Sunday, December 29, 2019

Symptoms And Symptoms Of Alzheimer s Disease - 2374 Words

As a society, we are constantly faced with negative news about different diseases and genetic disorders. One genetic disorder that has affected the lives of many is, Alzheimer’s Disease. Alzheimer’s is the most common type of dementia that affects and causes problems with thinking, behavior and memory. Most of the time, symptoms of Alzheimer’s develop slowly and progress and worsen over time. Eventually the symptoms become severe enough that they begin to interfere with normal and daily tasks. It was originally thought that Alzheimer’s was a result of aging, but it has been found that there is actually something called early onset Alzheimer’s which affects people in their 40s and 50s, instead of the normal age of 65 and older (1).†¦show more content†¦This causes a loss in connection between nerve cells. Eventually, the nerve cell dies (2). To this day there have been various studies to try to determine the cause for Alztherimers; from different proteins, to environtmental factors(1,2,3,4,5,6,7,8,9). There are two types of Alzheimer’s disease, early onset and late onset. Early onset represents less than 5 percent of people diagnosed with Alzheimer’s. Most of these early onset cases are caused by an inherited change in one of three genes, and is known as early –onset familial Alzheimer’s disease or FAD. In the other cases, the cause is still unknown. Early onset FAD is caused by â€Å"any one of a number of different single-gene mutations on chromosomes 21, 14, and 1† (2). The mutations on these chromosomes cause abnormal proteins to form. â€Å"Mutations on chromosome 21 cause the formation of abnormal amyloid precursor protein (APP). A mutation on chromosome 14 causes abnormal presenilin 1 to be made, and a mutation on chromosome 1 leads to abnormal presenilin 2† (2). The mutations contribute to the decomposition of protein APP. The true function of APP is still unknown, but by breaking down APP, the harmful amyloid plaques are f ormed (2). Between the two types, the more common of the two is late-onset Alzheimer’s. Even though the complete cause is still unknown, there are studies that show it could be a combination of genetic, environmental, and lifestyle

Saturday, December 21, 2019

The Western Culture Cultural Imperialism - 1169 Words

Globalization has played a significant role in helping the spread of ideas and cultures across countries and continents on a new scale never seen before. The spread of culture began a long time ago with people sailing around the world in search of adventure and resources. People were able to interact and share cultural beliefs and practices with dominant cultures imposing themselves on less dominating cultures. Countries that had more economic power than others, and those cultures that viewed themselves as more civilized imposed their cultures on countries that lacked economic standing in what came to be viewed later as cultural imperialism. Cultural imperialism involves slow changes in the way people in the less economically standing countries view things around them. It also involves how people live their daily lives as manifested in today’s world of popular culture. The Western culture greatly influences many ideas, perspectives, and attitudes of people in the world. Even in the Western world itself the way that people live, and their views and activities represent conformity to ideas that are popular. People try to live up to certain standards that have become popular over time. Standards of beauty, dressing styles, dietary habits, means of expression, and other things that people participate in their day to day lives are set upon ideas that are popular in the Western world. Another example of the popular culture that originated in the Western world but has a greatShow MoreRelatedAnalysis Of Rudyard Kipling s The White Man s Burden / Send Forth The Best Ye Breed1132 Words   |  5 PagesMan s burden / Send forth the best ye breed† (290). Kipling thought that the culture of predominantly white, Western nations, such as America and England, was superior to foreign cultures. He was an admirer of British imperialism in India, and was a strong advocate for America’s involvement in the Philippines. Kipling earnestly believed that foreign peoples would benefit from the forceful introduction of American culture. This position has, of course, proven to be heavily misguided, and the damagingRead MoreEssay on The End of the Cold War1634 Words   |  7 Pagescharacterised by the end of hostilities between the two dominant ideologies: Soviet communism and American liberal capitalism. This dominant new paradigm encouraged the homogenisation of ideas, i n the form of exchanging ethos and values along former cultural, ideological and geographical divides. As such, this integration of world societies has earned the title ‘globalisation’, forcing the global community to appear so united as to warrant the metaphor of a global village. (Note: This paragraph painsRead MoreThe Media And Its Effects On The Global World1550 Words   |  7 Pagesglobalized society, commodities, ideologies, and hegemonic forces are constantly transferred from a dominating power onto other cultures with lesser global influence. The Disney media conglomerate yields an unprecedented amount of control over the means of media consumption on a global scale. As Souad Belkyr proposes in â€Å"Disney animation: Global diffusion and local appropriation of culture,† â€Å"Disney products function as an apparatus that potentially prescribe consumerist ideologies and individualistic ethicsRead MoreThe Impact Of Cultural Imperialism And De-Westernizat ion935 Words   |  4 Pagespresentation is Cultural imperialism and de-westernization. The term cultural imperialism can be defined as broad cultural effects of imperialism including colonialism, but more recently, it tends to have the imperialistic impact of global capitalism. Cultural imperialism is recognized as a kind of form of the Western hegemony in which a way of cultural power to dominate other national cultures throughout the world that is not only through the entertainment but also through all areas of culture that includingRead MoreThe Case For Contamination By Kwame Anthony Appiah1448 Words   |  6 Pagespreservationists, culture is authentic, carries traditions that keep historical ancestry alive, and is threatened by â€Å"cultural imperialism†. From a cosmopolitan perspective, culture is the freedom of choice, made up of multiple values and ideas that allow individuals to reinvigorate its uniqueness in an ever changing society. In â€Å"The Case for Conta mination†, published by the New York Times Magazine, Kwame Anthony Appiah addresses the concern regarding the diminishment of cultural identity in poorRead MoreThe widespread image of American culture is seen to hold a strong base for globalisation. The1000 Words   |  4 PagesThe widespread image of American culture is seen to hold a strong base for globalisation. The extensive connectivity of the modern world, confirms Marshal McLuhans prediction of the global village. Globalisation is commonly seen as western culture imputing international cultures. Internet and television have also created transnational media whereas globalisation is commonly seen as a flow of information impending of western culture. Whereas, how will the younger generation will not be able to enjoyRead MoreHow Foreign Cultures and Media Influence Local Cultures, and Whether Local Cultures Are Eroded by Foreign Influences and Media969 Words   |  4 Pagesinterdependencies of countries worldwide throug h economic, political and cultural integration. As the primary driver of globalisation, mass media plays a decisive role in the process of globalisation, spreading Western products, ideas and values around the world, which has created a profound influence on local culture of other countries. Thus, it is important to study how foreign cultures and media influence local cultures, and whether local cultures are eroded by foreign influences and media. This review examinesRead MoreImperialism and India Essay1067 Words   |  5 Pagespolitical, cultural, or economic life by one country is called imperialism. (Esler, page. 632) European imperialism began in the 1800s. â€Å"European nations won empires in the Americas after1492, established colonies in India and Southeast Asia, and gained toeholds on the coast of Africa and China. Despite these gains, between 1500 and 1800, Europe had little influence on the lives of the peoples of China, India or Africa.† (Esler, page.632) Then the Europeans industrialized and believe western culturesRead MoreGlobal Media1711 Words   |  7 Pagesprocess of globalisation, both the local culture and the mass media are affected dramatically. The phenomenon of homogenisation and heterogenisation has been created and is considered as the most representative and symbolic impact. However, the topic of globalisation is highly controversial and needs to be analysed in depth. In history, three theories have been used by scholars to look at globalisation and its effect. The modernisation theory and cultural dependency theory analysed the positive andRead MoreEssay On Cultural Imperialism1526 Words   |  7 PagesThe primary objective of this chapter is to explore the cries of cultural imperialism, how this operates through the comics as those of The Phantom by Lee Falk, Flash Gordon by Alex Raymond and Tintin by Herge and how they have discovered more prominent support from overseas readers, both as daily paper/magazine comics series and also in the form of comic books. In no place has these comics been appreciated more enthusiastically than in Australia, India and Sweden and the other earstwhile colonised

Friday, December 13, 2019

Quinte Mir Free Essays

The immediate issue is that Benton-Cooper Medical Centre’s MRI clinic has been open for 6 weeks and not performing to expectations and to the promises made by their new MRI provider, Quinte MRI. With referrals to the clinic, doctors expect to receive MRI transcription reports within two days and the current backlog exceeds 14 days. As a result there is a loss of patient referrals from doctors within the hospital and surrounding community which means a loss of revenue for BCMC. We will write a custom essay sample on Quinte Mir or any similar topic only for you Order Now Quinte MRI must determine what is causing the backlog and how to fix it. Secondary Issues A secondary issue in the clinic is that the MR Technologist is putting in a lot of overtime even though the maximum number of patients each week is not being met. Quinte MRI personnel need to examine and analyze the interaction between the capacity, the process flow and the bottleneck and provide a resolution and action plan back to the CEO, Dr. Syed Haider within 2 days. Environmental and Root Causes Quinte MRI, an international service provider specializing in medical diagnostic technologies signed an agreement in February 2002 with Benton-Cooper Medical Centre (BCMC) for the outsourcing of their MRI services. BCMC believed that they could competed successfully if they had a third MRI machine as they anticipated continued growth in this area by 15% through doctor’s referrals from the hospital and surrounding areas. BCMC also believed that they could generate enough revenue and promotional support through advertisements with local print and radio stations to be able to own their own fixed MR system and be recognized as a top rated hospital for the area. Quinte MRI promised the avenue for BCMC to be able to accomplish these goals through its service reliability and access to diagnostic equipment 24 hours a day, 7 days a week at a reasonable cost. However, these expectations are not being met and David Wright has gone to the MR Technologist, Jeff Sinclair to examine and analyze what was causing the backlog (bottleneck) in the operation. Jeff indicated that due to poor communication between the hospital and the clinic, mistakes were being made due to a manual process for recording information. Patients were being booked at wrong time, cancelling or not showing up, wrong tests were being requested or recorded, and patients were not being screened properly for an MRI scan. An assessment was being done when the patient came into the clinic. A patient preparation process has not been implemented in the new facility, whereas the previous MRI provider scheduled all appointments. Jeff felt that wasted time was being spent on delivering scans to the radiologist after each patient. Jeff also accounted for the fact that during May, the clinic used a Siemens unit, which took some time to get used to, however, now that the GE machine was in place (Jeff was originally trained on this machine), things were improving. David next examined the cycle time on for a 30 minute procedure. The table below shows the current cycle time of the patient, the MR Technologist and the MRI machine. 15 minutes was dedicated to patient preparation for an MRI while only 27. 5 minutes was spent in the Magnet Room. 42. 5 minutes was being spent on a 30 minute procedure. This was where the bottleneck was in the process. Staying with this current process and resources, the maximum capacity of this process can only be 8 procedures if all other inputs into this process ran smoothly (i. . no cancellations). Exhibit 1 Patient Check in until entrance into Magnet Room Minutes MR Technologist escorted the patient to the Magnet Room (asks questions to determine if any health risks/conflicts and if any patient has any metal components internally or on clothing) 59Patient – 42. 5 minutesMR Technologist – 42. 5 minutes Changing Room for patients wearing metal on their clothing (25% of patients) Magnet Room Patient Orientation and paperwork verification 127. 5 Positioning of Coil 4 MRI Scan time based on a 30 minute scheduled MRI scan)16. 5MRI Machine – 16. 5 minutes Data Entry (happened during scan)1 Printing MRI Scans (average 8 sheets at 45 seconds each)6 Patient back to reception Escort the Patient back to Front Desk 26 Changing Room 4 Monica Zimmerman, radiology department manager was pressuring Quinte MRI to hire another MR technologist to lighten Jeff’s workload and improve the process flow. David needed to review the cost of hiring an additional person to make the process flow better. He knew that the 1. Tesla MRI machine rated capacity was 2 patients per hour, however the actual scans in a day, would be based on the type of scan required. David used the 30 minute and the 1 hour procedure to determine what the potential spend per day was and what the annual spend would be. Note that any lost appointments resulted in a $700. 00 per scan loss, however this also could be a $700. 00 increase for unscheduled (walk-in) appointments. By looking at the potential projected income, hiring another person was a possibility. Exhibit 2 Time – Min/Hour# performed$ scan suppliesper scan Daily RevenueBCMC chargeDaily revenue – BCMC chargeAnnual Revenue25% Tax $Income 3016145$700 $ 11,200$2,320$8,880$2,800,000$700,000$2,100,000 18145$700 $ 5,600$1,160$4,440$1,400,000$350,000$1,050,000 Alternatives and Options Criteria 1. Increase the process flow, machine capacity and change the position of the bottleneck 2. Increase revenue 3. Repair relationship and reputation with BCMC Alternative 1: (Strategic) Quinte MRI has found out that the manual process for taking appointments is creating many errors. If the system was computerized MRI test requirements could be input into the system and throughput could be maximized based on MRI procedure time required in order to maximize time slot available. Quinte MRI also realized that the MRI Technologist was performing administrative tasks that could be assigned to an assistant. By removing these tasks from the technologist, more time availability would become available for scheduling additional MRI tests. In order to process patients faster, a form could be developed that specifies what the patient must do prior to arrival at the MRI Clinic. Another form could be developed for when that patient arrives at the clinic that asks questions regarding health risks and indicating what restriction would prevent a patient from having an MRI. The assistant could take the patient all the way through the process until the Magnet room at which point the MR technologist would take over. There are necessary requirements that the MR technologist must do prior to completion of the scan, but the collection of the MRI scans and delivery of them back to the radiologist could be done by the assistant that is escorting the patient from the Magnet room. If we assume that most of the MRI scans are a half an hour, than patients could be scheduled every half hour in order to maximize both the capacity of the machine and the capacity of the technologist. Pros: By implementing the computer, there is more accuracy being collected for appointments and test requirements. By hiring the MR assistance, there is increased flow capacity because the technologist will handle only the MRI scans and not the administration task that were previous being done him. This takes the bottleneck out of the administrative task and aligns it to the maximum capacity of the machine thereby increasing revenue which provides the ability to hire the assistant. This would create reliability with the clinic again so that doctors will send their referrals to the clinic. Cons: A second MR technologist will not be hired and when it comes time for vacation of illness, there will be no one to step into the technologist position and ensure continuous flow. Quinte MRI would need to hire from a temporary agency in order to fulfill their requirement which means addition dollars will be spend. Alternative 2: (Tactical) Quinte MRI could hire a second MRI Technologist to perform MRI scans alternating times with the first MRI Technologist to increase the flow and capacity of the process. This would take away the backlog and doctors could send their referrals to the clinic with a sense of reliability that the clinic will get it turnaround within 2 days. Pros: This would allow Quinte MRI to always have a back up in the event that one of the technologists is on vacation and / or ill. The increase revenue being generated due to increased MRI procedures could pay for the second MR Technologist. Cons: Based on the current practices, hiring a second technologist would alleviate some of the workload, however given that no effort has been made to correct the communication issues between the hospital/patient and the booking department, there is a strong possibility, that patients will still continue to be booked at the wrong time, cancel or just not show up. Without a procedure to hand how patients are dealt with from checking to magnet room, people could still be turn away due to health reasons, clothing that is not appropriate for scanning purposes. Recommendation The recommendation is to take Alternative #2 as it addresses all of the criteria by increasing the process flow, machine capacity and changes the bottle neck to the maximum machine capacity. It increases revenue and repairs the relationship and reputation with BCMC. How to cite Quinte Mir, Papers