Patient Advisory Board Internship

Patient Advisory Board Internship Patient Advisory Board Internship at Zuckerberg San Francisco General Hospital For this cooperative education project I have chosen to write about my internship at Zuckerberg San Francisco General Hospital (ZSFGH). I was chosen for this internship from a pool of pre-medical student applicants based on my resume, letter of interest and in person interview. The work was advertised as needing someone to run the formal Patient Advisory Board Council (PAC). I wasnt aware until my interview with the Medical Director and Floor Manager that I would be doing much more than running a once a month meeting. I would also be in charge of recruiting new members to the PAC, seeking out presenters and providers wishing for patient input, enrolling patients in and training them to use the online SF Health Network Patient Portal, running the monthly Diabetes in Motion Clinic, and doing various other small duties around the hospital. I had to commit to being available 30 hours a week that were flexible but must include Fridays. I was excited to be chosen for this opportunity to ha ve great potential in improving patient health and satisfaction at ZSFGH, San Franciscos community safety net hospital; while also growing my own knowledge of what it takes to provide high quality health services to underserved populations. Before being allowed to start my volunteering duties there were many steps I needed to tackle to be eligible to work with patients, both for my own safety as well as theirs. I had to find time to go to the hospital to procure blood work and testing to be sure I didnt have Tuberculosis or a list of other communicable diseases. I was required to take just over 10 hours of training geared to helping familiarize myself with the layout of the hospital; in addition to how to safely interact on a daily basis with the unique population at ZSFGH. My learning objectives were to understand what I would need to do in my daily work to knowledgably comply within HIPAA rules and NIH safety protocols. Method For my content for this report I performed research on site at my Internship. ZSFGH has an extensive medical library that is free and open to the public. The librarians are well versed in what is available in the event that I had any questions arise during my time there. The Volunteer Services Office also stocks many resources that are available for learning about how best to care for patients wellbeing and properly protecting their personal information online and in daily hospital interactions. I utilized both of these resources in my off-volunteer hours either before or after doing internship qualifying hours. Discussion Literature Review Initial Onboarding In order to be able to be an official volunteer at ZSFGH, I had to complete their online Volunteer Orientation Course. This took about 2 hours and was helpful in walking me through the layout of the SF Health Network as well as the buildings where I would be working. Also outlined were the health requirements of all volunteers in the network requiring blood work and vaccinations. After completing those steps I was assigned a volunteer identification number to be able to log my Internship hours and a badge identifying me as a Volunteer that also shows which clinic I am a part of, my flu-shot status and lists the hospital wide emergency response codes for easy reference. In order to be useful in my positions I needed to learn about the San Francisco Health Network Primary Cares missions and vision for providing the highest quality primary and preventative care to adults, regardless of ability to pay. There are 4 main aims of the clinic that follow from building a foundation of healthy, engaged, and sustained primary care workforce. To ensure an excellent patient experience, optimize access, operations and cost-effectiveness, have sustainable patient centered care and finally, to improve the health of the patients served. The specific clinic I was hired to do my internship with was the Richard Fine Peoples Clinic General Medicine Clinic (RFPC-GMC). This is a clinic consisting of mostly low income, homeless and immigrant patients. The Volunteer Services Office at ZSFGH assisted my learning about patient information security by providing some short video training from the SF Department of Public Health. (Public Welfare, 2009) This helped me learn what information qualifies as needing to be private and secured; treated as sensitive and protected health information. There is an established national set of standards for identifying protected patient health information (PHI) such as a patients demographic data relating to past, present or future medical needs. (The Health Insurance Portability and Accountability Act of 1996) It is anything that can be used to identify patients such as their first or last name, medical record number, phone numbers, email addresses, date of birth, Social Security Number or a ddress. Rules for handling such information is that you must never store PHI on an unencrypted computer, a flash-drive or take home files with PHI. If necessary for an email this information must be encrypted and titled as Secure. Written information must be disposed of in the locked to be shredded bins when no longer needed. Information can be stored on the provided work computer server only accessible by UCSF ward computers. (Burnap, 2012) Unlike a Kaiser or Sutter insurance network hospital or clinic, the SF Health Network is part of the citys health system that provides a significant level of care to low-income, uninsured, and vulnerable patient populations. ZSFGH is a unique in that it is also a training hospital tied with UCSF. Patients benefit from cutting edge training for their Doctors and Residents as well as generous philanthropic funding that the University benefits from annually. A large part of ensuring patient self-empowerment lies in building their networks and increasing accessibility to services, which this funding can bring. (Corburn, 2007) Patient Advisory Council Prior to working within the SF Health Network I was not aware that there were 26 clinics across the city. This aids in vastly improving patients access to care in or near their own neighborhoods. Each clinic was challenged with starting their own PAC in 2016. There are now 21 PACs across the city for various different types of clinics and patient populations including 2 in Spanish and 1 in Mandarin languages. Prior to instating these PACs much of the average providers knowledge of patient satisfaction was just word of mouth. The main motivating force behind coordinating clinic PACs is aimed at inviting longtime and new patients to provide input for quality improvement projects from the ground floor. Assessing involvement at the direct patient level can lead to fast strides in community health improvement. (Dannenberg, 2008) I was responsible for the outcome of the Richard Fine Peoples Clinic PAC. I needed to work on recruiting new and diverse members to the team and learn how to lead a group of people that is outside of my everyday socio-economic peer group toward a common goal. I looked to resources for what has worked for other projects for medical recruiting methods prior to mine. (Dannenberg, 2006) I had to coordinate presenters and inquiring providers to ensure that the board provides helpful information to both patients at the clinic and those within the larger health care network. While the focus was on our individual clinic, there is also a hospital wide PAC that was able to push forward any ideas we might have that would benefit the entire hospital population at ZSFGH. In addition to organizing the agenda for the PAC meetings, my duties involved gathering information from patients and providers that generated from our meetings to then enter them into other systems and/or up-channeling ideas inv olving specific patient populations and their recommendations and desires. Some more recent accounts of improving health at one community level have shown to have a positive impact on the entire city. (Bhatie,Corburn, 2011) I kept meticulous records of all agendas and minutes of every meeting for all attendees records as well as past and future reference needs of progress. I was also assigned to help the RFPC Residents on their new project concerning the SF Health Networks Patient Portal. They tasked me with recruiting current patients to enroll in the waiting room. The Patient Portal is a tool for empowering patients to be proactive regarding their own health. Most of my patients are housing insecure so I had to seek out examples of positive outcomes of patients evolving from homeless to housed and how to be aid those in transition. (Kessell, 2006) A few strategies for recruiting new patient advisors, portal users and clinic class attendees were given to me by the previous Intern that I was replacing. I had to meet quota goals for portal enrollees, training and tracking; recruit new patient users in clinic for the online Patient Portal and do some data entry for tracking contacts, new enrollees and demographics. I had to figure out the best way to narrow down how best to contact clinic patients to arrange one on one training sessions for the online Pa tient Portal. I looked into ways in which your immediate surroundings can shape your ideas of your own perceived ability to achieve healthy outcomes as guiding the ways I would approach patients. (Cummins, 2005) To keep the PAC running, I needed to also book conference rooms for upcoming meetings and was able to book a nice meeting room through December 2017 for ease of transition for the next intern. I made reminder calls and sent out an agenda one week prior to meetings to those members with access to email. I collaborated with members to see what topics they are interested in learning more about for upcoming meetings as I was responsible for coordinating them with presenters. (Dearing, 1996) I surveyed members about what their favorite snack foods were so I could best provide for our meetings. I was allowed to spend $50 for each meeting so we had quite an assortment of foods, all within reason of course as we are promoting healthy lifestyles after all. I guided the meetings but also recorded notes for action items to follow up on as well as to write minutes for future reference as available to the public. Diabetes in Motion Clinic The SF Health Network also has a Community Wellness Program branch that allows for patient learning on a variety of fronts from smoking cessation lectures to Zumba classes and nature walks. The Wellness Programs are offered at several clinics across the city and aim to provide and promote innovative services to staff, patients, their families and all San Franciscans. They are designed to be accessible culturally and linguistically as well as to all physical ability and/or limitation levels. The classes that are part of the Working on Wellness (WOW) Healing Moves, Active Living Initiative are open to all and free of charge. Another important part of my duties was to also work on chronic disease group visits in the diabetes clinic. It was important to help try and understand the unique hurdles specific to this particular patient population. (Bhatia, Seto, 2011) The Diabetes in Motion (DIM) Class was an extra duty inherited by me as the previous Practice Manager moved to Hawaii and requested that the incoming PAC Coordinator (me) adopt the class. This 2 hour class was held once a month and tasked with helping those with Diabetes, the pre-Diabetic and their caregivers better understand how to help improve their conditions. I noticed immediately that there might be low attendance, only 5-10 attendees, due to a lack of a unified agenda across the year of these classes. I researched ideas of how living in an urban environment can impact health and wellness differently than a more rural setting for insight into health problems. (Bodea, 2009) I decided that we would try breaking the class into 2 portions, a movement portion (due to the title) and a healthy eating portion. There was no dedicated staff and, as we had plenty of funding left in the available grant I was able to hire 2 local instructors. I hired Sylvie Minot, leader of the Syzygy Dance Project as an Exercise Instructor and Catherine McConkie, Founder of The Caregivers Table as our Nutritionist. Ms. Minot was able to lead progressive movement exercises that were accessible to all levels of mobility incorporating yoga, stretching and dance movements. The importance of exercise is shown across the lifespan. (Bauman, 2007) During the exercising portion of the class she would lead a discussion about the importance of incorporating movement throughout daily life. (Saelens, 2003) Ms. McConkie would follow for the second half of class with easy and affordable food ideas that she made during the class so the attendees could participate. In addition to making healthy options accessible, she would also pass around ingredients that might be new or unusual for the patients and discuss why certain foods are good or bad to eat. Eat Better, Feel Better! Colorful Choices is a San Francisco Health Service System program aimed at adding more fruits and vegetables to daily routines. I was able to team up with them for our classes to provide free fruits and vegetables to attendees. (Drewnowski, 2004) A $25 Safeway gift card was given to the first 22 participants that stayed for the entire class. Participants were able to take home a bag of food to make the recipe presented in class, for any who could not afford them on their own. (Kim, 2006) I created and distributed English and Spanish language flyers throughout the hospital as well as purchased the patient incentives, organized an agenda with the instructors and ensured 2 interpreters (Spanish and Mandarin language) could attend. Following each class I gathered receipts from all 5 of us leading the course to submit to our grant overseer for documentation and reimbursement. Our attendance went from a low average to roughly 30 patients per class in just 3 months. Patient Portal In addition to putting together the DIM and PAC monthly meetings I was assigned to work with the RFPC Residents that were writing a research paper on empowering patients to improve their own care knowledge. The biggest aspect of this was increasing patient awareness, enrollment and use of the SF Health Networks Patient Portal. This online tool enables patients to see all of their most recent and up to date data from any meetings with providers as well as testing and results. Not only can this aid individual improvement through expanded knowledge of care but it also provides an easily accessible list to give to out-of-network providers. The system also newly rolled out the ability to email your assigned provider. The system self regulates to ease provider burden by immediately rerouting easily accomplished tasks such as appointment scheduling or refill requests before any emails actually go to the provider. Initially, I was tasked with 10 hours per week of recruiting new enrollments in the Patient Portal system by visiting with people in the waiting room. With an iPad in one hand and flyers in multiple languages in the other, I spoke with each patient on hand to see if they were aware of the program and would like to enroll if not already. I tracked demographics for the residents as well as number enrolled by me or already. I also had proxy forms available if someone wanted their child or spouse etcetera to have access to their information due to any learning disabilities or language differences as the system is only currently in English. I was able to use Google Translate as well as my flyers in 6 different languages to speak with everyone in the room one by one. After doing this for 2 months the residents decided I should transition to training users to increase the amount of actual users of the system once enrolled. I utilized the electronic Clinical Works application (eCW) to resear ch which patients were already enrolled in the Portal. I would then call patients with appointments on a particular day for the next week as determined by the Residents until I found about 10 people willing to meet with me before or after their appointments. Together, we would then walk through accessing the system and what benefits and uses it provides to the patient. I would send training videos to anyone I spoke with that wasnt interested in meeting in person that they could view on their own if they so wished and they had access to my UCSF email if they had any further questions arise. The largest barrier to increasing user numbers or active users for the Patient Portal ended up being access to electronics and language barriers. The specific patient population at RFPC has phones that may or may not be web-enabled and a lot of them do not have computers or are computer savvy. In meeting with patients I was able to teach them how to recover their login information and perform simple computer navigation. I provided introductions to the hospital library where free computers are available all day that I had never seen full. The system is eventually scheduled to be accessible in Spanish and Mandarin sometime next year. Extra Tasks There were some one time tasks on my plate as well. I needed to accomplish the yearly update of the Clinic Care Team Boards. All of the providers are divided into one of three color care teams to help ensure that, even if you cannot visit your assigned Doctor, you will see someone familiar with them and your file. The previous boards were on a small black and white listing with a few pictures. I used the Adobe program InDesign to organize everyone by provider type, team, procured color head shots of all providers and found a local print shop to print each team board on a 3 x 5 color poster. I also needed to keep the waiting room stocked of specific informational flyers and magazines every few days. Results Participants Adult patients I was able to add to the PAC were recruited through various methods. Informational flyers were posted in the waiting room and at the pre-appointment health screening station. Providers were encouraged to mention the Council to patients they felt were well informed and/or had the desire to work on quality improvement projects for the Clinic. Most respondents that became full time members of the Council were older adults, 45-72 year old, 4 women and 6 men. Participants were compensated $10 and offered free food (cheese, meat, crackers, fruit, veggies, cookies and water) for their 90 minute participation at each meeting. 3 of the members additionally qualified for free Muni transportation vouchers and 1 for free parking passes. All participants were asked to read the agenda sent to them one week prior to each meeting to prepare any questions or ideas they might have on each topic scheduled to be addressed. Accomplishments Weve been able to get funding to remodel the waiting room with more comfortable furniture, a new color of paint on one wall (blue instead of white) and wall hangers to provide information of free local services available throughout the month. Weve also spearheaded projects such as surveys to fill out prior to your appointment while you wait in the waiting room and converting the waiting room television from daytime drama shows to clinic specific informational ticker that rotates from a video documentary about the namesake of the clinic to various free or affordable services offered throughout the city for the current month. Starting in April, we will be part of the coordinated effort to have Food Pharmacies across the network. In partnership with the SF Marin Food Bank, patients will be able to get a bag of free and healthy food after their appointments. PAC members will be available once a week to assist. Another issue raised was of transit safety. One of our members was on disability due to having been run over by a vehicle while she was legally using a crosswalk. The incident left her unable to work for over a year while undergoing multiple surgeries and a lengthy recovery. We had several presenters come to a meeting to get insight from our patients in regard to possible pedestrian improvements. (Mejia, 2017) The PAC raised money to have a portrait painted of our Clinics namesake, Dr. Richard H. Fine that it is to be hung in the waiting room. We are waiting on the display box that is being made to keep it displayed securely. Dr. Fine founded the General Medicine Clinic at ZSFGH, one of the first outpatient clinics in the nation at a Public Hospital that provides health care to underserved populations. He ran it for 25 years. To recognize and thank Dr. Fine for his acute discernment of patient needs, the General Medicine Clinic (GMC) was renamed as the Richard H. Fine Peoples Clinic (RFPC) in August of 2015 three months before his death. There is a wonderful documentary about his life that I was able to show the PAC members at the end of one of our meetings. (Biker with a Moral Compas: Dr. Dick Fine and the Evolving Culture of SFGH http://mission-healthequity.blogspot.com/2015/07/moral-compass.html) I was able to establish more clear and concise PAC values and guidelines as none had been expressed in writing prior to my tenure as leader. We were to work in partnership and collaboration to address systemic issues versus individual situations. We would do so by working in partnership with the clinic management to support the clinic mission and vision. We would represent the diverse socioeconomic and cultural needs and perspectives of RFPCs patients. We would seek the input of other patients to broaden perspectives. We also established term limits to facilitate turn over and diverse patient representation. Our meetings would create and maintain a safe environment for all members and guests to share ideas and points of view. Respect would be given to the confidential nature of information received at the meetings and we would review and sign HIPAA confidentiality agreements and release forms annually as opposed to only upon initial recruitment. As the PAC coordinator I worked hand i n hand with the Clinic Champion, Mr. Michael McGuire who, as the Practice Manager of RFPC was the link between the PAC and clinic leadership. He was able to provide some assistance to help me coordinate with staff and providers to ensure successful collaboration on PAC initiatives help me ensure progress was being made on PAC projects. DIM The grant to fund the DIM Clinic was picked up for renewal for next year and the instructors I chose were invited to stay and wished to do so. The dramatic increase in attendee numbers rose from 5 or 10 to upwards of 30 under my tenure. We received a lot of positive feedback from patients with successful weight loss and blood sugar stabilization. Patient Portal Recruiting Training I was able to interact with 815 patients in the waiting room and successfully enrolled 230 new Portal users. For online, in person training I spoke with 87 patients over the phone and met one on one with 34 for individualized training. This data will be included in the Residents research paper as well as my experiences with what the patient population specific challenges were for our Clinic. Conclusion I was able to impart some positive change within the community of ZSFGH during my Internship. I also learned several important lessons such as how communication can be difficult at times but its helpful to try to display an open and approachable demeanor. Patients may be upset when they do not receive what they have requested from staff, but remaining clam and expressing compassion can help diffuse and redirect the situation. Because of Dr. Fines close connections to the community, he was able to hear about subsets of people who were not seeking health care and make visible what was invisible to many. I am happy to have been a part of so many diverse projects to assist disenfranchised and marginalized populations of San Francisco. Empowering patients to be proactive about their own care and the outcomes they wish to see has been my main take away from this internship. Helping patients to see ways to incrementally improve their own physical and mental health can not only save money in treatments not needed down the line but also be the first steps towards becoming more independent and being well enough to provide their own income and stable housing. While the community wellness programs in San Francisco promote interventions aimed at addressing lifestyle issues such as diet and smoking, they also recognize the ways in which social determinants of health such as housing status, neighborhood safety, and access to affordable healthy food play a critical role in wellness promotion and encouraging healthy lifestyle choices. With this in mind, I worked to incorporate strategies such as public health education and advocacy in addressing poor health outcomes during my Internship. References Bauman A, Bull F. Environmental Correlates of Physical Activity and Walking in Adults and Children: A Review of Reviews. London: National Institute of Health and Clinical Excellence; 2007.Bhatia R, Corburn J. Lessons from San Francisco: Health impact assessments have advanced political conditions for improving population health. Health Affairs. 2011 Dec:30 (12):2410-18Bhatia R, Seto E. Quantitative estimation in Health Impact Assessment: Opportunities and Challenges. Environmental Impact Assessment Review. 2011. DOI:10.1016/j.eiar.2010.08.003Bodea TD, Garrow LA, Meyer MD, Ross CL. Policy and Practice: Socio-demographic and Build Environment Influences on the Odds of Being Overweight or Obese: The Atlanta Experience. Transportation Research Part A 2009:43(4):430-444.Burnap P, Spasic I, Gray WA, Hilton JC, Rana OF, Elwyn G. Protecting patient privacy in distributed collaborative healthcare environments by retaining access control of shared information. International Conferenc e on Collaboration Technologies and Systems. 2012:490-497 DOI: 10.1109/CTS.2012.6261095Corburn J, Bhatia R. Health Impact Assessment in San Francisco: Incorporating the Social Determinants of Health into Environmental Planning. Journal of Environmental Planning and Management. 2007 May:50(3):323-341Cummins S, Stafford M, MacIntyre S, Marmot M, Ellaway A. Neighborhood environment and its associations with self-rated health: evidence from Scotland and England. Journal of Epidemiology and Community Health 2005 59:207-213.Dannenberg A, Bhatia R, Cole B, et al. Use of Health Impact Assessment in the United States: 27 Case Studies, 1999-2007. Am J Prev Med. 2008 Mar:34(3):241-56Dannenberg AL, Bhatia R, Cole B, et al. Growing the Field of Health Impact Assessment in the United States: An Agenda for Research and Practice. Am J Public Health. 2006 Feb:96(2):262-70. Dearing JW, Rogers EM. Agenda-setting. Thousand Oaks, CA: Sage. 1996:5-20 Drewnowski A, Darmon N, Briend A. Replacing fats and sweets with vegetables and fruits a question of cost. American Journal of Public Health. 2004 94(9):1555-1559.Kessell ER, Bhatia R, Bamberger JD, Kushel MB. Public Health Care Utilization in a Cohort of Homeless Adult Aplicants to a Supportive Housing Program. J Urban Health. 2006 Sep:83(5):860-73Kim D, Kawachi I. A multilevel analysis of key forms of community- and individual- level social capital as predictors of self-rated health in the United States. Journal of Urban Health 2006 83(5):813-826.The Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191 ÂÂ § 261-264Public Welfare, Department of Health and Human Services, 45 C.F.R. ÂÂ § 46 (2009). (C.F.R. is the Code of Federal Regulations) Mejia, P. Beyond the Traffic Report: The News About Road Safety and Vision Zero in San Francisco. Berkeley Media Studies Group. 2017 Jan:3-12Saelens BE, Sallis JF, Frank LD. Environmental correlates of walking and cycling: findings from the transportation, urban design, and planning literatures. Ann Behav Med. 2003;25(2):80-91.

Guide to Hardware 6e Ch 9-7 Questions

Class: CET1171 PC Service and Support IInstructor: Mr. Hudson Date: 4/20/2013 Chapter 7 Reviewing the Basics 1. Support, Service, Retail Associate, Bench, and Helpdesk Technician 2. Bench Technician 3. Patient, Positive/Helpful Attitude, Good Listener, Professional, Dependable 4. Try to resolve over the phone prior to making an appointment, at least address the problem 5. Let them know. Apologize and arrange new date and time 6. Start by stating your name, and then ask them to explain the problem to see if you can assist you. 7.Ask for permission first 8. Put everything back together the way it was and clean up any mess. Then explain to the customer what you did and what was malfunctioning after that verify that everything is working 9. Treat other as you would like to be treated. 10. No 11. Go over the basic questions and re-ask the customer so you can fix the problem. Ask the co-worker 12. Kindly ask them if you could use a local telephone to aid you in getting the repair done 13. Tell then who you are and who you work for. Then ask for their name and how may you help them. 4. Be specific With your instructions 15. Don’t argue with but find something that you can both agree on to ease and comfort the customer. 16. Be organized and know your limits with other fellow co-workers 17. To actually see how you talk over the phone and if you have the right personality traits to be successful as a help desk tech 18. To collect evidence, this includes exactly what, when, and from whom evidence was collected, the condition of this evidence, and how was the secured while it was in your possession. 19. To connect to TV cable boxes 20.To input to the PC using HDMO port, you can use a video capture card that has an HDMI input port. 21. CAD workstation 22. NVIDIA Quadro 23. 6 24. To provide a virtual desktop for users on multiple client machines Thinking Critically 1. A 2. B and C Chapter 8 Reviewing the Basic 1. Hardware 2. Blue Screen of Death 3. One short beep or n o beep 4. Power Supply or Filing Hard Drive 5. Administrator Account 6. To keep the board from touching the case 7. Check the BIOS 8. Don’t set a tower case directly on thick carpet because the air vent on the bottom front of the case can be blocked. 9.Purchase plastic keyboard cover in a dirty or extremely dusty environment. 10. Because some batteries can contain silver oxide, mercury, lithium, or cadmium and are considered hazardous waste 11. Return in to the manufacturer or dealer to be recycled. >>Thinking Critically 1. C and B 2. A 3. C 4. C Chapter 9 1. 48 2. 32 bit, 128bit 3. it transfers information from the client to the server. 4. Private IP address 5. class b 6. class c 7. Public IP addresses are licensed and authorized to use the internet. Private IP addresses are not authorized or licensed to use the internet.A computer with a private IP address uses a proxy server to access the internet. 8. IP addresses that begin with 192. 168 are private IP addresses. 9. Stati c IP addressing 10. The IP address was automatically assigned by windows when it failed to lease an address from the DHCP server. The computer received an APIPA IP address. 11. The mac address 12. ISATAP, Teredo, 6T04 13. Global address can be routed on the internet. These addresses are similar to IPv4 public IP addresses. Most global addresses begin with the 2000::/3, although other prefixes are being released.The /3 indicates that the first three bits are fixed and are always 001. Link-local address can be used for communicating with node in the same link. These addresses are similar to IPv4 private IP address and most FE80::64 14. 64- bit, 1111 1110 1000 0000 0000 0000 †¦.. 0000 15. Unicast address 16. DHCP server 17. Connection- oriented protocol and UDP 18. The SMTP protocol is used to send email to a recipient’s mail server, and the POP3 or IMAP4 protocol is used by the client to receive. 19. HTTPS 20. IMAP4 21. NAT 22. LDAP 23. SFTP 24. Desktop and Remote Assistan ce 25. 802. 11n 26. WPA

Hedda Gabler Response Questions

Why is Head so cruel to other females in the play? Does she treat women differently from men? * I think Head is so cruel to other females because she wishes she was them. She wishes she had the life and the relationships they have with other men. She wants the attention that she believes that other women get. Head is so similar to Regina George, a character in the movie Mean Girls. Regina George loved all the attention and love from everyone but it still wasn't enough.The moment others darted to get the attention that she felt was hers, she wasn't happy. She did whatever it took to get attention back on her. No matter how drastic. Do you think Head is pregnant? * I think Head is pregnant for several reasons. One reason Is her hatefulness and the increase of her hatefulness. Pregnant women are often hormonal and In pain, thus making them hateful most of the time. Head is constantly hateful and a pregnancy would explain everything. Another reason is when she burned the manuscript; it w as like burning George's baby.I feel like In Head's mind, burning the manuscript symbolizes what she would like to do with an actually child because she probably hates children as much as she secretly hates herself. The final thing that makes me wonder if Head Is pregnant Is the fact that she kills herself. If we go with the assumption that she hates children, why would she put herself through the pain and body changes that she would have to go through to birth a child she doesn't even want? So killing herself would get rid of the child as well as end her life so she doesn't have to live with her poor decision.

Public Perception of the Police Essay - 1471 Words

Abstract The media portrayal of policing is filled with both positive and negative representations of police work. As a result, a complex relationship exists between media consumption and public attitudes towards the police. The purpose of this study is to test the impact that media consumption has on attitudes toward police misconduct. The research design proposed for use in this study would be the experimental design, a two-group, posttest-only, randomized experiment. Introduction The public impression of police use of force, as brutality, in modern day policing continues to be a sensitive issue for law enforcement agencies across the nation. Police agencies across the United States deal with accusations of misuse of force on†¦show more content†¦This journal article discusses data on various types of less then lethal use of force weapon systems and the effect they have on the suspect and the officer who was forced to use it. It examines the future of police action and new advances in suspect restraint systems (Albert, 1999). Research Methods The research design proposed for use in this study would be the experimental design, a two-group, posttest-only, randomized experiment. There are several demographic variables to consider such as race, gender, age, household income, education, victim of crime, victim of violent crime, charged/arrested for a crime, etc., which will be included in the analysis by utilizing content analysis and a coding system. By utilizing content analysis we can learn a great deal about popular culture and many other issues through studying the characteristics of messages delivered through the mass media (Bachman Schutt, 2007). In order to alleviate the problems of creating a coding process only highly trained and qualified personnel will be utilized to create and administer this study. The two groups created for this study will be randomly selected adults of the general population. One group will have access to the use of force documentation, to include the law enforcement agencies summary of e vents, as well as the media’s portrayal of the incident. The comparison group will only be provided with the media’s various news reporting of theShow MoreRelatedThe Public Perceptions Of Police Department1372 Words   |  6 PagesThere are many possible solutions that will help change the public perceptions of the police. These solutions consist of the use of social media, training chiefs to be stronger leaders, and annual in-service training for the officers. The use of social media, such as department Facebook pages has many great benefits. 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In these districts, trust is also a driver for the implementationRead MorePublic Perception On Police Profiling Essay1699 Words   |  7 Pagessignify that the U.S. does not have barriers that hinder African-Americans and other people of color from accessing opportunities or that we live in a color-blind society – in which race is not an issue. However, public perception on police profiling and the fairness of our justice system, public support for Donald Trump’s discriminatory ideologies, and racist actions by fraternities at universities illustrate the prevalence and continuity of racism in the U.S. Thus, to address the way in which racismRead MoreRealtionship Between the Media, Public Perceptions of Crime and Police1553 Words   |  7 PagesWaid-Lindberg, Weinrath amp; Shelley, 2012). Despite a decrease in crime rates, citizens of both the United States and Canada still have a high fear of being victimized. One theory suggests that increased fear is a direct result of an individual’s perception of the risk to being a victim. This can occur because of one’s past victimizations or through media exposure of crime also known as indirect victimization. Individuals learn of local crime, national crime and even world-wide crime events throughRead MoreMinority Attitudes Towards the Police and Public Perceptions Essay1179 Words   |  5 PagesLiterature Review: Minority attitudes towards the police and public perceptions Introduction-Background-Problem Individuals who seem to be more unhappy with police are African Americans. But there is little to no factors that truly engage citizens view of the police Brown and Benedict (2002). The specific parts on attitudes are reliable, but the literature seems to lead to mixed signals based on other variables Weitzer and Tuch (2002). Perceptions of the police includes factors like personal experienceRead MorePublic Adherence And Compliance With Law Enforcement Essay1516 Words   |  7 Pagesin the police has been said to determine public adherence and compliance with law enforcement. Moreover, public perceptions of, and experiences with the police have played a critical role in police effectiveness (Beck et al. 1999), and in order for police to prosper and adequately function, they require public support. To date, there have been adequate research and investigations conducted on the level of confidence and general public perception on the police. Perceptions were based on police abilityRea d MoreCrime Data And Its Effects On Victims And The Public Essay1597 Words   |  7 PagesIn the opinion piece by South Australian Police Commissioner Gary Burns (Burns, 2013) provides the reader a somewhat brief insight and view of crime reporting within South Australia and the perceptions of crime within the state. Commissioner Burns provides the reader with his personal view of his frustrations and concerns which are: †¢ the public’s perception in regards to crime statistics within South Australia through media and social media; †¢ his frustrations at the lack of reporting of crimeRead MoreCrime Data And Its Effects On Victims And The Public Essay1627 Words   |  7 PagesIntroduction In the opinion piece by the South Australian Police Commissioner Gary Burns (Burns, 2013) it provides the reader a somewhat brief insight and view of crime reporting within South Australia and the perceptions of crime within the state. He provides the reader with his personal view and concerns which are: †¢ The public’s perception in regards to crime statistics within South Australia through media and social media; and †¢ His frustrations at the lack of reporting of crime and the reluctanceRead MoreRacism In Public Space Essay1287 Words   |  6 PagesLife is very difficult in public spaces. It not only has the twists and turns but, for minorities, is racist. Ever since the slave days, African Americans have known to be cautious around police. A few decades ago, the Jim Crow laws legalized separation of races in numerous public spaces. Most blacks have had to adapt to racism and profiling, which is by police due to the white majority in American cities. The recent epidemic of police shootings has made the situation even more worrisome. One canRead MoreMass Media And Its Impact On Society928 Words   |  4 Pagesthey received unto others. Whether the information be about politicians, world affairs, and or the police, we, as society, do believe what we see and hear, though we often don’t question or ponder the validity of such information. This research was created in order to contribut e insight on how our perceptions of police are crafted by the information we receive, but this insight isn’t limited to the police and we should we question what we receive, for provided information may not be necessarily true