The Cloud Based Electronic Health Record - 1495 Words

The Cloud Year after year, installing, upgrading, patching, backing up and, in general troubleshooting server issues was a taxing responsibility that burdened the day to day operations of a practice. Finally, a cloud based electronic health record (EHR) system removes the obligation from playing IT tech and lets one focus on managing practice operations and patient care. More and more, EHR vendors are developing cloud based systems due to the client demand for a product that is reliable, versatile, practical and convenient to all users, including physicians, staff, patients and third party companies. Introducing a practical workflow that streamlines the day to day processes to include record documentation, prescription, diagnostic and laboratory ordering, scheduling, insurance verification, billing and collection tasks, improve effectiveness and efficiency of the practice. As more importance is focused on patient care, as opposed to focusing on purchasing and maintaining hardware and software, a cloud based EHR system relieves some of the financial costs and time consuming duties associated with managing an on-site server. Providing bi-directional integration with laboratories and third party companies with an option to publish results to the patient portal plays a crucial role in enhancing patient doctor relationship while empowering patients to manage their health. Therefore, a cloud based EHR system adds considerable value to the medical practice. Cloud based EHR systemsShow MoreRelatedEssay On Cloud Based Technology1234 Words   |  5 PagesCloud Based Technology in Physical Therapy Background: Cloud computing is a recent development that is growing quickly in healthcare. 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Schizophrenia Is A Severe Mental Disorder Affecting More...

In this assignment, schizophrenia is going to be discussed and antipsychotics are going to be critically analysed, from the World Health Organization they have stated that â€Å"Schizophrenia is a severe mental disorder affecting more than 21 million people worldwide† (WHO, 2016). Schizophrenia is characterized by changes in thinking, perception, emotions, language, sense of self and behaviour. The main things that people have occur with this mental health issue are Hallucinations where a person is hearing, seeing or feeling things that are not there in the first place. They also get Delusions that are fixed false beliefs or suspicions that are firmly believed even when there is evidence to suggest that they are not taking place, a person can also have abnormal Behaviour they can be seen to have a strange appearance, they can start to self-neglect, have incoherent speech, wandering aimlessly without a cause and sometimes be mumbling or laughing to self. The studies and issues There are many problems with follow up studies of patients schizophrenia due to patients who are labelled as having the condition varies from country to country, time to time and which psychiatrist is dealing with the case. The patients chosen could be either sex, be of different age ranges, they could be experiencing their first psychotic breakdown or could be more chronically ill. Any of the factors could affect the course of the psychosis. A patient could be followed at certain times of their life thisShow MoreRelatedSymptoms And Treatment Of Depression1230 Words   |  5 PagesMood disorders are illnesses that describe a serious change in mood, it is a mental illness that occurs in the brain. A person with a mood disorder can have a hard time living normally in their everyday life; from feeling hopeless, drowsiness, lack of good energy and low self-esteem. 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Exporting Rubber Products to China Free Essays

The manufacture of rubber based products such as industrial tyres, tubes, auto parts and components has been a part of Sri Lanka’s economy since the early 1930’s. As one of the largest rubber producing countries, Sri Lanka produces different types, forms and grades of rubber as well as rubber based products for export markets. China accounted 0. We will write a custom essay sample on Exporting Rubber Products to China or any similar topic only for you Order Now 45% of total exports from Sri Lanka to the world, but on the current trend it’s optimistic that China will increase the potential items of exports from Sri Lanka such as rubber products, tea, spices and confectioneries and seafood. China’s demand for rubber was expected to rise 8. % tonnes in 2010 to reflect strong growth in the country’s auto sector. The development of the auto industry is the main driver for the development of market for rubber products in China. The development of highway construction and transportation industry will drive the demand for tyres, engineering rubber products and other rubber products. China consumes 16% of the world’s natural rubber. China has already become the world’s largest rubber consumption than any other country, estimated statistics illustrate China’s top rubber consumer’s position will not be shaken in the period ahead. In recent years, the world’s major rubber companies such as Goodyear, Bridgestone, Michelin and other tire companies have entered China, mass production of export products. As the emerging economic super power, China led solid foundation for the exporters of rubber products by creating potential market opportunities due to its sustained high growth in exports of rubber. Many opportunities are available on improving trade with China considering the strength of the cordial relationship maintained between the two countries by continuous dialogue and trade agreements on mutual understanding. It is reasonably appropriate to commend the trade relationship between the two countries considering the fact its historical relationship and the monumental development in China who will indisputably become the giant in trade industry during this century. China’s membership of Asia Pacific Trade Agreement (APTA) would provide Sri Lanka access to one of the largest markets in the world. It was becoming more important as it gave Sri Lankan exporters access to the emerging giant economies in the world such as China, India and South Korea. Rates of utilization of key trade deals such as the Asia Pacific Trade Agreement (APTA) and South Asia Free Trade Agreement (SAFTA) were low by Sri Lankan rubber exporters. It might be due to exporters are not obtaining certificates of origin from the department of commerce, exporters are not aware of the Free Trade Agreements (FTA) or the importer is not presenting it and getting duty concessions. It’s important to improve exports to China because the potential market for the rubber based products is enormous. Sri Lankan exporters should make aware of the preferential trade terms between China and Sri Lanka and utilize them in the best possible way to develop the export of rubber products. Recently, Sri Lankan Government has used trade policies which would further their foreign policy objectives such as building strong relations with China. Despite Sri Lanka rubber industry being adversely affected by this world crisis, Sri Lanka was able to recover the lost market share and offer its natural rubber at a highly competitive rate under these trade agreements. China commenced import of rubber from Sri Lanka in 1951 even before agreements became effective. China extended a remarkable sense of generosity to the people of Sri Lanka in becoming the principal importer of rubber from Sri Lanka. Although exports under APTA have grown, it was still only about 50 million dollars worth of goods to China, Korea, India and Bangladesh with about 1,800 certificates of origin issued by the commerce department. Natural rubber and rubber products are one of the main products exported under South Asia Preferential Trading Agreement (SAPTA) and Asia Pacific Trade Agreement (APTA). Under SAPTA also total Sri Lankan exports remains modest. While the Free Trade Agreements do not eliminate import tariffs on rubber, it would facilitate to ensure stable cost and supply for China suppliers. The agreement can encourage Sri Lankan exporters to set up distribution offices in China and sell directly to downstream manufacturers in the country. Southeast Asia is the largest source of rubber in the world, particularly Indonesia, Thailand, Vietnam and Malaysia. All of these countries are huge competitors from the Sri Lankan perspective. The quality of output from the region is good and stable as well. China, on the other hand, is the largest global manufacturer of tires and China requires at least 60% of natural rubber used for the industry is currently sourced overseas. There would be a potential market not only for rubber products but also for natural rubber for the exporters of Sri Lanka. China’s rubber market has maintained rapid consumption growth and booming growth patterns remains unchanged. If Sri Lankan rubber producers seek the markets available in the world such as China and build international competitiveness in the industrial rubber products, it would help Sri Lanka to raise national income and create jobs in the particular sector. Rubber industry helps to utilize underemployed labour resources because it needs intensive labour resource and it is also kind of forest rehabilitation. Sri Lanka could shift from exporting of long lived forest products to relatively short lived forest products such as rubber. Sri Lankan rubber products manufacturing industry could achieve remarkable progress with the use of novel technology and sophisticated production facilities. In tandem with the increase in rubber consumption in China, the corresponding increase in the volume and value of exported rubber products has grown significantly. Factors of rapid growth of China’s rubber consumption * Rapid economic expansion As China is at present stage of heavy industrialization there’s a vast need of rubber based products for the appliance manufacturers, automobile companies and various other industries. Major economic indicators such as Gross Domestic Product (GDP), Industrial Production annual growth rate, Fixed Asset Investment Growth Rate and annual growth rate of China demonstrate the potential opportunities available in China. * Automakers have been strong. There’s a rapid growth in vehicle production with the improvement of people’s income levels, middle class expansion of automobile consumption. * Dramatic increase in the road traffic Expansion of the economic output, the acceleration of urbanization, domestic and foreign trade and enhanced standard of living has increased the road traffic significantly in China. Considerable increase in road traffic is a direct stimulus to the major rubber product, industrial tyres. RECOMMENDATIONS AND CONCLUTION 1. It ‘s necessary for private sector to develop and add more value on their rubber based products so as to improve their competitiveness in the Chinese markets as well as to make the best use from the abundant natural rubber in Sri Lanka. * In order to improve their competitiveness, producers of rubber products should develop and enhance their human resources skills, improve their production process to be more efficient and produce higher quality rubber products. In addition, Sri Lankan firms should focus more attention on research and development (RD) to enhance and upgrade their products to be a higher quality in order to meet product standards and requirements in China. * The most important fact is that producers, suppliers and related institutes (Research Institutes, Testing laboratories and so on) should hold hands to form a cluster in o rder to help and support each other in the integrated supply chain. 2. To improve the quality of rubber products to export to China, the producers should study and possess good understanding on China’s compulsory standards and recommended standards. 3. Before exporting to China, the exporters should study and have a good understanding of the current situation in the Chinese rubber markets, the transportation and logistics system in China, regulations and other related policies of the Chinese Government and China’s commitment in the WTO as well as China’s FTA agreements with Sri Lanka. 4. Be cautious of selecting business or trade partners, and select one with potential and credibility. The exporters should emphasize on building close relationships with their Chinese partner to allow for smooth business operations. Connections are one of the most important business customs in China and other social and cultural aspects include joining a meal together and gift giving using two hands as it demonstrates sincerity and intention between two parties. The system of Chinese networking is heavily focused on personal relationships. . The Government of Sri Lanka should encourage public and private sector to add more value on natural rubber, which are abundant in Sri Lanka in order to produce processed rubber products by financially supporting the rubber industry, providing technical and other assistance, developing the human resources, conducting more researches on rubber products as well as encouraging rubber producers to improve the quality of Sri Lankan rubber products to meet the required standards in oreign markets, particularly in China and other foreign countries. 6. The Sri Lankan Government should financially support and establish the research and testing laboratories as well as Sri Lankan researchers and specialists to improve the production processes and upgrade higher standards of Sri Lankan products, including the equipment, machinery and innovation to produce new hi end products. . When taking into consideration fundamental factors such as size of economy, size of population and size of domestic market, it seems that Sri Lanka is not in a position to compete with China. Therefore, its necessary to adapt strategic approaches to co exist with China, particularly to be part of China’s economic growth rather than to explicitly compete with China. Therefore, we suggest the Sri Lankan Government to implement the â€Å"Rise with the Dragon† strategy, in terms of trade and investment in order to be part of China’s production and consumption processes. The export of rubber products to China would be economic growth driven international business to Sri Lanka. As Rubber fall under the main export categories of Sri Lanka, we have a potential of developing the quality of rubber products and there’s a vast opportunity exists in China for Sri Lankan Rubber Products. How to cite Exporting Rubber Products to China, Papers

Longitudinal Study Of The Tobacco Smoking - Myassignmenthelp.Com

Question: Discuss about the Longitudinal Study Of The Tobacco Smoking. Answer: Screening Report Screening Questions Response and Supporting Facts Project and Timing Has a project, plan or policy been proposed? Is there sufficient time to conduct an analysis before the final decision is made? The concept of preventing tobacco smoking in Australia using the framework The National Tobacco strategy 2012-2018 is proposed (www.nationaldrugstrategy.gov.au. 2018). Together with the group of 10 stakeholders, I have proposed to start with Queensland to assess the health impact of the people involved with tobacco smoking The parameters for the project is yet to be defined With the help of the HIA, it is possible to identify the needs of the improvement in regards to tobacco smoking and preventing the consumption. HIA will help in supporting the community to prevent the tobacco smoking in Queensland and gain support for the project The project is of long duration and is multi-jurisdictional It make take more than one or two years Health Impacts Does the decision have the potential to affect environmental or social determinants that impact health outcomes? If so, which determinants and which health outcomes? Would health inequities be impacted? In what ways? Are the proposals impacts to health likely to be significant in terms of the number of people impacted, the magnitude, breadth and/or immediacy of impacts? Do evidence, expertise, and/or research methods exist to analyze health impacts of the decision? Queensland is still recognised to be area with high degree of tobacco smoking despite decline in smoking rate in last decade (Leung et al. 2012) The policy implemented stringently may have positive impact on the health of the tobacco smokers by eliminating the harmful exposure to tobacco, reduce the health affects associated with it and protect the at risk group of people The policy is based on the National Tobacco Strategy The plan is likely to proceed as physical improvement project where the initial target is to reduce the adult smoking rate to 10% of the population in that region currently. It also aims to strengthen the mass media campaign to quit smokers and reshap the social norms related to the tobacco consumption It may impact the health inequities by more number people improving in health outcomes and determinants like poor health awareness or lack of resources in tobacco prevention (Mindell et al. 2010) A significant impact is expected in regards to total number of people affected and immediacy of the impact Our team consist of statistics and research scholars to analyse the change in regards to health outcomes Data is mostly collected in the form of surveys and interviews. It includes both quantitative and qualitative data. Potential Impact of HIA Findings Is health already being considered in the proposal or as part of the decision-making process? Are the links between the proposal and health or health determinants clear? Is the decision-making process open to the HIA and/or recommendations for changes to design, mitigations and/or alternatives? If applied, would HIA findings and recommendations potentially improve the impact that the proposal has on health Health is already considered in proposal in the decision-making process. The proposal to prevent smoking in Queensland is not directly related to health outcomes. Decrease in tobacco smoking will have positive impact on health but it is thee long process and not immediate outcome of the project. Presently, the decision making is open to HIA The other parameter will be taken care while conducting the HIA The proposal is not too closely related to health. Also it is not too distantly related. It is the physical intervention with long term goal to engage locals in smoking prevention habits and clinical interventions However, the HIA findings will potentially improve the health outcomes. For instance, increase in tobacco smokers joining the anonymous programs More than 50,000 people in the remote and disadvantaged location would have awareness and increased access to clinical intervention Potential Impact of the HIA Process What are the potential impacts of the HIA process? (e.g., building relationships, empowering community members, demonstrating how health can be used in decision making) HIA helps create awareness among the stakeholders about the needs of the tobacco smoking people in the selected area, change in the health outcomes, and need of anti-tobacco initiatives or campaigns needed or resources required by the people to take anti-tobacco initiatives (Mindell et al. 2010) The HIA help build; public trust on quitting tobacco. It is advantageous in strengthening relationship through public interaction. The other potential impact involves empowering the people on taking care of their health by demonstrating healthy lifestyle strategies. The HIA process also involved in building relationship with the stakeholders. This process has the potential to enlighten the stakeholders. The stakeholders may integrate the outcomes in the development process as well as design criteria Stakeholder Interest and Capacity Have public concerns about the health impacts of the decision been voiced or documented? Who are the stakeholders and interest groups involved in the decision-making process? Do stakeholders have the interest to participate in the HIA? Do stakeholders have the capacity (resources, skills, etc.) to participate in the HIA? Would stakeholders use the HIA to inform or influence the decision-making process? How? Public concerns are documented and some have been voiced Stakeholders such as Quitline (13 78 48), Cancer council QLD, local health and well being community, high schools, national park, picnic spots, and Community health centre, The Australian Customs and Border Protection Service, The stakeholders are supportive and cooperative in decision-making The stakeholders are highly interested in participating in the decision making process as it is directly related to the community well being. The stakeholders have the skills and resources to participate in the HIA. It can be used to inform the decision making process by supporting and cooperating. The recommendations for design related changes, mitigation and alternatives by the stakeholders can be considered during process The stakeholders may use the information or findings to develop free health checkups or increase referral programs to refer community people to rehabilitation centre or arrange for more physician in remote areas or consultation over the phone. The stakeholder has the resources to increase the mass media campaigns and other health related facilities needed when people quit tobacco consumption. The stakeholders has the power to partnership to reduce the smoking rate among the Indigenous communities They had the power to reduce the exceptions to smoke-free workplaces The long term goals of the project is the major challenge as it has the large scope owing to Queensland being highly populated The other challenges comes from the communications in media campaigns due to multilingual population Moreover, Indigenous communities have high rate of smoking than the normal counterparts. Refelctive report The rationale for the HIA was to recognise the needs of the people in the community in the process of quitting the tobacco consumption and deliver appropriate strategies that can help to prevent the tobacco smoking. Doing the HIA would have helped me understanding the public needs in accessing the tobacco prevention facilities by both the remote and the urban areas in Queensland. Considering the increasing death and disability rate in Australia due to smoking-related illness, the aim of HIA is justified. My initial assumptions were getting clear statistics on the public perception regarding the process and obstacles in quitting tobacco. I assumed gaining plenty of information on the need of the facilities required by the people, rehabilitation program and need of the other clinical interventions to quit tobacco smoking. I assumed a low percentage of people to be aware of the smoking consequences. I expected high need of attending counselling sessions or prevention sessions. The data obtained from screening was surprising. More number of people than I assumed had the good awareness of the smoking consequences. However, the same was not the case of people in the remote and disadvantaged areas. It was due to lack of education and poor access to health facilities. More people in urban than in remote areas were ready for interventions and discussed their barriers in accessing the public health service in this regard. HIA would have impact on the number of people involved in smoking. It will eliminate the determinants like poor access to tobacco smoking interventions. People were responsive than before. They were proficient in explaining the health outcomes as a result of the smoking interventions accessed by them. The stakeholder was more cooperative and enthusiastic than I had assumed. It was easy for me to gain the public trust and bond with them. They were attentive to me when discussing about the referral programs. Most of the people also gave the eviden ce of quitting tobacco smoking. Parents were trying to protect the children from second hand smoke in their house. There were some people who have completely quit smoking and were experiencing the health outcomes such as improvement in asthma symptoms, and lung perforations. The factors that influenced my screening and scoping are the cooperation and interest of the stakeholder. They were open in communication and accepted my ideas and viewpoints. Awareness and responsiveness of the public was the factor that made HIA a quick process. The other parameter that was an added advantage is the use of existing tobacco control policy and framework. Screening and scooping was influenced by the support from the stakeholders and knowledge of the people in Queensland. It was easy to communicate with the people in urban areas, However, the same was difficult when dealing with people in remote areas. Lack of skills in dealing with the multilingual population was a bigger challenge. Lack of awareness and impact of the HIA on health outcomes was a barrier that delayed the process. Other barriers were housing, transport, economic conditions and education. There is a need of better framework in integrating the different types of research evidence in decision making (Hyland et al. 2016). The tight timescales has made the review of the HIA evidence difficult. Further, different stakeholders, need to make recommendations for them, lack of specific expertise in remote areas, diversity of the health impacts and complex casual pathways, and at times difficulty conducting high quality HIA were also barriers. Given an opportunity to advice someone else who was about to undertake the screening and scoping steps of a HIA, I would recommend them to public health centres and community care centres. I would suggest them to evidence based cessation services to support smokers to quit. It can be concluded that the HIA is an important tool to inform the decision making by policy makers. Although it may be subjected to criticism for lacking the use of evidence in decision-making, it is useful in influencing the health outcomes. Policy making is required as the individuals health is influenced by range of factors. HIA is important in gaining better information on public health and develop appropriate strategies. I agree that policies have significant impact on the public health. HIA helps improving the health care provision. I have learned that HIA has the potential to change the health determinants. Screening and scoping are practical approach to identify the positive and negative impact of health proposal. This flexible approach is effective in maximising the health gain opportunities. Overall, my knowledge in this subject has enhanced. References Hyland, A., Ambrose, B.K., Conway, K.P., Borek, N., Lambert, E., Carusi, C., Taylor, K., Crosse, S., Fong, G.T., Cummings, K.M. and Abrams, D., 2016. Design and methods of the Population Assessment of Tobacco and Health (PATH) Study.Tobacco control, pp.tobaccocontrol-2016. Leung, J., Gartner, C., Hall, W., Lucke, J. and Dobson, A., 2012. A longitudinal study of the bi-directional relationship between tobacco smoking and psychological distress in a community sample of young Australian women.Psychological medicine,42(6), pp.1273-1282. Mindell, J., Biddulph, J., Taylor, L., Lock, K., Boaz, A., Joffe, M. and Curtis, S., 2010. Improving the use of evidence in health impact assessment.Bulletin of the World Health Organization,88(7), pp.543-550. www.nationaldrugstrategy.gov.au. 2018.National Tobacco Strategy 20122018. [online] Available at: https://campaigns.health.gov.au/drughelp/resources/publications/report/national-tobacco-strategy-2012 [Accessed 3 Feb. 2018].