Sunday, December 29, 2019

What Is Extended Ophthalmoscopy And What Are The Different...

Hyder Almosawy M0300188 Extended Opthalmoscopy 1. What is extended ophthalmoscopy and what are the different types? a. Extended ophthalmoscopy is basically a detailed drawing/examination of the fundus that is more specific in terms of a general comprehensive eye exam. It is indicated for a wide variety of posterior segment pathology. There are two types of EO which are billed, initial and subsequent extended ophthalmoscopy. i. Initial: done during the initial evaluation of the disease ii. Subsequent: done during later visits as particular disease has progressed 2. What is the diagram for EO? How big should it be and what elements must it include? a. The guidelines for the drawing are as follows: i. Separate sketches for each with with a minimum diameter of 4 in to 6 in, smaller sketches could be subject to being audited ii. Use of between 4-6 colors is preferred, but non-colored drawings are also acceptable iii. Requirement of an extensive scaled drawing must accurately represent normal, abnormal, and common findings iv. CPT has also mandated that the physician should provide a findings and impression report with diagnosis labeled v. Color Guidelines: 1. Red – retinal arterioles, hemorrhaging, neovascularization, vascular anomalies, vascular tumors, retinal breaks, holes in retinoschisis, cilioretinal artery, and inner portion of thin areas of retina 2. Blue – detached retina, retinal veins, outlines of retinal breaks, outlines of ora serrata, traction, outline of latticeShow MoreRelatedWhat Is Extended Ophthalmoscopy And What Are The Different Types?858 Words   |  4 PagesExtended Opthalmoscopy 1. What is extended ophthalmoscopy and what are the different types? a. Extended ophthalmoscopy is basically a detailed drawing/examination of the fundus that is more specific in terms of a general comprehensive eye exam. It is indicated for a wide variety of posterior segment pathology. There are two types of EO which are billed, initial and subsequent extended ophthalmoscopy. i. Initial: done during the initial evaluation of the disease ii. Subsequent: done during laterRead MoreIphs Standards for 100 Bedded Hospital16137 Words   |  65 Pagesfunctional grade with scope for further improvement in it. These standards are flexible as per the requirements and resources available to the concerned State/UT Government. The timeframe for implementation and achievement of these Standards could be extended for five years and to be done in phases. Most of the existing hospitals below district level (51-100 Bed category) are located in older buildings in urbanized areas / towns as compared to most Primary Health Centres / Sub-centres. The expansions

Saturday, December 21, 2019

Marketing And Newsletter Marketing Strategies - 1244 Words

1.Introduction: ConAir is a airline company and has encountered the problems with its successful marketing strategies, which gives rise to a loss of market shares. In this report, it is mainly focusing on coming up with two forms of marketing strategies embracing online marketing and newsletter marketing to solve the problem occurred in ConAir airline company. During the whole report, it is important to see the comparison of online marketing and newsletter marketing, and provide some effective and efficient methods to develop it. The first part is literature review, it is essential to talk about what online marketing and newsletter marketing are in details with strongly findings and make it clear that how those two ways can help ConAir†¦show more content†¦Therefore, there is a large amount of types of e-marketing including email marketing, web advertisement, mobile marketing and social media marketing. It is of importance and ubiquity in nowadays society because many business people who never sell anything online always complain there is not sufficient time to do all things in a day(Reyhle, 2015). It is undoubtedly that e-marketing is able to assist in the ConAir by its popularity. For instance, email marketing, as one of types of e-marketing, is primarily taking advantage of emails to proliferate information, ConAir is more likely to send emails with its content of discount-rate and special flight tickets to attract people. In addition to that, so srtong is the power of social media that it can change the destiny of some people. Amanda Palmer, as a lead singer, pianist and lyricist, regards the Twitter as a promotion tool of conversing with her fans base online and inviting them to gigs. She sold 200 self-made shirts under the help of her brilliant 457000 followers in Twitter. As same as the way, ConAir also can hire a celebrity to do a advertisement online in order to accumulate the attention. Overall, the development of electronic technology can capitalize on the fact that people have options to pick products to advertise their company by emails, at the meantime, the impact of celebrity in internet is also a excellent way to

Friday, December 13, 2019

Blade Runner and Frankenstein A Comparison Free Essays

Texts, in order to effectively convey a message, commonly reflect on social views, attitudes and contextual values. A comparison between Ridley Scotts sci-fi thriller â€Å"Blade Runner: the Directors Cut† and the Mary Shelley’s classic gothic novel â€Å"Frankenstein† will reveal that there are elements of human nature which will remain constant over time. These two texts reflect of the possibility of scientific and technological development and caution about possible physical and moral consequences of this development. We will write a custom essay sample on Blade Runner and Frankenstein: A Comparison or any similar topic only for you Order Now The seductive nature of knowledge is explored in both texts as the fine line that separates man and monster is revealed as our capacity for true human emotion is questioned. As a critique of scientific and enlightened rationalism, Shelley’s gothic text â€Å"Frankenstein† explores the duality of the human condition as man is capable of both good and evil. Walton’s letters portray man’s capacity for arrogance and moral blindness and foreshadow the subsequent folly committed by Dr Frankenstein. The sun is for ever visible, its broad disk just skirting the horizon, and diffusing a perpetual splendor† Walton’s romantic ideals are juxtaposed with his own arrogance as he refers to Shakespeare’s play Macbeth â€Å"but success shall crown my endeavors. Wherefore not? † Shelley’s intertextual allusion to Macbeth portrays the arrogance Walton holds about his voyages success. Just as Macbeth was ambition, so to does Walton lose his m oral direction on his question for discovery. This aptitude is characteristic of romantic writers in the 1700’s who similarly used to romantic writing styles to contrast mans moral blindness. Similarly, Ridley Scott also explores the moral blindness of humans as the pragmatism of the 80’s is reflected though the loss of god in the dystopian 2019 Los Angles. Through corporate prosperity, Scott suggests that god has been replaced by the creator, Tyrell. â€Å"Nothing the god of bio-mechanics wouldn’t let you in heaven for† the direct allusion of Tyrell to â€Å"the god of bio-mechanics† reflects that Tyrell, as the owner of the supreme corporation on earth has been elevated to a god like status, reflecting the importance of corporate dominance in the 80’s. As Roy confronts Tyrell, the creator plays with an extravagant, human like chess set, symbolic of his god like status over humans. Tyrell’s eyes are hidden behind the glare of his glasses as he peers over the figures, his tone as he confronts Roy is arrogant as he states â€Å"the light that burns twice as bright, burns half as long, and you have burned so bright† the objectification of Roy dehumanizes and belittles the replicant and portrays Tyrell’s control and dominance over humanity. Humanity has been embedded with the capacity to celebrate the divinity of nature and this appreciation of the natural world is a key element of the human spirit. Shelley’s text â€Å"Frankenstein† reflects the Romantic’s pantheistic view of god and nature as the two are inextricably linked. The Romantic belief that god is revealed through the natural world is shown as Frankenstein takes solace in the sublime beauty of nature. â€Å"The vary winds whispered in soothing accents, and maternal nature bade me weep no more† the personification of the wind and comparison of natural to a mother reflects the romantic influences over Shelley as nature is portrayed as divine and splendid. Similarly, other characters in the novel also marvel at the magnificence of nature. Walton, in his letters, reflects on the beauty of the Artic on his voyage â€Å"Sailing over a calm sea, we may be wafted to a land surpassing in wonders and in beauty every region hitherto discovered on the habitable globe† Walton fascination with the discovery and exploration of the Artic also reproduces Shelley’s romantic ideals, reflecting the romantic writers common pre-occupation with the unspoiled domain of the artic. The dangers of circumventing the natural order are also explored in Ridley Scotts â€Å"Blade Runner: The Directors Cut†. The text reflects how nature has been compromised for industrial profit of transnational corporations. The soaring oblique camera angle and the hellish image of fire, works with the dramatic, eerie music at the beginning of the film to suggest the capitalistic world has destroyed the natural world for the creation of profit. The film noir technique used throughout the film adds a sense of lifelessness to the Los Angles environment and offers contrast to Frankenstein, where nature is respected and revered. Scott uses his text to didactically warn the audience about the degradation of the natural environment as the capitalist world of Los Angles and the on world colony has become degraded urban sprawl devoid of natural life. In Blade Runner, the natural world is represented by the breakdown of the physical environment. In Frankenstein, the natural world is broken down morally as the creator defies the natural order. Ultimately both texts caution against the perception that all progress is beneficial. Shelley’s Frankenstein and Ridley Scotts Blade Runner each challenge human supremacy as the created is portrayed as moral, emotionally and physically superior to their creator. The Replicants in Scotts Blade Runner challenge this Darwinian view of human supremacy as, in contrast to the humans of LA 2019; they are emotive, compassionate and moral. All those moments will be lost in time, like tears in rain† the raw emotion shown by Roy as his image is silhouetted against filtered blue light life reflects the elements of humanity that have been lost in the dystopic world as the replicants are the only beings capable of true emotive, human behavior. Similarly, Shelley’s Frankenstein portrays the reversal of the Darwinian Theory with Frankenstein creating a being superior physically and emotionally to man. Shelley uses the Romantic belief of the loss of innocence, shown in the inter-textual allusion to Milton’s â€Å"Paradise lost† as the monster is portrayed as benevolent and being capable of both compassion and love, similar to man before his expulsion from the Garden of Eden. â€Å"I ought to be thy Adam; but I am rather the fallen angel, whom thou drivest from joy for no misdeed† the biblical allusion to Adam and the Devil portray the monsters human elements as he is shown as compassionate, intelligent and munificent â€Å"I was benevolent and good, misery made me a fiend† contrasting Frankenstein who seems incapable of showing human emotion. Shelley uses the rivalry between Victor and his Creature to reflect the hostility between the devil and god in Milton’s epic poem â€Å"Paradise lost†, Shelley was influenced by her husbands writing on the poem and used his general interpretation to present the antagonism between Frankenstein and his monster. Despite the different contexts of both Shelly’s Frankenstein and Scott’s Blade Runner, each texts reflects similar themes and a further knowledge and greater understanding of context enables the reader to hold a deeper appreciation of the texts. Both texts challenge our assumption that knowledge is beneficial and expose the physical and moral consequences of circumventing the natural order. However the two texts question our more primal practices as each they question to what extent our human nature has remained the same. How to cite Blade Runner and Frankenstein: A Comparison, Papers

Thursday, December 5, 2019

Deliberate Practice in Acquisition of Clinical Skills †Free Samples

Question: Discuss about the Deliberate Practice in Acquisition of Clinical Skills. Answer: Introduction: The main aim of a medical student or medical training is to enable learners to make a smooth transition from the novice to an expert level and become a competent doctor. According to Wang et al., 2016, the journey of medical training is very challenging because it is difficult to strike a balance between training, playing and working. Deliberate practice framework is used in medical education whereby it depicts training as a top level structured process. In this case, there are some specific tasks which are invented and closely monitored to achieve effectiveness. Although deliberate practice has been found to have significant to learners in the medical field, it faces several barriers. For instance, for this learning method to be beneficial, there is a need for full cooperation by the students so that they can properly plan for their time and activities. This barrier can be overcome by medical instructors by creating a conducive learning environment which facilitates full student par ticipation. Another barrier is that medical students using this learning method are not able to judge their performance. Thus barrier can be overcome by creating a feedback system through self and instructor timely and frequent assessments (Duvivier et al., 2011). Another barrier is that it is not yet clear whether deliberate practice in medical training still improves the learning abilities of medical students throughout their career. If this was known to be true, then this method could be initiated right from early years so that learners can be conversant with the method. This barrier can be overcome by carrying out further research on the long-term effects of deliberate practice to medical professionals even beyond the training into actual medical practice. Reference List Duvivier, R.J., van Dalen, J., Muijtjens, A.M., Moulaert, V.R., van der Vleuten, C.P. and Scherpbier, A.J., 2011. The role of deliberate practice in the acquisition of clinical skills. BMC Medical Education, 11(1), p.101. Wang, J.M. and Zorek, J.A., 2016. Deliberate Practice as a Theoretical Framework for Interprofessional Experiential Education. Frontiers in pharmacology, 7.