Saturday, August 22, 2020

The History, Climate, Biodiversity of the Galapagos Islands

The History, Climate, Biodiversity of the Galapagos Islands The Galapagos Islands are an archipelago situated around 621 miles (1,000 km) from the mainland of South America in the Pacific Ocean. The archipelago is made out of 19 volcanic islands that are asserted by Ecuador. The Galapagos Islands are well known for their assortment of endemic (local just to the islands) natural life that was concentrated by Charles Darwin during his journey on the HMS Beagle. His visit to the islands enlivened his hypothesis of characteristic determination and drove his composition of On the Origin of Species which was distributed in 1859. In view of the assortment of endemic species, the Galapagos Islands are ensured by national parks and a natural marine save. Likewise, they are an UNESCO World Heritage Site. History The Galapagos Islands were first found by Europeans when the Spanish showed up there in 1535. All through the remainder of the 1500s and into the mid nineteenth century, a wide range of European gatherings arrived on the islands, however there were no changeless settlements until 1807. In 1832, the islands were added by Ecuador and named the Archipelago of Ecuador. Soon after that in September 1835 Robert FitzRoy and his boat the HMS Beagle showed up on the islands, and naturalist Charles Darwin started to examine the zones science and geography. During his time on the Galapagos, Darwin discovered that the islands were home to new species that just appeared to live on the islands. For instance, he contemplated mockingbirds, presently known as Darwins finches, which gave off an impression of being not the same as one another on various islands. He saw a similar theme with the tortoises of the Galapagos and these discoveries later prompted his hypothesis of regular determination. In 1904 an undertaking from the Academy of Sciences of California started on the islands and Rollo Beck, the endeavors head, began gathering different materials on things like geography and zoology. In 1932 another undertaking was directed by the Academy of Sciences to gather various species. In 1959, the Galapagos Islands turned into a national park, and the travel industry developed all through the 1960s. All through the 1990s and into the 2000s, there was a time of contention between the islands local populace and the recreation center help. In any case, today the islands are as yet ensured, the travel industry despite everything happens. Geology and Climate The Galapagos Islands are situated in the eastern piece of the Pacific Ocean, and the nearest landmass to them is Ecuador. They are likewise on the equator with a scope of about 1Ëš40N to 1Ëš36S. There is an absolute separation of 137 miles (220 km) between the northernmost and southernmost islands, and the all out land zone of the archipelago is 3,040 square miles (7,880 sq km). Altogether, the archipelago is comprised of 19 principle islands and 120 little islands as per UNESCO. The biggest islands incorporate Isabela, Santa Cruz, Fernandina, Santiago, and San Cristobal. The archipelago is volcanic, and in that capacity, the islands were framed a great many years back as a problem area in the Earths covering. Due to this sort of development, the bigger islands are the highest point of old, submerged volcanoes and the tallest of them are more than 3,000 m from the ocean bottom. As indicated by UNESCO, the western piece of the Galapagos Islands is the most seismically dynamic, while the remainder of the area has disintegrated volcanoes. The more established islands likewise have fell pits that were previously the culmination of these volcanoes. Likewise, much the Galapagos Islands are spotted with hole lakes and magma tubes, and the general geology of the islands differs. The atmosphere of the Galapagos Islands additionally differs dependent on the island and in spite of the fact that it is situated in a tropical locale on the equator, a chilly sea flow, the Humboldt Current, brings cold water close to the islands which causes a cooler, wetter atmosphere. All in all, from June to November is the coldest and windiest season and it isn't remarkable for the islands to be canvassed in mist. By differentiate from December to May, the islands experience little wind and bright skies, however there are additionally solid downpour storms during this time. Biodiversity and Conservation The most celebrated part of the Galapagos Islands is its one of a kind biodiversity. There are a wide range of endemic feathered creatures, reptiles and invertebrate species and most of these species are imperiled. A portion of these animal groups incorporate the Galapagos mammoth tortoise which has 11 diverse subspecies all through the islands, an assortment of iguanas (both land-based and marine), 57 sorts of flying creature, 26 of which are endemic to the islands. Additionally, a portion of these endemic winged creatures are flightless, for example, the Galapagos flightless cormorant.There are just six local types of warm blooded animal on the Galapagos Islands, and these incorporate the Galapagos hide seal, the Galapagos ocean lion just as rodents and bats. The waters encompassing the islands are additionally profoundly biodiverse with various types of shark and beams. Likewise, the imperiled green ocean turtle, hawksbill ocean turtle generally home on the sea shores of the islan ds.Because of the jeopardized and endemic species on the Galapagos Islands, the islands themselves and the waters encompassing them are the subjects of a wide range of protection endeavors. The islands are home to numerous national parks, and in 1978 they turned into a World Heritage Site. Sources: UNESCO. (n.d.). Galapagos Islands - UNESCO World Heritage Center. Recovered from: http://whc.unesco.org/en/list/1Wikipedia.org. (24 January 2011). Galapagos Islands - Wikipedia, the Free Encyclopedia. Recovered from: http://en.wikipedia.org/wiki/Gal%C3%A1pagos_Islands

Thursday, July 16, 2020

The Psychology Behind the Flow State of Mind

The Psychology Behind the Flow State of Mind Happiness Print Flow Can Help You Achieve Goals Understanding the Psychology of Flow By Kendra Cherry facebook twitter Kendra Cherry, MS, is an author, educational consultant, and speaker focused on helping students learn about psychology. Learn about our editorial policy Kendra Cherry Medically reviewed by Medically reviewed by Steven Gans, MD on January 14, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on August 08, 2019 Tom Merton /Getty Images More in Self-Improvement Happiness Meditation Stress Management Spirituality Holistic Health Inspiration Brain Health Technology Relationships View All If you ever felt completely immersed in an activity, you might have been experiencing a mental state that psychologists refer to as flow. What exactly is flow? Imagine for a moment that you are running a race. Your attention is focused on the movements of your body, the power of your muscles, the force of your lungs, and the feel of the street beneath your feet. You are living in the moment, utterly absorbed in the present activity. Time seems to fall away. You are tired, but you barely notice. According to positive psychologist Mihály Csíkszentmihályi, what you are experiencing in that moment is known as flow, a state of complete immersion in an activity. He describes the mental state of flow as being completely involved in an activity for its own sake. The ego falls away. Time flies. Every action, movement, and thought follows inevitably from the previous one, like playing jazz. Your whole being is involved, and youre using your skills to the utmost. Flow experiences can occur in different ways for different people. Some might experience flow while engaging in a sport such as skiing, tennis, soccer, dancing, or running. Others might have such an experience while engaged in an activity such as painting, drawing, or writing. These moments of flow often occur when you are engaged in an activity that you enjoy and in which you are quite skilled. How Does It Feel to Experience Flow? According to Csíkszentmihályi, there are ten factors that accompany the experience of flow. While many of these components may be present, it is not necessary to experience all of them for flow to occur: Clear goals that, while challenging, are still attainableStrong concentration and focused attentionThe activity is intrinsically rewardingFeelings of serenity; a loss of feelings of self-consciousnessTimelessness; a distorted sense of time; feeling so focused on the present that you lose track of time passingImmediate feedbackKnowing that the task is doable; a balance between skill level and the challenge presentedFeelings of personal control over the situation and the outcomeLack of awareness of physical needsComplete focus on the activity itself How to Achieve Flow So what can you do to increase your chances of achieving flow? In his book, Csíkszentmihályi explains that flow is likely to occur when an individual is faced with a task that has clear goals that require specific responses. A game of chess is a good example of when a flow state might occur. For the duration of a competition, the player has very specific goals and responses, allowing attention to be focused entirely on the game during the period of play. If you are trying to achieve a state of flow, it can help if: You have a specific goal and plan of actionIt is an activity that you enjoy or are passionate aboutThere is an element of challengeYou are able to stretch your current skill level Flow also happens when a persons skills are fully involved in overcoming a challenge that is just about manageable, so it acts as a magnet for learning new skills and increasing challenges, Csíkszentmihályi explains. If challenges are too low, one gets back to flow by increasing them. If challenges are too great, one can return to the flow state by learning new skills. Applications and Examples of Flow While flow experiences can happen as part of everyday life, there are also important practical applications in various areas including education, sports, and the workplace. Examples of Flow in Education: Csíkszentmihályi has suggested that overlearning a skill or concept can help people experience flow. Another critical concept in his theory is the idea of slightly extending oneself beyond ones current ability level. This slight stretching of ones current skills can help the individual experience flow.Examples of Flow in Sports: Just like in educational settings, engaging in a challenging athletic activity that is doable but presents a slight stretching of ones abilities is a good way to achieve flow. Sometimes described by being in the zone, reaching this state of flow allows an athlete to experience a loss of self-consciousness and a sense of complete mastery of the performance.Examples of Flow in the Workplace: Flow can also occur when workers are engaged in tasks where they are able to focus entirely on the project at hand. For example, a writer might experience this while working on a novel or a graphic designer might achieve flow while working o n a website illustration. The Benefits of Flow In addition to making activities more enjoyable, flow also has a number of other advantages. Flow can lead to improved performance. Researchers have found that flow can enhance performance in a wide variety of areas including teaching, learning, athletics, and artistic creativity.Flow can also lead to further learning and skill development. Because the act of achieving flow indicates a substantial mastery of a certain skill, the individual must continually seek new challenges and information in order to maintain this state. A Word From Verywell Achieving a state of flow can be a great way to make the activities you pursue more engaging and enjoyable. Not only do people often perform better when they are in this state of flow, they are often able to improve their skills in that area.

Thursday, May 21, 2020

The About a Hero Named Beowulf - Free Essay Example

Sample details Pages: 2 Words: 680 Downloads: 7 Date added: 2019/05/08 Category Literature Essay Level High school Tags: Beowulf Essay Did you like this example? The poem Beowulf about a hero named Beowulf who saves the Danes from a demon-creature named Grendel, and Grendels mother. Grendel has been killing the Danes for 12 years and King Hrothgar, leader of the Danes is powerless against this creature. Word of Grendels acts have traveled across the ocean to Geatland, where Beowulf lives. Don’t waste time! Our writers will create an original "The About a Hero Named Beowulf" essay for you Create order When Beowulf hears of this, he feels indebted to help King Hrothgar who is the king of the Danes because of a deed King Hrothgar did for Beowulfs father years ago. Beowulf is successful in defeating the creatures, but years later he will succumb to another creature due to his heightened self-value. This poem has an underlying message about the importance of humility and avoiding a haughty, prideful spirit no matter how much you have accomplished. Beowulf arrives to the land of the Danes unsummoned. King Hrothgars officer, Wulfgar, didnt recognize Beowulf or his men when they arrived. In lines 333-389, Wulfgar questions Beowulf as to who he is and why him and his men have sailed to the land of the Danes. When Wulfgar feels more comfortable with Beowulf, he goes to notify King Hrothgar of his arrival all before Beowulf and his men could continue to enter the land. While Beowulfs intention to go to Denmark was noble, this begins to speak to the thoughts that Beowulf has of himself as hero and his abilities to defeat any monster, even if he has never seen it or has no idea what he is going to be up against. When Beowulf is learning about Grendel and he leans that Grendel doesnt use weapons during combat, it seems as if Beowulf sees this as a challenge. In lines 438-439 Beowulf states,but I with my grip shall fight this fiend , meaning that he will also not use any weapons. In the movie Beowulf, the hero is even stark naked in mead-hall awaiting Grendels arrival while all 14 of his men are dressed in armor. It is not stated, but as a reader I wonder if Beowulf has fought any pervious battles unarmed? In my opinion, this was an act of pride. Fortunately, Beowulf defeats Grendel and saves the Danes. He also kills Grendels mother for avenging her sons death by killing one of King Hrothgars men. Before returning home, King Hrothgar has a talk with Beowulf that seemingly foreshadows his death. In 1758-1768, the King warns Beowulf about not succumbing to the spirit of pride. The King is wise and recognizes that Beowulf is in his prime and is known as hero throughout the land, but he also sees fit to remind him that the days of his prime and youth will not always last. This advice doesnt seem to humble Beowulf. Not long after Beowulf returns home to Geatland, his king, King Hygelac is murdered and the son of the king, Heardred takes the throne, but is also soon murdered leaving Beowulf to be king. Beginning at line 2214, we learn about a slave who steals a gold drinking cup from a dragon with a mound of treasures. Once the dragon realized that this item was missing he began to retaliate against Geatland by burning down the city in hopes of finding the man that stole his cup. To defend Geatland, Beowulf prepared for a battle with the dragon. The soldiers of Geatland offered to assist Beowulf, but in a moment of pride Beowulf declined the help. All of the soldiers left except for one, Wiglaf. Defeating the dragon may have been something the Beowulf could have done with ease when he was younger and in his prime; however, this was no longer the case. The dragon began to overpower Beowulf, but luckily Wiglaf stayed and was able to help defeat the monster. Beowulf was bitten in the neck by the dragon and the poisonous venom proved to be fatal. Although Beowulf died because of the venomous bite from the dragon, the message is deeper. Pride caused Beowulf to attempt to fight the dragon alone even after help was offered; pride ultimately lead to King Beowulfs death.

Wednesday, May 6, 2020

Maya And The Ancient Civilizations - 1283 Words

To this day, historians still discuss when exactly the Maya civilizations started but the most commonly accepted date is 1800 BCE in the Soconusco Region. Unlike other Mesoamerican civilizations, Maya was not confined to one area of land but rather stretched out over Central America. To historians today, the Maya civilization reached its peak during the Classic Period between AD 250 and 900. At its peak, the Maya population was over 2,000,000 people. Excavations of Mayan cities have uncovered plazas, temples, pyramids, ball playing courts, and even art. The peak of this civilization is considered to have occurred when the Mayans started to carve and produce beautiful low relief steles. The Stele in Figure 1 from the late Classic Maya period is an example of a low relief stele that the Mayans were so known for. Steles are generally made from wood or stone and are taller than the average human. They were erected as a monumental object for either commutative or funerary purposes. In Mes oamerica, the first steles were first seen from the Olmec’s; Mesoamerican civilization that existed between 1200 to 400 BCE. Maya Steles are typically carved in low relief in stone with a base altar; a base that typically had the name or some sort of offering to the figure in the stele. It was in the peak of the Mayan civilization, the Classic period, AD 250-900, which the steles were predominantly employed. The Maya people used steles mainly in the Classic period (AD 250-900) within their peakShow MoreRelatedAncient Maya Essay868 Words   |  4 PagesAncient Maya Essay Matthew Pitcher Mrs Meligrana Ancient Civilizations June 8th, 2011 Pitcher1 The Ancient Mayan civilization stands out from other ancient civilizations and is great because of its outstanding achievements and developments. The Mayans are still known to this day for their exceptional architecture, medical discoveries, astronomy, and military tactics which were very successful. In this essay I will explain what the Mayans have achieved to make themselvesRead MoreCharacteristics Of The Mayan Civilizations733 Words   |  3 Pages There are many different types of civilizations. Three major ones are the Aztec, Maya, and Inca . These different civilizations play a very important role in history today. The Maya empire was highly skilled at building and architecture. They also were the only empire in mesoamerica to develop a complete writing system. The Maya were also highly skilled at agriculture and farming. The Maya were by far the most advanced and smart civilization. The Maya empire was very precise and exact when itRead MoreThe Aztecs And The Incas1135 Words   |  5 Pagesof other stars! This is what the Aztecs and the Mayas saw every night. Both the Aztec and the Maya were a powerful and advanced civilization that were created separately from the Western European civilizations and did an amazing job doing so. Just like many other Ancient Civilizations the night sky plays a significant role in their society. Astronomy, Religion, culture and architecture are all aligned the stars. Both the Aztecs and the Maya originated in what is now the southern part of MexicoRead MoreDisappearance of the Mayan Civilization Essay1008 Words   |  5 PagesDisappearance of the Mayan Civilization Dawn Herron- (su200126206) Dr. Caren Stayer World Cultures I online 01/13/14 The End of the Maya Empire: In 800 A.D. the Maya Empire contained of a number of powerful city-states spreading from southern Mexico to northern Honduras. These cities were home to massive populations and were ruled by a leading choice that could understand vast armies and demanded to be inclined from the stars and planets themselves. Maya culture was at itsRead MoreEconomy in Early American Civilizations: Maya, Aztecs and Inca865 Words   |  4 PagesAmerican civilization was the Aztec civilization. They were located in the Valley of Mexico around the 13th to 16th century CE, and they used slash-and-burn farming to plant crops to trade. The Inca Empire existed from the 13th to the 16th century CE along the Pacific coast of South America near the Andes Mountains. The Inca used terrace farming and irrigation to grow crops such as corn. The economies of these early American civilizations were heavily based on trade and agriculture. The Ancient MayaRead More The Ancient Maya Essay940 Words   |  4 Pages The Maya of Mesoamerica, along with the Aztecs of Mexico and the Incas of Peru, made up the high civilizations of the American Indians at the time of the Spanish conquest. Both the Aztecs and the Incas were late civilizations, between 1300-1533 AD, but the Maya of the Yucatan and Guatemala exhibited a cultural continuity spanning more than 2,000 years, 1000 BC-AD 1542. Many aspects of this culture continue yet today. The Ancient Maya in their time had actually refined writing. They hadRead MoreThe Olmecs, Aztecs And Mayans988 Words   |  4 PagesA very long time ago, there were many ancient civilizations, three of them were called the Olmecs, Aztecs and Mayans. These were ancient civilizations that, throughout history, had many accomplishments. Focusing in on some of these achievements, a lot of the advancements made by these civilizations were in religion, economy, and technology. The Olmec religion was very influential on areas like the Mesoamerican, both in the mythological world and social development. For a lot of reasons, the OlmecRead MoreHow The Maya Civilization Was A Major Social Entity From Approximately 2600 B.c1316 Words   |  6 Pages Mesoamerica Essay The Maya civilization was a major social entity from approximately 2600 B.C.E. to 1521 C.E. The Maya civilization was never a fully unified society; it was primarily made up of numerous small states, in and around what is now known as the Yucatan Peninsula. These states, each apparently centered on a city, were ruled by individual kings. Sometimes, a stronger Maya state would dominate a weaker state and be able to exact tribute and labor from it. The development of agricultureRead MoreA Brief Look at the Mayan Civilization Essay example1548 Words   |  7 PagesOlmec were the Maya people. The Maya can be analyzed in terms of their culture. This civilization came about in Mesoamerica around 250 AD with a great influence coming from that of the Olmec. The first 650 years of the Maya civilization’s existence was known as the Classic Period. They created a remarkable society of more than 40 cities in the region which is now southern Mexico, Guatemala, and northern Belize. The cit ies contained mostly ceremonial centers and majority of the Maya lived a rural agriculturalRead MoreThe Role of Religion in Shaping Civilization795 Words   |  4 PagesThe role of religion in shaping civilization From the beginning of human race or Homo sapiens, they were run by curiosity. Human were started to live together but didn’t know what was right or wrong, used to do things whatever wanted like killing each other, mass adultery with inter and intra species, eating whatever wanted. So there were many questions, curious Homo sapiens all over the world didn’t know the answers. After 10,000 BC by the invention of agriculture human race started to live together

Can Telemedicine Reduce Health Costs Health And Social Care Essay Free Essays

string(170) " that the Southern Governors ‘ Association and the Western Governors ‘ Association demonstrated a important degree of leading in the country of telemedicine\." Telemedicine utilizes assorted information and telecommunication engineerings to supply medical services remotely. Besides specific medical processs, nosologies and electronic records, it besides provides supervising systems between healthcare suppliers and patients to advance home-health direction, instruction, clinical position and wellness result followup ( National Association for Home Care And Hospice, 2008 ) . It is frequently seen as a possible scheme to cut down wellness disparities created by geographic or temporal barriers, homebound position, and cultural stigma. We will write a custom essay sample on Can Telemedicine Reduce Health Costs Health And Social Care Essay or any similar topic only for you Order Now It can buoy up the job of disproportionality in the geographic allotments of healthcare resources and work forces, and increase the entree of health care system among the underserved communities and populations ( Cousineau, 2010b ) . It has besides shown an ability to better wellness communicating by exceeding the temporal boundaries and diminishing the waiting clip in the diagnostic procedure. The expeditious entree to telemedicine non merely saves clip but besides reduces cost by using the resources more expeditiously and extinguishing unneeded travelling clip for both doctors and patients, courier services, excess staffing, and excess infirmary stay ( Matusitz A ; Breen, 2007 ) . Therefore it is really likely to be an alternate and economical option to relieve the load of the limited wellness work force and resources in our health care bringing systems. The Healthy People 2010 includes ends of eliminate wellness disparities among sections of different populations ( U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion, 2005 ) . Surveies have shown that rural countries experience more wellness disparities such as both morbidity, mortality, and with insurance coverage ( Agency for Healthcare Research and Quality, 2009 ) . Age is besides an of import factor that contributes to healthcare barriers such as homebound position and transit affairs. The aged have systematically accounted for about 50 % of all health care expenditures in the United States ( Cousineau, 2010a ) . As the demand for the wellness attention additions, there will be fewer health care workers for attention bringing. If the current tendencies continue, the spread between supply and demand of rural doctor and nurses will be even larger than in urban countries ( Cousineau, 2010b ) . Given the continued growing of chronic unwellne ss in our society and the detonation of new health-related engineerings, surgical techniques and drugs ( Cousineau, 2010c ) , inquiries of how, or if telemedicine can cut down costs or better entree must be address in order to see it as a feasible solution for the drawn-out health care bringing in the United State. Issues In malice of the progresss of medical engineering and wellness information sciences that have improved the ability for telemedicine to supply entree to a spectrum of attention, insurance companies and funders continue to eschew the issue of reimbursement for telemedicine services. Indeed, though there has been great promise of telemedicine development really small advancement has really been achieved. The primary challenges continue to be limited reimbursement, licensure, and patient privateness ( Matusitz A ; Breen, 2007 ) . Since Senate Bill 1665 enacted the â€Å" Telemedicine Delivery Act of 1996 † which imposed legion demand regulating the bringing of health care via telemedicine, several related policies such as HR3030 and HR3200 have besides been introduced to Congress to supply low-cost telemedicine services with ordinances. However, they are all still pending and have been unable to continue. Since there is no direct opposition disputing telemedicine-related policies , this paper will concentrate on discoursing the regulative barriers and legislative actions forestalling them from come oning. With respect to the limited research grounds and expertness in telemedicine, this paper will besides analyse the recent Congressional proposal HR 1601 by sing the quality and wellness results of telemedicine system. Last, it will discourse the impact of Healthcare Reform on telemedicine and my recommendation for future waies. Regulative Barriers and Legislative Actions Licensure Presently each province regulates its ain pattern of medical specialty. This is a jurisdictional right that is recognized by the Supreme Court. For this ground, most healthcare professionals are licensed on a state-by-state footing. Telemedicine hence is besides geographically regulated by single provinces. Many legal issues originate when a â€Å" pattern † is done via a telecommunication nexus across different province lines. Each province they cross into can enforce a demand on the supplier to keep a full medical licence before seeing their out-of-state patients via telemedicine engineerings. It is hard and dearly-won for healthcare practicians to keep and keeping multiple licences, particularly those in the rural countries where the healthcare demand is non stable ( Cousineau, 2010b ) . For this ground, many merely choose to restrict their pattern to a individual province. In 1996, the Federation of State Medical BoardsA developed theoretical account statute law which allows a province to supply and administrate a limited telemedicine licence. This limited licence permits wellness practicians to pattern in different provinces via telemedicine engineerings, but non physically. Conversely, the American Medical Association decided to follow a policy that requires a full and unrestricted licence in order for a doctor to pattern telemedicine across province lines ( Nickelson, 1998 ) . Beyond licensure issues, while interstate telemedicine patterns could better entree to our current health care systems, it besides raises inquiries about malpractice and struggle of jurisprudence. Presently each province develops its ain malpractice insurance evaluation and most malpractice insurance does non use in instances outside of the province. On the other manus the suppliers of each province are besides concerned about how to exercise legal power over such malpractice claim against other suppliers from out of province who may non be capable to the legal power of the administrative regulative organic structures. Although a national licensure theoretical account for telemedicine seems like a logical solution, it is improbable to get the better of the political and constitutional issues in one measure. A regional geographic attack affecting province medical insurance companies to clear up coverage bounds and develop new policies might be more executable. For illustration, based on telemedicine activities from the Governor ‘s Associations and Councils in the yesteryear, Cwiek et Al found that the Southern Governors ‘ Association and the Western Governors ‘ Association demonstrated a important degree of leading in the country of telemedicine. You read "Can Telemedicine Reduce Health Costs Health And Social Care Essay" in category "Essay examples" They have proven to better entree to healthcare and medical specializers and cut down medical costs by traveling information alternatively of people ( Cwiek, Rafiq, Qamar, Tobey, A ; Merrell, 2007 ) . Reimbursement In 1997, both the House and the Senate passed HR2015 – Balanced Budget Act. It enabled partial Medicare reimbursement for Telemedicine services. However, professional audience was the lone service allowed by the measure and the payment had to be shared among assorted parties with really rigorous ordinances. In 2000, Congress passed appropriations measure HR 5661, the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act, which significantly revised Medicare ordinances for reimbursement for Telemedicine services ( The American Telemedicine Association, 2010 ) . The Healthcare Financing Administration extended Medicare coverage to medical visits, audiences, mental wellness services, and pharmacologic monitoring of patients populating in the rural country. Further, it extended payment rates to suppliers which were similar to that paid without the usage of telemedicine. Medicare besides pays a installation fee for per telemedicine session. However, obstructions rem ain because the reimbursement is normally allowed for directed physical communicating merely, such as face-to-face audiences. Besides, the opposition of reimbursement from the private insurance companies continues with non-feasible ordinances ( Matusitz A ; Breen, 2007 ) . Limited research grounds on Telemedicine and HR1601 HR1601 was introduced to the Congress by Jefferson in 2007 and it was referred to Committee for consideration of telemedicine service facilitation ( Thomas Library of Congress, 2007 ) . The end of this measure is to bespeak grants to put up telemedicine services in a spectrum of assorted healthcare systems including nursing place and public clinics. Rather than proposing the solution or overall support mechanism in the long term the purpose of this measure is to bespeak support for telemedicine pilot undertakings and bring forth research grounds. HR1601 would guarantee that the Office for the Advancement of Telemedicine in the Health Resources and Services Administration ( HRSA ) would supervise and organize pilot surveies with related federal bureaus of medical underserved populations in both urban and rural country, with the assistance of grants. HRSA would do recommendation harmonizing to their rating of whether these undertakings consequences in addition of entree and quality of attention, publicity of patient independency, lessening wellness disparities, and betterment of cost effectivity ( Prinz, Cramer, A ; Englund, 2008 ) . Quality The quality of telemedicine services has the most direct impact on the likeliness of go throughing policies of support. In order to present the optimum telemedicine service the quality of the telemedicine system needs to be reliable, user friendly and cosmopolitan in order to incorporate into assorted computerized system. Standardized counsel should be implemented so the telemedicine system can efficaciously and accurately pass on with bing computerized system in the infirmary and place wellness bureaus. The challenge lays in the complexness of telemedicine engineering, including hardware and package mutual exclusiveness, system integrating complexness, and communicating troubles due to low velocity digital lines ( Prinz, et al. , 2008 ) . Information could be lost while meeting communicating troubles and equipment failures which would earnestly impact the dependability of telemedicine service suppliers, particularly private place wellness bureaus in the rural country. Health result Use of Telemedicine engineering ( such as picture cameras and supervising devices ) in the Home Care puting additions entree to healthcare bringing by leting direct communicating between patients and wellness practicians beyond geographic and temporal boundaries. There is increasing grounds demoing that that telemedicine is associated with the positive result of self-management and conformity in chronic unwellness such as cardiovascular diseases and diabetes ( Artinian, 2007 ; Chumbler, et al. , 2005 ) . On the other manus, some argue that this grounds is non quantifiable because of the use of assorted telemedicine engineerings in different disease countries. The deficiency of thorough clinical tests might be the ground that holds back reimbursement organisation and promotion of telemedicine uses ( Prinz, et al. , 2008 ) . Some grounds even shows that using telemedicine services contributes no difference in patients ‘ wellness result but a greater cost comparison to other healt hcare bringing methods ( Bowles A ; Baugh, 2007 ) , therefore corrupting the necessity to reimburse a more dearly-won healthcare bringing method. The Impact of American Recovery and Reinvestment Act A ; Patient Protection and Affordable Care Act Based on the belief that wellness information engineering and electronic medical records are indispensable for the transmutation of telemedicine health care bringing, the federal authorities utilized the commissariats of the American Recovery and Reinvestment Act of 2009 ( ARRA ) to authorise about $ 38 billion in funding for wellness information engineering substructure over the following 6 old ages. The inside informations about how this support will be utilized are written in the Health Information Technology for Economic and Clinical Health ( HITECH ) subdivision in the ARRA. The largest part of this support is targeted at incentive payments by Medicare and Medicaid to eligible suppliers for the execution of wellness information engineerings. Specifically, in order to be qualified for these inducements the health care suppliers must follow a certification for the electronic medical record system and exhibit the practical usage ( Cline, 2010 ) . In March 2009 President Obama signed HR 3590, the Patient Protection and Affordable Care Act ( PPACA ) into jurisprudence. ThisA important wellness attention reform jurisprudence allows advanced payment and service bringing theoretical account to better entree, quality of health care, and cut down plan cost to persons, written specifically in Section 3021 ( Government Relations Staff, 2010 ) . A New Center for Medicare and Medicaid Innovation will back up primary attention practicians on flying telemedicine application in chronic attention direction. It will implement telemedicine plan in infirmaries, accountable attention organisations, and independency at place for distant patient monitoring. This jurisprudence encourages wellness information engineering and electronic medical records acceptance to ease attention coordination. It besides allows each province to utilize the new Medicaid â€Å" Health Home † plan to progress chronic attention. Recommendations Overall, I believe that the Telemedicine can increase entree and cut down cost in the long tally with the support of American Recovery and Reinvestment Act A ; Patient Protection and Affordable Care Act. There is no uncertainty that the Telemedicine is capable of transforming our health care bringing system in both positive and negative waies, nevertheless, I believe that the pros outweigh the cons. It is notable that most of the up to day of the month pilot research surveies mentioned supra have made positive impacts on the entree of healthcare bringing. Inadequate and unequal coverage for telemedicine service earnestly delayed the execution of cost-saving and quality-improvement solutions, and constrained the entree and picks in assorted forte services in rural countries. Current expanded Medicare coverage for Telemedicine is in procedure of work outing this issue, but specifically I think Congress should besides widen Medicare coverage to medical services using â€Å" store-and- forward † telemedicine ( for illustration direction and showing for diabetic related retinopathy ) , and to suppliers whose services are otherwise covered for Medicare. I besides recommend a more aggressive plan for pull offing the demands and costs of chronic patients who are presently homebound or are potentially at hazard to be administered into a infirmary or nursing place. Thousands of veteran patients are profiting from place wellness telemedicine plan to organize their attention. The US Veteran Affairs have found that their patients follow the usage of these devices easy and are really satisfied with their attention coordination service ( US Department of Veterans Affairs, 2009 ) . Therefore, Congress should advance Home Telemedicine and include it in the reimbursement component to cover the costs of related devices and engineering. Most provinces ‘ Medicaid already covered some telemedicine services. It can be optimize by back uping primary attention doctors to s uit telemedicine services, maximise the usage of picture and telecommunication to cut down patients ‘ travelling, and increase â€Å" store-and-forward † engineering uses such as sharing medical images for diagnosing. The current rural wellness plan should prolong the operation of high-velocity cyberspace entree and wireless connexion within all eligible wellness installations to accomplish efficiency and cost-effectiveness. Congress should besides set up a licensing board to promote interstate medical licensure cooperation by geographic zone. Finally, I believe that with effectual execution, wellness practicians and patients can get the better of the challenges limited the development and success of telemedicine. How to cite Can Telemedicine Reduce Health Costs Health And Social Care Essay, Essay examples

Saturday, April 25, 2020

Quality Management and General Education in Saudi Arabia

Context: Case Description and Background Information Improving quality in the system of education is a tricky task that requires addressing a range of complex dilemmas.Advertising We will write a custom case study sample on Quality Management and General Education in Saudi Arabia specifically for you for only $16.05 $11/page Learn More Despite the fact that the process of enhancing quality standards in the system of the Saudi Arabian education is clearly a positive change to witness (Aldaweesh, Al-Karaghouli Gallear, 2012), the process may easily become convoluted due to the large amount of factors that need to be embraced prior to the provision of the required alterations. Moreover, the usefulness of the project in question has been basically proven by a range of outcomes of its implication, my experience being one of them. Unless the TQM model had been introduced into the framework of the Saudi Arabian education, students would have been deprived of a n opportunity to improve the quality of their performance, as well as boost their motivation rates and acknowledge the significance of learning. Retrospectively, the process of planting the idea of TQM into the Saudi Arabian educational setting in general and the school that I worked in particular may have inspired students to adopt the principle of lifelong learning. Therefore, teachers and learners are the key stakeholders in the specified case. Main principles of change management and Strategies Implemented The integration of the TQM model into the Saudi Arabian education setting can be viewed as a major breakthrough on the state’s way to improving the quality of education and broadening educational perspectives for students within the state. Over the course of my work as an assistant of a teacher in a Saudi Arabian college, I have noticed that some of the quality assurance principles have been altered significantly over the past few years after the integration of the so-c alled TQM model; allowing for a more efficient time management, creating a set of rather rigid standards, and improving the overall performance of the students. More importantly, the TQM model promotes a rapid and significant increase in the overall competency of the teaching staff; therefore, promoting better quality standards for teaching (Alruwaili, 2013). As a result, the Saudi students are enabled to acquire deeper knowledge and train their skills in a more efficient manner, therefore, contributing to the development of diligence I learners, making them more studious.Advertising Looking for case study on education? Let's see if we can help you! Get your first paper with 15% OFF Learn More Indeed, an overview of the existing researches on the effects of the TQM initiative promoted in the Saudi Arabian educational setting will show that the process of decision making in the Saudi Arabian education setting is improved with the help of the above-mentioned tool:  "The economy and the dynamics of technology and globalization were the key motivators for introducing TQM as a Ministry policy and in its procedures, management and leadership† (Alruwaili, 2013, p. 257). Therefore, the introduction of the specified model into the framework of the Saudi Arabian education will allow for a reciprocal improvement of the quality standards for teachers’ and students’ performance. Challenges, Key Concerns and Perspectives The implementation of the change in the specified background, in fact, received rater mixed responses from both teachers and students. While some of them considered the transfer to the QM model a major improvement, others perceived the change as a huge impediment to the teaching and studying process. Among the key arguments of the proponents of the system in question, Fullan (Selwood, Fung, O’Mahoney, 2012) deserves to be mentioned fist. Those, who were against the provision of the aforementioned change in the Saudi Arabian setting, stressed the negative effects, which the alterations required for establishing the TQM system, will trigger inevitably. Particularly, the fact that the introduction of the new system would require a complete rearrangement of the college policies and, therefore, will entail a number of issues concerning the college schedule, should be mentioned. Indeed, the alterations in the existing guidelines for quality management, as well as the standards of quality in general, will slacken the process of teaching inevitably, thus, possibly causing a backlash among teachers. The above-mentioned suppositions concerning the issues, which the TQM system was bound to cause in the Saudi Arabian school setting, in fact, proved right; in fact, the positive outcome of the framework implementation aligned with the suppositions voiced by a range of theorists (Aldaweesh, Al-Karaghouli Gallear, 2013).Advertising We will write a custom case study sample on Quality Management and General Education in Saudi Arabia specifically for you for only $16.05 $11/page Learn More However, apart from the people, who were against the change, there were just as many of those, who supported it and saw it as a solution to the problems that the college was facing at the time, including the issues related to students losing motivation for excelling in their studies. As the case described above shows, change is an essential part of success. As long as educators are willing to promote efficient knowledge acquisition among students, they must be able to accept innovative approaches towards teaching and informing students about the latest studying strategies. More importantly, the standards for evaluating students’ performance must be updated regularly. The significance of change has been stressed by a range of theorists, however, it was Fullan, who advanced the idea of change in educational setting and took it to an entirely new level (Fullan, 200 8). The change described above, in fact, aligns with the key tenets of the theory suggested by the researcher. Indeed, according to Fullan, the process of change presupposes altering not only materials and objects, but also beliefs and principles that a specific community represents. In other words, Fullan promotes the concept of moral purpose as the basis for carrying out any alterations within a specific community: â€Å"Moral purpose in educational change is about improving society through improving educational systems and thus the learning of all citizens† (Fullan, 2005, p. 54). The specified concept sheds a lot of light on the reaction of the Saudi Arabian students and teachers to the introduction of new principles of teaching and learning to them. Particularly, the theory that Fullan suggests promotes the creation of a strong foundation for the required alterations to occur; as a result, people will be able to get used to the new methods of teaching, learning and behavi ng in educational setting. Moreover, by creating his theory, Fullan practically spells out the importance of striving towards a consistent progress: â€Å"The change process is about establishing the condition for continuous improvement in order to persist and overcome inevitable barriers to reform† (Fullan, 2005, p. 55).Moreover, Fullan draws a rather thin yet noticeable line between innovation and innovativeness, thus, stressing the fact that change must be not merely tolerated, but embraced by every single member of the organization (Fullan, 2006).Advertising Looking for case study on education? Let's see if we can help you! Get your first paper with 15% OFF Learn More It is only after the staff members change their minds about the outcomes of the alterations, which they witness, that a major improvement can be expected. Conclusion: Outcomes, Recommendations and Lessons Learned The change described above may not seem as significant as other tendencies in the Saudi Arabian education, yet its implications are bound to have a drastic effect on the overall process of students’ education. Its implications being long-term for the most part, the innovation described above can be viewed as a major foot forward in the process of facilitating affordable and multiple education options for Saudi Arabian students. Although some of the effects, which the specified policy is bound to have on the education of Saudi Arabian students, can be viewed as equivocal, most of the outcomes can be viewed as positive for the overall development of the state education system. More importantly, the change, which I witnessed in the course of participating in the Saudi A rabian educational program, will affect students in a positive manner, opening new opportunities for students and allowing them to gain an entirely new experience. In addition, the theoretical frameworks, which I have studied, have been very important in understanding the nature of change and the means of carrying out alterations without disrupting the system that an organization works according to. The theories learned provide an array of tools and strategies for making changes; however, apart from showing how a change should be done, these theories that have been provided as a prime example of promoting change show how to help people get accustomed to the alterations of the environment that they are used to. As a result, both students and teachers are capable of using the strategies that will help them deal with the change and learn new skills fast. Consequently, it is recommendable that the specified change should continue to occur in the Saudi Arabian setting; however, both teac hers and students should reconsider their responsibilities as the members of the existing education system and assume academic responsibility towards the goals and standards that they have to meet. Reference List Aldaweesh, M., Al-Karaghouli, W. Gallear, D. (2012). The relationship between total quality management implementation and leadership in the Saudi higher education: A review and conceptual framework. European, Mediterranean Middle Eastern Conference on Information Systems, 7(8), 461–467. Aldaweesh, M., Al-Karaghouli, W. Gallear, D. (2013). The Effective Implementation of Total Quality Management and Leadership in Saudi Universities: A Review and Framework to Enhancing H.E. Strategy. European, Mediterranean Middle Eastern Conference on Information Systems, 17(1), 1–21. Alruwaili, J. (2013). Total quality management in education directorates in Saudi Arabia: contrasting provincial case studies. Public Policy and Administration Research, 3(6), 26–34. Fu llan, M. (2005). 8 forces for leaders of change. In M. Fullan, The challenge of change: Start school improvement now! (pp. 54–64). Thousand Oaks, CA Corwin Press. Fullan, M. (2006). Change theory: A force for school improvement. Web. Fullan, M. (2008). The six secrets of change. Web. Selwood, I. D., Fung, A. O’Mahoney, C. D. (2012). Management of education in the information age: The role of ICT. New York, NY: Springer. This case study on Quality Management and General Education in Saudi Arabia was written and submitted by user T0adMen to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.