Socioeconomic Profile of Hypothetical Patient

Considering socio economic variable of a patient with diabetes, the priority of the patient should be to participate in healthcare insurance program provided by its employer. The benefit of contributing to such a health plan is cost reduction where patients only pay a deductible or a minimum co–payment. Acquiring such a policy also ensures that a person may also be able to cover family members at significantly less rates than individual private insurance.If the employer doesn’t participate in health insurance program, the only other viable method is to get a private health insurance. Although expansive, the patient will definitely have more choice in selecting the out of network providers and the flexibility of evaluating different plans that provide ample coverage to treat Diabetes. Patients with Diabetes need to keep medical supplies such as test strips, meters and insulin which are mostly covered by the health insurance providers (Health Insurance).Unfortunately, in countries like United States getting a health insurance for diabetic patients is difficult but this should not stop patients from researching other options such as Insurance through employers and getting help from the State. Most States run their own health insurance programs for which a diabetic patient might be eligible. Programs such as COBRA and HIPAA are available in every State. It will be in the best interest of a diabetic patient to consult the American Diabetes Association http://www. diabetes. org which outlines health insurance coverage on a State by State basis.Furthermore, patients can easily get guidelines and education on how to tackle diabetic issues and where to look for information. Payer Type Based on the socio economic conditions of hypothetical patient, it will be in his best interest to enrol in HMO plan. Analysing financial circumstances of the subject, it is evident that he will likely cover his wife and children, who at this stage are not able to enrol in a healthcare plan. In contrast, a PPO plan will likely cost a premium which is not recommended except if it provides assistance to cover diabetic conditions.It should be noticed that most Americans are covered by BlueCross BlueShield, Atena or CIGNA therefore it is important for diabetic patient to compare the coverage of diabetic supplies offered by these companies. Health plans that cover most strips and monitors should be preferred over others. Patients should also be careful while determining whether the diabetic equipment fall under normal prescription or covered under durable equipment supplies (Insurance Coverage). Other conditions such as mail order deliveries and the number of supplies at any one time play an important role in the eventual patient satisfaction with a plan.After evaluating different healthcare programs, Harvard Pilgrim Healthcare, Tufts Associated Health Maintenance Organisation and Health New England may provide the best coverage. Cost & Treatment Comparison Harvard Pilgrim Healthcare program is specifically tailored to meet the requirements of Massachusetts residents. It offers a network of 40,000 pharmacies and access to more than 130 hospitals in the area. The co payment fee is $10 for a visit and $50 for emergency care. The program covers a wide range of drugs and medicines with mail order included.Individuals can include family members for an extra charge. The program offers a diabetes management program with test reminder letters and individual support from a Nurse educator by calling a toll free number (Diabetes Management). For a single person in a family, the cost varies from $350 to $470 based on the socio-economic factors of hypothetical patient. The Tufts Associated Healthcare Maintenance Organisation provides a variety of different HMO plans that are designed to be cost effective.Its Select Network Provider program offers a minimum deductible and covers most outpatient medical care (Health New England). Doctor visits and ot her routine checkups offer affordable co-payment plans. It also offers a Taking Charge Diabetes program for its members that support the doctor-patient partnership to control diabetes and educate on such issues. Cost for individuals starts as low as $324 and climbs up to $450 for HMO select plans. Health New England is also a good choice with plenty of great options.Individuals can enrol in a number of Bronze or Silver health insurance packages which covers a huge number of Drugs and area hospitals (Tufts Health). The benefits are somewhat similar to other two programs whereas its Neighbourhood Health Plan provides a great value for money by charging as low as $265 per month in Bronze Package and $369 in Silver Package. It offers a comprehensive Diabetes Management Program that includes educational material, reminders, and physical as well as virtual grocery store tours to select the perfect sugar free diet. References Diabetes Management. Retrieved March 18, 2009, from Harvard Pilgrim HealthCare Web site: https://www.harvardpilgrim.org/portal/page?_pageid=213,213304&_dad=portal&_schema=PORTAL Health Insurance Information for People with Diabetes. Retrieved March 17, 2009, from American Diabetes Association Web site: http://www.diabetes.org/advocacy-and-legalresources/healthcare/insurance.jsp Health New England Plans. Retrieved March 18, 2009, from Health NE Web site: http://www.healthnewengland.com/PlanSelector/Compare/compare.html Insurance Coverage Overview. Retrieved March 17, 2009, from Diabetes Control for Life Web site: http://diabetescontrolforlife.com/articles/Monitoring-Insurance-Coverage-Overview-200085 Tufts Health Plan is the Right Choice. Retrieved March 18, 2009, from Tufts Health Plan Web site: http://www.tuftshealthplan.com/enrollnow/pdfs/STANDARDCOMP_0408.pdf   

‘A Passion for DNA: Genes, Genomes, and Society’

â€Å"No one then had any compelling reason to take my hypothesis seriously, but by November 1952 I liked it well enough to print DNA  ® RNA  ® protein on a small piece of paper that I taped on the wall above my writing table in my rooms at Clare College.From the day of our first meeting, Francis Crick and I thought it highly likely that the genetic information of DNA is conveyed by the sequence of its four bases. But we knew it was premature to promote this idea before the structure of DNA was known. However, the moment we first saw how to build a double helix out of the four base pairs, it was clear that the essential uniqueness of a gene must reside in its respective sequence of four bases.†So wrote James D. Watson in his book, A Passion for DNA: Genes, Genomes, and Society. In this work, told with refreshing honesty, is the human story of how Watson and Francis Crick won a Nobel Prize for what may be the most important advance in the life sciences since Charles Darwin published The Origin of Species.In this collection of essays (written for a variety of occasions during the past three decades), Watson discusses the science and sociology of several issues – foremost are recombinant DNA, the nature of cancer research, the past, present, and future of DNA the Human Genome Project and its bioethical problems.The book starts with an autobiographical discussion of the events in Watson’s life that preceded his discovery of the double helix. He then describes his scientific mentors, collaborators and rivals, as well as his philosophy on science. (Watson’s advice for budding scientists: learn from the winners, take risks, have a fallback, have fun and stay connected.)In 1953, two young, unknown scientists sparked a worldwide revolution. Studying DNA for clues to the nature of genes, James Watson and Francis Crick deduced its molecular composition – two chains twisted into a double helix – and immediately realized that th e structure implied how genes were copied and passed from one generation to the next.Their observation has had extraordinary consequences: the discovery of a genetic code that all living things share and the realization that the code translates into proteins; the ability to alter an organism's genetic make-up; recognition that diseases like cancer begin when genes go wrong; the foundations of a biotechnology industry and the means of cloning plants and animals; a start on cataloguing human genes; and the glimmer of a new kind of medicine that uses DNA therapeutically.As public concern about genetically modified food mounts, here is Watson's salutary reminder, from a previous era of DNA anxiety, that restrictions on potentially rewarding research are justifiable only if there is robust evidence of likely harm.Commenting on the 1970s War on Cancer, he warns that effective leadership of publicly funded research initiatives, such as the current search for an AIDS vaccine, demands the co urage to support promising but risky new ideas and prune away anything less than the best. And as the first Director of the Human Genome Project, now approaching its climax, he acknowledges the past evils of eugenics but argues fiercely for the need to balance potential misuses of genetic data with the overwhelming benefits of a rational attack on the roots of disease.In an essay on cancer research and the â€Å"war on cancer,† Watson tells us that to win wars one must know the enemy and the location of the battlefield. When Richard Nixon declared a war on cancer, this information was not yet available. The discovery and elucidation of the action of oncogenes and of cancer viruses were pivotal for understanding the terrain, planning the strategy, and pursuing the war. Watson provides numerous examples to stress the necessity of research in the basic sciences for developing successful therapies against cancer.

Vaginal Delivery of Breech Dissertation Example | Topics and Well Written Essays - 7000 words

Vaginal Delivery of Breech - Dissertation Example The discussion will be based on the author’s perspective, available evidence and current practice. It shall discuss women’s options during births, especially where infants are in the breech position. This dissertation will further evaluate if the women’s choices with regards to delivery of the breech are significantly impacted by the deskilling of health professionals or by the actual risks of the procedure itself. Current practice, as supported by the NICE and RCOG Guidelines (2001) discourages women from having vaginal deliveries when their babies are presenting in a breech position. Many midwives have only ever experienced vaginal breech deliveries in a simulated environment. Since practice is now dominated by the opinion that the safest option for these babies is a caesarean section and the opportunities to gain experience in safe vaginal breech delivery are limited, the dominance of caesarean section is reinforced. This paper aims to highlight the evidence t hat underpins the current practice as well as investigate the emerging evidence that is the basis for certain midwives now considering breech vaginal birth to be a safe option. Historically vaginal deliveries were the chosen method for the delivery of babies with a cephalic or breech presentation. ... he current indications for caesarean births in developed countries include breech babies along with foetal distress, malposition, malpresentations, placenta previa, and other related complications (Fischer, 2012). Some of these complicated births have been delivered vaginally even though the risk for these births has been considered significant. At present, the training for Obstetricians has mostly related to the delivery of breech babies via caesarean Section. This development has been re-evaluated by midwives because some midwives believe that obstetricians must equally train in normal deliveries of breech babies, especially as women’s options have been limited by the risks involved in the birth as well as the decreased skill of midwives (Jadoon, 2008). Breech presentation deliveries are deliveries where the foetus is at a longitudinal position, with either the buttocks or the feet presenting at the cervical area during delivery. This presentation is seen at about 3-4% of al l term deliveries (Fischer, 2012). This type of presentation may be attributed to prematurity, uterine malformations, placenta praevia, multiple births, and sometimes foetal abnormalities (Fischer, 2012). Breech presentation is classified into: frank, complete, and footling. Frank breech is observed with hips flexed, knees extended; complete is seen with hips flexed and knees flexed; and footling or incomplete with one of both hips extended and foot presenting (Fischer, 2012). The issue of whether or not vaginal breech deliveries should be considered over Caesarean section is now also based on the skill of midwives. There are major concerns surrounding vaginal delivery of breech presentation and generally limited data on safe vaginal deliveries of a breech. There is also a lack of honesty on the

Social science Research Proposal Example | Topics and Well Written Essays - 1000 words

Social science - Research Proposal Example Whether one considers the progression between landline telephones, pagers, car phones, and eventually mobile communications and PDAs, such as are exhibited within the modern era, or whether one considers the growth and development of the microchip from what it was merely 30 years ago and to what it has become today, it is clear and obvious that technological change permeates nearly every aspect of the modern world in which we live. The intent of this brief analysis will be to understand technological integration within the field of museum presentation and cultural education can affect a greater overall understanding and appreciation with the stakeholder as compared to what has traditionally been affected over the past several decades; utilizing traditional approaches and techniques of information awareness. Regardless of how the times have changed, the key determinant question that the research will seek to speak to is whether or not existing technology can be leveraged as a means of generating more visits to museums and cultural institutions or whether or not current and past practices seek to fulfill this need to the best and most efficient degree. Firstly, as a level of measurement, a baseline of cultural integration and appreciation of traditional techniques will be measured with respect to total number of visits that museums operating under a non-technical interface and means of attraction have been able to garner over a time period of 10 years. Five specific museums within the capitals of Western Europe have been selected for analysis within such a study. Likewise, it must be understood that â€Å"low tech† approaches to museum visitorship have and will be defined as those museums that do not engage in any type of extensive electronic outreach. In other words, although web sites and certain types of limited mailing lists will be accepted for purposes of categorizing a particular subset of museums as leveraging older technology, the widespread relia nce upon smart phone apps and/or approaches that are heavily reliant upon social media will categorize a given set of museums within the technologically advanced category. As a result of a thorough literature review on the topic, it should be at least nominally expected that the museums and cultural institutions that have followed this traditional approach might necessarily experience little if any nominal increase with regards to the level of visitors and patrons they receive in any given year (Marty and Jones 28). However, whereas changes to overall levels could be noticed, these have oftentimes been attributed by other scholars as not pertaining to the level of technology or lack thereof; rather, they have been attributed to key changes in the economic, tourism rates, or other key indicators. In the same way, five separate museums, also within the capitals of five Western European nations will be analyzed to determine whether or not their technologically savvy approach has correl ated to more museum visits and/or a greater level of overall guests within the time period in question. From an analysis of the information and the literature that has been read concerning this reality, it is understood and surmised by the author that the use of technology within the cultural and historical museums of Western Europe, as well as the rest of the world, has a noticeable and verifiable

Libertarianism and Liberalism Essay Example | Topics and Well Written Essays - 250 words

Libertarianism and Liberalism - Essay Example Liberalism and libertarianism stress on the freedom of a common man (Vallentyne, 2012). This means that both the concepts are convictions in defense of people’s right of living their lives. This conviction completely rejects the idea of control over people’s will to live freely. In case of consideration of an example, it will not be incorrect to mention that it’s a person own choice to select his passion and interest, make use of his own wealth in his own favorable interest etc (Gaus & Courtland, 2011). Libertarianism and liberalism has been confiscated many times by critics for the debate of applicability on ethical grounds. Both the concepts are underlying with people’s choice of acting within a society (Gaus & Courtland, 2011). However, some claims that both the concepts cater the aspect of inappropriate manipulation of the concepts by people stealing and involved in criminal activities. It should be noted that both the concepts embrace the ideals of social and ethical responsibilities of citizens towards state (Vallentyne,

Individual Report Essay Example | Topics and Well Written Essays - 2000 words

Individual Report - Essay Example Money management is the process of being a custodian of one’s finances by knowing where today’s finances are being spent, and drawing a well thought out plan showing where one wants this money to go. Therefore, it calls for one to be well organized; have set goals, which would gear this investment to success; have a track of one’s spending by putting in place a realistic budget, and above all have a well thought-out savings strategy (Ryan and Deci 2004). Before this course, I was particularly naive and could not have understood how to effectively make an investment decision or understand the significance of making various investment considerations that I have learnt so far. Having known how to make various considerations that affect performance of an investment portfolio, I can now comfortably put up an investment plan (Milevsky 2001). One of the most important principles of investment I have learnt is how to diversify and manage risks. I have become conscious of the essence of the old adage goes â€Å"do not put all your eggs in the same basket†, I have realized how risky it can be to concentrate on a single or a few investments especially those whose rate of return is very high in the short-term but very risky. For example, in my individual investment, I combined risky high return stocks with low return but less risky stocks such that it becomes hard to loss substantially when some of the investments perform poorly in the future (Little 2012). In my portfolio, even though Microsoft generated negative returns, I was still able to realize a positive annualized return of 11.52%, primarily because Berkshire Hathaway performed well and watered down that loss (Kapur and Orszag 1999). The idea here is, since investment involves risk, one way of managing this risk is by spreading one’s portfolio across an array of stocks, with different characteristics. The preliminary portfolio that I had selected included a number of companies tha t operate in different industries, markets and regions as well as dealing with different products; such that each company possessed a distinctive level and nature of risk. Selecting of portfolio from such a diversified field is a way of ensuring the investment plan is well-balanced. In the same measure, I found it important to define the amount of each stock one should buy and hold depending on the company’s current performance, the level of risk and future expectations (Smith 2009). Ideally, in the analysis that I did as well as the one we did as groups, some stocks were clearly generating negative returns. Examples include Microsoft and Kazakhmy among many others. At first, I thought it is completely useless to hold stocks that have negative returns currently, but I have come to change this view because I have learnt to put my eye on the long-term cash flows. Short-term mindset coupled with a lot of trading and market timing is a strategy I would not like to undertake in th e future. I have come to realize that I can make profits progressively by focusing on many years to come and by sticking on my stock investment goals. More long-term financial strategies, along proper diversification can be a surprise to an investor because I have come to realize that, even though a certain stock could be generating losses in the short-term, things may change in future hence leading to huge returns. I have actually become more focused on forecasting a company’

Grammy Nominees Research Paper Example | Topics and Well Written Essays - 250 words - 1

Grammy Nominees - Research Paper Example Call me maybe is a modern pop that has so much giddiness of teenage. Carly Rae Jepsen was infatuated. The song had to make it to Grammys nomination list. Rock song of the year I will wait for you by Mumford and Sons the single is enough to make you anxious for the release of the whole album. It’s one song you want to listen to as a lullaby and when feeling lonely too. With its shouting chorus mesmerizing percussion and unique banjo, you do not want to miss it yourself. Freedom at 21 by jack white is good for the craziness in this song, I mean what an adult wishes to do is very amazing, making the song not only attractive but good. If you have not listened to the song madness then you are in for a great surprise. This is a nice song courtesy of the band. Beautiful surprise by Tamia makes it to the top as the r n b of the year. Tamia’s voice beautiful will mesmerize you. Her sings of how she misses her love and the emotional connection. This makes the song such a darling to lovers. Adorn another song whereby Miguel wants to show his girl how special she is to him. Probably his funs are women whom he impressed in the song. The oak and pop produced track sounds like it is made of a hootenanny with the loud violin playing. Elle Varner scratchy voice makes the song a nice soul. Apparently, Jay z and Kanye West made the song n***s in Paris a special one. The song was performed ten times in Paris gaining momentum with the funs and making its way to the top in Grammys. The song is an interesting one. A fusion of hip-hop and dent converts so be sure to check it out too. Lil Wayne and drake released yet another hip hop romance along with Tyga. It is all new, drake and lil Wayne not too obvious and leave you surprised. Snoop dog, wiz Khalifa and Bruno mars young wild and free. This hip hop song has been charmed up with a newcomer wiz Khalifa; Snoop dog also unleashes his youthful charm resulting into a new cool music. Blown