Health Care Innovation Essay Example for Free

Health Care Innovation Essay Asthma is most common in children it begins at infancy and continues to adulthood. Approximate 40,000 Americans miss school or work. This is costing the United States economies about $56 billion a year. Research companies are coming up with 74 new medicines to treat or present asthma. By producing new medicines it will help reduce the cost of asthma. Asthmas are often described with symptoms of a cough which can be worse at night. Wheezing is a noise heard in the airways this is most common in children who live in urban areas. They may be exposed to the most dangerously cock roach antigens, dust mites or pet danger. The high risk for the children had more hospitalizations unscheduled medical visits. Patients can face multiple barriers to care such as lack of routine pediatrician visits and have no access to asthma specialty care. The benefits patient’s especially preschool children there are a Head Start program in Baltimore Maryland, where all the children in the program can receive services through a pediatric asthma clinic while also learning and educating themselves from asthma educators. The mobile clinic offers asthma examination and prescriptions along with parent education about the disease. The asthma educator does a home visit where he or she explains how the program works and how the parents can learn to communicate with the pediatrician another option would be to offer the family to accompany them to their physician’s office. Each year Breath mobile sends forms home with for parents interested in a visit. The parents fill out the form and have the child bring it back to school the next day. Next the assessment where each child gets a form and the screening comes back with presence symptomatic asthma. The staff reaches out to them to schedule a visit during school hours where both child and parent need to attend. A team of pediatric allergist or pulmonologist comes in with a NP, RN, where the examination takes place with each child. Their main focus is on medical history and testing the child’s lung function. Medications should be taken to prevent any flare up. Families receive asthma education and also to follow up with your primary care physician. Some of the new medicines they are trying out is a momocinioal antibody that inhibits eosinophils( a type of white blood cell) form accumulating in the lungs. Next, a new inhalation therapy that harnesses the body’s natural defense in the airway against asthma. Lastly, a medicine that blocks the pro-inflammatory effect of prostaglandin in allergic asthma. (innovations.org 2012) Another development is with 4 new medicines the first one is reducing eosiophil accumulation which means the white blood cells is important for killing parasites in the body, although it can occur in your lung tissues which will damage the lining of your air passage. Second, controlling pathogens is an inhalation therapy. Third alleviating allergy systems there is a protein called interieukin that plays a role in the symptoms of allergic asthma. The increased mucus may contribute to the airway obstruction. Another one is blocking inflammatory response where the prostaglandin and protein receptor crth2 of allergens will cause imflammorty cells to flare up. I think this asthma innovation will decrease health care spending. By offering more services such as these above more children will be able to breathe better. Their not many appointments scheduled or kept. Some of the children had no change in symptoms. When bringing a mobile clinic it did not change the access of care. Families should be more educated about asthma, and be able to have a community advocate. Let parents choose convenient times include other options for expanding interventions. Every child that suffers with asthma will benefit from this and the parents will be relieved such services existed. This will help them live a happy life and to control there breathing would be helpful also and be able to avoid asthma attacks. In addition the number of hospitals visits for pediatric asthma medical assistance has increased. This is measured by how many ambulatory visits, emergency department use. Since 2000 ambulatory visits are increasing due to disease severity and health care utilization. The youngest boys (0-4 years of age) used ambulatory care and hospital services more frequently than did girls of the same age, but different according to sex decreased to insigifant levels in the 11-17 year old age group. (hing, 2004) Path physiology of Asthma Airway inflammation continues to expand and may be an alliance of many cells types. Asthma can be difficult to diagnosis in infants and toddlers. Wheezing has been suggested as the most important symptom in identifying asthma in disease population studies. (Gergen 1998) With the variety of etiologies, asthma is characterized by heterogeneity. The improved phenotype was to classify the missing compounds of heritability. The term phenotype, as introduced by Johannes and Shull was intended to characterize different â€Å"types† of organisms distinguishable by their observable characteristics (eg, shape, structure, size and color.) New Innovations Along with new research and development of diagnostician wheeze indemnification. A deceiver called Pulmotrack and wheezeometer will help with young children who are unable to cooperate. This device was successful used in brochoprovocation testing in infants. The current asthma inhaler children are using cost effective and it is the safest scientific approach for asthma therapy. While you are at your physicians office the cost is determined by which drug of choice, availability and reimbursement options. The device the doctor chooses should be tailored to their age. With health care spending on this innovation will stay the same? Unless they are able to determine a better treatment for kids. I think parents and doctors should be educated about the risks and medication using. If they do need to change medications for any reason then go back to your physician and have them look it over. Every patient should have a written asthma plan which should include the following: regarding triggers, medications, and emergency contracts. This information should be reviewed at every visit. Intervention is the best out come for asthma patients, whether a school based clinic, doctor’s office, or a parent helps them out. Factors are still missing with regards to epidemiology, pathophysioogy environmental control these have yet to be resolved. Asthma is diagnosed in children from infancy to adulthood it can come from dust mites, air in the environment tobacco smoke. Researchers are studying new ways to treat asthma for patients. In developing new medicines to kill parasites by controlling pathogens while targeting interleukin and environmental allergens. With all this new technology and medicine coming into the future children will be able to have better control over there asthma systems and will not have to worry about it all their life. References Eakin MN, Rand CS, Biderback A, et.al. Asthma in Head Start Children. Effects of the Breathmobile Program and family communications on Asthma outcomes. Journal of Allergy and Clinical Immunology. Published online November 21, 2011. Retrieved from http://www.jacionline.org/article/s0091-6749(1)01622-8/abstract Gergen PJ, Mullay DI, Evans R III. National Survey of prevalence of asthma among children in the United States, 1976-1980. Pediatrics 1988; 81(1);1-7. Hing E, Cherry DK, Woodwell DA, National Ambulatory Medical care survey: 2004. Advance data from vital and health statistics; no 374. National center for health statistics; 2006. Innovation in Action: The Improving Asthma care for children programs. Retrieved from http://www.pediatricasthma.org/Medicaid_managed_care Innovation.org Asthma March 5, 2012. Retrieved from http://www.inovovatioin.org/index.cfm/futureofinnovation/newmedicineindevelopment/asthma.

Evolution of the Geeks Essay -- Essays Papers

Evolution of the Geeks In the past 20th century, the word geek has evolved into many different meanings. The term branched off to create a person with low social skills, often with high intelligence, a person highly interested in computer technology, and a person with a devotion to something that places him or her outside of the mainstream. Geek usually has negative connotations within popular culture, where being a geek tends to be an insult. The term can also be a badge of honor among subcultures, such as the know-it-all of Star Trek. Media dictates popular culture. The television sitcoms I’ve watched growing up all displayed who is the stereotype for a geek. Steve Urkel from Family Matters, Screech from Saved By The Bell, Ross from Friends are some examples. All are viewed as highly intelligent and with low social skills. Yet the word is still evolving and currently is accepted as an honor. Examples of cool geeks of the 21st century are hobbits from Lord of the Rings, Harry Potter, Seth Cohen from The O.C, and Napoleon Dynamite. The consensus of the word geek by the media shapes the society’s minds of what is perceived to be true. The term stereotype is usually referred to be a term of abuse. It gives society a short cut to identify and categorize people. The word also evokes a consensus among all of society. According to the Oxford English Dictionary Online, the word geek was introduced as the lowest of carnival performers, often displaying acts of swallowing live animals. It evolved in the 20th century to represent a person who is highly intelligent yet lacks the ability to socialize. This representation inflicts psychological and social behaviors that often consider geeks as outcasts and victim to abuse from the ... ... taped-up glasses, the 21st century is welcoming the geek to the mainstream. Geeks are adorable, relatable, and provide comic relief. With the following of Harry Potter fans and quirky geek icons such as Napoleon Dynamite, the geek of today is the ultimate cool. Now geeks put the pop in pop culture. Works Cited Lester, Paul M., ed. Images That Injure: Pictorial Stereotypes in the Media. Westport: Praeger Publishers, 1996. Long, Tom. â€Å"Great geek portrayals save â€Å"Dynamite† from its clichà ©s.† Rev. of Napoleon Dynamite, by Jared Hess. The Detroit News on the Web 2 July 2004. 20 October 2004 < http://www.detnews.com/2004/screens/0407/07/e01-201089.htm>. Oxford English Dictionary Online. . Soergel, Matt. â€Å"RETURN OF THE NERDS: Geeks are the coolest things in movies this summer.† Florida Times Union 28 Jul. 2004, city ed., c-1.

Real Property

Question # 1 – What were Birdwell’s options on July 5? Doctrine of Equitable Conversion – once a contract is signed, equity regards the buyer as the owner of the property. The seller’s interest is looked at as personal property. The legal title of the property remains with the seller and is considered to in trust and the risk is on the seller. The right of possession follows the legal title; the seller is entitled to possession until closing.Risk of Loss – there is a split of authority on risk of loss when a contract is signed, equity is passed to buyer through escrow and the risk of loss is on buyer. If property is destroyed before closing, the majority rule places the risk on the buyer. If the property is damaged or destroyed, the seller is to credit any monies from the insurance against the purchase price the buyer is required to pay. Because Birdwell did not rescind the contract he will be required to pay the $90,000 because he did not consult a n attorney and because the real estate agent put a new price on the property of $50,000.However, since the contract was silent at risk, the Uniform Vender and Purchaser Risk Act, Birdwell could request this option. However, neither party had insurance on the property. Here, no one had insurance on the property. If property is destroyed and the seller has insurance, the seller will be required to reduce the sale price by the amount of damage. Because there was no insurance on the property, and the agreement was silent, the risk of loss would be on the buyer and Birdwell’s option would have to be under contract law or marketable title.Statute of Frauds (SOF)– The terms of a land contract must be in writing and signed by the parties, including full names of the parties, words showing intent, a meeting of the minds for the transaction to buy or sell property, the price, and sufficient description of the property. Astor and Birdwell entered into a contract for the sale of R oseacre, which was for $100,000 with a down payment of $10,000 and $90,000 at closing set for August 1. Under the SOF, Roseacre must have a description of the land that is sufficient for identification.Here, there was no description that sufficiently described the land for sale and this would violate the SOF. Because there is no description another option would be to allow extrinsic evidence of property to allow for the description of the land to be added to the contract regarding Roseacre. Here, Birdwell is to be the equitable owner of the land beginning with and during the period between forming the contract and closing. Question #2 –Assuming a Uniform Vendor and Purchaser Risk Act jurisdiction what were Birdwell’s options on August 2 when he finally gets around to consulting an attorney? Marketable TitleBreach of covenant of marketable title and breach of covenants of title is determined by which jurisdiction it follows on equitable conversion or the Uniform Vendor and Purchaser Risk. Under the equitable conversion, equity title and risk of loss passes to buyer as soon as the contract is signed. Seller could force buyer to pay and take titled to the damaged property. Under the Uniform Act, seller retains the risk of loss until title or possession passes. Buyer can rescind and sue for restitution of the deposit. On August 2, Birdwell cannot rescind the contract because he can only sue for breach of warranty of marketable title.Because closing is done and completed under the Uniform Vendor and Purchaser Risk jurisdiction, Birdwell’s attorney would advise that he has taken legal title or possession of the property and would not be cleared from his contractual duty. Here, because, Birdwell has the deed and because of an accident and the property was completely destroyed and a new value placed on the property, this would be a loss and Birdwell would have to sue under covenant of title. Question #3 – When Birdwell discovers the gas bil l August 15 what are his options? Usual Covenants in General Warranty DeedA general warranty deed contains covenants of title warranting against defect in title, including defects by predecessors. A general warrant deed contains three present covenants and three future covenants. The present covenants are breach if all at the time of the delivery of the deed. The future covenants run after closing. If one of the covenants is breached Birdwell may recover damages from Astor. A. Present covenants are breached if at the moment the deed is delivered and personal covenants are personal and do not run with the land for the benefit of the successor.Seisin the present covenant warrants that the seller of the property owns the property that they claim to convey. Right to convey warrants that the grantor has the power to convey the property and that there are no restrictions on the power of the seller to convey power. Against Encumbrances warrants that there are no easements, servitudes, or m ortgages on the land. Here, Astor breached the present covenants when the deed was passed and he knew that the property had a lien against it. Because of these facts there is an amount owed of $1500 and $750.B. Future Covenants are breach if after the grantee’s possession of the land is disturbed, and then the future covenants may not be breached at the moment of the conversion and can be breached later. Future covenants run with the land and can be enforced by purchasers. Because Astor broke Birdwell’s future covenant when he shows the property to Clifford, this would breach Birdwell’s covenant of quiet enjoyment. Quite enjoyment warrants that the grantee will not be disturbed in the possession by a third party’s lawful claim of title.Here, Birdwell’s deed is defective and damages are recoverable for breach of covenant against encumbrance, which is the difference in value between the land without these encumbrances and land with encumbrances. The lesser amount would have to be paid by Astor. Question #4 – On September 1 Birdwell has still not been unable to successfully get a resolution on the dispute over Roseacre. What are the chances of claiming his deed valid and Clifford is not a Bonafide Purchaser? Bona Fide Purchaser is someone who pays for the value for property and takes title of property without notice of any preceding claims.The notice statute requirement is that the party must be a bona fide purchaser and that party takes their interest without the notice. Here, the subsequent purchaser Clifford’s deed will prevail. Taking without Notice – Clifford inquired if about if there were any liens and he was told there were none by Astor. Therefore, he did not get actual notice and the deed was not recorded, unless there was inquiry, constructive notice will prevail. Constructive Notice exists if a prior claim was properly recorded within the chain of title so that a subsequent purchaser will be char ged with notice of claim.A reasonable search is required of the purchaser of records such as the tool Tract Index or the Grantor-Grantee index. Here, constructive notice would exist because Birdwell did not record his deed, this show Clifford did not get proper notice. Inquiry notice is something that arises that could cause a reasonable person to be on notice and the Grantee is responsible to know if anything that a reasonable person would reveal. Even though during the inspection of the property, Clifford noticed different signs that stated â€Å"sold† and he also saw a construction crew working.This was observed prior to Clifford making an offer. Quiet title – Birdwell has two options one a title dispute, therefore in a quiet title action, a court proceeding removes any clouds or encumbrances on the title to real property to establish new ownership of the property. Here, Birdwell did not record the quiet title and there was a failure to clear title after making paym ent to Astor. Because Astor did not convey a deed to Clifford, the court will have to decide the recording based on the recording statutes above.

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