A Comprehensive PET-CT Database for Tracking Patient Variables

A Comprehensive PET-CT Database for Tracking Patient Variables Free Online Research Papers Unique: A social database was created following segment and assessment data for patients experiencing PET/CT contemplates. Techniques: A worksheet was first evolved to catch patient and study data which was then gone into a social database. Reports were intended to give regulatory and clinical data. Results: Roughly 2000 patients and three years of information have been recorded in the database. Reports have been utilized for regulatory and research purposes. End: The database gave reports used to legitimize staffing, consumptions, and development. It has given exploration information just as clinical input used to improve the consideration and the executives of our patients. Presentation: In July 2003, the Medical College of Georgia introduced a PET/CT scanner in its Radiation Therapy Outpatient Center. The scanner is utilized to play out an assortment of demonstrative and oncology-related methods. So as to have the option to retroactively infer research information, a methods for following patients just as their individual examinations was required. Albeit a formerly existing demonstrative PET scanner was being used, just radiopharmaceutical records were kept. In the radiation treatment PET/CT condition we felt it critical to record extra data got from the inside and out patient history and physical. Materials and Methods: A worksheet was created which permits the technologist to record a current clinical history. It was planned by the atomic medication doctor, the on location radio drug specialist, and the lead PET technologist. Worksheet sections legitimately relate to the database fields to streamline information contribution for the technologist. In the event that financing opens up for a PC in the brooding territory, the technologist will have the option to enter the history legitimately into the database. Worksheets are rounded out by the atomic medication specialized staff however so as to diminish blunders, just the confirmed PET technologists perform information passage. Information has been gathered since the beginning of the PET/CT unit in August, 2003. The database as of now holds roughly 2000 patients every one of whom has had from 1 to 6 PET/CT assessments. Due to the multifaceted nature of the data to be recorded, it was resolved that a social database instead of a spreadsheet would be the best instrument. A social database advances precision and adaptability and furthermore rearranges information input. As opposed to the free content fields utilized in spreadsheets, broad utilize was made of drop boxes and radio fastens as appeared in figure 1 which give choice from fixed, pre-built up decisions. Since a patient can and frequently has numerous assessments, one table was built up for the patient and a related table for systems. There is likewise a table of assessment types. Utilizing the social capacity of the database, each system is connected to a particular patient and test type, the two of which are chosen from drop boxes. Tables were additionally created for alluding doctors and test signs. Since data is connected instead of entered as free content, precision is improved and consistency is guaranteed. Ebb and flow departmental examination intrigues center around a few patient populaces including pediatric lymphoma, cervical and gynecological malignant growth, and patients requiring treatment arranging. Explicit database fields were chosen to permit future relationships of infection and hazard factors. What's more, fields were given identified with persistent socioeconomics so as to give local inclusion documentation to the Certificate of Need. As appeared in figure 2, pre managerial reports incorporate month to month method tallies (figure 3), Veteran’s Administration persistent volume, quiet socioeconomics for the Certificate of Need, and patient referral volume by doctor (figure 4). For research purposes, study information in reports can be sifted by assessment signs, kind of test, or patient sex, race, age, or hazard factors. Results: The database is valuable in giving budgetary reports. These reports are utilized to associate agreement charging and to screen coding precision. Reports are likewise valuable in seeing volumes so as to screen profitability and create future spending plans. Database reports compose research information on patients and their investigations including socioeconomics, history, and hazard factors. The devices related with a social database give insights helpful in the distribution of contextual analyses, planning of talks, and following of examination information. Conversation: The database was planned and organized to give adaptability in the utilization and introduction of data. One of the benefits of an appropriately structured database is that the introduction of data can be promptly redone. Those entering data into the database just as the people who will utilize the outcomes and reports ought to be engaged with the structure procedure. In the wake of acquiring all possibly helpful data in the best possible organization, reports can be altered to fit the requirements of executives and analysts. The methodology utilized in the turn of events and utilization of this database is versatile to different sorts of foundations. The center ought to foresee the data required by the particular clients just as streamlining information section. All around planned database structure and screens can spare time and lessen or dispose of many information mistakes, along these lines improving profitability and exactness. When precise data is gathered in a very much structured arrangement, it is generally basic for somebody capable with databases to deliver redid reports. This is particularly significant in light of the fact that clients regularly have changing requirements and interests after some time. The following are instances of reports which heads and clinicians at our foundation have discovered valuable: Veteran Patient Volume The repayment division utilizes this information to follow charging cycles. Doctor Referral Base This data is helpful in centering advertising endeavors by recognizing zones for advancement. Pediatric Lymphomas Following pediatric patients over a time of years will help decide improved clinical pathways for malady the executives. Gynecological Cancers The gynecological facility is one of our biggest referral bases. This data will be utilized to separate requirements for altered examining, for example, â€Å"dual point† filtering post medical procedure. Understanding Logs and Volumes Reports give month to month and yearly patient volume information in both literary and graphical arrangement. Exact volume data permits us to extend staffing requirements and timetable framework support. The printout likewise gives a printed copy back-up of priceless information. Radiation Treatment Planning By following the convention utilized for every patient, results are improved by reflectively breaking down clinical patient administration. End: This database has given emergency clinic organization exact and convenient reports to legitimize staffing, uses, and development. It has furnished our doctors with a plenty of examination information and has furnished our technologists with a strategy for correlative deduction in the consideration and the board of our patients. As volume expands, the requirement for exact, effectively available data turns out to be increasingly significant. The database is as a rule ceaselessly adjusted and new reports are being created to upgrade the executives and exploration capacities. Utilization of a PET/CT following database ought to demonstrate supportive to different offices to abuse the capability of this innovation. References: 1. Gardner WD. Bosom Cancer Database Provides Faster Access To Patient Records. InformationWeek Web website. 2005. Accessible at: informationweek.com/story/showArticle.jhtml;jsessionid=NBXENMVY3EP5AQSNDBGCKHSCJUMEKJVN?articleID=174400322. Gotten to April 28, 2007. 2. Johnson S, Paul T, Khenia A. Nonexclusive Database Design for Patient Management Information. American Medical Informatics Association Web website. Accessible at: amia.org/bars/symposia/D004062.PDF. Gotten to April 28, 2007. 3. Friedman C, Hripcsak G, Johnson SB, Cimino JJ, Clayton PD. A Generalized Relational Scheme for an Integrated Clinical Patient Database. Procedures of the Fourteenth Annual Symposium on Computer Applications in Medical Care. Washington, D.C. 1990. 4. Essin DJ, Lincoln TL. Executing a Low-cost Computer-based Patient Record: A controlled jargon lessens database structure multifaceted nature. In: Gardner R, ed. Nineteenth Symposium on Computer Applications in Medical Care. Philadelphia: Hanley and Belfus, 1995:431-5. Examination Papers on A Comprehensive PET-CT Database for Tracking Patient VariablesArguments for Physician-Assisted Suicide (PAS)The Project Managment Office SystemRiordan Manufacturing Production PlanResearch Process Part OneThe Fifth HorsemanInfluences of Socio-Economic Status of Married MalesIncorporating Risk and Uncertainty Factor in CapitalBionic Assembly System: A New Concept of SelfThree Concepts of PsychodynamicOpen Architechture a white paper

Men in Othello Essay

It has been seen that men in Othello are depicted as being unequipped for caring adoration. Examine the manners by which this could be viewed as a women's activist play. â€Å"Othello† is a catastrophe written in 1603 by William Shakespeare, whose composing mirrored his interests with the widespread topic of adoration. It manages the adoration between a dad and a little girl, a couple and furthermore likewise the connection between a man and a whore. The principle center for this subject is the depiction of men and their failure to adore magnanimously. Accordingly Shakespeare’s female characters speak to an immediate test to predominant male centric power. Thusly â€Å"Othello† can be respected from a cutting edge basic point of view as a women's activist play. In â€Å"Othello† Shakespeare presents ladies as the survivors of man centric culture. Brabantio, a Venetian Senator, advancing control and request, sees Desdemona as a uninvolved goddess and his property, â€Å"Stol’n from me, and corrupted†. These words uncover his perspectives on ladies and their status. Iago’s reference to Desdemona’s elopement â€Å"you’re robbed† features the similitudes in the manner that the two characters treat ladies. Iago hints that Brabantio’s property has been detracted from him. When Brabantio reprimands Roderigo expressing, â€Å"My girl isn't for thee† the crowd start to comprehend that Desdemona isn't just his little girl yet she is likewise his ownership. Plainly Jacobean England would feel for Brabantio seeing the elopement as a demonstration against male centric society and denying a dad the option to offer his little girl as he sees fit. An advanced crowd anyway would think that its hard to relate to a character who is materialistic in his mentality towards his little girl. He portrays Desdemona as a â€Å"jewel† which shows that he considers her to be an aloof goddess who has been captured by a â€Å"thief†. The Duke manages the elopement with restriction speaking to a prudent state. He reacts to Brabantio with sanity † This is no proof† and desires Brabantio to get used to the marriage. A more negative understanding of the Duke anyway may contend that exclusive issues don't concern him; his needs lie with preventing the Turks from attacking Cyprus. Venetian male centric culture can be viewed as one that belittles ladies and characterizes them regarding their physical excellence â€Å"the guttered rocks opon men will fall†, communicating that delightful ladies are controlled by the regular components. This general public intently looks like Jacobean England. Emilia is seemingly the voice of woman's rights in the play. She manages reality not at all like Desdemona, and voices a down to earth perspective on men, â€Å"They are everything except stomachs†¦.They eat us hungerly and when they are full They burp us†, introducing the possibility that most men show their real nature following a couple of long periods of marriage. Toward the beginning of the play Emilia is apparently faithful and dutiful, in any case, this progressions and before the finish of the play she turns into the voice of reason that stops Iago’s detestable advancement. Emilia accepts that ladies are people who have wants similarly as men, demonstrating her reasonable way to deal with life. She isn't reluctant to voice her assessments and thusly passes on for her confidence in womanhood, â€Å"Let spouses realize Their wives have sense like them†. Male centric oppression is investigated as Emilia blames men for â€Å"Throwing limitation upon us†, indicating that ladies are cut off from opportunity. Emilia instructs Desdemona that letting men understand that a lady is in charge might end in decimation. While conversing with Desdemona, Emilia shifts from writing to clear section to convey a genuine message, â€Å"It is their husbands’ issue if spouses do fall†, features men’s carelessness and uncovering her reasonable perspective on infidelity. To a cutting edge crowd she would be seen as a commonsense good example for ladies, anyway in a Jacobean culture, Emilia would be viewed as attempting to urge ladies to conflict with their spouses. Shakespeare passes on a class distinction among Emilia and Desdemona through their discourse. At the point when Emilia, Iago and Desdemona examine Othello’s portrayal of Desdemona, â€Å"that clever whore†. Desdemona can scarcely articulate the word â€Å"whore†, passing on her honesty. Emilia gives indications of authorative experience while nearly Desdemona is introduced as being na㠯⠿â ½ve and shielded; the result of a Venetian tip top that ensures its ladies, because of social class. It is Desdemona’s naivety that makes her helpless though Emilia can confront Iago toward the end at a cost. A women's activist peruser would be keen on Emilia’s destiny. In Jacobean culture ladies were viewed as youngster bearers and objects of male want. Shakespeare has joined this thought in the job of Bianca, a defenseless lady who like Desdemona is manhandled by men. â€Å"I must be circumstanced†, this demonstrates Bianca to be a lady who acknowledges the conditions put upon her by men. Sandra Clark at a sovereign talk contended, â€Å"Her treatment because of a sexist society reflects all the more extensively how ladies are victimed by men’s sexual hypocrisy†. Clark attempts to pass on that in Jacobean culture ladies were decided on a notoriety that could without much of a stretch be mutilated by men. She endures on account of social false reverence, as the men visit her that censure her â€Å"She’ll rail in the avenues else†. Bianca is blamed for slaughtering Cassio as her appearance â€Å"gastness of her eye† is utilized by society as an affirmation of her blame, nonetheless, because of her status and absence of intensity she can't guarantee her honesty. Cassio doesn't need society to connect him with Bianca as he says that he doesn't need Othello to see him â€Å"womaned†, suggesting her inconsequentiality as a lady in Venetian culture and uncovering demonizing perspectives. In â€Å"Othello†, Bianca is the most fragile lady so ironicly she is the sole lady survivor. It tends to be translated that she endures in light of the fact that she is underestimated to the point of being totally irrelevant. Infact she doesn't represent a danger to anybody. Desdemona, anyway represents a danger to white male centric culture, as through miscegenation all beneficiaries would be dirtied and in this way towards the finish of the play she is slaughtered. Emilia is a danger to Iago’s plan and difficulties his enemy of women's activist point of view. Shakespeare in his composing is by all accounts saying that those ladies who voice their suppositions and foul up by their spouses are destroyed. In a male centric culture â€Å"women are managed to the base of the social pecking order as frail and faithless† (Felicity Currie). As indicated by the Jacobean chain of being the villain stirred its way up the social progression, through ladies thus the extreme dread of witches. Ladies who were insubordinate in a man centric culture were viewed as being affected by the fallen angel. On numerous events Othello calls Desdemona a â€Å"devil†. Her name has implications of the word evil presence. Unexpectedly neither one of the ones is a demon, the genuine fallen angel is Iago. Desdemona is a perplexing character. Crowds across history have reacted to her portrayal of womanhood in an unexpected way. Desdemona seems, by all accounts, to be both agreeable and autonomous. While standing up to her dad it could be contended that Desdemona is given a voice, â€Å"What would you, â€Å"Desdemona†. Brabantio depicts his little girl as being honest and compliant, â€Å"Is there not charms By which the property of youth and maidhood May be abused†. In any case, we consider a to be change as she straightforwardly announces that she is prepared for sex, â€Å"The rituals for which I love him are dispossessed me†. Desdemona is self-assured when obnoxiously assaulted by Othello. â€Å"I took you for that craftiness prostitute of Venice†. Interestingly Desdemona’s depiction of herself â€Å"No, as I am a Christian†¦Ã¢â‚¬  communicates a customary Christian point of view inferring that infidelity isn't right. Desdemona can't comprehend why a lady would need to submit infidelity. She is a long way from Iago’s sexual generalization of Venetian ladies as â€Å"subtle whores†, rather, she assumes a functioning female job as she is decribed as â€Å"half the wooer†. An advanced women's activist may contend that this conduct is excessively submissive. Desdemona has all the earmarks of being na㠯⠿â ½ve as she protects her better half when he strikes her. From the outset she says, â€Å"I have not merited this†. Othello’s conduct is unusual and because of Iago’s suggesting words. Desdemona from that point acknowledges the physical maltreatment and guards her significant other. Lodovico examinations the circumstance and states, â€Å"Truly, a loyal lady†. An advanced crowd would locate this difficult to fathom. Shakespeare presents Desdemona as a lady who is thought of profoundly in the Venetian state. She supposedly is settling on her own decisions yet in addition has all the earmarks of being a casualty. Through the character of Cassio Shakespeare gives an investigate of the talk of cultured love. Cassio is a respectful and honorable character who glorifies Desdemona. In Act 2, Scene 1 Cassio talks in clear section. He calls Desdemona â€Å"th’ fundamental vesture of creation†, setting her on a pedestool and recommending that her excellence is without equivalent and deserving of all recognition. Desdemona is commended as being supernaturally honored with â€Å"the beauty of heaven†. He accordingly can be portrayed as the voice of male centric universality utilizing materialistic symbolism and hyperbolic language to depict Desdemona as â€Å"the wealth of the ship†. This symbolism typifies and romanticizes Desdemona as a physical belonging. Man centric universality doesn't permit ladies to be decided upon their accomplishments or their own subje

Why Do You Always Assign Books with Ghost Babies

Why Do You Always Assign Books with Ghost Babies This is a guest post from  Mary Kay McBrayer.  Mary Kay is a belly-dancer, horror enthusiast, sideshow lover, prose writer, Christian, and literature professor from south of Atlanta. Mary Kay founded the horror and comedy blog and podcast Everything Trying to Kill You, and she is also the creative nonfiction editor for Madcap Review, a semi-annual online journal of art and literature. She is currently working on her first full-length novel about America’s actual first female serial killer, but until then you can read her essays at Chicago Literati, Prick of the Spindle, Book Squad Goals and The Blueshift Journal. She is not an animal person. Follow her on Twitter @mkmcbrayer. There comes a time in every professor’s life when her students ask, “Why do we keep reading stuff with ghost babies in it?” This happened to me about halfway through this last semester of English Composition. Our reading list spooled one, two, THREE stories with actual infant ghosts in them. Here are the ghost baby texts that I unconsciously assigned to my class, in case you, like me, have a crazy and unprecedented fixation. The first ghost baby happened at the end of Maxine Hong Kingston’s story “No Name Woman”â€"the story I NEVER tire of reading. The speculation! The scandal! The narrative is a boogey-man story told to the narrator by her mother. The thesis is Don’t have sex. You’ll get pregnant, embarrass us, and die. This is what happened to the narrator’s aunt, and the family agreed to forget she existed. And at the end, the Aunt, who killed herselfâ€"don’t worry, you find this all out in the first paragraphâ€"shows up as a drowned ghost, holding her ghost baby girl, “long(ing) to pull down a substitute.” The story spends most of its energy just unpacking  â€œWait, Hold on, Mom. What exactly happened?” The second piece I assigned with a ghost baby in it was Timothy Schaffert’s “The Mermaid in the Tree,” which is essentially a gritty, American retelling of Hans Christian Andersen’s “The Little Mermaid,” but from the perspective of the girl whom the prince actually marries. In fact, that girl uses the ghost baby as collateral. (The mermaid killed herself to rescue everyone from the freakery that was being a half-human half-beast and/or caring for one…and she’s pregnant with the half-human-half-mermaid baby of said prince.) The girl he marries conjures the ghost baby to keep him from straying. Out of guilt. (She’s the worst.) So far we have two women (mothers) whose deaths are used as collateral. Means to an end  for the protagonists to get what they want. And the women who killed themselves also killed their children. There’s more than one trend there. The third ghost baby is from Toni Morrison’s novel Beloved. She’s basically a poltergeist, angry at her own infanticide and haunting her former-slave mother who killed her child to prevent her from going into slavery. I didn’t spoil the ending of any of these narratives, but rather gave you the inciting incidents. I’ve tried to figure the trope patterns and symbolism of these baby ghosts, but really they say more about the mothers than the babies: the mothers care more about the infants than themselves. Their deaths are a kind of purity, a rescuing of them from suffering. How terrible could it be? A bastard girl in rural 1920s China? A freaky cryptid in this fictional, anti-mermaid coastal town? Watching your child get sold into slavery? Um. TERRIBLE. THE MOST TERROR. The pattern I found was that motherhood is constantly falling on grenades in hopes of saving the child. Best case scenario, moms save themselves, too. The saving just comes in the form of an end to suffering. But I could be wrong. What do you think? Why DO I always assign stories with ghost babies in them?