Intercompany Profits Case Study Example | Topics and Well Written Essays - 750 words

Intercompany Profits - Case Study Example There are factors that the organization considers in inferring the strategy to utilize, for example, possession and impact. For this situation, the investigation of the auxiliaries is remembered for the combined fiscal reports. The standards of bookkeeping state that the intercompany stock exchanges, for example, an exchange between Verizon Wireless and Wireline, must dispense with all the incomes and costs recorded by the included gatherings in the planning of the combined salary proclamation. The benefits or misfortunes that are accumulated in the exchange of stock are conceded, to where the stock is offered to a non-subsidiary (Christensen, Cottrell, and Baker, 2013). The intercompany benefits that are acknowledged by Verizon and its auxiliaries are considered as a solitary substance to guarantee that the main chronicled cost of the stock is remembered for the business’s monetary record. All things considered, the benefits that might be acknowledged by the parent organization (Verizon) are wiped out until when the products are offered to a non-subsidiary. In readiness of the merged money related report, the gross benefit that is acknowledged by Verizon is just when the stock has been offered to a non-auxiliary since the intercompany benefits are dispensed with. Contentions are that, in the stock between move, paying little heed to the cost at which the trade has occurred, no genuine benefits have been acknowledged, from the united viewpoint, yet the benefit is acknowledged after exchanging of stock to non-associates (Christensen et al., 2013). Verizon disposes of all the intercompany benefits, as it no longer applies the arrangements and administrative bookkeeping gave by the FASB 71 (1994). Harley-Davidson is enrolled as the parent organization to two organizations. The Harley-Davidson Motor Company (HDMC) manages cruisers and related items while the Harley-Davidson Financial Services (HDFS) offers monetarily related types of assistance to different customers. In Harley-Davidson’s merged explanations, theâ entities are sourced from both organization auxiliaries and other possessed elements by the organization.

The Smartest Kids in the World; Amanda Ripley Essay

The Smartest Kids in the World; Amanda Ripley - Essay Example The Trends in International Mathematics and Science Study (TIMS) is another training approach that principally centers around less work issues and more regarding the matter explicit information and the abilities that the school instructs the understudy during the learning procedure. Patterns in International Mathematics and Science Study is an approach that doesn't concern whether the understudy can have the option to apply their logical and scientific information in the genuine circumstance while Program on International Student Assessment has no worry in either estimating the student’s aptitude expected to prevail in their advanced degree nor to participate in specialized callings. Along these lines, schools utilize the two arrangements in their training framework as they supplement one another and will improve the instructive result in schools (Ripley, 2013). As indicated by Ripley (2013) Korea, Finland and Poland utilize PISE as the training strategy in their schools and this sort of framework is viewed as the explanation for their creation of probably the best understudies on the planet. This framework draws out the contention that, following understudies, that is putting the children in skilled classes at an early age with the goal that they can have the option to comprehend what precisely their profession holds for them, will in general lessen the learning procedure in schools boosting disparity to places where it was actualized. It is said when this sort of instruction framework is applied, the understudies who were in the higher performing classes started to consider themselves less talented thus bringing down their confidence while shockingly those in the lower performing classes in this sort of training strategy built up an uplifting attitude about themselves thus expanding on their confidence.

11 on Faith and Religious Beliefs

The Effects of 9/11 on Faith and Religious Beliefs More in PTSD Causes Symptoms Diagnosis Treatment Coping Related Conditions PTSD and the Military The world was shocked by the terrorist attacks of September 11, 2001, and one of the effects of 9/11 was on religious beliefs. Although the research showed that most people who lost a loved one on 9/11 did not experience a change to their religious beliefs, about a fifth of these people did experience a shift in their faith. Have you experienced a traumatic event that has left your beliefs shaken? Are you possibly dealing with PTSD? Find out how traumas shape our religious beliefsâ€"and how you can get help for your lasting pain.   How 9/11 Affected Peoples Religious Beliefs The 9/11 terrorist attacks brought on feelings of anxiety and vulnerability as many Americans had their sense of safety and comfort threatened. Given the traumatic nature of 9/11, its not surprising that this event would also test peoples religious beliefs. The lives of many people permanently changed on 9/11 when they were faced with the unexpected loss of loved ones. A group of researchers affiliated with the New York State Psychiatric Institute, Columbia University and the Veterans Administration Boston Healthcare System surveyed a large number of people who had lost a loved one during the 9/11 attacks. About a quarter had lost a child, relative, or spouse, and most people had lost someone as a result of them being near the World Trade Center or in lower Manhattan during the terrorist attacks. The primary findings of the study can be summarized by the following: Most of the people in the study felt their religion to be just as important after the 9/11 terrorist attacks as it was before the attacks.About a tenth of people said religion became more important after the 9/11 terrorist attacks.  It seems that some people may have relied on their religious beliefs in an attempt to make sense of the terrorist attacks or gain comfort in response to their loss.Another tenth said that religion became less important to them  after the 9/11 terrorist attacks. This was particularly the case for people who lost a child during the attacks.  These people may have become disillusioned or may have begun to question aspects of their faith after the terrorist attacks.People who said their religious beliefs were less important following the event were more likely to experience complicated grief, have  major depression  and  develop PTSD. On the other hand, people who said their religious beliefs were more important after 9/11 didnt seem to increase or decrease t he risk of these problems. Managing Intrusive Thoughts Your Religious Beliefs and Recovering From a Traumatic Event Lets explore what these findings mean for you if youve experienced trauma. When faced with a major traumatic event, such as the 9/11 terrorist attacks, its natural to struggle with how to make sense of that event. This is especially going to be the case if you lost a loved one during that event. Unfortunately, struggling with your religious beliefs following a traumatic event can have a big impact on how well you adjust to that traumatic event.   Relying on and strengthening religious beliefs is one way people may choose to cope with a traumatic event and unexpected loss. Religion and spirituality can help some people adjust and recover from a traumatic event. However, its important to note that religion is not the only way to recover from such an event. A number of other factors have been found to be associated with recovery from a traumatic event. You may want to explore: Seeking out social supportHelping othersUsing healthy coping strategiesSeeking out therapy How you cope with a traumatic event and the loss of a loved one is a very personal experience. Its very important that you find the strategy that works best for you. If you lost a loved one as a result of 9/11, there are several websites that provide helpful information on coping and recovery, such as the September 11th Families Association and the Families of September 11th.

Jessie White . Ms.Holmes . Fifth Period . English 4P .

Jessie White Ms.Holmes fifth period English 4p Sex parts are social and individual. They set a standard of how men and ladies should think, talk, dress,etc. Both inside and crosswise over various societies we discover awesome consistency in benchmarks of alluring sexual orientation part conduct. Guys are required to be free, decisive, and focused; females are relied upon to be more detached, touchy, and strong. These convictions have changed minimal in the course of recent years inside the Unified States and clearly around the globe as well.The part of a man and a lady in the public arena is affected by an assortment of variables. These components change with the locale, religion, culture, atmosphere, recorded convictions, living†¦show more content†¦Sex parts have a bigger effect on society than the vast majority figure it out. Lethal Manliness is genuine because of unsafe sexual orientation roles.Both thoughts are toxic and conceivably dangerous, however factually, the quantity of dependent and beset men and their simi larly shorter life expectancies demonstrates manliness is really the more compelling executioner, taking care of business quicker and in more prominent numbers. Masculinities losses of life are credited to its more particular signs: liquor abuse, workaholism and savagery. Notwithstanding when it doesn t truly execute, it causes a kind of profound demise, leaving numerous men damaged, separated and frequently unconsciously discouraged. (These issues are increased by race, class, sexuality and other minimizing elements, yet here how about we concentrate on early adolescence and juvenile socialization generally speaking.) To quote artist Elizabeth Barrett Searing, tis not in death that men pass on most. And for some men, the procedure starts some time before masculinity.. These sexual orientation parts are appeared in media and surrounding us in our regular day to day existences. Phrases like young men will be kid are destructive in light of the fact that they are generally a reason fo r young men or men to be ill bred towards ladies and that it is by one means or another alright on the grounds that they are young men. Young men are instructed to extreme and to not cry

The Life of Equiano Analysis - 1232 Words

Joseph Ortiz Professor Graves M.E.British Lit Paper 1 Topic #4 A Complex Argument Olaudah Equiano’s The Interesting Narrative and Other Writings takes a particularly complicated stance in its critique of slavery. While Equiano has a (biased) tendency to focus on the good natured character of African slaves, he also tends to portray them as a commodity, a title he immensely fears. In addition, Equiano appears throughout the narrative to attempt to forsake his African identity, leading some to believe that Equiano is complicit towards his stance on slavery. However, Equiano also portrays slavery as an affront to all of humankind and argues against the separation of families caused by slavery. This makes Equiano’s critique of slavery†¦show more content†¦African women are promiscuous 2. Africans are depicted as degenerate During this time period it was believed that African women were mostly promiscuous, a notion that Equiano completely dispels.â€Å"Our women too were, in my eyes at least, uncommonly graceful, alert, and modest to a degree of bashfulness; nor do I remember to have ever heard of an instance of incontinence amongst them before marriage† (38).He also notes that white women â€Å"were not so modest and shamefaced as the African women† (68), a comparison Equiano uses to enhance the good nature of African women. Equiano is also amazed that the white people don’t participate in sacrificial services, eat with unwashed hands, and touch the dead (68).These observations show a distinct separation between the whites and Africans, to which Equiano seems to be caught in the middle. However, Equiano seems to go out of his way to portray Africans as â€Å"cheerful and affable† (â€Å"two of the leading characteristics of our nation†), especially in the aspect of fa mily. This can be seen explicitly when Equiano recalls the instance where a women accused of adultery was spared the death penalty â€Å"on account of a child† (33). Equaino sentimentalizes the notion of family bond in an â€Å"ethos† argument against slavery. His experiences with his sister – being ripped apart several times throughout their excursion in slavery together – ring aShow MoreRelatedOlaudah Equiano Analysis851 Words   |  4 Pagesslave narrative and writer is, Olaudah Equiano because I believe his narrative provides an analysis of the treatment slaves experience and witness. Reading From The Interesting Narrative of the Life of Olaudah Equiano, or Gustavas Vassa, the African, Written by Himself, describes a typical slave who faces challenges while being separated from his family, but also has an opportunity most slaves don`t have which is, the ability to purchase his freedom. Equiano embodies the self of a slave who doesntRead MoreThe Interesting Narrative of the Life of Olaudah Equiano or Gustavus Vassa, the African938 Words   |  4 PagesBorn in 1745, Equiano was born a member of the Igbo tribe in a village called Essaka in the kingdom of Benin. He describes Essaka as a remote and fertile village where slavery is a part of life. Born into a family of seven, Equiano is the youngest of six sons and the greatest favourite of his mother. One day, when he and his sister were left to mind their house while their people were gone to their work, they were both kidnapped and enslaved, violating the unwritten rules that slaves should onlyRead MoreSlaves Narratives: Frederick Douglass, Olaudah Equiano Essay1477 Words   |  6 PagesSojourner Truth, Frederick Douglass, and Olaudah Equiano all have extremely interesting slave narratives. During their lives, they faced plenty of racist discrimination and troubling moments. They were all forced into slavery at an awfully young age and they all had to fight for their freedom. In 1797, Truth was born into slavery in New York with the name of Isabella Van Wagener. She was a slave for most of her life and eventually got emancipated. Truth was an immen se women’s suffrage activist. SheRead MorePrimary Source Analysis : Equiano937 Words   |  4 PagesPrimary Source Analysis – Equiano Olaudah Equiano had a very unique experience with the slave trade system. He began conveying his experience with how he was captured in his village by two men and a women, who kidnapped him and his sister. Their captors traveled with them for a few days before separating the siblings, and selling Equiano to his first master. He was treated fairly well, even when he ran away for a day and came back, he says his master â€Å"having slightly reprimanded me, ordered meRead MoreAnalysis Of The Narrative By Ayub Suleiman Diallo1435 Words   |  6 Pageswhich he describes the state of slavery in Africa. Secondly, there will be the analysis of the narrative by Ayub Suleiman Diallo, in which he recall how he was captured and taken to slavery. Thirdly, the paper will use the narrative by young Olaudah Equiano, who remembers how he was kidnapped into slavery. Lastly the analysis on kidnapping story by venture Smith while at the age of six will be used in the paper. The analysis of the narratives According to John Barbot, who was an agent of a company dealingRead MoreThe Plight of The African Slave Essay1558 Words   |  7 Pagesand subjected to the harsh life on the plantations. When this happened, their authentic cultures were drastically changed from the way of life in their native homelands in Africa to life in the plantation society of the American colonies. In this essay, I will attempt to show how the enslaved Africans’ authentic culture was immensely disrupted by using the â€Å"Culture Conflict Model† as a guide. To aid in my analysis, I will be drawing upon the works of Olaudah Equiano, Venture Smith, Frederick DouglasRead MoreEarly Slavery; Middle Passage, and Other.1508 Words   |  7 PagesThe Middle Passage is the journey the abducted slaves undertook while going to the new world. This trip was treacherous for these African people because they were forced to live in unsanitary conditions, confined to chains, whipped and tortured. Analysis Thomas Phillips was the captain commander of the ship called the Hannibal. On this journey he picked up his slaves and made this journey known as the middle passage. This document shows how the experience this commander went through and also theRead MoreEnslavement Disrupted the African’s Authentic Culture Essay1593 Words   |  7 Pagesa result, their authentic cultures were drastically changed from the way of life in their native Africa to life in the plantation society of the Americas. In this essay, I will attempt to show how the conditions of enslavement disrupted all dimensions of the African’s authentic culture. To aid in my analysis, I will be using the â€Å"Reid Culture Conflict Model† as a guide and also drawing upon the works of Olaudah Equiano, Venture Smith, Frederick Douglas, Harriet Jacobs, and William Wells Brown, theRead MoreOlaudah Equiano s Influence On African Diaspora History1941 Words   |  8 Pages In 1745, Olaudah Equiano was born in Eboe, which is now Nigeria. When he was about eleven years old, he was kidnapped and sold to slave traders heading to the West Indies. Though he spent a short time in the state of Virginia, much of his time in slavery was spent serving the captains of slave ships and British navy vessels. One of his masters, Henry Pascal, the captain of a British trading vessel, gave him the name Gustavas Vassa, which he hardly used throughout his life. Paul Lovejoy, CanadaRead MoreThe Destructiveness Of The Slave Trade985 Words   |  4 PagesATIENZA, Rizsa Mae 03 October 2015 Fall 2015 HIST 177 Primary Document Analysis The Destructiveness of the Slave Trade Olaudah Equiano begins the narrative by describing his home. He paints for his audience a charming, very fruitful picture of his province Essaka. It was a place where all the neighborhood children would come together and play whilst their parents were away laboring in the fields. He recalls being taught by his mother how to defend himself. They would practice shooting and throwing

Muti-racial success in schools Free Essays

It is interesting to note the results of Grace Kao’s study of a multi-racial group of high school students with focused on how students from different races varied their measurement or definition of success. Individuals have set criteria, which over the years served as the standards in perceiving how one student can consider himself or herself successful. Students have classified their classmates belonging to different race and create mindsets based from physical differences like skin color and from natural origin or based from cultural characteristics. We will write a custom essay sample on Muti-racial success in schools or any similar topic only for you Order Now Changing or modifying student’s perception on success will not be an easy thing. The educator must consider the existing perceptions, skills, and knowledge of the students in attempt to modify their meaning of success. Every student must be encouraged to discover his or her potential and make use of it to the fullest. Academic institutions should have well rounded programs that will cater to and showcase the students’ unique abilities. In this manner, they will realize that being academically successful does not only pertain to passing a course, attaining high grades, receiving awards, or earning good jobs but more importantly, success is using potentials to their fullest and being satisfied with their performances. It must also be clear to them that an individual can be considered successful regardless of race or ethnicity. There should also be avenues for knowledge and skills sharing among multi-racial students. In this manner, they will develop appreciation of what they can offer and what others can share with them.   Healthy competition and respect for individuality must be consistently promoted. There is nothing wrong with multi-racial students setting their own standards of success, but these perceptions should not limit them from being truly successful in life. The challenge for educators is how to create a learning atmosphere that can motivate students to do away with stereotyping based from race and ethnicity and to treat one’s self as a unique individual with a set goal in his or her academics to be successful. References Kao, G. (2000). Group Images and Possible Selves Among Adolescents: Linking Stereotypes to Expectations by Race and Ethnicity, Sociological Forum, Vol 15 no 3, 2000. Retrieved, April 17, 2007, from http://www.sas.upenn.edu/~grace2/kao.soc.forum.2000.pdf. Race and Ethnicity. Retrieved, April 17, 2007, from http://www2.austincc.edu/jtaylor/outlinech9.htm. Wikipedia. Perception. Retrieved, April 17, 2007, from http://en.wikipedia.org/ How to cite Muti-racial success in schools, Essay examples

Ham vs. laertes Essay Example For Students

Ham vs. laertes Essay A foil is a means by which an author or playwright reveals one character in contrast with another character. In Hamlet, a play by William Shakespeare, the use of a foil is evident among the characters Hamlet and Laertes. Although adversaries, Laertes and Hamlet share several characteristics which make them similar, enabling the audience to learn more about each character individually. There are a variety of supports regarding this discussion throughout the play. Their love for Ophelia, association with their respective families and their similar but differentiated purpose for angered actions, are the primary examples to show the character revelations through a contrast of Hamlet and Laertes.Hamlet and Laertes share a different but deep love and concern for Ophelia. Prior to his departure to France, Laertes provides advice to Ophelia concerning her relationship with Hamlet. Laertes voices his concern of Hamlets true intentions towards Ophelia and advises her to be careful of Hamlets love. Laertes also constantly reminds Ophelia that Hamlet will have probably have an arranged marriage and that Ophelia will be wasting time with Hamlet. Hamlets strong love for Ophelia fades after she rejects his closeness. Hamlets broad love for Ophelia caused Hamlet serious suffering after the affection toward Ophelia was rejected. Hamlets appearance changes accordingly with this rejection of love from Ophelia, Pale as his shirt, his knees knocking each other, and with a look so piteous in purport, As if he had been loused out of hell. (II, i, 82-84). When Laertes learns of the death of Ophelia, shock and sadness overcome Laertes, similarly, Hamlet is shocked and sad over Ophelias death. Hamlet and Laertes are so deeply disturbed at the death of Ophelia they jump into her grave and fight each other. Although Hamlet and Laertes both despised each other, both Hamlet and Laertes loved Ophelia. Hamlet was infatuated with Ophelia, which was obvious during his constant suffering over her rejection of Hamlet. It is also evident at Ophelias funeral that Hamlet still had feelings for Ophelia, I loved Ophelia; forty-thousand brothers Could not, with all their quantity of love, Make up my sum. (V, i, 263-265). It is arguable whether or not this was an act by Hamlet just to oppose Laertes, but the love that Hamlet and Laertes had toward Ophelia is clear. At Ophelias funeral the opposition between Hamlet and Laertes causes the audience to learn how each characters love for Ophelia was evident yet different. Hamlet and Laertes are similar in the way they associate with their families. Laertes highly respects and loves his father Polonius, And so have I a noble father lost. (IV, vii, 25). Similarly, Hamlet holds a great respect for his dead father, this is clear in the scene with Gertrude, See what grace was seated on this brow: Hyperions curls; the front of Jove himself. (III, iv, 57-59) . After the death of Polonius and Old Hamlet, Hamlet and Laertes struggle to seek revenge on the assassins. Hamlet and Laertes are very dominating when it comes to the women in the family. Laertes gives Ophelia guidance on her relationship with Hamlet. In the same way, Hamlet is able to persuade Gertrude he is not mad and persuade her to follow his instructions. Hamlet directs his mother to convince Claudius of Hamlets madness. Hamlet is able to make Gertrude feel guilt towards her actions toward Old Hamlets death, Thou turnst mine eyes into my very soul, and there I see such black and grained spots as will not leave their tinct. (III: iv, 90-93). Also, Hamlet tells Gertrude not to sleep with Claudius. .ucf1f762c611867a3d1d0f2b644cf3d2b , .ucf1f762c611867a3d1d0f2b644cf3d2b .postImageUrl , .ucf1f762c611867a3d1d0f2b644cf3d2b .centered-text-area { min-height: 80px; position: relative; } .ucf1f762c611867a3d1d0f2b644cf3d2b , .ucf1f762c611867a3d1d0f2b644cf3d2b:hover , .ucf1f762c611867a3d1d0f2b644cf3d2b:visited , .ucf1f762c611867a3d1d0f2b644cf3d2b:active { border:0!important; } .ucf1f762c611867a3d1d0f2b644cf3d2b .clearfix:after { content: ""; display: table; clear: both; } .ucf1f762c611867a3d1d0f2b644cf3d2b { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ucf1f762c611867a3d1d0f2b644cf3d2b:active , .ucf1f762c611867a3d1d0f2b644cf3d2b:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ucf1f762c611867a3d1d0f2b644cf3d2b .centered-text-area { width: 100%; position: relative ; } .ucf1f762c611867a3d1d0f2b644cf3d2b .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ucf1f762c611867a3d1d0f2b644cf3d2b .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ucf1f762c611867a3d1d0f2b644cf3d2b .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ucf1f762c611867a3d1d0f2b644cf3d2b:hover .ctaButton { background-color: #34495E!important; } .ucf1f762c611867a3d1d0f2b644cf3d2b .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ucf1f762c611867a3d1d0f2b644cf3d2b .ucf1f762c611867a3d1d0f2b644cf3d2b-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ucf1f762c611867a3d1d0f2b644cf3d2b:after { content: ""; display: block; clear: both; } READ: Business Ethics Essay The fathers of Laertes and Hamlet both attempted to use spies to gain information on their sons, although not Hamlets real father Claudius was Hamlets uncle as well as stepfather. Claudius used Rosencrantz and Guildenstern to gather information on Hamlet. In comparison, Polonius used Reynaldo to check up on Laertes. Hamlet and Laertes share similar aspects within their families, again providing the audience with individual traits and actions of each character. Laertes and Hamlet both display hasty reactions when angered. Once Laertes discovers Polonius has been murdered Laertes immediately assumes that Claudius is the murderer. As a result of Laertess assumption about

Role of Ministry of Health in Malaysia Essays

Role of Ministry of Health in Malaysia Essays Role of Ministry of Health in Malaysia Essay Role of Ministry of Health in Malaysia Essay The Ministry of Health’s role is basically to lay the policy and the direction of health services in the country and to show the commitment of the Government, and the powers-to-be, that health is of utmost importance in nation building. And the role of the ministry is to enforce regulations and be the regulator. Imagine if there is no Ministry of Health, anybody can make the claim that their product is the best for health; anybody can set up a hospital. Nobody to regulate the quality of the workforce involved the quality of healthcare, and the quality of equipment. So the Ministry of Health has a big role as a regulator and policy maker. The Ministry of Health, being the lead agency in health provides leadership on matters relating to health and also sets the direction for health care development in the country. During the Ninth Malaysia Plan period (2006 – 2010), efforts will be undertaken to consolidate health care services, enhance human resource development and optimize resource utilization. The Strategic Plan for Health is a summary of the Country Health Plan, which was developed for the Ninth Malaysia Plan (NMP). It is intended to be a quick reference for all programs, institutions and state departments under the Ministry of Health to ensure that all activities and resources are directed towards similar goals. Achieving the Ministry’s mission and goals will require sustained commitment. The plan will not only serve as a guide within the Ministry of Health, but will also provide a framework for other stakeholders to work together towards improving our health care system. Without doubt, Malaysia has one of the best health systems in the region. The recently released Country Health Plan: 9th Malaysia Plan 2006-2010 has detailed out the health plan for Malaysia. Much effort had been put into its development. It involved months of deliberations and serious thoughts. Multiple parties, both from within and outside the Ministry of Health, had come aboard to contribute to its contents. Many a supporting document had been scrutinized. The Strategic Plan presents the Country Health Plan at a glance. It is intended to be a guiding light, for all programs, institutions and state departments under the Ministry of Health, to ensure that no activity and resources go astray; that they are aligned along the same intended path. The health status of Malaysians has improved significantly since the nation achieved its independence in 1957. Despite such success, there remain issues and challenges that need to be addressed. These matters in question range from the evolvement of disease patterns to the administration of health services. As the custodian for health in the country, it is imperative that the Ministry of Health addresses these concerns in the interest of boosting the system which in turn will ensure the health of the people. The Ministry of Health shall give emphasis to the changing patterns of communicable as well as non-communicable diseases, including mental health. At the same time, it will persevere to provide universal coverage of healthcare services at affordable costs. Provision of quality of services and optimization of health resources, in the forms of human, financial, infrastructure and technological will be given priority, both in the public and private sectors. The Ministry of Health will also not overlook the marginalized population such as the underprivileged and elderly as well as those living in the remote parts of the country. At present, the Ministry of Health’s initiatives at reforming healthcare are in progress to support these efforts. Its feat at enriching the health status of Malaysia depends greatly on the promotion of wellbeing to individuals and communities. It shall rely on the awareness, conduct and use of research evidence to continually improve its performance to meet local and global demands. The areas of health care quality, tourism and informatics shall be strengthened to provide the Ministry of Health with the competitive edge on the international platform. The Ministry of Health’s vision for health is to make Malaysia as a nation of healthy individuals, families and communities, through a health system that is equitable, affordable, efficient, technologically appropriate, environmentally adaptable and consumer-friendly, with emphasis on quality, innovation, health promotion and respect for human dignity and which promotes individuals responsibility and community participation towards an enhanced quality of life. The Ministry of Health has a mission to build partnerships for health, to motivate and facilitate the people to fully attain their health potential, appreciate health as a valuable asset, and to take positive actions to further improve and sustain their health status. The Ministry of Health’s vision for the future and the strategic objectives are based on its corporate values that incorporate professionalism, teamwork and caring. The Ministry of Health has some strategic goals which are to prevent and reduce the burden of disease, enhance the healthcare delivery system, optimize resources, improve research and development, manage crisis and disasters effectively, and to strengthen the health information management system. Ministry of Health has some strategies. First, they want improve governance, and adoption of appropriate technology and service practices to empower individuals, families and communities towards attaining lifelong wellness. Second, they will develop skills and competencies to further reduce mortality and morbidity rates in furtherance of strengthening the quality of healthcare delivery. Third, they aim to establish effective business strategies to enhance organizational performance and the consumption of resources. Then, they will increase the use of evidence through research to support all levels of decision making. Other than that, Ministry of Health will elevate the level of preparedness in managing disasters and health-related crises effectively. And lastly, they will upgrade the standards of information and communication technology as well as health informatics to maintain sound health information management. The Ministry of Health is a vast organization comprising of different Programs and Divisions, with varying functions and responsibilities. These components have in turn formulated strategies to uphold the above strategies of the Ministry of Health. Reproductive medicine is a branch of medicine that deals with prevention, diagnosis and management of reproductive problems; goals include improving or maintaining reproductive health and allowing people to have children at a time of their choosing. It is founded on knowledge of reproductive anatomy, physiology, and endocrinology, and incorporates relevant aspects of molecular biology, biochemistry and pathology. In the assessment of patients imaging techniques, laboratory methods and surgery may be needed. Treatment methods include counseling, pharmacology, surgery, and other methods. Reproductive medicine addresses issues of sexual education, puberty, family planning, birth control, infertility, reproductive system disease (including sexually transmitted diseases) and sexual dysfunction. In women, reproductive medicine also covers menstruation, ovulation, pregnancy and menopause, as well as gynecologic disorders that affect fertility. The field cooperates with and overlaps to some degree with gynecology, obstetrics, urology, genitourinary medicine, medical endocrinology, pediatric endocrinology, genetics, and psychiatry. Reproductive rights are rights relating to reproduction and reproductive health. The World Health Organisation defines reproductive rights as follows: Reproductive rights rest on the recognition of the basic right of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so, and the right to attain the highest standard of sexual and reproductive health. They also include the right of all to make decisions concerning reproduction free of discrimination, coercion and violence. Reproductive rights is an umbrella terms that may include some or all of the following rights: the right to legal or safe abortion, the right to control ones reproductive functions, the right to access quality reproductive healthcare, and the right to education and access in order to make reproductive choices free from coercion, discrimination, and violence. Reproductive rights may also be understood to include education about contraception and sexually transmitted infections, and freedom from coerced sterilization and contraception, protection from gender-based practices such as female genital cutting, or FGC, and male genital mutilation, or MGM. Reproductive rights were first discussed as a subset of human rights at the United Nations 1968 International Conference on Human Rights. The sixteenth article of the Proclamation of Teheran states, Parents have a basic human right to determine freely and responsibly the number and the spacing of their children. In 1945, the UN Charter included the obligation to promote universal respect for, and observance of, human rights and fundamental freedoms for all without discrimination as to race, sex, language, or religion. However, the Charter did not define these rights. Three years later, the UN adopted the Universal Declaration of Human Rights (UDHR), the first international legal document to delineate human rights. The UDHR does not mention reproductive rights, which were first recognised as a subset of human rights in the 1968 Proclamation of Teheran which review the progress made in the twenty years since the adoption of the Universal Declaration of Human Rights and to formulate a programme for the future. The Proclamation of Teheran states: Parents have a basic right to decide freely and responsibly on the number and spacing of their children and a right to adequate education and information in this respect. This right was adopted by the UN General Assembly in the 1974 Declaration on Social Progress and Development which states The family as a basic unit of society and the natural environment for the growth and well-being of all its members, particularly children and youth, should be assisted and protected so that it may fully assume its responsibilities within the community. Parents have the exclusive right to determine freely and responsibly the number and spacing of their children. The 1975 UN International Womens Year Conference echoed the Proclamation of Teheran. The United Nations Population Fund (UNPF) and the World Health Organization (WHO) advocate for reproductive rights with a primary emphasis on womens rights. In this respect the UN and WHO focus on a range of issues, including access to family planning services, sex education, menopause, and the reduction of obstetric fistula, to the relationship between reproductive health and economic status. The reproductive rights of women are advanced in the context of the right to freedom from discrimination and the social and economic status of women. The group Development Alternatives with Women for a New Era (DAWN) explained the link in the following statement: â€Å"Control over reproduction is a basic need and a basic right for all women. Linked as it is to womens health and social status, as well as the powerful social structures of religion, state control and administrative inertia, and private profit, it is from the perspective of poor women that this right can best be understood and affirmed. Women know that childbearing is a social, not a purely personal, henomenon; nor do we deny that world population trends are likely to exert considerable pressure on resources and institutions by the end of this century. But our bodies have become a pawn in the struggles among states, religions, male heads of households, and private corporations. Programs that do not take the interests of women into account are unlikely to succeed † Attempts have been made to analyse the socioeconomic conditions that affect the realisation of a womans reproductive rights. The term reproductive justice has been used to describe these broader social and economic issues. Proponents of reproductive justice argue that while the right to legalized abortion and contraception applies to everyone, these choices are only meaningful to those with resources, and that there is a growing gap between access and affordability. Mens reproductive rights have been claimed by various organizations, both for issues of reproductive health, and other rights related to sexual reproduction. Three international issues in mens reproductive health are sexually transmitted disease STDs, cancer and exposure to toxins. Recently mens reproductive right with regards to paternity have become subject of debate in the U. S. The term Male abortion was coined by Melanie McCulley, a South Carolina attorney, in a 1998 article. The theory begins with the premise that when a woman becomes pregnant she has the option of abortion, adoption, or parenthood; it argues, in the context of legally recognized gender equality, that in the earliest stages of pregnancy the putative (alleged) father should have the right to relinquish all future parental rights and financial responsibility, leaving the informed mother with the same three options. In 2006, the National Center for Men brought a case in the US, Dubay v. Wells (dubbed by some Roe v. Wade for men), that argued that in the event of an unplanned pregnancy, when an unmarried woman informs a man that she is pregnant by him, he should have an opportunity to give up all paternity rights and responsibilities. Masculists argue that this would allow the woman time to make an informed decision and give men the same reproductive rights as women. In its dismissal of the case, the U. S. Court of Appeals (Sixth Circuit) stated that the Fourteenth Amendment does not deny to [the] State the power to treat different classes of persons in different ways. Reproductive rights are understood to include the right of all to make decisions concerning reproduction free of discrimination, coercion and violence. In this respect compulsory or forced sterilization and abortion is understood as a violation of reproductive rights, particularly when they occur in the context of eugenics programs. The Eugenics movement in North America and Europe at the beginning of the 20th Century led to the widespread forced sterilization of vulnerable populations, including the mentally or physically disabled. In the case of mentally or physically disabled women proponents of compulsory sterilisation may argue that it is in the womens best interest. Forced sterilization and forced abortion has been recognise as crime against humanity if the action is part of a widespread or systematic practice by the Rome Statute Explanatory Memorandum, which defines the jurisdiction of the International Criminal Court. In recent years, reproductive issues constitute a major part of bioethical studies and discussions in most study centers of the world. No other ethical subject matter may elicit more heated controversy at all levels of society. This is not surprising, as reproduction constitutes the most private and intimate aspect of the life of individuals and consequently the most sensitive and fundamental concern of our society. In the past, abortion and sterilization were the foremost reproductive ethical issues which generated controversy and debate throughout the world. At present, topics of Assisted Reproduction and Prenatal Diagnosis have emerged as important reproductive ethical issues in the developed world. The philosophy of Assisted Reproduction or Assisted Procreation is often erroneously referred to as Artificial Reproduction. From a scientific viewpoint, there is nothing Artificial about this technology. Assisted Reproduction technology relies completely on the principles of normal anatomy, physiology, biochemistry, pharmacology, endocrinology and genetics of human reproduction. Since the birth of the worlds first test-tube baby, Louise Browne, in Manchester, United Kingdom in March 1978, there have been considerable developments in new technologies relating to the theme of Assisted Reproduction. We have In-Vitro Fertilisation (IVF), Gamete Intra-Fallopian Transfer (GIFT), Pronuclear Sperm Transfer (PROST), Zygote Intra-Fallopian Transfer (ZIFT) and Direct Intra-Peritonial Insemination (DIPI), all denoted by appropriate acronyms. The rapid development of these Assisted Reproduction procedures within the short span of a decade, has been made possible by numerous technological advances relating to sperm collection and preservation, ova maturation, collection and preservation, in-vitro fertilization procedures, embryo storage, embryo transfer, embryo donation, surrogate motherhood, and more important, to the reproductive endocrinological advances related to all these procedures. It must also be appreciated that for successful implementation of the research and clinical service aspects of the various facets of the new Assisted Reproduction technologies, there must be high quality ethical surveillance to safeguard the legal, religious and social norms prevailing within our society. Pioneer programmes especially those in developed countries already face the issues and problems created by rapid technological advancements outpacing existing medical laws. Doctors and scientists are now urgently seeking professional guidelines or new laws to ensure that rapid advances in research on human embryos do not progress into areas that may be considered repugnant by the community. Legal answers have yet to be formulated for many pertinent ethical questions. The controversial question of what should become of the remaining fertilized eggs (embryos) was debated in Vienna, Austria by the First International Congress of In-Vitro Fertilization in 1983. In view of the need for legal guidelines to regulate the development of in-vitro fertilization programmes, the United States Congress held several hearings on the various implications of artificial human reproduction. In Australia, France and the Netherlands, special committees have been set up to study all aspects of invitro fertilization. In the United Kingdom, the British Government acknowledged the report of the 16-member Warnock Commission of doctors, scientists, lawyers and lay persons which studied and made specific recommendations on this issue. To-date, there are no specific laws or regulations governing artificial insemination and in-vitro fertilization in Malaysia, except for the Medical Act of 1971 on the rules and regulations of medical practice. However, the Indecent Advertisements Act 1953 (revised 1981) could have legal bearings on the publicity and activities of these procedures. Even though a Human Tissues Act of 1974 exists in Malaysia, there is no provision under this Act to effectively control the handling of embryos or human tissues under the invitro fertilization programme. The issues of in-vitro fertilization and embryo transfer (ET) involve more a question of medical and religious ethics. And these matters are usually dealt with by national medical and religious councils. In Malaysia, the various medical and religious councils and the Ministry of Health have to-date, not laid out any standard code of ethics, guidelines or legislation relating to such matters. Considering the benefits that Assisted Human Reproduction can confer on a significant proportion of subfertile couples, estimated at between 10 to 15 percent of married couples in Malaysia, the National Population and Family Development Board (NPFDB) of the Prime Ministers Department has taken the lead to undertake research into this new area of family development. And to formulate guidelines on such procedures and propose subsequently, to monitor the development and expansion of such centres and services in Malaysia. Various religious councils have given their full support in the preparation of Guidelines for the Assisted Human Reproduction Programme. Such modern technologies are welcomed in enabling married couples to fulfill their procreative responsibilities. The support is specifically given for procedures that involve legally married couples in stable union. That is, the biological and social parents of the child would also be the natural parents and that the child would be given all loving care. Reproduction as for the treatment of subfertility, which can enable some subfertile women to conceive and have their children within marriage. A publically assisted programme would carry this philosophy further by bringing down the cost of treatment and ensuring deserving but otherwise nonprivileged couples to have access to such medical innovations (optional). An IVF procedure costs between RM4000 RM6000 in a private centre in Malaysia whereas a public sector sponsored programme for example that at the NPFDB costs only half as much. Capital outlay for clinical and laboratory personnel, operation theatre and reproductive endocrinology set-ups are already available at Government institutions. Medical practitioners, scientists and other allied personnel are urged to cooperate and help formulate the national guide in order to promote family health and welfare in our country. Mental health is a term used to describe either a level of cognitive or emotional wellbeing or an absence of a mental disorder. From perspectives of the discipline of positive psychology or holism mental health may include an individuals ability to enjoy life and procure a balance between life activities and efforts to achieve psychological resilience. The World Health Organization states that there is no one official definition of mental health. Cultural differences, subjective assessments, and competing professional theories all affect how mental health is defined. Mental disorder or mental illness is a psychological or behavioral pattern that occurs in an individual and is thought to cause distress or disability that is not expected as part of normal development or culture. The recognition and understanding of mental disorders has changed over time and across cultures. Definitions, assessments, and classifications of mental disorders can vary, but guideline criterion listed in the ICD, DSM and other manuals are widely accepted by mental health professionals. Categories of diagnoses in these schemes may include dissociative disorders, mood disorders, anxiety disorders, psychotic disorders, eating disorders, developmental disorders, personality disorders, and many other categories. In many cases there is no single accepted or consistent cause of mental disorders, although they are often explained in terms of a diathesis-stress model and biopsychosocial model. Mental disorders have been found to be common, with over a third of people in most countries reporting sufficient criteria at some point in their life. Mental health services may be based in hospitals or in the community. Mental health professionals diagnose individuals using different methodologies, often relying on case history and interview. Psychotherapy and psychiatric medication are two major treatment options, as well as supportive interventions. Treatment may be involuntary where legislation allows. Several movements campaign for changes to mental health services and attitudes, including the Consumer/Survivor Movement. There are widespread problems with stigma and discrimination. Three quarters of countries around the world have mental health legislation. Compulsory admission to mental health facilities (also known as Involuntary commitment or sectioning), is a controversial topic. From some points of view it can impinge on personal liberty and the right to choose, and carry the risk of abuse for political, social and other reasons; from other points of view, it can potentially prevent harm to self and others, and assist some people in attaining their right to healthcare when unable to decide in their own interests. All human-rights oriented mental health laws require proof of the presence of a mental disorder as defined by internationally accepted standards, but the type and severity of disorder that counts can vary in different jurisdictions. The two most often utilized grounds for involuntary admission are said to be serious likelihood of immediate or imminent danger to self or others, and the need for treatment. Applications for someone to be involuntarily admitted may usually come from a mental health practitioner, a family member, a close relative, or a guardian. Human-rights-oriented laws usually stipulate that independent medical practitioners or other accredited mental health practitioners must examine the patient separately and that there should be regular, time-bound review by an independent review body. An individual must be shown to lack the capacity to give or withhold informed consent (i. e. to understand treatment information and its implications). Proxy consent (also known as substituted decision-making) may be given to a personal representative, a family member or a legally appointed guardian, or patients may have been able to enact an advance directive as to how they wish to be treated. The right to supported decision-making may also be included in legislation. Involuntary treatment laws are increasingly extended to those living in the community, for example outpatient commitment laws (known by different names) are used in New Zealand, Australia, United Kingdom and most of the United States. The World Health Organization reports that in many instances national mental health legislation takes away the rights of persons with mental disorders rather than protecting rights, and is often outdated. In 1991, the United Nations adopted the Principles for the Protection of Persons with Mental Illness and the Improvement of Mental Health Care, which established minimum human rights standards of practice in the mental health field. In 2006 the UN formally agreed the Convention on the Rights of Persons with Disabilities to protect and enhance the rights and opportunities of disabled people, including those with psychosocial disabilities. The term insanity, sometimes used colloquially as a synonym for mental illness, is often used technically as a legal term. In Malaysia, the Malaysian Medical Council has produced a guideline on Assisted Reproduction. The Malaysian Medical Council, with the objective of ensuring that registered medical practitioners are fully aware of the codes of professional medical practice, issues directives and guidelines from time to time. The purpose of these codes, guidelines and directives is to safeguard the patient and members of the public, to ensure propriety in professional practice and to prevent abuse of professional privileges. The Guidelines are designed to complement, and should be read in conjunction with, the Medical Act and Regulations, Code of Professional Conduct of the Malaysian Medical Council and other Guidelines issued by the Council or any related organisation, as well as any statute or statutory provisions in force and all related statutory instruments or orders made. Assisted reproductive technology (ART) includes a range of methods used to treat human sub-fertility, including in vitro fertilization (IVF), embryo transfer (ET), gamete intra-fallopian transfer (GIFT), and all manipulative procedures involving gametes and embryos as well as treatment modalities to induce ovulation or spermatogenesis when used in conjunction with the above methods. The technology has been developed out of concern for individuals and couples who are unable to have children when they desire them. The very broad range of such desires inevitably raises numerous ethical dilemmas. Reproductive cloning is not allowed and commercial trading in gametes, semen or embryos is prohibited under this Guideline. Explanations of the various treatment modalities used in ART and the ethical viewpoints regarding each modality are also addressed in this Guideline. Assisted reproductive technology (ART): includes a range of methods used to circumvent human sub-fertility, including in vitro fertilization (IVF), embryo transfer (ET), gamete intra-fallopian transfer (GIFT), all manipulative procedures involving gametes and embryos and treatment modalities to induce ovulation or spermatogenesis when used in conjunction with the above methods. The reproductive rights rest on the recognition of the basic right of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so, and the right to attain the highest standard of sexual and reproductive health†. These concepts include concern for individuals and couples who are unable to have children when they desire them. However, the above statement has also led to some controversial issue. For examples, a 60 year old woman may request to have assisted reproduction in order to achieve a pregnancy. A lesbia n couple may want to have a child. Although these rights may be viewed differently in different societies and communities, it is important for the medical community to consider these issues in the context of individual rights, societal concerns, the norms of the community and the legal framework of the country. Impaired fertility or sub-fertility may be due to a relative or absolute inability to conceive, or to repeated pregnancy wastage. It affects both men and women in approximately equal proportions, causing considerable personal suffering and disruption of family life. The best strategy of dealing with sub-fertility is its prevention. Although some cases of impaired fertility can be corrected by simple measures, others require complicated diagnostic procedures and treatment. An empathetic approach to individuals and couples who have subfertility problems is required. This includes an appreciation of cultural and social customs, the individual’s perception of sexuality, an understanding of the reproductive function and awareness of the aetiology and prevalence of sub-fertility in the community. Indeed sub-fertility is now accepted as a condition of poor health and there are tremendous social and mental effects on a couple that suffer from sub-fertility. The development of medically assisted conception to help couples with sub-fertility has brought new social, legal and ethical issues related to the management of sub-fertility. Medical practitioners should be fully cognizant of these issues whenever they are in a position to refer patients for treatment or whenever they themselves establish a centre for such activities. These issues involve respect for the dignity and integrity of the human being, protection of human genetic material so that it is not misused or used inappropriately without the donors consent and the need for quality of care. In drawing these recommendations, the following principles have been used as a guide which include first; the respect that is due to human life at all stages in its developments, second; the rights of people who are or may be sub-fertile and the proper consideration of their request for treatment, third; concern for the welfare of children, which cannot always be adequately protected by concern for the interests of adults involved, fourth; recognition of the benefits, both to individuals and to society which can from the responsible pursuit of medical and scientific knowledge, fifth; the sanctity of marriage and the importance of marriage prior to having children is a widely held belief by society in Malaysia, and lastly; the difficulty of forcing potential patients to prove their marital status and maintaining constant checks on the same must be realized as a practical difficulty for medical practitioners. Be that as it may, in this country, assisted reproduction techniques must onl y be offered to married couples. For the principles for quality of care, the practitioner should have an effective system for monitoring and assessing laboratory and clinical practice to ensure that both the procedures and outcomes are analysed and can be shown to be satisfactory on independent assessment. All persons undergoing ART should be adequately tested for transmittable diseases before procedures are performed on them. Detailed records must be maintained and be easily retrievable. The practitioner must maintain accurate record keeping and labeling in respect of gametes and embryos, and he should ensure that proper standards are maintained in storage and handling of gametes and embryos. There should be an effective monitoring system to ensure high standards of security wherever gametes and embryos are handled and stored. Records should enable authorized staff to trace what happens to an individual embryo, oocyte or sperm sample from the date of collection. Centres are responsible for ensuring that standards of quality and security of genetic material are maintained, wherever the material happens to be on the premises. This includes material being transferred from the laboratory for treatment or preparation for treatment. If gametes or embryos are transferred from one site to another, adequate arrangements should also be made to protect their quality and security. Controversies on the use of stored embryos have raised legal disputes, particularly when the couple involved have since separated, divorced or one member has deceased or with disagreement by the next of kin. It is therefore important that information on such matters should be included when taking informed documented consent at the time of initial in-vitro fertilization. The patients generally have the right to give or withhold consent to examination and treatment. No ART treatment should be given to any couple without their written consent to that particular treatment which must be clearly explained to them, including success rates and complications. In the course of the discussion, the following aspects must also be brought up, considered and, where appropriate, consent obtained. Consent must be obtained from couples for the use of genetic material for treatment as well as possibly for research; the latter, however, is still not permitted in Malaysia. The decision and consent whether couples who have had successful assisted reproduction would like either disposal or further storage of genetic material should also be obtained. While couples have the right to determine the period of storage of the genetic material, they must be made aware of the period of maximum statutory period of . ve (5) years, which may be extended to ten (10) years if approved by the relevant authority, at the present this being the Ministry of Health. The couple must also agree that in the event of them getting separated, divorced or one of them becoming deceased, one or the other (next of kin in the case of the deceased) cannot use the stored gametes. The gametes will then be destroyed. Gametes or embryos which have been exposed to a material risk of contamination, which might cause harm to recipients or to any resulting children, should not be used for treatment. The practitioner and the treated couple should agree upon the number of embryos transferred, informed consent documents completed and the information recorded in the clinical record. Multiple gestation is an unintended result of assisted reproduction techniques. Multiple gestation leads to an increased risk of complications in both the fetuses and mother. It would be unethical for the individual practitioner not to generate his or her own data regarding patient characteristics, outcomes and number of embryos transferred in order to minimize these complications. In blastocyst transfer procedure, the embryos are allowed to grow beyond the typical 2-3 days of culture and are allowed to develop to the blastocyst stage before they are transferred to the womb. A higher pregnancy rate is thought to result. There are no ethical objections to this practice as it uses the natural progression of embryo growth. Assisted hatching is a procedure to help in zona pellucida thinning and thus in implantation. This procedure does not alter the progression of embryo growth and therefore there are no ethical objections to this procedure. Eggs, embryos and sperms are donated to treat human sub-fertility in others with the help of assisted reproductive procedures, provided the unethical and prohibited factors, as listed in Section 15, are adhered to. The religious and cultural sensitivities of the patient and the medical practitioner involved in ART procedures should be taken into consideration before embarking on these procedures. There should be no selection of the sex of embryos for social or personal reasons. Sex selection is, however, allowed if a particular sex predisposes to a serious genetic condition e. g. haemophilia, Duchenne muscular dystrophy, fragile X syndrome, etc. Excessive multi-fetal gestation should be minimized by careful induction of ovulation and restriction of numbers of embryo transferred. If despite these measures, more than 3 fetuses are gestated, fetal reduction may be considered if the prospect of fetal viability is compromised or if the health or life of the mother is threatened. Patients should be counselled extensively and informed consent obtained if the procedure is to be performed. A couple undergoing ART should be asked for instruction concerning the storage and disposal of embryos, as discussed under Consent. The termination of the development of a human embryo and the disposal of the remaining materials are sensitive and delicate issues. The practitioner should take full account of this. Specific instruction concerning storage and disposal of embryos must be asked of the couple and informed consent duly obtained. When an embryo is no longer to be kept for treatment, the practitioner should decide how it is to be allowed to perish, and what is to happen to the perished material. The procedure should be sensitively devised and described, and should be communicated to the people for whom the embryo was being stored. Controversies on the use of stored gametes have raised legal disputes, particularly when the couple involved have since separated, divorced or one member has deceased (with disagreement by the next of kin). In such instances, the stored gametes cannot be used independently by either one of the parties involved. It is therefore important that information on such matters should be included when taking consent at the time of initial invitro fertilization, as indicated above. In a surrogate arrangement a women agrees to becomes pregnant and bear a child for another person/persons and to surrender it at birth. The above practice is not acceptable to most of the major religions in this country. Such a surrogate pregnancy can also potentially lead to many legal dilemmas for the persons involved. Cryo-preservation can be used to store sperm. The sperm can be thawed and used for arti. cial insemination or in-vitro fertilisation. The sperm can be stored for future use especially in patients about to undergo chemotherapy. Sperm can also be retrieved from the epididymis or testes in those with blockage of the vas deferens. Proper procedures must be in place for the identfication of sperm specimens. The use of donor semen should be guided primarily by medical needs and the religious sensitivities of the couple and the medical practitioner involved. Pre-implantation genetic diagnosis (pgd) is a procedure involves genetic testing and selection of embryos produced by in-vitro fertilization (IVF). Once an embryo is created using IVF techniques, a cell is removed from the embryo after about three days and tested for specfic genetic abnormalities. Usually healthy embryos will be transferred to the mother’s womb and embryos with the abnormality will be destroyed. At present PGD is used mainly for the diagnosis of many diseases and to determine the sex of the embryo to avoid the transmission of severe sex-linked disease. Some have attempted to select embryos free of genetic disease but of the same tissue type as an existing ill child in order to harvest their umbilical cord blood for transplantation to the affected sibling. As there is no worldwide agreement as to when human life begins or when it acquires moral signi. cance, there is no agreement on the moral status of an embryo2. Nor is there any agreement as to whether discarding an embryo with a genetic disorder, prior to implantation, is the equivalent of an abortion. At present, it is best that PGD be used for only severe and life threatening genetic diseases. It would be unethical to analyse and select the inherited characteristics of embryos (e. g. intelligence, height, hair and eye colour); any social or psychological characteristics or any other condition which is not associated with disability or a serious medical condition. There are some prohibited and unacceptable practices which includes no research or experimentation shall be performed using any human oocyte and/or sperms without the explicit consent of the donors and approval of the appropriate authority. At the present time, such research or experimentation is not permitted in Malaysia. The following practices are ethically unacceptable and are prohibited under this Guideline which are first; developing embryos for purpose others than for their use in an approved ART programme. Second, culturing of an embryo in vitro for more than 14 (fourteen) days. Human oocyte fertilized with human sperms should not be cultured in-vitro for more than 14 days (excluding any period of storage at low temperature). Under no circumstances shall research be carried out on or using human embryos which are more than 14 days old from the date of conception or the appearance of the primitive streak, whichever is the earlier, except with the explicit approval of the authorizing authority, which is at present the Ministry of Health. Third, experimentation with the intent to produce two or more genetically identical individuals, including development of human embryonal stem cell lines with the aim of producing clones of individuals. Fourth, under no circumstances should embryo splitting with the intention of increasing the number of embryos for transfer be allowed. Fifth, using fetal gametes for fertilisation. Sixth, mixing of human and animal gametes to produce hybrid embryos. There shall be no attempt at trans-species fertilization. Seventh, mixing of gametes or embryos of difference parental origin so as to confuse the biological parentage of the conceptus. Eighth, placing an embryo in a body cavity other than the human female reproductive tract. Under no circumstances should a human embryo be placed in the uterus of another species for gestation. Ninth, under no circumstances should the nucleus of a cell of an embryo be replaced with a nucleus of a cell of another person, another embryo or a subsequent development of an embryo. Tenth, under no circumstances should the genetic structure of any cell be altered while it forms part of an embryo. Other than that, embryo flushing, commercial trading in gametes, semen or embryos, pre-implantation diagnosis to create â€Å"designer babies† (those with specfic physical, social or specfic gender characteristics and not for the reason of avoiding serious medical illnesses), the use in ART treatment programmes of gametes or embryos harvested from cadavers and the use of ART in unmarried couples are also prohibited. There is no mention regarding the policies of reproductive medicine among mental health patient. We believe that the application of policy is similar regardless of mental patient or normal patient.

How to Translate the French Expression De Rien

How to Translate the French Expression 'De Rien' The French phrase  de rien  (pronounced deu-r yeh) is one that many students  learn to translate as youre welcome. But this common expression of courtesy actually means something slightly different. Its not considered improper or impolite to use  de rien  when someone thanks you, but there are other words that may be more appropriate. Usage The closest English equivalent to de rien is its nothing, which is not the nicest way to acknowledge gratitude. De rien isnt wrong, exactly, but its not as polite as what native French speakers typically say: je vous en prie you are welcome (literally, I beg of you)je ten prie youre welcome (to a friend)cest moi qui vous remercie (or just cest moi) no, thank you (literally, it is I who thanks you)merci vous / toi thank you (literally, (my) thanks to you)pas de quoi, il ny a pas de quoi (informal) dont mention it (literally, no need, theres is no need)avec plaisir (South of France) my pleasure (literally, with pleasure) Example Merci, jai beaucoup aimà © ce livre. Thank you, I really liked this book​ De rien!   Youre welcome!

Using Ethos In Designing Of Websites Essay Example | Topics and Well Written Essays - 250 words - 1

Using Ethos In Designing Of Websites - Essay Example The website for a project management tool, Basecamp uses Ethos to appeal to its customers by showing its credibility. The website shows a picture of two men talking to each other. One man asks the other, â€Å"How did you get that project done without losing your mind?† The second man Answers, â€Å"BASECAMP, we love it.† The answer from the second man proofs that the website is credible and reliable in project management. There is also the bold sentence on the website that shows that last year alone, the website helped over 285,000 companies complete more than 2 million projects. When navigating through the website one realizes that Basecamp marketing site builds credibility for their products and services by listing prominent customers that depend on the company to finish their projects. The method appeals to new customers who will trust and believe that the company will also give them good products and services. The website underlines and bold statements such as â€Å"Millions of people† use Basecamp. An indication of a strong and trustworthy customer base helps the website to build credibility among other people especially new clients. The website also shows that the company’s software for doing project management can operate on a variety of operating systems both on computers and smartphones. Customers will thus, understand that the information is true and credible. The website continues to appeal to customers by putting videos of important customers explaining what they like about Basecamp. It is clear that the Basecamp marketing website ap peals to ethos.

Law Reviews on Lexis- The Tort Reform Legislation in the State of Ohio Research Paper

Law Reviews on Lexis- The Tort Reform Legislation in the State of Ohio - Research Paper Example For these reasons, there have been several tort reforms championed by reform proponents on various changes aimed at correcting the perceived wrongs. These changes include the burden of damage caps, changes made in the substantive tort law, judicial oversight, and time limit for filing claims, and the limitations on the attorney’s fees. This legal memo will primarily focus on a single state, the State of Ohio given that most of the tort reforms in the U.S have been focused on states simply because issues of tort have been for many years thought of as local matters. However, at the national level, significant efforts have also been made to implement tort reforms both judicially and legislatively. We can find efforts of state tort reforms in several decisions that were largely adopted such as the influential decision in Heningsen v. Bloomfield Motors which was described as pioneering the fall of the citadel due to its attack on abrogation of the doctrine of privity and for its ve ry broad policies. Other landmark decisions included the adoption of the strict liability tort in the case of Greenman v. Yub Power products, inc., in the Supreme Court of California, and the Larsen v. General Motor Corp. case which recognized the crashworthiness doctrine. These decisions are the once considered to have triggered the revolution of tort reform which paid much attention on products liability 39 Akron L. Rev. 909. The General Assembly in the State of Ohio has countered certain actions of the judicial process, which are seen to have created some sort of imbalance in the law, which offers special treatment. These include three different and unique set of cases of which two correspond to the influential decision in Larsen, Greenman, and Henningsen. In the case of Temple v. Wean United, Inc., the court assumed the strict liability in tort as articulated in section 402A of the restatement. This included the comments in that restatement, and in so doing, the court rejected c ontributory negligence as a way of defense. In an earlier case of Lonzrick v. Republic Steel Corp., the court further clarified its decision by recognizing the strict liability in warranty without privity. In the case of Jones v. VIP Development Co. and Blankenship v. Cincinnati Milacron Chemicals, Inc., the court extended the intentional exception to workers compensation immunity tort by articulating that it only applied to where injury was certain to happen. Finally, the court adopted the seminal decision of enhanced injury or crashworthiness in the case of Leichtamer v. American Motors Corp. 39 Akron L. Rev. 909, 909-911. In Ohio State a plaintiff is not barred from recovering damages, which have proximately and directly been caused by the conduct of other persons, one or more. In the case where it is considered that the contributory fault clause of the plaintiff in question is less than that of the combined tortuous conduct of all the other parties of whom the plaintiff seek rec overy of damages, his/her (the plaintiff) recovery is reduced by a sum that is proportionate to the percentage of the plaintiff’s tortuous conduct Ohio Rev. Code Ann.  §Ã‚  2315.33. A good example of tort reform include the Ohio state revised Code section 2315.19 which addresses comparative negligence statute which does not affect the strict liability in any way. This is considered by many, a pro-injured statute which for long has been viewed by scholars as a means of ensuring greater

The Human Services Worker

The Human Services Worker Human Services Worker is a generic term for people who hold professional and paraprofessional jobs in such divers settings as group homes and hallway houses; correctional, mental retardation, and community mental health centers; family, child, and youth service agencies, and programs concerned with alcoholism, drug abuse, family violence, and aging (Harris, Maloney, and Rother, pg. 205). Human services have helped lots of people to manage their life or get them back on their feet. Human services are broad, and contain a lot of job titles. One thing that human service workers all have in common is their desire to help others. The primary purpose of human service worker is to assist individual and communities to function as effectively as possible in the major domains of living (NOHS, 2012). They are people who have the patience, understanding, and caring in their dealings with others is highly valued by employers (NOSH, 2012). Case worker refers to an individual who possesses a degree in social work from a school or program accredited by the Council on Social Work Education (NASW, 2010). Case worker, is a primary method of social work that is concerned with the change and improvement of helping people towards a satisfying human relation. Case worker are employed by large number of organizations. In America, most government agencies that provide social services to children in poor or troubled families have a staff of caseworkers, each of whom is assigned a proportion of the cases under review at any given time (Enwikipedia, 2012). Case worker does a lot each day depending on where the work and their level of expertise. The kind of services that they provide varies widely. They can work with people who are without shelter or home, ill, or with family that has issues. Case worker provides resources to the people who are in need of them. An example would be like, providing families a parenting class that can help fix their family difficulties. They set up programs that will provide some sort of help. There are many case workers who give out counseling help. Case worker (social work profession) has increasingly highlighted the importance of racial diversity and cultural competency training in social work education and pra ctice (Freeman, 2010). There are two types of case worker (social worker): direct-service social worker who help people solve and cope with problems in their everyday lives, and clinical social workers, who diagnose and treat mental, behavioral, and emotional issues (Occupational Outlook Handbook, 2012). Direct-service case workers usually help address everyday problems from finding work or applying for government aid. Direct-case social workers typically do the following (Occupational Outlook Handbook, 2012): Identify people who need help Assess clients needs, situations, strengths, and support networks to determine their goals Develop plans to improve their clients well-being Help clients adjust to changes and challenges in their lives, such as illness, divorce, or unemployment Research and refer clients to community resources, such as food stamps, child care, and healthcare Help clients work with government agencies to apply for and receive benefits such as Medicare Respond to crisis situations, such as natural disasters or child abuse Advocate for and help clients get resources that would improve their well-being Follow up with clients to ensure that their situations have improved Evaluate services provided to ensure that they are effective Direct-service workers and clinical case workers both help out people to improve their living situation in some ways, but the services they provide can be different as well. Clinical case workers generally help address mental health problems. Clinical case workers typically do the following (Occupational Outlook Handbook, 2012): Diagnose and treat mental, behavioral, and emotional disorders, including anxiety and depression Provide individual, group, family, and couples therapy Assess clients histories, backgrounds, and situations to understand their needs, as well as their strengths and weaknesses Develop a treatment plan with the client, doctors, and other healthcare professionals Encourage clients to discuss their emotions and experiences to develop a better understanding of themselves and their relationships Help clients adjust to changes in their life, such as a divorce or being laid-off Work with clients to develop strategies to change behavior or cope with difficult situations Refer clients to other resources or services, such as support groups or other mental health professionals Evaluate their clients progress and, if necessary, adjust the treatment plan They both can be employed in a variety of settings like in the government agencies, nonprofit agencies, school or the hospitals. Case workers are employed to help people direct the social services that are available to them. They both work as an encouraging help for people to become emotionally and financially stable so they can support themselves. In order to build a good relationship with their client, there are specific needs that clients would need to know. The principles of building a good relationship with a client are crucial. According to Diane Depanfilis and Marsha K. Salus (2003): The client has a need to be treated as a unique individual rather than a case, a type, or a category. Clients need to express both negative and positive feelings. Clients need sympathetic understanding of and response to the feelings expressed. There is a delicate balance between being personally and emotionally involved with a client and maintaining a degree of professional objectivity. Clients need to be accepted as people of worth and inherent dignity regardless of personal problems and past failures. Clients have a need to be neither condemned nor judged for the difficulties in which they find themselves. Clients have a need to make their own choices and decisions. Clients have a need to keep personal information as secret as possible. It is important to have this kind of relations with their client as their case worker. Before we can fully understand what case workers do, we need to know the history of case worker (social worker) in the United States and its roots in the struggle of society to deal with problems that are associated with them. Case worker developed in the United States reflected on an ongoing mixture of ideas derived from different kind of cultures throughout history. Just as social workers appreciate the necessity of viewing individuals within context- be they social, cultural, or physical- so social work as a practice and a profession must be viewed within its sociohistorical context (Pozzuto Arnd-Caddigan, 2008). Even before the American Revolution, services to the poor, to children, and to the mentally ill had been established in North America, many used the poor laws that were established in England to define who should receive services and the content of those services (SagePub.com, 2012). By the early 19th century, it was said that the states had begun providing relief through towns and counties. Their efforts were often poor and were self-help organizations that began to add-on to their efforts. There were lots of social welfare policies and programs that were taken for granted that occur within U nited States history. Since the first social work class was offered in the summer of 1898 at Columbia University, social workers have led the way developing private and charitable organizations to serve people in need (NAWS, 2012). Social workers continue to address the needs of society and bring our nations social problems to the publics attention. The case worker profession devised standards and training and advocates social research and scientific methods. Their profession lead to a more consistent and focused on care for individual who are in need and a desire for social change. Our states take in responsibilities for distributing relief from towns and counties. Many of the benefits were taken for granted came about because social worker working with families and institutions spoke out against abuse and neglect (NASW, 2012): The civil rights of all people regardless of gender, race, faith, or sexual orientation are protected. Workers enjoy unemployment insurance, disability pay, workers compensation and Social Security. People with mental illness and developmental disabilities are now afforded humane treatment. Medicaid and Medicare give poor, disabled and elderly people access to health care. Society seeks to prevent child abuse and neglect. Treatment for mental illness and substance abuse is gradually losing its stigma Case worker falls under the human services that are broadly define in maintaining to improve the quality of life services to the populations has standards that must be followed or met through the National Organization for Human Service Education (NOHSE). The National Organization for Human Service Education (NOHSE) developed the Ethical Standards of Human Services Professionals. Case worker functions in many ways, carries many roles and responsibilities. Case workers have a long tradition with the concern of ethical dilemmas. There are several methods for dealing with ethical dilemmas. One of the most common and accepted method is the development and implementation of a professional code of ethics. The development of a code of ethics for the purpose of ethical dilemmas is involved in the development and recognition of a profession by society. Professional ethics are concerned with the correct course of professional actions when dealing with ethical dilemmas. Human Services ethics are designed to help case workers decide whether two or more challenging goals are the correct one for the given situational background. Case worker makes decisions that may affect only a few but in some case their decisions may also affect a crowd of people . There is no sure way of resolving ethical dilemmas but by knowing and honoring the ethical standards will help the case worker in making decisions that will be of the greatest benefit for the client. The ethical standards of the human services professional are a set of fifty-four guidelines developed by NOSHE to outline the human service professional responsibility to clients (NOSHE, 2012). There are lots of ethical issues and dilemmas that case worker will face, such as confidentiality. Case worker must have a capacity to handle any situation. As a case worker, they need to make sure that their clients are aware of their rights and responsibilities, such as confidentiality. By maintaining confidentiality of information is very important. The rights and responsibilities are often laid down in legislation, codes of practices and policy documents. Case worker should always think carefully before talking to their colleagues and clients, and always ask whether a person really needs to know about your client. The confidentiality must be kept within certain borderlines, and can be broken when other service users rights come into conflict. Case worker should respect their clients right to keep any information private. There may be certain information that may need to be passed to a senior member of the staff when there is someone who might be in danger. Clients can expect that you do not discuss their details with anyone else without their permission. Trust is very importan t. Case worker does provide a variety of resources and help to the people who need it. Human service profession is one that promotes improved service delivery systems by addressing not only the quality of direct services, but by also seeking to improve accessibility, accountability, and coordination among professionals and agencies in service delivery (Harris, Maloney, Rother, pg. 205). Case worker is here to assist people towards a better life as possible. They are there to help people overcome problems and make their lives better. They might work with people who are homeless, sick, or having family problems. They should be prepared to challenge attempts to undermine the professions traditional values through case work that will withstand commitment to vulnerable and worried people. They can work within government agencies, non-profit agencies, to school and to the hospitals. They must attempt to anticipate the emergence of ethical issues that, while perhaps unimaginable today, are li kely to arise in the future as a function of societal and other changes. Maybe perhaps as a result of technological developments that may have ethical implications.

Reflective Letter

In Class Assignment 4 4 Reflective Letter: Introduction 4 People are capable to learn from several basis of knowledge throughout their life. Knowledge can come from sciences or language. Actually, language may come first according to the demand and affectedness of arrangement. It is the link of all other sciences skills. Through fourteen weeks period of learning â€Å"English Academic Writing II † I have gained three important points that I hope they will lead me to be an independent writer.These points are thesis statement, discussion leader and Read, Reason, Write activity. Body 4 Thesis statement is the master key of the essay . Whenever you have read an essay, but keeps feeling that something is missing, it will be surely in the thesis statement. Thesis statement is a sentence , a couple or even more in which arrange, clarify ,state and simplify the main points which will be discussed in detailed each one alone in the essay .Thesis statement helps understand the structure and systematic arrangement of the essays. I have learned how to write a strong thesis statement through a lot of practices of different types of essays. The second point that touched me through attending this course was leading a class discussion through a new topic with several points to be discussed. A discussion leader activity has inspired me and it has enhanced my self-confidence as an independent writer.In addition, it improves other skills for the person to achieve better experience of understanding how to write, specify or conceive people through your piece of writing. Last point, but not the least, † Read, Reason, Write’’ assignment which focuses on justifying the reasons behind a written essay through writing. Therefore, it is a kind of challenge or inverse of writing skills by giving a written response. This helped me gathering a nice collection of ideas of arrangement, new stylistics of writing, and ways of expression.This collection can support my sk ills as an independent writer and improve it as well. Conclusion 4 In conclusion, the benefits I got from past practices provide better quality of writer and writing . Thus, it results in improvement or developing the skills of language, writing, or even both. Discussion leader and â€Å"Read, Reason, Write† activities have integrated my writing, while thesis statement and its practices have fluently achieved the understanding of different essays.

The Number One Question You Must Ask for Samples Essay Topics

The Number One Question You Must Ask for Samples Essay Topics The One Thing to Do for Samples Essay Topics At the present time, as you attempt to increase your craft, you must understand that one of the principal determinants of good academic writing is choosing the correct topic. The author uses words to paint a picture for the reader in order for the reader can visualize what the writer is attempting to say. Remember an argumentative essay is based more on facts instead of emotion. The ideal thing about an argumentative essay which contains social issues is that you may describe your own personal experience on the instance of the real-life case. Argumentative essay ideas can be associated with the moral facets of human life. You're going to need to choose a topic first, but your topic ought to be something that has two conflicting points or unique conclusions. Picking a question which everyone has agreed on the response to is not a great idea and, thus, not advisable by many experts. After studying for different matters throughout the year to reach great grades you will need to create a topnotch paper at the same point or another, and as soon as the time comes you would want to set the majority of your time aside for research purpose. You may continue to keep your argumentative essays for your upcoming job portfolio in case they're highly graded. In truth, it could be the sole means to begin on your assignment and submit a high quality paper in time. Bef ore you turn in your assignment, you will want to appear over it one final moment. What Is So Fascinating About Samples Essay Topics? There is one main method of ensuring that you're not discriminating others in your gender research essay. In terms of the subject area, it's best fits Social Sciences subject location. Type of Samples Essay Topics Simply, you need to endeavor to make them interested in furthering their discussion independently even when they are finished with the reading the writing. Then you need to endeavour to select the right argumentative essay format. Bear in mind that the amount of your essay is contingent on the assignment provided to you. Possibly, it's accommodating to think of an essay in conditions of a conversation or debate with another party. What About Samples Essay Topics? Simply type example of an argumentative essay and you'll discover distinctive classes of samples. Should you need samples fast, then you are going to probably enjoy our simple three-step approach. Our samples include explanations of the way to do it right and what things to avoid. When you work with us, you're guaranteed that all of the samples and topics will be customized to fit your purposes. Whether you are in need of a sample, an outline, elongated essay topics, or a full customized paper, our experts are qualified to provide competent assistance. The topic has to be based on a great evidence base. In reality, besides asking for help with the subject, you may also request for a customized paper, written based on the instructions as set out in your prompt. Actually, along with getting a sample or help with only the subject, you can order an original custom made paper from our qualified experts. In addition, school isn't always happening in the classroom. Writing on argumentative essay topics is thought to be a skill that each individual in a school ought to be knowing about. English language classes usually need a lot of writing. In the majority of cases, students aren't taught how to write great papers. The Secret to Samples Essay Topics Essay is a tool which you've got endless thoughts and voice whether you think in. For example, you will probably learn to c hoose or make a best essay topic. It is crucial to choose debatable argumentative essay topics. There are argumentative essay topics. It is preferable to go on with the structure when you pick a topic. As you are going to be going through the examples of the argumentative essay topics, you will observe that a particular structure is present in almost all of them. When writing a crucial composition, it's sensible to pick contradictive topics. The multiple topics might be found, for instance, in the dissertation abstracts international database. Inventing a topic all on your own is quite mind-torturing. Look through the list of topics with care and start making a mental collection of the evidence it is possible to use on topics you prefer. You're able to pick topics from several lists of ready themes. The topic you select for your newsletter is extremely important.

Essay on Evolution of Health Care Information Systems

Evolution of Health Care Information Systems Dimetria Major HCS/533 March 29, 2013 Suzie Mays Evolution of Health Care Information System Health care has come a long way in technology for the past, implementing new technology has made the health care industry grow in size. Major events of health care have paved the way for future technologies influence the physicians, administrators, clinicians, and staff to push pass the old ways of thinking and create new initiatives of information systems. Health care information will be moving forward with significant changes, technology involvement will prove to be a positive and much needed impact to the†¦show more content†¦The differences of past information management in health care was ambiguous and undone data, poor availability, and fragmented data of patient charts. In today’s information system, significant advances help maintain a high quality of care. Improving patient care, clinical information expanded to help increase the quality of care. East Orange General Hospital has launched a new electronic medical rec ord system to support efficiency and accuracy in patient accounts. The organization will reduce the use of paper charts, but still uses both paper and electronic record keeping. â€Å"The implementation of computerized record system at EOGH has now positioned itself to receive incentive payment from Medicaid and Medicare† (Slavin, 2011 Para 1-2). The technology used at EOGH is Centricity, Series, and Precyse systems; these systems control the computerized provider order entry (CPOE), Health Information Exchange (HIE), and Personal Health Record (PHR). Information technology today made it possible to improve patient services in many ways. Hospitals will be better equipped with the tools for maintaining patient records and keeping confidentiality of information intact. Paper-based information was the normal way to go 20 years ago, documentation misplaced, duplicates used made patient information unreliable for some parts of record keeping. â€Å"The health Information system h as become most challenging with promising results through research,Show MoreRelatedEvolution of Health Care Information Systems1196 Words   |  5 PagesEvolution of Health Care Information Systems Health Information Systems HCS/533 April 21, 2013 Evolution of Health Care Information Systems The evolution of the health care information systems (HCIS) since 20 years ago had a profound impact in how health care is deliver today. In the mid-60’s health care information system began its history with President Lyndon Johnson signing of the law that provides medical coverage to the poor, the elderly, and the people with long-term disabilitiesRead MoreCurrent Historical Trends Involving The Evolution Of Health Information System And Respective Health Care Environments1112 Words   |  5 Pagesseveral decades, health care and information technology have undergone a period of dramatic change caused by a multitude of pressures and opportunities, many of which continue to persist and evolve. As we have moved into globalization of communication, technology, and information, Health Information Systems need to reflect what is happening to ensure optimal use of clinical information. In 2-3 (full) pages, discuss key historical trends involving the evolution of Health Information System and respectiveRead MoreAnnotated Bibliography : Robotic Surgical Training808 Words   |  4 Pageswould be in real surgeries. Conklin, T. P. (2002, Fall). Health Care in the United States: An Evolving System. Michigan Family Review, 07(), 5-17. Retrieved from http://quod.lib.umich.edu/m/mfr/4919087.0007.102/--health-care-in-the-united-states-an-evolving-system?rgn=main;view=fulltext This periodical is good because it breaks the information down into areas of discussion. The areas are What are the Factors Driving the Change?, How Has Health Care Delivery Changed?, How are the Changes Impacting FamiliesRead MoreThe Evolution Of Health Information Systems885 Words   |  4 PagesHealth information systems are continuously evolving as both technology and information grow. Information, and information exchange are crucial aspects of health care delivery. To ensure quality of delivery, health care organizations must have access to tools and technology for the continuous growth of information, and knowledge. Historical trends that impact the evolution of health information will be discussed. 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This paper will provide a brief overview of the history of quality movement, outline key characteristics involved in quality evolution, discuss process improvementRead MoreExamination of Health Care Facilities Over a 20-Year Span1264 Words   |  5 PagesExploring the Evolution of HCIS over the Past Two Decades It is true that information and information exchange are crucial to the delivery of care on all levels of the health care delivery system the patient, the care team, the health care organization, and the encompassing political-economic environment (Reid et al., 2013, p 63). 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This evolution started almost a decade ago when there was need to transform the organization of health care system. Retail clinics have emerged to offer routine preventative and acute care services by non-physician providers, with predictable wait times, more convenient venues, and more obtainable prices. This article evaluates the evolution of the health care system and examinesRead MoreThe Evolution Of Healthcare During The United States Es say1249 Words   |  5 Pagesindustry that has representation from both public sector and private sector. The current health care system is segregated and fragmented in America. Some states have very effective and efficient healthcare system while some states lack the desired infrastructure. The evolution of healthcare system in USA can be traced back to 1750. The period from 1750 to 1849 is termed as preindustrial period where the care of sick people was primarily handled by families (Brian, 2010). 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