Information Technology in India Essay Example for Free

Information Technology in India Essay India is one of the great standup country in the field of science and technology. every year india produces more than 500 thousands engineers. No doubt it is a bulk producers of scientists and technologists. Information Technology remain the backbone of the economical growth of India. and you can see it from the observed facts of exports. The share of IT in exports has increased by 17% from 1990 to 2001. IT based sectors such as Backoffice, remote maintainence, accounting, public service, medical, insurence and other bulk processiong fields are rapidly expending. Indian companies such as HCL, WIPRO, INFOSYS, TCS are todays tough competitors for the other IT organizations. History of Information Technology in India The setup of IT in India was done by the Tata group in association with the Burroughs at Mumbai in 1967. The first software export zone SEEPZ was setup in 1973 this was what we can call the old avatar of the IT parks. at that time 80% of indias software were exported from there. The indian government baughtEVSEM computers from soviat unions in 1968 which was used in big organizations only for the technological and scientific researchs. After the freedom of india in aug 1947 it was an economically beleaguered country. but due to the efforts of PM late. sir Jawaharlal Nehru india very repidly become a wide scientific work-field, such big that it was ranked 3rd after the USA and Soviat Unions. But due to the production of more engineers then country can consume the number of emigrants increased and this supported forigen countries to get a large step ahead from india. The most of the helping hands in the USs scientific and technological improvement was Indian, in association with the californias silicon valley. During this time the creation of new organization was in progress. with enhancement of IT in india some well known groups stood-up some of the names are, National Informatic Center, Tata infotech, Patni Computers, Wipro, Infosys etc. In 1991 Department of electronic created a corporation called Software Technology Parks of India which are owned by govt. of India. They provide VSAT communication. and after 1993 Govt. allowed pvt. companies to own dedicated links. VSNL was first to introduce Gateway E-Mail service with the 64kbps leased line service. It was the ministry of Atal Bihari Vajpai who significantly improved the IT in india by placing development of IT in the five major priorities and form National Task Force on IT and software development. and within 90 days of the creation of NTF the suggested 108 recommendation for IT sector. And new telecommunication policy IT Act 2000 was created for legal procedures of electronic transaction and e-commerce. Present Day Situation The present day situation of IT is a bit down due to the recession occurred in the market some year back but India is recovering very soon and IT sector id again on its running speed toward the progress. In the 2010 the economical revenue from the outsourcing operation of IT industry was US$ 54.33 billion which is greater then the other Asian country. and this revenue is expected to be raised up-to US$ 255billion in this decade. the major hub in IT in India is Bangalore which is also called silicon valley of India. beside this other emergind hubs are Delhi(NCR), Hydrabad, Chenni, Pune, Mumbai etc. The IT services has grown by 2.4 % in 2010 and is expected to grown at the rate of 4.2 % in 2011. according to the report of IDC in march 2010 indias data center services had a revenue estimated upto US$1.39 billion. TRAI reported that country has more than 10 million broadband subscriber and these numbers will change into 100 millions by the 2014. and the market of PC in india has grown at the rate of 27% in the past year and of Notebook computers has grown with a rate of 52 % which is surprisingly a huge ratio as compared to other countries. India is seen as a business environment and is growing like pollution in the environment(i didnt got other example of rapid growth rate). IT services and solution providers Patni computers has signed a deal of 32 million US$ with the a UK- based IT service provider. Firstsource solution has a deal with Barclaycard. vertex (CMO) has announced a joint venture with shell transource to address the domestic BPO. The market of the networking equipment in india is estimated to grow at a rate of 15 % till 2012as per reported in dec.2010. the net investment in the software and hardware market is of US$ 10,406 million according to department of industrial policy and promotion. An IT company EMC corp. will touch the investment of US$ 2 billion by 2014. A russian IT security company plans to invest 2 billion us$ in hydrabad in coming financial year. Still the Indian IT industry has no dead end in its way ahead. I wish for the continuous progress of IT in India. Note : the above discussed article is written on the basis of research on the various web resuorces. though I had tried to provide best, still there is no lack of knowledge on Internet for the subject of the same.

The Cultural Homogenisation And Heterogenisation Cultural Studies Essay

The Cultural Homogenisation And Heterogenisation Cultural Studies Essay Taking a unilayered view on culture can easily result in limited equations such as homogenisation does not equal homogenisation, since homogenisation evokes heterogenisation, and both processes are occurring at the same time. Yet, by using Rams concept (2004) of the one-way institutional homogenisation and two-way symbolic heterogenisation level enables us to differentiate where homogenisation and heterogenisation are taking place. Lets consider some examples to grasp this concept. In Rams example, Falafel, Israels national dish, which was on its demise, experienced a renaissance through the arrival of hamburgers. He argues that McDonaldisation represents homogenisation on the institutional level (victory of foreign culture) and the renaissance of falafel represents heterogenisation on the symbolic level (victory of local culture). The examples of the tattoo culture in Japan (Yamada, 2009), and the Toraja culture (Volkman, 1984) exhibit a similar pattern. In the Japanese culture, tat toos have long been appreciated, particularly since earlier beginnings of the mid 18th century, when so called full body suits tattooing started. This culture has been evident in the population groups of lovers, geishas, prostitutes, and criminals. Yet, the Meiji Restauration in 1868 led to Westernisation and changed Japanese attitudes towards tattoos. What was initially viewed as spiritual and stylish suddenly changed to be viewed as abhorrent. Japanese tattoo culture, however, experienced a renaissance through incorporating American one point tattoos. In the case of the Toraja, an ethnic group in Indonesia, lengthy funeral ceremonies experienced a revival. Through improvement in mobility, thousands of Torajans immigrated to Massakar and other places in the 1930s to find jobs. Most of them were open-minded, well-educated young people that had converted into Christianity. When they came back to Toraja they did not try to eradicate traditional funeral practises and replace them with Christian or more cosmopolitan values, in the contrary they were the main promoters to revive the tradition. It is important to understand that the above mentioned revivals did not merely bring back a dying tradition. However, they brought back an old tradition with redefined meanings. This is particularly evident in the case of falafel, which lost its unique taste, is nowadays served indoor, and produced in a standardised manner. Therefore, the feelings attached to buying a falafel are very likely to have changed compared to 50 years ago. Furthermore, one-point tattoos do not bear the same spiritual meaning as full body suits tattoos, and funeral ceremonies in Toraja are nowadays more a practice to attract tourists, and showing off wealth. Put simply, they lost its spiritual meaning and authenticity. Rams concept is a very useful, differentiated concept for understanding the forces that shape cultural homogenisation and heterogenisation. Nevertheless, it is limited in its assumption that homogenisation on the institutional level is a one-way street (Ram, 2004, p. 24). Yet, it is much more a two-way street with different proportions of power as the expressive symbolic level (ibid., p. 23). Polarisation Contemporary scholars such as Appadurai (2006) and Lieber Weisberg (2002) question Samuel Huningtons theory of Clash of Civilisations. Appadurai claims that the theory is flawed since it leaves only geography, instead of emphasising ideology. He therefore suggests renaming the polarisation theory into Clash of Ideocide. Furthermore, Lieber Weisberg argue that the clash is rather within than between cultures. I prefer Appadurais, Lieber, and Weisbergs views, because they shifted the topic from the ethnic to an ideological level and acknowledge deterritorialisation, which will be discussed in the next section. Even though, Huningtons concept is flawed, he might be correct with his notion of polarisation. As an example let us consider Axelrods (1997) experiment in the field of cultural convergence, which contributed to shed some light on this debate. He developed a mathematical model, which he used to find out how many stable homogenised states remain at the end of the experiment (a r un). His model is based on the assumption that the more similar cultures are to each other, the more likely they will eventually homogenise. The number of stable homogenised regions at the end differed depending on the run. His findings indicate amongst others that polarisation increased the more cultural features (cultural dimensions) were used, because of the higher probability of being similar on one of the features. However, the more traits were attached to a feature the more stable homogenised states resulted at the end, meaning less polarisation. For instance, a feature could be the language people speak, and the traits the various alternative languages that might be spoken in that particular state. This model, however, has its limitations like any other model. In my opinion, the model correctly assumes that similar cultures are more likely to become homogenised. But it lacks to consider the inverse effect of heterogenisation, which we could observe in the examples of falafel, Toraja, and tattoo culture. Additionally, his attempt to simulate interconnectedness resulted in regional- rather than global interconnectedness. Nevertheless, the experiment demonstrates that polarisation can take place under certain conditions, and that the outcome of polarisation is ambiguous. This supports the transformalists view that the massive shake out, caused by globalisation, remains uncertain (Giddens, 1996). It is doubtful that cultures become polarised at an ideological level, as individuals have the desire to distinguish themselves from others by nature (Axelrod, 1997). However, it is conceivable that future events, which people associate with religion, could indeed lead to a Clash of Ideocide, leaving two or three clear distinguishable, unharmonisable, and antagonised cultures. Complexity of measuring culture Even though, plenty of research has been done in the field of measuring cultures, e.g. by Trompenaar and Hampden-Turner (2008) or Geert Hofstede (2003), present studies provide us with limited results. To think that we can measure cultures rests on the assumption that there is in any case a definable, lived national culture(Held, 1999, p. 369). Yet, being British or American does not define who you are: It is part of who you are (Legrain, 2003, p. 6). Furthermore, societies do not share values and interests. They are rather contradicting social structures, which are constantly trying to find compromises (Castells, 2009). The phenomenon of deterritorialisation is also particularly making it difficult to determine the trajectory of globalisation. This concept represents the uncoupling of territory and culture through world interconnectedness (Held, 1999). A few clicks suffice to connect with the world and get exposed to the foreign. However, according to Wolfgang Welschs concept of Transculturality (1999) there is nothing absolutely foreign anymore, since everything is within reach. A notion which is in accordance with Appadurais view that there is no distinct we and they anymore (2006). Yet, foreign cultures are not within reach for everyone. There exist huge inequalities between countries and within societies when it comes to internet access (Held, 1999; ITU, 2009). In this context one could ask to which extent the not-haves influence the countrys elite, which is connected to the world? And how much do foreign television programmes and homepages influence a society? To answer this question one could utilise Giulianotti and Robertsons concept regarding migration strategies (2007). It assumes that individuals use strategies to either accept or reject foreign ideas and practices. Taking that as a basis, we can conclude that individuals do not passively absorb foreign cultural traits. They either actively absorb them because of preference or convenience or actively reject them. Lets consider an example to illustrate the complexity of this subject. Think of a Norwegian businessperson who newly drinks coffee at Starbucks in Oslo. Does that tell us how American he has become, if at all? Did the meaning he attaches to coffee change in any way? From this example it should get clear that by only analysing hard facts, such as counting the number of McDonalds, BMWs, Swiss Watches, etc. in a country cannot give us a comprehensive answer of how homogenised cultures are. However, it is beyond doubt that the explicit cultural layer is influencing the implicit one; the question is rather to whi ch extent. To determine the magnitude of this influence is indeed a tough nut to crack. As we discussed earlier in this section, societies are contradicting social structures comprising people with different cultures. Therefore, one can assume that different personalities take different decisions in rejecting and accepting foreign cultural traits. Lets assume an example of a French citizen that regards himself as cosmopolitan, speaks seven languages, travels around the world but is fighting in the front line for rigorous migration policies in his country. In this case he welcomes global cultural flows to France, with the exception of unqualified immigrants and refugees, which make part of the ethnoscape one of Appadurais five cultural flows (Appadurai, 2002). In contrast, another French citizen might feel responsible to help those people in need, however, might reject any foreign ideology that is not in accordance with his religious view. Who in this case is now the cosmopolitan and who is the heartlander (Goh, 1999)? This favouritism towards particular types of global isation flows is also evident in the example of the Israeli businessperson Ezer Weizman. He was a renowned car importer with strong business connections to the US. Yet, he fought at the forefront against the three Ms: McDonalds, Michael Jackson and Madona (Ram, 2004, p. 18). The same particularistic behaviour shows the Indian elite that basically hates American lifestyle, however, sends their children to US universities and tries to pursue the American dream (Appadurai, 2006). In the Middle-East this phenomenon is called Muslim schizophrenia (Lieber Weisberg, 2002). The final example to illustrate my point, uses the case of the Russian youth who welcomes technological advances such as iPods but does not want to emulate the spiritual nature of American lifestyle (Macgregor, 2008). Conclusion This essay demonstrated the complexity of this topic and showed that polarisation, homogenisation, and heterogenisation are simultaneously shaping contemporary society. I therefore support the view of the transformalists who believe that the direction of the shake out, caused by globalisation, remains uncertain. Nevertheless, we might ask which concept is more prevalent in contemporary society. In my opinion it is homogenisation, since the homogenisation process on the structural level is very intense and the heterogenisation process, like Ram stated, rather symbolic. The homogenisation process is mainly driven by communication technology, education, human rights culture, business attempt to eliminate difference, and the desire to increase efficiency through latest technology. It can be expected that those drivers of homogenisation will continue to shape society in the future. Homogenisation, however, will neither reach its pure form nor remain static, as people want to distinguish themselves by nature and will actively reject foreign cultures. At this point, I want to emphasise that the homogenisation trend might shift in some decades towards a dominance of heterogenisation or polarisation. Issues like climate change, wars, shifts in economic and political power, and dramatic events that people associate with religion could have unpredictable outcomes.

Kids Essay -- essays research papers

Today teenagers wear different styles of clothing to express their personality. All high school students subject themselves to this wild time in their life. Many kids want to fit in with a click or gang, or just want to change friends. A teens unique character and individual style of dress sets them apart from all other kids.   Ã‚  Ã‚  Ã‚  Ã‚   The Prep clique contains the students that everybody's parents love. They show off expensive clothes, the type of clothes that a polo player wears. This consists of the striped Ralph Lauren shirt with the classic beige khaki pants. For decoration, they put on the big gold rings and the intelligent looking glasses. To top it all off they model patterned socks with brown shoes and they load on the cologne. The snobby attitude and cocky strut set the preps apart from all other groups of kids. Then the fact that they tend to stick their nose up at people unlike them.   Ã‚  Ã‚  Ã‚  Ã‚  Kids called punks dress with their favorite punk rock tee shirt like Dead Kennedies, Catch 22, and Bouncing Souls. In addition, the punks wear big baggy pants with Airwalk shoes. Punks, commonly called groupies by the bands they follow around religiously. Punks pierce their bodies in outrageous places like in their tongue, eyebrow, and nose. Their crazy colored hair changes weekly. Kids like this use foul, dirty language that they pick up from their style of punk rock music. Punks tend to go through school with a laid back attitude a...

Automotive Energy Consumption Essay examples -- Automobiles Transporta

Automotive Energy Consumption In the United States, the automobile has come to be more than simply a means of transportation, but also a status symbol and a symbol of autonomy. As a status symbol, automobiles have gotten larger and more expensive, with little or no regard for efficiency or environmental impact. With the proliferation of the Sport Utility Vehicle (SUV), the average fuel efficiency of cars in the United States has begun to fall from a peak over a decade ago. With technological and material advances made in the last decade, it seems counterintuitive that average fuel economy had begun to decline. In order to understand the advances made in internal combustion engine technology, one must have a basic understanding of engines and the fuels they burn. Four Stroke Internal Combustion Engines The 4-stroke, internal combustion engine at the heart of most automobiles on the road today is relatively inefficient and produces high levels of pollutants. Even the most efficient gasoline burning internal combustion engines convert only 30-40% of the energy available in the fuel in to work. The rest of the energy is lost to heat, and is thrown away into the environment through a heat exchanger (radiator) or through exhaust gases. Exhaust gases account for much of the pollution generated by internal combustion engines. Gasoline, for example produces Greenhouse gases such as Carbon Monoxide (CO), Carbon Dioxide (CO2), Nitrogen Oxides (NOx’s) and releases unburned hydrocarbons (fuel) into the atmosphere. Greenhouse Gases are responsible for much of the depletion of the ozone layer, lead to global warming and pose health threats to humans. In addition to these drawbacks, fossil fuels are not in endless supply and co... ...ssil fuel supplies. In order for any course of action to have widespread success, the people must stand behind it. In the case of this investigation, the citizens of the United States need to understand the necessity of conservation and the consequences of non-conformance. This may require government- imposed penalties to businesses and individuals who don’t do their part to conserve. The exact details of such a system are not crucial at this moment, but rather a simple understanding of the outlook for the future. Without swift action in the near future to curb hydrocarbon consumption, both the environment and the world economy stand to suffer significantly. Sources http://www.gm.com/ http://www.energy.gov/ http://www.epa.gov/ http://www.fossilfuels.org/ http://www.thinkmobility.com/ http://www.afdc.doe.gov/ http://www.fueleconomy.gov/

An Assortment of Memories, a Myriad of Histories Essay -- U.S. History

American society has traditionally been referred to as a â€Å"melting pot,† welcoming people of all races, religions, and heritages to enjoy the â€Å"freedom† that only America could provide. That was not always the case, as incidents such as the internment of Japanese Americans at Manzanar and the Lewis and Clark journey along the Columbia River exhibited American racial intolerance and demonstrated the inherent racism of the Manifest Destiny—an ideal upon which this nation was founded. Today, government agencies such as the National Park Service (NPS) aim to repair the United States’ negative reputation by creating national historic sites, which serve as either a celebration of American history or an apologetic reminder of events that can never happen again. In regards to these sites, the NPS sees its role as â€Å"a powerful shaper of historical images and messages,† capable of â€Å"determining, creating, and memorializing history for all Ame ricans† (Hayashi 53). I argue that the single shared history for all Americans that this statement suggests cannot exist. These American historical sites—manifestations of the history the National Park Service aims to express—present false equations of indigenous and immigrant experience in this country, representing versions of history and heritage that are not equivalent in past temporal scale and present cultural consequence. The erection of two historical sites—California’s Manzanar and the Confluence Project along the Columbia River—exemplify the false equation of immigrant, indigenous, and settler experience in the United States. Upon analysis of these sites, we will see that the history portrayed there cannot be called a shared history because of the truly imbalanced way in which history is actually ... ...that makes up the American melting pot. â€Æ' Bibliography Confluence Project â€Å"The Confluence Project.† Last Modified 2012. Confluence Project Journey Book â€Å"The Confluence Project Journey Book.† Last Modified 2009. Daehnke, John 2012 The Confluence Project (lecture notes). Stanford IHUM 40B Class, May 1. Hayashi, Robert T. 2003 Transfigured Patterns: Contesting Memories at the Manzanar National Historic Site. In The Public Historian 25(4). Pp. 51-71. Berkeley: Regents of the University of California and the National Council on Public History. National Park Service â€Å"Lewis and Clark National Historical Park.† Last Modified April 23, 2012. . National Park Service â€Å"Manzanar.† Last Modified April 4, 2012. .

Critical Appraisal Essay

This exclusive practical session revolves around students’ attachment to family doctor or general practitioner. Beforehand, a sound understanding and distinguishable comparison between these two specialty is necessary to perform this task efficiently. Family medicine is a medical specialty that provides continuing and comprehensive health care for the individual and family across all ages, genders, diseases, and all parts of the body. It is based on knowledge of the patient in the context of the family and community, emphasizing disease prevention and health promotion. According to the World Organization of Family Doctors, the aim of family medicine is to provide personal, comprehensive and continuing care for the individual in the context of the family and community. On the other hand, general practitioner is a medical practitioner who treats acute and chronic illnesses and provides preventive care and health education to patients. The good general practitioners will treat patients both as people and as a population. In some healthcare systems general practitioners work in primary care healthcare centers where they play a central role in the healthcare team. Nevertheless, in some models of care general practitioners work as single-handed practitioners. In conjunction with this block, I visited a local puskesmas to understand more about role of a general practitioner and family physician. Physical Access , Convenience and Facilities The clinic I was designated to is Puskesmas Danurejan I. The puskesmas is located in Bausasran, Danurejan in Yogyakarta. After being renovated and improvised since December 2011, Puskesmas Danurejan possesses new physical structure and more sophisticated facilities. Now, the puskesmas has a new building, whereas the ground floor serves as an infectious and non-infectious area. The puskesmas is almost 656 meter squared in size with general consultation rooms, dental consultation rooms, emergency room, pharmacy and laboratory fitted in the ground floor. On the other hand, the first floor serves as the supporting facility . This floor contains the office, hygiene and sanitation department and prayer room. This health center is located in the midst of housing estates, and therefore very accessible to those living within close proximity. The housing area is also densely populated, with numerous shops, public amenities which makes it a rather ideal and conducive stay. The puskesmas is open daily on weekdays and Saturdays from 7. 30am to 3. 00pm. The puskesmas also has a landline which makes it reachable for any prior information before the peoples’ visit. One distinct setback of the setting is that of, the signboard was unclear and hidden in tree branches. The direction guiding the visitors are vague and not specified. This may be inconvenient for anyone who is about to make their very first visit without prominently knowing the location. Furthermore, there were not enough parking lots near the puskesmas. The Waiting Room The waiting room is spacious, sufficient to fit about 20 patients at an instance with appropriate number of chairs provided. The cleanliness and tidiness of the waiting room is also well maintained . There were garbage bins provided. The ventilation of the room is also well considered as there are presence windows for good air movement. Huge healthcare pamphlets and banners are also seen in the waiting room, aimed educate and enlighten patients. A staff was bserved in the waiting area as she is assigned to take vital signs of the patients and direct them to the physician as their turn comes. As we were walking pass the waiting room, I noticed surreptitious gazes from the patients who were rather clueless of our enthusiastic presence with white coats. I managed to start a conversation with a few patients even before tending to the consultation room for observation. Patient Load and Examination Room The patients who visit this puskesmas are mostly from the community living within close proximity to the center. Apparently, the densely populated housing estate are attracted to the recently renovated health center. The health center receives a generous average of 40 patients daily, most probably due to the satisfactory health care received and affordable charges. The examination room is rather small but sufficient to carry out basic physical examination, equipped with racks, table for physician and an examination bed. During my observation period, the physician received 5 patients. in which 3 of them were regular patients under controlled medications (hypertension and diabetes mellitus patients), with the other 2 having ordinary fever and viral flu. According to the doctor, most of his patients are children with acute illnesses and elderly patients facing chronic diseases. However, any serious medical complication which cannot be diagnosed or treated by the doctor is referred to the possible hospital. Physician-Patient Communication Based on my observation, the physician seemed to have mastered all crucial skills in order to provide the best for the patient. Firstly, I would like to discuss about the primary care management of the physician towards the patient. The doctor successfully connects with the patient via good communication and interpersonal skills, and subsequently put the patient at ease to express his complaints and condition. Therefore, the physician is able do deal competently with the problems presented to her. Even though the physician I observed has just completed internship, she has an amazing person centered care towards each of her patient. She understands and relates her patients as individuals and developed the ability to work in partnership. The physician encountered various different cases involving different ranging from a myriad of genders, age group and illness. However, she applies specific problem-solving skills about the context-specific aspects of general practice and successfully dealt with undifferentiated illness and skills. The duration of consultancy was about 10 minutes per patient for chronic diseases like hypertension and diabetes mellitus and the interaction process took about 5 minutes. Shortly after my observation, I managed to have a word with the physician. She explained to me that the key to a good family physician is the comprehensive approach. It is about how one as a physician must be able to co-ordinate care of acute illness, chronic illness, health promotion and disease prevention in the general practice setting. Not to forget, to respect and honor the patients for an impeccable physician-patient communication. Besides she emphasized the importance to keep patients informed about their condition, listen and respect their views about their health and respond to their question. Documentation and Medical Records The medical records are stored very systematically in the center. There is an allocated room with limited accessibility to keep all of the documents safely in order to avoid breach of confidentiality of the documents. Only the administration personnel are permitted to enter. As we were informed, the documents of the medical record has been computerized using a programme called MedCis System. However, the manual means are still practiced in the physicians desk. The information is then transferred by the administration personnel. The medical record on the hysicians desk is a piece of white-colored paper with patient identity particulars such as name, age, gender, registration number, and consultation date at the top. The remainder of the page is filled up by writing by the doctor himself, which are anamnesis, medical history, drug allergies, vital sign results, physical examination results, diagnosis, treatment and prescription. By the implementation of the computerized system, loss of data due to natural disaster is prevented. Besides, the patients privacy and confidentially is recognised as the system is well secured, in the sense no changes of previous medical history is made possible. The system can only be viewed by physicians for follow-ups and patient himself upon request. Clinical Care Processes The overall process of treatment is very structured indeed. It begins with registration and recording of vital signs. Later, the patients are directed accordingly to the appropriate departments namely psychology, nutrition, general consultation and dental consultation. After receiving their treatment, they were to settle payments before collecting their prescription from the pharmacy. As per clinical care specifically, the physician has performed necessary procedures to diagnose and treat the patient. The physician accomplishes her role as a family physician very successfully. Her anamnesis was very detailed and intricate. She thoroughly skims the past medical history, medication history, and latest prescription before she proceeds further. Concerning chronic diseases of the elderly like hypertension, she initiated by asking the patient how did they feel lately and if there were any relieve or aggravation from their condition. As the temperature, height, weight, blood pressure, respiratory rate and pulse rate has been obtained earlier from the registration personnel, she proceeds with treatment and prescription. The physician prescribes simple generic medicine for the patient which was available in the pharmacy. As for the child, she performed basic physical examination as he complained of body ache. I also observed that treating an elderly person and a child requires different approach altogether. Obviously, they had to be nurtured with care and respect. The physician was seen to have given importance to personal safety by the usage of gloves, masks, and hand sanitizer. This is an undisputedly important step to prevent nosocomial infections in the health center. One setback that I observed was in terms of educating the patients. The physician only provided the patients with very minimal input and education. Payment There are several paying methods made feasible by the puskesmas to facilitate the patients, namely insurance coverage and direct payment. For instance, Jaminan Kesihatan Masyarakat, Jaminan Kesihatan Daerah, Jaminan Kesihatan Social, Jaminan Kesihatan Persendirian and Jaminana Kesihatan AKS. Patients who owns insurance coverage as mentioned need not make any payment, whereas those without pays an amount as low as RP5000. 00. However, the medications has to be purchased by the patients at their own expense. For the most part of my observation, the patients receives prescription of their medication to be purchased themselves in the pharmacies, unless generic medicines which are provided in the puskesmas. I could deduce that the charges are very affordable compared to that of private practices. Therefore, quality medical care is made accessible to everyone regardless of their economic background. This is indeed extremely favorable in reaching out to the needs of the people in an actively developing region. Discussion In the context of satisfactory health care, patients gratification is substantial. This explains why health care providers should make extraordinary efforts in providing the best achievable standards of health care. In the context of Indonesia, family medicine is developing slowly, however a clear structure and guideline for patients has not been constructed. On the other hand, due to limited number of specialist available, most specialists carry out private general practice outside their work hours. This may reduce the efficiency of the physicians due to stress and overwork. Moreover, the general practitioners training programme is not welcomed and well supported by the specialist because they are held in direct competitions with the general practitioners. Pertaining the clinical attachment, the physician tried their level best to provide appropriate health care to her patients despite the limited resources. However, there is also abundant room for improvement in terms of educating the patient about prevention of diseases and the effects of medication prescribed. Besides, the physician should have given more enlightenment when concerning lifestyle related iseases, because at all times, prevention is better than care. On the whole, the entire health care team should work on the regulations concerning controlled medication to avoid abuse and overuse. Another most crucial point in family medicine is the community orientation. Community orientation is about the physical environment of your practice population, the need to understand the interrelationship between health and social care, and the tensions that may exist between individual wants and needs and the needs of the wider community. As a conclusion, holistic approach is about your ability to understand and respect your patients’ values, culture, family beliefs and structure, and understand the ways in which these will affect the experience and management of illness and health. I am very contented to be granted an opportunity for this clinical attachment. This would, in time, help me in my future endeavors as a doctor.

History of Statistics Essay

The history of statistics can be said to start around 1749 although, over time, there have been changes to the interpretation of the word statistics. By the 18th century, the term â€Å"statistics† designated the systematic collection ofdemographic and economic data by states. In the early 19th century, the meaning of â€Å"statistics† broadened to include the discipline concerned with the collection, summary, and analysis of data. Today statistics is widely employed in government, business, and all the sciences. Electronic computers have expedited statistical computation, and have allowed statisticians to develop â€Å"computer-intensive† methods. The Word statistics have been derived from Latin word â€Å"Status† or the Italian word â€Å"Statista†, meaning of these words is â€Å"Political State† or a Government. Shakespeare used a word Statist is his drama Hamlet (1602). In the past, the statistics was used by rulers. The application of statistics was very limited but rulers and kings needed information about lands, agriculture, commerce, population of their states to assess their military potential, their wealth, taxation and other aspects of government. Gottfried Achenwall used the word statistik at a German University in 1749 which means that political science of different countries. In 1771 W. Hooper (Englishman) used the word statistics in his translation of Elements of Universal Erudition written by Baron B.F Bieford, in his book statistics has been defined as the science that teaches us what is the political arrangement of all the modern states of the known world. There is a big gap between the old statistics and the modern statistics, but old statistics also used as a part of the present statistics. During the 18th century the English writer have used the word statistics in their works, so statistics has developed gradually during last few centuries. A lot of work has been done in the end of the nineteenth century. At the beginning of the 20th century, William S Gosset was developed the methods for decision making based on small set of data. During the 20th century several statistician are active in developing new methods, theories and application of statistics. Now these days the availability of electronics computers is certainly a major factor in the modern development of statistics. * Statistics helps in providing a better understanding and exact description of a phenomenon of nature. * Statistical helps in proper and efficient planning of a statistical inquiry in any field of study. * Statistical helps in collecting an appropriate quantitative data. * Statistics helps in presenting complex data in a suitable tabular, diagrammatic and graphic form for an easy and clear comprehension of the data. * Statistics helps in understanding the nature and pattern of variability of a phenomenon through quantitative obersevations. * Statistics helps in drawing valid inference, along with a measure of their reliability about the population parameters from the sample data. * Actuarial science is the discipline that applies mathematical and statistical methods to assess risk in the insurance and finance industries. * Biostatistics is a branch of biology that studies biological phenomena and observations by means of statistical analysis, and includes medical statistics. * Business analytics is a rapidly developing business process that applies statistical methods to data sets (often very large) to develop new insights and understanding of business performance & opportunities * Chemometrics is the science of relating measurements made on a chemical system or process to the state of the system via application of mathematical or statistical methods. * Demography is the statistical study of all populations. It can be a very general science that can be applied to any kind of dynamic population, that is, one that changes over time or space. * Econometrics is a branch of economics that applies statistical methods to the empirical study of economic theories and relationships. * Environmental statistics is the application of statistical methods to environmental science. Weather, climate, air and water quality are included, as are studies of plant and animal populations. * Epidemiology is the study of factors affecting the health and illness of populations, and serves as the foundation and logic of interventions made in the interest of public health and preventive medicine. * Geostatistics is a branch of geography that deals with the analysis of data from disciplines such as petroleum geology,hydrogeology, hydrology, meteorology, oceanography, geochemistry, geography. * Operations research (or Operational Research) is an interdisciplinary branch of applied mathematics and formal science that uses methods such as mathematical modeling, statistics, and algorithms to arrive at optimal or near optimal solutions to complex problems. * Population ecology is a sub-field of ecology that deals with the dynamics of species populations and how these populations interact with the environment. * Psychometrics is the theory and technique of educational and psychological measurement of knowledge, abilities, attitudes, and personality traits. * Quality control reviews the factors involved in manufacturing and production; it can make use of statistical sampling of product items to aid decisions in process control or in accepting deliveries. * Quantitative psychology is the science of statistically explaining and changing mental processes and behaviors in humans. * Statistical finance, an area of econophysics, is an empirical attempt to shift finance from its normative roots to a positivistframework using exemplars from statistical physics with an emphasis on emergent or collective properties of financial markets. * Statistical mechanics is the application of probability theory, which includes mathematical tools for dealing with large populations, to the field of mechanics, which is concerned with the motion of particles or objects when subjected to a force. * Statistical physics is one of the fundamental theories of physics, and uses methods of probability theory in solving physical problems. * Statistical thermodynamics is the study of the microscopic behaviors of thermodynamic systems using probability theory and provides a molecular level interpretation of thermodynamic quantities such as work, heat, free energy, and entropy.