10 Social Networking Safety Tips for Women and Girls

10 Social Networking Safety Tips for Women and Girls As social networking and social media have grown, weve paid a price few saw coming: the loss of individual privacy. The impulse to share has caused many of us to inadvertently expose ourselves in ways that can compromise our safety and security. While social networking sites may feel like an invitation-only gathering of friends thats accessible 24/7, its not necessarily a closed and safe universe. Others may be able to access your personal information without your knowledge. Although cyberstalking preceded the advent of social networking, social media does make it easier for a stalker or cyberstalker to locate and track a potential victims every move. Innocuous personal tidbits collected over weeks, months and even years often add up to a whole picture of who you are, where you work, live and socialize, and what your habits are all valuable information to a stalker. Dont think this can happen to you? Then you should know that according to the Centers for Disease Control, 1 in 6 women will be stalked in her lifetime. The best way to protect yourself is to not make yourself vulnerable in the first place. Whenever you engage in social media, remember this: what happens on the internet stays on the internet, and its up to you to make sure what appears in connection with your name and image does not have the potential to harm you now or in the future. The following 10 tips offer guidelines in managing the information that gets out there about you via social networking and can help keep you safe: No Such Thing as Private The internet is like an elephant it never forgets. While spoken words leave little trace and are quickly forgotten, written words endure in the online environment. Whatever you post, tweet, update, share even if its deleted immediately afterwards has the potential to be captured by someone, somewhere, without your knowledge. This is especially true of social networking sites including private messages shared between two people and postings to a private group. There is no such thing as private in the world of social media because anything you put up can potentially be grabbed, copied, saved on someone elses computer and mirrored on other sites not to mention hacked by thieves or subpoenaed by law enforcement agencies. A Little Bird Told Me Every time you use Twitter, the government keeps a copy of your tweets. Sounds crazy, but its true. According to the Library of Congress blog: Every public tweet, ever, since Twitters inception in March 2006, will be ar chived digitally at the Library of Congress.... Twitter processes more than 50 million tweets every day, with the total numbering in the billions. And experts predict the information will be searched and used in ways we cant even imagine. (This gives new meaning to the phrase A little bird told me...) X Marks the Spot Be cautious about using geo-location services, apps, Foursquare, or any method which shares where youre at. When it was first introduced, Facebooks Places feature gave tech writer Sam Diaz pause: Guests at a party at my home could turn my home address into a public place on Facebook and my only recourse is to flag my address to have it removed... If we’re all at a concert...and a friend checks in with Places, he can tag the people who he’s with - just as if you were tagging a person in a photo. Unlike Diaz, Carrie Bugbee a social media strategist had fun using these services until a cyberstalking incident changed her mind. One evening, while dining at a restaurant she had checked in at using Foursquare, Bugbee was told by the hostess that there was a call for her on the restaurants phone line. When she picked up, an anonymous man warned her about using Foursquare because she could be found by certain people; and when she tried to laugh it off, he beg an verbally abusing her. Stories like this may be why far fewer women use geo-location services as compared to men; many are afraid of making themselves more vulnerable to cyberstalking. Separate Work and Family Keep your family safe, especially if you have a high profile position or work in a field that may expose you to high-risk individuals. Some women have more than one social networking account: one for their professional/public lives and one thats restricted to personal concerns and only involves family and close friends. If this applies to you, make it clear to family/friends to post only to your personal account, not your professional page; and dont let the names of spouses, children, relatives, parents, siblings appear there to protect their privacy. Dont let yourself be tagged in events, activities or photos that may reveal personal details about your life. If they show up, delete them first and explain later to the tagger; better safe than sorry. How Old Are You Now? If you must share your birthday, never put down the year in which you were born. Using the month and day are acceptable, but adding the year provides an opportunity for identity theft. Its Yo ur Fault If Its Default Keep track of your privacy settings and check them on a regular basis or at least monthly. Do not assume that the default setting will keep you safe. Many social networking sites frequently update and change settings, and often the defaults tend to make public more information than you may be willing to share. If an upcoming update is advertised in advance, be proactive and investigate it before it launches; it may offer a window during which you can privately edit or remove content before it goes live. If you wait until your account automatically switches over, your information may go public before you have a chance to deal with it. Review Before Posting Make sure your privacy settings enable you to review content in which youve been tagged by friends before they appear publicly on your page. This should include posts, notes, and photos. It may seem tedious, but its much easier to deal with a small amount each day than to have to go back through weeks, months and even years to ensure that any and all content related to you puts forth an image youre comfortable living with. Its A Family Affair Make it clear to family members that the best way of communicating with you is through private messaging or email not posting on your page. Often, relatives who are new to social media dont understand the difference between public and private conversations and how they take place online. Dont hesitate to delete something that is too personal for fear of hurting Grandmas feelings just make sure you message her privately to explain your actions, or better yet, call her on the phone. You Play, You Pay...in Loss of Privacy O nline games, quizzes, and other entertainment apps are fun, but they often pull information from your page and post it without your knowledge. Make sure that you know the guidelines of any app, game or service and do not allow it unfettered access to your information. Likewise, be cautious about responding to notes shared by friends along the lines of 10 Things You Didnt Know About Me. When you answer these and post them, youre revealing personal details about yourself that may enable others to figure out your address, your workplace, the name of your pet or your mothers maiden name (often used as an online security question), or even your password. Do enough of these over time and someone who is determined to learn all about you can read the answers, cross-reference information obtained through your friends pages, and glean a surprising amount from these seemingly casual revelations. How Do I Know You? Never accept a friend request from someone you dont know. This may seem like a no-brainer, but even when someone appears as a mutual friend of a friend or several friends, think twice about accepting unless you can concretely identify who they are and how theyre connected to you. In many professional circles involving large organizations, all an outsider has to do is obtain one friend on the inside and it snowballs from there, with others thinking that a total stranger with no personal connection is an unfamiliar co-worker or occasional business associate. Social media is fun thats why half the U.S. adult population participates in online social networking sites. But dont be lulled into a false sense of security when it comes to protecting your personal information. The goal of social networking sites is to generate revenue and even though the service is free, theres the hidden cost of your privacy. Its up to you to keep tabs on what shows up and to limit your exposure and protect yourself. Sources: Dias, Sam. Facebook launches Places, geo-location service thats both cool and creepy. ZDnet.com. 18 August 2010.GLOBAL DIGITAL COMMUNICATION: Texting, Social Networking Popular Worldwide. PewGlobal.org. 20 December 2011.Panzarino, Matthew. Heres what happens when the police subpoena your Facebook. TheNextWeb.com. 2 May 2011.Raymond, Matt. How Tweet It Is!: Library Acquires Entire Twitter Archive. Library of Congress blog. 14 April 2010.Seville, Lisa Riordan. Foursquares Stalker Problem.  The Daily Beast. 8 August 2010.

Taking the ACT in 7th Grade Should You Do It

Taking the ACT in 7th Grade Should You Do It SAT / ACT Prep Online Guides and Tips It’s just a short while before school ends for the day. You settle in to enjoy a discussion about sea monkeys in your 7th grade Science class when all of a sudden, one of your classmates starts complaining about having to take the ACT. What is she talking about? Who would want to take the ACT in middle school, and who even cares about 7th grade ACT scores? If you’re a parent, you may have heard or read about programs designed for early-achieving students. But it can be hard to figure out if those programs are for students who do well on the ACT, or if the students get to take the ACT if they do well in school. Fear not- I’ll clear up the confusion in this article as I go over the pros and cons of taking the ACT in 7th grade and the programs you can get into with high 7th grade ACT scores. feature image credit: Thinking by Jonathan Evans, used under CC BY-NC 2.0/Cropped from original. Is Taking The ACT This Early Useful? There's no one easy answer to the question "Should I take the ACT in 7th grade?" Taking the ACT Early Is Not Useful If... You're planning on using your ACT scores to apply to college, and only for that. Unless you're planning on applying to college within a few years (around age 15 or thereabouts), colleges are going to care much more about your current abilities and much less about what you were like when you were 12. While technically ACT scores don't expire, unless you get a 32+ score at age 12 you're probably going to want to take the test again once you've taken high school classes like precalc and biology. Even for the most ardent and ambitious students, 9th grade is plenty of time to start studying for the ACT. This doesn't mean that you can’t start prepping earlier than that, but it’s generally more helpful to spend that time in middle school focusing on your studies in school so that you have a good base for ACT prep later on. Taking the ACT Early Is Useful If... You want to become accustomed to the test. For some students, anxiety over the ACT can make it seem like an insurmountable hurdle that you must clear to make it out of high school and into college. Taking the ACT in 7th grade is especially handy if you live in a state where it’s mandatory and you know you’ll have to take it to graduate from high school anyway. Paying to take the test is not a financial hardship and you're curious about it. It's unlikely you’ll be able to get a fee waiver if you’re taking the ACT for personal enrichment, but if that's not a problem and you want to see what taking the ACT is like, go for it. You're interested in participating in certain programs for early achievers. For talent searches and other programs aimed at academically-gifted younger students, the SAT or ACT is often required either as a prerequisite or as part of the program. While the ACT isn't necessarily the only test you can take to qualify for these programs (they often accept other standardized measures like IQ tests and state-mandated standardized tests), it is a test you can study for, and there are plenty of high-quality prep materials available. What Programs Require Taking the ACT Early? There are many different programs that provide advanced academic opportunities, mentoring, and recognition for high 7th grade ACT scores. It's important to keep in mind, however, that the programs aren't going to judge your score the same way colleges would. Since you're so much younger than the average ACT test-taker, the talent searches and other programs aren't looking for perfect scores; instead, you'll be compared to other students your age. We have more on what a good ACT score for a 7th grader is in this article. Here's a couple of the most well-known programs that involve taking the ACT in 7th grade: Duke TIP By participating in Duke's 7th Grade Talent Search, you can qualify for a number of different summer programs (and awards ceremonies, if your ACT scores are high enough). If you're eligible for the Talent Search (based on your score on any one of a number of qualifying tests), you'll take the ACT. You can also take the ACT to qualify for the 7th Grade Talent Search in the first place. Read more about the ACT requirements for various Duke TIP programs here. CTY at Johns Hopkins Taking the ACT can also qualify you for certain programs at Johns Hopkins' Center for Talented Youth, including summer and online courses. It's also possible to take the ACT through the CTY talent search, which then gives you preference for enrolling in any of the CTY programs. We have more information about the ACT scores required for different CTY programs in this article. Other Programs In addition to the two programs I mentioned above, there are also several other programs for gifted youth that provide summer courses and general resources. We've already written in detail on our blog about Stanford EPGY, Summer Institute for the Gifted, and NUMATS, but there are several other programs worth looking into for gifted and talented adolescents: Belin-Blank Student Talent Search at the University of Iowa Joseph Baldwin Academy (JBA) at Truman State University Western Academic Talent Search (formerly the Rocky Mountain Talent Search) VAMPY at Western Kentucky University Vanderbilt Programs for Talented Youth Talented and Gifted Program at Southern Methodist University Halbert and Nancy Robinson Center for Young Scholars at the University of Washington talent by George, used under CC BY-NC-SA 2.0. Why Do These Programs Use the ACT? You might be curious about why students have to bother taking the ACT (a test designed for college entry) for programs intended for young, non-high school students, On the surface, it seems like it would make more sense to have program applicants take a test that is specifically designed for younger students. In actuality, there are three reasons that these programs for early achievers care about 7th grade ACT scores. #1: It's Easy to Find Somewhere to Take the ACT Unlike an IQ, which often requires setting up a special (and expensive) session with a counselor, the ACT is a widely offered and available standardized test. This is especially true in states where ACT is required for high school graduation. There are still some special arrangements necessary (for example, students under age 13 must register for the ACT by mail), but on the whole, it's much easier for students to take the ACT than it is any other national or international standardized test. #2: There's a Lot of Data About the ACT Programs for high-achieving middle-schoolers have been using the ACT as a standard for many years, so they can see how your score compares to those of other students of a similar age (rather than against the graduating senior data the College Board provides on their site). #3: The ACT Measures Valuable Skills While it bills itself as a "curriculum-based achievement test," the ACT also measures critical thinking and general mathematical abilities to some extent. This means that even if you haven't taken all the courses necessary to understand every single question, your 7th grade ACT score can still provide valuable information about your ability to think well under pressure. Because the ACT has four different subscores, you can perform unevenly well across the different sections and still place into a summer program. For example, even if you don’t do well on the ACT English and Reading sections, you might still be able to participate in certain summer program courses with relatively high ACT Math and Science scores. ACT Prep for 7th Graders: What's Different? The key principle of 7th grade ACT prep is knowing that you should expect to get a (relatively) low score, compared to if you were taking the ACT to apply to college. In general, you won't have learned everything you need to score highly on the ACT by the time you're in middle school, just by sheer dint of not having been alive and talking as long as a high schooler. Your vocabulary will be smaller, your reading level will be lower, and you won't have learned all the math or science in school yet. Summer programs know that 7th grade ACT scores will be lower, which is why even upper-tier summer programs have a much lower bar for entry than upper-tier colleges. To settle on a realistic ACT score to aim for as a 7th grader, you should fill out our score target worksheet with information for the programs you want to get into. Another way in which ACT prep for 7th graders differs from what it is for high schoolers is that there are lower stakes attached to scoring well on the ACT, so the pressure should be lower. The summer programs I mentioned earlier do offer challenging, advanced, and diverse courses that can enrich your education, but they certainly aren’t as essential to your future as college is. Scoring well or poorly on the ACT in 7th grade won't prevent you from attending college or from graduating high school, and summer programs for early achievers compare the scores of students to other 7th graders, rather than high schoolers; perfect scores are not expected. One final, minor aspect of preparing to take the ACT in 7th grade is knowing that you won't be able to register for it online. Because of Internet privacy laws, ACT, Inc requires all students under the age of 13 to register for the test by paper. The main effect this has on your ACT prep is that you have to decide further in advance if and when you're taking the ACT to make sure your registration materials get there on time- you can't just decide a month before the test "oh hey, I guess I do want to take the ACT after all." Sorry, lightbulb. You should've decided to take the test at least six weeks before the test date. Now your registration materials won't get there in time. ACT for 7th Graders: Yes or No? You should take the ACT in 7th grade if you want to get acquainted with the test and lower your anxiety or if you want to qualify for special academic programs. You shouldn’t take it in 7th grade if you’re just using it to apply to colleges, since most schools won’t want or care to see your 7th grade ACT score. What’s Next? After reading this article, you might decide to go ahead and take the ACT in 7th grade, but what's a good score? Find out more about what makes a good or bad 7th grade ACT score here. On the other hand, you might decide that you don't really need to take the ACT just yet. But should you start to study then anyway? Read more about preparing for the ACT as a 7th grader in this article. Got your score, but not sure if you qualify for summer programs? Compare your 7th grade ACT score to the score requirements for Duke TIP and CTY at Johns Hopkins! Want to improve your ACT score by 4+ points? Download our free guide to the top 5 strategies you need in your prep to improve your ACT score dramatically.

Discharge planning of a patient using a patient profile Essay

Discharge planning of a patient using a patient profile - Essay Example These readmissions crop up as a result of mistakes resulting from lack of proper care for the patients after discharge, or discontinuation of medication (DOH, 2005). Low health literacy being in high rates gives rise to increased rates of re-hospitalisation, especially, in urban patients, who earn low income. Lack of coordination between the in-patient and out-patient process, boosts the risk of readmission in hospitals, together with gaps in social care and supports. Primary care physicians find it hard to understand the complex process of hospitalisation, since the inpatient care is provided in the hospitals (Bortwick et al., 2009). A discharge plan is the key tool used by the primary care- providers so as to go on with the care of the patient. Therefore, a safe and comprehensive discharge plan is essential when discharging a patient, in order to aid the primary care providers and social workers in their duties. A discharge plan Discharge is a vital component of care management in any aspect. It makes sure that social care and health systems remain proactive when supporting patients, their families and carers, when there is the need to go home, or move to a different setting (SPLG, 2010). Mr. Sharma, 87 years old man has been hospitalized and, due to the considerable progress he has made in recovery, he will be discharged after ten days. A safe and comprehensive discharge plan needs to be developed which will suit him, and which will ensure his recovery without re-hospitalisation. Mr. Sharma’s discharge plan is supposed to prepare the home for him, to meet all his needs, reduce the probability of readmission, as well as saving on social care services (SPLG, 2010). Putting in mind that Mr. Sharma has multiple conditions, an open wound, he is taking many drugs, and that he is an old man, the following discharge plan will best suit him. A discharge plan will help his carers after he is discharged, to coo rdinate services and care (Katikireddi and Cloud, 2009). This paper will address the probable problems, the interventions, and the rationale behind the decisions made. Problem The patient is an old man aged 87 years old. Outcome Being an old person, the patient requires careful and extra care since he is exceptionally delicate. Close supervision should be done always to ensure all the medical requirements are done (Lindenberg, 2010). Intervention 1. Meet with the family members and the carers of the patient, in order to discover who takes care of the patient most time, prior to discharge (Roberts, 2002). 2. Explain the need to have a person close to Mr. Sharma always, and close supervision. 3. Ensure that the patient will be kept busy and occupied. This can be through the provision of a television set or even constant company, to avoid boredom. 4. Discover if there is polypharmacy. Rationale The patient is an elderly person and hence the need to meet with the family members and the carers to enlighten them on the complications faced by old people after discharge, and the factors that can lead to readmission. According to the National Service Frame work for older people, old people are likely to suffer multiple complications, unlike, young people. They can have different conditions requiring different and specific treatment (DOH, 2001). The need to meet with the family members and carers of the patient is to make them understand how to care for the old person to reduce the case of readmission. The elderly patient needs a person close to him to monitor

I.R Essay Example | Topics and Well Written Essays - 500 words - 2

I.R - Essay Example Feminism, on the other hand, is a very complicated political theory, a branch of Critical Social Theory, As per the neorealist theory, the chances of conflict give directions to actions while the post classical realism sponsors assessment of chances of confrontation on security issues among states. The three primary hypotheses of neorealist theory are: 1) recurrent equilibrium behavior, 2) states not coming forward for cooperative relations, and 3) states compete to remain on equal footing (Brooks 1997). Assuming worst-case chances of confrontations on the basis of neorealist theory provides benefits in approximating global decision taking. Actually, states are projected productively such way. So the assumptions on the behavior of states become useful in throwing light on swapping of various aspects of human nature, aggression and fear. States get focused to achieve their short-term goal of making their defense line strong. Disadvantage occurs in long term negative impacts on states’ other preferences. Long term goals become secondary to short term defense needs in a conflict (Brooks 1997). Neorealist theorists don’t give credence to the factors the liberal theorists perceive as impacting the probability of conflict. The postclassical realism is more akin to liberal theory in the sense that productive discussion can take place with liberal theorists. The main difference remains between the material and non-material factors (Brooks 1997). Liberal feminism is an ideology of egalitarianism. Since Plato so much has been written on the topic that it seems the relation of gender to politics is very complex. Feminism is against Rousseau’s masculine savage, unable to grasp abstract ideas. Both Rousseau and Freud have different opinions; Freud perceives women as â€Å"opposition to civilization† and all â€Å"civilization† is the work of

Entertainment And News Essay -- essays research papers

Entertainment and News   Ã‚  Ã‚  Ã‚  Ã‚  News coverage, whether by television, radio, the internet, or newspaper must be selective, selective not simply in which stories it reports but in how it presents them as well. The media is incapable of providing a rundown of everything that has transpired in a day. Therefore, editors, reporters, etc… decide what will go into the reports. Equally important, reporters are still human beings who, in spite their good intentions, occasionally succumb to anger, jealousy, anxiety, impatience and other emotions that could cloud their objectivity. They belong to large, complex organizations that have their own diverse, often conflicting, goals and needs. So, to report a story “like it is'; can become difficult because of individual agendas.   Ã‚  Ã‚  Ã‚  Ã‚  Entertainment is to hold the attention of with something amusing or diverting. News is information about recent events. In recent history, news has become a commodity. Therefore, news must sell. News organization use entertainment as a basis for getting the viewer to watch their news program. Manheim claims “that the media is not as diverse as it claims to be. He states, though for competitive purposes they might have us believe otherwise, most American news organizations have a great deal in common with one another…they define news itself in essentially the same terms (Manheim, 1991). Manheim argues that the media entertai...

Since X Ray Was Discovered Health And Social Care Essay

Since X ray was discovered by Roentgen in 1895, its medical application has grown to be a fast and dynamic imaging mode. Today ‘s imagination section consists of an impressive array of diagnostic and curative devices from x-ray machines, CT Scan, PET Scan, additive gas pedal, which chiefly use ionising radiation for diagnosing and intervention of unwellnesss ; and with the add-on of ultrasound and MRI that use sound moving ridges and magnets for diagnosing alternatively of X raies. Therefore, radiology is considered as the window of the healthcare establishment and the radiologic engineers are the individuals behind these state-of-the art machines. In the x-ray section, one of the divisions of radiology section, the x-ray machines are used for diagnosings of unwellnesss. For 100 old ages the film-screen system has been the imaging system of pick. This system uses radiographic movie, screen and wet chemical science to bring forth an image merely like conventional picture taking. Every RT ‘s end is to supply high quality images for accurate diagnosing ; hence each measure is really critical. The RT must be equipped with cognition and accomplishments from anatomy, positioning and exposure techniques. One little error can endanger the image and outputs an unacceptable radiogram which entails repetition scrutiny that chiefly means extra radiation dosage to the patient. This is one of the disadvantages of a film-screen system wherein one time the movie has been processed ; there is no manner to change it. What you see is what you get. Fortunately, with the turning engineering of imaging modes came the debut of digital imaginati on which follow the same construct as digital cameras wherein brightness and contrast of the image can be changed and images can now be cropped. Its advantage compared to film-screen is really obvious, since images can be altered, repetition scrutinies, oftentimes is no longer necessary. The engineering is brilliant and its introduction has grown the wonder of every RT whether it is efficient compared to the traditional system. And of class, it is. However, as with every other engineering has its drawback. Since the new engineering chiefly uses computing machine and computer-aided equipments oftentimes do the full occupation. The inquiry lies wherein will the competency of the RT in footings of exposure technique factors be same as utilizing the conventional manner? Several international surveies stated that because of the convenience of the system, the RTs utilizing the machine oftentimes fail to see the criterion protocols in every technique choice because images can be manipulated subsequently. Change of images from clip to clip should non be a day-to-day scenario because use sometimes interfere accurate diagnosing. As of the research workers ‘ cognition, there are no known local related surveies in the diminution of RT ‘s competency in utilizing CR. One of the grounds may be this mode is still in the phase of debut in the Philippines and that its deduction is non yet intensively studied. But this does non halt the research workers to seek of happening out if there is so a diminution in RT ‘s competency with the new system. This survey is a comparative-correlational research in finding the degree of radiographic competency between film-screen system and CR on exposure technique factor choice. The chief aims of the research workers are to compare if there is a important difference in footings of radiographic competency in the RT who uses film-screen from CR and to find if the respondents profile and bureau has a important relationship in footings of radiographic competency. Base on the consequence of the survey, the research workers will be able to measure the indispensable acco mplishments needed for the profession. Technology so has helped us in many ways. However, without the competency of the professional manipulating the equipment is futile. This means that the engineer who has the exclusive duty of manning the state-of-the art equipment should non trust from engineering, alternatively engineering should trust on them.REVIEW OF LITERATUREThis survey chiefly aims to compare the degree of radiographic competency on exposure technique factor choice between film-screen system and computed skiagraphy ( CR ) . Exposure technique factor choice is an of import foundation for these two types of image receptor ( IR ) or imaging system. Image receptor is a device that converts X raies into seeable visible radiation. Competence should non change whether the radiologic engineer ( RT ) is utilizing the conventional or digital system, otherwise, it will get the better of the intensive survey of the exposure techniques during the undergraduate old ages. Furthermore, s upplying appropriate exposure techniques is paramount in the profession since these techniques besides mean radiation dose on the portion of the patient. Harmonizing to Fauber & A ; Johnston ( 2012 ) , the radiographer ‘s actions at the control panel straight determine the nature and the makeup of the x-ray beam. This means that the selected exposure technique factor is straight relative to patient dosage. In add-on, it is the duty of the radiographer to larn the doctrine, factors and methods that minimizes ionising radiation exposure to the patient ( Callaway, 1996 ) . This besides means that an RT is supplying quality patient attention when he/she gives an adequate and necessary sum of radiation to the patient.Competence in Radiologic TechnologistKlemp ( 1980 ) defined competency as â€Å" an implicit in feature of a individual which consequences in effectual and/or superior public presentation on the occupation. † A competent individual is imbued with the right cogni tion, accomplishments and attitude on a peculiar undertaking. Other writers define competency as â€Å" a bunch or related cognition, accomplishments, and attitudes that reflects a major part of one ‘s occupation, which has a relationship in the public presentation on the occupation that can be measured with well-accepted criterions, and that can be improved with preparation and development ( Parry, 1996 ) . † In radiologic engineering, for illustration, an freshly licensed RT already possess cognitive and motor accomplishments at an entry degree, nevertheless, it can merely be enhanced through proper and consistent preparation in a chosen specialised field during the class of his/her work as an RT.Knowledge, Skills, AttitudeAs mentioned, competency is a combination of cognition, accomplishments and attitudes. These constituents are indispensable as a whole because the absence of one constituent greatly affects 1s public presentation. Harmonizing to Dowd ( 1996 ) , cogn ition as portion of competency includes theories and constructs which were gained as a consequence of the experience of executing certain undertakings. Furthermore, in the field of radiologic engineering he added that cognition includes job-specific nomenclature, methods of forming information and an apprehension of rules and generalisations. On the other manus, Hans Reynold in 1928 defined accomplishment as combined mental and physical qualities which make it utile to industry. Knowledge if combined with accomplishments is of import in the workplace. Furthermore, one can non develop a accomplishment without cognition and at higher degrees, cognition are converted to accomplishments ( Klieme, 2004. ) The last constituent that determines competency is the attitude. The attitude such as beliefs, values, traits, and motivations is a portion of competency because it indicates the individual ‘s response to a peculiar event or state of affairs. Attitude refers to the sensitivity or mental province of individuals/users towards a merchandise, thoughts, or attributes. It besides implies on mental preparedness on a peculiar object or his properties toward an object or his penchants. ( Hulse & A ; Dowd, 1996 ) . In the field of radiologic engineering, competency does non merely intend that the RT is equipped with the cognition and accomplishments but RT is besides imbued with the right attitude and judgement to supply each patient with quality attentionOn Radiographic CompetenceIn the field of radiologic engineering, one facet of the profession requires competent accomplishments in radiographic exposure factor technique. The said competency is indispensable particularly in the diagnos tic x-ray imagination, wherein exposure factors are the key to accurate diagnosing and supplying radiation dose to minimum degree. For 100 old ages, film-screen technique has been the method of pick in radiographic imagination ( Bushong 2009 ) . Film-screen system uses radiographic movies, radiographic intensifying screens and wet chemical science to do the image seeable. Furthermore, this conventional system should adhere to the criterions of the darkroom demands. Film-screen system has the same construct as a typical conventional camera. In a film-screen technique, radiologic engineer should be certain on the exposure factors to be applied in a peculiar exposure because improper choice of exposure factors can take to overexposure or underexposure of the movie. Overexposure or underexposure degrades image quality and hence, it can take to rejection of movie, therefore necessitates the demand for repetition scrutiny. Repeat scrutiny provides unneeded dosage to the patient and extra costs to the section. On the other manus, as with the other inventions in engineering, diagnostic imagination has shifted its class from conventional to digital. Computer applications are employed presents in diagnostic imagination modes. An appropriate analogy that is easy for most people to understand is the replacing of typical movie cameras with digital cameras: images can be taken, instantly examined, deleted, corrected, and cropped, and later sent to a web of computing machines. Computed skiagraphy system ( CR ) is an low-cost solution to digital imagination. Alternatively of the movie, CR employs an imaging home base to capture x-rays and makes it seeable when the home base is scanned into a computing machine and digitized it. Once the image is converted to informations, it can be recorded on a optical maser printed movie or can be transmitted and stored digitally. It has particular characteristics like use or sweetening of the image. Its specialised package is used to image sing with enhanced maps similar to film-screen system, such as contrast, brightness, and rapid climb. ( dicomsolutions.com, 2011 ) . Computed skiagraphy has practical proficient advantages compared with conventional techniques, such as broad contrast dynamic scope, post-processing functionality, multiple image screening options, and electronic transportation and file awaying possibilities. In this system, image quality can be achieved because of the post-processing techniques that are non possible with film-screen system. This system is convenient for the engineers because the RT can counterbalance for exposure technique inaccuracies by seting the technique during post-processing stage of the image instead than that clip of exposure. In radiologic engineering field, competency agencies that the RT is equipped with the cognition, accomplishments, attitude and judgement to supply each patient with quality attention. Harmonizing to Olavidez ( 2005 ) , competency is indispensable in the field of Radiologic Technology because RT is a fast growth profession ; RT trades with human lives and most of all, the RT course of study is non plenty to fix the pupils to be equipped with the accomplishments necessary for the profession particularly in the particular Fieldss of radiologic engineering. For an RT to go competent, he/she should hold undergone formal educational background followed by specialised preparation in their chosen field that takes months. As an RT, he/she should hold comprehensive cognition and accomplishments in patient attention, radiologic processs and radiation dose.Exposure Technique FactorsExposure technique factors influence and find the measure and quality of X ray to which the patient is exposed ( Bu shong, 2009 ) . Kilovolt extremum ( kVp ) , milliamperage ( ma ) , exposure clip and source-to-image distance ( SID ) are the chief exposure technique factors. Furthermore, the said factors besides affect image quality. Milliamperage and exposure clip are the exposure factors that affects the measure of radiation. Milliampere is the step of x-ray tubing current, whereas milliampere-second ( ma ) is the green goods of exposure clip and exposure tubing current. They straight affect the optical denseness ( OD ) of the movie. Optical denseness is the overall darkening of the movie. The darker the movie, the higher figure of x-rays is given to the patient. The higher the figure of X raies that are the given to the patients, the greater the radiation dose they receive. Source-to-image receptor distance besides affects the measure of the radiation. The closer the patient is to the x-ray beginning, the higher dose the patient gets. For chest X ray, the standard SID is 72 inches, while for the other x-ray scrutinies, the standard SID is 40 inches. Kilovoltage extremum ( kVp ) , straight affects the quality of radiation. kVp is the maximal electric potency that travels across the x-ray tubing. Since kVp affec ts the quality of the x-ray beam, it besides affects the quality of the radiographic image. Kilovoltage straight affects contrast. Contrast is the fluctuation of densenesss on the movie. The advantage of utilizing higher kVp is that the patient will have lower dose of radiation because it will non be absorbed. However, higher kilovoltage produces more spread radiation, therefore increases the transmittal of X raies to the image receptor and degrades image quality. The best techniques to forestall spread radiation are utilizing beam restrictors such as collimator to filtrate low energy X raies and to cut-off low energy beams utilizing radiographic grids. By using beam restrictors and grid will heighten image contrast because spread radiation will be prevented. Furthermore, spread radiation will besides supply unneeded dosage to the patient. Therefore, exposure technique factor choice is indispensable. To supply quality radiogram and to restrict patients to radiation should be a end for every RT. Harmonizing to Bushong ( 2009 ) , RTs are required to utilize their accomplishments to bring forth the best possible image with individual exposure ( Bushong, 2009 ) . Otherwise, repeat scrutiny will supply unneeded radiation dosage to the patient. Therefore, it is necessary for the RT to be equipped with cognition and accomplishments to pull strings these exposure technique factors to bring forth coveted optical denseness, contrast, and image item on the finished radiogram.RT in Film-Screen SystemIn conventional film-screen system, before each scrutiny, the radiologic engineer must choose the optimal radiographic technique factors- kVp, ma, and exposure clip ( Bushong 2009 ) . There are many considerations to find the value of each factor and they are complexly interrelated. Contrast and Density are the photographic factors of the radiogram and it functions to do the image seeable. Visibility of image is of import so that anatomical image will look for proper diagnosing. After each exposure, there is no manner to pull strings its contrast and denseness and that ‘s what makes film-screen system hard as unequal contrast or denseness entails repetition scrutiny. Since use of the image is non possible in this system, the RT should be certain with the technique factors prior to the exposure ; otherwise, misreckonings can ensue to underexposure or overexposure. In a film-screen system, overexposure and underexposure of the image is considered unacceptable because the of import constructions are non seeable and therefore it is non a tool for proper diagnosing. In other words, image quality is dependent on exposure factors.RT in Computed RadiographyIn CR system, image quality is non dependent on exposure factors. Digital image is unrelated to dose, kVp becomes less of import. Since, image quality is non dep endent on exposure factors, image can be manipulated. In a conventional system, the movie serves as both image acquisition and show medium. With CR, the image home base serves as the acquisition medium but does non expose the image. Since these maps are separate in CR, the digital signal can be altered to counterbalance for underexposure or overexposure and an acceptable image can be displayed on the proctor ( Shephard, 2003 ) . With CR system, post-processing is possible that helps heighten image therefore leting the RT to change image contrast and denseness. Since image can be manipulated or modified, underexposure or overexposure is no longer a job with this system, because it can normally salve fluctuations from the optical technique, whereas proficient mistake with a screen-film system frequently requires a repetition exposure ( Pizzutiello, 1993 ; Cesar, 1997 ) . Therefore, with CR, proficient mistakes are eliminated because of exposure discrepancies that are possible with sal vageable consequences, presuming equal kilovoltage is used ( Ballinger, 1999 ) .On Assessment of RT CompetenceIn order to cognize the competency of a professional, assessment plays a critical function. Assessment is of import so as to measure if the RT is still competent to make the occupation. Since we are in the epoch of rapid engineering, it may come to a point that we will merely set our assurance on computing machines instead than our competency. Harmonizing to Olavidez ( 2005 ) , competency is an discernible ability and it can be measured against set of criterions. Appraisal of competency is a combined cognition, accomplishments, and attitudes that reflect the current work pattern. Furthermore, it can bridge the spread between workplace demands and criterion. Choice of exposure technique factor is of utmost importance because RT trades with exposing patients to radiation. Exposure technique factor is tantamount to the quality and the measure of radiation that exits the patient, hence, the RT should be precise in giving exposure technique factors. Supplying appropriate radiation dosage is necessary to forestall the patients from the jeopardies of the ionizing radiation, hence anterior to the exposure of the patient, accurate exposure techniques should be practiced. The issue of supplying accurate techniques lies in a digital system, wherein images can be manipulated during post-processing. Harmonizing to Fredrick Walker ( medicalimagingmag, 2008 ) , a radiologic engineer at Sharp Rees-Stealy in San Diego, CA, he pointed out if the image is excessively dark, we can pull strings the image utilizing post-processing techniques like windowing or shadowing or to set contrast without holding to reiterate the scrutiny. Furthermore, since image can be manipulated during post-processing, it can promote complacence instead than truth with exposure techniques which can ensue in overexposed or underexposed images ( Medicalxray, 2010 ) . In add-on, harmonizing to Enfinger ( 2012 ) , that it is true that the image can be adjusted, nevertheless, it is non recommended because the natural information from the initial exposure will incorporate information from spread radiation that degrades image quality even if it is manipulated subsequently. Harmonizing to Shephard ( 2003 ) , it is likely that digital imagination will replace conventional screen-film skiagraphy in many modern medical imagination centres in the close hereafter. It has already been stated that even if the image can be manipulated during post-processing, this should non be a pattern because somehow it can deteriorate image quality which consequences in inaccurate diagnosing. One retrospective analysis of patients who had undergone lumbar spinal column radiogram for the diagnosing of osteoporosis comparison diagnostic truth with screen-film versus digital skiagraphy. The writers suspected that bone mineral loss could be more easy seeable with screen-film imaging due to the fact that image contrast can non be adjusted with this mode, whereas CR ( and DR ) images undergo digital post-processing techniques to maximise contrast. This could ensue in misdirecting consequences that confound diagnostic strength in osteoporosis. Therefore, this is a challenge now for the RT to keep their competency amidst the assistance of engineering. Competence of RT is the foundation of supplying quality patient attention by supplying appropriate radiation dosage for accurate diagnosing.SynthesisThe focal point of the literature and surveies cited was the radiographic competency of RT between film-screen system and computed skiagraphy and it is through this survey that the research workers can place and compare whether their competency will differ based on the image receptor that is being used. In add-on, competency in exposure technique factors is indispensable because this will besides intend radiation dosage to the patient. It has already been affirmed that the construct has been there for the past few old ages and hence the present survey is surely non a new construct. Nevertheless, the research workers deemed it necessary to carry on a survey measuring the competency of the RT for the benefit of the establishment whe re they belong because the research worker wants to suggest a professional plan that could beef up the foundation of the RTs ‘ . It is besides of import for the school to offer the plans since about the RT from the different infirmaries in Davao City are merchandises of this establishment. This survey is similar to the other surveies cited in this subdivision because it stated on the effects of digital imagination on the radiographic competency of the RTs. Furthermore, old surveies dealt with the effects of image use on image quality and it indirectly link to the competency of the RTs.Conceptual ModelIn this position, the research workers attempted to measure the degree of radiographic competency of the RTs in footings of cognition, accomplishments and attitude. Through measuring the competency of the RTs, the research workers are able to find the degree of radiographic competency ; their strengths and failing of radiographic techniques. On the other manus, the research workers identified the factors that can impact their competency, such as the respondents ‘ demographic profile in footings of age, sex, figure of old ages in service and educational attainment and the profile of establishment such as bureau and its categorization are besides considered. To hold a graphic image of the survey, Figure 1 served as the research paradigmSCHEMATIC DIAGRAMIndependent Variables Dependent VariablesFactorsRespondents ‘ ProfileAge Number of old ages in serviceAgencyPrivate PublicImage ProcessingFilm-Screen System Computed RadiographyDegree of Radiographic CompetenceCognition Skills AttitudeFigure 1Conventional Diagram demoing the relationship between the independent and dependent variablesSTATEMENT OF THE PROBLEMThe survey aims to compare the degree of radiographic competency in utilizing a film-screen system and computed skiagraphy on exposure technique factor choice ; specifically it aims to reply the undermentioned inquiries: What is the respondents ‘ profile in footings of: Age Number of old ages in service What is the bureau of the health care establishments in footings of: Private Public What is the degree of the respondents ‘ radiographic competency in utilizing film-screen system on exposure technique factor choice in footings of: Cognition Skills Attitude What is the degree of the respondents ‘ radiographic competency in utilizing computed skiagraphy on exposure technique factor choice in footings of: Cognition Skills Attitude Is there a important relationship between the respondents ‘ profile and the degree of radiographic competency in footings of: Cognition Skills Attitude Is there a important relationship between the bureau of health care establishment and the degree of radiographic competency in footings of: Cognition Skills Attitude Is there a important difference in the degree of radiographic competency between film-screen system and computed skiagraphy in footings of: Cognition Skills AttitudeHypothesisThere is no important relationship between the respondents ‘ profile and the degree of radiographic competency in footings of: Age Number of old ages in service There is no important relationship between the bureau of the healthcare establishment and the degree of radiographic competency in footings of: Public Private There is no important difference in the degree of radiographic competency between film-screen system and computed skiagraphy in footings of: Cognition Skills AttitudeDEFINITION OF TERMSAccuracy- refers to the grade of conformance of a measured or calculated value to its existent or specific value. Computed Radiography- is an low-cost solution of digital imagination system that uses a photostimulable phosphor as the image receptor. Digital Radiography- an all-digital technique in which x-ray soaking up is quantified by assignment of a figure to the sum of x-rays making the sensor ; this is besides called as cassetteless system. Exposure- step of ionisation produced in air by X raies or gamma beams. Exposure Factor Selection. It is the factor set by the radiographer ( kVp, and ma ) to bring forth visibleness of constructions in the radiogram. Film Screen System- is the conventional image receptor that uses radiographic movie, radiographic escalating screen and wet chemical science to visualise the image in the radiogram. Image receptor- is a device that converts x-ray beam into seeable image. Degree of Radiographic Competence- refers to the step of the degree of competency of the radiologic engineer in accomplishing ends and aims in supplying quality radiogram with minimal radiation dosage to patients. Private hospital- is a infirmary owned by a net income company or a non-profit organisation and in private funded through payment for medical services by patients themselves. Public hospital- is a infirmary which is owned by the authorities and have authorities support.Significance OF THE STUDYThis survey seeks to find if there is a important difference on the degree of the respondents ‘ radiographic competency in exposure technique factor choice between film-screen system and computed skiagraphy ; and to find if there is a important relationship on the degree of radiographic competency between respondents ‘ profile and bureau. Based on the consequences of this survey, the research workers can place the strengths and failings of the RTs and if it shows important diminution in the competency of the RT in the CR system, the research workers will suggest an enhancement plan for the professionals. The said plan will besides be a portion of the Continuing Professional Education ( CPE ) , and it will be added to the CPE units needed to regenerate RT licences. This survey will be most helpful to the radiology section of the infirmary to heighten Health Care Delivery by restricting radiation dosage to the patients. Furthermore, finding the attitude toward the imagination system will assist the section to reassess the mental and the emotional province of the RT ‘s. Mental and Emotional province of the RT are of import since they are covering with patients. It is the duty of the RT to render quality patient attention by supplying appropriate radiation dosage. Furthermore, this survey will besides be of most helpful to the schools offering radiologic engineering as to escalate the foundation of the pupils in footings of exposure technique factors. Based on the consequence of the survey, there may be a demand to revise the course of study to further escalate the accomplishments of the RT pupils. Computed Radiography is non a portion of the standard RT course of study, and it may be one factor that affects the diminution of competency on the portion of the professional every bit good as the pupils.Chapter 2MethodologyThis part discusses the research design used, the research venue where the survey will be conducted, the description of samples and the sampling technique, the instrument used, the inside informations of process and the statistical analysis to reply the research job.Research DesignThe survey will use a comparative-correlational research. To find the difference between the degree of competency in film-screen system and computed s kiagraphy, comparative survey will be used. Furthermore, to find the relationship between the respondents profile and bureau between the degrees of the radiographic competency, correlational design will be employed.PutingThe survey will be conducted from the selected infirmaries in Davao, Digos and Tagum City using either film-screen system and computed skiagraphy. The infirmaries utilizing film-screen system are the undermentioned: Alexian Brothers Health and Wellness Center, Km. 4, McArthur Highway, Matina, Davao City ; Davao Regional Hospital, located at Apokon, Tagum City 8112 and Davao Del Sur Provincial Hospital which is located at Lapu-lapu St. Digos, City Davao Del Sur. On the other manus, the infirmaries utilizing the computed skiagraphy system are the undermentioned: Davao Doctors Hospital ( DDH ) , E. Quirino Ave. , Davao City ; Southern Philippines Medical Center ( SPMC ) , J.P Laurel Ave. , Bajada, Davao City and Davao Medical School Foundation and Hospital ( DMSF ) , M edical Drive, Bajada, Davao City.ParticipantsThe respondents of the survey are the Registered Radiologic Technologists and Associate X-ray Engineers coming from the selected infirmaries in Davao City using a film-screen and computed skiagraphy system. Furthermore, the qualified respondents should be at least six months in service at the clip of the rating.MeasuresThe research appraisal is composed of four parts. The first portion of the appraisal consists of inquiries refering to the profile of the respondents and infirmary. The 2nd portion consists of inquiries on the respondents ‘ degree of cognition on exposure technique factor choice. The inquiries are specifically structured in such a manner that assesses the respondents ‘ acquired cognition on technique choice. Based on the consequences, the attitude in footings of respondent ‘s response in both film-screen and CR system will be categorized as follows depending on their average mark:Points Obtained Qualitative Description30-25 Very High 20-24 High 15-19 Reasonably High 10- 14 Low 13- 0 Very LowInterpretationThe aforesaid appraisal signifier that will be used as instrument of the survey is constructed and designed by the research workers as to mensurate the basic cognition in exposure technique factor choice regardless of the imagination system used. Its cogency and dependability was attested by experts of the field. Furthermore, the 3rd portion of the appraisal is an existent rating wherein the respondents are observed during x-ray scrutiny. They will be assessed in the existent choice of the exposure technique factor and the result of the image. The said appraisal is a point system ; the appropriate the RT performs in technique factor choice and the acceptable the image, the higher the points. Based on the consequences, the degree of radiographic competency in footings of respondent ‘s accomplishments will be categorized as follows depending on their average mark:Points Obtained Qualitative Description10 Very high degree of radiographic accomplishments 7-9 High degree of radiographic accomplishments 4-6 Reasonably low degree of radiographic accomplishments 1-3 Low degree of radiographic accomplishments Low degree of radiographic accomplishments means that the respondents were non able to execute the appropriate exposure techniques and came up with an unacceptable radiogram. Reasonably low degree of radiographic accomplishments means that they were non able to execute appropriate exposure techniques and came up with a passable radiogram. High degree of radiographic accomplishments means that they were able to come up with a quality radiogram but did non execute appropriate exposure techniques. Last, really high degree of radiographic accomplishments means that they were able to come up with a quality radiogram and performed appropriate exposure techniques. The appraisal is limited in the x-ray scrutiny of the skull and thorax. Furthermore, the last portion of the appraisal is consists of inquiries sing the attitude of the respondents. The respondents ‘ attitude will be assessed base on their attitudes about the imagination system and its facets. The research workers will use the Likert Scale wherein the respondents are asked to bespeak a grade of understanding and dissension with each of a series of statement. The consequences will be categorized as follows depending on their average mark:Points Obtained Qualitative Description5 Strongly Agree 4 Agree 3 Indifferent 2 Disagree 1 Strongly differ In add-on, the research workers will utilize purposive sampling as to measure up the respondents for the survey.Ethical ConsiderationResearch blessing will be obtained through the research reappraisal section or human resources section from the six infirmaries. To promote voluntary engagement of the RTs ‘ in this survey, the cover missive of the intent and nature of the survey, informations confidentiality, and research support will be attached. The namelessness of the respondents will be ensured.Procedures1. Letter inquiring for permission. 2. After the blessing of the proposal of this survey, the research worker will organize with the human resource section and the radiology section caputs. Once approved by radiology caputs, the research workers will get down the rating procedure. The research workers will aim two months in assemblage of informations get downing October 1- November 1. Based on the consequence, the research workers will so place the area/s of troubles by the respondents and so proposed an enhancement plan for the professional concentrating on the failings identified.Datas AnalysisThe undermentioned statistical methods will be utilized for the analysis of the informations and reading of the consequences:To reply the undermentioned jobs, obtaining Frequency, Mean and Percentage will be employed.What is the respondents ‘ profile in footings of: Age Number of old ages in service What is the bureau of infirmary in footings of: Private Public 3. What is the degree of the respondents ‘ radiographic competency in utilizing film-screen system on exposure technique factor choice in footings of: Cognition Skills Attitude 4. What is the degree of the respondents ‘ radiographic competency in utilizing computed skiagraphy on exposure technique factor choice in footings of: Cognition Skills AttitudeThe Pearson Product-Moment Coefficient of Correlation will be used to correlate the respondents ‘ degree of radiographic competency and the ( 1 ) respondents ‘ profile and ( 2 ) profile of the healthcare establishment. It seeks to reply the undermentioned jobs:5. Is there a important relationship between the respondents ‘ profile and the degree of radiographic competency in footings of: Cognition Skills Attitude Is there a important relationship between the bureau of health care establishment and the degree of radiographic competency in footings of: Cognition Skills AttitudeLast, T-test will be used to compare the degree of respondents ‘ competency between film-screen system and computed skiagraphy:Is there a important difference in the degree of competency between film-screen system and computed skiagraphy in footings of: Cognition Skills Attitude The processing will be done with the usage of SPSS.Scope and RestrictionThe chief intent of the survey is to find if there is a important difference on the degree of the radiographic competency of radiologic engineers on exposure technique factor choice between film-screen system and computed skiagraphy. Furthermore, the research workers will besides seek to find if there is a important relationship on the degree of radiographic competency between radiologic engineers ‘ profile and bureau. The research workers will use the three competences viz. : Knowledge, Skills and Attitude. The survey is limited merely to six health care establishments in Davao, Digos and Tagum City with the following profile:Name of Hospital Image Receptor AgencyAlexian Brothers Wellness Center Film-Screen System Private Davao Doctors Hospital Computed Radiography Private Davao Del Sur Prov. Hospital Film-Screen System Public Davao Regional Hospital Film-Screen System Public DMSF Computed Radiography Private SPMC Computed Radiography Public Furthermore, the survey is limited to skull and chest scrutiny. Since the survey discusses the quality and measure of radiation, nevertheless, it does non cover the radiation dose the patient receives. The survey merely focuses on the image quality based on the exposure techniques -kVp, ma and SID- selected by the respondents.Appendix 1: Communication LetterRaymund CS. Del Val Davao Doctors Hospital President Thru: Mirasol B. Tiu Director Human Resources Department Beloved Sir/Madam: We would wish to seek permission to carry on our survey in this establishment specifically in the Radiology Department. Our survey is entitled â€Å" Radiographic Competence between Film-Screen System and Computed Radiography on Exposure Technique Factor Selection † . The chief aim of this research is to place the radiographic competency between the radiologic engineers ‘ using film-screen image receptor and computed skiagraphy ( CR ) . Through your engagement, we finally hope to find if competency in exposure technique choice varies or non. We assured that this information will be held in confidential and will be used merely to broaden the position of our survey. Your blessing on this affair will be extremely appreciated. Respectfully Yours,Dannalyn D. Ibanez, RRT Jules King Defensor, RRTResearcher Researcher DDC- RT Department DDC- RT DepartmentTheresa T. Eguia, RRTResearch worker DDC- RT Department Noted By: Joshua P. Sero Dr. Lucila T. Lupo RT Program Chair Head of Research Dept.Appendix 2: COVER LETTERDear Respondent, We are the module of Davao Doctors College- Radiologic Technology Department and soon carry oning a survey entitled â€Å" Radiographic Competence between Film-Screen System and Computed Radiography on Exposure Technique Factor Selection † The chief aim of this research is to place the radiographic competency between the radiologic engineers ‘ using film-screen image receptor and computed skiagraphy ( CR ) . Through your engagement, we finally hope to find if competency in exposure technique choice varies or non. Enclosed with this missive is a brief questionnaire that asks a assortment of inquiries. The questionnaire is composed of five parts. First portion is your personal profile. Second, is your establishments ‘ profile. The 3rd portion is a quiz-type that measures your cognition about exposure factor techniques on skull and chest scrutiny. In the 4th portion, we, the research workers will detect you based on your existent choice of the exposure techniques during the x-ray scrutiny. And in conclusion, we will be inquiring sing your attitudes and positions toward your current occupation as an RT. Your replies and responses are confidential and will be used for research purposes merely. We hope you will take a few proceedingss to finish this questionnaire. Without the aid of people like you, research on radiographic competency could non be conducted. Your engagement is voluntary and there is no punishment if you do non take part. If you have any inquiries or concerns about finishing the questionnaire or about take parting in this survey, you may reach us at 222-0853 local 107 or 09161932693 or you can e-mail us at danna_rrt @ yahoo.com. Sincerely,Dannalyn D. Ibanez, RRT Jules King C. Defensor, RRTResearcher Researcher DDC- RT Department DDC- RT DepartmentTheresa T. Eguia, RRTResearch worker DDC- RT DepartmentAppendix 3: Samples of QuestionnairesDegree of Competence in Exposure Technique Factor SelectionEvaluation FormPart I: Respondent ‘s ProfileName ( Optional ) : ______________________________ Rating: _____________ Sexual activity: ______________________ Date: ______________ Age: _________ Number of Years in Service: ________Part II: Healthcare Institution ‘s Profile:Type of Institution: ( ) Primary ( ) Secondary ( ) Tertiary Type of Imaging System: ( ) Film Screen ( ) Computed RadiographyPart III: CognitionSKULL RADIOGRAPHYThymineFIn skiagraphy of skull, particularly for paediatric and geriatric patients, short exposure clip is required. 2. Use of grid is required in skull skiagraphy 3. In skull skiagraphy, wherein a smaller field size is required exposure factors may hold to be increased. 4. In skull imagination, a 15 % addition in kvp should be accompanied by half decrease in mom. 5. Skull skiagraphy requires a high contrast image, which requires a high kvp choice. 6. When utilizing a grid, it may non be necessary to increase the exposure factor. 7. When exposure factor is done with the usage of bucky, it is of import to see an addition of ma to keep the movie denseness. 8. In skull skiagraphy, the usage of medium kVp and short exposure clip and the highest possible ma is recommended. 9. It is necessary to increase kVp when an x-ray requisition indicates status such as: hydrocephaly, osteochondroma, and Paget ‘s disease. 10. A sidelong skull place will necessitate lesser exposure than PA skull X ray. 11. When tube angulation is applied during skull x-ray, there is an addition in exposure severally. 12. 40 inches distance is used during skull skiagraphy to obtain appropriate degree of denseness. 13. Skull with injuries due to vehicular accident will necessitate lesser exposure factor. 14. ma is the factor of pick for skull process. 15. Skull process with air spreads due to trauma, kVp is the factor of pick.CHEST RADIOGRAPHYThymineF1. Aerated tissue such as lungs require high sum of exposure to enter appropriate degree of denseness. 2. The thickness of the thorax is normally measured with callipers as a usher to the proper ma choice. 3. In portable thorax X ray, the ma value is decreased. 4. Pathological status of the thorax may non be taken into history in gauging the electromotive force value. 5. To find farther the pathology emphysema the usage of lower kVp exposure requires. 6. By and large, kV should be high plenty to ensue in sufficient contrast to show the many sunglassess of grey needed to visualise the finer lung markers. 7. Chest skiagraphy requires the usage of high mas and long exposure clip to minimise the opportunity of gesture and attendant loss of unsharpness. 8. Chest transcending 30cm in thickness requires an addition non merely in ma but besides in kVp 9. In pleural gush, normal thorax technique will ensue in underexposed image. 10. 72 inches distance is officially use during chest skiagraphy to obtain appropriate degree of denseness. 11. In chest x-ray utilizing air spread technique, normally gives lower patient dosage. 12. Chest is considered as a low contrast anatomy. 13. In patients with pneumonia, it is ever appropriate to diminish exposure techniques. 14. In patients with pneumothorax, it is ever appropriate to increase exposure techniques. 15. By and large, as grid ratio additions, patient dosage will diminish.Part IV: SkillsExposure Technique Factor SelectionMarkDid the engineer usage calliper to mensurate the thickness of the portion? ( to use appropriate kVp ) 1 point. 2. Make the engineer suitably use radiographic grids? 1 point. 3. Make the engineer collimate the portion of involvement? ( collimation reduces spread radiation therefore provides high contrast image ) 1 point. 4. Make the engineer usage appropriate source-to-image distance ( SID ) ? 1 point.Radiographic ImageIs the radiogram acceptable in footings of contrast? 2 points. ( 2- acceptable 1- moderate 0- unacceptable ) Is the radiogram acceptable in footings of denseness? 2 points. ( 2- acceptable 1- moderate 0- unacceptable ) Is the image decently collimated? 1 point Is there a presence of image fuzz? ( Long exposure clip contributes to image fuzz ) 1 point.EntirePart V: AttitudeFor Film-Screen user:Film-Screen SystemStrongly AgreeAgreeIndifferentDisagreeStrongly Disagree1. Film-Screen imagination system still is the best mode of pick in bring forthing a quality radiogram. 2. Film-Screen imagination system gives more accurate consequences compared to digital system. 3. Film-Screen imagination system is the most convenient mode in choosing proper exposure technique. 4. Since I can non pull strings the image in a Film-Screen system, I should be precise in choosing kVp and ma in every scrutiny. 5. If the image becomes underexposed, I normally do repeat scrutinies. 6. If the image becomes overexposed, I normally do repeat scrutinies. 7. I normally choose high exposure factors in Film-Screen. 8. Collimation is really of import in Film-Screen. 9. I think film-screen bounds patient radiation dosage. 10. I feel that my competency on exposure technique factor choice is great in film-screen system. For Computed Radiography user:Computed RadiographyStrongly AgreeAgreeIndifferentDisagreeStrongly Disagree1. CR is the best mode of pick in bring forthing a quality radiogram. 2. CR gives more accurate consequences compared to digital system. 3. CR is the most convenient mode in choosing proper exposure technique. 4. Since I can pull strings the image in a CR system, sometimes I am non certain in choice of kVp and ma. 5. If the image becomes underexposed, I normally do repeat scrutinies. 6. If the image becomes overexposed, I normally do repeat scrutinies. 7. I normally choose high exposure factors in CR. 8. There is no demand for collimation since cropping is available during station processing in CR. 9. I think CR bounds patient radiation dosage. 10. I feel that my competency on exposure technique factor choice is lesser in CR.Appendix 4: MentionBooksBallinger, PW, Frank ED: Merill ‘s Atlas of Radiographic Positions and Radiologic Procedures, Volume 3, 9th erectile dysfunction. St. Louis, Mosby-Year Book, 1999 Bloom BJ, erectile dysfunction. Taxonomy of Educational Aims: Cognitive Domain. New York, NY: David McKay Company ; 1956. Bontrager, K, Lampignano, J: Textbook of Radiographic Positioning and Related Anatomy 7th erectile dysfunction. Singapore, Mosby, 2010. Bushong, SC: Radiologic Science for Engineers: Physicss, Biology, and Protection, 9th erectile dysfunction. St. Louis, Mosby-Year Book, 2001. Callaway, W, Gurley, L: Introduction to Radiologic Techology. Mosby-Year Book Inc. 1996. Cesar LJ: Computed skiagraphy: its impact on radiographers. Radiologic Technology 68:225, 1997. Dowd, SB. The profession ‘s hereafter: leading development. Radiologic Technology. 1992 Fauber TL: Radiographic Imaging and Exposure. ST. Louis, Mosby, 2000. Fauber, TL & A ; Johnston, J: Necessities of Radiographic Physics and Imaging. Mosby. 2012. Klieme, E. et al.The Development of National Educational Standards: An Expertness, Berlin: Bundesministerium fur Bildung und Forschung. 2004. Lauer OG. Principles and Practices of the College-Based Radiography Program. St. Louis, Mo: Warren Green Inc ; 1984. More, C. Skill and the English Working Class, 1870-1914, London: Croom Helm. ( 1980 ) Piaget, J. La psychologie de l'intelligence, Paris: Colin.1947. Pizzutiello RJ, Cullinan JE: Introduction to Medical Radiographic Imaging. Rochester, NY, Eastman Kodak Company, 1993. Shephard, C: Radiographic Image Production and Manipulation. Nashville, Tenessee, 2003. Yumul, R. Introduction to Radiologic Technology with Science, Technology and Society. Manila. 2012DiariesSiddiqui, Nazlee & A ; Khandaker, Shahjahan. Comparison of Services of Public, Private and Foreign Hospitals from the Perspective of Bangladeshi Patients. 2007. Balasubramanian, Siva K. and Wagner A. Kamakura, August. â€Å" Measuring Consumer attitudes towards the market topographic point with tailored interview † , Journal of Marketing Research, Vol. 26. 1989.Unpublished ThesissPabunag, Richard et Al. â€Å" Level of Professional Competence of Radiologic Technologist in Davao City on Factor Selection of X-rays of Skull, Extremities and Chest † . Davao City. 2008.Online BeginningsEnfinger, Jeremy. Subjects in Radiography. April 22, 2012 Medicalxray.com.cn July 12/2010 Dicomsolutions.com ( www.discomsolutions/ds-digital-radiology/acquire.html ) . 2011 Dilulio, Renee. CR versus DR: Which is the Techs Choice? ( hypertext transfer protocol: //www.medical imagingmag.com/issues/articles/2008-05_02.asp. May 2008 hypertext transfer protocol: //www.libraryindex.com/pages/1831/Health-Care-Institutions-TYPES HOSPITALS.html † Health Care Institutions – Types of Hospitals.2007Appendix 5: BUDGETARY RequirementBUDGETARY RequirementManpower ( Representation fee/ Burden fee )Statistician 3,000 Research Adviser 4500 ( Proposal, Final ) Validators of Research Instruments ( 3 ) 900 Meals and bites 1500 Subtotal P 9,900Transportation system Allowance:2 Calendar months 5,330 Office Supplies ( booklets, paper, cartridge, ink ) 1000 A? of the Contingency Fund 1,623TOTAL P 17,853

The Metro Rail System Essay Online For Free - Free Essay Example

Sample details Pages: 8 Words: 2265 Downloads: 8 Date added: 2017/06/26 Category Finance Essay Type Narrative essay Did you like this example? The concept of a metro rail for Delhi first emerged in 1969-70 but DMRC was formed in May 1995 with equity participation by the GOI GNCTD in the ratio of 50:50, i.e., equal participation. The national and Delhi state governments aimed to develop a rail-based transport system that would alleviate Delhis ever growing transport congestion and vehicular pollution. The detailed project report (DPR) and feasibility study for the different phases of the project was prepared by Delhi-based Rail India Technical and Economic Services (RITES). Don’t waste time! Our writers will create an original "The Metro Rail System Essay Online For Free" essay for you Create order The major funding for this project has been through a soft loan disbursed by the Japan Bank for International Cooperation (JBIC). Thus, the government of Japan has contributed more than half the cost of this project. Delhis first metro line was operational in 2002 and today three functioning lines connect central Delhi to east, north, and southwest Delhi. The metro rail system, to be constructed in four phases covering 245 kilometers, is scheduled to be finished in 2021. DMRC is responsible not only for construction of the system but also for its operation and maintenance. It has 450 personnel in its construction department and 3,000 staff for system operation and maintenance. Supply chain partners provide critical support, including labor, machinery and components, and maintenance services.  Funding and Investment Investment has varied meanings in economics and finance. In finance, investment is regarded as putting money into something with the expectation of a gain, usually over a longer term. Thus, it is application of funds to hold assets over a longer term in the hope to achieve gains. It usually involves diversification of assets in order to avoid unnecessary and unproductive risk. As urban MRT projects are meant to provide a safe, speedy and affordable mode of travel to the commuters, they have not generally been found to be financially viable in the most cities of the world, despite their large economic benefits. It was crucial for DMRC to develop a strong funding strategy. Investments are often made indirectly through intermediaries, such as pension funds, banks, brokers, and insurance companies. These institutions may pool money received from a large number of individuals into funds such as investment trusts, unit trusts, SICAVs etc to make large scale investments. Each individua l investor then has an indirect or direct claim on the assets purchased, subject to charges levied by the intermediary, which may be large and varied. For the Delhi Metro Project, Japan Bank of International Corporation (JBIC) has extended significant support in funding the four phases of the project. Since it was observed that India has huge infra deficit. India needs to build airport, roads and highways. However, in every sector of infra, India will be catching up with past and will not be building for the future. Here lies the main difference in selecting Japan to finance the project. In Japan there is a new level of infra. While in India we are catching up with deficit, Japan on the other hand is way ahead. Delhi being national capital and international city, the GOI and GNCTD must also contribute to meet part of these costs. It has accordingly been decided that the project will be financed by way of equity contributions from the GOI / GNCTD, soft loan from the OECF (Japan), pro perty development revenue and certain decided levies / taxes on the city dwellers. The loan will rapid partly from surpluses from the box revenue, partly through dedicated levies / taxes in the NCT. The financial plan of the project has been approved by the GNCTD and GIO on24.7.1996 and 17.9.19996 respectively. It is essential to raise appropriate funds for the successful completion of the project. Timely provision of funds enables smooth and efficient functioning. The following strategies were established in the various phases of development of the Delhi Metro:   Phase I The investment proposal for Phase-I of the Delhi MRTS Project was approved by the government on 17th September, 1996. The total estimated cost of the project was INR 10571 crore. Of this the Japan Bank for International Cooperation (JBIC) extended the maximum amount in six tranches, with the first one in 1997. The loan carried rate of interest for this project is 1.2 per cent per annum. The loan has a repayment period of 30 years with a moratorium period of 10 years. The SPV, DMRC, was set up with equal equity participation from the union and the Delhi governments. Approximately 28 per cent of the project cost was raised through equity contributions, jointly financed  by the Government of India  (GoI) and  Government of Delhi. In addition to this, they provided a subordinate loan to cover the cost of land acquisition, which has a share of 5 per cent. Another 60 per cent has been raised as a subordinate debt through soft loans from JBIC. The balance 7 per cen t funds were internally generated through property development.  Funding Plan of Phase I   feature1_may_2010_400 Source: Delhi Metro Rail Corporation   Cumulative expenditure incurred upto 31.3.2007 is Rs.10349.59 crore. Cumulative physical progress is 100%. As grant-in-aid, the Metro has received 1,914.3 crore from various agencies. The Delhi Metro has also paid back an amount of 567.63 crore which includes loan amount for Phase I and interest amounts for Phases I and II, to the Japan International Cooperation Agency (JICA). The projects funding agency, the Japan Bank for International Cooperation (JBIC) has rated Delhi Metros implementation of Phase-I as excellent. Phase II The total estimated cost for the project that had been approved by the Government was INR 190 billion. Of this total investment, initially JBIC was to finance 48 per cent through equity participation. But JBIC contributed only 30 per cent. However the 18 per cent will not fall under the union and state governments share. Approximately 36 per cent is being financed through government. The remaining amount is being funded from property development, internal resources, and subordinate debt. The economic internal rate of return for this phase is estimated at 23.63 per cent and the financial internal rate of return at 8.18 per cent. The INR2885 crore airport express line under this phase has been funded on a debt-equity ratio of 70:30. While RInfra holds 95 per cent equity, the Spanish partner holds the remaining. However, the SPV had raised a debt of INR25 billion in March 2009 at an interest rate of 13 per cent, against the requirement of INR20 billion.   Phase III Japan being hit by a disaster was not entirely sure to fund the phase III of the project. However after due diligence, the impasse over the sanctioning of the soft loan was finally over. Japan agreed to release the first installment of the 105km project in December 2011. Japan Bank of International Corporation was all set to finance the INR 32000 crore projects. The project will be financed in a debt equity ratio of 60:40 under which the Centre and the Delhi governments will contribute 30% each and the rest will be raised by soft loans from JBIC In this phase the loan will be sanctioned at 1.40% rate of interest to be repaid in 30 years with a grace period of 10 years. Earlier, JBIC had given a soft loan to Delhi Metro at different rates of interest varying between1.2% to 2.3% in Phases I and II. Appreciating the sustainability of the relationship between India and Japan for Metro projects, the only viable reason for reducing the commitment is decrease in demand for moneta ry support by the Delhi Metro. This is evident as in the first phase, JBIC had given Delhi Metro 60% of the INR10571 crore project cost, while in the second phase the metro had received 55% of INR19600 crore from JBIC. In phase III, DMRC has asked for only 40% of about INR32000 crore. The Phase III project has already got clearances from the state and the Centre and both the governments have made budgetary provisions to meet the initial cost. The  Delhi Metro Rail Corporation (DMRC)  projects have been allocated INR.2216 crore in the budget for 2012-13. The  money will be spent on construction and extension of the Metro network in the national capital. Phase IV Japanese funding agencies which have extended financial support for the previous three phases of the Delhi Metro has shown enthusiasm to fund in the future plans as well. The Phase IV of the Delhi Metro project has 440 km of area of coverage. With the completion of the fourth phase, the largest metro in the world will be produced. DMRC Financials  DMRC recorded a total income of INR7.24 billion in the financial year 2008-09, inclusive of income from operations, real estate, consultancy, and other income. It registered an increase of 43.51 per cent over the total income of INR5.04 billion recorded in 2007-08. The company recorded a net profit of INR413.2 million, as against a net loss of INR482.59 million in 2007-08.  The companys total expenditure stood at INR2.62 billion, an increase of 24.47 per cent over the year 2007-08 when it recorded a total expenditure of INR2.11 billion. Funding Strategy: Delhi Metro Rail Corporation (DMRC) v/s Bangalore Metro Rail Corporation Limited (BMRCL) Bangalore Metro Rail Corporation Limited BMRCL is a public sector company jointly owned (50:50) by the central and state governments. It is responsible for the implementation of Bangalore Metro Rail Project (Namma Metro), aimed at providing a rapid transit rail system for Bangalore. The project was prepared by DMRC and submitted to BMRCL in May 2003. The proposed gauge was a standard gauge unlike the broad gauge of the Delhi Metro Network. The rationale for the metro includes reduced journey times, cutting fuel use, accident reduction and lower pollution. GOI approved on 11th May 2006 followed by MOU between GOI-GOK-BMRCL dated on 24th December 2010. The Government sanctioned completion cost of INR11609 c rore. Particulars GOI GOK TOTAL Equity 15% 15% 30% Sub-Debt 10% 17% 27% Senior Term Debt 43% Grand Total 100% While Delhi metro is fully funded by government equity and JICA sovereign- guaranteed debt, GOK, BMRCL decided to create a new financing model for the project which would be a mix of a. government equity, (30%) b. government subordinated debt,(27%) c. and Pass Through Assistance form JICA, (25%) and leverage these sources to raise the balance of 18 % as commercial debt from financial institutions. The strategy adopted by BMRCL to fund the Namma Metro Project faced many challenges and legal issues. The Challenge: a. Structuring a non-sovereign long-term MDB loans with interest below market rates. b. With no legal hurdles for MDB to lend directly to an entity wholly owned by the Government c. To structure a credit enhancement mechanism between respective Government entities and borrower (BMRCL) for p ayment mechanism d. Support of GOI and GOK in the construction of the repayment arrangements.   Legality: The threshold issue Can a foreign entity directly lend to a Company (BMRCL) fully owned by the government? The Constitution of India Article 293(Borrowing by States) bars lending by a foreign entity directly to State Governments. However, BMRCL is a company created under the Indian Companies Act 1956 and should be regarded as different entity from the state government like any other State run companies SecurityArrangements: All security would be equally shared on pari passu among the lenders in the payment waterfall under the TRA into which all Project revenues will flow.Hypothecation and mortgage of assets of BMRCL will be with the Security Trustee created for the purpose. Inter creditor Agreement between the lenders is being finalized on which basis a Security Account to be opened at an acceptable Bank in Bangalore under a Security Trustee Agree ment. ADB Facility Agreement contains terms and conditions that are customary in project financing transactions. As per the MOU, if BMRCL was not able to maintain the debt service ratio, then GOK to step in with additional sub-debt. While this condition would satisfy domestic lenders, appreciating that foreign loans would require a different comfort mechanism, GOKBMRCL working closely with ADB designed additional security/guarantee in the form of Concession Support Agreement. Ridership and benefits  In the seven years since its inauguration, the metro has carried over one billion passengers. On opening, about 35,000 passengers were using the line daily. With addition of lines, there has been a constant upswing in ridership. Presently, 0.85 million passengers use the metro per day.  Citizens of Delhi are deriving various indirect benefits from the Delhi metro. A recent study conducted to assess these indirect benefits has revealed that Delhi metro has prevented 28,800 tonnes of carbon dioxide from being emitted into the atmosphere every year. For Phase II, DMRC has estimated that about 610 buses will be removed, resulting in a saving of INR890 million towards capital and operating costs. Further, savings of about INR3.24 billion will take place due to a reduction of private vehicles, INR3.66 billion due to a reduction in fuel consumption, and INR1.65 billion due to a reduction in investment in road infrastructure.  The Delhi metro is also the first railway project in the world to be registered for carbon credits by the United Nations. It has been certified to prevent release of over 90,000 tonnes of carbon dioxide by use of regenerative braking systems in trains. It is estimated that in 2008, release of 39,000 tonnes of carbon dioxide were prevented and this figure is expected to increase to over 100,000 tonnes per year when Phase II of the metro project is fully operational.  To improve connectivity, DMRC has introduced 120 feeder buses. It has also placed an order to purchase 300 air-conditioned compressed natural gas buses to act as feeder buses. In addition to feeder buses, it has also started a radio taxi service for Delhi metro commuters in association with a taxi service agency.  DMRC has gained recognition with time. Today, it has not only triggered metro projects in other cities but is also acting as a consultant for majority of the projects coming up in India. Whether these projects will replicate Delhi metros success will only be seen with time.   Â