An examination of the role of cars and vehicles in Tim Winton's The Essay

An examination of the role of cars and vehicles in Tim Winton's The Turning - Essay Example The best illustration of all of these occurs with the characters Max, Raelene, and Sherry. The caravan park from â€Å"The Turning† is an example of how various vehicles are used to assume socioeconomic status. Different vehicles are assigned as residences to different groups of people. The surfers are relegated to the tents. They don’t even rate high enough on the social food chain to have any type of caravan due to their transient existence. The pop-up campers and Winnebagos, both easily removed, are reserved for the â€Å"old farts† (Winton) as well as the vacationers or travelers through the park. The permanent residents, fishermen from the nearby marina, generally reside in the aluminum caravans, mostly outdated and rundown. The gathering place for these residents, a circled group of old caravans where the single men as well as the disgruntled older fishermen go to drink and get high together, is referred to as the Cesspit, implying with its name the degradation of the acts performed there. All of the characters involved illustrate both their place in this world and in their own minds by the vehicles in which they reside. For instance, Sherry, the beautiful woman who befriends the downtrodden Raelene, and her husband live in their rented caravan for a month, only long enough for the two women to forge a bond before moving on to their brick home with nice furniture and indoor lavatories. Both the rented caravan as well as the house which she quickly moves to are immaculate, placing her and her husband in a social status well above the other residents of the park. The majority of the aluminum caravans are described as dirty, with cheap furniture, including car seats used as couches, the worst of these being the ones included in the Cesspit where the young and single fishermen live. The caravans in the Cesspit reek of the lower station of the residents as well as

TV Talk Show Essay Example | Topics and Well Written Essays - 1000 words

TV Talk Show - Essay Example Thank you for making the time to visit. Host: Our second guest is Dr. Hassad Taufiq, a Muslim scholar who is an expert on Islamic history and global politics. Recognized globally for his pioneering efforts in promoting peace and ecumenism, Dr. Hassad's reputation truly is untarnished. Good afternoon, Doctor. Host: The question that we will resolve this afternoon is whether imperialism is an issue of economics or an issue of intolerance and racial supremacy. That is certainly a painful time in our history and for better or worse, has helped chart our collective destiny as a race. First of all, I would like to ask the two of you: what are your concepts of imperialism Hassad: Well, imperialism is one dominant state exercising power over a weaker state, with no other motive but to forward its own agenda and make the weaker state subservient. It is only motivated by selfish intentions. Denise: It's really not as simple as that. Imperialism can take on more subtle forms. There can even be imperialism in trade, as when a superpower takes advantage of its economic clout to make a third world country agree to its onerous demands. Similarly, it is so easy to couch imperialism in words like democracy and order. Denise: There is a great deal of economics involved, the need to accumulate wealth. Towards the end of the 1800's, Britain felt that America was slowly catching up and was becoming the new economic superpower. Threatened by these developments and wanting to protect valuable market share, Britain embarked on a strategy: imperialism. Host: How exactly did they go about that Denise: Well, they gained colonies for economic benefit and to increase their military might. They provided Britain with new markets and resources. Soon, the other developed countries like France, Germany and the United States followed suit. Host: What continents or areas where particularly impacted by this Denise: Oh, definitely, Africa. The continent was too weak at the time to defeat the European Army and the Africans were easily suppressed. When Henry Stanley claimed the Congo River Valley for Belgium, it started the greedy scramble for pieces of this fertile land. For instance, France got Tunisia and Morocco and Italy took Libya. It was all about money and profit and gaining strategic strength. Host: Do you agree, Doctor Hassad: Well, I agree that economics played a major part, but if we are to focus on economics alone, then I'm afraid that it does not reflect the entire breadth of the problem. It is inaccurate to limit it merely to that. Host: Why do you say that Hassad: I think that at the heart of it really is the propensity of human beings to think of other human beings that they perceive to be lower than them in stature as tools. Host: How insightful and provocative. Could you please expound further Hassad: Let me put it this way - the objectives were not only limited to acquiring resources. Captured people were no different

Phd proposal Research Example | Topics and Well Written Essays - 1500 words

Phd - Research Proposal Example Research Approach 6 3.2. Research Design 6 3.3. Data Collection 7 3.3.1. Secondary Data 7 3.4. Time Line of the Dissertation 8 References 9 Chapter 1: INTRODUCTION 1.1. Background of the Study Past decades and passing time has proven to be the most dynamic for every global aspect. Organizations have also been faced with the need for change, no matter how large or small they are. Organizations go towards changes and modification to meet the pace of the changing world and its requirements. Although, the concrete and customized purposes of the organizations vary in nature; yet, the philosophy of change in organization remains the same, and that is, to become more effective, moving towards increased efficiency and being actively responsive to the ever-changing environment of the dynamic world (SONG, 2009, pp 6-7). Change does not dawn itself easily. Organizations, similar to any other forces that might get affected by change also face numerous problems in the process. As the change proce sses threaten the existing milieu of the situations, the organizations might face numerous problems including staff resistance, organizational strengths, weaknesses and capabilities, and most importantly the lock or lethargy of management. Rod ascertains that the administration should understand the processes of change intricately and its impact on the people, production and environment. For the purposes of comprehension of these processes and guiding the organizations towards the journey of change, clear and motivated management of change is inevitable (Fernandez & Rainey, 2006, p.168). Hence, managing change becomes as imperative as the change itself. Change management has justifiably acquired a chief aspect of the studies of management, outlining various types of changes which are adopted by the organizations, and their related theories or constructs. 1.2. Research Aim and Objectives This research will aim to explore the change management in organizations with particular referenc e to structure of the organizations. The objectives of the study will be to explore and investigate: Changes in organizations Causes of organizational changes Types of organizational changes Change management Change management with regards to structure of the organization Enterprise Education, a precursor for success 1.3. Research Questions The research will be carried out to respond to the develop research questions which are as follows: 1. What are changes in organizations? 2. What are the causes of changes in the organizations 3. What are the types of organizational changes? 4. What is change management? 5. What is change management in terms of structure of the organizations? 6. How can structural change management prove to be a precursor of success for the organization? 1.4. Significance of the Study As mentioned in the subsequent section, the study of change management has acquired a significant position in the management constructs. Globalization constitutes as one of the most key features of the time that drives the organizations to move forward and adopt global changes (Dawson, 2003; 114). Structural frameworks are the major stakes of organizational change. Related to management and forming the environment of the situation, structural changes in organizations are essential to delve into and be investigated. Consequently, this study will prove to be an addition to the wealth of researches and studies in this regard because of the essential nature of change and dynamism in this era. 1.5.

Obamacare Essay Example for Free

Obamacare Essay â€Å"Change will not come if we wait for some other person or some other time. We are the ones weve been waiting for. We are the change that we seek.† Those words were famously spoken from Barack Obama during his election period. Following through with those words, he begins to make change in the country. Change isn’t easy, yet you hope it’s worth it in the end. The USA seems to be standing on both sides of the fence when it comes to the changes the President is making with healthcare. March 23, 2010 Obama signed into law Affordable Care Act, or better known as Obamacare. Together with the Health Care and Education Reconciliation Act, it represents the most significant government expansion and regulatory overhaul of the U.S. healthcare system since the passage of Medicare and Medicaid in 1965 (www.obamacarefacts.com). Obamacare was enacted to provide affordable health insurance to 44 million uninsured Americans and to reduce the growth in health care spending. Obamacare has done some important things already, such as prohibiting insurance companies from dropping your coverage if you get sick and has been working with insurance companies who will not cover a person because of a pre-existing condition. However, as with all change there are two ways at looking at the new bill. Obamacare will drastically affect the low-income families in a positive way. In America healthcare is so difficult to afford for the average low-income family, Obama has placed the care on a sliding scale. The expansion will cover over 15 million low-income individuals and families below the 133% FLP mark. However each state has the option to opt-out of providing coverage for the poor. By not providing coverage for the poor, it will leave 2-3 million people without coverage. States that decide to opt-in employers will have to respond by laying people off and making full time employees part time to avoid Obamacare penalties and taxes by not implementing the program. Others will not expand beyond 50 employees to avoid the bill’s mandate’s (Shenk, 2013). The average consumer will see a difference because some businesses are adding surcharges to invoices in to help make up the cost of healthcare coverage for their employees. On a positive note, there would be no annual or lifetime limits, children can stay on their parent’s plans to age 26; FDA can approve more generic drugs driving prices down and breaking monopolies and protections against discrimination for gender, disabilities and domestic abuse. And there will be significant tax credits to the small businesses with less than 25 employees, to help offset the costs of providing coverage to their employees. Obamacare will certainly challenge the nation over whether it wants a national system to be dependent on Washington or rely on dual federalism that protects freedom. The bill doesn’t allow the American citizen the option, if they want to offer or accept coverage; they have to have it or they will be penalized. That doesn’t allow much freedom of choice, however at least they are being offered the opportunity to coverage. Despite the rocky road Obamacare has had to start, it has lived to see another day and each day the kinks are worked out. This bill is here to stay. So, as cchange isn’t always easy, the average American citizen can say that the law will be beneficial to them as individuals, their families, communities, and country.

The Trail of Tears Essay -- Native Americans, Indians, Women

Throughout history the United States was involved in some form of racial dispute. During the Trail of Tears in particular, the Native Americans were the ones forced to live under White rule. Until the year 1828 the Cherokee rights belonged to the Federal Government. In the same year Andrew Jackson was elected the next President of the United States, and soon the Native Americans would be a part of the next generation racial targeting. On September 15, 1830, representatives of the United States and the Chiefs of the tribes met to discuss a bill just recently passed by Congress. In 1830 the Indian Removal Act was put into play. This Act stated "Be it enacted by the Senate and House of Representatives of the United States of America, in congress assembled to cause so much of any territory belonging to the United States, west of the river Mississippi, not included in any state or organized territory’s and to white the Indian title has been extinguished , as he may judgo necessary, to be divided into a suitable number of districts, for the reception of such tribes or nations of Indian...

Raves :: essays research papers

Raves Imagine you are in your room and it’s about 1:00 in the morning. It’s pitch black outside and you’ve been lost for hours. There’s nothing good on the radio. You’re dying of thirst and you’re drenched with sweat. You’re just about to turn around and open your window for some fresh air and you hear it. The bass is in sync with your heartbeat and the lights are flashing everywhere. So you follow this music and you arrive at your destination: A rave. It is the vibe that is so commonly talked about within this culture. The dictionary defines "Rave" as: to utter in madness or frenzy; to say wildly; to rave nonsense, which makes you wonder why raves were ever called raves to begin with. Raves consist of about 300-6,000 kids aged to about 17-25. A big empty wear house, lights, a fog machine and a DJ. Every single rave has 1 type of music: techno with a lot of base. It's electronically created with a very fast-pace. Techno music has its origins in gay dance clubs. Hip-hop also has had a big impact on techno music. Rave dancing ranges from being highly choreographed and stylistic all the way to thrusting your body back and forth. Ravers say they lose themselves to the beat and become one with the music by letting the music control their movements. Someone once said: Techno was made not only to be played, but to be listened to loud†¦we are called not to listen, but to feel. How do you know when the rave is and where? Well flyers are put up. A flyer isn’t going to straight out say â€Å"RAVE!† you have to look for the secret messages only Ravers know. They do this to avoid the mainstream. A rave poster can be spotted by noticing that within the words that are on the poster, every E, X, and K, are capitalized. There are certain colors that the flyers will have on them. A lot of times there will be a cartoon character on it, or smiley faces and aliens. Now, I could do a whole paper on fashion. There are four classes of people grouped by what they wear not how much money you have or what kind of car you drive. The most common class is the â€Å"Candy Ravers† they are always female and have short hair that’s usually in barrettes or pigtails.

Utilizing Qr Code Technology for Emr.

Utilizing QR Code Technology In Encoding Patient Summary List 2012 Utilizing QR Code Technology In Encoding Patient Summary List Fatima Alsaleh and Samir Elmasri PhD College of Computer and Information Systems, King Saud University, Saudi Arabia Abstract: In situations like emergency, where the immediately gained, summarized and accurate information may radically make the difference between life and death, the need for a solution that fulfills this requirement arises. Number of solutions was previously proposed including emergency card and smart cards, but each has number of cons and pros.With the rapid adoption of smartphones, QR codes (Quick Response) is the ideal substitute for the current circumstances. It can be easily read by the paramedics, whether they are medical professionals or bystanders and provide immediate, accurate, reliable information that radically impact an individual's life, in case of emergency. This paper discusses the advantageous utilization of the QR code an d smartphone revolutionary technology in the medical field. It also discusses other uses of QR code, in some related fields where it can be beneficial the most.Page | 1 Utilizing QR Code Technology In Encoding Patient Summary List 2012 Introduction Accidents happen all the time all around the world. A continuous work by the governments and non-profit associations has been accomplished to propose and impose policies and procedures that best decrease the number of accidents and control their tragic consequences. On the other hand, an increasing number of researches and tested methodologies have been conducted in the past few years, specifically in the field of emergency, to best control the damages.The main focus was to summaries the most important and critical medical information about an individual in an in a portable means and ensure a quick retrieval of these data in a secure manner. The earliest attempt to compliance with the quick, secure and summarized access to an individual's critical medical information was by using emergency cards. Some Health providers companies provide their patients with an emergency card that has some information extracted from the patient summary List. This card has saved lives as it's the guide that could help the first aiders or emergency staff to act accurately in a timely manner.The means, however, evolved over years to cope with the technology revolution and benefit the most of it. Encoding the patients EMR in smart card is a methodology that has been rapidly followed by many EMR companies and healthcare providers. A part of the medical record of any patient is a summary known as a Patient Summary List or Problem Summary List. This paper proposes a method that could benefit from the two aforementioned important concepts. The method introduces the use of the Quick Response (QR) technology in the patient’s Emergency card.Related Work Some health providers provide their patients with an Emergency Card that usually has th e vital medical information that could make the difference between life and death, usually known as Patient summary list (part of the Electronic Medical Record). The list should include the patient’s ID, medical history of Arthritis, Hypertension, Cancer, Diabetes, Heart Disease, etc. any operative and invasive procedure, any adverse and allergic drug reaction, present medications [1][2]. The natural medium to record the patient's medical information is the papers.Even though papers have advantages of being low in cost, available and portable, problems raised due to the decentralized nature of the paper-based medical records, difficulties Page | 2 Utilizing QR Code Technology In Encoding Patient Summary List 2012 in data storage and retrieval, threat of being damaged or lost, etc. Consequently, the concept of Electronic Medical Record has been introduced to overcome these issues. Examples of early electronic systems include Computer-stored Ambulatory Record (COSTAR), Health E valuation through Logical Processing (HELP), and Multiphase Health Testing System (MHTS) [3].Smart Card is the perfect media that can be used as a health card due to its small size, secure, capability of digitizing a huge amount of personal and medical data [4]. Some attempts have been done by researchers to develop a personal portable healthcare record smart cards and a corresponding framework to simplify maintenance and transfer of patient records [9]. Researchers in the U. K. have created MyCare, a smart card with a fold-out USB plug that can hold a patient’s medical history. MyCare was developed with open source that enables it to run on different computers and operating systems.Data is protected through PINs and encryption, with a higher level of encryption planned for further stages in the development process [5][6]. These smart card projects work better in countries with nationalized health care. In the US For example, competition among hospitals is a barrier to a smar t card system [5]. Smart card technology was not widely spread due to lack of standards (Dash, 2001); the communications between a smart card and smart card reader. The cards also need to be updated constantly which would be hard to enforce [10].For smart cards, user mobility is only possible if every machine that the user access has a smart card reader attached. The machine must support the same standard smart card reader interfaces or use the same proprietary smart card reader [11]. Research Statement Due to the barriers of smart cards usage including, the high cost value, the unnecessary imposed security and the need for a special card reader, the smart emergency card solution may not be the best solution. The proposed method is the use of Quick Response (QR) codes to hold the patient's critical medical information.The solution overcomes the expense, unavailability and communication issues of the smart card, by the fact that QR is inexpensive technology that doesn't need a specia l reader, it needs software that could be installed freely on any smart phone. This ensures the quick yet accurate and responsive aid provided to unresponsive individual in case of emergency. The solution should also be used as a reporting tool. It can be embedded into a smart phone application developed to be used for reporting accidents. This may overcome the issues of Page | 3Utilizing QR Code Technology In Encoding Patient Summary List 2012 reporting accidents by using the QR technology as an accurate, unique and prompt reporting tool. Background Quick Response (QR) codes are type of two dimensional barcodes. It's a technique that was first invented by Denso-Wave, a subsidiary of Toyota Group that was firstly designed to track the vehicles' parts manufacturing process, and since then it has grown rapidly. In Recent years it has been utilized to work as a marketing tool to advertise for products, sites, brands, etc.Fig1: QR codes structure [16] QR Code can store up to 7089 numeri c characters, 4296 alphanumeric characters or 2953 bytes (8-bit binary). They are capable of storing different types of data: text, vCards, pictures, URLs, Videos, etc. The stored data is extracted in a readable form through QR readers that are usually smartphone software, or dedicate QR reading devices. Number of QR code scanner applications is available for Apple, BlackBerry and Android smartphones, mostly for free. Once installed, it uses the phone's embedded camera to scan the code and decode it instantly. Page | 4Utilizing QR Code Technology In Encoding Patient Summary List 2012 Proposed Solution The idea behind this paper is very easy to grasp. The aim is to have a mechanism that provide the first aiders to know what needed to be known, at the right time, with the easiest possible means. For unresponsive person, or in case if an individual was unable to speak and give vital information, it is important to have some sort of easy to get yet authenticated and accurate medical sum mary that can be available at anytime, anywhere. In some cases, it makes the difference between life and death.Patient Summary List The more we know the better we act and response. In medicine, to know the patient's historical and current medical condition is as much important as the action to be taken on the case. Delaying a treatment or prescribing a wrong medication or one that conflicts with the patient's medical condition could be dangerous and might end up deadly. From this point, the importance of the Patient Summary List arises. The Patient Summary List is a summarized accessible list of the patient's significant medical information.The summary should contain as much information as possible to assist medics and other first responders in case of emergency. The information may include the following categories, though, some entries might be optional. Each entry has to be timestamped: 1. 2. 3. 4. 5. Patient's information: age, sex, marital status, weight, height and blood type. Hospital-related information: name, ID, address, phone number, medical record, hospital's name. Emergency contacts. Allergies/Adverse Allergic Drug Reactions.Significant medical diagnoses and conditions: Cancer, Diabetes, High Blood Pressure, Heart Disease, Angina, Pacemaker, Stroke, Circulation Problem, Arthritis, infectious disease (TB/Hepatitis/MRSA), Osteoporosis / osteopenia, Lung problems, Seizures, Polio / post-polio, Urinary incontinence, Depression, HIV positive, Pregnancy condition, Wearing Contact Lenses, Smoker or not. 6. Significant surgical/invasive procedures. Page | 5 Utilizing QR Code Technology In Encoding Patient Summary List 2012 7. 8. Medication/Vitamins/Supplements names, doses, frequency and rout for each.Education: Language spoken, Barriers to learning (blind/deaf/etc) [12]. Medical Records are created by the medical institutes for every individual assessed or treated. Consequently, the Patient's Summary List should be derived from the patient's Medical Recor d. The Summary List must be prepared by the Hospital of which the patient is having his treatment to ensure the legibility, completeness and authentication [13]. It's also important to have the list updated whenever there is a change in medication, diagnose or allergies and also whenever a procedure is performed.Why QR Codes? Some medical institutes tend to provide their patients with a Summary List printed on a paper (or card) or coded in a smart card. Both ways have number of cons and pros. The usage of printed Summary List in a paper is condition of damage. Especially ICE (In Case of Emergency), it can easily burn, get wet or shredded into pieces and loss it's value. The use of cards might be a safer choice, but it's impossible to have it small enough to fit in someone's wallet and yet have it containing all needed information about the person's medical condition.The use of smart cards on the other hand, might be the best solution comparing with the other available means since th ey are safer, have a larger capacity, easily to carry along and can be kept up t date without the need to issue new ones. However, they need special readers to read them that are usually unavailable for the first aiders ICE. Besides, smart cards are costly to issue and maintain. QR code's quickness, availability, widely spread and low cost might lead it to be a very good choice to encode the Patient's Summary List.It overcomes the issues encountered in other means, and they can be utilized to serve other purposes that will be discussed later in this paper. With the advantages of the QR codes usage has been examined and assessed, we are ready to discuss the proposed procedure and a suggested standard: ? The list should be captured and stored in a standard encoding system to support data sharing, analysis and provide a more practical and accurate way Page | 6 Utilizing QR Code Technology In Encoding Patient Summary List 2012 o retrieve the required information. The standard of the Sum mary List has to be proposed and admitted by the Ministry of Health. ? Administration and maintenance of the Summary List is important. Healthcare providers are responsible of issuing a Summary List of each patient's EMR. They are also responsible for encoding it in a QR code. ? ? The issued QR codes should be printed on wallet-sized cards and submitted to patients. The QR card should be on the medical card (printed right on the back of the card on printed on a sticker on the same card).The medical card (with QR code at back of it) has to be kept right next to the driving license in someone’s wallet. This is critical to have the first responders make use of this method. ? The Summary List has to be updated by the issuer upon any significant change in the patient's medications or health condition. Further, if the patient was examined by a hospital other that the one issuing the code, it's the responsibility of the patient to update the QR code with the new medical information according to the hospital's report. People have to be educated by spreading the QR concept and the role it's playing in rescuing individuals ICE. The paramedics (emergency staff) on the other hand have to have the dedicated QR code readers or having the scanning software installed on their smartphones. Having these standards stated out, the QR code usage can be efficiently utilized and beneficial. If individuals were educated and aware about saving someone’s life using the proposed method, the number of errors that might be encountered will decrease rapidly.In contrary with the other possible means, QR codes do not require a special reader or password authentication or a computer to be read, which make them accessible whenever needed. In addition, bar codes are proven technology that can be used in health care, where little room for error exists. Page | 7 Utilizing QR Code Technology In Encoding Patient Summary List 2012 Possible Scenario The following scenario is summarized in Fig 4 below, a possible QR utilization scenario: 1. 2. 3. 4. 5. An accident happens to an individual carrying a QR code card.The first responder (emergency professional or bystander) check the infected person's wallet and find the QR code. The code is scanned by the rescuer's Smartphone's QR reader. The summary list with all significant medical information is displayed. The rescuer provides the first aids according to the infected person's medical status, whether he/she has a Diabetes, High Blood Pressure, Heart Disease, etc, and call the emergency. 6. The emergency professionals should take the proper, most accurate action based on the extracted medical status. This can make the difference between life and death.Other actions can also be taken by the rescuer like for example sending the QR code through a Smartphone's software (detailed in Other Medical-Related QR Uses section below). Fig2: QR code workflow in case of emergency Page | 8 Utilizing QR Code Technology In Encoding Pa tient Summary List 2012 QR Coded Patient Summary List Update As stated above, the providers should update the patient's summary list whenever there is a change in diagnosis, medications, or allergies to medications and whenever a procedure is performed. The Patient Summary List is derived from the patient’s Electronic Medical/Health Record [17].The summary list contains specific attributes extracted from the medical record. Having these attributes labeled in the electronic medical record will ease the process of extracting and updating the Patient Summary List attribute’s values. So, the system should trigger an update on the patient’s list whenever a change in the labeled attributes. Fig3: QR code workflow in case of emergency [17] How to Update QR Codes? There are two main types of QR codes; static and dynamic. Static QR codes contents are static, cannot be edited or updated, whereas the dynamic QR code’s content can be easily updated.Also, unlike the s tatic QR codes, it does not require generating new QR code. The exact printed QR can be used that leads to the updated contents. When the QR codes are used to encode the Patient Summary List, a frequent content update will be needed. Accordingly three main QR forms are proposed: Page | 9 Utilizing QR Code Technology In Encoding Patient Summary List 2012 1. Using a static QR codes with a static summary list that needs to be re-printer upon each record change. In this case, the provider may print the codes on stickers and remove the old ones once the new ones are issued.This might be more cost effective than re-printing the patient card with the new QR code on the back. 2. Instead of having QR codes printed out, a soft copy of the QR code can be generated and loaded into an individual's mobile. This is also effective in cost-wise, but it might be not so practical in case of an emergency. The rescuer may not be able to locate the QR code image in the mobile of an unconscious person, or the mobile is locked with a pin or it’s out of battery, etc. Though it is easy to maintain and saves the cost of reprinting the code upon a record change. . Using the dynamic QR codes that have a dynamic content with an editable, editable content using the same printed code. Further, some QR code generator companies (like SQUARE) provide a track service and statics of how many devices scanned the code, where, scanner device type, etc. Having this concept applied on the medical health field considered very practical. In view thereof, dynamic QR codes are the best utilization due its cost saving, efficiency and easy to maintain. However, since this kind of codes requires a wireless connection, it might be limited.Though, it’s not a huge barrier in today’s networked world. Fig4: QR Update trigger scenario. Page | 10 Utilizing QR Code Technology In Encoding Patient Summary List 2012 Updating QR code procedure Each step in the above scenario figure (Fig 4) is descri bed as follows: A patient visits the hospital (1), and a change in one of the stated record attributes (2) (change in diagnosis, medications, or allergies to medications and whenever a procedure is performed. ) has been encountered. So the updated patient record should trigger a generation of an updated summary list (3).Accordingly, new updated QR code/QR content has to be issued (4), and a notification sent to the patient with this update. ? ? If the static QR code form is adapted by the hospital, then the notification should instruct the patient to pick up the updated QR code card/sticker (4. 1). If the soft copied QR code form is adapted, then the notification should instruct the patient to download the latest QR code (either from the hospital’s site after the patient login or sent for the patient email) (4. 2). ? If the dynamic QR code form is adapted, then the codes destination contents updated upon the new summary list update (4. ). Other Medical-Related QR Uses Aside o f utilizing the QR codes as an emergency guide for paramedics that provide a reliable, easy to use, quick access to an individual's Medical Summary List, QR codes can be used in other fields as well, as detailed in this section. The QR codes can be used as a reporting tool. By having an Emergency reporting channel other that the unified number, a software application installed on the smartphones, QR can be used as follows: ? ? Using the smartphone's camera, the QR code of the affected person is scanned through the Emergency software application.The software should display the encoded information, and a reporting option should also be available (say, a button). Page | 11 Utilizing QR Code Technology In Encoding Patient Summary List 2012 ? ? ? Upon pressing the button, the software should send the patient information to the emergency department along with the reporting location coordinates. The reporter information may also send (the reporter phone number can be easily gained from the user's phone). To capitalize the benefits, the reporting tool can play a complementary role of a clouded EMR system that is made available for the centralized Emergency unit.If this the case then a link to the QR holder's EMR could be also implicitly embedded and can be easily gain access to be the authorized Emergency staff. Having such system will not only provide a fast, accurate and reliable accident reporting tool, but it'll also help in reducing the redundancy encountered when reporting accidents and emergencies. Another usage of the QR code can be as portable, summarized EHR. Keeping a personal health record encoded in a QR with you when visiting a doctor that is not necessarily a staff member of the hospital where your Medical Record is kept is very helpful.It'll provide the doctor a sufficient answer when the he asks â€Å"what medications are you taking? † It'll save time, effort and the cost of running lab tests and radio-imaging for checking the accurate medical condition since they are encoded in the QR code, summarized, reliable and up to date. Another use could be on some other direction, by the police department. When someone is kept under custody, it would be helpful to avoid unexpected situations can be experienced with the kept person such as infectious diseases, heart diseases, high blood pressure, etc.Knowing such medical information is as much needful as keeping the person in prison, since it help in saving the lives inside the prison (life of the prisoners) and out (keeping the offender in custody). Conclusion We may not be able to stop the accidents from happening, but we are able and responsible to cut the losses and control their tragic consequences as much as we can. The practical knowledge of the medical workers coupled with the knowledge and expertise of the technology experts and developers can result technology-utilized solutions to everyday.In this Page | 12 Utilizing QR Code Technology In Encoding Patient Summary List 2 012 respect, solutions were proposed, researches were conducted and regulations were imposed, every day to best achieve this goal. This paper proposes a practical, non-cost affective, timely solution that can best utilize the widely spread technology â€Å"QR† to help saving lives. This solution can be utilized even more to be a complementary tool for the currently function, or proposed, emergency systems. 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