Example Research Paper Outline

<h1>Example Research Paper Outline</h1><p>As a model research paper layout, you will get a more clear image of what to remember for the paper. A framework will assist you with sorting out your contemplations and words and make it simpler for you to peruse and comprehend your exploration material. Regardless of whether you are composing a paper for a class, an exploration paper layout can be a priceless apparatus to ensure you remember significant things.</p><p></p><p>The first thing you should do is to figure out what your examination paper is going to cover. There are numerous sorts of papers, some of which are composed more altogether than others. An exploration paper diagram will assist you with choosing which kind of paper you will compose. You will likewise have a thought of what point you will compose about.</p><p></p><p>It is basic that you start composing an exploration paper layout before you even begin to com pose your examination paper. On the off chance that you forget about this progression, you may invest a great deal of energy attempting to recall what you will incorporate. This will permit you to discover all the significant data effectively and it will make it a lot simpler to locate the particular words you need when composing your paper. Regardless of whether you utilize a layout for your paper, you will even now need to do your examination first to discover all the various words that go into each section and you should know precisely what to place in each one.</p><p></p><p>You will likewise need to discover what kinds of material will work best for your exploration paper diagram. For instance, you will need to utilize more detail on certain themes than others. This is particularly reliant on the subject of your paper. You ought to consistently abstain from going over your cutoff points since it is a lot simpler to remove content than to make changes. The re is no sense experiencing the difficulty of composing an incredible paper and afterward winding up with an awful one since you didn't compose your exploration paper diagram properly.</p><p></p><p>When you are composing your examination paper plot, recollect that you should concentrate on one principle thought. You ought to never attempt to peruse it and choose words that you think will assist you with composing your paper. Rather, center around the focal thought that you will investigate in your paper. You ought to abstain from hopping around something over the top and writing down different thoughts on your paper at the equivalent time.</p><p></p><p>Using models is a compelling method to make your examination paper plot become animated. Regardless of whether you are just going to utilize one model from your layout, utilizing this will make your paper considerably more fascinating. You ought to consistently attempt to discover an ind ividual that is like the subject you are expounding on, so you can utilize this as a beginning stage for your examination paper outline.</p><p></p><p>You should consistently articulate your considerations and ought to never stress over being flawless when you are composing your paper. In the event that you adopt this strategy, you will ensure that you get the point over. You ought to consistently recollect that you are composing for a class or for yourself. On the off chance that you stress over how great you are going to look, it may make you dismiss the primary concern of your paper.</p><p></p><p>Remember that you should compose an exploration paper plot before you even start to compose the paper, so it is significant that you compose a solid diagram. This will assist you with dodging any superfluous composition, just as assist you with concentrating on one focal thought. Try not to stress over what to expound on in the event that yo u don't have the foggiest idea what you are expounding on, on the grounds that you will discover as you go.</p>

The Definitive Approach for Regents Thematic Essay Topics

The Definitive Approach for Regents Thematic Essay Topics Whenever you opt to ask us for skilled help, don't hesitate to get in touch with our support managers. A seasoned professional will make an error-free assignment right away and can help you boost your grades. In case, you feel that it's impossible to compose your thematic essay punctually or you're not sure you're writing it properly use our help. It's important to not forget that the clearer the challenge is, the simpler it is going to be for you to get the appropriate material, the more dynamic and interesting your work will be. Since you're working on a thematic undertaking, you always ought to stick to the maturation of the major goal. You are going to have clear view of the way to put the entire staff together. It is crucial to identify and disclose the principal subject of the studied work. Regardless, you should learn a few other necessities if you would like to create a suitable project. The Pain of Regents Thematic Essay Topics On our website, you will locate the expert services of specialist essay writers with examples of excellent works. Appropriate examples and statistical data can likewise be added evidence to construct on the paragraph. An essay is mainly directed at activating educational and cognitive activity. Writing an effective essay demands careful attention to detail and capacity to organize your thoughts concerning the most important subject of your research. As a demonstration of discipline and techniques, the author must bring the writing to a conclusion in the past area of the paper in an unambiguous method. A theme helps paint an extremely vivid image of the information, and that's why an author won't hide it. A thematic essay is a significant portion of the education procedure. Commonly, it is associated with social problems in different periods of human civilization. The Regents Thematic Essay Topics Trap When you start writing, you have to create a strong first paragraph to entice the reader's interest. End the intro by means of your thesis statement the point you're likely to be making throughout the essay, and the remainder of the essay will be supporting. In any case, it has to attract your readers' attention, and thus it ought to be brief and right to the point. When in doubt look for the most often brought up talking point, and you'll locate the gist of the essay. Our experts understand how to handle US history essa y topics with a bit of class. You won't have the ability to use everything as soon as you commence narrowing the focus of your essay. For example, you will need an outline. Your outline is what's going to guide the stream of your ideas. Being an intricate job, essay writing is connected with many mistakes students have a tendency to make. Students must list the tasks that will need to be dealt with. They are obliged to write this important piece of writing. After the stated theme, they are given a task which they must complete in essay format regarding the theme. The Good, the Bad and Regents Thematic Essay Topics You may choose to include citations in your essay as you use the documents to strengthen your thesis. Additionally, to enable a student to learn to compose a thematic essay introduction, body and the summarizing paragraph, which is also called the conclusion. To learn to compose a thematic essay, it's vital to focus on the grading rubric. As a result, if your argumentative history essay topics aren't handled satisfactorily, you're absolutely free to request corrections. An essay cannot be polished enough. Your essay should begin with the introduction. It should go short and concise. Thematic essays are among such popular essay types. You might not use exactly the same words in both essays. There are various kinds of essays. Since these sorts of essays are a little more involved, the conclusion should not only be a restatement of the introduction. Thematic essays are most frequently utilised in a classroom setting. In a thematic essay, it might be tough to define the main question form the very first look at the assignment prompt. The essay body is the principal part. The next point to discuss is the best way to compose a thematic essay. A theme essay must be persuasive and simple to read, that's why choice of an intriguing topic is vitally important.

Food Scarcity in Djibouti

Food Scarcity in Djibouti Djibouti is a little parched nation in Eastern Africa. It has critical and helpful transshipment offices at the mouth of the Red Sea and the Gulf of Aden. Its earthbound neighbors are Eritrea, Ethiopia and Somalia. Oceanic neighbor is Yemen. Djibouti has an advantageous topographical situation in methods for exchange. Its capital and primary port Addis Ababa move around 60 percent of Ethiopian fare products. Djibouti has a great deal of issues. Its atmosphere is bone-dry. There are hardly any prolific grounds in Djibouti. Neighboring Eritrea, Ethiopia and Somalia force extra strain in the locale. Clashes among Somalia and Eritrea unfavorably influence Djibouti. Respective ties among Djibouti and Eritrea were suspended in the time of 1998-2000. Such unsteadiness hurts Djibouti and exasperates its monetary slacking. Djibouti’s populace includes two primary ethnical gatherings: Muslim clan Issai with Somalian starting point and Afars with Ethiopian beginning. Shortage of food and water are the most extreme issues in Djibouti. There is additionally absence of skill in managing these issues (Zoungrana, 2013). High joblessness and high food costs worsen the circumstance. The nearby government is appeared to be not able to improve the circumstance. The Famine Early Warning Systems Network (FEWSNET) reports, that Djiboutis urban focuses like Balbala, Radiska, and Baulaos endure food frailty. Besides, rustic territories experience food weakness, as well. Imed Khanfir, a program counselor with the UN World Food Program (WFP) reports, that around 42,600 individuals are seriously food uncertain with 24,300 others modestly food unreliable in Djibouti. A general populace is 774,389 residents by 2012. USAID give Djibouti food help for 150,000 or one-fourth of the general Djibouti’s populace. Shaky financial circumstance is disturbed by the moment danger of the common war between the clans of Issais and Afars. In this way, the pioneer of ethnic gatherings managed to share positions in the administration. At the point when the president is Issais’ agent, the PM must be of Afars’ source. The Cabinet of Ministers positions additionally should be disseminated among Issais and Afars. In 1990s Issais figured out how to usurp the entire government. This reality caused Afars’ shock and incited a common war in Djibouti. Another Djibouti’s issue is an undemocratic and dictator propensity. Djibouti’s president Ismail Omar Guelleh has just served two terms as a leader of the nation, however 2010 Constitutional revision permitted him to be reappointed for the third term. By and by, global network and U.S. are appeared to endure such circumstance due to the Guelleh’s consent to raise US army installation and hostile to fear based oppressor place in Djibouti. U.S. army installation acquired steadiness the locale, however didn't take out all issues and dangers. From one viewpoint, Djibouti was seriously influenced by the dry spell which hit the area in 2011. The quantity of dry spell impacted individuals rose from 120,000 of every 2010 to 206,000 of every 2011. Dry season sway was exasperated by a huge convergence of exiles escaping the contention and dry spell in Somalia and other neighboring nations. This includes gigantically to the weight the as of now overstretched social assistance framework. Another gigantic issue in Djibouti is its administration powerlessness to react rapidly the circumstance because of the races. Each political decision makes government falter and execute various activities gradually. Appointive procedure makes government inert and incapable to comprehend the earnest needs of its kin. Each new political decision causes a discount revamping of the administration, which starts a lot of new government activities which likewise had the impact of diminishing the administration responsiveness. Then again, GDP development remained moderately adequate however it dropped shy of desires in 2011. The normal GDP development in time of 2005-2010 was around 5%. Following five years of development, economy eased back to 4.6% development in 2011 against an anticipated pace of 5.1%. The fundamental assurances for development were outside direct venture (FDI), principally from Gulf Cooperation Council nations, into ventures situated around the port and development and in the travel industry area. Concerning per capita salary, the development of the economy arrived at 1263 USD in 2010, qualifying Djibouti for center pay nation (MIC) status under universal characterization. Military nearness of France, the USA and Japan ensure Djibouti’s economy extra huge income. Populace development is evaluated at 2.18 percent consistently. Djibouti Human Development Index was 0.430 in 2011, positioning the nation 165 out of 187 nations. In 2010, future was 58 years, while mean long periods of school instruction was 3.8. UN despite everything has no information concerning the sizes of neediness in Djibouti in 2013. As indicated by the time of the previous five years, the circumstance didn't improve, yet disintegrated further in 2013. The general measure of individuals living beneath the national destitution line dramatically increased somewhere in the range of 2002 and 2009 while the pace of individuals living underneath the across the nation extraordinary neediness line expanded like wise over a similar period. Clearly the monetary development of the ongoing past has not yet influenced the destitution decrease for the huge piece of the populace. The Government is appeared to disregard all the conceivable outcomes in growing the philanthropic help considering the military nearness in the nation. New center pay nation status has shut access to many award and concessionary loaning. MIC status is entirely precarious as per a colossal measure of individuals living underneath extraordinary neediness line. There are no new universal NGOs built up activities since 2011 regardless of the dry spell crisis. The administration should take more think about including universal NGO. Thus, Djibouti’s government continues depending on UN support for specialized help with key vital circles identified with neediness easing. UN help the Djibouti’s government to aggregate assets from givers to address compassionate requirements of the most unprotected gatherings, affected by the repetitive dry spells. Subsequently, Djiboutian families continue encountering solid food related financial weights. The normal expense of the essential food bin in 2011 stayed well over the normal expense for the past five years. In 2011, the dry season crisis that hit the district of Djibouti, Somalia and Ethiopia further irritated the uncomfortable circumstance of the most defenseless portions of the populace, especially those living in the provincial regions. The dry spell incited the proceeded with collection of domesticated animals misfortunes (near 80 percent of the cows in certain regions) with a comparative impact on the jobs of the traveling populace. Rustic inhabitants continue moving to the urban zones growing urban joblessness (60%) and neediness (42.1% extraordinary destitution). Thus, the UN Country Team needed to give an expanded measure of time to amass assets to help compassionate mediations in 2011. Besides, the dry season and intensifying weakness in South Somalia continued inciting increments in the quantity of exiles invading Djibouti. The amount of outcasts in the Ali Addeh camp rose from 12,000 to more than 14,000 through the span of 2010 and to 19,500 evacuees toward the finish of 2011, a huge increment for a nation of 818,159 individuals. Moreover, the deluge of vagrants from Ethiopia, hurrying towards Djibouti City, in look for of business, and Yemen, the Arabian Peninsula (Saudi Arabia) through the Bab el-Mandeb Straits additionally proceeded, and arrived at awesome figures at specific focuses in the year. The common war danger follows Djibouti since 1991. Afars’ minority battled with Issa-overwhelmed government. The contention finished by consenting to a harmony arrangement in 1999 and choosing another president. In this way, repetitive convergence of new exiles and migrants from the neighboring nations reignites the contention over and over. Harmony understanding didn't kill neighborhood viciousness. Ethiopian military activity in Somalia influenced Djibouti contrarily. Populace was separated in their help of the belligerents. Djibouti has a critical number of individuals contaminated by HIV/AIDS. Around 1 percent of the populace lives with HIV (roughly 7,700 residents [6,200-9,400]). The most helpless gathering is kids, conceived by HIV/AIDS tainted moms. The UN Refugee Agency endorses the primary goals and focuses for 2014 for Djibouti. Among the principle objectives is refusal in refoulement and access to the displaced person camps in Djibouti. Consistently there are up to 400 new exiles in Djibouti from southern Somalia. Around 2,700 outcasts from Ethiopia and Eritrea likewise look for refuge in Djibouti. The UN bodies give standard trainings to Djibouti’s staff so as to help visitor watchmen and law-requirement authorities. All displaced person kids must be given birth endorsements. Djibouti’s government with the UN Refugee Agency help should give fundamental needs and basic administrations to the displaced people. Essential needs incorporate sanitation and cleanliness conditions. The Holl-Holl and Ali-Addeh camps were given around 2,000 family restrooms and 200 trash pits. At any rate once per month UN representatives lead cleanliness mindfulness battles and camp clean-ups. Sanitation intercessions must be visit so as to shield displaced people from wellbeing dangers. Djibouti’s issues are appeared to make endless loop. From one perspective, parched atmosphere and nonappearance of oil stores convolute colossally the financial development in Djibouti. Provincial shakiness, common war, unreasonable immigrants’ deluge irritate the circumstance. The legislature has no money related assets to affect modern improvement not to mention the earth insurance issues. 40 percent of residents live beneath the extraordinary neediness line. 1 percent is tainted by AIDS/HIV. Djibouti’s GDP develops,

The Nuiances of Help with Writing a Essay

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Essay Topics in English - Tips to Come Up With Great Topics

<h1>Essay Topics in English - Tips to Come Up With Great Topics</h1><p>Some individuals have a similar thought with regards to exposition subjects in English, while others are increasingly innovative and concocted various themes. This is the reason there are such huge numbers of individuals who experience issues recorded as a hard copy an exposition that is connecting with and interesting. Nonetheless, it doesn't really imply that you won't show signs of improvement results by utilizing exposition points in English.</p><p></p><p>When it comes to paper themes in English, there are a wide range of decisions. It might be a battle to concoct a few thoughts that are remarkable, yet they despite everything will have the option to think of a decent point. The purpose behind this is on the grounds that there are a great deal of assets that can assist you with finding out about the various kinds of subjects that you can apply in your assignments.</ p><p></p><p>The first thing that you can do with regards to exposition points in English is investigating different destinations that offer article themes in English. There are a wide range of things that you can discover on these locales that will be useful to you. One of the fundamental things is the instrument that they use. What they do is that they will let you enter the title or the subject and afterward they will give you test exposition topics.</p><p></p><p>In along these lines, you will have the option to perceive how the writer utilized diverse paper points. You can ensure that you're not going to utilize a similar theme for the entirety of your assignments. This will be an extraordinary method to shield you from sitting around idly and exertion with regards to writing.</p><p></p><p>The next thing that you can do is to discover what the distinctive paper subjects are. It may not be anything but difficult to do, yet it is something that you can do to shield you from getting disheartened. There are a few unique points that you can use for your papers, and the best thing that you can do is to peruse through them and see what they need to offer.</p><p></p><p>Even on the off chance that you have examined the distinctive exposition subjects in English, there is as yet an opportunity that you won't discover something that you like. For whatever length of time that you can set aside the effort to check around, you ought to have the option to locate the correct one for you. Along these lines, you won't feel as if you burned through your time and exertion with regards to paper points in English.</p><p></p><p>The last thing that you can do is to get tips from others who have effectively utilized exposition subjects in English. In spite of the fact that you may feel that they won't help you, they do. They will have the option to assist you with ma king sense of the best paper themes in English for you, and they will likewise tell you precisely the best way to compose an article that will be novel and captivating.</p><p></p><p>These are only a couple of ways that you can utilize exposition points in English. By doing this, you will have the option to get the most ideal outcomes recorded as a hard copy. This implies you will have the option to get an incredible evaluation and will have the option to graduate high school.</p>

Unusual Article Uncovers the Deceptive Practices of Research Paper Topics about Video Games

<h1> Unusual Article Uncovers the Deceptive Practices of Research Paper Topics about Video Games </h1> <h2> The Downside Risk of Research Paper Topics about Video Games </h2> <p>Video games have become among the most notable distractions for goofs off the world. They are a significant type of recommendation. In the first place, they are perhaps the best wellspring of diversion since they are intuitive (Rudon, 2011). Finally, straightforward computer games frequently empower you to diminish nervousness and increment your disposition alongside fortify your enthusiastic steadiness. </p> <p>The current computer games vary from the ones that were made ten years back, in light of the fact that the visual outcomes and openings are significantly higher and the image looks like a high superb film or scenes from the genuine life. The examination of various logical distributions has demonstrated loads of constructive outcomes of computer games. 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As long in light of the fact that it is related with your particular locale of study, it should be destined to be the best possible point for you. Notwithstanding what class understudies are taking, an exploration paper regarding the matter of psychological maladjustment is a superb liable to view. Gamification has been getting a decent arrangement of consideration in instruction hovers in the previous scarcely any years, and such examinations would appear to show this is to the benefit of understudies and learning results. </p>

Business Related Essay Topics

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Finding the Best Ecology Topics for Research Paper

<h1>Finding the Best Ecology Topics for Research Paper </h1> <p>Unfortunately, individuals do as much mischief to the nature that there isn't any lack of issues in this area. You will get the sign about what explicitly you ought to create, develop or change. Subsequently, in case you're attempting to locate another subject or endeavoring to a phenomenal thought regarding how to form a particular point, you've gone to the ideal spot. Select an intriguing and intense issue. </p> <p>Naturally, everything sounds direct and fascinating, however in the event that you begin taking a shot at your examination paper, you face a lot of difficulties. The authors we have in our group are working inside this field for in any event ten decades and have extensive experience of composing microeconomics inquire about paper for those understudies. Begin searching for details which you will at that point use in your work. Everyone realizes that composing is difficult. </p> <h2>Vital Pieces of Ecology Topics for Research Paper </h2> <p>If you can't convey a significant article on this issue by the cutoff time, our administrations will help you. The reason for offering the critical database of totally free expositions is to guide you with the paper composing process. No significant critique on the sources is required. </p> <p>Make sure that you select a point that is intriguing to peruse and in an area where examine materials are promptly accessible. The whole research ought to be built around or from this issue. It's the absolute first part in the life systems of research papers that will give you the data you need. Try not to be frightened to lead a thorough research. </p> <p>There are different sources, which gravely impact our condition. Without a doubt, there are a great deal of issues that can be dissected. An ecological research should be founded on realities and genuine figures. There should be a lot of research investigating the subject. </p> <h2>The Supreme Approach to Ecology Topics for Research Paper </h2> <p>This procedure works extraordinary for essentially any specialty. It is the point of this paper to inspect the inceptions, the impacts, and the solution for the Asian and other Brown Cloud issues ascending on the planet. Such methodology empowers us to guarantee our administration can give the best excellent research paper assist you'll with having the option to discover today on the web. Methods for arrangement this issue. </p> <p>By assessing your course content, you will have a thought of the cutoff points inside your locale and compose your paper inside it. The alternative of a subject ought to be fascinating to peruse alongside include new understanding into the scholastic field. It's obviously better than picking a theme on a spot which has been concentrated on numerous occasions. There are heaps of factious exposition models on the web to help you in the occasion you don't get something. </p> <h2>The Battle Over Ecology Topics for Research Paper and How to Win It </h2> <p>The APA standard will be utilized. The more you understand the less difficult it's for you to create a flourishing examination paper. The principal look into paper group is given underneath. Use our expositions to have a perfectly clear thought regarding the substance of your paper, which will have the option to assist you with bringing incredible evaluations for you. </p> <p>If you need to compose just a solitary paper at the finish of the period, you can inhale out since you are honored. Ideally you could exploit this representation of an examination paper! The length and information inside this bit will be dependent upon the kind of paper you're composing. </p> <p>Attempting to make an exploration paper on a subject that doesn't have a ton of research on it's unimaginably hard, so before you pick a theme, do somewhat primer looking and be sure you will have all the data you should create your paper. Make the use of the recommended explore paper point thoughts and you'll be prosperous. When picking your exploration paper point, you should make certain it is neither exhausting nor exhausted. Hence, it's greatly improved to profit proficient guide for organizing an examination paper.</p> <p>Research Paper isn't an assignment for a solitary day. Research Paper planning implies taking care of a lot of data. Research papers are attempting, yet what's more they have the capacity to be to some degree fulfilling. Buy Research Paper today to get all the advantages of collaborating with professionals.</p>

Steps to Writing a Primary Source Essay

<h1>Steps to Writing a Primary Source Essay</h1><p>The initial step to composing an essential source paper is in any case a blueprint. This is significant on the grounds that it gives you a spot to begin. When you have a framework, at that point the time has come to start writing.</p><p></p><p>The second means to composing an essential source paper is to choose the source material. There are numerous hotspots for your article and you can browse a wide range of subjects. Obviously, the point you pick ought to identify with your subject of decision. Along these lines, it will be simpler to compose your essay.</p><p></p><p>After you select the source material, you are prepared to start composing the last archive. You ought to consistently start your first passage by clarifying why you picked the subject. In this section, incorporate realities or data about the source. Try not to make the data excessively explicit. Rather, make it general enough that it will be anything but difficult to clarify in your paragraph.</p><p></p><p>After clarifying the purpose behind your source, you will at that point present your source as a source. Ensure you utilize suitable accentuation and spellings. It isn't important to incorporate any commentaries, however it is a smart thought to show where they are located.</p><p></p><p>Next, present the source as an essential source. You do this by putting the essential source in quotes. Make sure to utilize legitimate accentuation and spellings. When you have begun, proceed to compose your first paragraph.</p><p></p><p>After you are finished with your first section, you will presently need to decide your central matter. You should express the central matter of your source. The central matter ought to be identified with the subject of your essay.</p><p></p><p>It isn't important to gi ve guides to your article. In any case, it is ideal to give references in the references area of your exposition. This is so the peruser will realize what models you used.</p><p></p><p>After your essential source has been presented, you should now proceed onward to the center of your paper. Compose a short passage about the topic of your essential source. In your passage, you ought to likewise examine how you came to think about the point. It is imperative to incorporate data about how your source causes you comprehend the topic.</p>

Kids, Work and Rhetorical Analysis Essay Samples

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Utilizing Qr Code Technology for Emr. Free Essays

string(206) " This may overcome the issues of Page | 3 Utilizing QR Code Technology In Encoding Patient Summary List 2012 reporting accidents by using the QR technology as an accurate, unique and prompt reporting tool\." Utilizing QR Code Technology In Encoding Patient Summary List 2012 Utilizing QR Code Technology In Encoding Patient Summary List Fatima Alsaleh and Samir Elmasri PhD College of Computer and Information Systems, King Saud University, Saudi Arabia Abstract: In situations like emergency, where the immediately gained, summarized and accurate information may radically make the difference between life and death, the need for a solution that fulfills this requirement arises. Number of solutions was previously proposed including emergency card and smart cards, but each has number of cons and pros. With the rapid adoption of smartphones, QR codes (Quick Response) is the ideal substitute for the current circumstances. We will write a custom essay sample on Utilizing Qr Code Technology for Emr. or any similar topic only for you Order Now It can be easily read by the paramedics, whether they are medical professionals or bystanders and provide immediate, accurate, reliable information that radically impact an individual’s life, in case of emergency. This paper discusses the advantageous utilization of the QR code and smartphone revolutionary technology in the medical field. It also discusses other uses of QR code, in some related fields where it can be beneficial the most. Page | 1 Utilizing QR Code Technology In Encoding Patient Summary List 2012 Introduction Accidents happen all the time all around the world. A continuous work by the governments and non-profit associations has been accomplished to propose and impose policies and procedures that best decrease the number of accidents and control their tragic consequences. On the other hand, an increasing number of researches and tested methodologies have been conducted in the past few years, specifically in the field of emergency, to best control the damages. The main focus was to summaries the most important and critical medical information about an individual in an in a portable means and ensure a quick retrieval of these data in a secure manner. The earliest attempt to compliance with the quick, secure and summarized access to an individual’s critical medical information was by using emergency cards. Some Health providers companies provide their patients with an emergency card that has some information extracted from the patient summary List. This card has saved lives as it’s the guide that could help the first aiders or emergency staff to act accurately in a timely manner. The means, however, evolved over years to cope with the technology revolution and benefit the most of it. Encoding the patients EMR in smart card is a methodology that has been rapidly followed by many EMR companies and healthcare providers. A part of the medical record of any patient is a summary known as a Patient Summary List or Problem Summary List. This paper proposes a method that could benefit from the two aforementioned important concepts. The method introduces the use of the Quick Response (QR) technology in the patient’s Emergency card. Related Work Some health providers provide their patients with an Emergency Card that usually has the vital medical information that could make the difference between life and death, usually known as Patient summary list (part of the Electronic Medical Record). The list should include the patient’s ID, medical history of Arthritis, Hypertension, Cancer, Diabetes, Heart Disease, etc. any operative and invasive procedure, any adverse and allergic drug reaction, present medications [1][2]. The natural medium to record the patient’s medical information is the papers. Even though papers have advantages of being low in cost, available and portable, problems raised due to the decentralized nature of the paper-based medical records, difficulties Page | 2 Utilizing QR Code Technology In Encoding Patient Summary List 2012 in data storage and retrieval, threat of being damaged or lost, etc. Consequently, the concept of Electronic Medical Record has been introduced to overcome these issues. Examples of early electronic systems include Computer-stored Ambulatory Record (COSTAR), Health Evaluation through Logical Processing (HELP), and Multiphase Health Testing System (MHTS) [3]. Smart Card is the perfect media that can be used as a health card due to its small size, secure, capability of digitizing a huge amount of personal and medical data [4]. Some attempts have been done by researchers to develop a personal portable healthcare record smart cards and a corresponding framework to simplify maintenance and transfer of patient records [9]. Researchers in the U. K. have created MyCare, a smart card with a fold-out USB plug that can hold a patient’s medical history. MyCare was developed with open source that enables it to run on different computers and operating systems. Data is protected through PINs and encryption, with a higher level of encryption planned for further stages in the development process [5][6]. These smart card projects work better in countries with nationalized health care. In the US For example, competition among hospitals is a barrier to a smart card system [5]. Smart card technology was not widely spread due to lack of standards (Dash, 2001); the communications between a smart card and smart card reader. The cards also need to be updated constantly which would be hard to enforce [10]. For smart cards, user mobility is only possible if every machine that the user access has a smart card reader attached. The machine must support the same standard smart card reader interfaces or use the same proprietary smart card reader [11]. Research Statement Due to the barriers of smart cards usage including, the high cost value, the unnecessary imposed security and the need for a special card reader, the smart emergency card solution may not be the best solution. The proposed method is the use of Quick Response (QR) codes to hold the patient’s critical medical information. The solution overcomes the expense, unavailability and communication issues of the smart card, by the fact that QR is inexpensive technology that doesn’t need a special reader, it needs software that could be installed freely on any smart phone. This ensures the quick yet accurate and responsive aid provided to unresponsive individual in case of emergency. The solution should also be used as a reporting tool. It can be embedded into a smart phone application developed to be used for reporting accidents. This may overcome the issues of Page | 3 Utilizing QR Code Technology In Encoding Patient Summary List 2012 reporting accidents by using the QR technology as an accurate, unique and prompt reporting tool. Background Quick Response (QR) codes are type of two dimensional barcodes. It’s a technique that was first invented by Denso-Wave, a subsidiary of Toyota Group that was firstly designed to track the vehicles’ parts manufacturing process, and since then it has grown rapidly. In Recent years it has been utilized to work as a marketing tool to advertise for products, sites, brands, etc. Fig1: QR codes structure [16] QR Code can store up to 7089 numeric characters, 4296 alphanumeric characters or 2953 bytes (8-bit binary). They are capable of storing different types of data: text, vCards, pictures, URLs, Videos, etc. The stored data is extracted in a readable form through QR readers that are usually smartphone software, or dedicate QR reading devices. Number of QR code scanner applications is available for Apple, BlackBerry and Android smartphones, mostly for free. Once installed, it uses the phone’s embedded camera to scan the code and decode it instantly. Page | 4 Utilizing QR Code Technology In Encoding Patient Summary List 2012 Proposed Solution The idea behind this paper is very easy to grasp. The aim is to have a mechanism that provide the first aiders to know what needed to be known, at the right time, with the easiest possible means. For unresponsive person, or in case if an individual was unable to speak and give vital information, it is important to have some sort of easy to get yet authenticated and accurate medical summary that can be available at anytime, anywhere. In some cases, it makes the difference between life and death. Patient Summary List The more we know the better we act and response. In medicine, to know the patient’s historical and current medical condition is as much important as the action to be taken on the case. Delaying a treatment or prescribing a wrong medication or one that conflicts with the patient’s medical condition could be dangerous and might end up deadly. From this point, the importance of the Patient Summary List arises. The Patient Summary List is a summarized accessible list of the patient’s significant medical information. The summary should contain as much information as possible to assist medics and other first responders in case of emergency. The information may include the following categories, though, some entries might be optional. Each entry has to be timestamped: 1. 2. 3. 4. 5. Patient’s information: age, sex, marital status, weight, height and blood type. Hospital-related information: name, ID, address, phone number, medical record, hospital’s name. Emergency contacts. Allergies/Adverse Allergic Drug Reactions. Significant medical diagnoses and conditions: Cancer, Diabetes, High Blood Pressure, Heart Disease, Angina, Pacemaker, Stroke, Circulation Problem, Arthritis, infectious disease (TB/Hepatitis/MRSA), Osteoporosis / osteopenia, Lung problems, Seizures, Polio / post-polio, Urinary incontinence, Depression, HIV positive, Pregnancy condition, Wearing Contact Lenses, Smoker or not. 6. Significant surgical/invasive procedures. Page | 5 Utilizing QR Code Technology In Encoding Patient Summary List 2012 7. 8. Medication/Vitamins/Supplements names, doses, frequency and rout for each. Education: Language spoken, Barriers to learning (blind/deaf/etc) [12]. Medical Records are created by the medical institutes for every individual assessed or treated. Consequently, the Patient’s Summary List should be derived from the patient’s Medical Record. The Summary List must be prepared by the Hospital of which the patient is having his treatment to ensure the legibility, completeness and authentication [13]. It’s also important to have the list updated whenever there is a change in medication, diagnose or allergies and also whenever a procedure is performed. Why QR Codes? Some medical institutes tend to provide their patients with a Summary List printed on a paper (or card) or coded in a smart card. Both ways have number of cons and pros. The usage of printed Summary List in a paper is condition of damage. Especially ICE (In Case of Emergency), it can easily burn, get wet or shredded into pieces and loss it’s value. The use of cards might be a safer choice, but it’s impossible to have it small enough to fit in someone’s wallet and yet have it containing all needed information about the person’s medical condition. The use of smart cards on the other hand, might be the best solution comparing with the other available means since they are safer, have a larger capacity, easily to carry along and can be kept up t date without the need to issue new ones. However, they need special readers to read them that are usually unavailable for the first aiders ICE. Besides, smart cards are costly to issue and maintain. QR code’s quickness, availability, widely spread and low cost might lead it to be a very good choice to encode the Patient’s Summary List. It overcomes the issues encountered in other means, and they can be utilized to serve other purposes that will be discussed later in this paper. With the advantages of the QR codes usage has been examined and assessed, we are ready to discuss the proposed procedure and a suggested standard: ? The list should be captured and stored in a standard encoding system to support data sharing, analysis and provide a more practical and accurate way Page | 6 Utilizing QR Code Technology In Encoding Patient Summary List 2012 o retrieve the required information. The standard of the Summary List has to be proposed and admitted by the Ministry of Health. ? Administration and maintenance of the Summary List is important. Healthcare providers are responsible of issuing a Summary List of each patient’s EMR. They are also responsible for encoding it in a QR code. ? ? The issued QR codes should be printed on wallet-sized cards and submitted to patients. The QR card should be on the medical card ( printed right on the back of the card on printed on a sticker on the same card). The medical card (with QR code at back of it) has to be kept right next to the driving license in someone’s wallet. This is critical to have the first responders make use of this method. ? The Summary List has to be updated by the issuer upon any significant change in the patient’s medications or health condition. Further, if the patient was examined by a hospital other that the one issuing the code, it’s the responsibility of the patient to update the QR code with the new medical information according to the hospital’s report. People have to be educated by spreading the QR concept and the role it’s playing in rescuing individuals ICE. The paramedics (emergency staff) on the other hand have to have the dedicated QR code readers or having the scanning software installed on their smartphones. Having these standards stated out, the QR code usage can be efficiently utilized and beneficial. If individuals were educated and aware about saving someone†™s life using the proposed method, the number of errors that might be encountered will decrease rapidly. In contrary with the other possible means, QR codes do not require a special reader or password authentication or a computer to be read, which make them accessible whenever needed. In addition, bar codes are proven technology that can be used in health care, where little room for error exists. Page | 7 Utilizing QR Code Technology In Encoding Patient Summary List 2012 Possible Scenario The following scenario is summarized in Fig 4 below, a possible QR utilization scenario: 1. 2. 3. 4. 5. An accident happens to an individual carrying a QR code card. The first responder (emergency professional or bystander) check the infected person’s wallet and find the QR code. The code is scanned by the rescuer’s Smartphone’s QR reader. The summary list with all significant medical information is displayed. The rescuer provides the first aids according to the infected person’s medical status, whether he/she has a Diabetes, High Blood Pressure, Heart Disease, etc, and call the emergency. 6. The emergency professionals should take the proper, most accurate action based on the extracted medical status. This can make the difference between life and death. Other actions can also be taken by the rescuer like for example sending the QR code through a Smartphone’s software (detailed in Other Medical-Related QR Uses section below). Fig2: QR code workflow in case of emergency Page | 8 Utilizing QR Code Technology In Encoding Patient Summary List 2012 QR Coded Patient Summary List Update As stated above, the providers should update the patient’s summary list whenever there is a change in diagnosis, medications, or allergies to medications and whenever a procedure is performed. The Patient Summary List is derived from the patient’s Electronic Medical/Health Record [17]. The summary list contains specific attributes extracted from the medical record. Having these attributes labeled in the electronic medical record will ease the process of extracting and updating the Patient Summary List attribute’s values. So, the system should trigger an update on the patient’s list whenever a change in the labeled attributes. Fig3: QR code workflow in case of emergency [17] How to Update QR Codes? There are two main types of QR codes; static and dynamic. Static QR codes contents are static, cannot be edited or updated, whereas the dynamic QR code’s content can be easily updated. Also, unlike the static QR codes, it does not require generating new QR code. The exact printed QR can be used that leads to the updated contents. When the QR codes are used to encode the Patient Summary List, a frequent content update will be needed. Accordingly three main QR forms are proposed: Page | 9 Utilizing QR Code Technology In Encoding Patient Summary List 2012 1. Using a static QR codes with a static summary list that needs to be re-printer upon each record change. In this case, the provider may print the codes on stickers and remove the old ones once the new ones are issued. This might be more cost effective than re-printing the patient card with the new QR code on the back. 2. Instead of having QR codes printed out, a soft copy of the QR code can be generated and loaded into an individual’s mobile. This is also effective in cost-wise, but it might be not so practical in case of an emergency. The rescuer may not be able to locate the QR code image in the mobile of an unconscious person, or the mobile is locked with a pin or it’s out of battery, etc. Though it is easy to maintain and saves the cost of reprinting the code upon a record change. . Using the dynamic QR codes that have a dynamic content with an editable, editable content using the same printed code. Further, some QR code generator companies (like SQUARE) provide a track service and statics of how many devices scanned the code, where, scanner device type, etc. Having this concept applied on the medical health field considered very practical. In view thereof, dynamic QR codes are t he best utilization due its cost saving, efficiency and easy to maintain. However, since this kind of codes requires a wireless connection, it might be limited. Though, it’s not a huge barrier in today’s networked world. Fig4: QR Update trigger scenario. Page | 10 Utilizing QR Code Technology In Encoding Patient Summary List 2012 Updating QR code procedure Each step in the above scenario figure (Fig 4) is described as follows: A patient visits the hospital (1), and a change in one of the stated record attributes (2) (change in diagnosis, medications, or allergies to medications and whenever a procedure is performed. ) has been encountered. So the updated patient record should trigger a generation of an updated summary list (3). Accordingly, new updated QR code/QR content has to be issued (4), and a notification sent to the patient with this update. ? ? If the static QR code form is adapted by the hospital, then the notification should instruct the patient to pick up the updated QR code card/sticker (4. 1). If the soft copied QR code form is adapted, then the notification should instruct the patient to download the latest QR code (either from the hospital’s site after the patient login or sent for the patient email) (4. 2). ? If the dynamic QR code form is adapted, then the codes destination contents updated upon the new summary list update (4. ). Other Medical-Related QR Uses Aside of utilizing the QR codes as an emergency guide for paramedics that provide a reliable, easy to use, quick access to an individual’s Medical Summary List, QR codes can be used in other fields as well, as detailed in this section. The QR codes can be used as a reporting tool. By having an Emergency reporting channel other that the unified number, a software application installed on the smartphones, QR can be used as follows: ? ? Using the smartphone’s camera, the QR code of the affected person is scanned through the Emergency software application. The software should display the encoded information, and a reporting option should also be available (say, a button). Page | 11 Utilizing QR Code Technology In Encoding Patient Summary List 2012 ? ? ? Upon pressing the button, the software should send the patient information to the emergency department along with the reporting location coordinates. The reporter information may also send (the reporter phone number can be easily gained from the user’s phone). To capitalize the benefits, the reporting tool can play a complementary role of a clouded EMR system that is made available for the centralized Emergency unit. If this the case then a link to the QR holder’s EMR could be also implicitly embedded and can be easily gain access to be the authorized Emergency staff. Having such system will not only provide a fast, accurate and reliable accident reporting tool, but it’ll also help in reducing the redundancy encountered when reporting accidents and emergencies. Another usage of the QR code can be as portable, summarized EHR. Keeping a personal health record encoded in a QR with you when visiting a doctor that is not necessarily a staff member of the hospital where your Medical Record is kept is very helpful. It’ll provide the doctor a sufficient answer when the he asks â€Å"what medications are you taking? † It’ll save time, effort and the cost of running lab tests and radio-imaging for checking the accurate medical condition since they are encoded in the QR code, summarized, reliable and up to date. Another use could be on some other direction, by the police department. When someone is kept under custody, it would be helpful to avoid unexpected situations can be experienced with the kept person such as infectious diseases, heart diseases, high blood pressure, etc. Knowing such medical information is as much needful as keeping the person in prison, since it help in saving the lives inside the prison (life of the prisoners) and out (keeping the offender in custody). Conclusion We may not be able to stop the accidents from happening, but we are able and responsible to cut the losses and control their tragic consequences as much as we can. The practical knowledge of the medical workers coupled with the knowledge and expertise of the technology experts and developers can result technology-utilized solutions to everyday. In this Page | 12 Utilizing QR Code Technology In Encoding Patient Summary List 2012 respect, solutions were proposed, researches were conducted and regulations were imposed, every day to best achieve this goal. This paper proposes a practical, non-cost affective, timely solution that can best utilize the widely spread technology â€Å"QR† to help saving lives. This solution can be utilized even more to be a complementary tool for the currently function, or proposed, emergency systems. References [1] http://westhoustonmedctr. ehc. com/CPM/Patient%20Summary%20List. df [accessed: 9 March 2012] [2] http://www. urology-partners. com/Forms/MEDICAL_HISTORY. pdf [accessed: 9 March 2012] [3] Lowe, H. 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Proceedings of the Annual Meeting of the Association of Collegiate Marketing Educators (2005) [11] David Chadwick: Smart CardsAren’t Always the Smart Choice. University of Salford. 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