Saturday, October 12, 2019

Cameron’s The Terminator and Atwood’s The Handmaid’s Tale as Responses to Neo-conservatism :: Movie Film Essays

From abortion to pornography, the â€Å"war on drugs† to the end of the Cold War, the 1980s played host to considerable controversy; amidst such political uneasiness, then, it seems that Reagan Era rejuvenated middle-America’s latent conservatism. This return to the traditional Puritan values of the â€Å"nuclear family† also sponsored heightened State intervention and policing of the private sphere, thereby buttressing cultural myths of the dangerous, unknown â€Å"Other†. As such a fear of the Other was socially perpetuated, it seemed the responsibility of liberal-minded skeptics to note such propaganda as an alarming preparation for totalitarianism. Many cultural texts from the period, such as James Cameron’s 1984 science-fiction film, â€Å"The Terminator†, and Margaret Atwood’s 1986 feminist predictive-text, â€Å"The Handmaid’s Tale†, used this opportunity to illustrate the drastic outcomes of a society founded on such mass ignorance. Following in the tradition of â€Å"dystopian†, or anti-utopian, fiction, both texts use a depiction of a â€Å"perfect† future world in order to isolate, exaggerate and expose certain problematic social trends. While not intended as realistic or plausible predictions, these dystopian texts seek to expose extremist attitudes (such as radical conservatism, religiosity, or technological reliance) as fundamentally threatening to human nature and individualism. Dystopia, then, can be understood as a locale for the constant impediment of human freedom, maintained by a regime’s oppressive control of technology, gender and ideology. What makes this fictional society so fascinating, however, is its cunning transformation from utopia to dystopia, or from Heaven to Hell; each of these corrupt worlds is originally presented as a safer, more stable and efficient alternative to contemporary society. Atwood’s tale, for example, presents a portrait of a society, Gilead, which is superficially ideal: it is free of (visible) violence, hatred or suffering. Yet this apparent perfection comes with sacrifice, for all aspects of the population are controlled: social class and intellectual ability are all carefully regulated, with stability maintained at all costs. Similarly, Cameron’s â€Å"Terminator† presents members of modern-day (circa 1984) Los Angeles in a beneficial symbiotic relationship with machinery: as technology improves daily life for humans, so too do humans improve technology. Yet this techno-friendly society based on social alliance is jaded once the machines begin to overpower and out-wit humans; here the oppressive regime that threatens humanity is technology itself. In both texts it seems clear that both technological advancement and control are imperative to the succession of an autocratic state. And as the audience is always kept keenly aware of the dangers that homogeneity poses to the quality of life, these dystopian texts question whether technology necessitates a sacrifice of human individuality.

Friday, October 11, 2019

Describe Two Opposite People

Describe two opposite people In the small community of Culmersville there are only two adults that I could spend time with and never be bored. One of which was a kind lady by the name of Ms. Kelly and the other was the funniest man in the world by the name of Mr. King. Ms. Kelly is a kind person. She always teaches me to help those people who are in need and she also never got tired of helping others. For example, one of my friend’s family financial situation wasn’t so good and therefore Ms. Kelly buys him breakfast almost every morning. She hopes that he will not feel hungry during the school time and knows it can help him to concentrate in his studies. Ms. Kelly is also a sympathetic lady. Although she was not high-educated, she always teaches her kids and me to help other people. During weekends she would visit the Children’s Hostel and help the workers to teach and feed the children. She also always invites me and my family to be a volunteer and join her to do social works. On the other hand Mr. King was the complete opposite. He was an electrician and one of the most selfish people I knew. Mr. King would have two bottles of water and would rather throw a bottle of water in the garbage or put it in his car before he would give it to you. But yet I found Mr. King to be a funny man and spent lots of time with him playing dominoes. I had the best relationship with Mr. King in Culmersville. This probably was because I never asked him for anything. But Ms. Kelly and Mr. King was the worst of friends. I would call them enemies. All of this started when Ms. Kelly asked Mr. King to donate some of his funds to the Children’s Hostel. Mr. King could have told her a simple ‘no’ but he loudly told Ms. King, ‘if you don’t get off my property talking foolishness about donating money I would throw you off myself’. This was where the commotion started. Ms. Kelly then asked, ‘Do you call homeless children foolishness? ’ Mr. King then said, ‘The children aren’t the foolishness. You are. ‘Mr. King then slammed the door in Ms. Kelly’s face like she was coming to rob his house. Ever since this day every time Ms. Kelly sees Mr. King she would start pointing fingers at him telling people he hate homeless children and unfortunate people. These are the two people that thought me that people with opposite personalities would never be able to be together. But, although Ms. Kelly and Mr. King are two completely opposite people I enjoy being with either of them.

Thursday, October 10, 2019

Lack Of Standards For Ehr Health And Social Care Essay

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

Literacy Autobiography Essay

I have come a long way down my road of knowledge and learning of English throughout my life and it has taken me places and shown me things I would have never expected when I first started out on this long journey, and it includes things that most other student’s do not. I have learned so much, so fast and it has taken me far from home and around the world. While most of the people I know have traveled the same road their whole lives and have grown up in very similar ways, my experiences tell a whole different story. I was born and raised as a child in Beijing, China and grew up around people that spoke mandarin Chinese all the time. Mandarin was my primary language growing up as a child, I learned how to read and write when I first started school and I have been speaking Mandarin for twenty years now. This was my first challenge I faced about learning because it takes so much memorization and practice to learn such a vast language and there were times when I thought I couldn’t do it but I got help from my parents and my teachers. At times I wanted to give up because my teachers would get mad at me for saying or writing the wrong thing. I remember a certain memory in third grade of being called to the board to spell the word â€Å"student†, but I spelled it incorrectly and I’ll never forget because the whole class laughed at me and the teacher was very disappointed. But I knew I couldn’t give up and with enough time and effort I began to get good at writing essays and reading books in Chinese. As I progressed in school they started teaching English along with Mandarin because it is such an important language to the world and widely used and this just added to the challenge of being a successful student. With more help from my parents and teachers I started to learn enough English to read my first book, which was Forest Gump, which I really liked and it also became one of my favorite movies. I continued on through school learning more and more of both languages and in high school things got even more complicated. I went to a very competitive high school and the teachers were very hard on us so many more hours of studying were required in order to meet the grades I was expected to reach. It was when I was in high school that I finally decided what I wanted to do with my life and it was to pursue a career in business in the United States of America. My father was a successful military man in China but I knew that was something I did not want to follow. Growing up I heard so many great things about America and saw many things on TV and I knew that was where I wanted to find a career and become successful. But in order to meet such a large goal I knew I had to strengthen my English and work much harder. So I looked at all my options available to me and I found a program at the University of Texas at Austin called, English as a Second Language (ESL), where I could learn English and also learn its culture at the same time. Uninterested in a future in the military, like my dad, and high hopes for a future in business, I decided to give the ESL program a try and move to America where so many more opportunities would be available to me and be given a chance to become a lot more successful. My mom also played a big role in my decision because she too chose to move to America and she had so many great things to say about it. Moving to Austin, TX and being at UT was a huge change for me and opened my perspective to a lot new things that I had never even known before. The school there was like nothing I’d ever experienced before and I had to learn a whole new language in a short amount of time, while at the same time adapt to a whole new culture. The ESL program was the most drastic change in my life because it changed many things for me including my culture, literature, interests, and personality. I had to learn a whole new set of guidelines of learning but I worked hard and it paid off and I continue to use everything I have learned these past few years in order to succeed at UTPA and return to UT Austin where I can pursue a future in business. Although I’ve spent years studying English, I still feel like I’m a step behind everybody else because of the difficulty I have with reading and writing. It’s not as difficult for the people that have English as their primary language, but as they talk and write they also comprehend the meaning behind everything that is being communicated. But growing up in a different country this is a huge obstacle for me because even though i have learned to read and write like all the others, I can’t comprehend the meanings behind it as fast as other people can. This has proved to be a big challenge for me at the university level and I’ve learned that even though the students are given the same materials as me and the same opportunities, it takes me longer than the other students to figure out what to do with the materials. I have been exposed to the culture here long enough to learn things that will help me to adapt more to my surroundings and make it easier to reach success, such as music. I have always loved music but I have only recently discovered that I can use it to my advantage as a literary device. Once I got to America I fell in love with the pop culture and the music it creates and it became a big part of my life so I started incorporating it into my daily habits. But I found that if I focus rather than just enjoy the rhythm and words, I can learn from the music at the same time. For example, Kanye West is one of my favorite artists and I love the music he makes, but when I focus in more on what he is singing about I can learn things like important subjects in society, grammar they use, current events, and the different meanings and contexts of words I have never heard. I learned many things when moving from China but one of the most useful things I have come to learn is that there is more than what meets the eye and music is more than just music to me now, it is a useful literary device. So I started looking out for more things that could prove to be useful to me and I noticed more helpful things that most students do not even think could benefit their English learning abilities. Like the media for example, people think TV is a waste of time and will not teach you anything more than useless reality TV and lies, but if you focus in more you can learn anything from spelling to new words people use, also called â€Å"slang†. In short, readers construct meaning by building multifacted, interwoven, representations of knowledge. The current text, prior texts, and the reading context can exert varying degrees of influence on this process, but it is the reader who must integrate information into meaning. † (Haas & Flower 168). Haas and Flower explain how it depends on the reader to interpret the text and construct meaning from it and that different people may interpret the meaning differently. And with the varying degrees of influence that texts may have on people has more influence on me because simple things like music and media continue to teach me things that most kids do not even recognize. Education has a whole new meaning to me than other students may have because of all the other obstacles that come with studying in a different culture than the one raised in. Students have little to worry about in my opinion because all they have to worry about is school and how hallenging there classes are, but a student like me has so much more to worry about because even outside of the classroom I am still faced with learning challenges even when it comes to talking with friends. Do I have the same chances as the other students to succeed even though things are more difficult for me? The answer to this question depends greatly on your teacher. â€Å"In a similar fashion, asking to teach â€Å"academic writing† begs the question: which academic writing – what conte nt, what genre, for what activity, context, and audience? FYC teachers are thus forced to define academic discourse for themselves before they can teach it. † (Downs & Wardle 556). I agree with Downs and Wardle by saying that not all teachers are the same, some teachers are more intelligent and more qualified than some of the others out there and that they might define their view of academic discourse differently than others. And if a student is lucky enough to get a teacher with a loose definition of academic discourse and does not ask much of their students then the student has a better chance at success. There are many things that affect a student’s chance at success in the classroom but my question is, does a student in my situation still have a chance at the same opportunities as the other students despite the other student’s head start? In reading the essays and writing this paper I have developed a theory that a student in my situation with a late start in their learning abilities has to go the extra mile in order to adapt to the culture and the learning styles that come with it so that they have the same opportunities as the other students. And I have found that we do have the opportunity and the same chances of success as the other students do, we just have find the tools that will take us that extra mile. In order to find those tools you have to find the patience, determination and will inside yourself to take on the challenge ahead of you, but without these characteristics you will surely fail along the way only to find out that all your time and effort were for nothing. You have to expect that taking on such a challenge is a very difficult task and you have to expect that there will be many bumps along the way. Thinking it will be an easy road to follow and not anticipating any trouble will also bring you failure in the end. So not only do students in my situation have to physically work harder by studying and devoting their time to learning, but they also have to mentally prepare themselves for the challenge and any bumps you may find along the way. With time I have learned some things that help my literature and help me to become a better writer and student of English just by simply listening to music or watching what’s on TV. I knew I needed as much practice and help as I could get and I also knew how much I loved music and reality TV, so with my theory of my new literacy practices in mind I put the two together and practice this all the time to sharpen my skills. I can’t say this solution will work for everybody in a situation similar to mine but I do know that if you keep an open mind it will be easier to develop practices that fit your specific style of learning just as I did. There’s something out there that will fit your certain learning style but you just have to be patient and it will come to you eventually. I will close my theory with a question, if a student grows up in a different culture with a different way of learning things, can he still achieve the goals he sets for himself even though he is adapting to a different culture and way of learning at the same time?

Wednesday, October 9, 2019

What is a key fact from the chapter Essay Example | Topics and Well Written Essays - 250 words

What is a key fact from the chapter - Essay Example The Bill dictated that slavery would not be allowed on new territories acquired from Mexico but could only be allowed in territories that already supported slavery. The Southerners took a hard line and refused to compromise despite the fact that the Northerners had already compromised (150-151). President Taylor’s plan to admit New Mexico and California immediately into the Union after discovery of Gold Mines in the region were futile because each side, the North and the South, were suspicious of each other (152). Lewis Cass’s support for â€Å"popular sovereignty† lost him popularity with the Democrats and he subsequently lost the elections (152). An attempt to bring both sides to compromise and arrive at an agreement proved futile when the Omnibus Bill failed as a package but passed when the provisions were presented separately (154). Any leader who supported either side exclusively lost elections as is evident in William H. Seward’s bid in 1858 (165). D uring the war the prejudices and malice in the Union States were evident after President Lincoln was accused of war crimes and his wife accused of being a spy (169). Eventually, the Northern States won and one would have expected the North to engage in revenge. However, the situation was rescued by the nationalism and prudence of President Lincoln for he preached unity instead of revenge (177). Although, the Union States won the war it is evident that both sides had arguments that were not completely objective with sections filled with malice, prejudice and hatred. These vices are the ones that threatened to divide the country were it not for President’s Lincoln’s sincere sentiments of American unity. In essence, the key fact is that the war could have been avoided if both sides had employed practicality and agreed to

Tuesday, October 8, 2019

Research Essay Example | Topics and Well Written Essays - 1500 words - 4

Research - Essay Example In case of not completing specific developmental tasks, there are negative consequences for people. The lifespan can be divided into ‘infancy’, ‘early childhood’, ‘school age’, ‘adolescence’, ‘early adulthood’, ‘young adulthood’, ‘mid life’, ‘later maturity’, and ‘old age’. From prenatal age, human beings start undergoing stressful situations due to which, their cortisol levels get elevated resulting in death of certain brain cells. This death of cells brings disadvantageous results for the individual as he develops certain cognitive and mental disabilities. Later on, children start being defensive against stress by learning to cope up with stressful situations (Chen & Kottler, 2012). Different stages of lifespan offer different kinds of stressors for people with whom they fight in order to make themselves safe. In coping up with different kinds of stress during the li fetime, children gaining maturity by entering adolescence try to cope up with stress through the usage of drugs and alcoholism that is again damaging for their health. It is impossible for a human being to get never stressed or face different stressors. We have to undergo stressing situations on daily basis even before our birth. Some amount of stress is essential for our life continuity as it enables children to develop the capabilities to accept new and possible risky situations and to cope up with them throughout their lives. Children require assistance of parents and elders in order to handle stress physically as well as emotionally (Middlebrooks & Audage, 2008). However, when stress becomes severe or insidious, the advantageousness of acceptable amount of stress gets lost. Prolonged and chronic stress has short term as well as long term health hazards. The growth of brain, nervous system and the immunity system, all get dysfunctional because stress throughout the lifespan. The stress that

Monday, October 7, 2019

United Kingdom fashion retailers' strategies of internet branding Dissertation

United Kingdom fashion retailers' strategies of internet branding - Dissertation Example Internet technology is progressing and it has empowered customers to shop from online fashion retailers. In this setup customers can undertake a shopping tour whenever they like to. One of the advantages of this kind of fashion retailing is that customers have the luxury to express their needs and wants more accurately. These online retail stores are equipped with the capabilities which enable online shoppers to make the retailers understand what they are looking for. According to Tzokas and Saren (2004) businesses are able to have closer relationships with their customers through their website and online business. Dayal, Landesberg, and Zeisser (2001) said that strong relationship with the customers is important in the success of online business. Moreover Cuthbertson and Bridson (2006) have said that effective marketing campaigns, loyalty programs, and other marketing strategies can be helpful in increasing customer satisfaction level even in the online businesses. Dayal, Landesberg , and Zeisser (2001) have suggested that businesses need to create familiarity, reassurance and intimacy if they want to be successful as an online business. They also said that these factors influence the customer satisfaction level. Therefore, advancement in technology and adaptation of technology by the firms in the fashion industry has been one of the differentiating features of online retail stores as compared to traditional retail stores (Fashion United). Since the fashion industry of UK comprises of diverse customer segments, therefore it is imperative that fashion retailers and manufacturers employ different marketing and branding strategies to reach out to these diverse customer segments.... United Kingdom fashion retailers' strategies of internet branding Introduction The United Kingdom’s fashion industry is one of its most vibrant sectors of its economy. Characteristics of consumers of this industry make it a customer and brand driven market-place. In order for brands to compete successfully in this industry they need to be market driven, meaning that they need to design their unique selling proposition according to the needs and aspirations of the customer segments they want to target (Wol?nbarger, and Gilly, 2001) Diversity of customer preferences presents attractive opportunities to manufacturers and retailers of this industry. Consumer behaviour and preferences have been changing with the passage of time, and today consumers can shop from anywhere. The marketing and branding strategies adapted by the online fashion retailer play an important role in increasing the sales of the product. Moreover, appropriate online branding strategy reduces the risk of the failure of the product (Laroche, Habibi, Richard, and Sankaranarayanan, 2012). Moreover, it allows organisations to reduce their marketing costs and thus they are able to reach their customers easily and in a cost effective manner. Therefore, the significance of the online branding strategies cannot be ignored in the online fashion retail industry. The research study and its findings will be useful for different analysts, economists, researchers and fashion industry participants. The most important aspect of this research is that it analyzes the strategies that are needed by online retailers to succeed.