...Myasthenia Gravis and Physical Therapy Student’s Name Professor’s Name Class Institution of Affiliation Date of Submission Myasthenia Gravis and Physical Therapy Myasthenia Gravis According to medical research studies, Myasthenia Gravis is an autoimmune disease that develops when an individual’s immune system makes certain antibodies that affect its tissues. The antibodies produced by the body destroy or block muscle receptors that are fundamental in communication between the nerve-to-muscle and muscle contraction. The receptors are often referred to as acetylcholine (National Institute of Neurological Disorders and Stroke, 2010). The condition results in weakness of muscles and the effects tend to increase a lot when one is involved in physical activity that only reduces after resting. The most important fact to note is that the degree by which muscle weakness occurs due to myasthenia differs greatly among the affected individuals. The difference ranges from a localized form that is only limited to ocular myasthenia to a more severe form in which other muscles, such as those that control breathing, are affected (Drachman, 1994). In the traditional context, the condition has often been regarded to affect both genders and all ethnic groups. The most common cases are often found in younger women under the age of 40 and older men over the age of 60, although the condition can occur at any given age within the population. Epidemiological studies done in Greece found a Female...
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...Case Barbara Norris: Leading Change in the General Surgery Unit باربارا نوريس التغير القيادي في الجراحه Harvard Business Review Boris Groysberg Nitin Nohria Deborah Bell March-13-2009 Permissions@hbsp.harvard.edu or 617.783.7860 It was 10 PM and Barbara Norris, nurse manager for the large General Surgery Unit (GSU) at Eastern Massachusetts University Hospital (EMU) sat down at her desk to catch her breath. She had been on the unit since 6:30 AM but planned to stay for another two hours to help with the transition from the second to third shift and the orientation of two registered nurses (RN) from the float pool. It had been one month since she had assumed the nurse manager role for the troubled unit. During this time she felt, as she did this evening, tired and overwhelmed. As nurse manager she was responsible for managing the staff, scheduling and budget for the unit. Her 33-person staff included 25 RNs and eight patient care assistants (PCAs). In her first month as nurse manager she had already lost two RNs and in the six months prior to her joining the unit three RNs had left. But because of the recently instituted hiring freeze at EMU, Barbara was not able to replace some of these positions. The unit was short-staffed; stress levels were high and employee morale low. In fact, GSU had the lowest employee satisfaction scores and highest employee turnover rate among all of the departments at EMU. And although its patient satisfaction scores were...
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...Key health issues High infant and childhood mortality rates from deadly communicable diseases. Perspective/goals Initially, the goal was to develop a medical treatment that was safe, effective, and economically feasible to be used for all births, regardless of race, creed, or culture, in the United States. Eventually, the goal included the global community with the objective of immunizing all infants and children. Role/functions In order to provide immunizations for as many children as possible protocols are in place to capture every opportunity available to administer the inoculation. Staff in pediatric practice check for childhood immunizations during each appointment by interviewing the parents, checking the computerized records. Education is an ongoing process for parents regarding the importance to their children, and the community as a whole, regarding childhood immunizations. Some of the educational instruments available were printed literature for handouts, questionnaires that will reveal why parents are resistant to childhood immunizations, and PowerPoint presentations. One of the newest forms of providing information that I have observed during recent medical appointments as the use of large screen television sets in the lobbies and waiting rooms. They continuously promote information, to a captive audience as they wait their turn to be seen by a provider. ("Www.aap.org", 2015). Health partnerships Center for Disease Control (CDC), Human and Health Department of...
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...leak of some 40 tons of methyl isocyanate (MIC) gas mixed with unknown other gasses from a chemical plant owned and operated by Union Carbide (India) Limited, a partly-owned subsidiary of the US-based Union Carbide Corporation, caused one of the highest-casualty industrial accidents of the 20th century. At least 2000 people died immediately and another 200,000 to 300,000 suffered respiratory and other injuries of varying severity. Property damage consisted mainly of contamination to nearby areas by various chemical residues. The defoliation of trees immediately afterward is clearly attributable to the gas leak; contamination in the nearby settlements may have multiple sources, the contamination of the plant site resulted from many years of general production activity. India’s Economic Ambitions When India attained independence from Great Britain in 1947, its new political leaders wanted to make the country wealthier by encouraging development of modern industry. It had strong support from the citizens, who generally agreed that India’s current lack of industrialization and economic development were the result of these colonial-era policies. Thus the new government could expect widespread support for any policy that appeared to set the country on the path to industrialization. The new political elite brought to this task a set of beliefs about economic policy that sought a middle way between the heavy reliance on private enterprise that had characterized British industrialization...
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...#1…Public health IN THE United States, primary care remains a medical model. This is in contrast to much of the world, where the 1978 Declaration of Alma-At a which recognized that attaining health for all also requires interaction from social and economic sectors - is considered standard. Today, there is much buzz about patient-centered medical homes, a concept that promises to transform the practice of American medicine. There is much to praise about this most recent iteration of the medical home. But the missing ingrethent in all these definitions and models remains public health. A population focus that addresses the social determinants of health is an essential component of primary health care. In the United States, such a comprehensive approach has been labeled community-oriented primary care. This model is built firmly on the Alma-Ata principles and incorporates a public health approach to health services. Community-oriented primary care organizes the delivery of health services, around a population, not simply a collection of individuals. It identifies a population - most frequently a geographically defined community - and uses epidemiology and interventions to improve community and individual health and well-being. In this model, both individual patients and the community are the foci of the delivery of health services. Primary health care stands at the intersection of personal and population health services. It requires integrating medical models of primary care...
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...Developing an Effective Health Care Workforce Planning Model Contents Executive Summary...................................................................................................................1 Getting Started with a Workforce Planning Model .................................................................2 Data – Collecting, Understanding, and Using ........................................................................3 Strategy – Understanding and Addressing the Business Need .............................................9 Planning – How to be Prepared for the Future .....................................................................12 Evaluation – Understanding Success ..................................................................................21 Conclusion ...............................................................................................................................23 Literature Review ....................................................................................................................24 Acknowledgements.................................................................................................................26 Executive Summary is aging at a rapid rate; health care reform is expected to bring millions more patients into the system; and there are anticipated shortages in numbers of trained health care professionals to care for these patients. Therefore, the need to start now to develop more effective and efficient...
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...http://www.nap.edu/catalog/9728.html We ship printed books within 1 business day; personal PDFs are available immediately. To Err Is Human: Building a Safer Health System Linda T. Kohn, Janet M. Corrigan, and Molla S. Donaldson, Editors; Committee on Quality of Health Care in America, Institute of Medicine ISBN: 0-309-51563-7, 312 pages, 6 x 9, (2000) This PDF is available from the National Academies Press at: http://www.nap.edu/catalog/9728.html Visit the National Academies Press online, the authoritative source for all books from the National Academy of Sciences, the National Academy of Engineering, the Institute of Medicine, and the National Research Council: • Download hundreds of free books in PDF • Read thousands of books online for free • Explore our innovative research tools – try the “Research Dashboard” now! • Sign up to be notified when new books are published • Purchase printed books and selected PDF files Thank you for downloading this PDF. If you have comments, questions or just want more information about the books published by the National Academies Press, you may contact our customer service department tollfree at 888-624-8373, visit us online, or send an email to feedback@nap.edu. This book plus thousands more are available at http://www.nap.edu. Copyright © National Academy of Sciences. All rights reserved. Unless otherwise indicated, all materials in this PDF File are copyrighted by the National Academy of Sciences. Distribution, posting, or copying...
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...college, he earned degrees from Columbia University and Harvard Law School. Obama worked as a community organizer in Chicago, where he met and married Michelle LaVaughn Robinson in 1992. Their two daughters, Malia Ann and Natasha (Sasha) were born in 1998 and 2001, respectively. Obama was elected to the Illinois state senate in 1996 and served there for eight years. In 2004, he was elected by a record majority to the U.S. Senate from Illinois and, in February 2007, announced his candidacy for President. After winning a closely-fought contest against New York Senator and former First Lady Hillary Rodham Clinton for the Democratic nomination, Obama handily defeated Senator John McCain of Arizona, the Republican nominee for President, in the general election. When President Obama took office, he faced very significant challenges. The economy was officially in a recession, and the outgoing administration of George W. Bush had begun to implement a controversial "bail-out" package to try to help struggling financial institutions. In foreign affairs, the United States still had troops deployed in Iraq and Afghanistan, and warfare had broken out between Israel and Hamas in the Gaza Strip, illustrating the ongoing instability of the Middle East. During his first term, President Obama was able to work with Congress to improve the U.S. economy, pass health-care reform, and withdraw U.S. troops from Iraq. Still the President spent significant time and political effort negotiating, for the...
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...analyzed the issues and problems which they face and the main elements and how the service concepts benefit both the customer and the organization. The main sources of information have been taken through the internet and also from articles and journals. A travel agency is a private retailer or public service that provides tourism related services to the public on behalf of suppliers such as airlines, car rentals, cruise lines, hotels, railways, and package tours . In addition to dealing with ordinary tourists most travel agencies have a separate department devoted to making travel arrangements for business travelers and some travel agencies specialize in commercial and business travel only. There are also travel agencies that serve as general sales agents for foreign travel companies, allowing them to have offices in countries other than where their headquarters are located. I have taken Thomas Cook , a travel agency from our industry to do this assignment. OVERVIEW OF THE ORGANIZATION Thomas Cook Group plc is a British online/offline travel company created on 19 June 2007 by the merger of Thomas Cook AG and MyTravel Group plc. At flotation on the London Stock Exchange 52% of the shares in the new company were held by the German mail order and...
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...Table of Contents WELCOME FROM ACADEMIC PROGRAM DIRECTOR ............................................................................ 1 MEET THE FACULTY................................................................................................................................... 2 ORIENTATION SCHEDULE ....................................................................................................................... 10 ACADEMIC CALENDAR ............................................................................................................................. 11 MASTER OF SCIENCE IN FINANCE PROGRAM SUMMARY ................................................................. 12 GETTING STARTED .................................................................................................................................. 13 JHED ID .................................................................................................................................................. 13 Blackboard FAQs .................................................................................................................................... 13 Integrated Student Information System (ISIS) ........................................................................................ 14 LIFE AT THE CAREY BUSINESS SCHOOL .............................................................................................. 15 HEALTH INSURANCE FOR STUDENTS...........................................
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...Analysis of American Tourism problems and Suggestions Nessie Shi May 8, 2013 Abstract This article main focuses on the problem and suggestions of current American tourism. Though analysis the history and current situation of America tourism, the article points out three problems the America tourism exist. Then the article indicates some suggestions to resolve the problems. The America tourism developed from 1790, and stand at the maturity stage now. It has rich tourism resource, such as the park, the museum, the theme park, the internet system, and developed transportation system and so on. However, the result is not the best in the world. Even though the America tourism is mature compare with more countries, it also has some problems because the special country condition. Such as the economy problem, security problem, visa problem and medial tourism problem. The article gives some suggestion aimed at each problem. Introduction “Tourism is the number-one service that we export. And that means jobs.” “More money spent by more tourists means more business can hire more workers.” President Obama announced when he went to Walt Disney World’s Magic Kingdom in Orlando, Florida January 19, 2012. (Laura, 2012). According to the statistic from the government, tourism and travel account is 2.7% of US gross domestic product (GDP) and support 7.5 million jobs. Generated...
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...OCTOBER 29, 2015 INTERNET OF THINGS ROHAN VERMA IST659, MSIM Syracuse University Internet of Things ii When American author and politician Bruce Barton said “Talker have always ruled. They will continue to rule. The smart thing is to join them”, probably he considered only human beings to be able to communicate. However, we understand, backed by research, that all animals and plants communicate with each other and with ever advancing technologies, it has been possible for humans to communicate effectively with the modern machines as well. Which brings us to the question, can machines communicate with other machines? Can we envisage an environment in which objects, animals or people have communication channels which do not require human-to-human or human-to-computer interaction for interaction? The Internet of Things(IoT) helps create an environment in which machines can interact amongst themselves or with living beings (human, animals and plants), where each entity is provided with unique identifiers and the ability to transfer data over a network without any human-to-human or human-to-machine interaction (Wigmore, 2014). IoT is a generic term and all entities play an active role owing to their connection to the Internet. It provides access to information, media and services, through wired and wireless broadband connections. The IoT feeds from the connections set up between the Consumer, Business and Industrial Internet to help create new services...
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...Chapter 3 The Evolution of Health Services in the United States Learning Objectives To discover historical developments that have shaped the nature of the US health care delivery system To evaluate why the system has been resistant to national health insurance reforms To explore developments associated with the corporatization of health care To speculate on whether the era of socialized medicine has dawned in the United States “Where’s the market?” 81 26501_CH03_FINAL.indd 81 7/27/11 10:31:29 AM 82 CHAPTER 3 The Evolution of Health Services in the United States Introduction The health care delivery system of the United States evolved quite differently from the systems in Europe. American values and the social, political, and economic antecedents on which the US system is based have led to the formation of a unique system of health care delivery, as described in Chapter 1. This chapter discusses how these forces have been instrumental in shaping the current structure of medical services and how they are likely to shape its future. The evolutionary changes discussed here illustrate the American beliefs and values (discussed in Chapter 2) in action, within the context of broad social, political, and economic changes. Because social, political, and economic contexts are not static, their shifting influences lend a certain dynamism to the health care delivery system. Conversely, beliefs and values remain relatively stable over time. Consequently, in the American health care...
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...Public Relations Cases This collection of contemporary international public relations case studies is an invaluable resource for teachers, researchers and students working in public relations, corporate communications and public affairs, as well as offering practitioners an indepth understanding of the effective use of public relations in a range of organizational contexts. Including cases from the UK, Norway, Sweden, Spain, South Africa, Canada and the USA, with a focus on such global corporations as Shell, BBC America, Worldcom, PriceWaterhouseCoopers and Marks & Spencer, it offers important insights into the development of public relations and communications strategies. These include: • • • • • • • • Corporate identity change and management Global reputation management Crisis management in the oil, shipping and tourism industries Developing strategic alliances between voluntary and private sector organizations Public relations support for international branding and market entry The importance of internal communications during international mergers The integration of public relations and marketing communications Business-to-business communication The cases examined in this book demonstrate the breadth of contemporary public relations practice and the increasing importance of the public relations function in both public and private sector organizations worldwide. Danny Moss is Co-Director of the Centre for Corporate and Public Affairs at the Manchester Metropolitan University...
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...Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care A Roadmap for Hospitals Quality Safety Equity A Roadmap for Hospitals Project Staff Amy Wilson-Stronks, M.P.P., Project Director, Health Disparities, Division of Quality Measurement and Research, The Joint Commission. Paul Schyve, M.D., Senior Vice President, The Joint Commission Christina L. Cordero, Ph.D., M.P.H., Associate Project Director, Division of Standards and Survey Methods, The Joint Commission Isa Rodriguez, Project Coordinator, Division of Quality Measurement and Research, The Joint Commission Mara Youdelman, J.D., L.L.M., Senior Attorney, National Health Law Program Project Advisors Maureen Carr, M.B.A., Project Director, Division of Standards and Survey Methods, The Joint Commission Amy Panagopoulos, R.N., M.B.A., Director, Division of Standards and Survey Methods, The Joint Commission Robert Wise, M.D., Vice President, Division of Standards and Survey Methods, The Joint Commission Joint Commission Mission The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The inclusion of an organization name, product, or service in a Joint Commission publication should not be construed as an endorsement of such organization, product, or services, nor is failure...
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