Sunday, May 24, 2020

Clinical Decision Support ( Cds ) Strategies Essay

Clinical Decision Support (CDS) Strategies Name: Instructor: Course: Date: Clinical Decision Support is an important tool for clinicians, staff, patients and other persons because it provides these individuals with knowledge and information with the aim of enhancing health and healthcare. It encompasses various elements that make the decision making process more effective within the clinical workflow. They include computerized alerts to care givers and patients, focused data report on patient status, clinical guidelines, documentation templates, and contextual relevant reference. This essay will critically analyze strategy that can be employed to enhance the integration of various aspects of patients with the CDS and means through which efforts can be prioritized in a team. This will include CDS intervention meeting meaningful use requirements and other areas of institutional priorities where clinical improvement can be achieved. CDS as an important clinical tool achieves certain goals for efficient health care services. First, it employs various strategies that ensure errors of omission and commission are prevented. Secondly, Optimize choice of tests and therapies, improve adherence to guidelines, improve completion of assessments and plans of care, and optimize treatment of chronic conditions. Thirdly, Improve the care process, including documentation, communication, and use of data for quality measurement, research, and education. This is made possible by theShow MoreRelatedGuidelines For Policymaking, Regulations And Strategies, Clinical Decision Support1421 Words   |  6 PagesFor policymaking, regulations and strategies, clinical decision support (CDS) provides clinicians, staff, patients or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and health care. 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Wednesday, May 13, 2020

The Southern Manifesto By Howard Smith - 1009 Words

The Southern Manifesto On this date, Howard Smith of Virginia, Director of the House Rules Committee, presented the Southern Manifesto in a discourse on the House Floor. Formally titled the Affirmation of Constitutional Principles, it was signed by 82 Representatives and 19 Senators about one-fifth of the participation of Congress and all from states that had once created the Confederacy. It denoted a minute of southern resistance against the Supreme Court s 1954 point of interest Brown v. the Board of Education of Topeka choice, which discovered that different school offices for high contrast school youngsters were characteristically unequal. The Manifesto assaulted Brown as a misuse of legal force that trespassed upon states rights. It encouraged southerners to fumes all legal signifies to oppose the disorder and disarray that would come about because of school integration. Smith had coordinated with a few Senators to build up the Manifesto, and Walter F. George of Georgia presented it in the other chamber. Under Smith, the Rules Committee turned into a burial ground for various social liberties activities in the 1950s. In his prefatory comments, Smith pronounced that the boat of state had floated from her moorings, and depicted the high court s record on social liberties as one of rehashed deviation from the major partition of forces and unavoidably suggested self-governance of the states. A little gathering of Southern Members ascended on the House Floor toShow MoreRelatedReligion as a Major Organizing Ideology to the Social and Political Reality of the Nineteenth-Century3824 Words   |  16 Pagesconsiderable and canonical power of sacred patriarchal scripture, Willard and Wells claimed their own rhetorical space. In Willard’s diary entry on November 28, 1859, she offers a poignant glimpse of her difficulty in adhering to her personal manifesto. 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Wednesday, May 6, 2020

Are we at the end of social housing Free Essays

string(33) " it can control their financial\." 1. Introduction The essay will try to answer for one question: Are we at â€Å"The End of Social Housing†. To understand good this problem the meaning of social housing should be presented, short history of this occurrence. We will write a custom essay sample on Are we at the end of social housing? or any similar topic only for you Order Now As it is presented in next chapter the beginning of social housing grew out of human’s help. At the beginning it didn’t bring any material profit. People did it to help other poorer people. Social housing whole time is integrated with politics, government and local leaders decisions. The most successful actions are taken when are consulted with people which need this help and people from their local neighborhood. Even the poorest people need place when they can spend their life in good, silent and suitable conditions. During the years it has changed, first social houses built and management by government than enter to the market more and more private landlords. At the end of this essay author will try to answer on this difficult question. 2. Social housing To start answer for this question it should be presented definition of social housing and short history associated with this terminology. 2.1. Social housing definition â€Å"Social housing is housing that is let at low rents and on a secure basis to people in housing need. It is generally provided by councils and not-for-profit organisations such as housing associations† (Shelter 2009). 2.2. History of social housing The beginning of social housing was in 19th century in London. In the 1888 was created London County Council and in 1890 legislation for other Local Authorities. The idea was to build houses and give help during building process for people in needed. Before this time there were just some acts when individual people helped another people to find or build houses. In the 1900 was opened first social housing estate called: Boundary Estate in Bethnal Green. Houses were small but people had much higher standard than in old houses in this place. One of the problem in this social housing estate was that death rate was very high. By the 1914 it was built by Local Authorities just 24 000 social homes. People leaving in poor households in uncomfortable conditions, people with health problems, families with many members received little financial support from local sources. During the First World War city’s population increased rapidly. It was the effect of demand for workers in munitions factories. Landlords increased rents because demand for housing was high. As the result people want on streets and protested for wage increase. In the 1919 Housing and Town Planning Act passed by the Liberal Government confirmed rent controls. It was the time for Local Authority housing to build houses for rent. To the 1929 government, in his program â€Å"Homes for Heroes† build 250 000 homes. In the 1923 Conservative Government sought to introduce legislation which were going to involvement of the private sector with subsidies to build to rent. Change of government in the 1924 has not led to these changes. Rent control has been suspended so the private sector recorded high growth in housing building. Before the Second World War there ware build about 600 000 social homes. The devastation of the Second World War many cities were built anew. New roads were determined, the redevelopment of many town centers was planned. Easy reach from residential place to place where people w ere working was very important. Planning the building social houses process was one of the major topic of political quarrel. In the 1962 Minister for Housing and Local Government Keith Joseph set the target of 400 000 houses a year, as it was turned out it was impossible. During the building process, many times, attached more attention to quantity than quality. Between 1955 and 1970 there were build new Local Authority flats for indigent people. In the 1965 Labour Government introduced Rent Act containing stricter rent control. Between 1945 and 1965 year, 2.9 million social housing houses had been build. In the 1980 the total number of social housing units was round 5.5 million units it was 32% of housing stock. About one third (1.8 million) of all social houses were sold up to year 2008, what made sold houses as part of the regular housing stock. The number of new social homes decreased from 100,000 houses/year in 1970s to 30,000 houses/year in 1990s. In years 2006-2007 the number of new homes was 44,000 houses/year. Social home building has been almost exclusively carried out by housing associations (Greenhalgh Moss 2009:17-24). 2.3. Existing system Nowadays government is looking for savings in many sectors as f.eg. social housing. In many newspaper’s articles people can find information about cuts in social housing budget in England. Those cuts can be at the level of 50%. There are many voices that it can mean the beginning of end of building new social houses. The government transferred in 2009-2010 ?3.3 bn on new 30,877 low cost rented properties and 22,079 new cheap homes to buy trough the Homes and Communities Agency quango (BBC News 2010). The government meets also problems when some families with many members live in small houses and in next house there are family with bigger house and empty room. It is one of challenge for government to maximum use of rooms and houses. Author of this article give us the number of eight million tenants in social housing in England (BBC News 2010). In another article author presents prime minister’s opinion. David Cameron note that it is a problem for how long people need c ouncil home (Wintour 2010). How long time people need to earn enough money to move to private sectorThere are many other questions like if people will know their family budget will increase and they will be moved to private sector they will workThose questions aim at shorter waiting list for council homes. Prime Minister David Cameron suggested that tenants in England should get just fixed-term contracts it can control their financial. You read "Are we at the end of social housing?" in category "Essay examples" After the expiry of the contract it can be reassigned or the tenant should go to private sector (Wintour 2010). Housing charities said that it can be big problem when poor people will not work, because of financial circumstances will be better (Macmillan 2010). In the same article Sarah Webb, CIH Chief Executive presented own opinion that people should have chance to chose how long contract term will last. Shorter period contracts can be more adequate for people with tempora ry problems, longer terms can be suitable for older people and people with health problems. 2.4. The Localism Bill as a new era of people power The Bill was presented to Parliament on 13th December 2010 than on 17th January 2011 the House of Commons debated the most important principles of the Bill. The Commons determined that the Bill should be given its Second Reading and sent to a Public Bill Committee for scrutiny. The Localism Bill Committee took written evidence and heard oral evidence, before considering the Bill clause by clause. As the result the Committee’s consideration of the Bill finished on 10th March (Parliament 2011). There are presented means by which Government will increase the weight of local democracy (Communities and Local Government 13 December 2010): – Devolving significant new powers to councils. New tasks for town halls, freedom and flexibility in government, based on striving to satisfy local people’s needs. Councilors will representative the local residents. Strong local leader will be elected for a term to govern. – Establishing powerful new rights for local people and communities. Local people and communities will have bigger power and they will have more to say over area where they are living. Local people and communities will discuss local problems like new buildings, if it is needed to build shops in area, cultural places (like swimming pools, libraries, medical centers, discos etc.) They will also have the right to veto excessive council tax rises through referendum. – Radically reforming planning. Infrastructure Planning Commission will be replace by local government and public opinion. New estates can’t be build without consent of local residents. – Making housing fairer and more democratic. The Bill will put councils in charge of allocation and tenure of social housing. This will allow to maximum use all social houses for the needs of local people. This institution will also take care of homeless people. – Creating powerful incentives for economic growth. This part gives opportunity to develop local economy. Local government will have bigger share in financing local projects. Local businesses will be able to count on lover taxes. There are many politics’ opinions about New Localism Bill. Decentralisation Minister Greg thinks that the Bill will give new rights allowing local people to create places where they live. He thinks that they know the best what people in their areas need and they will meet the expectations of people and their neighborhood (Communities and Local Government 13 December 2010). Housing Minister Grand Shapps talk about new chance for social housing market. It is time to change whole system, build it from scratch. Government should use vision and ambitions local authorities. Grant Shapps notes that council will now be able to manage social housing in a way that provide local people calm and save live, in spite of poor household budget, as long as they need it (Communities and Local Government 13 December 2010). Third opinion is delivered by Communities Minister Andrew Stunell, one of the most important feature is that in the New Localism Bill the power will be put in the hands of rea l people, empowering local communities and placement heart of decision making it their hands. Each decision will go out of their initiative, depending on the needs of society (Communities and Local Government 13 December 2010). In all featured opinions decentralisation is presented as a major step to improve the quality of human life. 2.5. The Localism Bill and social housing The Bill will give more power and control to local council. Local council can make more decisions during housing and planning processes. It will be easier to help people to social house. Local government knows better needs of residents. Local authorities will determine who can apply for social house. Any complains about landlords will be dealt also by local authorities. New Localism Bill will also provide for a new form of flexible tenure for social housing tenants (Parliament 2011). Minister for Housing and Local Government Grand Shapps presented details of new Localism Bill in his article â€Å"Localisms Bill and social housing† (Communities and Local Government 9 December 2010). Government is going to increase number of Affordable Rent houses. This model will be offered by Private Registered Providers of Social Housing. The Bill will include many reforms that will devolve greater power and freedoms in decisions making to local councils and neighborhoods. It will also cover planning system and all decisions connected with housing. Affordable Rent will give social landlords more rights in social housing market, this will help to meet the needs of number social houses. In the 2011 it will be shown by The Homes and Communities Agency the document with offers addressed to private landlords which will offer Affordable Rent. The main task for Affordable Rent is to enter new houses on social housing market and the best potential of use public subsidy and houses which exist on the social housing market. Second task is to introduction of a diversified supply, make an alternative to traditional offer. Affordable Rent is located within the definition of social housing in section 68 of the housing and Regeneration Act 2008. Local council will participate in local social housing market. Sale of public houses will be carried out for their knowledge and consents. Housing associations will be able to let an Affordable Rent goods at up to 80% at market rent in the same area and building size. It is determined by the special method of valuation. The Government gave some suggested about greater flexibility to the local authority and housing associations landlords about the types of tenure they can offer to social housing. It is the beginning of new ideas in social housing area, Housing associations can offer their houses (Affordable Rent) for specified time but also for whole life time. Government is still working to make Affordable Rent as easy and friendly for people as it is possible (Communities and Local Government 9 December 2010). 3. Conclusion The shape of social housing depends on situation in country. From the beginning of first social houses to this time it has changed many times. In student’s opinion it is hard to answer for question: â€Å"Are we at the end of Social Housing?† yes or not, but he will try. Needed people can rely on government in difficult situations. But government must classify who can get place in social houses. The country’s budget creates also quality of help, number of new building social houses and shape of future politics in this aspect. Nowadays government is looking for savings in many areas, unfortunately also in the social housing. Social help from government depends on prosperity of the country’s financial, richest countries have got well developed social assistance. That is why on this marked in Britain came many private landlords with their offers. In student’s opinion it is not the end of social housing in Britain. It has just changed the kind of help due to recession. During whole history of the social housing there were many changes. The social housing had change from small people’s philanthropy to very wide state venture. The budget of this venture was also different in each time. In difficult time for country like war social housing system was working, people were living in social houses, they had assistance from government in the form of house. Of course it is understandable that it is not enough number of the social houses. That is why government is going to control families financial situation, when it is better the place should be vacate for next family (Wintour 2010). One idea hasn’t changed during this social housing history, that it is made to make world better and help people, it doesn’t meter who is the house owner but how people in this house feel. Author hope that it will be continue and it will not change in the future time. 4. References Shelter The housing and homelessness charity (2009) ‘What is social housing?’ [online] available from [25 September 2009] Greenhalgh, S. , Moss, J. (2009) ‘Principles for Social Housing Reform’. London: Localis, 17-24 Parliament (2011) ‘Localism Bill 2010-2011’ [online] available from [10 March 2011] Communities and Local Government (2010) ‘Localism Bill starts a new era of people power’ [online] available from http://www.communities.gov.uk/news/newsroom/1794971 [13 December 2010] Communities and Local Government (2010) ‘Localism Bill and social housing’ [online] available from http://www.communities.gov.uk/statements/corporate/localismbillsocial housing [9 December 2010] Wintour, P. (2010) ‘David Cameron announces plan to the end lifetime council tenancies’ [online] available from [3 August 2010] BBC News Politics (2010) ‘Social housing budget ‘to be cut in half’ [online] available from [19 October 2010] Macmillan, R. (2010) ‘Analysis of social housing policy shake-up spelling end of ‘home for life’’ available from [22 November 2010] How to cite Are we at the end of social housing?, Essay examples

Tuesday, May 5, 2020

Effects of Climate change on Agriculture-Free-Samples for Students

Question: Discuss about the Effects of Climate change on Agriculture. Answer: Introduction It can be said that in contemporary times the change in climate and the variability of the climate has become one of the chief concerns of the human society and frequent floods and droughts are adding fuel to the situation. It is a matter of fact that by the recent climatic changes and the consequences like drought, floods are harming the global economy in many ways and due to adverse changes in the climate various landslides, forest fires, tsunamis and volcanic eruptions are also seen those are harming the global economy. It is seen that the rapid industrialization is responsible for these events in many ways as due to that the increase in the aerosols in the biosphere because of increased carbon di oxide, chloro-fluro-carbon and other green house gas elements in the biosphere. Not only those, the depletion of ozone and increased uv rays are also harmful and that is directly causing overall global warming. Above all it can be said that human society played a significant role in affe cting the balance of the global climate. It can be said that rapid unplanned industrialization, uncontrolled deforestation and due to rapid industrialization contamination of the natural resources by chemical elements are destroying the balance in the climate which is returning back the harmful aspects to the human society. Agriculture is one of the primary lessons that human society has leant for survival and agriculture is immensely dependent on climate, thus a rapid change in climate naturally affects the agriculture, which affects the human society. For successful irrigation, water, weather conditions, texture and quality of the soil, along with the elements present in the air is significantly important and the slightest changes in any of those can potentially harm agriculture. In this regard, it is worth mentioning that United Nations Framework Convention on Climate Change (UNFCCC) has provided the definition of climate change. It can be said that either the change that can be attributed indirectly or directly to the activities of human beings, that can effectively alter the global atmospheres composition and the natural variability if the climate can be termed as climate change (Ren et al., 2018). Discussion It can be said that weather is a set of conditions like wind, snow, sunshine, rain and temperature at a specific place and time (Lipper et al., 2014). On the other hand the long term characteristics of the weather of a specified place can be termed as climate. Agriculture is something that is significantly dependent on the climate of the place of irrigation and if there are massive changes in the climate, the irrigation is immensely harmed and that can invoke various troubles for the mankind. Since the past millions of years, the climate of earth has gone through various changes, which have been proven by various geological tests and expeditions. The earth has foreseen changes in sea levels, ice ages and subsequent growth of the plants and the records of the human society for hundreds of years. In contemporary times, it is seen that significant rise in the temperature of the sea and the rapid increase in the global temperature is creating adverse effects on the successful irrigation and this needs to be stopped immediately for the best interests of humankind. It can be said that the impact of the climate change on the agriculture has become one of the chief deciding factors that can influence the future security of food for the mankind. Agriculture is sensitive to the adverse changes in climate and on the other hand, agriculture can be considered as one of the major driving forces for the changes in climate. According to Ren et al., (2018), the general understanding of the changes in weather and climate over a long period of time and subsequent adjustments in management practices to achieve improved harvest have become the new challenges for the growth and development of the sector of agriculture. It is seen that the climate sensitivity of agriculture is somewhat uncertain as there are regional variation in temperature, cropping system, rainfall and management practices. In last couple of decades it was seen that the inter-annual changes in the climate and weather were greater than it was predicted and the loses of crop was higher due to climatic changes than it was expected. This made the situation concerning and invoked various areas of improvement and areas of studies and research regarding this issue. It is a matter of fact, that various crops react differently to the global warming and can have a lasting impact that is complex in nature (Lipper et al., 2014). In the tropical areas the human society is immensely dependent on agriculture as currently 75% of the human population resides at the topical zones and the occupation of majority of them is agriculture. Wheat, rice, maize, barley are the major crops that are significantly dependent on the climate and the rapid change s in the climate can significantly affect the irrigation and have a lasting effect on the security of food for the mankind (Gleick, 2014). The recent predictions in the change of climate at a global level is dependent on the models made in computer to predict the climatic system which includes various important factors of the atmosphere and the predicted growth of the presence of green house gases in the atmosphere (Wiebe, Sulser Mason-D'Croz, 2017). Some of the predictions regarding global changes in climate are mentioned in this section of this research essay. According to the studies of Chen, Chen Xu (2016), it can be said that by the year of 2100, the rise in overall temperature will be 1.1 to 7 degree centigrade. The level of sea can rise up to 60 cms which is concerning for the coastal regions of earth. Various geological and atmospherically made surveys predict that there will be extreme heat waves and heavy precipitation events that can be experienced with increased frequency (Wiebe et al., 2015). It can also be said that the tropical cyclones will eventually become more intense having larger wind speeds and p eak along with the increase in the sea surface temperatures in the tropical areas of earth. In this regard, it is worth mentioning that the effects of climate changes on the agriculture may differ in different regions of earth and thus determining to what extent the climate change can affect the agricultural sector might become very complex (ONeill et al., 2014). The fluctuations in the global temperature, changes in the patterns of rainfall, the increased level of co2 and other green house gases are the key factors of the climate changes. These can potentially influence the productivity of crops as these can potentially change the pattern of the , pets and the diseases they invoke in the agricultural field (Ren et al..2018). Due to these, it can be said that, these changes an effectively influence the productivity of crops and the suitable or appropriate areas for cultivation of food products may have to undergo a geographic shift as a reaction to the rapid changes in climate (Burke Emerick, 2016). From the discussion above, it can be said that there can be various negative effects of climate change in the agricultural sector and this section of this essay emphasizes on those. It is seen that due to geographical shifts and changes in yielding in agriculture may have a lasting effect on the agricultural sector. According to Altieri Nicholls (2017), due to significant rise in the sea levels can cause immense loss of land and that can affect agricultural sector. Due to the adverse effects of climate change, it can be said that the amount of water that is used for agricultural sector may get reduced as due to global warming the access to fresh water may get decreased (Moore Lobell, 2014). Some positive effects on agricultural sector can also be seen as changes in climate can cause heavy rainfall in some areas and can improve irrigation in those places. The increased temperature can potentially decrease the efficiency of the pests and can effectively reduce their potential to spre ad diseases in the field full of crops (Springmann et al., 2016). Conclusion Thus to conclude, it can be said the adverse effects of climatic change can effectively influence the agricultural sector that can invoke a concerning situation for the humankind. Thus, it can be said that activities like uncontrolled deforestation, rapid industrialization without considering the ill effects of them should be controlled. The awareness regarding this issue should be increased so that the ill effects of the situation can be controlled for the best interests of the human society. It is a matter of fact that the way the society is moving forward eyeing technological advancements, the awareness regarding this burning issue should be increased as the survival of the human society is immensely dependent on the agriculture and it is a fact that agriculture helps to sustain the balance of the climate and the overall nature. References Altieri, M. A., Nicholls, C. I. (2017). The adaptation and mitigation potential of traditional agriculture in a changing climate.Climatic Change,140(1), 33-45. Burke, M., Emerick, K. (2016). Adaptation to climate change: Evidence from US agriculture.American Economic Journal: Economic Policy,8(3), 106-40. Chen, S., Chen, X., Xu, J. (2016). Impacts of climate change on agriculture: evidence from China.Journal of Environmental Economics and Management,76, 105-124. Gleick, P. H. (2014). Water, drought, climate change, and conflict in Syria.Weather, Climate, and Society,6(3), 331-340. Lipper, L., Thornton, P., Campbell, B. 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