able to stand up to him and she is not physiologically capable to leave him either. We will write a custom essay sample on The Emotional and Psychological Abuse in â€Å"Eveline† or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This effect is so great that not only does she deceive herself when it comes to her father, but her self-deception extends towards all men as well. Eveline also deceives herself thought the story talking about leaving her home as if it is a matter-of-fact. She portrays it to herself in this way in a desperate attempt to convince herself that it is true, though; her weak personality and self-esteem would never allow it. The word â€Å"Dust† is repeated in Eveline enough times that it is almost impossible to be overlooked by the reader. The setting of the story is in Dublin, Ireland. The large amount of rainfall in Dublin keeps the air and ground moist allows little room for dust to be spread around or accumulate. In conclusion, the dust mentioned in â€Å"Eveline† was merely Eveline s illusion. She felt stuffy, uncomfortable and trapped but she couldn’t see it for what it really way, the resulting feeling of the situation she was in. Instead, she denied her situation and blamed this feeling on imaginary dust. Evelines fear of her father and the feeling that she is worthless and being a victim of the people around her makes hel insecure. Eveline s father is constantly threatening her and she is in afraid that one day he will have too much to drink or lose control of himself and beat her. Her fear of her father makes her weak and helpless which leads her to become insecure. In â€Å"Eveline† Joyce mentioned a picture of her father’s friend, whose name Eveline does not know, that he has hung on the wall, and how he would pass it around to visitors when they were over. Her father is clearly fond of this man, yet he had never even mentioned his name to Eveline. This sends her the message that she is so worthless that she doesn’t even deserve to know the simplest and most general things about her father. This has a huge impact of the way Eveline views herself. It is clear from this example that most of the insecurity Eveline is facing is caused by the abuse of her father. Evelines insecurity and low self-esteem leads her to become weak and indecisive. The people around Eveline take advantage of this quality and use it to control her. She does not fight for her rights and she does not object, thereby consenting to become a victim of the people around her. Eviline feels guilty because she is thinking of leaving her father, she feels that the abuse and the tough situation she is in is her fault. Thought the story eviline is constantly creating the illusion that her father is not so bad after all. This is blinding her from the truth of the situation and causing her to feel guilty. The guilt she feels is a big aspect that holds her back from leaving with frank at the end of the story. Joyce mentions â€Å"coloured print of the promises made to blessed Margret Mary Alacoque† (Joyce, P. 4). Eveline lives a religious lifestyle and was raised with the stories of people like Margret Mary Alacoque. Margret Mary Alacoque loved the convent life, which is a strict life of commitment and hard work leaving very little room for fun and entertainment. A life Eveline can easily relate to. Though not only did Margret Mary Alacoque love this life but she had impressed those around her and gained their respect by her devotion to it. Eveline viewed Margret Mary Alacoque as a role model. Yet, in her mind, she had not impressed those around her by her devotion to her hard life enough to gain their respect. Therefore she thought that the reason her father did not respect her was because she wasn’t devoted enough. Her home is so tightly bound with their religion that she unconsciously feels that leaving it means leaving her religion too. And this causes her to feel guilty.

Wednesday, March 18, 2020

Cultural Shift Example

Cultural Shift Example Cultural Shift – Coursework Example Cultural Shift: The Coca-Cola Super Bowl XLVII Advertisement The account of gay people in ifiedadvertisement is less than a decade. Over years, companies have come to accept the inclusion of gay families in their advertisements as part of telling their brand story to an inclusive market. One such advertisement is the Coca-Cola Multilanguage Super Bowl commercial on February 2, 2014 (Emery n.p). To America, this advertisement pioneered featuring the gay community through a gay couple that takes their daughter roller-skating. From the Gay & Lesbian Alliance against Defamation (GLAAD) and the Lesbian, Gay, Bisexual, and Transgender (LGBT) community, the advertisement won in every way. Over the last decade, the shift in public opinion on same sex marriage from 58% in 2003 to 33% in 2013 is an indication of gradual acceptance attributed to huge group of youthful adults (Pew Research n.p). This ascent in the acceptance of gay rights has seen 17 states and the District of Colombia legalizi ng gay marriages. This shift is what the Coca-Cola advertisement took advantage of to show the country the growing majority of Americans from all occupations in favor and support of their LGBT family, friends, and neighbors. Further, the advertisement is a pacesetter to the corporate in America that successful business today also means including LGBT. According to (Ferraro n.p), the behind the scenes revealed one of the dads acknowledging that people can now accept and respect them as a family. Since Coca-Cola a sponsors the World Olympic, GLAAD has called upon the company to condemn anti-LGBT violence and laws hampering the lives of Russian LGBT people (Ferraro n.p).(a) (b)Figure (a) and (b) shows images of the gay couple roller-skating with their daughter and enjoying a coke. Source: Ferraro (n.p) Emery, Debbie. Super Bowl: Coca Cola Gay Dads Commercial Gets Thumbs Up From GLAAD (Video). 2 February 2014. Web. 3 September 2014.Ferraro, Rich. Watch now: Coca-Cola unveils gay-inclu sive ad during Super Bowl XLVIII. 2 February 2014. Web. 3 September 2014.Pew Research. Growing Support for Gay Marriage: Changed Minds and Changing Demographics. 20 March 2013. Web. 3 September 2014.

Sunday, March 1, 2020

How to Conjugate the French Verb Rendre

How to Conjugate the French Verb Rendre The French verb  rendre  (pronounced ren-dre) means to return and is frequently used in idiomatic expressions such as to give thanks to. This chart will show you how to conjugate this regular verb in present, past, subjunctive, and other tenses. Present Future Imperfect Present participle je rends rendrai rendais rendant tu rends rendras rendais il rend rendra rendait nous rendons rendrons rendions vous rendez rendrez rendiez ils rendent rendront rendaient Pass compos Auxiliary verb avoir Past participle rendu Subjunctive Conditional Pass simple Imperfect subjunctive je rende rendrais rendis rendisse tu rendes rendrais rendis rendisses il rende rendrait rendit rendt nous rendions rendrions rendmes rendissions vous rendiez rendriez rendtes rendissiez ils rendent rendraient rendirent rendissent Imperative (tu) rends (nous) rendons (vous) rendez Verb conjugation patternRendre is a regular -RE verbExpressions with rendre

Friday, February 14, 2020

Medicare, Medicaid, and the Delivery System Case Study

Medicare, Medicaid, and the Delivery System - Case Study Example All these approaches have incentives that seem to motivate a certain trend (Guterman, Davis, Schoenbaum & Shih, w238). However, of the above three, the fee-for-service is the traditional one. The capitation approach is up-to-date and is meant to be a step up concerning creating better incentives for preventive care, efficiency, and cost control in health care. Under this payment system, a hospital, a physician, or a medical group receives a given flat fee per month for caring for a patient registered in a managed health care plan, despite the cost of the patient’s care. In the global capitation mode, whole networks of physicians and hospitals band in unison to obtain single fixed per-month payments for registered health plan individuals. The providers sign one contract with a health plan covering the care group signatories, and then they must establish a way of dividing the capitated check among the members. Flexibility in shared savings symbolizes a major feature of the proposed Medicare ACO rule. As such, even though ACOs will be reimbursed by fee-for-services, CMS are also scheduled to come up with benchmarks designed towards every individual ACO. In case the ACO exceeds its specified standard in Medicare cost savings, it definitely qualifies for shared savings. However, it will as well be held accountable for any incurred losses for failing to meet the set benchmarks. In addition, CMS has proposed creating a minimum sharing rate meant to account for normal differences in expenditure that could determine whether ACO reaches or goes beyond its benchmark (Guterman, Davis, Schoenbaum & Shih, w250). In the proposed rules, CMS has set forth two tracks for ACO reimbursement models. Here, ACOs will be asked to serve at least five thousand Medicare beneficiaries for a period of 3years. This new rule gives ACO an opportunity to follow a one-sided risk approach, where only

Saturday, February 1, 2020

Imagining the west Thesis Example | Topics and Well Written Essays - 1000 words

Imagining the west - Thesis Example The proclaimed ideological objective of Early American expansionists was to secure living space in the entire American West for the whites agricultural settlement by cleansing the new space for â€Å"whites† through the displacement of the Native Americans (Carroll 8). The ‘American West† involved racial-imperialist continental territorial expansion incorporating ‘taking’ indigenous’ land by force (Carroll 43). In 1893, Jackson Frederick Turner, a historian of the American West, expressed that frontier and westbound expansion served numerous purposes. The frontier acted like the â€Å"safety valve† reducing overpopulation by allowing Americans to free land. Moreover, the frontier exhibited new financial or economic opportunities as people searched for resources and land to exploit with the goal to guarantee prosperity (Koetzing 4). Turner’s Frontier Thesis accounts factors in the course of American imperialism since it crystallizes many of the desires and hopes that Americans had in the last decades of the nineteenth century (Koetzing 5). According to Turner, the frontier was "the gathering, meeting, point in the middle of civilization2 and savagery". Turners idea of the frontier enveloped ideas of progress, conquest, and individual accomplishment or achievement. Turners concept resonates with the definition of what it is to be an American today: he believed that the advancements of American settlements westwards with the conquest or triumph of landscape clarified American development (Koetzing 6) Turners frontier myth, the "gathering, meeting, point between of civilization and savagery", characterized the American’s relationship with the natural world found and misused for the name of advancement. The West availed the free land on which democracy and equality based system could thrive. The present of a continuously growing frontier was to account for remarkable American qualities: "the presence of a zone of free land, its consistent

Friday, January 24, 2020

The Impact of Ancient DNA Discovered in Siberia Essay -- Exploratory E

The Impact of Ancient DNA Discovered in Siberia For many decades, there has been an overwhelming curiosity about what life was like before humans ruled the earth - back when life on land, off land, and even the very land itself was very different than it is today. Pieces of this puzzle have been discovered all over the world, ranging from perfectly preserved skeletons at the bottom of bodies of water to fragments discovered in vast deserts. Due to the conditions of the ancient finds, there is only so much that can be deciphered about the past, which leads to the creations of various theories of what life was like in different areas and why and when it changed. However, in at least one stretch of land, there is a lot that can be told thanks to one of the best finds in recent history: some of the oldest DNA ever recovered. This amazing find was first reported in April of 2003, when it was told that animal and plant DNA was found in the permafrost of northeastern Siberia (Thomas 2003). The permafrost was located between the Lena and Kolyma rivers of former western Beringia and was drilled out under scrupulous conditions – using extreme care not to let any of the precious samples become contaminated. In fact, strains of specialized bacteria were used to ward off any possible contamination (Willerslev 2003). The event was led by Eske Willerslev of the University of Copenhagen in Denmark (Thomas 2003), who’s international team looked towards drilling for sediment deposits in the layered ice when other areas containing possible ancient DNA samples provided only rare samples that were highly susceptible to extraction and examination difficulties (Willerslev 2003). Fortunately, luck was with the international t... ...nd, oddly enough, the frozen digestive remains of prehistoric animals, important questions have been answered and fierce debates have been settled. This just goes to show that you never know where the next big ancient discovery is going to come from and gives hope for others to keep searching. Works Cited Thomas, Abbie. â€Å"Ancient Dung Reveals a Picture of the Past.† News in Science 18 April 2003. 24 March 2004 . Willerslev, Eske, Anders J. Hansen, Jonas Binladen, Tina B. Brand, M. Thomas P. Gilbert, Beth Shapiro, Michael Bunce, Carsten Wiuf, David A. Gilichinsky, and Alan Cooper. â€Å"Diverse Plant and Animal Genetic Records from Holocene and Pleistocene Sediments.† Science Magazine 17 April 2003. 25 March 2004 .

Thursday, January 16, 2020

Records Administrators and Technicians

Records Administrators and Technicians November 24, 2010 HCR/210 Instructor: Jennifer Briscoe Records Administrators and Technicians The general duties for handling patient records differ between a record administrator (RHIA) and a records technician (RHIT). A RHIT has to have knowledge about medical records and implement the skills that go into filling out all the documents in the files. A RHIA hires and teaches medical record technicians how properly to complete medical documentations.Three specific examples of differences between a record administrator and a records technician are a technician can assist an administrator, an administrator reviews a technician’s work, and an administrator manages or supervises the medical staff at a medical facility. A RHIT has to be knowledgeable in medical requirements, standards, procedures, regulations, and methods. A technician has to know a wide range of medical codes, medical terminology, and medical record content and organization.Al so a technician has to be well-informed in psychology, diseases, anatomical systems, read and comprehend a medical chart, and be familiar with other medical departments. A record technician also has to work with health care insurance. A RHIT has many more specific duties when working with medical records. A RHIT uses many medical record knowledge and skills regularly so they must be accurate with the completed records. A RHIA has to have all the knowledge of a medical record technician because they hire and train the new employees.An administrator only steps into help out a technician if he or she is needed. An administrator also checks a technician work to see if it is complete, accurate, and complies with the federal regulations and facility policies. Administrators are the leaders of facility documentations and develop procedures and policies for the staff. An administrator distributes records when he or she is authorized to by the patients. References: 1997-2010, â€Å"Medical Record Technician† Job Description and Jobs

Wednesday, January 8, 2020

Slavery And Its Effects On The Southern Economy - 1212 Words

Ratified by the states in the winter of 1865, the Thirteenth Amendment was put into play. It declared, â€Å"Neither slavery nor involuntary servitude†¦shall exist within the United States or any place subject to their jurisdiction.† (Primary Documents). Officially, this amendment outlawed the practice of slavery, there was, however, an exception. That exception was the use of involuntary servitude, or slavery, as a form of punishment. More than four million African Americans walked free in 1865, this had a rather negative impact on the Southern economy. And so came the Convict-lease system. Many white Southerners saw this system as a solution to their economic hardships; nonetheless, it was often seen as being worse than slavery. In addition to the convict lease system was the practice of Sharecropping and Peonage. These forms of subjugation brought even greater distress to the newly freed African Americans. Despite the ratifying of the Thirteenth Amendment the abhorrent treatment of this newly freed race did not change significantly thanks to programs like the Convict Lease system, Peonage, and Sharecropping. The novel â€Å"Slavery by Another Name† by Douglas A. Blackmon tells of the hardships the newly freed slaves faced, as well as following the life of a young African American man by the name of Green Cottenham. Born in the 1880s to two former slaves, was then arrested for â€Å"vagrancy† in 1908, was leased out by the state of Alabama to work in a U.S. Steel coal mine, where he isShow MoreRelatedSlavery And Its Impact On The United States986 Words   |  4 PagesSlavery dates back to as early as 1760 BC. It is defined as the condition of a slave; in bondage. A slave is a person who is the property of and wholly subject to another; a bond servant. It fiendishly raised its repugnant head amongst many cultures and nations around the world. 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