Essay --

Disease and disorders affect a vast amount of lives in today’s world. Diseases are conditions that affect normal functions of the body. Many diseases and disorders are still being discovered and explored by scientists. One disorder that can disturb a person’s daily life and events is Generalized Anxiety Disorder also known as GAD. Generalized Anxiety Disorder is a disorder causing constant and often unrealistic worry and anxiety. It alters the way a person thinks and can ultimately lead to physical symptoms. This disorder, while having many physical and emotional affects, can be managed and maintained. Pathophysiology Worry, doubt, irritability, exaggerated anxiety, and unexplained tension are just a few of the many effects of Generalized Anxiety Disorder or GAD. While the symptoms aren’t life threatening, they remain unpleasant to control and many feel so overwhelmed, this can lead to patient’s use of substances and occasionally suicide. Though the cause of this disorder remains unknown, the main source of GAD comes from the brain. Genetics, Brain chemistry, and environmental factors are believed to be the main causes of onset of GAD. â€Å"Trauma and stressful events, such as abuse, the death of a loved one, divorce, changing jobs or schools, may lead to GAD†(WebMD: Anxiety & Panic Disorders Health Center, 2012, p.2). The neurotransmitters tell the brain how to feel and react. Many neurotransmitters have been connected to this disorder, including serotonin, GABA, and Norepinephrine. When hormones become thrown off or unbalanced this can also trigger Generalized Anxiety Disorder. Calm Clinic: Neurotransmitters and Anxiety states (2013), â€Å"Interestingly, too much or too little of any hormone may also affect anxiet... ...d health professionals as well. Medical practitioners encourage healthy habits, such as an exercise plan, to push the body to producing and releasing more endorphins. The medical provider may also recommend life style changes and that the patient find a hobby to preoccupy those anxious thoughts. There are many options available to help a patient deal with this illness. Generalized Anxiety Disorder is becoming more commonly recognized every day by healthcare providers; therefore the physical and mental symptoms are becoming more easily managed. The worrying, stress, and physical symptoms brought on by GAD can be treated with many options, previously not available. While an untreated patient may feel hopeless and helpless, with a treatment plan created by healthcare professionals, a person can feel like they are in control of their mental status and life again.

Character Of Davies In Caretaker By Harold Pinter

Davies, an old tramp, is the protagonist in The Caretaker. His portrayal, says Ruby Cohen, is â€Å"a bitter commentary on the human condition†. In their attitudes towards the old man, the human derelict, the two brothers present only surfaces contrasts. Mick begins by knocking him down, whereas Aston, instead of allowing him to die in despair, rescues him, shares his room with him and opens up home to him. Bother the brothers name the old man as caretaker, offer him a kind of scrutiny, which they both subsequently withdraw.Mick turns his back on the old man for failing to fulfil a role to which he never aspired, but Aston rejects him for what he is cantankerous, self-deluded and desperate. Of all Pinter's plays, The Caretaker makes the most bitter commentary on the human condition; instead of allowing an old man to die beaten in a pub brawl, â€Å"the System† wisest on tantalising him with faint hope, thereby immeasurably increasing his final desperate anguish. There i s perhaps a pun contained in the title: The Caretaker is twisted into taker on of care, for care is the human destiny. Davies-Aston RelationshipThe Davies-Aston relationship begins with Aston apparently in command of the situation as both hos and rescuer of the itinerant Davies. His calm, quiet acceptance of the uneasy guest seems a natural posture of superiority, and Davies at first accepts it as such. As both guest and rescued, Davies, in contrast to Aston, is noisy, repetitive and insecure. The evident aim of his early initiatives is to locate a potential common ground and probably one that will be seen his degree of dependency in the relationship. Ironically, his insecurity is increased by the very means that he adopts to diminish it.The fact that it is he, and not Aston, who feels compelled to talk undermines his position at the same time that his verbal manoeuvres seek to strengthen it. Davies: Sit down' Huh†¦ I haven't had a good sit down†¦. I haven ‘I had a p roper sit down†¦ well, I could tell you†¦ Aston: (placing the chair): Here you are. Davies: Ten minutes off for a tea-break in the middle of the night in that place and I couldn't find a seal, not one. All them Greeks had it, Poles, Greeks, Blacks, the lot of them, all them aliens had it. And they had me working there†¦All them Blacks had it, Blacks, Greeks, Poles, the lot of them, that's what doing me out of a seat, treating me like dirt. When he come at me tonight. I told him. (Pause. ) Aston: Take a seat. That Davies should invoke in rapid succession a sense of injury, a major prejudice, and a defiant self-reliance gives us a quick resume of the potential roles he might adopt relative to Aston. That Aston ignores all there†¦ providing sympathy for the first, reinforcement for the second, nor admiration for the third gives us an immediate indication of the likelihood of their success. Incoherent SpeechAston's seeming refusal to encourage any of Davies's tentati ve roles provides Davies with major problems. In the face of Aston's taciturnity he is forced to thresh arourd desperately for some means of altering the situation. It soon becomes apparent that his large supply of words is not matched by a similar supply of verbal strategies. As the conversation progresses he simply resorts to repeated use of the tactics implicit in his first speech. Appeals to Aston's sympathy and to his prejudices recur repeatedly, though Davies is smart enough to defend himself against becoming a victim of the kinds of prejudice to which he feels vulnerable.All them toe-rags, mate, got the manners of pigs, I might have been on the food a few years but you can take it from me I'm clean. I keep myself up. That's why I left my wife. Fortnight after I married her, no, not so much as that, no more than a week. I took the lid off a saucepan, you know what was in pan. A pile of her underclothing, unwashed. The pan for vegetables, it was. The vegetable pan. That's when I left her and I haven't seen her since. As he finishes speaking he finds himself to face to face with a â€Å"statue of Buddha standing on the gas stove†.The mutual incompatibility of the stone face and that of the tramp comments directly on the success of these efforts to manipulate Aston's attitudes and concerns. The silent inscrutable Buddha, incongruously perched on the gas stove, is as much beyond Davies's comprehension as the taciturn Aston surrounded by the diverse objects collected in his room. Efforts at Self-Reliance Davies's other category of approaches involves attempts to assert a degree of independence from Aston. But his efforts to create an image of self-reliance are even less successful than his previous moves and not entirely compatible with them.His appeals for sympathy for his age and health mingle uneasily with assertions that he intends revenge for his misuse at the cafe: â€Å"I'll get him. One night I'll get him. When I find myself around that direct ion. † The strength of this commitment is clearly undermined by Davies's vague reference to when it will occur and by his admission that this would not be his primary reason for going there. In spite of these repeated failures, Davies's stock of variations on his manoeuvres is not yet exhausted. Indeed he has yet to play his trump card.Unsuccessful as the heroic survivor of the cafe incident, unsung as the virtuous rejecter of an unhygienic wife, and un-sympathised with as a downtrodden, exploited old man, he invokes a new image of one on the verge of self-sufficiency and success. The tack is circuitous, involving shoes, the weather, a false name, and papers that will â€Å"prove everything†. But, in essence, the theme is that of a journey to Sidcup which will solve all problems and structure his life anew. Once the journey is made all difficies will disappear, and Davies will once more be a man to be reckoned with. Davies: If only I could get down to Sidcup!I've been w aiting for the weather to break. He's got my papers, this man I left them with, it's got it all down there. I could prove everything. Aston: How long's he had them? Davies: What? Aston: How long's he had them? Davies: Oh, must be†¦ it was in the war†¦ must be†¦ about near on fifteen years ago. But this manoeuvre, too, is thwarted by Aston's reactions to it. Clearly, Davies does not match his emphasis on the importance of the journey with a similar commitment to getting there. The time lag he admits to makes nonsense of the value he places on the journey, as Aston's puzzlement is evident.Once again the haphazard dialogue is matched revealingly with an item of junk that is eminently visible but obliquely connected to its surroundings. Abuses Aston's Kindness and Generosity At this point, Aston's contribution to the ‘conversation' seems rather unfriendly, to say the least. Whatever Davies does to try to improve the connection between himself and Aston is neutralise d by his inability to elicit from Aston the responses he needs. To Davies it seems that Aston's posture of quiet superiority is a consistent strategic imperviousness to his needs and wiles.But Aston's behaviour seems peculiarly inconsistent. His apparent unconcern for Davies's psychological needs is sharply contrasted with an evident concern for his physical needs. Aston's initial generosity toward Davies in the cafe is extended by offers of cigarettes, shoes and money, and by a willingness to go and retrieve Davies's belongings for him. This inconsistency, this apparent lack of connection between two aspects of Aston's behaviour, is another manifestation of juxtaposed but unclearly linked data in the play.But its effect on the relationship is by no means unclear; this inconsistency disorients Davies and maintains his subservience as effectively as Mick's later inconsistent conversation. As this section progresses, however, it gradually becomes apparent that Aston's efforts (unlike Mick's) are not deliberately aimed at this goal. Indeed, it is very difficult at this point to perceive a deliberate aim in any of Aston's behavior. It does seem clear, however, that he does not share Davies's urgent need for a verbally explicit rapport. The problem the audience has in understanding Aston is obviously shared by Davies.Sensing the failure of his efforts to impose on Aston any of the relationship roles he has in mind, Davies eventually switches to trying to draw out of Aston information that might guide him to more successful manoeuvres. Feeding him topics dealing with The Room and its contents, Davies once more finds himself making little headway: Davies: You got any more rooms then, have you? Aston: Where? Davies: I mean, along the landing here†¦ up the landing there†¦ Aston: They're out of commission. Davies: Get away. Aston: They need a lot of doing to. (Slight Pause. ) Davies: What about downstairs?Aston: That's closed up. Needs seeing to†¦ The flo ors†¦ (Pause. ) Aston's Reticence Aston's unwillingness to discuss any of these more neutral topics suggests that his reluctance to converse with Davies is motivated by something more than mere resistance to Davies's wiles; the reluctance seems to proceed from a general antipathy toward any kind of conversation. But, paradoxically, he is not entirely unwilling to talk. While evasive about the house and his legal relationship to it, he does venture the information that he â€Å"might build† a shed in the back garden.This willingness to talk is further indicated by a sudden longer statement on the drinking of Guinness—a topic that he discusses with a seriousness that does little to calm the puzzled, uneasy Davies. I went into the pub the other day. Ordered a Guinness. They gave it to me in a thick mug. I sat down but I couldn't drink it. I can't drink Guinness from a thick mug. I only like it out of a thin glass. I had a few sips but I couldn't finish it. This relat es to nothing previously discussed, and whatever significance it has for Aston is not shared by Davies, who resorts to a quick change of subject.The short speech is undoubtedly odd, but the kind of oddity it represents provides the first clear indication of the basic difficulty confronting the pair. If Davies fails to respond to or follow up on this topic because he is unable to locate its significance, perhaps this is also the reason for Aston's similar reactions to Davies's conversation topics. The speech itself, while specifying nothing precisely undermines Davies's operating assumption that Aston's taciturnity is simply a manifestation of superiority and disinterest.Such an assumption has already been brought into question by Aston's non-verbal generosity to Davies, and this speech suggests that Aston, in spite of his general silence, also has a need to talk. The section ends with Aston, as he has done extensively during this opening scene, devoting his attention to a faulty plu g on an old electric toaster. His persistent concern for this faulty connection characterises the activity of the opening section: potential links between the characters remain uncertain because the means of establishing appropriate connections has gone awry.Davies: I used to know a bootmaker in Action. He was a good mate to me. (Pause) You know what that bastard monk said to me? (Pause) How many more Blacks you got around here then? Plays One Brother Against the Other That is when Davies turns to Mick, who plays a cat-and-mouse game with him. Davies tries to play one brother against the other in order to keep a roof over his head. He has been out on the road most of his life and he would like to cling to the crumbs he is offered. But his efforts are futile.Mick calls him â€Å"a fibber† who stinks the place out and Aston, in spite of all his earlier generosity, turns his back upon him. Davies's final image that we have, despite his desperate, pitiable condition is that of an old tramp who is ungrateful, self-deluded and cantankerous as he finally pleads with Aston: But†¦ lost†¦ look†¦ listen†¦ listen here †¦ I mean†¦. what am I going to do?†¦ What shall I do?†¦ Where am I going to go?†¦ Listen†¦ If I got down†¦ If I was to†¦ get my papers†¦ would you†¦ would you let†¦ would you†¦ if I got down†¦ got my†¦.

1993 Apush Dbq - 1277 Words

Tamara Singh APUSH 1993 DBQ Essay The 1700 hundreds was a time for people’s imaginations able to soar free in their heads and see the â€Å"New World† for all its infinite possibilities. There were many reasons for people to look for refuge or wealth in the newly discovered world. Some wanted to escape from harsh laws and strict religions of the European government, and others went for glory and money. When the new colonies like Jamestown was formed, so was two new societies. Both areas were settled for different reasons. The different reasons led to distinctive social, political, economic, and cultural hardships and rewards. The New England colonies and the Chesapeake colonies are prime examples of two different societies at the†¦show more content†¦People were not very united in their communities and yet most of the colonists were righteous and pious people. The communities were lead by a good strong leader, like their ships commander. The government had to report all to their king (Doc ument G) and also had very little real power of the people it ruled (Document H). This lead to many revolts such as Bacon’s rebellion in 1676. The colonists were also not on good terms with the Native Americans. Not like in the New England area, where they relied on the Native Americans. The settlers were pushing the limits of the treaty boarders. When the government tried to settle the quarrel, a rebellion was created and forever driving a knife between the hopes of a united community. The Chesapeake Bay was big in trading. This kept the colony thriving. They traded things like tobacco to Europe for supplies. They were semi sufficient but partially relied on the trade for money and necessities. New Englanders migrated as families, and family was the source of New England life. This contributed to the difference between the Chesapeake region and the New England region. The New England colonies were a completely different story. The New England colonies were formed by large gr oups of English families and some from other countries. These people came to the new world for a new start. They sailed the seas in large family units and followed their leader from their

What Is the Most Radioactive Element

Radioactivity is a measure of the rate an atomic nucleus decomposes into pieces that are more stable. Its somewhat complicated, trying to determine relative radioactivity  because there can be many unstable steps in the decay process before an element finally breaks into stable pieces. All of the elements from element 84 on up are extremely radioactive. These elements have no ​stable isotopes. Polonium Because it is a naturally-occurring element that releases a huge amount of energy, many sources cite polonium as the most radioactive element. Polonium is so radioactive it glows blue, which is caused by excitation of the gas particles by radiation. A single milligram of polonium emits as many alpha particles as 5 grams of radium. It decays to release energy at the rate of 140W/g. The decay rate is too high that it can raise the temperature of a half gram sample of polonium to over 500 °C and subject you to a contact gamma-ray dose rate of 0.012 Gy/h, which is more than enough radiation to kill you. Nobelium and Lawrencium Other elements besides polonium actually emit more particles, such as nobelium and lawrencium. The half-life for these elements is measured in mere minutes! Contrast this with the half-life of polonium, which is 138.39 days. Element Number 118 According to the Periodic Table of Radioactivity, at this time the most radioactive element known to man is element number 118, Oganesson. The decay rates for the latest man-made elements are so fast that its hard to quantify how quickly they break apart, but element 118 has the heaviest known nucleus to date. These elements break apart essentially the instant they are created. It is reasonable to expect the title of most radioactive will be taken over by some new, as-yet-undiscovered element. Perhaps element 120, which scientists are working to produce, will be the new most radioactive element.

Slavery and Sex Trafficking Essay - 1303 Words

When we hear the word slavery our mind paints a picture of colonial America down in the South with big plantation houses harvesting wheat, with workers being unpaid and unfairly treated. At this time in our county we were struggling with the idea of equality for all. America has come a long way from those days but not with out a fight. Abraham Lincoln, the Civil Rights moment and free and public education has been addressed. Today, we face a new conflicts and a different type of slavery. Slavery and sex trafficking is occurring not just abroad but at home as well. In 2004, â€Å"800,000 to 9000,000 men women and children are trafficked across international borders every year, including 18,000 to 20,000 in the US. Worldwide slavery is in the†¦show more content†¦Prostitution is describing the selling of sex that does not need consent or coercion. Trafficking covers coercion and forced labor as well as slavery. (P. 502) The main difference is that same women choose to go into prostitution on economic grounds and tracking is done through force. When someone wants to participate in something, even if its concerned bad, unhealthy or unsafe its harder to protect them for the dangers. Millions of women have made the discussion to sell sex bassed on economic grounds. Some women making UK100 a night selling sex isn’t going to want to sweep floors or kit sweaters for half the price and more hard labor. (p. 502) Women can make much better money and better their economic status by being a prostitute. Here in the US we see selling sex as a moral issue that needs to stop. This brings up another issue, that women here are battling between moral ideology and the reality of the situation. Women in other counties don’t have the same values, beliefs or rights that we have here. For most of us its seems unreal that women and young girls would sell there body like that but to them it’s a way to better there situation and their life. Women also have a different mind set about what they are doing. They see themselves as sex workers, its job and that’s all it is. (p. 502) Kate Butcher believes that getting ride of sex trafficking isn’t going to help and its isn’t a realistic goal. WhatShow MoreRelatedSex Slavery And Human Trafficking2202 Words   |  9 Pages Sex Slavery and Human Trafficking in Nigeria Ramapo College of New Jersey Kaitlyn Cestaro Human Trafficking is defined in article 3, paragraph (a) of the Protocol to Prevent, Suppress and Punish Trafficking in Persons, as the recruitment, transportation, transfer, harbouring or receipt of persons, by means of the threat or use of force or other forms of coercion, of abduction, of fraud, of deception, of the abuse of power or of a position of vulnerability or of the giving or receivingRead MoreSex Trafficking Is Modern Day Slavery1175 Words   |  5 PagesSex trafficking is basically modern day slavery. It’s terrible, sex traffickers use violence, threats, and lies to compel and trick not only adults, but innocent children to get involved in commercial sex acts against their will. 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Victims from AsiaRead MoreSex Trafficking Is A Form Of Modern Slavery972 Words   |  4 PagesIntroduction to Sex Trafficking Around the world and right here in the United States, Human Trafficking is a form of modern slavery. The difficult comprehension of this human reality within our own communities, makes this travesty hard to combat. Understanding the pervasiveness, the reality of the crime and the impact it has on a community are a call to action for all of us. â€Å"Under federal law, any minor under the age of 18 years induced into the commercial sex trade is a victim of sex trafficking – regardlessRead MoreSex Trafficking: Modern-day Slavery Essay1131 Words   |  5 PagesSex trafficking according to the National Human Trafficking (2000) is defined as a modern-day form of slavery in which a commercial sex act in induced by force, fraud or coercion, or in which the person induced to perform such an act is under the age of 18 years. Sex trafficking is mostly comprises of force, fraud and underage women or men to engaged in unwilling activities in order to get what they need in life. Most often people are brought to the United State specifically in search of job butRead MoreSex Trafficking : A Form Of Modern Day Slavery1344 Words   |  6 Pagesdifferent branches of human trafficking, but sex trafficking, a form of modern day slavery, has become more prevalent in the world today. Sex trafficking is defined as â€Å"The enslavem ent of unwilling people who are coerced into a condition for sexual exploitation† (Jefft 221). â€Å"It has been estimated by the U.S. State Department that between 700,000 and 2,000,000 people are trafficked each year worldwide, and 80% of them are being exploited as sexual slaves† (Territo 3). Sex trafficking is a common problemRead MoreSexual Slavery : The Purpose Of Sexual Exploitation998 Words   |  4 PagesSexual Slavery in America Sex Slavery defined- Sexual slavery is slavery for the purpose of sexual exploitation. Sexual slavery may involve single-owner sexual slavery; ritual slavery, sometimes associated with certain religious practices, such as ritual servitude in Ghana, Togo and Benin. †¢ Concubinage was a traditional form of sexual slavery in many cultures, in which women spent their lives in sexual servitude. In some cultures, concubines and their children had distinct rights and legitimateRead MoreSlavery in History713 Words   |  3 PagesSlavery has been around for centuries, and still is present today with the development of custom definition. Slavery does not only affect the caucasian and the African americans. When you think of slavery, what do you think of? Who is affected? Slavery is so important because it was a geological and world-wide act. 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According to the United Nations Office on Drugs and Crime [UNODC] protocol on trafficking, â€Å"Trafficking in Persons is the recruitment, transportation, transfer, harbouring or receipt of persons, by means of the threat or use of force or other forms of coercion, of abduction, of fraud, of deception, of the abuse of power or of a position of vulnerability or of the giving or receiving

Current Health Care Issues Free Essays

Current Health Care Issues HCS/545 Camille Fuller University of Phoenix The health care industry exist to provide preventative measures, diagnose health conditions, repair, and provide services to improve the quality of life. The cost of health care continues to rise each year. Health care fraud is a factor that continues to plague the health care industry. We will write a custom essay sample on Current Health Care Issues or any similar topic only for you Order Now The affect health care fraud has on hospitals, is the increasing cost of medical services. The following research will examine and evaluate how organizational structure and governance, culture and the lack of focus on social responsibility affects on health care fraud. The following research will also include recommendations for prevention of health care fraud, recommendations for change of structure, governance, and culture. The following research will include prevention measure for future situations involving health care fraud. Health care fraud is a preventable situation in hospitals across the nation. Hospitals spend thousands of dollars on quality assurance and patient safety and still health care fraud continues to occur. Individuals across the nation make a living through health care fraud. Honest, hard working citizens of this country are financing health care fraud recipients, not by choice. Insurance companies, Medicare, and Medicaid are being schemed by fraudulent businesses. Channel 11 news in Colorado a scheme called, â€Å"Medical Provider Identity Theft† has been uncovered. Perpetrators stol the identity of a physician in Pueblo, Colorado. The perpetrators set up an office in Denver, Colorado called, â€Å"A Plus Billing. † The office and address was used to receive mail and phone calls. The physician’s name and medical identification number was used to bill Medicare for test and procedures that were not preformed. This type of scheme is running rampant across the United States. Dr. Cabiling did not know that his identity had been stolen until he received a phone call from Medicare. Medicare asked Dr. Cabiling if he practiced in Denver and Dr. Cabiling said, â€Å"No. † Medicare then notified Dr. Cabililng that they had received bills from an office in Denver with his name and medical identification number for payment of services rendered. Dr. Cabiling only practices in Pueblo and not in Denver. Further investigation uncovered more than $1. 8 million dollars had been paid out to the A Plus Billing Company. â€Å"Court documents show the address A Plus Billing used was 600 17th Street in Denver, room 2800. The company submitted bills for numerous things including MRI’s and EKG testing, claiming they had medical offices at that address. But instead, 11 News discovered it was home to a company hired to receive mail and answer the phone for $150 a month. And, according to records, the lady who was suppose to pay that bill, Aliya Valeeva, is no longer in the country. Medicare sent the money to an account at a BBVA/Compass Bank in Denver, under the name of A Plus Billing. Now the FBI has moved to seize nearly $800,000 of it (Potter, 2011). † Dr. Cabiling inadvertently received checks from Cigna, leading the physician to believe that the ghost company had targeted other insurance companies other than Medicare. Prior to President Obama’s health care reform, insurance companies were required to submit payment for services rendered within 15 days of receipt of the claim. Since President Obama’s health care reform act the timeline for payment of services rendered gives agencies more time to make payments, review and investigate claims. Fraudulent claims are easier to detect with the new health care reform in affect. Fraudulent claims are nothing new to insurance companies. Perpetrators have targeted insurance companies for a long time. Medicare and Medicaid are the two type of insurance companies targeted. Medicare and Medicaid staff is inundated with claims. There are more claims to be processed then there are staff and time. New timelines and guidances to follow, allow the staff to follow up on suspicious claims. Since the Affordable Health Care Act was passed and implemented â€Å"Medicare officials say with their new tools for fighting fraud, they have reclaimed $4 billion last year alone (Potter, 2011)†. The previous organizational structure for payment of services rendered did not allow officials enough time to investigate claims to ensure the claims were legitimate. Perpetrators study the law and use the knowledge to fraud insurance and government agencies. The governance of rules, regulations and laws was not stringent enough to stop perpetrators from frauding the system. New guidelines allow agencies more time to detect suspicious claims, investigate and save the insurance companies millions of dollars. Society does not concentrate on proactive actions to prevent fraud, instead society deals with the problem after the fact. Consumer watch groups do not have tools in place to prevent fraud. Perpetrators rely on the oversites of insurance companies in order to target and fraud insurance companies. Insurance companies and the federal government should pool resources using a percentage of profits to finance a task force to arrestively fight fraud. The penalty for fraud should be more stringent which will cause perpetrators to think twice before formulating a plan to commit fraud. The Affordable Health Care Act is the beginning of many programs established to fight against fraud. Health care fraud is a growing problem and should be taken more seriously by citizens of the United States. Physicians, health care workers, and patients are responsible for proactively protecting personal information to prevent identity theft. The case of Dr. Cabiling could not have occured if his medical identity had not been stolen. A closer watch of personal information to prevent identity theft is the beginning to prevent health care fraud. The federal government should have in place the ability to prosecute offenders to the fullest extent. Harsh punishment may deter offenders from comiting the offence. Ethical issues concerning medical fraud is as simple as knowing what is right and what is wrong. Society should take responsibility of his or her own personal information. Identity theft is no secret, therefore society should be more proactive. Do not leave an open door for offenders to walk in and take what does not belong them. The laws for offenders should be more stringent. The current structure of physicans medical information is too easy to obtain. The structure of physicains medical information should be in encripted messages making the degree of difficulty high enough to ward off offenders. There are some offenders that will stop at nothing until they have gotten the information he or she is wishes to obtain. Stricter rules and guidelines can ward off these offenders. Governance over the guidelines for payment for services rendered should include the following; varification of physician’s medical information making sure the physican is aware of the charges being submitted to insurance companies. The time line for payments to be released to physicians or billing companies are lenghtened to allow incurance companies time to investigate suspecious claims. The culture of one waiting for another to do what is right is an occurance needing change. The culture can be changed through leading by example. Educating society through public service announcement is a start. Public service announcements reach more people than emails, newspaper articles, and phoone calls. An aggressive campaign to stamp out medical fraud through prosecuting identity theft offenders is an additional way to combat medical fraud. Through public service announcements society is informed of his or her responsibility to protect personal information to prevent identity theft and medical fraud. Fighting identiy theft and medical fraud cost less than the billions of dollars paid out to offenders. Remind society they the communities in which he or she live in are the one that ultimately pay the price through higher health care premiums, higher prices for health care services, and through higher taxes. In conclusion health care fraud is now being done through identity theft. Identity theft can be combatted through public awareness and the public taking responsibility to protect his or her own persoanl information. Dr. Cabiling through no fault of his own was a victim of identity theft. Dr. Cabiling did not know that his medical identity had been stolen until he received a phone call from Medicare. Dr. Cabiling can now contact the different insurance companies to alert them of the fraudulant activities concerning his medical information. The insurance companies can contact Dr. Cabiling prior to making payments on calims. The insurance companies making phone calls to Dr. Cabiling may take more time, but will save the companies money in the long run. Combatting medical fraud and identity theft is everyone’s responsibility. References Cohen, G. (2010, March/April). Medical tourism: The view from ten thousand feet. Hastings Center Report, 40(2), 11. Health care reform to have impact on ethics. (2010, May). Medical Ethics Advisor, 26(5), 54. K. Potter, 2011. Medicare Fraud Scheme Takes Nearly $2 Million, Pueblo Doctor’s Identity Stolen; http://www. kktv. com/home/headlines/Medicare_Fraud_Scheme_Steals_Millions_131567818. html How to cite Current Health Care Issues, Papers

Detection and Management of Child Abuse Cases

Question: Discuss about theDetection and Management of Child Abuse Cases. Answer: Introduction Child Abuse is a hidden epidemic that children are suffering across the globe. Children are getting severely affected by the abuses that are physical, mental, sexual, and emotional. It is important to detect the signs of abuse and take steps to treat and bring them out of the trauma they are suffering from. Steps are taken to manage the situation, but still, a lot need to be done to make the world a better place to live (Gan, 2011). Issues, Measures, and Improvement Child abuse is a well-known suffering; steps to protect children against it are being taken. Still, the rate of child abuse cases is increasing every day. There are many factors that influence child abuses. Individual, family and environmental factors increase or decrease the risk of child abuse (McDonald, 2007). Victimization factor which includes childs age, special needs like intellectual disabilities, chronic physical illnesses, and mental health issues also added a risk factor. Social issues like a single parent or young parental age, low income, parental mental health, history of abuse of a parent, social isolation, parenting stress, and poor child-parent relationship lead to increased child abuse cases. Though these factors provide information about the children who are at maximum risk of child abuse and neglect, these are not direct causes and cannot predict the abuser (WHO, 2007). World-wide actions are being taken to detect and help the abused child and also measures are taken to decrease the child abuse cases. Ms. Lim a doctor working with Child Protective Services informed about a case where a child of 3 years was regularly beaten by her father when the case came to them they straight forward taken action and sent the child in the foster care (Rong, 2016). This is an example that measures are being taken to stop child abuse. There are other measures also like advising a parent if they are facing difficulties in managing children, teaching children about sexual abuse to prevent it. Along with it, there are few legislative frameworks to stop child abuse that includes The Children and Young Persons Act (CPYA), The Child Care Centres Act, and Inter-Ministry Working Group on the Management of Child Abuse ("Singapore landmark ruling in transgender child abuse case - BBC News," 2016). Many pieces of evidences that include scientific literature state that child abuse can be prevented. Still, little thought has been given to child abuse prevention regarding policy and research. A boy named Daniel lost his life as he was abused by his mother and her boyfriend who are now sentenced to jail for four years. Before Daniel, they had made a girl name Fiona also suffer the same faith, but nothing was done at that time ("Singapore landmark ruling in transgender child abuse case - BBC News," 2016). If steps were taken at the right moment, then Daniel may have survived. The report says The Ministry of Social and Family Development and Child Protective Services received more than 2,000 inquiries and reports of child abuse in the year 2015. Out of these 551 incidents were of serious abuse. From 2012-2014 there is an increase of 40% serious child abuse cases (Baharudin, Rong, Leo, 2016). This proves that existing measures are not sufficient to stop the increasing child abuse. St ern and serious measures need to be taken to stop the cruelty against children. Child Abuse is not a problem that has easy solutions. Though, improvement in the child protection, prevention, and treatment are not beyond reach. The greatest obstacle is the lack of information and awareness about child abuse and responding to child abuse. No serious legal rules are being in use that brings terror in the mind of people who abuse children (WHO, 2007). Some improvements that can be brought in the measures of preventing child abuse are by providing information for effective action against child abuse, making people aware how to prevent child abuse, effective and efficient care services for families of the victim that includes the protection for the victim and some stern rules in the law. All these together can help in decreasing the increasing rate of child abuse around the world ("Singapore landmark ruling in transgender child abuse case - BBC News," 2016). Conclusion Abusing innocent children mentally, physically, sexually, or emotionally cannot be justified in any way. It is very important that steps should be taken to identify if any child is going through the trauma of child abuse and serious punishment should be given to the abuser so that it cannot repeat his/her criminal task again. Information and awareness about child abuse and how it can be prevented should be given regularly till it ends completely. Children are future of the world if they have a traumatized childhood then they will not be able to prosper in their life with full happiness that they are liable of. Hence, it is important that everyone should take steps to prevent child abuse to spread its wings and harm innocent children. References Baharudin, H., Rong, S., Leo, L. (2016).Why didn't anyone protect Daniel from abuse?.The Straits Times. Gan, G. (2011).Management of Child Abuse in Singapore. McDonald, K. (2007).Child Abuse: Approach and Management - American Family Physician.Aafp.org. Rong, S. (2016).Playing a part in stopping child abuse.AsiaOne. Singapore landmark ruling in transgender child abuse case - BBC News. (2016).BBC News. WHO,. (2007).Preventing Child Maltreatment: a guide to taking action and generating evidence.World Health Organization.