Thursday, August 27, 2020

Analysis of Hypocrisy in Adventures Essay Example for Free

Investigation of Hypocrisy in Adventures Essay The Adventures of Huckleberry Finn, happens in a period in age where the deficiencies of society are so complicatedly interlaced and disregarded upon the people that make up that society. This outcomes in lip service that continually has a vital influence in how Mark Twain portrays the general public that takes an interest in such unreasonable movement. Characters, that Huck and Jim meet as they head for their opportunity, which for Jim is subjection, and for Huck is the oppression through human progress which is â€Å"practiced† by such a scoundrel society. Both are looking for opportunity that is very much characterized in their own boundaries; however are held under steady fraud in the interest to accomplish their opportunity. In any case, false reverence by a â€Å"civilized† society is as predominant in today’s society as it was in the time that Huck and Jim experienced it. Despite the fact that today’s, affectations take another shape and structure and are joined with every day exercises. They are given as much consideration as any â€Å"civilized† society would. In spite of the fact that the lip services that are clear in Huckleberry Finn may be as the appointed authority permitting Huck’s father, to keep him in guardianship, well realizing that he a lush would slaughter Huck to get his cash. To the numbness, of towns individuals and the nieces who were defrauded by the duke and ruler. Everybody had taken so much confidence into the way that the nieces had acknowledged the duke and ruler as their uncles that nobody really thought about, in any event, when it was openly declared by Dr. Robinson; as each â€Å"civilized† individual who knew directly from wrong sprang upon the specialist, attempting to stifle him. As the best pietism that occurred in the book, was because of the timespan itself; a period of racial domination and racial bias, that occurred all over, a period of subjugation. These people who Huck fled from to abstain from being cultivated, were themselves boorish because of the manner in which they rewarded slaves who are non-other than individuals also. Inferring the way that it is unimaginable for a general public who claims and treats slaves as unrefined individuals themselves can never be simply. While, we see this continually all through our general public today, as individuals call others fat, anorexic, unacceptable, not cool, not adorable, silly, and inept; while they themselves have a no-limit pit of numbness, prompting their own obscurity. Today’s society is in reality more regrettable than before as in we are taken care of these things as a kid; yet we need to fuse it into day by day life through the impact of others, for example, guardians, media, and friends. Making our very presence, plainly obvious of such a Catch 22, that can just get from bad faith of a supposed â€Å"civilized† society. As the time Mark Twain had composed this novel, numerous social blemishes existed inside the textures of the network all in all. The book assumed a significant job inside the social setting of the time because of the way that Jim, who was a slave and Huck a freeman had the option to bond and have such a stunning excursion together. Inside this excursion, Twain had entwined a few minutes, that on a superficial level appeared to be a standard at that point, yet abused a few social blemishes that would have in any case been excused by obliviousness. Bringing about an effective message from the creator, ideally permitting one to see around then in age what awful exercises they happen in on an everyday premise, when seen upon by another person’s exhibition.

Saturday, August 22, 2020

Contract with Robert-Free-Samples for Students-Myassignmenthelp.com

Questions: 1.Can Peter implement his Contract with Robert? 2.Each will charge and be solely qualified for the expenses got in kind for their own work. Is this a Partnership? Answers: 1.As per the Alberta Regulation 196/1999, Fair Trading Act-Public Auctions Regulations, it is the obligation of the barker to peruse out the states of offer or ensure that the states of the deal are perused by those present at the deal. The salesperson must do this before the initiation of the deal or toward the start of the suspended deal. In any case, the barker need not guarantee that the condition are perused by those present at the sale in the event that they are customary bidders in the sale deals business (Casey, 2012). Likewise, the sale deal business need to give the bidders the essential states of the closeouts in the offer cards on the off chance that they are enrolled bidders and may not be going to the bartering on the given day. Besides, the barkers can't offer expressions which are off base in any way. Furthermore, for the bidders, it is their obligation to peruse and comprehend the states of offer before the start of the Auction (Riefa, 2015). They ought to likewise e xamine the products themselves before putting the offer so they can know about everything about the item in sell off. In the given case, Peter possessed an empty land that he needed to sell. Subside made an agreement an Auctioneer named Howard. The principles and states of the deal were given in the list made for the sale, wherein it was referenced that the salespeople don't have the power to make the portrayal for the proprietor of the land. Robert was one of the bidders for the empty land. Robert enquired Howard about the zonal course of action of the empty land and set the offer depending upon the zonal plan as told by Howard. Nonetheless, later on it worked out that the zonal game plan as told by Howard wasn't right and accordingly Robert would not pay for the property. While examining the case given above with the law overseeing the barterings, it tends to be said that both Howard and Robert have committed errors. Howard wrongly made a portrayal for which he had no position and furthermore gave an erroneous portrayal depending whereupon Robert put the offer. The mix-up made by Robert was that he didn't peruse the principles and conditions that was given in the inventory for the bartering provided that he had perused and comprehended the guidelines, he could have realized that Howard didn't have the power make the portrayal and he would have been cautious in discovering the insight regarding the property. Additionally, it is the obligation of the Bidder to review the product or the thing held available to be purchased. He didn't do anything of this sort. In this way, it tends to be said that Peter, the proprietor of the land can implement the agreement on Robert for the empty land since everything was referenced in the list implied for the offer of property at the sale. Notwithstanding, this he enquired the salesperson who had no power to make any portrayal. In addition, Robert depended upon the portrayal made by the Auctioneer without making any further enquiry about the property. Along these lines, it tends to be said that Peter can implement his agreement available to be purchased of the property with Robert who can't guarantee the way that he depended upon an erroneous portrayal made by the salesperson. 2.As per the Partnerships Act, R.S.O. 1990, section P.5, the assurance of organization should be possible by the genuine expectation of the gatherings in question. This can be controlled by the manner in which they act. For the assurance of the presence of associations, the courtroom sees the business relationship of the gatherings included instead of depending on the type of the relationship (legalline.ca, 2017). The variables that court sees to check the substance of the business relationship are as per the following- The official enrollment of the association. The commitments made by parties associated with terms of property, information, cash, abilities, etc. A joint enthusiasm for the property of the business The privilege of control or the executives of the property or business. The desires for the benefits from the business or the aim to acquire benefits. The benefit sharing privileges of the gatherings associated with the business (bclaws.ca, 2017). In the given case, Susan and Joyce are bookkeepers and are carrying on their individual business as sole owners. So as to lessen their costs they chose to go into a course of action. For the decrease of costs, they leased premises together; it comprised of 3 workplaces and 1 banquet room. Them two marked the rent as the inhabitant. At that point they employed a secretary who might be working for the them two. It was concluded that they would share the workplace costs similarly. Be that as it may, aside from the costs that are shared, some other costs brought about by them would be borne by the individual causing them. Any choice relating with the administration of the workplace and the secretary are taken by with the assent of both the gatherings. The income they produce as expenses for their administration is kept by the individual offering the assistance. Breaking down the elements for the assurance of the substance of the organization with that of the states of the game plan entered among Susan and Joyce, it very well may be said that the course of action can't be supposed to be an association since they don't have any proper enlistment of their organization. Additionally, the commitments made by them are just as far as costs for the administration of the workplace premises and the compensation of the regular secretary. Despite the fact that they do have a joint enthusiasm for the property of the business it's anything but a decisive proof for the presence of an association between them. The most significant figure considered all the cases by all the official courtroom managing association assurance is the goal of procuring benefit from the organization and their benefit sharing terms. In any case, both these components are absent in the game plan entered among Susan and Joyce. In this way, it very well may be said that the game plan entered among Susan and Joyce can't be supposed to be a Partnership since they don't have any official enlistment for their association deed. Also, their commitments only mirror the sharing of costs and don't mirror any reality which can be viewed as spent with the end goal of the going great of the association. What's more, the greatest factor missing from the course of action is the goal to procure benefit from the organization and the benefit sharing privileges of the association business. Consequently, it tends to be reasoned that the course of action among Susan and Joyce can't be named as a Partnership. Book index Casey, J. B. (2012).Arbitration Law of Canada: Practice and Procedure. Juris Publishing, Inc.. Riefa, C. (2015).Consumer assurance and online closeout stages: Towards a more secure lawful structure. Ashgate Publishing, Ltd.. www.bclaws.ca. (2017).Partnership Act.Bclaws.ca. Recovered 31 July 2017, from https://www.bclaws.ca/Recon/report/ID/freeside/00_96348_01 www.ianwyles.co.za. (2017).General Rules Of Auction | Ian Wyles Auctioneers amp Appraisers.Ianwyles.co.za. Recovered 31 July 2017, from https://www.ianwyles.co.za/general-rules-sell off/ www.legalline.ca. (2017).How to decide whether an organization exists - Legal Line.Legal Line. Recovered 31 July 2017, from https://www.legalline.ca/lawful answers/how-to-decide whether an association exists/ www.ontario.ca. (2017).Cite a Website - Cite This For Me.Ontario.ca. Recovered 31 July 2017, from https://www.ontario.ca/laws/rule/90p05 www.qp.alberta.ca. (2017). Recovered 31 July 2017, from https://www.qp.alberta.ca/records/Regs/1999_196.pdf www.thebalance.com. (2017).Eveything You Need to Know About Business Partnership in Canada.The Balance. Recovered 31 July 2017, from https://www.thebalance.com/association in-canada-2948122

Friday, August 21, 2020

Cheap Essay Writing Services - How to Choose Them

Cheap Essay Writing Services - How to Choose ThemThe primary question to be answered by cheap essay writing services is how to find the right services that are affordable for you. After all, these services could be among the most important investments you would make in your college career. How do you determine which ones are good and which ones are not?The first thing you should do is to search for an online article writer or for a writing service based in your area. Online writers who specialize in teaching and research articles generally charge higher rates compared to people who write essays. However, for essays, your cheapest option would be to outsource this to a private firm which deals exclusively with essay writing services.Essay writing services that are online specializing in writing, editing, proofreading, marketing, copywriting, and promotions for their clients. In general, they work on terms and conditions that are equal to that of a standard essay service. However, some of them offer bulk or generalized editing and proofreading, but these are usually at more expensive rates.Writers who offer individual essays and not custom work are less expensive. These writers generally require more time to write the essay because of the personalized nature of the topic and the amount of research required. Some writers also demand more time to proofread your work. Proofreading is essential in the editing process.However, it is a well-known fact that the number of writers who offer essay writing services is rapidly increasing. You can simply ask for their client list from them. On the other hand, freelance writers who specialize in short essays are more expensive. However, these writers provide the same quality work.If you are able to spend your money on a lot of editors, proofreaders, and writers, you are sure to get high quality articles. Once you have the essay that is up to your standards, you would need to have a professional editor to edit it for a smooth t ransition into a final draft. You could also just get a professional ghostwriter to write the final draft for you and then submit it to the essay writing services.You could try to research various essay writing services on the internet. On the other hand, you could look for essay writing services based in your area through newspapers, magazines, and other periodicals which deal with writing. You could also call around and speak to previous clients and inquire about their experiences with particular writing companies. The best way to find out about cheap essay writing services is to speak to their past clients.After all, if you have the money and are willing to invest in hiring essay writing services, then you should always investigate all the costs and know what cheap essay writing services are really capable of. Remember, these are your investments, so you should get a service that is able to deliver high quality work and not just 'cheap.'

Tuesday, May 26, 2020

Why isn’t Life Expectancy in the United States Higher Essay

Life expectancy, or the estimated years of life for a person or group of people, has increased over the years but it is still surprisingly lower than expected in places such as the United States. America ranks twenty-fourth on the life expectancy list under Japan, Australia, France Spain and Italy. What causes this disparity in the ranking and statistics in an advanced industrialized society such as the United States? There are major statistical factors that influence the United States ranking in world life expectancy, involving education level, poverty, race and gender. The diverse groups of people living in the United States affect the health statistics negatively, bringing in influences from education and income levels, race and†¦show more content†¦As the age ranges climb, the age disparity becomes more obvious. When you examine the elderly over eighty-five years of age, there are three women for every one man (Tischler 2007). Another influence on life expectancy in the United States is preventative health measures. Typically education, income level, geographic location (in a city versus in the country or closer to medical assistance versus less access to medical assistance) and race are major factors on life expectancy. People who live in poverty have poor health, typically from malnutrition, stress and possible exposure to elements such as physical abuse, alcoholism, inadequate or nonexistent housing and drug addictions. Weight is an important factor in affecting health. Being underweight is unhealthy but so is being overweight. Unfortunately, 54.7% of all American adults are overweight and 19.5% are obese. Poverty also plays a factor, as 28.7% of women in poverty are considered to be overweight and 21.7% of men compared to 13.7% of women and 17.7% of men in higher income groups. Interestingly, women are 49.5% more likely than men to be a healthy weight. Only 36.3% of men are estimated to be at a healthy weight. (Tischler 2007). This is a factor in heart disease in men and a possible influence in their higher risk factor at a younger age. Americans with higher education level and more income also tend to have better access toShow MoreRelatedThe United States And Universal Health Care1403 Words   |  6 PagesNation by nation, state by state, from the poor to the wealthy, Universal Health Care is an idea and public policy that is quickly becoming the norm. The United States however, remains almost exclusively the only country that does not provide Universal Health Care for its citizens. With our newly elected government attempting to dismantle the Affordable Care Act, our attempt in providing affordable health insurance for all, a public policy with high approval from both parties, this could be our goldenRead MoreEssay On How To Protect Us From Ourselves1561 Words   |  7 PagesHow To Protect Us From Ourselves The United States of America is an amazing country, mostly known for the rights that we are given at birth; however, the United States, a wealthy nation, remains a county that does not provide universal healthcare to its citizens thus, millions of Americans remain uninsured. Making this a major issue that needs to be addressed. The one country that prides itself over its outstanding healthcare system is Canada. According to the 2000 World Health Organization’sRead MoreAnalysis Of Michael Moore s Sicko 1444 Words   |  6 PagesMichael Moore’s Film â€Å"Sicko† is a documentary that examines the state of America’s health care and how it effects its citizens in comparison to those in other countries. You’d think that Americans would have the beast health care to offer but in hinds sight the complete opposite is true. I will discuss and comment on many of the points presented by Michael Moore in his video documentary. I agree that the state of th e United States needs to change. Our insurance companies must change, the treatmentsRead MoreA Comparison of Italy and Bangladesh Essay612 Words   |  3 Pagesdifferences and similarities between both countries, any way, I would take into consideration the main facts and differences between both countries and compare them. All countries are different. Some, for example are rich and have higher standards of living. Others are poor and have lower standards of living. Countries that differ in this way are said to be at different stages of development. To be able to identify the more developed countries notice that the richer countriesRead MoreEssay On Taxes1345 Words   |  6 Pagesback massively. Because there just isn’t going to be enough government funds to properly hit every one of these departments as they did before the cut. That means families losing out on food stamps, cut back on amount of jobs for government employees, and many other devastating losses for the citizens of the united states. One of the biggest ideology around cutting taxes for the riches is the big thought that these upper-class persons are going to have higher levels of revenue, and that they areRead MoreSocialism : A Controversial Topic That Americans Either Love It Or Hate It?1533 Words   |  7 Pages05/4/16 ocialism is such a controversial topic that Americans either love it or hate it. People are either educated on the consequences involved with adapting a socialist government or they firmly believe that socialism will be the solution for the United States’ problems. To tell you the truth, socialism will have a negative effect on our society. It may not seem as though capitalism is working for the U.S. based on its huge national debt as well as its wealth disparity, but staying a capitalistic countryRead MorePope Gregory’s America1261 Words   |  6 Pagesliterally money, the Papal coffers were depleted and Pope Gregory was interred in an non-descript stone coffin in the Vatican. According to one Papal historian, â€Å"he was surrounded by stupid physicians or culpable ministers† (de Montor 218). In the United States, we’ve been prescribed a cocktail of healthcare systems that have been depleted our coffers while failing to provide adequate care. Fifteen pe rcent of the American population is uninsured and the cost of healthcare for both the uninsured and theRead MoreObesity : The Problem Of Obesity1643 Words   |  7 Pagesunhealthy foods that teens eat. However lack of participation rates due to sportsmanship could be the reason why teen obesity has occurred in the Pilsen community. Obesity is a disease that affects many Americans, including Latino children and adolescents. Obesity is a gateway medical condition to other chronic illnesses and is ultimately one of the leading causes of mortality in the United States. Medically speaking, too much adiposity secretes fatty acids causing inflammation following a diagnosisRead MoreHealth Care Act Of Indiana And The United States1553 Words   |  7 PagesHealth care in Indiana and the United States has received a lot of attention since the Barack Obama presidential campaign in 2008. Hoosiers in Indiana and Americans throughout the United States lack health care coverage. One goal all individuals have is obtaining health care coverage suitable for their individual needs. Since the health care reform became a big topic of discussion, health insurance has started to become more available. Between Obamacare and work sponsored health insurance, many AmericansRead MoreAmerica Has Fallen Off Of The Leaderboards1899 Words   |  8 Pagesthe world based on freedom, to me 12th place isn’t 1st place. After we earned our freedom we struggled to build ourselves up from nothing, and all that nothing turned into something. We are known as one of the biggest economic forces in the history of the world and we like it that way. No other country can compete with us in any situation possible, because America is just that great. The land of the free and home of the brave right, the United States is arguably the greatest country in the world

Friday, May 15, 2020

Transcendentalism An American Artistic And Philosophical...

Transcendentalism was an American artistic and philosophical movement similar to the Romantic movement of Europe. The movement praised the efforts of mankind as individuals instead of depicting humanity as a crowd of like-minded people. Transcendentalists admired the former great thinkers of the world from Aristotle and Jesus to Copernicus and Newton for their confidence and persistence in the face of opposition. The movement encouraged many in the United States to express their creativity and live originally. Ralph Waldo Emerson was a leading Transcendentalist writer, who advocated for confidence, originality, honesty, and freedom for all people, and his essay called â€Å"Self-Reliance† summarizes his views of nonconformity. Former slave and abolitionist Olaudah Equiano, although he was born sixty years before Emerson, is an example of a man who expressed his unique lifestyle and ideas, fought for his freedom, and transcended the ordinary. For ten years, Equiano was an enslaved man, who was uprooted from his home in Africa as a young child. Yet he persevered throughout his oppression to gain an education, prove his worth, and buy his freedom. However, Equiano lacks the pride necessary to fully represent Emerson’s idea of a self-reliant man. In his The Interesting Narrative of the Life of Olaudah Equiano, which was published in 1789, Equiano acknowledges the hand of God and the help of others in his life. He also conformed to the image of an educated Englishman toShow MoreRelatedDifference Between Romanticism And Transendinlalism In American And British Writers1584 Words   |  7 Pagesof Romanticism. The difference of Transendinlalism was that it was a literary and philosophical movement, associated with Ralph Waldo Emerson and Margaret Fuller, asserting the existence of an ideal spiritual reality that transcends the empirical and scientific and is knowable through intuition. However, the Romantics thought differently because they that, that romanticism was an artistic and intellectual movement originating in Europe in the late 18th century and characterized by a heightened interestRead MoreDifference Between Romanticism and Transendinlalism in American and British Writers1616 Words   |  7 PagesDifference Between Romanticism and Transendinlalism in American and British Writers The expression Romantic gained currency during its own time, roughly 1780-1850. However, the Romantic era is to identify a period in which certain ideas and attitudes arose, gained the idea of intellectual achievement and became dominant. This is why , they became the dominant mode of expression. Which tells us something else about the Romantic era which expression was perhaps everything to do withRead MoreEssay on Transcendentalism1619 Words   |  7 Pages Transcendentalism nbsp;nbsp;nbsp;nbsp;nbsp;Many people have theories and philosophies about life in general. There have been hundreds of thousands of books published by many different people on the ideas of people in the past and the present. Transcendentalism falls in amongst all of these ideas. There have been articles, essays, poems, and even books written about this subject. Transcendentalism has effected many people since the philosophy was first introduced. The idea was complex andRead MoreThe American Renaissance Essay1648 Words   |  7 PagesIn America, the American Renaissance was the period in 1835-1880 in which United States literature came of age as an expression of a national spirit. Literature became one of the most historically significant effects that occurred throughout the time period of the American Renaissance. The American Renaissance is also characterized by renewed national self-confidence new ideas and technologies. Politically and economically, this era coincides with the Gi lded Age and the New Imperialism. By the endRead MoreEssay about Transcendentalism1367 Words   |  6 Pages Transcendentalism was an early philosophical, intellectual, and literary movement that thrived in New England in the nineteenth century. Transcendentalism was a collection of new ideas about literature, religion, and philosophy. It began as a squabble in the Unitarian church when intellectuals began questioning and reacting against many of the church’s orthodoxy ways regarding all of the aforementioned subjects: religion, culture, literature, social reform, and philosophy. They in turn developedRead MoreRomanticism Is Essential to the American Culture954 Words   |  4 PagesRomanticism is essential to the American culture. It was sought out to be the central movement of the American Renaissance, being most mediated through transcendentalism and it continues to influence on American thought and writing. â€Å"Romanticism has very little to do with things popularly t hought of as romantic, although love may occasionally be the subject of Romantic art. Rather, it is an international artistic and philosophical movement that redefined the fundamental ways in which people inRead MoreWhat Do People Have Know About Ralph Waldo Emerson1424 Words   |  6 PagesIntroduction What do people already know about Ralph Waldo Emerson that has not been already researched? Regarding his place in the history of American Literature, he was a rather regarded man, especially in the beginning of the Transcendentalist movement of the mid-19th century. He is often described as â€Å"†¦the writer with whom numerous other significant writers of the time sought to come to terms† (211). If students wanted to complete research about him, they should not just read his work,Read MoreThe Beginning Of Creative Nonfiction1517 Words   |  7 Pagesthe world’s first known civilization. In Greece, creative nonfiction was further developed into a more solidified genre. Greek philosophers such as Plato and Aristotle continued to develop the tradition of nonfiction through the rhetoric of the philosophical dialogues. In 500 B.C.E., the Greeks were discovering the atom, and Heraclitus drew from these studies to form his belief that the universe is susceptible to change (D’Agata 9). He believed that everything was instable, and his writings projectedRead MoreMetz Film Language a Semiotics of the Cinema PDF100902 Words   |  316 PagesC1P The French edition of Christian Metz s Essais sur la signification au cinema, volume 1, was published by Editions Klincksieck in 1971,  © Editions Klincksieck, 1968. ÃŽËœThe paper used in this publication meets the minimum requirements of the American National Standard for Information Sciences-Permanence of Paper for Printed Library Materials, ANSI Z39.48-1992. To George Blin, Profesor at the Collà ¨ge de France, whithout whom none of these pages would have been started. CONTENTS A Note on

Wednesday, May 6, 2020

South Sudan Criminal Justice System - 1380 Words

South Sudan Criminal Justice System Andrew Langstaff Eagle ID: 900764842 Georgia Southern University Instructor: Dr. Laurie A. Gould CRJU 4531: Comparative World Justice System South Sudan, the world’s newest country is struggling to survive. Rampant inflation, civil war and food shortages plague South Sudan. Besides political party reform, inter-communal violence and tensions over oil-sharing revenues with Sudan, another challenge South Sudan is facing to achieve peace that this paper will be focusing on only, is the South Sudan criminal justice system, which is very weak and corrupt. I will be covering specific issues that are problematic to the South Sudan criminal justice system, all three aspects of the criminal justice system of South Sudan (Law enforcement, court systems, and correctional system) and how it compares to that of the United States criminal justice system. Issues that are problematic to the South Sudan criminal justice system besides the civil war, and humanitarian concerns, are the law enforcement. Justice and accountability; there are mass killings, sexual violence, and other war crimes have been widely documented by journalists and human rights groups in South Sudan. Children have been pulled out of school and the UN estimates there are at least 9,000 child soldiers that have been recruited into the current conflict on both sides. Law enforcement is suppose to be in place to keep the peace, serve and protect, but instead they areShow MoreRelatedInternational Criminal Court Unfair Towards African Nations Vis A Vis Western Nations? Essay1446 Words   |  6 PagesIs the International Criminal Court unfair towards African Nations vis-à  -vis Western Nations? On October 12, 2016, the parliament of Burundi, a country located in the Eastern part of Africa voted to withdraw from the International Criminal Court (ICC) with a vote of 94 to 2. Weeks earlier, Gambia and South Africa announced their intention to withdraw from the ICC, and this wave of action by these three African nations has paved the way for other African nations to reassess if they wanted to stillRead MoreNdi. In Sharp Contrast To South Africa, Burundi Officially1160 Words   |  5 PagesNDI In sharp contrast to South Africa, Burundi officially holds the ICC as a ‘Western tool to target African governments’. This allegation of institutional political bias is not a new one but has gained ground in recent times with nine out of ten situations being currently investigated by the office of the prosecutor being in Africa (Mali, Cote D’ Ivoire, Central African Republic, Libya, Kenya, Sudan, Uganda, Democratic Republic of Congo). Georgia is the only country outside Africa facing such anRead MoreThe Death Penalty Is an Outdated Form of Punishment1691 Words   |  7 Pagesmore than Australia and Britain. The death penalty is an outdated form of punishment and should be abolished because it is cruel and unusual. With the death penalty enacted criminals have been killed for their crimes but cost 4 times more than have them as life in prison without parole. Some cases have happened where the â€Å"criminal† has been executed and soon with DNA was declared innocent. Life in prison also guarantees no future crimes, some religions go against the death penalty. Some people stateRead MoreConflict Between Sudan And Sudan3424 Words   |  14 PagesARMED CONFLICT IN SOUTH SUDAN INTRODUCTION Sudan gained its independence in 1956 after it has been ruled by a succession of unstable civilian and military governments. By the risks of unresolved constitutional tensions between Sudan and the South part, it then turned into a full-scale civil war for 50 years in 1955 to 2005. It result the separation into two countries in July 2011 after 98 per cent of Southern voters were in favour of independence, which made the Republic of South Sudan as the newestRead More Lords Resistance Army and Conflict and Peace Building in Uganda2579 Words   |  11 Pagesout of Uganda to the north and west into other regions such as the Democratic Republic of Congo and areas of southern Sudan. The conflict also affects other key areas of central Africa as Kony and his Lords Resistance Army has killed thousands and displacing millions of Africa natives. Despite several attempts at meetings in addition to arrest warrants from the International Criminal Court against Kony and his troops, Kony has refus ed to cooperate and this war still rages on as one of the longest-runningRead MoreAfrican Of The International Criminal Court5912 Words   |  24 PagesAfrican states have used their own criminal law systems to prosecute war criminals, in special tribunals such as that in Sierra Leone, and in African states well-established commitment to the international criminal Court. African countries have been actively involved in the establishment of the International Criminal Court and the Rome Statute more than 20 years ago, since negotiation started for the creation of the ICC. Among other African delegations, South Africa, Senegal, Lesotho, Malawi, andRead More Islamic Criminal Justice Essays1335 Words   |  6 PagesComparative Criminal Justice System Criminal Law has and will continue to be a fluid and ever-changing aspect of humanity, and yet the distinctive base of religious belief is still a foundation for a variety of laws today. While the separation of church and state is in effect, history states a wide range of laws have been established based on religious beliefs and ideals, the Bible for one, and currently the Qur’an, which is the basis for Islamic Law. It is the only true form of law in the presentRead MoreEssay on Comparative Criminal Justice1362 Words   |  6 PagesComparative Criminal Justice System Criminal Law has and will continue to be a fluid and ever-changing aspect of humanity, and yet the distinctive base of religious belief is still a foundation for a variety of laws today. While the separation of church and state is in effect, history states a wide range of laws have been established based on religious beliefs and ideals, the Bible for one, and currently the Qur’an, which is the basis for Islamic Law. It is the only true form of law in the presentRead MoreChild Labor South Sudan And India2772 Words   |  12 PagesChild Labor in South Sudan and India Tatiana Wettstein San Jose State University Chad 106 Laura Pirazzi Child Labor: South Sudan (Annet, 2011) Conflict and poverty are all too common in the country of South Sudan, along with one of the more overlooked issues of Child Labor. South Sudan is a country with some of the highest rates of child labor. The country has made progress in making laws and regulations, organizations and agencies and social programs that targetRead MoreRobbery : The Victims And Offenders1750 Words   |  7 PagesVictims and Offenders Julio M. Guerrero Tarleton State University DISPATCH: â€Å"Attention all units, Attention all units. A robbery just occurred at the Chase bank. Suspect is armed and dangerous. Suspect left the scene in a small car heading south.† UNIT: â€Å"Clear dispatch. Show me heading to Chase bank. Any other description?† DISPATCH: â€Å"Male suspect, approximately five feet ten inches, wearing all black and a ski mask. Suspect displayed a firearm, silver in color.† In large cities and even

Tuesday, May 5, 2020

Data Sources And Investigate Healthcare Data Sets Sample

Question: Discuss the healthcare data sets (such as HEDIS, UHDDS, OASIS). Answer: Healthcare Datasets Healthcare dataset can be defined as a set of elements of data with consistent and identical definitions. These are a standard information set obtained from the records of care from the systems or organizations, which captures base data. They are the structured data lists bearing the permissible values, clear label and definitions, classifications and codes. From these datasets, information is compiled and derived for the improvement and monitoring of the healthcare services. HEDIS The Healthcare Effectiveness Data and Information Set (HEDIS) is a dataset tool used for the measurement of the performance of healthcare services and care. It consists of 81 measures and 5 care domains. Managed Care Organizations utilize the HEDIS data to compare their care and services performance to other health plans. HEDIS is essentially supplied by NCQA (National Committee for Quality Assurance). It is used by the health plans for measuring various health issues like the persistence of treatment by beta-blocker following myocardial ischemia, the medication use for asthma, hypertension control, comprehensive care for diabetes, screening for breast cancer, medication management for antidepressant, the status of immunizations and quit smoking advice (Webber, 2012). HEDIS can be applied to various healthcare settings. These can be the acute settings, ambulatory care settings and clinical care settings like inpatient and outpatient (Harris et al., 2015). There are several secondary sources of HEDIS. These can be classified as several government and organizational bodies. NCQA collects the HEDIS data and it is collected from the Healthcare Organization Questionnaire (HOQ). HOQ collects the data from the preferred provider organizations and health plan organizations. The non-survey data is collected from the Interactive Data Submission System (IDSS). The data collected are kept under strict confidentiality in a central database for maintenance (Pugh et al., 2013). The Medicare data for HEDIS is collected by NCQA for the CMS (Centers for Medicare and Medicaid Services) and state agencies. Commercial data are collected by NCQA for the US Personnel Management offices and some of the states of the United States of America (Martino et al., 2013). The reporting of the data by the health plans, regulators and purchasers supply the HEDIS data. The data reporting process involves the auditing by NCQA or by an approved auditing firm. The various data like claims data, provider data, membership data, etc. are reviewed after collection. The obtained data are calculated as per the determination standards of NCQA. The frequency of reporting is annual. Every year the HEDIS providers need to report the data to the NCQA (Dixon et al., 2014). The collection of the HEDIS data is done through the insurance claims, medical charts and surveys. The insurance claims are for the procedures, visits to the medical office and hospitalizations. The survey is usually conducted by a survey organization approved by NCQA. Clinical measures include the hybrid or administrative data collection. Administrative data includes the electronic records for the insurance claims and various services. The hybrid method of data collection is lengthy, expensive and requires medical professionals (Westover et al., 2014). HEDIS can be used to measure the activity of -blockers in the case of myocardial infarction and, therefore, quality intervention can be implemented. HEDIS can also be used as a comparative scale for the measurement of the population who did and did not receive dental care. HEDIS is also important for the measurement of the childhood immunization. HEDIS is also used for the survey of the experiences of the consumers in the areas of access to care, claims processing and customer service (Szabo et al., 2015). HEDIS data are important for the researchers who are working for the improvement of the healthcare system and are dedicated to improving the measures of HEDIS. The commercial data of HEDIS are employed for the calculation of the national performance benchmarks and statistics. They are also used for setting the standards of measures, which are included in the accreditation program of NCQA. In addition, these data have been incorporated in the quality compass, which are in turn used by the purchasers, health plans, consultants and media for the analysis of the comparative health plans. The advantages of HEDIS have been listed below. HEDIS involves a rigorous selection process. This includes the assessment of scientific feasibility, importance and field-testing of the measure. The data of HEDIS is important for the assessment of the setting goals and the current performance. HEDIS is also associated with better outcomes of health and practices that are cost effective. The measures of HEDIS are accepted and widely known as more than 90% of the health plans in the US utilizes them. The disadvantages of HEDIS have been listed below. HEDIS measures have been found to overlook some of the important aspects of the quality of healthcare. Improvement of the HEDIS measures by the providers of healthcare has been found to cause potential harm to the patients. The HEDIS development process may also be flawed. UHDDS Uniform Hospital Discharge Data Set (UHDDS) is utilized for the reporting of the data of the patients in the long term, short term and acute care hospitals. It includes the items, which are based on the definitions for providing the multiple users with consistent data. The main purpose of UHDDS for the reporting by the hospitals for the elements of the inpatient data, which also included the outpatient settings (Andrews, 2015). It is also employed to define the set of definitions and rules for the collection of hospital data for the promotion of the comparability and uniformity of data. This enables the planning and evaluation of the initiatives of healthcare for improving the patient care effectiveness and the cost involved in the care (Bielby, 2014). The types of settings in which the UHDDS data can be applied are the hospitals of various settings like short term and acute, long-term and psychiatric care hospitals, agencies of home health, facilities of rehabilitation and nursing homes and other healthcare settings. All the inpatient and outpatient data from various settings are employed by the UHDDS (Werley Devine, 2013). The primary data for UHDDS is the hospitals of various hospitals like that of short-term, long-term, psychiatric, etc. In addition, the secondary data is collected from three different sources, which can be classified as the rehabilitation facilities, providers of home health care and retirement and nursing communities. The professionals working in medical coding and billing facilities with the recipients of Medicaid and Medicare adapt themselves at the UHDDS filing. Correct coding is essential as the reimbursement rate is affected by it (Faught, Aspevig Spear, 2014). The reporting procedure of UHDDS is governed by the procedure of hospital inpatient in association with the guidelines, which are payer specific. All the significant procedures should be reported by the short-term settings. The significant procedures include the surgeries that involve anesthetic risk and specialized training is required to perform that. UHDDS are reported in the form of coded data. The inpatient stay details are reported to the state and federal governments. The frequency of UHDDS reporting is annual. The reports of UHDDS are submitted every year by the hospitals and other facilities (Towers, 2013). UHDDS is usually a collection of several data items, which has to be abstracted from the medical records of the hospital. Considerable variations are found in these medical records as the data uniformity and content are minimal. However, they are used as the primary document as the data collection is proper and relevant in these records. The hospital, which sends the record, must abstract data from them repetitively to meet the demands of the users. The data abstraction should be done record form, which is central and should be made available to the users. This abstract is, however, beneficial as it improves the data accuracy, cost effective and confidentiality problems are reduced. One major objective of UHDDS is the promotion of data uniformity among the user organizations and institutions. The physician is considered not sufficient for the permission of uniformity. The definition of the item reduces eliminates and reduces the variation in the data items. The number of medical records assigned by the hospital is the only number for the identification of the discharged patients. It also helps to identify the criteria of UHDDS. The items for personal identifications can be abstracted from this number. UHDDS provides comparable data to determine the hospitals, which provide the best treatments. This helps the government to reduce the costs from the patients for whom repeated admission was not done. The reimbursement rates of different hospitals can also be compared for the medical procedures, which are similar. This helps the federal government to set up a standardized reimbursement system, which will ultimately help in standardization of the care quality. OASIS Outcome and Assessment Information Set (OASIS) is a set of data elements that signifies the core items required to be included in the assessment for the patient of home care. It creates the basis for the measurement of the patient outcomes for the objective of quality improvement, which is outcome based. It provides data for the use of the consumers on the home health compare. OASIS provides the information on the condition of the patient and proper reimbursement (Shang et al., 2015). The purpose of OASIS is the improvement of performance in home health care. The data items of OASIS were developed for the purpose of measurement of patient outcomes. OASIS is the data collection tool used by the home health agencies for the reporting and collection of performance data. The OASIS data is employed for multipurpose uses like calculation of the quality reports of various types provided to the agencies of home health for guiding the performance and quality efforts of improvement (OConnor Davitt, 2012) OASIS is applied in the various settings like community setting, post-acute care setting, home health setting, etc. It is used for measuring the quality in the various settings. The data collection for OASIS takes place from two sources. The primary source is the data submitted by the agencies of home health and the secondary source is the data submitted by the Medicare claims. The OASIS data is calculated by using the entire care episode of care that commences with the admission to the agency and ends with the transfer or discharge of the patient. The claims data calculations are done based on the first claim of home health, which commences with the care episode of the patient and ends after one or two months of the opening claim (Han et al., 2013). The reporting process of OASIS involves the collection of data from the non-Medicaid and non-medicare patients and sent to CMS. The assessment data of the patients are collected by the home health agencies and submitted to the CMS at the specified time. However, breaching of the guidelines of the reporting process will eventually result in the reduction in the reimbursement rates (Olson et al., 2014). The OASIS data are collected at the start of patient care and thereafter at a frequency of 2 months until the discharge of the patient. OASIS contains the data items, which were implemented for the sole intention of measuring the outcomes of the patients for the improvement of performance in the home health care. They address the environmental, socio-demographic, health status, support system, characteristics of utilization of health service and functional status of the patient. The OASIS assessments are gathered for the Medicaid and Medicare adult patients who are receiving the health services from the home health agencies. However, OASIS data are not collected for the patients who are reimbursed for their care by the payer other than Medicaid or Medicare. OASIS is a vital component of the partnership of the industry of home care with Medicare to monitor and fosters the betterment of the outcomes of the home healthcare. It has been designed for providing the data items required for the measurement of the risk factors and outcomes of the patient. The data items are utilized for care planning, clinical assessment and other applications of agency level. The software of CMS required by the home health agencies for the submission of OASIS is Haven. The home health agencies must transmit and encode the data items using Haven as per the federal requirements. The sent data items must conform to the standards of CMS. References Andrews, R. M. (2015). Statewide hospital discharge data: Collection, use, limitations, and improvements.Health Services Research,50(4), 1273-1299. doi:10.1111/1475-6773.12343 Bielby, J. A. (2014). Reliable coded data require a reliable coding process framework.J AHIMA,85(10), 80-82. Dixon, B. E., Gibson, P. J., Frederickson, C. K., Rosenman, M. (2014). Measuring Population Health Using Electronic Health Records: Exploring Biases and Representativeness in a Community Health Information Exchange.Studies in health technology and informatics,216, 1009-1009. Faught, I. C., Aspevig, J., Spear, R. (2014). New Means of Data Collection and Accessibility. InPublic Health Informatics and Information Systems(pp. 375-398). Springer London. Han, S. J., Kim, H. K., Storfjell, J., Kim, M. J. (2013). Clinical outcomes and quality of life of home health care patients.Asian Nursing Research,7(2), 53-60. doi:10.1016/j.anr.2013.03.002 Harris, A. H., Ellerbe, L., Phelps, T. E., Finney, J. W., Bowe, T., Gupta, S., ... Trafton, J. (2015). Examining the specification validity of the HEDIS quality measures for substance use disorders.Journal of substance abuse treatment,53, 16-21. Martino, S. C., Weinick, R. M., Kanouse, D. E., Brown, J. A., Haviland, A. M., Goldstein, E.. . Elliott, M. N. (2013). Reporting CAHPS and HEDIS data by Race/Ethnicity for medicare beneficiaries.Health Services Research,48(2pt1), 417-434. doi:10.1111/j.1475-6773.2012.01452.x O'Connor, M., Davitt, J. K. (2012). The Outcome and Assessment Information Set (OASIS): A review of validity and reliability.Home health care services quarterly,31(4), 267-301. Olson, C. H., Dierich, M., Adam, T., Westra, B. L. (2014). Optimization of decision support tool using medication regimens to assess rehospitalization risks.Applied clinical informatics,5(3), 773-788. Pugh, M. J. V., Marcum, Z. A., Copeland, L. A., Mortensen, E. M., Zeber, J. E., Nol, P. H.. . Hanlon, J. T. (2013). The quality of quality measures: HEDIS quality measures for medication management in the elderly and outcomes associated with new exposure.Drugs Aging,30(8), 645-654. doi:10.1007/s40266-013-0086-8 Shang, J., Larson, E., Liu, J., Stone, P. (2015). Infection in home health care: Results from national Outcome and Assessment Information Set data.American journal of infection control,43(5), 454-459. Szabo, S. M., Osenenko, K. M., Qatami, L., Korenblat Donato, B. M., Korol, E. E., Al Madani, A. A., ... Levy, A. R. (2015). Quality of care for patients with type 2 diabetes mellitus in Dubai: a HEDIS-like assessment.International journal of endocrinology,2015. Towers, A. L. (2013). Clinical Documentation ImprovementA Physician Perspective.J AHIMA,84(7), 34-41. Webber, C. (2012).HEDIS Audits: Addressing Challenges, Creating Opportunities(Doctoral dissertation, THE COLLEGE OF ST. SCHOLASTICA). Werley, H. H., Devine, E. C. (2013). of Essential Nursing Data.Nursing Informatics: Where Caring and Technology Meet, 160. Westover, C., Arredondo, P. H., Chapa, G., Cole, E., Campbell, C. R. (2014). Quality of care in a Low Income Consumer Driven health plan: Assessment of healthcare effectiveness data information set (HEDIS) scores for secondary prevention.Journal for Healthcare Quality,36(3), 28-34. doi:10.1111/jhq.12001