Internet And Print Journalism Essays - New Media, Internet Marketing

Internet And Print Journalism The differences between the Internet and Print Journalism are clear immediately upon glancing at either of the two. However, to truly understand the differences you must study each carefully. I will briefly explore the differences between Newsweek and it's printed counterpart, and Entrepreneur magazine vs. entrepreneurmag.com. These magazines are very different in content and supply good examples of different features that exist in a technological vs. a print environment. I will compare the differences between the two in three areas; 1.Content 2. Advertising and 3. Useablity. Content If you were to put any print magazine next to your computer monitor you would immediately notice a difference. A difference not only in the format the material is set up, but a difference in the actual content its' self. Newsweek is a magazine that delivers the news. One would assume that news is news, and if it is printed one way in the magazine it should be the same online. This is not true. Newsweek is a magazine that is released weekly, yet in e-commerce business moves at the "speed of thought" (Bill Gates). This means that Newsweek must update their web site daily and sometimes hourly. This makes a magazine that would seemingly follow the same pattern, very different. News in print may not be the same as "e-news". Entrepreneur magazine is a magazine that helps the small businesses of America. They are very crafty in using bright colors that will grab potential buyers attention at the newsstand. This creates a problem for their online business. Whenever you have lots of colors or graphics your page will not load quickly. This means that what works in print will not work for their e- magazine. They have to rely on good spot graphics and headlines to attract attention. They do not do this very effectively. From looking at their web site you will see that they have had a hard time crossing over from print to the Internet. Advertising Advertising is essential in both print and web business because it is a main source of income to any multi-media company. Newsweek sells pages and pages of ads in their magazine. These are well done color ads which are designed to attract the attention of the reader as they flip through the magazine. On the Internet site Newsweek chooses to place banner ads in the middle of the text page (bad placement). The difference is that advertising on the Internet is much more personable. Thanks to little mechanisms called "cookies" the ads you see on the Internet site become personalized. These cookies tell a database sites to which you have previously logged on. In a fraction of a second you receive personal advertising that you never would have seen in a print ad. Entrepreneur does the same thing. You are receiving advertising that fits your wants and needs and all at a fraction of the cost to advertisers (who generally pay about 1 cent per hit). This is an advertisers dream and is a noticeable difference between the two forms of media. Useablity The term useablity seems to deal only with the Internet side of the two forms of media. This is a misconception. It is not uncommon to look for a certain story in a magazine in the table of contents. This is print useablity. Online useablity is undisputably better. Both sites have a type of search mechanism so that if you are looking for a story on Bill Gates you are not limited to one issue. This may be the greatest advantage in having an online version of a magazine. No longer is the user limited to the one issue recently purchased. Stories are at the users fingertips no matter when they were written. People have different views on what the roles of print magazines will be in contrast to online magazines in the future. Some magazine companies choose to downplay the Internet and the role it will take in regards to their industry. Neil Postman, a well known philosopher of New Media Technologies states that "when we begin relying on the Internet for all of our news and information we will turn into a nation of zombies". I think that Bill Gates and many others would disagree. The differences are great and companies must adapt to those differences in order to be successful.

Preposition Fr Explanation and Examples

Preposition Fr Explanation and Examples How would you translate the following sentences into German? This is for you.He decided not to do it for safety reasons. Fà ¼r often translates into for but for does not always translate into fà ¼r.If you literally translated the above sentences as 1. Das ist fà ¼r dich. 2. Fà ¼r Sicherheitsgrà ¼nden hat er sich entschieden es nicht zu tun, then only the first sentence is correct. Though the second sentence is perfectly understandable, it should be written instead as follows: Aus Sicherheitsgrà ¼nden, hat er sich entschieden es nicht zu tun.Why? Simply put, fà ¼r often translates into for but that isnt always so vice versa. Once again, another caveat to not translate word for word.The main meaning of fà ¼r, as when stating to whom or something is intended for, stems from the old High German word furi. This meant in front - a present for someone would be placed in front of them. Other Meanings of Fr Here are several examples of the main uses and meaning of  fà ¼r: Stating to whom or what something is intended for: Diese Kekse sind fà ¼r dich. (These cookies are for you.)When stating for a quantity: Sie hat diese Handtasche fà ¼r nur zehn Euro gekauft. (She bought that purse for only ten euros).When indicating a time span or specific point in time: ich muss fà ¼r drei Tage nach Bonn reisen. (I must go for three days to Bonn.) Some expressions with fà ¼r are likewise directly translated into expressions with for: Fà ¼r immer - for alwaysFà ¼r nichts/umsonst - for nothingFà ¼r nchstes Mal- for next timeIch, fà ¼r meine Person - as for meDas Fà ¼r und Wider - for and against Take note: Fà ¼r is an accusative preposition, so it is therefore always followed by the accusative. For in German Heres the tricky part. Depending on the nuances of for in a sentence, in German it can also be translated as follows: Aus/wegen/zu: when describing the reason why; its purposeAus irgendeinen Grund, wollte der Junge nicht mehr mitspielen - For some reason, the boy did not want to play with them anymore.Viele Tiere sterben wegen der Umweltverschmutzung - Many animals die because of pollution.Dieses Fahrrad steht nicht mehr zum Verkauf – This bicycle is not for sale anymore.Nach/zu: towards a physical destinationThis train is leaving for London – Dieser Zug fhrt nach London.Seit: When describing the duration of time since something has occurred.Ich habe ihn schon seit langem nicht gesehen. I havent seen him for a long time! Above are just some of the more popular prepositions that for can be translated into. Also, keep in mind that these translations arent necessarily reversible, meaning just because sometimes for can mean nach, that doesnt mean that nach will always mean for. When it comes to prepositions, it is always best to first learn which grammatical case it goes with and then to learn popular combos (i.e verbs, expressions) these prepositions occur frequently with.

JUVENILE JUSTICE Essay Example | Topics and Well Written Essays - 750 words

JUVENILE JUSTICE - Essay Example It is also important to note that the procedure and organization found between the adult and juvenile court systems vary greatly (Snyder, 2001). In Alabama, after committing the crime, Juveniles are detained as compared to being arrested. A petition is drawn up next whereby the juvenile court’s jurisdictional authority over the detained individual and offense serves the minor’s family as notice and offers the basis for the convergence of the court, and acts as the official document for charging. The juvenile’s case is adjudicated, once it is in court, and a disposition is passed. The governmental Act that entails Freedom of Information access to everyone means that the adult records can be viewed by anyone, whereas, juvenile records are considered as sealed documents. This measure is meant for protecting the minors so that their single mistake in life does not become a barrier throughout their life. Juvenile records may be expunged once the minor offender reaches 18 years provided they meet the set state criteria. In addition, unlike the adult court procedures the juvenile courts proceedings are far less formal. The least detrimental options often form the main basis for a juvenile case disposition. Therefore, the parents’ patriae legacy remains clear (Mays & Winfree, 2000). Juvenile dispositions use of indeterminate sentencing is often a constant source of controversy for the juvenile courts. Under this sentencing, the judges are given power to determine and decide the type of sentence that will be carried out. Juveniles, in such cases, are watched during their detained periods and only when the judge completely considers them fully rehabilitated, then they can be released. This arrangement, according to critics, allows the judge to have too much discretion, and therefore should not be considered as a detrimental punishment. The three main ways that a court is typically

Romantic art movement and Science Essay Example | Topics and Well Written Essays - 1250 words

Romantic art movement and Science - Essay Example During this movement, reactions leveled against the philosophy of enlightenment increased. This philosophy established its grounds on coherent thinking, pragmatic evidence, and science in general. Romantics revolutionized the ideas of science by admitting that reason and rational thinking was not enough to establish certain ideologies about life and its great mysteries . Some of these mysteries, however, were uncovered through means of intuition, creative thinking supplemented by imagination, as well as emotion. Nature was applied in a wide sense to uncover mysteries of the mind, spiritual learning, and other self-discoveries. It was during this time that the renowned famous poet Samuel Taylor quoted, â€Å"Just like a shark, I shall attack Chemistry.† The scientific discoveries that were made during this era inspired more artistic works from various great artists. The Romantics based their life on the freedom of expression, spirituality, and to some extent deep feelings . The se three virtues may have arguably acted as a barricade to the negative effects of industrialization that were dehumanizing. The Romantic Art Movement exalted the potentials and values of the human race. Various artists incorporated the features of this era into their work. Most of the great artist did not regard rationalism to characterize this particular age. They also rejected rules that were based on the neoclassical school of thought. Some of the artists including the baroque artists visualized their artworks to inspiring emotional responses.

Mental Health Nursing Care Essay Example | Topics and Well Written Essays - 250 words

Mental Health Nursing Care - Essay Example These thoughts and feelings affected my behavior by making me more irritable towards them or thinking general thoughts about them – that people with mental behavior are to be ignored or discounted by society. I hope to be proven wrong in all my thoughts, feelings, and attitudes about the mentally ill. I hope that I would be given a reason to change these perceptions. After watching the DVD, I was changed significantly in all my perceptions, feelings, attitudes, and my future behavior towards mental illness and the mentally ill. I now know that I was wrong to think, feel, and behave the way I did about the mentally ill. I now know that the labels society places on those who have mental illness may sometimes be wrong and that our beliefs about people with mental illness may be (and sometimes is) wrong. I also believe now that people with mental illness can actually function well in society and can contribute significantly to normal societal functions and activities. I am happy to have been proven wrong in my perceptions about mental

Apple lnc

Apple lnc Apple lnc, is an American multinational corporation that designs and manufactures consumer electronics and computer products. The companys well-known products include the Macintosh computers, the IPod and the iPhone. This company was established in Cupertino, California on April 1, 1976. On January, 1977, the company had been incorporated as the name called Apple Computer, lnc. for over 30 years. The company have decided to change their companys name to Apple lnc.. Apple lnc. operates more than 250 retail shops in nine countries and an online store. It has about 35,000 employees in the whole world and had worldwide annual sales of $32.48 billion dollars at the end of the year 2008. (Seekingalpha.com,2009) According to the research in 2009, Apple lnc. has a high market share for about 7.96%. (www.apple.com ,2009) 1.2 Theory Product: Business must make sure that their products are meeting the needs of their customers. Their product must be suitable for their customers. (HALL,D, et al, P75) Price: The pricing policy that a business chooses is often a reflection of the market at which it is aiming. Prices will not always be set at the level which will maximize sales or short-run profits. (HALL,D, et al, P75) Promotion: There is a number of promotional methods a business can use including above the line promotions. (HALL,D, et al, P75) Place: This refers to the means by which the product will be distributed to the consumer. (HALL,D, et al, P75) Market segmentation: Breaking down a market into sub-groups with similar characteristics is known as Market Segmentation. (HALL,D, et al, P75) 1.3 Aims Fortunately, the report will recommend the theory of Marketing and Business. Thirdly, the next purpose of this report is to try to explain one of the ads for IPod.(Figure 1) Then, this report is going to investigate why the Ads has been product like its style and type. According to this report, the writer is going to state how this Ad work in the market. Finally, the final goal is to predict the future development of Apple lnc. 3. Findings 3.1 Color First of all, it is clear that there are many different background colors in IPods ads, such as pink, red, blue and yellow. It is a random color for the background in all of the IPods ads and the color will never changeless. On the basis of this ad, the background color is pink, a color which is very romantic. 3.2 Spokesman IPods ads never use the same spokesman. The person in the ads are always in black whether they are men, women or children. In this ad, there is a pretty girl in the ad who is in black and this become another selling point. The consumer will never find out who the man or woman is because it is in black. 3.3 Production This is an ad for IPod nano, which is one of the most important product in Apple lnc. IPod nano is a MP3 which is very small and fashion. Thus, in their ads it is always a white IPod nano in the spokesmans hands or pockets. Therefore, black and white become a contrast color so that it can be easy to see that the colors of IPod and person are completely different from each other. Consumers can see different person with different IPod nano, but not other MP3 or MP4. 3.4 Catchphrase The catchphrase for this ad is, The best just got better. 3.5 Price According to the internet, the price of IPod nano is higher than other MP3s. For an 8GB IPod nano, it will cost the consumers $149 dollars or more than 1000 yuan and 16GB IPod attend to a price at $179.00 dollars.(APPLE STORE, US) 4. Discussion 4.1 Color According to Color Wheel Pro See Color Theory in Action, Red is the color of fire and blood, so it is associated with energy, strength, power, determination as well as passion desire and love. Red is a very emotionally intense color. It enhances human metabolism, increases respiration rate, and raises blood pressure. Red also brings text and images to the foreground. Pink is a color which is an embranchment of red, it means signifies romance, love, and friendship which is denotes feminine qualities and passiveness. (Color Wheel Pro) This ads background color is pink so that consumers can notice that this production is filled with energy and power which is very suitable for the youth. Contributed to there are many kinds of background color, the place can change to every kind of places. Every color represents a place, which means that the consumer can use the IPod nano anywhere and anytime they like. 4.2 Spokesman Spokesman, definition from Ansewers.com, Spokesman is a man who speaks on behalf of another or others. (Spokesman, Dictionary) Consumers can not recognize the spokesman in this ad because she is in black. The company does not care about whether the spokesman is famous or not because their propagandistic main point is their production, IPod. The black color stand for every kinds of person can use IPod. There are no circumscriptions whether the consumers are old or young, boy or girl. It means that everyone can use IPod anyplace. 4.3 Marketing mix 4.3.1 Price According to Business Studies (Hall, D et al), Price will not always be set at the level which will maximize sales or short-run profits. It means that IPod should have different of prices level for the consumers to buy. The price can not be the same because every consumer has their own demand. The demand will decrease if the price never changes or the product is always the same as before. Compare with other MP3s, IPods price is higher than other products. According to store.apple.com, for an 8GB IPod nano, it will cost you $149 dollars and 16GB IPod attend to a price at $179.00 dollars.(APPLE STORE, US) The price urge IPod to be the best brand in MP3. Relative to other MP3s in China, it can be easy seen that the price is very high so that it become valuable production in China. 4.3.2 Place According to Business Studies (Hall ,D et al), Place refers to the means by which the product will be distributed to the consumer. The main idea in this Ad depend on consumers is able to use IPod nano everywhere. The size and weight become the superiority of IPod which is better than any other MP3. The Ad show this idea from the place where the consumers put their IPod in. 4.3.3 Promotion According to Business Studies (Hall ,D et al), there is a number of promotional methods a business can use including above the line promotions. The Apple lnc. dose the same work on promotion as other companies. Sometimes they hold sales promotion in retail space, therefore, it become a chance to get sponsorship for their advertising. Sale promotion is a function which the consumers prefer to attend because they will buy products in low price. Sales at the expense of profits is a good way to make profits. 4.4 Catchphrase The catchphrase for this ad is, The best just got better. This is a sentence which is short but deep thinking. The word best and better can be easily change in to anything as the company like. The consumers become able to put more interest in the product which the company what to sell. 5. Recommendations To summarize, This Ad is suitable for IPod because of its exquisite idea. Based on the above discussion, IPod will become the youths first choice because its fashion and superiority. The fact have proved that Ipod is now the best mp3 for the youth. Never theless, if the company do not compare with others, its lifecycle will be end. Apple lnc. is reviving by brought up new products and changing target market. From different kinds of Ipods, it definitely shows that expand target market is very necessary for every company. The Ad has play an important role in attracting consumers and increasing market share. Because of its superiority Ad, IPod has become one of the best MP3 in the world. However, the developing market are never fully explored in a short period of time, it is still a good chance for Apple lnc. to expand their company size and making good advertisement might be a good choice. In a word, there is a good way for all the company to expand themselves and the target market. 6. References http://seekingalpha.com/article/115797-apple-inc-f1q09-qtr-end-12-27-08-earnings-call-transcript?source=front_page_transcriptspage=-1 (access at 2009) http://www.apple.com/pr/library/2008/10/21results.html (access at 2009) http://baike.baidu.com/view/14874.htm (access at 2009) http://store.apple.com/us/browse/home/shop_ipod/family/ipod_nano?mco=MTAyNTQzMjM (access at 2009) http://www.answers.com/topic/spokesman (access at 2009) Hall, D., R, Jones, C. Raffo, A. Anderton (2008 4th p75), publication: British Library Cataloguing

Technology and the Rainforest :: essays research papers

With all the technological advancements, the rain forest has been greatly effected. Not only have the trees been cut down but also there have positive aspects to the technology concerning this precious resource. Peter White, a chief writer for National Geographic magazine once said, " The tropical rain forest may well be nature’s chief liberty of experience from which all of humanity can learn, not only how to do things but also what a vast variety of things may be possible"(24). We all can learn from this for, the rain forest is a key to our environment and with all the technology destroying it and barely replacing it we all should think about what is happening and what can be done to save it. With the great progression of technology through this century the rain forest has rapidly been destroyed. Being the home of nearly 50% of all species, the rain forest is a resource that should and must be saved. It is once thought that the tropical rain forest once spanned the great space of 1.5 billion hectares. But as the time goes on slowly that number diminishes. In the year 2000 it is theorized that there will only be 900 hectares left on this world (Palmer/4). Even though there is not any rain forest in the United states, the rain forest greatly effects us in ways not known to all. Many medicines are found in the rain forest and many of them treat common diseases. Malaria for example is a disease that has it’s treatment coming from quinine, taken form the cinchona tree in Peru. Also when you have surgery, d-tarbocuranine is greatly relied on as a muscle relaxer. It is made form curare, derived from an Amazonian liana (Palmer/23). This research shows that the m! edicinal aspect of the rain forest is definitely needed for the advancement of technology itself. Much of the new technology being made in the times that we are living in now, relies on the rain forest. The packaging in which all the new stereos and CD players are shipped, come from the trees. These trees are cut down into small pieces to make cardboard for the selfish needs of humanity (White 28). A massive amount of women have been on birth control and one of the major components of the pill is diosgenin. This is made from wild yams found in Mexico (Palmer 23). This draws the conclusion that the technology that we have now might not be as advanced with out the rain forest. But at the same time the technology that we are developing are having the adverse effect on the source of the advancement. Rain forest depletion is a real problem in the world

Lack Of Standards For Ehr Health And Social Care Essay

In 21st century Information Technology played an sole function in upper limit of the Fieldss ; nevertheless, health care is one noticeable exclusion. Harmonizing to surveies, U.S. infirmaries and multiple-facility wellness systems are â€Å" merely get downing to round out their clinical webs, but are much farther along than physician patterns. † ( David B. Meinert ) While many inmate or infirmary installations migrating from paper charts to electronic records, but a small advancement has been made in the ambulatory or outpatient scene. Vast bulk medical professionals including doctors have been loath to utilize electronic medical records and go on to trust on paper records. Paper medical records are informations rich by nature, but information is hapless as doctors and other wellness attention suppliers have limited clip to delve through volumes of paper to recover information, use it in decision-making and/or portion it with patients. EMR/EHR systems hold enormous promise fo r non merely bettering the measure and quality of clinical informations that can be recorded, but more significantly the ability to entree wellness attention informations to better quality of attention. This survey will seek to see the perceptual experience of medical professionals towards Electronic medical record. Study has been done as a comparative survey among two different types of scenes that is hospital which are utilizing EMR ( paperless infirmaries that is category A ) and infirmaries which are holding their ain information system where the paper-based medical records are scanned and used ( Category B infirmaries ) . Electronic Medical Record ( EMR ) Harmonizing to the Healthcare Information and Management Systems Society ( HIMSS ) , an EMR is a constituent of an electronic wellness record which is owned by the health care supplier. ( Dr. Chris Hobson ) This engineering, when to the full developed, meets provider demands for real-time informations entree and rating in medical attention. EMR besides provides the mechanism for longitudinal informations storage and entree. The content of an EMR is correspondent to the paper record, but the electronic format creates useable informations in medical result surveies, improves the efficiency of attention, and makes for more efficient communicating among suppliers and easier direction of wellness programs. ( Electronic Medical Record: The Link to a Better Future, Texas Medical Association ) Electronic Health Record ( EHR ) is an electronic version of a patient ‘s medical history, that is maintained by the supplier over clip, These have been used extensively by general practicians in many developed states and include patient designation inside informations, medicines and prescription coevals, laboratory consequences and in some instances all healthcare information recorded by the physician during each visit by the patient. ( Electronic wellness records: manual for developing states. WHO ) EHRs are the following measure in the continued advancement of health care that can beef up the relationship between patients and clinicians.A The informations, seasonableness and handiness of it, will enable suppliers to take better determinations and provide quality attention. For illustration, the EHR can better patient attention by: Reducing the incidence of medical mistake by bettering the truth and lucidity of medical records. Making the wellness information available, cut downing duplicate of trials, cut downing holds in intervention, and patients good informed to take better determinations. Reducing medical mistake by bettering the truth and lucidity of medical records.Background:Hospital information systems ( HIS ) and Electronic Medical Records ( EMRs ) are considered requirements for the efficient bringing of high quality wellness attention in infirmaries. However, a big figure of legal and practical restraints influence on the design and debut of such systems ( Dick RS, Steen EB ) Hence, many EMR execution undertakings do non take at presenting the EMR and extinguishing the paper-based opposite number in one measure ( Laerum H ) . As a start, the EMR is introduced along with its paper-based opposite number, and both are kept updated. In such environments, wellness attention workers have to cover with a intercrossed electronic and paper-based solution. This likely limits the usage of EMR ( Laerum H ) . Furthermore, mistakes are prone to develop due to cumbersome care of the medical record information in double storage media. In many states, most hospital EMR undertakings have non passed beyond this stage ( Dick RS, Steen EB )Electronic Medical Records- the altering tendency:aˆ? Paper based records are being bit by bit replaced by computing machine based records ( which is in being in the West since 2 decennaries ) aˆ? It has non achieved the same incursion in health care as in finance or other industry. Deployment varies in statesAims:To reexamine already bing information system of both class of infirmaries To happen out existent versus perceptual troubles while utilizing EMR both classs infirmaries To analyze the overall perceptual experience of infirmaries about EMR To mensurate satisfaction from EMR in class A infirmary To bring forth a checklist for bettermentMethodology:Overview: Assorted surveies which has been done globally has been surveies to happen out statement of job, since no such survey has been found in Indian context, so all premises from other states has been considered as relevant. Sing the less version of EMR usage, this survey tries to happen out existent versus perceptual advantages, disadvantages and functionality etc to acquire the clear image. Sample: entire four infirmaries have been selected under two different scenes for comparing. Each scene has two infirmaries of same sort. For easiness both scenes have been given name class A and class B. Class A infirmary are EMR user infirmary while class B infirmary are holding their ain infirmary information system in topographic point along with the paper record. For easiness footings category A and B in whole papers alternatively of EMR user and EMR nonuser infirmaries Sample size: Excluding 4 IT caputs, entire 120 responses has been collected form clinical staffs, which includes physicians, occupants, caputs of sections and nurses etc. Thirty responses from each infirmary have been collected. Questionnaire: questionnaires had been used for roll uping informations from both category infirmaries. Questions are of near ended, rated on the footing of likert graduated table from 1-5. Response recording has besides been done for happening out the jobs, so that better suggestions can be made. Interviewing: in deepness interviews has been taken by IT caputs of all the four infirmaries to understand all the factors from their point of position, and to understand their return on different jobs addressed by their clinical staff. Since none of the infirmary is utilizing EHR, so complete survey had been done about EMR merely. Data aggregation had been done as follows- Questionnaires have been used for roll uping informations from medical staff. In depth interview with IT caputs of all the four sections Reappraisal of literature related to EMR Reappraisal of the literature to understand perceptual experience of medical professionals sing EMR usage. Inclusion standards: to guarantee cogency of sample, two inquiries were set in questionnaire. Harmonizing to that who were working in infirmary for more than three months ; were eligible. Another inclusion standard was straight related to patient attention. Those who were utilizing computing machine for come ining patient information/ recovering patient information/ trial consequence retrieval etc ; were eligible.Literature reappraisalThere are many maps associated with patient wellness records. This record is non merely used to document patient attention, but it besides used for entering fiscal and legal information and research and quality betterment intents. ( Young, Kathleen M. ) The conventional paper-based medical record has several restrictions. Though this traditional method is utile for entering patient ‘s inside informations for work outing medical issues, tracking down patients and for organizing in health care procedure, but it has so many disadvantages. These types of records are frequently ailing indexed and sometimes illegible, fragmented, because these records are manus written. The most disadvantageous factor of utilizing this method is that the medical record would be accessible to merely one individual at a clip. These medical records can non be made available to everyone at the same clip. Last but non least there is the job of storage of paper record, most of the times these are non stored decently, which in bend cause failure in retrieval of information, whenever required. Medical record is systematic certification of a individual patient ‘s medical history and attention across clip within one peculiar wellness attention supplier. The medical record includes a assortment of types of â€Å" notes † entered over clip by wellness attention professionals, entering observations and disposal of drugs and therapies, orders for the disposal of drugs and therapies, trial consequences, x-rays, studies, etc. The electronic wellness record ( EHR ) provides the chance for healthcare organisations to better quality of attention and patient safety. â€Å" The greatest challenge in the new universe of incorporate health care bringing is to supply comprehensive, dependable, relevant, accessible, and seasonably patient information to each member of the health care squad, whether in primary or secondary attention and whether a physician, nurse, allied wellness professional, or patient/consumer † ( Schloeffel ) An electronic medical record ( EMR ) is a computerized medical created in an organisation that delivers care, such as a infirmary or doctor ‘s office. Electronic medical records tend to be a portion of a local stand-alone wellness information system that allows storage, retrieval and alteration of records. Some definitions: Harmonizing to National Alliance for Health Information Technology ( NAHIT ) EMR: The electronic record of health-related information on an person that is created, gathered, managed, and consulted by accredited clinicians and staff from a individual organisation who are involved in the person ‘s wellness and attention. EHR: The aggregative electronic record of health-related information on an person that is created and gathered cumulatively across more than one wellness attention organisation and is managed and consulted by accredited clinicians and staff involved in the person ‘s wellness and attention.Purpose of medical record:The chief intent of medical records and medical notes is to record and pass on information about patients and their attention. If notes are non organised and completed decently, it can take to defeat, argument, clinical mishap and judicial proceeding. medical records are now used non merely as a comprehensive record of attention but besides as a beginning of informations for hospital service activity coverage, supervising the public presentation of infirmaries and for audit and research. Many of the causes of inaccurate clinical cryptography of this secondary informations are rooted in the quality of medical notes History of Electronic Medical Records: Doctors are expected to document brushs they have with patients to guarantee important information for decision-making is recorded and actions taken are besides recorded. Documentation is besides required as an archival record of what happened in instances of difference. To a great extent, physicians resent the undertaking of certification, as it detracts from their primary undertaking: taking attention of patients. Doctors besides resent the duplicate of attempt required with certification, as every medicine that is written on a prescription tablet, every lab trial ordered, every X ray ordered has to be re-written in the chart to keep a good record. Communication between practicians is hard as in many instances the information collected is fragmented, often excess and voluminous. Finally, doctors are invariably inundated with new information and have no tools to assist them integrate new techniques and interventions into their daily activities, other than utilizing their memories or holding to tote around big text editions. The thought of entering patient information electronically alternatively of on paper -the Electronic Medical Record ( EMR ) -has been around since the late 1960 ‘s, when Larry Weed introduced the construct of the Problem Oriented Medical Record into medical pattern. Until so, physician ‘s normally recorded merely their diagnosings and the intervention they provided. Weed ‘s invention was to bring forth a record that would let a 3rd party to independently verify the diagnosing. In 1972, the Regenstreif Institute developed the first medical records system. Although the construct was widely hailed as a major progress in medical pattern, doctors did non flock to the engineering. In 1991, the Institute of Medicine, a extremely respected think armored combat vehicle in the US recommended that by the twelvemonth 2000, every doctor should be utilizing computing machines in their pattern to better patient attention and made policy recommendations on how to accomplish that end. Advantages OF THE EHR: advantages of EHR can be divided as following-1 ) Clinical resultsa ) Quality of attention: Improving quality of attention is one of the chief focal points of many EHR surveies. Quality of attention has been defined as â€Å" making the right thing at the right clip in the right manner to the right individual and holding the best possible consequences † , in short â€Å" a procedure for doing strategic picks in wellness systems † .A Quality of attention includes six dimensions, effectivity, efficiency, patient safety, handiness or seasonableness, just entree, and patient-centeredness or acceptableness, but most EHR research has focused on the first three. Last three constituents needed more research in their corresponding Fieldss. Erstwhile patients may non adhere to outdo pattern guidelines ; even the suppliers have best purpose. This sort of state of affairs can originate due to assorted factors like- Clinicians are non cognizant with the guidelines. Clinicians may non recognize that a peculiar guideline applies to a given patient. Lack of clip during the patient visit. EHR systems proved rather effectual in managing such sort of issues and improved attachment rates. For illustration, research workers found that computerized physician reminders increased the usage of grippe and pneumococcal inoculations from practically 0 % to 35 % and 50 % , severally, for hospitalized patients ( exter PR, Perkins S, Overhage JM, et al. ) . Similarity other surveies with computerized reminders on inoculation rates, shows important better attachment to immunisation guidelines. Lower berths the hazard of disease eruptions in communities: There are many other researches have conducted that focused on other preventative services and studied consequence of EHRs on different results to better attention efficaciously. Willson et Al found in his survey on hospitalized patients that after implementing computerized reminders targeted to hospital nurses, there is 5 % decrease in the development of force per unit area ulcer after 6 months. It proves a important association between computerized reminders and hazard of disease. Effective wellness attention bringing: Research workers have besides found that there is a profound relation between EHRs and efficiency in wellness attention bringing. Here efficiency refers to the turning away of blowing resources, including supplies, medical equipment, money, thoughts, and energy. One such signifier of waste involves excess diagnostic testing. Performing excess trials is dearly-won and may take to more false-positive consequences, which will so take to even more costs. Tierney et Al found a 14.3 % lessening in the figure of diagnostic trials ordered per visit and a 12.9 % lessening in diagnostic trial costs per visit when utilizing an EHR with CDS and CPOE constituents. Other, unrelated surveies found an 18 % lessening in trials ordered for medical visits in the exigency section, a 27 % lessening in excess research lab trials of antiepileptic medicine degrees in hospitalized patients, and a 24 % decrease in excess research lab trials in a infirmary. Reduced medicine mistakes: A well-known survey group found in their survey that merely presenting CPOE system reduced serious medicine mistake by 55 % in the infirmary scene. Whereas subsequently in followup survey the same group expert found that, these medicine mistakes can be reduced every bit much as 86 % by adding CDS system together with CPOE system. A similar, more recent survey in the outpatient puting found that cybernation resulted in an mistake rate decrease from 18.2 % to 8.2 % . ( Devine EB, Hansen RN, Wilson-Norton JL, et al. ) . On the other manus many other surveies have concluded that by presenting computerised system, the figure of appropriate medicine orders affecting dosing degrees or dosing frequence can be increased. Better clinical result: Many of the surveies besides focused on clinical results. Randomized test research design used for carry oning these surveies in a clinical scene. An extra organic structure of literature has examined, observationally, comparing of public presentation in between infirmaries that implemented EHRs and other computerized capablenesss with its opposite numbers that have non. For illustration, Menachemi et Al found that Florida infirmaries with greater investings in EHR engineerings had more desirable rates on a assortment of normally used quality indexs. Patient Safety: The challenge of reading handwritten notes, orders, and prescriptions has been eliminated with the EHR. Patients ‘ chart information is clear and legible. Reports and letters to other specializers and patients are comprehensive, professional, and easy to make. Chart information is ever accessible and found in the same topographic point. Paper charts, on the other manus, can go littered with a batch of necessary but misplaced information.2 ) Organisational results:Surveies analyzing organisational results have focused on EHR usage in both the inmate and outpatient scenes. Such results have often included increased gross, averted costs, and other benefits that are less touchable, such as improved legal and regulative conformity, improved ability to carry on research, and increased job/career satisfaction among doctors. Increased gross comes from multiple beginnings, including improved charge capture/decrease in charge mistakes, improved hard currency flow, and enh anced gross. Several writers have asserted that EHRs aid suppliers in accurately capturing patient charges in a timely mode ( Schmitt KF, Wofford DA ) Electronically available patient information generated so many efficiencies, which straight help in debaring cost. Some of these efficiency includes increased use of trials, reduced staff needed for patient direction, decreased written text costs, reduced costs associating to supplies needed to keep paper files, and the costs associating to chart pulls. EHRs besides cut down the redundant usage of trial or the demand to get off difficult transcripts of trial study to all suppliers that save money and clip of organisation. ( Chen P, Tanasijevic MJ, Schoenenberger RA, et Al ) . Surveies have besides shown that holding an EHR can cut down written text costs through electronically available structured certification processs instead than a paper file. ( Agrawal A. ) In add-on, research workers in Massachusetts have found that doctors utilizing an EHR had fewer paid malpractice claims. They found a doctor without EHR have much higher ( 10.6 % ) history of paid malpractice claims compared to those doctors with EHRs ( 6.1 % ) . This decrease is potentially the consequence of better communicating among health professionals, increased discernability and completeness of patient records, and increased attachment to clinical guidelines.3 ) Social results:Another less touchable benefit associated with EHRs is an improved ability to carry on research. As patient informations stored electronically that makes handiness of informations much easier which leads excessively many quantitative analyses to place evidence-based best patterns more easy ( A Aspden P.A ) . Furthermore, public wellness and other interdisciplinary research workers are actively utilizing electronic clinical informations that are existent informations aggregated across populations to brin g forth good research determination, which is good to society. Till today handiness of clinical informations is much limited but as suppliers will get down utilizing EHRs, this dataset will besides get down turning. Subsequently by uniting this clinical information with more informations from other beginnings like nonprescription medicine purchases and school absenteeism rates, our researches and public wellness organisation can break supervise disease eruptions and better surveillance of possible biological menaces ( Kukafka R, Ancker JS, Chan C, et Al ) . Research workers have besides found an association between EHR usage and physician satisfaction with their current pattern, A together with their calling satisfaction.A Harmonizing to many surveies, physician satisfaction should be a precedence in wellness attention organisations, because it is associated with better quality of attention, better prescribing behaviors, and increased keeping in medical patterns, peculiarly those in underserved countries. ( A Elder KT, Wiltshire JC, Rooks RN, et al.A ) Chaudhry et al noted that a big proportion of the surveies that found benefits from EHR were conducted in a selected figure of academic medical Centres in infirmary scene. Due to this ground many research workers are besides seting a inquiry about the generalisation of identified benefits of EHR in existent universe where they may neither hold similar fiscal and human resources nor a decades-long committedness to wellness information engineering. More research on the varying types and grades of benefits associated with EHR is warranted, particularly in community scenes such as physician patterns and non-academic infirmary scenes.Barriers TO THE EHRAlthough Electronic Health Records ( EHRs ) bring enormous benefits to patient attention and to the health-care supplier, usage of the ambulatory EHR alternatively of the paper chart did non become widespread among the independent doctors during the 1990s. Even though the motive of improved patient attention and handiness of medical informa tions was present, health-care suppliers were hesitating to get down utilizing this medical tool. Specii hundred grounds have been hypothesized for the deficiency of EHR execution, and they are outlined below.A Lack of Standards for EHR SystemsThe content within the systems did non hold uniformity for compatibility or interoperability. Assorted plans offered different characteristics and the exchange of informations was non possible. Besides, criterions for the security of confidential information through encoding or informations unity had non been set. The quality of EHR plans and computing machine webs was non sufficiently dependable to forestall downtime, therefore ensuing at times in the deficiency of entree to patient information or medical information. Data for clinical protocols, direction of patient attention, and determination support through algorithms were non yet standard for EHRs.Unknown Cost and Return on InvestmentHealth-care suppliers found it hard to accurately ciph er costs and Return on Investment ( ROI ) with the usage of an EHR. The full cost of an EHR includes the package purchase monetary value, extra computing machine hardware, execution including the preparation of staff, customization of the system, ongoing proficient support, system care, and future plan ascents. Measuring ROI includes intangible, unmeasurable, and nonfinancial information, such as improved patient attention, patient safety, and more efficient procedures. Measurable ROI includes addition in income from more accurate cryptography, greater clip efficiency as a consequence of rapid chart certification, expanded patient burden because of this efficiency, and decreased office supply costs such as paper, charts, and printing supplies. It was hard to accurately cipher costs and ROI with the usage of an EHR.Difficult to OperateDoctors perceived that it took more clip for informations entry than handwriting. A physician order signifier may hold been simpler to handwrite than t o treat through a computing machine system. Learning where the information should be entered or accessed was complicated and computing machines were non ever accessible at the point of attention. System warnings and medical qui vives incorporating critical information had non been developed. The long-run benefit were hard for some health care suppliers to value over the sensed troubles of operationSignificant Changes in Clinic ProceduresAlthough an EHR can be customized for specific medical patterns, there is ever some procedure alteration required by the supplier and medical staff. An EHR may convey a more stiff construction for come ining information than tossing through a paper chart. Adapting to new criterions of operation for come ining and turn uping information can be hard ab initio. Some EHRs have specifications or specific modus operandis for practising medical specialty that the supplier may non accommodate to easy. The health-care supplier may non be able to turn to and a nalyse jobs in the same ways that may hold been done in the yesteryear, even though the information in an EHR is more thorough and immediately available. New tools for improved patient attention require retraining, new procedures, and alterations in the medical pattern civilization.Lack of Trust and SafetyA concern for the security of the medical record stored electronically alternatively of on paper is common. Health-care suppliers may be concerned that the electronic medical record could be altered without their consent or cognition. Suppliers must hold the confidence that the medical records are safely stored for future handiness. Power outages, computing machine â€Å" clangs, † viruses, concerns about equal backup, and so on are issues suppliers must get the better of to be confident in utilizing an EHR.Use of EHR plans, peculiarly in the small- to moderate-sized patterns, is spread outing quickly. About 78 per centum of doctors in private pattern are within this market group of eight or fewer physicians. With the explosive growing of EHR execution in this section of the medical community, a great demand has been generated for both clerical and clinical support staffs that have professional preparation and exposure to the EHR. Concerns about the passage from traditional paper charts to EHRs are now being overcome. Many of the concerns expressed about EHRs have been addressed more to the full in recent old ages. Although the motives vary from a pattern desiring to merely â€Å" go paperless † to another pattern desiring to better patient attention, medical clinics are rapidly acknowledging the unbelievable tool the EHR is conveying to the medical pattern.Disadvantages of EMROn the reverse of advantages some writers have identified several possible disadvantage of utilizing EHRs. These include fiscal issues, alterations in work flow, impermanent loss of productiveness associated with EHR acceptance, privateness and security concerns, and sever al unintended effects. Significant cost: A major ground for deterrence for following and implementing EHR is its cost. It includes loss of gross associated with impermanent loss of productiveness, declines in gross, acceptance and execution costs and on-going care costs. Here EHR acceptance and execution costs includes buying and installation hardware and package, change overing paper charts to electronic 1s, and preparation of end-users. Different surveies documented this cost in both inmate and outpatient scenes. Like a survey conducted in 2002 at a 280-bed ague attention infirmary, the projected entire cost for a 7-year-long EHR installing undertaking was about US $ 19 million. In the outpatient scene, early research workers estimated an mean initial cost of US $ 50,000-US $ 70,000 per doctor for a three-physician office. However, as EHR engineerings have become more platitude over the past decennary, the initial cost of systems has come down dramatically ( Schmitt KF ) , ( Agrawal A ) Care cost besides can be cumbersome as hardware needs to replace clip to clip and package demands to upgrade on regular footing. In add-on, suppliers must hold ongoing preparation and support for the end-users of an EHR. Harmonizing to one survey conducted on 14 solo or small-group primary attention patterns, estimated on-going EHR care costs averaged US $ 8412 per FTE supplier per twelvemonth. Out of entire cost around 91 % of this was related to hardware replacing, seller package care and support fees, and payments for information systems staff or external contractors ( Fleming NS, Culler SD, McCorkle R, et Al ) Break of work-flows for medical staff and suppliers: Another major disadvantage of implementing EHRs is break of everyday work-flow for medical-staff or supplier, which consequences to loss of impermanent productiveness. This break may be because of preparation of end-users which potentially leads to loss in gross. One survey that involved several internal medical specialty clinics estimated, a productiveness loss of 20 % in the first month, 10 % in the 2nd month, and 5 % in the 3rd month before productiveness return to its original degrees as in get downing ( Wang SJ, Middleton B, Prosser LA, et al. ) Research workers besides have estimated that EHR end-users spent around 134.2 hours on execution activities that includes acquiring and larning a new system. These hours spent on nonclinical duties had an estimated cost of US $ 10,325 per doctor ( Fleming NS, Culler SD, McCorkle R, et al. ) Hazard of patient privateness misdemeanors: Another possible drawback of EHRs is the hazard of patient privateness misdemeanors, which is an increasing concern for patients due to the increasing sum of wellness information exchanged electronically between suppliers. To face such sort of state of affairss, policymakers have taken steps to guarantee safety and privateness of patient informations. For illustration, recent statute law has imposed ordinances specifically associating to the electronic exchange of wellness information that strengthen bing Health Insurance Portability and Accountability Act privateness and security policies. Although few electronic informations are 100 % secure, the strict demands set Forth by the new statute law make it much more hard for electronic informations to be accessed unsuitably. ( Zurita L, Nohr C. Patient sentiment: EHR appraisal from the users perspective. ( Stud Health Technol Inform. ) Not merely acts do interchanging electronic wellness informations secure but besides many infirmaries and doctors are implementing rigorous regulations like no tolerance punishments for employees who entree files unsuitably. For illustration, a infirmary in Arizona terminated several employees after they unsuitably accessed the records of victims who were hospitalized after the January 2011 hiting affecting a US Congresswoman. ( Innes S. ) Although privateness will probably go on to be a concern for patients, many stairss are being taken by policymakers and single organisations to guarantee that EHRs comply with the rigorous Torahs and ordinances intended to guarantee the privateness of clinical information.Decrease face-to-face clip with patients, depersonalize brushsEHRs may do several unintended effects, such as increased medical mistakes, negative emotions, alterations in power construction, and overdependence on engineering. ( Campbell EM, Sittig DF, Ash JS, et al. ) Research workers have found an association between increased medical mistakes and CPOE due to faulty system or untrained end-user. Additionally, end-users of an EHR may see strong emotional responses as they struggle to accommodate to new engineering and breaks in their work flow. Changes in the power construction of an organisation may besides happen due to the execution of an EHR which makes it rather more machine-controlled. For illustration, a doc tor may lose his or her liberty in doing patient determinations because an EHR blocks the ordination of certain trials or medicines. Overdependence on engineering may besides go an issue for suppliers as they become more reliant upon itInvention credence:The beginnings of attitude and behaviour day of the month back to every bit early as 1862, when psychologists began developing theories demoing how attitude wedged behaviour. Those surveies by societal psychologists continued and in 1925, many new theories emerged proposing that â€Å" attitudes could explicate human actions † ( Ajzen & A ; Fishbein, 1980, p. 13 ) Several theoretical accounts have been developed and utilized to analyse the credence of engineering. Some of the of import theoretical accounts are as follows-Theory of Reasoned Action ( TRA )Harmonizing to this theoretical account, a individual ‘s behaviour is determined by his/her behavioural purposes ( BI ) to execute that behaviour. That BI is itself determined by both a individual ‘s attitude toward the behaviour and subjective norm refering the behaviour.Theory of Planned Behavior ( TPB )The theory of planned behaviour was proposed by Icek Ajzen in 1985 through his article â€Å" From purposes to actions: A theory of planned behaviour. † The theory was developed from the theory of sound action, which was proposed by Martin Fishbein together with Icek Ajzen in 1975. Harmonizing to the theory of sound action, if people evaluate the suggested behaviour as positive ( attitude ) , and if they think their important others want them to execute the behaviour ( subje ctive norm ) , this consequences in a higher purpose ( motive ) and they are more likely to make so.Technology Acceptance Model ( TAM )Based on the theory of sound Action, Davis ( 1986 ) developed the Technology Acceptance Model which deals more specifically with the anticipation of the acceptableness of an information system. This theoretical account suggests that the acceptableness of an information system is determined by two chief factors: perceived usefulness and sensed easiness of usage. Perceived utility is defined as being the grade to which a individual believes that the usage of a system will better his public presentation. Perceived easiness of usage refers to the grade to which a individual believes that the usage of a system will be effortless Unified Theory of Acceptance and Use of Technology ( UTAUT ) The UTAUT purposes to explicate user purposes to utilize an information system and subsequent use behaviour. The theory holds that four key concepts ( public presentation anticipation, attempt anticipation, societal influence, and easing conditions ) are direct determiners of usage purpose and behavior. Gender, age, experience, and voluntariness of usage are posited to intercede the impact of the four key concepts on usage purpose and behaviour.Factors Affecting EMR AcceptanceAcceptance is defined as the willingness within a user group to use information engineering to the undertakings it is designed to back up ( Dillon & A ; Morris, 1996 ) . Many research workers have stressed the importance of credence survey. For illustration, Kirk ( 2003 ) urged pressing actions on supplying legal and societal model for credence andintroduction of EMR. Likewise, Gefen ( 2003 ) , Zdon ( 1998 ) , Anderson ( 1997 ) , Moore ( 1996 ) , Baroudi ( 1986 ) , Bardram ( 1997 ) , Bowers ( 1995 ) , Graham ( 1996 ) , and Hubona ( 1996 ) , all discussed similar issue. Furthermore, past experiences show that the attempt to present EMR will ensue in failure and unforeseen effects if their proficient facets are over emphatic and their societal and organisational factors such as the user credence and the diffusion of information system are overlooked ( Gefen, 2003, Anderson, 1999, Moore, 1996 ) . Kirk ( 2003 ) has noted that presently there is no societal model for EMR credence. The closest model theoretical account, which measures perceived usefulness and sensed easiness of usage, that can be adopted is the Technology Acceptance Model ( TAM ) proposed by Davis ( 1989 ) . Tsiknakis ( 2002 ) , Einarson ( 1993 ) , and Neilder ( 1997 ) added that hapless presentation of patient ‘s informations can take to ill informed clinical professionals, medicine mistakes, inappropriate repeat of probe, unneeded referrals, and waste of clinical clip and other resources. Indeed, hapless presentation of patient ‘s information is an interface issue, which warrants more investigation.In obtaining the user credence of wellness attention, peculiarly its system interface, Rosenbaum ( 1998 ) proposed six successful techniques: Involving the user community in needs analysis and demands definition. Designating members of the user community who are involved in the system design as don ( people who receive first preparation and extended preparation ) . Conducting undertaking analysis of the full work procedure, non merely the partsinvolving the clinical information system. Performing user surveies of preliminary paper and pencil paradigms with typical users. Conducting iterative serviceability testing of consecutive paradigms. Visiting infirmaries and other scenes of usage to detect the work procedure, usage of predecessor systems, and beta-test installing Surveies statistics: There is scarce of surveies sing EMR usage in Indian context. Results of some relevant surveies are as follows- Consequence of a research done by Sequist et Al was as follows- The overall response rate was 56 % . Of reacting clinicians, 66 % felt that the EHR execution procedure was positive. One-third ( 35 % ) believed that the EHR improved overall quality of attention, with many ( 39 % ) feeling that it decreased the quality of the patient-doctor interaction. One-third of clinicians ( 34 % ) reported consistent usage of electronic reminders, and self-report that EHRs improve quality was strongly associated with increased use of the EHR ( odds ratio 3.03, 95 % assurance interval 1.05-8.8 ) . The bulk ( 87 % ) of clinicians felt that information engineering could potentially better quality of attention in rural and underserved scenes through the usage of tools such as on-line information beginnings, telemedicine plans, and electronic wellness records. In a survey conducted in the United States, the most normally cited barriers to utilize of EMR systems in infirmaries were unequal capital for purchase ( 74 % ) , care costs ( 44 % ) , opposition on the portion of doctors ( 36 % ) , ill-defined return on investing ( 32 % ) , and deficiency of handiness of trained staff ( 30 % ) . Hospitals that had adopted EMR systems were less likely to mention four of these five concerns ( all except doctors ‘ opposition ) as major barriers to acceptance than were infirmaries that had non adopted such systems. When most of the infirmaries or professionals speaking approximately high cost of EMR, a cost benefit analysis of EMR in primary attention done by Wang et Al shows, In the 5-year cost-benei ¬?t theoretical account ( Table 3 ) , the net benei ¬?t of implementing a full electronic medical record system was $ 86,400 per supplier. Of this sum, nest eggs in drug outgos made up the largest proportion of the benei ¬?ts ( 33 % of the sum ) . Of the staying classs, about half of the entire nest eggs came from decreased radiology use ( 17 % ) , decreased charge mistakes ( 15 % ) and betterments in charge gaining control ( 15 % ) . Though non all benei ¬?ts of an electronic medical record are mensurable in i ¬?nancial footings ; other benei ¬?ts include improved quality of attention, reduced medical mistakes, and better entree to information.CURRENT SCENARIO IN INDIAThe Department of Information Technology ( DIT ) , Ministry of Communication an Information Technology ( MCIT ) have funded several undertakings during the past decennary for development of IT based Healthcare solutions. During the class of these undertakings, the demand for a standard EHR for the state has been strongly felt for interoperable health-care solutions. During the meetings of the National Knowledge Commission for making the national wellness information sciences vision for India, the demand for standard EHR with unafraid storage and entree of EHRs in a storage system crossing. TheA currentA wayA ofA developingA andA usingA healthcareA informationA storeA systemsA hasA led toA aA chaoticA stateA ofA affairsA dueA toA followingA grounds: aˆ? TheyA haveA beenA developedA independentlyA andA doA notA easilyA interoperateA withA each other. aˆ? TheyA followA theirA ownA conventionA ofA making, A maintaining, A andA storingA Electronic HealthA RecordsA ( EHRs ) A ofA patients. aˆ? IfA aA patientA isA treatedA atA differentA hospitalsA atA differentA cases, A differentA EHRs areA generatedA andA storedA forA theA sameA patientA byA theA twoA differentA information systemsA inA useA atA theA twoA hospitals.A AA singleA EHRA forA anA individualA isA desirable irrespectiveA ofA his/herA timeA andA placeA ofA intervention. aˆ? EachA systemA hasA itsA ownA wayA ofA creatingA andA managingA itsA storageA ofA EHRs. Obviously, A such A an A information A shop A is A based A on A both A relational A database engineering, A due A to its A ubiquitousness A and A adulthood A in A pull offing A big A volume A of information, A andA mediaA storageA package, A forA exampleA XrayA pictureA file awaying. DifferentA systemsA useA differentA relationalA databasesA andA differentA mediaA storage softwareA makingA dataA transferA acrossA systemsA impossible/inconvenient. aˆ? MostA ofA theA existingA systemsA useA centralizedA storage, A leadingA toA limitedA scalability andA poorA reliabilityA ( singleA pointA ofA failure ) . AsA aA consequence, A itA hasA becomeA difficultA toA exchangeA EHRsA acrossA differentA systemsA andA to haveA aA unifiedA informationA systemA toA dealA withA oneA EHRA perA person, A irrespective ofA theA timeA andA placeA ofA treatmentA ofA anA person.

Atmosphere and Fossil Fuel Inputs Essay

1. Weather and Climate. Discuss the concept of energy/mass conservation as it pertains to the climate system. Be sure to address each component of the climate system in your example and feel free to use multiple examples if necessary to address each component. 2. Facts and Fiction. Explain the figure below. Be sure to address the three key components discussed in class as well as the overall (net) anthropogenic impacts on global warming. 3. Atmospheric Composition & Structure. Draw a diagram labeling the five atmospheric layers discussed in class as well as the ozone layer. On your diagram, list the significance of each layer. 4. Atmospheric Circulation. Calculate the residence time of carbon dioxide in the atmosphere given the figure of the carbon cycle below. You can assume that the ocean, soil, vegetation and fossil fuel inputs together make the rate. 5. Ozone. Compare and contrast the two types of ozone depletion. Be sure to discuss the cause(s) of each, the impacts of each and the location of each at a minimum.

How To Redesign Your Website Like CoSchedule In 10+ Easy Steps

How To Redesign Your Website Like In 10+ Easy Steps Alright. So you’re about to start a huge REDESIGN of your company’s website. That’s no small task, and quite franklyit’s intimidating. 301 redirects, copy, coding, A/B tests, wireframes, sitemaps, planning! And that’s just the obvious ones. This summer, ’s product marketing team made the bold move to update our entire website. And while researching and learning from others was a huge help, the resources out there were pretty minimal (especially for small teams) like us. So, we decided to recap our experiences and share some life lessons. Here it goes: This is how two people (in-house) built a website from scratch in 4 months. The Process: 1. The Five Day Brainstorm Sprint There’s an awesome book called Sprint: How to Solve Big Problems and Test New Ideas in Just Five Days. If you haven’t read it, here’s a great starting point: And it’s basically what we did. In a week’s time, we created three very different storylines with accompanying Photoshop designs. We forced ourselves to create a story, design it, and present it to leadership every other day. It was scrappy and tad intense, but it got us where we needed to go†¦ We started with anything and everything. Pushing outrageous ideas quickly- to help  us flesh out ideas, build off of them, and create the official story. From a  comic book feel with super heroes to little robots guiding marketers along their journey, each idea brought us a little closer to the final story. 2. Plot Out Your Sitemap. Put a name to every page on your new website. It doesn’t have to be overly complex, Megan (product marketing’s awesome UX/UI designer) built one in less than an hour. And with a high level view of your new site, you’ll be able to  build a strong path for conversions and a strong storyline to guide them along the way. 3. Write Your Copy Before  Design. Before a single wireframe was created, every line of copy was written for EVERY page. We spent a good three weeks creating skimmable  content and placing a major emphasis on good headlines for each talking point. Recommendation: Write a minimum of 25 headlines per talking point and (if you can), test and iterate on them with a team member. ’s Headline Analyzer is a great tool for writing headlines . Use the â€Å"but why† process to find your users WIIFM (What’s In It For Me). Before a single word is written,  ask yourself this question to get to the real benefits or the real reason why anyone would care to read x blog, page, email, etc. If you haven’t already, watch Simon Sinek’s TED talk on Why ↠ it’s a great starting point to building a story your users will care about. 4. Build Wireframes For Your Designers Sanity Wireframes are the skeleton to design AND if you want your designer to still love you at the end of a project, DON’T skip this. Wireframes are a lot like sitemaps and are a simplistic view of a page layout. They help ensure that when designing really starts, you aren’t caught off guard by layouts and can move forward quickly. 5. Start With Photoshop, Then Code. Create high fidelity designs  of each page. Similar to writing copy for every page BEFORE design, high fidelity design should be done BEFORE code. Again, it’s a necessary step because it eliminates the need to â€Å"imagine† what your page or elements of the page will look like and makes changes easier (because you catch them earlier). 6. A/B Test (Tn The Midst Of Process). Start testing your assumptions early. After creating your copy and initial PS designs, start testing out a few of your ideas on your existing website (think elements: headlines, logos, images, etc). Quick How-To for Creating An A/B test: Create a hypothesis: Based on your current sites performance and the particular element youd like to test create a hypothesis to build your test around: For example: Replacing the static image on the homepage with a autoplay video will increase conversions Test it: Create a variation of your hypothesis (new homepage with video), and then A/B test it against the original page. Calculate the test duration with respect to your monthly visitors, current conversion rate, and expected change in conversion rate. (VWO will help calculate all of this for you HOWEVER if you dont have this,  heres a calculator). Analyze it: Dig into your results and see which variation performed the best. If theres an obvious  winner, go ahead an implement that variation to the real website. If results were a tad muddy, revise your hypothesis and keep testing. We tested a few headlines and added a video to the homepage during our website redesign, and saw a 6% increase in conversions → pretty awesome validation! It pays to test early. Never rest on your assumptions: prove and disapprove them with data! Recommended Tool: VWO for A/B testing. It’s great for non-designers and quick A/B experiments. Use â€Å"quick learnings† to get faster results when you can’t run a test for an extended period. 7. Coding: Once Designs Are Approved, Code It. Once youre at the coding stage stick to the plan. Focus on pushing out code, getting it out into the world, and iterate on it AFTER you launch your new site. Aside from minor bug fixes, avoid major overhauls at this point. 8. Push Code to your Staging  Site (For Review, Edits, etc.) This is where all your hard work comes to life (behind the curtain). Here you can test and revise the functionality of your designs. We use Meistertask for our QA  (quality assurance) phase. Similar to many Kanban views, its helps us to track the progress on edits as well as test, retest, and sign-off on edits. You can create  custom phases (open bugs, in progress, review, and done) and utilize Skitch to create visuals (your designer will love you for this). 9. Plan Time in the Project for Bug Fixes†¦ You will have bugs, so plan for it. Recruit folks from the team to purposely test and break your website (so real users don’t have to). In addition, test user experience during this phase. Observe a friend or team member, someone who hasn’t been involved in the project, click around the new site. Take notes and be ready to make changes. Getting a new set of eyes will help to validate if the user flow is second nature or clunky. Remember: Good design just works. If your user has to think youre doing it wrong. 10. Go Live!  Hold Your Breath and Release Your Hard Work Into the Real World. The 10+ step: Keep A/B Testing. Launching your new site is NOT  the end all be all. Its just the beginning. Throughout your redesign process build a list  of various items to test: color, images, copy, video, etc. And then build out a schedule for testing those ideas a few weeks after your launch. Remember, your website has one goal: to convert visitors into paying customers. And if you want to increase conversions, A/B testing will help you  to determine whats is and isnt working with your new design. Lessons Learned: Write Your Copy in the Customer’s Words The best way to sell to your ideal customer, is to use the phrases and words of your current customers. They’re your best advocate and they speak the buyer’s language. So how do you do this? When creating copy for ’s new site, we went through pages and pages of customer surveys. Polldaddy has this awesome feature that creates word clouds of the most populars words and phrases AS WELL AS a filtering option to rank popular answers (I relied on both of these heavily). In addition, customer interviews were part of the process. Over the project, I scheduled and recorded Skype calls with some of our current customers to find their stories. It was a great way to get natural, candid  responses to how and why they use . Daily syncs (more meetings can be good, if done with a purpose) Before this project, I was definitely on team â€Å"less meetings, more doing† But after this project I realized the problem isn’t the meetings, it’s the FOCUS in those meetings. For our entire redesign, the product marketing team met for 30 minutes (or less) each afternoon for a hyper focused  status update and feedback on our individual projects. These daily syncs helped us produce faster and push past blockers sooner. It was a highly focused meeting with an enforced timeline. And because of these guidelines typical meeting bullshit was rare. People left those syncs with clear action items and good feedback on their work. Recommendation: Pick two action items for each sync. Skip the small talk. And go right into the area you need feedback on copy, wireframe, design whatever it is. Remember, you’re on a time constraint, so honor it. Also, if you’re doing your syncs over the web, it can be awkward knowing how and when to end a meeting. Embrace the awkward, and just call it when it needs to end  (time is precious, and you’re doing everyone a favor).

Guanxi, Cultural Antecedents and Trust Building in Chinese Business Research Paper

Guanxi, Cultural Antecedents and Trust Building in Chinese Business Markets - Research Paper Example The focus in this paper is on the concept of Guanxi, central to the Chinese society. The literal translations of this term could mean 'connections' and 'relationships', but both these translated terms cannot describe the deeper meaning and implications that it actually stands for.The concept of guanxi is no longer confined to China and is accepted in the West also. Guanxi has been defined in different ways depending on the various perspectives. The Chinese construct considers guanxi as a very specific personal connection between two different people. This connection is exemplified by an inherent psychological contract that needs to be followed. The social norms include being committed, maintaining loyalty and ensuring that the relationship is maintained over a long term. Guanxi also has the key characteristics of trust for the parties involved that is developed through long term interactions, reciprocity and self-disclosure.In literal sense, guanxi means connection. When it comes to relationships, this term either refers to the connection between the parties that are involved, or to the connected parties.There are different stages of guanxi - either existent or non-existent, either good or bad, distant or close, deep or superficial and so on. Guanxi can exist between two or more individuals or even between organizations or different networks.It is also necessary to know that guanxi is function in the different spheres of human life, such as the families, friends, and professional groups, political and business. The term guanxi is used along with different verbs to give it different connotations and meanings. For example, if the phrase 'pull guanxi' is used, then it means the set of actions that indicate initiating and establishing a connection. Similarly, if the phrases ‘walk guanxi' would mean using the established connections to achieve any purpose that needs to be achieved.Similarly, the term has been used in other verb forms such as building, developi ng, breaking etc. According to Gold et al, (2002), guanxi can be described as part of China's national character. Over the years, Guanxi has played a very important role in the business relationships in China. If the businesses are Guanxi based, then, there would be a higher probability to reduce uncertainty, reduce the transaction costs, and lower the search costs as trusted suppliers are already known. Guanxi based business relationships also add to strong sense of connectedness (Tung and Worm, 2001). Even while dealing with foreign investors, Guanxi helps in reducing the uncertainty associated with doing business with outsiders. This is because Guanxi helps in establishing informal relationships that can guard against any opportunistic behaviour on

Reflection on a recent media-related news item Essay - 1

Reflection on a recent media-related news item - Essay Example agency based in Toronto initially known for inventing Catvertising receives another honor of having being the pioneers and originators of Reactvertising (Wheaton, 2014). John St describes Reactvertising as not as the art of fun or being smart but having the ability to work faster on advertisement. Working faster and maintaining the standards appears to be the primary concern of many of the speed writers in the promotional video (Wheaton, 2014). The respondents raise their concern if they are to write whatever pops in their minds or ignore the old style of thinking and adopt Reactivism. According to one of the client’s testimonial, in the video the John saint provisions state that no one has better thinking than others do (Wheaton, 2014). Social media are changing the dynamics of contents in marketing and advertisement. The historical ways of advertisement were procedural from the warehouses to the advertisement Medias like the newspaper broadcasts or radio and televisions. The dynamics in marketing in the social media such as Facebook and twitter have since improved the speed of advertising with communications between brands and customers being direct. Wheaton, K. (2014). The Next Logical Step in Real-Time Marketing: Reactvertising. Retrieved on November 3, 2014, from