Saturday, January 25, 2020

Study On The Biomedical Model And Biopsychosocial Model

Study On The Biomedical Model And Biopsychosocial Model According to World Health Organization(WHO,2003) heath is defined as state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Every human being on earth desire for a good health. Good heath assists us to gain better value of life. When the good health is affected, every patient who suffers from any kind of heath disorder or illness are usually in a fragile condition of mind or curious. So the approach toward them by medical practitioners should be to explain their current situation and to help them. There are few models of health created and used in hospitals or clinics in order to guide the medical practitioners in treating the patient. This includes biomedical model, social model and biopsychosocial model. Most commonly used in practice today are biomedical model and biopsychosocial model. Before the development of biopsychosocial model, biomedical model used in practice. Biomedical model states that good health is the freedom from pain, defect or disease. It mainly focuses on physical factors that affects the health such as biochemistry, physiology and pathology of disease. It does not include social or psychological factors into account. In 1977 George L. Engel questioned the dominance of the biomedical model via well known journal, Science. He also explained the need for a new model that was more holistic. He said that in order to provide a basis for understanding the determinants of disease and arriving at a rational treatments and patterns of healthcare, a medical model must also take into account the patient and the social context in which he lives. So in the same year biopsychosocial model was theorized by L.Engel. According to OSullivan Schmitz (2007, p.28), patient outcomes improved considerably when they are treated with consideration, educated on their condition and are shown respect by the therapist and staff of the hospital. When treated as such, rehabilitative goals set by therapists can be attained as patients have more confidence in themselves and in their therapist and are willing to go the extra mile to regain normal functional independence. This particular approach is known as the Biopsychosocial m ethod. Recently Borrell-Carrio, Suchman, and Epstein (2004, p. 576) said, The biopsychosocial model is both a philosophy of clinical care and a practical clinical guide. Philosophically, it is a way of understanding how suffering, disease and illness are affected by multiple levels of organization, from the societal to the molecular. At the practical level, it is a way of understanding the patients subjective experience as an essential contributor to accurate diagnosis, health outcomes, and humane care. Biopsychosocial model which is a more complete conceptual framework emphatizes on biological, social and psychological factors, all play an important role in human functioning when the person is affected by any disease or illness. A.Fava(2008,pg 200) states that study of very disease must include the individual, his/her body and his /her surrounding environment as an essential components of the total heath system. During my first clinical placement, I had the opportunity to observe and note the implementation of the biopsychosocial model by the physiotherapist in the treatment of patients in a private hospital. Implementation of biopsychosocial model is clearly seen in a patient who is 23 years old, Mr K. When the patient first entered the centre Mr X, who is the physiotherapist responsible greet Mr K with smile on his face and introduce himself to the patient. According to the doctors report, Mr K had minor operation due to his right anterior cruciate ligament(ACL) tear few weeks before. Mr X begin his session by assessing the patient subjectively. Throughout the assessment Mr X asked the patient questions regarding his symptom and social life which leads to the symptom. At first, Mr K refused to respond to Mr xs questions. But after few minutes of conversation, Mr X managed to gain Mr Ks respond. This is maybe because Mr X listen to the patient carefully and maintained eye contact with the patient which make the patient to trust him. Richard S Irwin (2006,page 573) states that good physiotherapy-patient communication includes understanding(18%) and talks to me (15%) were the most important characteristics, followed by cares (10%) , listens (8%) and respect (7%). Pekka Larivaara (2001,page 9) states that skilled physiotherapist convey warmth and attention by their forward posture, eye contact and expressive face, gesture and tone. At the end of subjective assessment, Mr X got to know that Mr K is a professional football player and he had lateral ankle ligament spran three years before. Before begin the physical examination , Mr X politely asked the patient to lie on the examination table. After getting the patients consent the physiotherapist palpated below the knee of the patient to check for any different symptoms such as swelling or redness around the calf muscle. According to Petty (2004,page 340),informed consent is a paramount to ensure that the patient fully understand what is being carried out and that he has the right to refuse or accept the treatment given. Then physiotherapist measured the range of motion of flexion of the patients affected knee. During the measurement, Mr X observed the patients facial expression. He realized that the patient having difficulty in flexing his knee after certain level. He also noticed that the patient is depressed and down due to his recent condition which preventing him from carrying out his daily activities. So the physiotherapist motivated the patient and gave him moral support.he promised the patient that he would be back to his normal lifestyle within 6 months. Before the physiotherapist begin his treatment , he explained about the treatment which going to be given to the patient. He also explained about the benefits and outcomes of the treatment. He positioned the patient in supine lying by place a pillow under his head and a towel under his thigh. This is to make sure that the patient is in comfortable position to receive the treatment. Petty (2004 , page 341) states that patients comfort is paramount as it induces relaxation and enhances the adherence to the treatment. Patients comfort during treatment session is a supreme importance to their believe in the medical professionals, treatment, and their capability to relax when they undergo treatment plus patients choice of treatment positions should be respected. Physiotherapist also make sure that the height of the examination table is parallel to his waist level to ensure that he can easily reach the patient. Physiotherapist then applied cold pack and TENSE to the patient to relieve his pain. The treatment session took place for 15 minutes. Later, Mr X teaches the patient on how to use the elbow crutches. At the beginning stages the patient find it difficult to walk with the crutches. But after the physiotherapist assist him for few hours, Mr K manage to walk with the crutches. According to OSullivan , the supportive use of hands can allay fears and instill confidence while ensuring safety. The key to success in using guided movement is to intersperse active practice with guided movement, providing only as much assistance as needed and removing assistance as soon as possible. He came for treatment continuously for few weeks. Physiotherapist praised him upon his success in walking throughout the treatment period. According to Pekka Larivaara(2001) patient-centered physiotherapist acknowledges and appreciates the patients effort to cope with his/her symptoms and problems.

Friday, January 17, 2020

Intel Case

Intel makes the microprocessors that are found in 80 percent of the world’s personal computers. In the early days, Intel microprocessors were known simply by their engineering numbers, such as â€Å"80386† or â€Å"80486. † Intel positioned its chips as the most advanced. The trouble was, as Intel soon learned, numbers can’t be trademarked. Competitors came out with their own â€Å"486† chips, and Intel had no way to distinguish itself from the competition. Worse, Intel’s products were hidden from consumers, buried deep inside PCs. With a hidden, ntrademarked product, Intel had a hard time convincing consumers to pay more for its high-performance products. Intel’s response was a marketing campaign that created history. The company chose a trademarkable name (Pentium) and launched a marketing campaign to build awareness of the Intel brand. The â€Å"Intel Inside† campaign was Intel’s effort to get its name outside of the PC and into the minds of consumers. Intel used an innovative cooperative scheme to extend the reach of its campaign. It would help computer makers who used Intel processors to advertise heir PCs if the makers also included the Intel logo in their ads. Intel also gave computer manufacturers a rebate on Intel processors if they agreed to place an â€Å"Intel Inside† sticker on the outside of their PCs and laptops. Simultaneously with the cooperative ads, Intel began its own ad program to familiarize consumers with the Intel name. The â€Å"Intel Inside† campaign changed Intel’s image from a microprocessor maker to a quality standard-bearer. The ads that included the Intel Inside logo were designed to create confidence in the onsumer’s mind that purchasing a personal computer with an Intel microprocessor was both a safe and technologically sound choice. Between 1990 and 1993, Intel invested over $500 million in advertising and promotional programs designed to build its brand equity. By 1993, Financial World estimated the Intel brand to be worth $17. 8 billion. Intel continues its integrated campaigns to this day. For example, when launching its Centrino mobile platform, Intel began with TV ads that aired in the United States and 11 other countries. These ads include the animated logo and ow familiar five-note brand signature melody. Print, online, and outdoor advertising followed shortly thereafter. Print ads ran in magazines and featured ads that targeted that magazine. For instance, an ad appearing in a sports magazine showed the logo in the center of a tennis racquet with the tagline â€Å"High performance laptop. No strings attached. † Simultaneously, Intel held a â€Å"One Unwired Day† event that took place in major cities such as New York, Chicago, San Francisco, and Seattle. In addition to allowing free trial Wi-Fi access, each city held festival events that included live music, roduct demonstrations, and prize giveaways. The company also set up free access demonstration sites (with wireless Centrino-powered laptops) in areas frequented by road warriors, such as San Francisco’s airport. To boost interest in mobile computing, the company partnered with Zagat Survey to produce a mini-guide inserted into The New Yorker that identified more than 50 â€Å"Wi-Fi Hotspots†Ã¢â‚¬â€mainly restaurants and hotels—in the â€Å"One Unwired Day† cities. Finally, Intel ran online ads on such Web sites as CNET. om and Weather. com. Yahoo! created a Wi-Fi Center Web ite co-sponsored by Intel and featuring Centrino advertising. The â€Å"Unwired† campaign was another Intel success in marketing integration. The $300 million total media effort for the Centrino mobile platform helped generate $2 billion in revenue for Intel during the first nine months of the campaign. Among marketers, Intel won the Innovation award in the Business Superbrands Awards 2003. Going forward, Intel CEO Craig Barrett said the company will aggressively target opportunities outside of its traditional revenue stream in PCs. The company ill be moving beyond â€Å"Intel Inside† to â€Å"Intel Everywhere†Ã¢â‚¬â€Intel chips in every type of digital device possible, from cellphones to flat-panel TVs to portable video players and wireless home networks, even medical diagnostic gear. The company is targeting 10 new product areas for its chips. If the new markets take off, they’ll increase demand for PCs and services, bringing new revenues for Intel’s core products even if its own new products do not succeed in these markets. In 2005, former marketer Paul Otellini will succeed Craig Barrett as CEO and take the helm of this $34 billion company.

Thursday, January 9, 2020

Mandarin Future Expression Using Yao and Hui

The two auxiliary verbs, yà  o and huà ¬, can be used for talking about the future in the sense of going to do something or intending to do something. Consider these two sentences: WÇ’ yà  o qà ¹ BÄ›ijÄ «ng.我è ¦ Ã¥Å½ »Ã¥Å'â€"ä º ¬WÇ’ huà ¬ qà ¹ BÄ›ijÄ «ng.我æÅ"Æ'åŽ »Ã¥Å'â€"ä º ¬Ã¦Ë†â€˜Ã¤ ¼Å¡Ã¥Å½ »Ã¥Å'â€"ä º ¬ The first sentence, using yà  o, indicates an intention to go to Beijing. The second sentence, using huà ¬, indicates a confident prediction of going to Beijing. Intention or Prediction The two sentences above can be translated as: WÇ’ yà  o qà ¹ BÄ›ijÄ «ng.I am going to Beijing.orI want to go to Beijing.WÇ’ huà ¬ qà ¹ BÄ›ijÄ «ng.I will go to Beijing (I expect I will go to Beijing). Yà  o is sometimes (but not always) used with a time expression to differentiate between want and intend. When used without a time reference, the only way to determine the exact meaning of yà  o is by context or clarification. Here are some more examples: NÇ  yà  o mÇŽi shà ©nme dÃ… ngxÄ «?ä ½  Ã¨ ¦ Ã¨ ² ·Ã§â€Å¡Ã© º ¼Ã¦  ±Ã¨ ¥ ¿?ä ½  Ã¨ ¦ Ã¤ ¹ °Ã¤ »â‚¬Ã¤ ¹Ë†Ã¤ ¸Å"è ¥ ¿?What are you going to buy?orWhat do you want to buy?NÇ  huà ¬ mÇŽi shà ©nme dÃ… ngxÄ «?ä ½  Ã¦Å"Æ'è ² ·Ã§â€Å¡Ã© º ¼Ã¦  ±Ã¨ ¥ ¿?ä ½  Ã¤ ¼Å¡Ã¤ ¹ °Ã¤ »â‚¬Ã¤ ¹Ë†Ã¤ ¸Å"è ¥ ¿?What do you expect to buy?Chà ©n xiÇŽojie mà ­ngtiÄ n yà  o gÄ“n wÇ’ shuÃ… .é™ ³Ã¥ ° Ã¥ § Ã¦ËœÅ½Ã¥ ¤ ©Ã¨ ¦ Ã¨ ·Å¸Ã¦Ë†â€˜Ã¨ ª ªÃ©â„¢Ë†Ã¥ ° Ã¥ § Ã¦ËœÅ½Ã¥ ¤ ©Ã¨ ¦ Ã¨ ·Å¸Ã¦Ë†â€˜Ã¨ ¯ ´Miss Chen is going to speak with me tomorrow.Chà ©n xiÇŽojie mà ­ngtiÄ n huà ¬ gÄ“n wÇ’ shuÃ… .é™ ³Ã¥ ° Ã¥ § Ã¦ËœÅ½Ã¥ ¤ ©Ã¦Å"Æ'è ·Å¸Ã¦Ë†â€˜Ã¨ ª ªÃ©â„¢Ë†Ã¥ ° Ã¥ § Ã¦ËœÅ½Ã¥ ¤ ©Ã¤ ¼Å¡Ã¨ ·Å¸Ã¦Ë†â€˜Ã¨ ¯ ´Miss Chen expects to speak with me tomorrow.

Wednesday, January 1, 2020

Biblical Words Related On Addiction Essay - 961 Words

Biblical Words Related to Addiction Wine The LexiConc shows 15 exact matches for the word wine—ten are Hebrew and five are Greek (as cited in the Blue Letter Bible, 2015). The words for wine differ between the juices of the grapes that are crushed and the juices of grapes that are fermented or mixed with other spices (EBD as cited by Blue Letter Bible, 2015). Smith’s Bible Dictionary noted that wine was used in several instances such as: festivities, an act of hospitality, medicinal purposes, and priestly sacraments (as cited by Blue Letter Bible, 2015). Old Testament Usage. One of Strong’s correspondences is #H2561 ×â€"Ö ¶Ã—žÖ ¶Ã— ¨ chemer (kheh †¢mer)—which means fermented wine—appears only twice in two verses, once in Deuteronomy 32:14 and once in Isaiah 27:2 (Blue Letter Bible, 2015). Another is #H3196 ×™Ö ·Ã—™Ö ´Ã—Ÿ yayin (yah †¢yin) derives from an unused root meaning to effervesce or bubble (Blue Letter Bible, 2015). In contrast, Strong’s #H6071 × ¢Ã– ¸Ã— ¡Ã– ´Ã—™× ¡ `aciyc (à ¤Ã¢â‚¬ ¢sÄ“s ) refers to sweet wine or pressed out juice. Both instances are in Joel 1:5- â€Å"Awake, drunkards, and weep; and wail, all you wine H2561 drinkers, on account of the sweet H6071 wine H6071 that is cut off from your mouth† (Blue Letter Bible, 2015). A third entry is #H8492 × ªÃ– ¼Ã– ´Ã—™× ¨Ã—•Ö ¹Ã— ©Ã—  tiyrowsh (tē†¢rÃ… she )—meaning wine—derived from the primitive root ×™Ö ¸Ã— ¨Ã– ·Ã— ©Ã—  yarash (yà ¤Ã¢â‚¬ ¢rash ) which means: to domina te, occupy, or take possession. Easton’s Bible Dictionary presumes that the choice of this term indicates that inebriation â€Å"takesShow MoreRelatedA Critical Review of Healing the Wounds of Sexual Addiction1665 Words   |  7 Pages A Critical Review of Healing the Wounds of Sexual Addiction Pamela D. McKoy Liberty University Abstract This critical review will attempt to summarize the book â€Å"Healing the Wounds of Sexual Addiction† written by, Dr. Mark R. Laaser. 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