Tuesday, August 6, 2019

Dr Jekyll and Mr Hyde Essay Example for Free

Dr Jekyll and Mr Hyde Essay The famous Dr. Jekyll and Mr Hyde was written by Robert Louis Stevenson and has remained popular ever since its publication in 1886. Robert was born in 1850 and was born in Edinburgh, Scotland. He was brought up a calvalist, however followed the bohemian life style. He married Mrs. Fanny Osbourne in 1880 and supported Priest Dameor who cared for the lepers. Dr Jekyll and Mr Hyde is a rich tale of the duality of mankind and how we are in essence creatures created for good, however in all of us there is the seed to do bad. The moral of the story is an old biblical one that many Christians recite daily in prayerLead us not into temptation, but deliver us from evil. This might be one of the reasons Stevenson wrote this book; Jekyll lives a double life of propriety and shame, imprisoned by the moral demands of Victorian society, and so did Stevenson. He too was surrounded by upright, religious and rigid citizens. He was even pressured into studying law at Edinburgh University. This book was written as a horror story. We know this because of the settings and plot. Stevenson wrote the book at the time of many murders in the east of London and the complete ignoring of social values and heartless deeds committed by Mr Hyde are totally in synch with Jack the Ripper and Sherlock Holmes. Mr Hyde represents the exact opposite of what Victorian gentlemen should act and the savageness of his actions is what made the book so scary back then. The story takes place in London during the nineteenth century. The central mood of the novel is one of mystery and terror. Stevenson creates dark settings to create a mood of anticipation and mystery. E.g. He was aware of an odd, light. Mr Hyde only comes out in the dark, foggy night, which subsequently makes the reader suspect mainly sinister intentions and automatically informs the reader that there is an expectation of trouble and something threatening, as the dark brings ominous feelings and terror to the reader. Stevenson changes the weather from regular night to more dark and foggy so that it is almost impossible to see clearly, therefore emphasising the fact through the fog, there is something concealed and surreptitious lurking about which makes the reader feel anxious. Also, he makes the character more evil looking in the dark e.g. In the darkness of the night he gave an impression deformity without any namable malformation. This makes the reader picture a horrific creature that makes them feel defenceless and exposed. Stevenson describes the fog being broken up as a haggard shaft. This gives the sense of destructiveness and violence. Also the quote swirling wreaths gives the sense of death as wreaths is what is placed on-top of a coffin. Finally Stevenson describes the gloomy avenues as mournful re- invasion of darkness which gives the sense of decay and obscurity. All these quotes also make the reader feel uneasy and apprehensive. The quotes It seems she was romantically given and London from all around very silent gives an eerie effect and provides a somewhat peaceful response. These quotes are also examples of emotive language, because they give the reader an emotional response. A certain sinister block and tramps slouched are both examples of figurative language which gives the reader a precise picture of what is in the setting. The quote tramps slouched gives us an unpleasant image of what reality was really like for the poor, making the reader feel uncomfortable as well as sympathetic. As addition to Stevenson using figurative and emotive language, he also uses a wide range of verbs like ragged and dingy which helps the reader to get a detailed picture of the insecurity and filthiness in which they lived through, and adjectives like ragged children huddled, which illustrates the fear and torment which even children went through. The quotes low growl of London and city in a nightmare, all give off the impression that the streets of London at the time were grimy, dangerous, dingy and simply terrifying places to live. Also the word growl, an example of personification, gives a sense that there is a savage, ruthless and a ferocious monster prowling about London. Finally the metaphor, light of some strange conflagration, gives a reference hell which makes the reader feel uncomfortable. Even though there are many quotes referring to the struggles of Victorian society, there are on the other hand several quotes which describe the other side of Victorian society which was entirely different. For example, bachelor house, close by the fire and gratefully to bed, all give off a cosy, warm, safe and welcoming impression. So yet again we have another contrast of the rich, warm, safe Victorian residence to the poor, insecure and generally tough Victorian slums. This shows that if you were rich you could use the power whatever way you like, however if you were poor, you were trapped in a world of poverty and in a sense of revulsion. There are three main characters in the novel, Dr Henry Jekyll, Edward Hyde and Mr Utterson. Dr. Henry Jekyll is a prominent middle- aged doctor and throughout the novel he is physically described as both tall and handsome. He is also extremely wealthy and by all who him, he is described as well respected and proper. For example, Stevenson describes Jekyll as a entertainer and a person known for charities which gives the impression that Jekyll is a warm, pleasant, middle class gentleman. In the book, his voice is only heard in the concluding chapter (Henry Jekylls full statement of the case), only after being described through the lens of Utterson, Lanyon, Poole and Enfield. The doctors belief that within each Human- being exists two countering forces, good and evil, leads to his experiments to try to separate the two. This however, was not done merely for scientific reasons, but also because he enjoyed escaping the confines of the respectable guise of Dr. Jekyll. The quote which illustrates this is The transformation was succeeded by a sense of joy. This also suggests that people didnt know what was right and what was wrong and would do and ask questions later. Also in the book he is described as less distinguished for religion, which suggests he too questioned Christianity like many other people of his time. For example, Darwin challenged religion as he came up with the theory that we evolved from monkeys which would mean the world wasnt made is seven days. Edward Hyde is a small, deformed, disgusting young man (much younger than Dr Jekyll) that is devoid of an apparent profession. Also the quote deformed illustrates that some Victorians disliked and rejected disabled people. Stevenson describes Hyde as callous and violent and a murderous mixture of timidly and boldness, which gives the impression Hyde is a fierce, ruthless, brutal monster. Despite the many descriptions of the horror that Edward Hyde invokes (by Lanyon, Utterson and Enfield), we are never told in detail precisely why or what features are so disgusting to observers, which emphasises the fact the novel was made in the time where phrenology (judging someone by their appearance) was the key to knowing if someone was good or evil. Hyde is also often compared to animals e.g. snarled, implying that he is not a fully evolved Human- Being. Another factor which suggests he is compared to animals is the fact he only menaces society at night e.g. trampling a girl in the street and murdering Sir Danvers Carew, which relates him to rodents and other nocturnal animals. Finally the quote the man seems hardly human, illustrates the fact Hyde is not a whole and has something missing. Good. Mr Utterson is the narrator of the book and is described as tall and loveable. He is a middle- aged lawyer plus someone that all the characters confide in throughout the novel. As an old friend of Jekyll, he recognises the changes and strange occurrences that centre around both Jekyll and Hyde. Stevenson describes Utterson as a reliable and Modest man which suggests he is perhaps the most circumspect and respected character in the book; therefore, it is significant that we view the crimes of Hyde through his observant frame. However, when Utterson discovers Hydes body in a red cabinet, instead of reporting it to the police he precedes in reading a letter addressed to him, which suggests he is more interested in his social status than solving the mystery. The quotes his friendship seemed to be founded in a similar catholicity of a good nature and his friends were those of his own blood or those who he had seen the longest, illustrates the fact he is insular, biased and narrow-minded. Knowing this makes the reader question if the story is told accurately and truthfully. The thing I noticed about this novel is that all the women are either victims or maids. E.g. the girl who got trampled on, the maid who witnessed the murder of Sir Danvers Carew and the house maid. This suggests that the middle class Victorian society were very sexist. However, if a Victorian was to read a modern day horror story, they would probably come up with the same conclusion, as the majority of victims in todays horror stories are women. The strange case of Dr Jekyll and Mr Hyde is typical of the horror genre as it has many factors in which we would expect to see in a horror story today. For example, the story is mainly set at night, there are victims and most importantly the evil character is punished at the end of the novel. Mr Utterson is the narrator of the book and we are told the story through his eyes and told as though its true. This contributes to the element of suspense as we only know what Utterson knows. Suspense is also built up as Stevenson writes as if there is a final explanation as to whom the mystery figure is but doesnt let on and instead lets the suspense build. He occasionally allows a small amount of information out just to whet the appetites and keep up an atmosphere of mystery and confusion. For example, at the end of chapter five (Incident of the letter), Utterson says Henry Jekyll forge for a murderer. Not only does this make you wonder who the murderer is, but it also makes the reader want to read on. This atmosphere, one of controlled suspense, gradual building up of a sense of horror and destruction is achieved through a slow accumulation of unemotional detail, as this leaves the reader wondering what the characters are like and what they might do. I believe horror stories today do still follow a similar pattern, in the fact people who do bad deeds are usually punished, they are packed with suspense and often include someone trying to solve the mystery or catch the villain or monster, which in our case is Mr Utterson. However, the major difference in more recent examples of the genre is the tendency to locate the monstrous squarely within the normal, rather than presenting it as a threatening creature, such as Mr Hyde and Frankenstein, all made by individuals. Alfred Hitchcock had in fact changed this direction of the horror genre in 1960 with Psycho; the movie not only presented its most frightening moment, the shower murder, it also suggested that horror resides in everyday life rather than in alternative worlds of the supernatural or the gothic. Finally, the recent so called slice and dice films, such as Halloween, and living dead movies such as the night of the living dead are demonstrations of how contemporary special effects technology can depict increasingly gruesome and imaginative dismemberment and mutilation usually at the expense of character, plot and theme. Even though these are all films, we can still see how there is a greater desire for horror stories which are related to everyday occurrences or objects. In Dr Jekyll and Mr Hyde, Robert Louis Stevenson illustrates the devastating effects of meddling with Gods creation and how our negative and evil desires and urges can overtake our original selves until we lose touch of who we once represented. Furthermore, Dr Jekylls desire and addiction to temporarily alter his existence results ultimately in his deadly demise. Jekyll and Hyde demonstrates how innocent curiosity about the darker sides of our nature can soon get out of hand and how evil is compulsive and how evil can so easily take control of the good. Stevenson has used Jekyll and Hyde to show that everyone has good and evil inside them. He portrays this very well by using the setting to portray good and evil e.g. dingy street and a grand residence. He also makes a very important point which is relevant today as it was in the nineteenth century. This is that bottled antisocialable behaviour can lead to sudden violent outpourings, such as seen in Hydes murder of Sir Danvers Carew. In Victorian society no one questioned God so the idea of something happening which isnt controlled by God would be unusual. Also electricity had only just been invented so people were quite wary about the things science could do. I think the main theme in the book is duality and how London is split into good and evil, rich and poor, scientific fact and experimenting new ideas. The final point I wish to mention is how they kept secrets. On the outside people were warm and inviting, however inside, people kept intimate secrets, such as dealing with drugs, alcohol and prostitution. I believe this was probably due to the fact there wasnt much pleasure in this type of life. There are many morals included in Dr Jekyll and Mr Hyde; however there are two main morals which stand out, one straight forward moral and a more complex moral. The straight forward moral is that if you do bad deeds you will be punished and also how addiction can lead to violence and how violence can lead to murder. The more complex moral, however is about the appeal of being Mr Hyde. Because Mr Hyde is described and talked about so much, he is probably the most interesting and exciting character in the book, which turns the straight forward moral on its head and makes Hyde the most appealing character in the novel. I believe the relevance of Dr Jekyll and Mr Hyde has changed considerably over the last hundred years. The main difference is that the Victorians saw this book religiously, however now when we read this book we think its about personal weakness and how addiction can lead to evil. A Victorian also wouldnt see the relevance of drugs and alcohol in this book, nor would they understand the relevance of addiction and what effect it has. Some may say that as humans, we wear masks. Not real masks, but masks that cover up our true personality showing our good side around our friends and our bad side around our family. These are great examples of mans fight in duality; our good side is always competing against our evil side, resulting in our duality, our fight over good verses evil. In this story, Doctor Jekyll is a regular scientist with the same feelings as every other human being; Mr. Hyde is a manifestation of Doctor Jekylls evil side and as a result, he is able to commit murder without any guilt. In the end, the evil manifestation won, taking completely over the Doctors body. The fight between good and evil is over! Finally, I believe the strange case of Dr Jekyll and Mr. Hyde is about how Dr Jekyll struggles to decide either to do the right thing and be a good citizen, or to do the thing Dr Jekyll desires the most and to be Mr. Hyde which he knows is wrong.

Literature Review of biopsychosocial model of back pain

Literature Review of biopsychosocial model of back pain The bio psychosocial model is now widely accepted for the diagnosis and the management of multifaceted nature of pain. The bio psychosocial model of pain presents an integrated view of biological, psychological and socio cultural factors, which could occur in pain (Jull and Sterling 2009). Seventy-five percentages of individuals in the western world during their lifetime affected with acute or chronic low back pain, which leads to major cause of disability (Kirk et al.2005). Low back pain must be considered as a bio-psycho-social syndrome that consequently requires a multidisciplinary bio-psycho-social treatment approach. (Negrini et al .2008, p.55). The result of a dynamic interaction between psychological, social and patho- physiological factors of chronic pain makes difficulty for the individual patient to determine the pre-eminent factor in his experience of chronic pain, which emphases the importance of bio-psycho-social treatment approach (Kirk et al. 2005). European guidelines also recommend the bio-psycho-social treatment approach for the treatment of chronic low back pain (Balague et al .2007). 1.1 Rationale behind investigating this topic. In clinical area of practice, low back pain is a common health problem for both healthcare professionals and patients, which reflect the thought to find out the role of bio psychosocial perspective in assessment, diagnosis and treatment of chronic low back pain. This would lead us to better understanding of low back pain and pain in general. The aim of this assignment is to critically evaluate the available evidence regarding biopsychosocial model in relation to chronic low back pain. It will also reflect on clinical practice, taking into account the principles of evidence based practice. 2.0Literature review A literature search was carried out using the Science direct, Pub Med, Medline, Ovid, Cochrane and Google Scholar was undertaken for relevant studies in the last 5years and then extended into 10 years .the initial search did not yield enough evidence for assignment aim. The keyword search included :bio psychosocial approach, chronic low back pain, psychosocial factors, mood disorders and combination of key word also used. The search was limited to studies published in English and conducted in human beings. The strength of evidence was established using the Sacketsc hierarchy of evidence (1997) (Please see appendix 1). Each of the papers were analysed for validity and rigour according to the framework given by (Rees 1997, cited in Taylor 2009). (Please see appendix 2). Case history to relate to bio psychosocial model into clinical practise. Mrs smith 35 year old mother of one child, a health professional has been suffering from chronic back pain since 2006 to2008, who feels so depressed as she has some family problems (son was sick with heart problem) and problems with her manager at work (never agreeing with shift adaptation to look after the child). She went to see her GP and complete medical assessment was negative, started on analgesics .The conflict existed, which lead her into severe depression. In 2009 she went see a psychotherapist. The manger agreed with her job flexibility to look after the child, by the time childs condition improved lead her to less frequent and less intense episodes of pain. Like many other patients the patient had never considered the possibility of psychological or social factors for two years, which could contribute to her chronic pain. Mrs smith she was told by psychotherapist that any biological reason together with psychosocial concerns can exacerbate the experience of pain and she realized the contributing psychosocial factors to her pain gradually. As she was a health care professional she started to use coping mechanism effectively with the help of psychotherapist, which helped her to control her stress with subsequent less intense episodes of pain. In the light of the above case, one of the reasons that her medical treatment had failed to respond is because of the underlying psychosocial factors have been left un-addressed. The health care professionals should understand and exploit the bio psychosocial approach to the management of chronic pain will provide effective treatment modality for patients. The bio psychosocial model relates to chronic low back pain: Evidence from studies A systematic review of randomised controlled trials conducted by George (2008) ,to evaluate the effectiveness bio psychosocial approach for the management of chronic back pain .The study also aimed to evaluate the role of individual physiotherapist in bio psychosocial approach for treating for chronic back pain The result of the review was supporting bio psychosocial approach .The sample studies were 9 randomised control studies, where individual physiotherapist has major role in intervention. George (2008,p.4) The result demonstrated significance p The NNT odds ratio reported also showed clinical significance for the result. Compared results of different studies established generalisability and consistency (lack of heterogeneity) of study findings. The included studies were experimental studies and systematic review of experimental studies where intervention provided by individual physiotherapist with minimal support from other health professionals. These studies were concentrated only to chronic back pain treated with psychosocial interventions in adults. The inclusion criteria for selected studies for the review was specific to question set for review, which contributed to get a reliable and accurate result from the review. The selected studies were scoring high to moderate quality on PEDro(physiotherapy evidence data base) appraisal tool, which can provide quality data to support the validity of the result. The interventions carried out in these studies differ from basic physical therapy treatment, which highlights importance of the capability of individual physiotherapist. The generalisability of these finding needs to consider as all care settings does not have trained physiotherapist who can provide interventions to achieve bio psychosocial approach in chronic back pain management. The search strategy identified 99 potential sample studies and the final sample was only 9 randomised control studies after filtration through the inclusion criteria. There is potential chance of bias through objectivity as because there is chance for choice of articles to support the authors viewpoint. . The review gives the strong evidence for the bio psychosocial approach for the management of chronic back pain. The similarity or homogeneity of studies involve d in this review broadening the applicability of bio psychosocial approach by an individual physiotherapist who has appropriate knowledge and capability to carry out the interventions The study reported that individual physiotherapist who manages the bio psychosocial approach for the treatment of chronic back pain is effective as multidisciplinary management of chronic back pain .As it sounds cost effective and may more feasible for patient because of one to one interaction further research must be essential the to promote individual physiotherapy approach. .Waxman et al. (2008) conducted an observational study to examine the impact of psychosocial factors in chronic back pain patients and their relationship satisfaction. The observed sample included was24 men and 30women(N=54) with chronic low back pain who were married or cohabitating and were recruited through chronic pain clinic. The finding from the study reported that depression and negative partner response have significant impact on relationship satisfaction among chronic back pain patients. Table:2 Standardized regression (Path) Coefficients of mediational models with psychosocial variables as mediators of pain and relationship for total sample (Waxman et al. 2008,p.438) The total effect of pain on relationship satisfaction was significant,B=-.32p The association between pain and depression was significant=.63p Indirect effect of pain on relationship satisfaction through depression was significant =-.21,p The relation between pain and negative responses was significant=.38,p The indirect effect of pain on relationship satisfaction through negative response was significant indirect effect =-.20p From this significant evidence reveals that negative response by partner is also a mediator of pain and relationship satisfaction The study reported significant evidence to reveal the relation between various components in bio psychosocial model which include pain(bio),relationship satisfaction(social) depression(psycho) perceived negative response(psychosocial) . (SeeApeedix:5) Reflecting the study back to the case of Mrs smith Its not clear about her partners involvement in her treatment, but she was showing signs and symptoms of depression which might contributed to the chronic nature of pain. The study result underscores the importance of partner involvement in patients pain assessment and treatment the study. In clinical practise there is a need to promote education programme for partners of patients with chronic back pain as part of treatment plan to achieve bio psychosocial approach. When reflecting this finding to clinical practise which explain the reason why the widow or patients who lives alone are more vulnerable candidates for the chronic nature of the pain. These finding consistent with previous following study results .Future research need to consider to compare self reported data from both patients and partners to know the response and behaviours that related to pain. The ethical consideration was done on study as the study was approved by the local IRB, and written consent was obtain from patients as a proof or willingness also promotes the strength of the study. The reliable tools used for data collection was rigor to the study. The recruitment method for sample selection was based on self selection which can contribute to selection bias, which can affect the rigor of the study. The patients who has greater pain and psychological symptoms may not take initiative to participate in the study. The results in this study were based on self-reported outcomes from the questionnaires that were sent to the patients, which makes the data subjective and are most likely to be true and contribute to the rigor of the study, can promote the rigor of the study. The study also reported that the approximate time for completion of questionnaires was 45 minutes. The reliability of data can affect because of length of time especially these patient who are with pain and psychological symptoms. The study is ranked as class 3c on the hierarchy of evidence considering the design and methods employed in the study. The evidence reaffirms the bio psychosocial model for assessment and treatment of chronic back pain. Tang et al. (2008) conducted an experimental study to examine effects of mood on pain responses and pain tolerance in chronic back pain patients. The recruited sample was 55 patients suffering from chronic back pain aged between18-65.The patients were randomly allocated into three groups ,depressed group:18,neutral group19 elated group:18.The the participants were asked to perform a baseline task (reading magazine) to establish a baseline for mood and pain ratings. An artificial mood was induced to participants (musical mood induction)and followed by pain provoking task(holding a heavy bag) to assess the pain rating and tolerance. The study result proved that the participants with depressive mood showed high pain ratings and lower pain tolerance at rest, but happy mood induction resulted in lower pain ratings and higher pain tolerance. The table:3 shows that depressive mood positively correlated with increase in pain ratings(Tang et al. 2008,p.399) The participants were manipulated to examine the effect of artificially induced mood on artificially induced pain which may affects the reliability result when it apply into real mood and pain of chronic back pain patients. Even though researcher adapted a pre-determined mood change criteria to judge the effectiveness of mood on the participants during the study. This can contributed to rigour to study and it can promotes the reliability of the result. The sample population was aged between 18-65,tolerence of induced mood and pain may not be same between these age groups .The difference in sex also can affect the mood and pain tolerance. The Researcher failed to mention about the method of randomisation to overcome confounding factors. Blinding not performed and can affects the performance bias The study design was experimental designwhich comes under level 1a in hierarchy. This study also proved that music therapy is effective to improve pain and pain tolerance in chronic back pain patients. It agrees with (Guetin 2005),music therapy is a effective complementary treatment in chronic back pain associated anxiety-depression and behavioural consequences. Future research needs to consider for evaluating the effectiveness music therapy as part of multidisciplinary rehabilitation. Bio psychosocial approach for assessment helps to identify the matching treatment for patients based on their characteristics and refine the focus of treatments and achieve effective outcome. Even though there are weaknesses for this study it proved that mood can influence the pain. The result is consistent with Waxman et al.(2008 ) discussed in previous study. These studies highlights the importance of cognitive behavioural therapy in bio psychosocial rehabilitation for chronic back pain patients NICE(2009). Mitchell et al. (2009) conducted a cross sectional study to evaluate the role of personal bio psychosocial factors on low back pain, in nursing students. The results proved that modifiable life style, psychological, physical factors were relates to low back pain in nursing students. One hundred and seventy undergraduate nursing students from two university nursing schools of western Australia were enrolled for this study. The study compared three groups of students (no LBP group, mild LBP group significant LBP group) and reported that students with significant low back pain were more physically active compared to no low back pain group group. The DASS total score and stress subscale score were higher in significant low back pain group compared to NO LBP group .The study also reported that social measures did not influence their pain intensity. The study result mentioned that the social measures including household income and smoking did not affect the significant low back pain patients. This cannot be generalized into general population types, as it conducted on healthy university sample may not be much influenced by social factors. There are contrasting findings which mention the relation between low back pain and social measures(Shiri et al.2009) Study gives the evidence for sufficient statistical power and ethical consideration. The researcher used triangulation in data collection, which overcome the limitations of a single method of collecting data and hence increased the validity of the results. The results of this study were based on self-reported (questionnaire) outcomes that were collected from patients. It can contribute to validity of the results, because they are more subjective and most likely true. The inclusion criteria on sample selection was appropriate to focus bio psychosocial approach in chronic back pain patients, as the criteria excluded patients with inflammatory disorders ,neurological or metastasis disease, pregnancy or less than 6 months postpartum. The study was conducted as cross sectional study which classified in to class 3c on level of evidence.,and researcher failed to include other factors like fear avoidance and genetic factors. This study was carried out in the Australia and their socio cultural factors and life style may differ from United Kingdom , decreasing the accuracy of reproducing these results to UK practice.Even though study result is consistent with other studies conduced in united kingdom . In the area of practice physical and psychosocial factors has important role on experiencing low back pain among healthcare professionals and potential candidates, which reflects the necessity of education related to stress management such as relaxation techniques and meditation and mandatory manual handling training. Job stress and fear related to pain are mediators to inability to return to work Gheldof et al.(2005) The high prevalence rate of low back pain highlights the importance of targeting prevention interventions among healthcare professionals and patients. The case study of patient discussed has not had much benefit from the conventional treatment pattern and showed clear evidence of personnel and psychological factors that can contribute to pain. The understanding of bio psychosocial factors helps to find out cause diagnosis treatment and prevention of chronic back pain Suprina (2003) conducted a case study to discuss the efficacy of bio psychosocial model. The sample for this study was a 32-year-old woman who suffers from chronic back pain for almost ten years and study reported that bio psychosocial model helps the women for successful reduction of symptoms. This study also proves that single practitioner can plan bio psychosocial model for the treatment of chronic back pain. The researcher reports that the treatment can be more effective when implementing one person integration model than multidisciplinary approach as it has easy access to patient also saves money and time. This study classified under level 3d as this is a study of only one individual. There is chance of performance bias as the subject blinding done in this study . Even though it is individual case study it agrees with widely accepted bio psychosocial model. The study reveals that all health professional should consider individual patient as one with complex behaviours and emotions and not just organism with physiological changes .The researcher who conducted this st udy in United states is supporting the one-person integration model, practicability of this one- person integration model in United kingdoms clinical practise is questionable because the way of clinical practise may vary in different countries. The current trouble within heath care system in European countries is relegate mainly to biomedical perspective and not considering psychosocial aspects because of time constrict and inadequate training. Mauksch (2005) compared the current state of bio psychosocial approach to a dormant seed, which is sitting on the shelf, which need to be watered with bio psychosocial education by health care professionals and placed in an environment fertile with bio psychosocial practise. The knowledge about bio psychosocial approach helps healthcare professionals for better assessment and treatment of patients, which also agrees with case study discussed. Currie and Wang (2004) examined prevalence and correlation between major depression and chronic back pain. The data collected from 118,533 household residents from Canadian community health survey .The study result showed that low back pain is significant factor as a predictor for major depression (Fig:1). Individuals with severe pain intensity represented highest risk of major depression(odds ratio,1.61;95%confidence interval L:1.34-1.97;p Fig1:Prevalence of major depression(MD)in persons with chronic back pain stratified by pain severity . Currie and Wang (2004,p.55) The study also proved that individuals with chronic back pain and major depression were younger and they were more likely to be single and younger. The personal factors play an important role for contribution to low back pain which agrees with Mitchell et al. (2009). The episode of depression were measured by WHOS fully structured diagnostic interview, Composite International Diagnostic Interview -Short Form for depression. Which produce internal validity to the study.(scott et.al.(2000), The study mentioned that this is the largest sample size(118,533 residents)ever used in population -based study of chronic pain and depression. This sample size from national population health survey gives power to the study and promotes the reliability and generalisability of the results. The sample included in the study was aged from 12 years .As age, gender and cultural factors have an influence on level of perceived pain and influence of depression,these are important factors to consider to avoid selection bias and to make the study rigorous. The researcher used multi staged stratified random sampling procedure in the study would have added rigor to the study. The population for this study was from Canadian community health survey. As we discussed cultural factors and personal factors has influence in experiencing pain and depression in individual, reflection of the results into United Kingdom population may be not accurate. Even though study result is consistent with other studies conduced in United Kingdom The study was conducted as cross sectional study which classified in to class 3c on level of evidence Mrs smith case report also illustrates signs and symptoms of depression, which could contribute to her chronic back pain. She was lacking multidisciplinary  Ã‚   bio psychosocial rehabilitation in her treatment. Multidisciplinary  Ã‚   bio psychosocial rehabilitation with functional restoration reduces pain and improves function in patients with chronic low back pain(Lang et al.2003,P.270), (Demoulin et al.2010). Woby et al.(2007)aimed a study to determine the relation between cognitive factors and level of pain and disability in chronic back pain and reports that pain intensity and disability strongly related to cognitive factors . The sample selected for the study was 183 C L B P(chronic low back pain) patients with onset of back pain>3 months who had been referred to an physiotherapy rehabilitation programme which underpinned by cognitive-behavioural principles and revealed that higher levels of functional self -efficacy (b=0.40;p The researcher used triangulation in data collection, which overcome the limitations of a single method of collecting data and hence increased the validity of the results. As all data collected by self reported measures the validity of data can be affected by social desirability .The selection bias in sample selection needs to be considered because patients selected for study was from rehabilitation programme, who had been referred to cognitive behavioural based intervention. It indicates that sample may be already affected with psychosocial factors, which can affect the validity of the result. The results suggest that psychosocial factors should consider as integral facet for treatments for chronic low back pain. The cause of chronic pain in case Mrs smith should have been identified by the team involved in her care than trying to alleviate her suffering through the conventional treatment like pain killers.  The pathway in fig:2 explaining Mrs smith painful experience, disability and its recovery, which also agrees with the Woby et al.(2007)study results. Mauksch (2005) reported that average visiting length between physician and patient is highly stressed for 15 minutes in primary care system in European countries, which may possibly happened with Mrs smith case, which emphasis the need of the adequate structured training to all healthcare professionals to practise bio psychosocial model with in limited time. Fig2: Revised fear-avoidance model incorporating the mediational role of functional self-efficacy (Woby et al.2007,p.716). The health care professionals should understand that the psychosocial factors are very important prognostic factors in the prediction of chronic pain and disability. 2.3 Bio psychosocial model can promote patient satisfaction -evidence from study Margalit et al.(2004) conducted a experimental study to find out the effect of bio psychosocial approach for patient satisfaction in their care. The study confirms that bio psychosocial model approach can reduce the heath care expenditures and can promote patients satisfaction.( Table:2,appendix:6). The study sample was 44 general practitioners randomly selected from 523 practitioners who works with North Israel district. Again researcher used randomisation to allocate teaching methods, which gives rigour to the study. In this study he compared pre teaching effect and post teaching effect of two teaching interventions with two groups of general practitioners. The first method (didactic) consisted with reading assignments and lectures. The second method consist (interactive) consisted with role-play and group discussions. The result reported that the interactive teaching method elicited higher patient satisfaction. Finestone et al. (2008) included a set of suggestion for physician to introduce bio psychosocial model in his study. Fig:4(Appendix:3). There are limitations to this study. The method of randomisation is not mentioned on this study. The researcher highlighted the reasons for dropouts of patients from study but not mentioned anything about intention to treat analysis. Even though recruited sample were consented, the researcher did not request approval from institutional review board. There is chance of bias through hawthrown effect because subjects known that they are video taping for the study. It is worth mentioning that the study is conducted in Israel and application of the results to UK clinical practise needs to consider as their teaching method may differ. This study highlights the importance of interactive assessment to achieve bio psychosocial model treatment. Future researches are needed to support this study result and apply to UK clinical practise. 3.0 Conclusion: The systematic review conducted by George (2008) reported after that bio psychosocial approach for assessment and treatment of chronic back pain can make the successful reduction of symptoms . This study result also agrees with Suprina (2003) and Margalit et al.(2004) which reported that the approach can reduce the health care expenditures and can promote patients satisfaction .these studied also proved that single trained practitioner can achieve bio psychosocial model for the assessment and treatment of chronic back pain. Tang et al. (2008) , Currie and Wang (2004) and Waxman et al .(2008)also reported the same fact which explains the relation between depression and pain intensity. Depression can significantly leads to higher pain ratings and higher pain ratings can also leads to severe depression. The studies also proved that psychosocial factors like fear avoidance behaviour, stress ,negative responses by a partner and cognitive factors are contributing to chronic back pain. The cross sectional study conducted by Mitchell et al.(2008) reported that modifiable personal factors like lifestyle,physical sctvity can contribute to low back pain. After extrapolating the results and considering the nature of the studies, the findings suggest that bio psychosocial factors have important contribution to low back pain. One of these factors could trigger the other and vice versa. In practice, it is difficult, rather impossible, to dissociate one factor from the other, which emphases the importance of bio-psycho-social treatment approach. References . . . Balaguà ©, F., Mannion, A., Pellisà © , F. and Cedraschi, C. 2007 Clinical update: low back pain. The Lancet, 369(9563), pp.726-728. Breen, A., Austin, H., Campion-Smith, C., Carr, E. and Mann, E. 2007 You feel so hopeless: A qualitative study of GP management of acute back pain. European Journal of Pain, 11(1), pp.21-29. Currie, S. and Wrang, J. (2004) Chronic back pain and major depression in the general Canadian population. Pain, 107(1), pp.54-60. Demoulin, C., Grosdent, S., Capron, L., Tomasella, M., Somville, P., Crielaard, J. M. and Vanderthommen, M. (2010) Effectiveness of a semi-intensive multidisciplinary outpatient rehabilitation program in chronic low back pain. Joint Bone Spine, 77(1), pp.58-63 Egwu, M. and Nwuga, V. (2008) Relationship between low back pain and life-stressing events among Nigerian and Caucasian patients. Physiotherapy, 94(2), pp.678-688. Finestone, H., Alfeeli , A. and Fisher, W. (2008) Stress-induceed physiologic changes as a basis for the Bio psychosocial model of chronic musculokeletal pain. Clinical Journal of pain, 24(9), pp.767-775. Guà ©tin, S., Portet , F., Picot , M. C., Pommià ©, C., Messaoudi, M., Djabelkir, L., Olsen , A. L., Cano , M. M., Lecourt, E. and Touchon, J. (2009) Effect of music therapy among hospitalized patients with chronic low back pain: a controlled, randomized trial. Ann Phys Rehabil Med, 53(1), pp.3-14. Gheldof, E., Vinck, J., Vlaeyen, J., Hidding, A. and Crombez, G. (2005) The differential role of pain, work characteristics and pain-related fear in explaining back pain and sick leave in occupational settings. Pain, 113(1,2), pp.71-81. Johnston , V., Jimmieson , N., Jull, G. and Souvlis, Tina . (2009) Contribution of individual, workplace, psychosocial ;and physiological factors to neck pain in female office workers. European Journal of Pain, 13(9), pp.985-991. Jull, G. and Sterling, M. (2009) Bring back biopsychosocial model for neck pain disorders. Manual therapy, 14(2), pp.117-118. Kirka, L., Underwoodb, M., Chappellc, L., Martins-Mendezd, M. and Thomas , P. (2005) The effect of osteopathy in the treatment of chronic low back pain-a feasibility study. International journal of osteopathic medicine, 8(1), pp.5-11. Lang, E., Liebig, K., Kastner, S., Neundà ¶rfer, B., Heuschmann, P. and (2003) Multidisciplinary rehabilitation versus usual care for chronic low back pain in the community: effects on quality of life. The Spine Journal, 3(4), pp.270-276. Margalit, A. P. A., Glick, S. M., Benbassat, Jochanan and Cohen, A. (2004) Effect of a bio psychosocial approach on patient satisfaction and patterns of care. Journal of general internal medicine, 19(5), pp.485-491. Mauksch.Larry (2005) But first,training in biopsychosocial care :A Commentary on The Bio psychosocial Model Is Shrink Wrapped ,on the Shelf, Ready to be used ,but waiting for a new process of care. Families Systems, Health, 23(4), pp.448-449. Mitchell, T., Osullivan, P., Smith, A., Burnett, A., Straker, L., Thornton, J. and Rudd, C. (2009) Bio psychosocial factors are associated with low back pain in female nursing students: A cross-sectional study. International Journal of Nursing Studies, 46(5), pp.678-688. Negrini, S., Fusco, C., Atanasio, S., Romano , M. and Zaina , F. (2008) Low back pain :State of art. European journal of pain supplements, 2(1), pp.52-56. NICE. (2009)

Monday, August 5, 2019

Management Information On Decision Making Information Technology Essay

Management Information On Decision Making Information Technology Essay In today advance technological and competitive business environment Management Information System plays a vital role. This assignment report explains how information management changes the overall structure of the organisation and how it effects the different aspect of organisation business such as strategic decision making, Information sharing, production, financial, marketing and customer interaction. Some data and information evaluation methods are discussed which provides high quality information to the management information system for the completion of important task. Finally decision-making tools such as SWOT and ASHEN are discussed that how these tools helping in decision-making. ASSIGNMENT GUIDELINES 7004-STRATEGIC INFORMATION MANAGEMENT ASSIGNMENT QUESTION With reference to your organization, identify strategic information system (IS) issues and critically analyze and evaluate the organizations practice to solve the problems connected with implementing strategic information systems. Also discuss the wider organizational implications of the steps taken by the organization in the use of IS and their consequences. Your report should cover the following learning outcomes and assessment criteria:- LO1: Understanding the impact of management information on decision making The basic concern of Management Information System (MIS) is the collection, processing, storing, exchanging and transmission of the appropriate information in the organization for the support of management operations. Therefore with help of this appropriate information collected from different process, an organization can make a successful decision. In the absence of Management Information System (MIS) there is small chances for an organization to achieve its targets and business growth. Assessment Criteria 1.1 Identify the features of data and information Data: Data is defined as the collection of facts about events. This collection of facts is in raw form means that an unorganised and unprocessed form, which cannot be use for meaningful purpose for example Name, Age, Price etc. Information: Information is defined as a well-organised, well-processed and meaningful form of data generated from raw data. The end users utilises this meaningful data for making a decision easily for example Employees Records, Sale Report etc. Accessibility, Relevance, comprehensibility, timeliness and accuracy: In any organisation it is important that accessibility to information must be provided to all departments employees it means that availability of information to the management and other staff. The accessible information must be relevant to the processes, functionality and operations of that department. The information must be comprehensible i.e. clear, well organised and structured, must be timelines i.e. suitable to complete related task and must be accurate to generate the expected result properly. Determine the criteria to be applied when selecting data and information to support decision-making In business environment data is a valuable asset for any organisation. The data must be collected carefully because organisation decision-making processes are based on the generated information from this data. While selecting data and information for decision-making we must apply some criteria to this selection such as accuracy, validity, clarity etc. Data selection criteria: Accuracy, completeness, validity, consistency Accuracy: Data accuracy is vital role in management information because an accurate data can generate highly valuable results. For data accuracy timeliness is important otherwise there will be errors in the result. Completeness: The completeness of the data means the availability of latest data for decision-maker. The incomplete data can lead to poor decision-making management information. Validity: The validity of data mean data must be collected carefully and from an authentic source. The source of data must be known and verified. Consistency: The consistency of data is key role in good management information because it generates reliable, steady, well-organised and well-structured information. Information selection criteria: Data quality, definition clarity, relevance, presentation, timeliness, availability Data quality: To generate highly valuable and standard information data must be according to certain quality standards such as data must be in the appropriate format, well structure, well-organised and standard transferring method must be used. Definition clarity: The generated Information must be clearly and easily understandable, this will allow organisation employees to use the right information in the right place. Relevance: Information must be relevant to a task that it can be examined and packaged into an effective format. This is helpful that the management information is having to the point information but the information must not be incomplete. Presentation: The management information must be able to present information in the right format, order, well-structured and attractive design. This will describe a clearer picture of the organisation. Timeliness: The information must not take longer time i.e. must be concise and to the point that the management information can quickly response. Availability: The regular availability of information must be guaranteed to the management information that all tasks can run smoothly and the management information is able to generate up to date results. Evaluate the impact of a management information system to an organisation Increasing productivity and creativity: Management information system provides knowledge to workers accessing information resources. Using this knowledge the productivity of organisation is increased rapidly i.e. manufacture more products in short time. Not only this but also it brings new ideas and inspiration into the organisation. Developing policies: Management information system helps organisations to get maximum benefits from the extensive use of these information resources in developing policies i.e. planning, implementation and evaluation in the organisation. Use of strategic information resources: In the management information system the strategic information resources helps organisation in increasing productivity and brings new innovation. Organisations are able to do better planning, implement new policies efficiently. Strategic information resources improve the use of information resources in business, government and non-profit organisations strategies. Understanding ICT as a tool for accessing information In the management information system the Information and Communication Technology (ICT) tools are the most commonly used source for accessing information. These tools allow organization to access any type of information such products, researches, new developments, quality standards, communication with employees and customers etc. Managing external, corporate and internal information in organization The management information system systematically and efficiently manages the external information i.e. customer needs and choices, corporate information i.e. organisation values, brand names, advertising and marketing procedure, and internal information i.e. effectiveness of tasks, quick processing, interpretation and response of the organisation staff. Using information to support business processes Information supports the following business process. Market and customer information Using Market information organisation can learn about the competitors in the market allowing them to improve product quality, increase productivity etc. using customer information organisation will have a better understanding of customer needs and choices. Product information Using product information organisation can improve products quality, increase production, price comparison and easily availability. Specialist knowledge Using specialist knowledge organisation can manufacture new innovative products, add new customer to business, reduced cost and expenditure. Business process information Business process information supports the internal information about the performance of the organisation such Finances, Customer, internal process and learning and growth. Management information and plans Management information and plans supports the developing policies, future planes, and improvement of services of the organisation. Human resource information Human resource information is essential for organisations reputation, product support, future planes and innovations. Supplier information The Supplier information allows the organisations to choose from a large number of suppliers offers affordable price, best quality and quick service. LO2: Understanding the importance of information sharing within the organisation Information sharing within the organisation making employees as team allowing them to put forward their ideas, inspiration, new creations, discuss different matter and find solution for critical issue. This improves the overall efficiency of the organisation in terms of employees, products, policies, customers and competitors. Assessment Criteria 2.1 Determine the legal responsibilities in sourcing, sharing and storing information Confidentiality and privacy: Special care must be taken when sourcing, sharing and storing information such that this must fully compliance with the Data Protection Act. Information about organisation and employee must not be disclosed with out their consent. Copyright and software protection Any type of data, information and software must be used under copyright and software protection Act. This means that using someone work must be authorised by that person or any organisation to which it belongs. Contractual obligations In case of conditional agreement information sourcing, sharing and storing must not breach the conditions i.e. all these operations must be according to the terms and conditions of contract. IS and Crime (criminal not civil law) This includes frauds i.e. dishonestly use of information, infringement i.e. violation of rules and regulation, miss used of information i.e. for the purpose of making organisation or individual unpopular. 2.2 Discuss when information should be offered and access allowed. Information obtaining, accessing and processing must be according to the Data Protection Act, which gives the right to individuals Person, organisation etc to know what information is held about them, the purpose of information holding as well ensures them that personal information is handled properly. Anyone who is processing someone personal information must comply with the eight principles of Data Protection Act, which are explained below. Fairly and lawful process: According to 1st principle, Personal data must be processed fairly and lawfully. This means that the data subject i.e. person, organisation permitted the processing of their personal information for any legal and legitimate purposes such as employment, justice, health and safety etc. Process for limited purpose: According to 2nd principle, Personal data must be obtained and process for a limited purpose only i.e. one or more particular and lawful purposes. If the further processing of personal information is required for other purposes than the specified then the data subject must be informed and further processing should be according to the data object consent. Adequate, relevant and not excessive: According to 3rd principle, Personal data must be adequate, relevant and not excessive in relation to the purpose it is obtained and processed. This must ensure the data subject that the processing of personal data is relevant to the specified purpose and is not unnecessary. Accurate and up to date: According to 4th principle, Personal data must be accurate and up to date if necessary. This means that the accuracy of the data must be ensure whatever it is directly obtained from the data subject or it is through third party. It is the responsibility of the data object to inform the about any changes or inaccuracy in the data. Not kept for longer than is necessary: According to 5th principle, Personal data must not be kept longer than is required for the purpose or purposes after it is processed. Process in line with a persons right: According to 6th principle, Personal data shall be processed with the data subject rights under the Data Protection act. This means the data subject has the right to request for the correction, blocking and deleting of their personal data after processing. Secure: According to 7th principle, the security of personal data must be ensures. This means that in case of unauthorised or unlawful processing, accidental loss and destruction to the personal data appropriate technical and organisational measures should be taken to prevent such incidents. Data Transfer According to 8th principle, Personal data must not be transferred outside the European Economic Area i.e. to outside countries. If the outside countries can ensures that personal data will have adequate level of protection and will be processed with the consent of data object and for the specified purpose, then in such situation data can be transferred. 2.3 Evaluate the formats in which information can be offered. Electronic/manual: In Electronic format information are provided through electronic means computer generated such as E-mail, Ms Word file, Excel sheet, Data Bases etc. while manual information are almost are provided on papers i.e. printed or handwritten such as log books, manual order book, letters, books, reports etc. Lists of Individuals List of individual could be computer generated or manual, which contains details about organization employees, managerial stop and other staff responsible for different task. Usually this contains names, designation, contact etc. Libraries: Libraries are well organized and well-structured data storage system used in computer to holds data files, folders, records, pictures, and videos in a proper order etc. now days there are many electronic libraries holding e-book, e-journal etc. not only electronic libraries are used still most organization using large number of manual libraries contains books, journal, research papers, reports etc. Folders Folder is container used by computer system for organizing folders, programs and files on a disk in graphical user interfaces mostly represented with a graphical image (icon) of file folder on the screen. Manual folders normally used for holding papers i.e. invoices, report, expenses etc. Documents Computer generated document is any self-contained piece of work created with help of any application program is saved with a unique file name. This unique name is used to retrieve that document. While manual documents are hard copies or handwritten records, personal detail, manual etc. List items inside the lists This is heretical or tree structure, similar items are list under single category the inside list are known as sub categories of the main category. This keeps items in an organized structure and it is easy to find and locate a specific item. List items present in the libraries: In the libraries all items are divided in categories, each category contains a list of interrelated items as well sub items, this categorization helps in searching and locating items within the vast amount of the available items. LO3: Use information to inform and support strategic decision-making Assessment Criteria 3.1 Analyze information to identify patterns and trends With the help of information system organisations can identify and predict the patterns and trends in all aspect of the business such as market, competition, customer demands etc and based on the information analysis they can make good strategic decisions. The market The Information system analyses the data collected from the market and based on the analysis the organisation can decide about the product quality improvement, increase productivity, adjust product price and can decide about the launching of new products and organisation future planes. The competition Based on the Information system analysis of the market data organisation can decide about the product price reduction, improves quality, improve advertising campaign, more facilities to customer and shareholder, easily availability etc as competition with other organisation. The state of economy Based on the Information system analysis organisation can manufacture economical product with low cost and can utilise available resources efficiently i.e. reduction in manufacturing time, proper use of material, required amount of product, reduction in manufacturing defects etc. Legislative development Information system improves the legislative system of the organisation. They are fully compliance with the data protection act, international laws and standards, legal rights. Based on the information analysis the organisations can take legal steps to attract Customers, compete with their competitors, can utilise information resources, shares informations, utilise hardware and software etc. Customer demands Based on the Information system analyses of the collected data from the market organization can predict the customer demands such as what customer wants, is their need of improvement in products, is there a possibility to launch new product, are products easily available to customer, is there a need of change in the policy and legislation, are customers able to commits complains and advices etc, are they happy with prices etc. Evaluate a range of decision making tools and techniques available to support a strategic decision SWOT SWOT (Strength weaknesses opportunities and Threats) analysis tools provide an organization a structural analysis of its Strengths, Weaknesses, the opportunities and threats they are facing. The SWOT analysis is based on the discussions and people viewpoints and it is not the end but step before any action planning take place. The organization use the analysis result to appreciate its strength (personal, competition, knowledge, production etc) for taking decision to minimize its weaknesses (improve developments, competition, product quality, customer communication etc), utilize most of the opportunities (possibilities, value in next five years, product demands etc) available and treating possible present and future threats (limitations, losing product values, equipment and software fault etc) in a planned and well organized way. Critical success factor (CSF) Critical success factor is an approach takes by the organisation to determine organisational need for information. There are a numbers of key factors required for any organisation to be successful, these factors are known as critical success factors. If organisation is unable to achieve these critical success factors, then this will have a high impact on the organisation and as a result there is possibility of organisation failure. The diagram below describes how CSF helping organisation in the determination for need in key decision (KD) and information Required (IR) CSF KD KD KD IR IR IR IR IR IR Where CSF represents Critical success factor, KDs represents key decision and IR represents information required to support key decisions. Model Driven DSS Model-driven is a complex Decision Support System (DSS) system helping in analyzing decisions or choosing different options between the available. This type of system is used by the organization / Business managers and staff members, or by other peoples usually interact with the organization. The use of the system is for a number of purposes, which is depending on the setup of the model such as scheduling, decision analyses etc. there are a number of ways for the deployment of Model Driven DSS system such as in stand alone PCs through hardware and software in, through client / server systems, or through the web. Data Driven DSS The organization manager mostly uses the Data Driven Decision Support System (DSS) system as well staff and the product/service suppliers used it. The use of the system is for a specific need by sending query to a database or data warehouse, which then returns the requested specific information. This type of system is mostly deployed through a mainframe system, client/server system and trough the web. Computer-based databases are the example such system, having the capability to response to query and valuable results value from existing databases. Data Mining Data Mining is the data analyzing process from different perspectives and after processing generation of useful information summary. This summary information are utilized by the organizations to increase revenue, cuts costs etc. Data mining software is one of the analytical tools available to analyze data. This tool allows users to do analysis of the data from different angles, categorize data, and finally identification of the relationships in a summarized data. Determine the source available to assist in analyzing data information Information resources such as Data, Information and knowledge In business environment information resources are the most valuable assets for any organisation. The information i.e. data, information or knowledge must be collected carefully and with authenticity because the organisation decision-making processes are based on these information. These sources of these information resources could be organisation employees, customer and other organisations but there must be some criteria for using these resources such as accuracy, validity, clarity etc. Technology resources such as hardware and software For the processing of organisation data and information such as products detail, employees details, manufacturing, stock and accounts information appropriate technology resources such hardware i.e. computer systems, printers etc and software database system, data analysis tools etc must be available to managers and staffs of the organisation. Using such resources reduces production time, cost, improves communication within the organisation and with the customers. People resources such as employee and managers in organizations Organisation employees and managers are the vital part in analysing data because they provides the organisation internal data such as manufactured quantity, cost, stock etc and as well they are operating the available equipments, computer systems and software. In organisation mostly there are people specially trained for operating specialised hardware and software for information processing, analysing, report generation. LO4: Monitor and review management information Assessment Criteria 4.1 Identify methods of evaluating management information within an organization For high level of management information organisations utilise different information evaluation methods to ensure a reliable, trusted and quality of information management system. Data governance Data governance (DG) is the overall management of the data employed in the enterprise. The Data governance ensures the availability, usability, integrity, and security of the employed data. A governing body or council runs a well-organized data governance program with a well-defined set of procedures and plans for the execution of defined procedures in the right direction. The followings are the three key elements of the successful data governance in an organization. The ability to use timely, reliable, trusted information to drive the business The data governance program must be able to ensure the information availability within the prescribed time frame to the recipients that it can be processed at in early stage. This information must be reliable i.e. consistent that execution of different processes can be performed in proper order and in the right direction. As well the information must be trusted i.e. accurate, update and must be gathered from the trusted source otherwise it will lead to program failure. Improving the quality of business decision- making The data governance programme must be able to utilise certain standard decision support systems for the achievement of high quality of business decision-making such as Model Driven DSS, Data Driven DSS etc. The available data for decision-making must be according to certain quality standard, appropriate format, well structured and well organised. Ensuring consistent use of information The data governance program must ensure the consistent use of information in organisation for reliability and smooth flow of business different process. The information flow must be regular to different component of the overall system that the system can generate reliable, trusted and high quality of result otherwise inconsistency will generate incorrect result and will lead to system failure. Management information value Timeliness Timeliness is a high importance in management information, which means that the recipients must receive information within the prescribed time frame. The timeliness can ensure an early stage information execution, which generates the accurate information result. The characteristic of timeliness of information must be effective as well must includes the current up to date information. Content Management information system provides valuable contents for organisation internal and external process support. These contents support business different process such as contents for decision making process, for manufacturing process, for marketing process, financial process, customer and services support etc. Format Management information system provides information in an appropriate and clear format, which is easily understandable. The provided information clearly describe the need, the purpose and place where it can be used such as market related information clearly describes the value of the organisation and its product that can be used to improve quality and services. Cost Management information systems help organizations in cost reduction in the overall business i.e. internally and externally. It allows organizations to deliver their products and services to customers at lower price than their competitors. Therefore, due to information system organizations can survive in difficult situations and can grow rapidly. 4.2 Discuss process for analyzing impact of information on strategic decision made Set objective of process or organization The information analysis allows the decision-maker in the organization to develop and set objectives and allocates resources required for the achievement of these objectives. Thus the organization top-level management is benefiting from information analysis in making strategic planning. Evaluate weather goals achieved The information system allows the organisation to evaluate weather the desired goals are achieved from the information analysis or not. In case of failure the process is refined with utilising more resources, expertise, care and thoroughly investigation to make sure a quality of result achieves. Gap analysis is used for the evaluation of weather goals achieved or not. Assess reasons for variance from target to actual The performance diagnosis is done by applying knowledge to performance to check weather the processes, operations and functions are generating the quality results or not. Each process is judged thoroughly weather the overall process is running smoothly and will complete successfully. Revise and implement new approaches or modify goals If there is any mistake in the process it is revised and retest. Some times the achievement of the desired resulted new approaches is implemented and some time the difficulties in achieving result can lead to modification in goals. 4.3 Determine methods of developing information capture to inform and support strategic decision-making DIKAR: Data Information Knowledge Action Result The DIKAR model is used for information quality, which is very helpful in understanding the attributes of management information quality. The diagram below is the description of the overall model. Source: Dr.L.Ali, 7004_Strategic Information Management, 2009, Lecture Notes, Cromwell college of IT Management As shown in the diagram the DIKAR model is based on the attributes of the Data, Information, Knowledge, Action and results. These attributes ensure the quality of the each component of the DIKAR model as from the start to the end quality is maintained in all processes. The table below explains the attributes of each component. Data Quality The provided data must be accurate i.e. up to date, the whole data to complete that task i.e. completeness, collected from authentic and trusted source i.e. validity and regularly available for smooth flow i.e. consistency. Information Quality Information must be generated from a quality data, all definition must clearly describe the purpose, only relevant information should be used related to a task, the presentation of information should be in the proper order and right format, information must be provided to the recipient in the prescribed time frame and finally availability of information must be ensure to the end user related to that task. Knowledge Quality For knowledge quality the information quality must be maintained as described in the previous section, ASHEN factors (is explained in the next section) must be taken into account, the end user must be experienced in using such knowledge i.e. prior experience, knowledge must be clear and easily understandable i.e. explicit knowledge and finally must be understood clearly by the end user i.e. tacit knowledge. Action Quality An appropriate action must be taken for the solution of the task, this action must be with in the prescribed time frame and must generate results with clarity that ends user can utilise results in the right place and in the right direction. Result Quality The generated output must clearly state the achieved objectives and consistency of results. The achieved result must be the right and desired and efficient for the task. ASHEN: Artefacts Skills Heuristics Experience Natural talent The ASHEN factors is used for the assessment of knowledge quality at the points des

Sunday, August 4, 2019

The oddyssey in popular culture Essays -- essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Many forms of popular culture today are inspired by themes, characters, and other references in various types of classical literature. John Denver’s song â€Å"Calypso† parallels with a number of the themes in Homer’s the Odyssey. The Odyssey’s themes involving Odysseus’ journey back home and the aid of gods and goddesses directly influence â€Å"Calypso.†   Ã‚  Ã‚  Ã‚  Ã‚  The first stanza in Calypso is influenced by Odysseus’ journey to back to his homeland. The first couple of lines compare a dream to sailing on the ocean where at times it is crystal clear and calm while other times like riding on the â€Å"crest of a wild raging storm†. Denver uses the dream metaphor as a means to show that a dream can be like a nightmare or a fantasy. This metaphor is influenced by Odysseus’ good and bad times on the sea. There are many instances where Odysseus faces struggles on the ocean. Whether Odysseus has to fight a huge storm like the one that washes him up on Kalypso’s island or he has to elude dangerous monsters such as Skylla and the whirlpool Kharybdis on the sea, the ocean can be a very dangerous place. Odysseus also encounters times where the sea is very forgiving to him. The storm that washes him up to the land of Phaecia, a fairy-tale fantasyland, results in a safe and smooth passage home along with num erous treasures. The next couple of lines refer to working in the service of life and living trying to find the answers of the unknown. Odysseus ...

Saturday, August 3, 2019

Teenage Alcohol Abuse Essay -- essays research papers

Is there ever going to be an end of teenagers drinking before they are allowed to according to law? In today’s society teenagers walk around as if they know exactly what is good for them, as if they are invincible. Take a look at the number of crashes caused every year by teenage under-aged drinkers and how alcohol effects their future and see how bold of a word invincibility is. Issues that need to be considered when it comes to alcohol are the medical conditions it gives people, how alcohol effects each teenagers future, and who the people are that are inspiring teenagers to drink. People have the right to drink but because of law teenagers are not legally allowed to. There is a reason for everything and this is to keep everyone safe. Alcohol has a major effect on people medically, especially teenagers. Between the years 1988-1996, there was between 130-150 deaths each year caused medically by the use of alcohol. Believe it or not but alcohol is the most commonly consumed drug in New Zealand. It causes cancer, high blood pressure, haemorrhagic strokes, cardiac conditions...

Friday, August 2, 2019

Openess Trade and Growth Essay -- Economic Development, Trade Liberali

The economic growth story is as long as the history of economic thought. Since the early classics like Adam Smith, David Ricardo and Thomas Malthus studied the issue of growth or introduced fundamental concepts such as diminishing returns and their relationship with the accumulation of physical or human capital, the relationship between technological progress and labor specialization or focus competitive analysis tool dynamic equilibrium. As part of these theories appears arises that relationship between trade openness and economic growth is positive. These theories between trade openness and economic growth can be located more than 200 years, with the mercantilist theories. Under these concepts, International trade benefited a nation only if the other was impaired. In 1776, Adam Smith broke with this theory stating that if two nations trade voluntarily with one another, both benefit. This is based on "absolute advantage." Later, David Ricardo (1817) said that while a nation was less efficient than another in production of both goods, it is still likely to trade in a mutually beneficial. This essay attempts to show what is the relationship between trade openness and economic growth and explain their implications for Paraguay. There are many conceptions about the relationship between economic growth and trade but all the authors implies that there is a beneficial situation. For example, Yuhong Li,, Zhongwen Chen, Xiaoyin Wang (2010) Conclude that In open economies, development of foreign trade greatly impacts on GDP growth. According Douglas K. Agbetsiafa â€Å"Openness of the economy to international trade promotes economic development and growth while growth itself brings about associated increase in openness to trade† (p.... ...ee of trade openness has been a topic of debate in the literature in recent years for its effect on the growth of countries. Some authors argue that trade openness is positive because to diversify the supply and provision of goods and services to a emergency. The other position assumes that trade liberalization does not imply any benefit as all internalize external shock quickly. Trade openness is related to the agricultural export structure and dependence on imported products. Paraguay has to make ever-increasing efforts to receive the same amount of income whereas the increase in the volume of exports was higher than the value. Much of the current discussion on the impact of trade on growth is relevant to Paraguay considering that there has been trade liberalization, but public policies are needed to support the development of related institutional factors.

Thursday, August 1, 2019

Investigatory Project—Lever

A more proficient use of lever: A heavier lift Introduction A. Background of the study Buildings, infrastructures and a like were built using the help of machines. But have you ever ruminated how ancient structures like pyramids were built? Simple machines figured it out. Simple machines are any device that only requires the application of a single force to work. It is a tool used to make work easier. It gives mechanical advantage. This means that if you use a lever and the mechanical advantage it provides, you can lift an object that's much heavier than you are because the lever multiplies your effort. Lever, it is often used to move heavy loads with less effort. It is a rigid object that is used with an appropriate fulcrum point to multiply the mechanical force that can be applied to another object. B. Statement of the problem A study on the proficiency of lever in lifting heavy objects. Specific Objectives †¢To build a tabletop lever and investigate how changing the length of the effort arm affects the amount of effort it takes to lift an object. †¢To discover other factors that can affect the proficiency of lever. 2 E. Review of related literature The following definitions are the terms and concepts regarding the said investigatory project. Simple machines is any device that only requires the application of a single force to work. It is a tool used to make work easier. lever magnifies force or velocity. It is often used to move heavy loads with less effort. It is a rigid object that is used with an appropriate fulcrum or pivot point to multiply the mechanical force that can be applied to another object. Fulcrum , the support about which a lever turns. Beam, The bar of a balance from which weighing pans are suspended. Parts of the lever (in the experiment, still undefined) Effort end †¢Effort arm †¢Load end †¢Load arm *The First Class Lever, Second Class Lever and the Third Class lever. The only difference between them is the location of the fulcrum. *Levers help you move items that are very heavy. In the First Class lever the fulcrum is located in the middle. The load is on one end and the force is on the other. (crowbar) Second Class the fulcrum is on the end, the resistance force, the load, is in the middle, and the effort is at the other end. (wheelbarrow) The Third Class fulcrum is on the end of one side, the effort force is in the middle, and the resistance force, the load, is at the the top. baseball bat) *Levers are easy to spot because they help us in our lives. Some examples are: see-saw, claw hammer, crow bar, bottle opener, Piano keys, and car jacks. Bibliography Definition of terms: McGraw-Hill Dictionary of Scientific & Technical Terms, 6E, Copyright  © 2003 by The McGraw-Hill Companies, Inc. http://encyclozine. com/science/physics/machines http://encyclopedia2. thefreedictionary. com/simple+machine http://www. thefreedictionary. com/beam Methodology A. Materials and equipment †¢Ruler (with centimetres) †¢Plastic bag †¢Masking tape †¢Scissors †¢Pencil †¢Soap box with soap in it †¢Marbles (in same sizes) B. Procedure To start this project, you will need to build your lever. The ruler will be the beam for the lever. Tape a bar of soap to one end of the ruler. The soap is the load you will be trying to lift. Next you will need to construct a container out of your plastic bag to hold the marbles in. The bag and the marbles you'll place in the bag will be the effort. As you add more marbles, you are increasing the weight in the bag and thus, the effort until you eventually have enough effort to lift the soap bar. Put a piece of tape approximately 1 centimeter (cm) from the top of a plastic bag . Fold the taped part in half. Using a pair of scissors, cut a slit long enough to allow the ruler to slip through. Slip the free end of the ruler into the slit. Tape the bag to the ruler so it does not slide around. Be careful not to tape the bag closed, as you will need to add marbles in it. tape pencil to the edge of a table. Place your lever on the fulcrum. The bar of soap should be resting on the table, and the bag for the marbles should be dangling over the edge of the table. Position the ruler so that the length of the effort arm is 6 cm. You can use the markings on the ruler to measure 6 cm. Add marbles to the bag, one at a time, until the bar of soap lifts off the table. Continue increasing the effort arm length by 2-cm increments until the measures 24 cm. Materials and Equipment †¢Metric ruler (preferably one that is stiff and has centimeter markings) †¢Plastic sandwich bag (1) †¢Tape (preferably masking tape) †¢Scissors †¢Pen or pencil †¢Bar of soap (still in its packaging) †¢Pennies (approximately $3 worth; alternatively, marbles, beans, or some other small numerous item will work) †¢Lab notebook †¢Graph paper Experimental Procedure 1. To start this project, you will need to build your lever. The ruler will be the beam for the lever. Tape a bar of soap to one end of the ruler. The soap is the load you will be trying to lift. 2. Next you will need to construct a container out of your plastic bag to hold the pennies in. The bag and the pennies you'll place in the bag will be the effort. As you add more pennies, you are increasing the weight in the bag—and thus, the effort—until you eventually have enough effort to lift the soap bar (the load). a. Put a piece of tape approximately 1 centimeter (cm) from the zipper part of the top of a plastic sandwich bag. Do this on both the inside and the outside of one side of the plastic bag. See Figure 2. a. below. b. Fold the taped section in half, width-wise. Using a pair of scissors, cut a slit long enough to allow the ruler to slip through. See Figure 2. b. below. c. Slip the free end of the ruler (the effort end) into the slit. Tape the bag to the ruler so it does not slide around. Be careful not to tape the bag closed, as you will need to add pennies inside it (the effort). 1. ncrease the length of the effort arm by 2 cm (total length should now be 8 cm) and repeat step 5 again. Did it take more or fewer pennies to lift the load? Record your findings. 2. Continue increasing the effort arm length by 2-cm increments and retrying the experiment until the effort arm measures 24 cm. Don't forget to record all the data in your data table. 3. Analyze your data. You can make a line graph with the length of the effort arm on the x-axis and the number of pennies it takes to lift the load on the y-axis. Do you see a pattern? What happens when you double the distance? What happens when you quadruple the distance? To use the computer to make your graph you can visit the Create A Graph website. . You are trying to determine the relationship between two variables: the effort (# of pennies) it takes to lift the load (bar of soap) and the length of the effort arm, so choose the XY graph. b. Select the Data Tab, fill in: ?The graph title ?X-axis label (remember, the x-axis is the length of the effort arm) ? Y-axis label (remember, the y-axis is the number of pennies is takes to lift the load) ? In the Data Set box, tell the program you have 12 data points. ?For each point, fill in the length of the effort arm (x) and the number of pennies (y). So, point 1x would be 6 since you took your first data reading when the effort arm was 6 cm long. Point 1y would be the number of pennies, recorded in your data table, that it took to lift the soap bar at an effort arm length of 6 cm. ?You can use the remaining options to customize the font styles and colors of your chart. c. When you are done, print it out. Variations †¢What happens if you double the load by adding two soap bars? Does the effort (number of pennies in this science project) required to lift the load also double? What if you triple or quadruple the load? Use a kitchen scale to determine how much the load (soap bar) weighs and how much the effort (number of pennies needed to lift the soap bar) weighs. Can you use this information to calculate how much effort it would take to lift you? †¢In your background research you learned that there were several classes of levers. In the project above, you built a class 1 lever. Try building a class 2 lever, too. Compare t he class 1 and 2 levers. Do they require the same effort to lift the load? Remember to keep the distance between the fulcrum and the effort end the same when comparing the levers!