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The goal of this survey-based study is to explore patients' knowledge of and expectations for radiologists in the outpatient setting.
Materials and Methods
A comprehensive survey was distributed to adult patients undergoing knee magnetic resonance imaging (MRI) over a one-year period from September 2015 through August 2016 at an urban, quaternary care academic medical center.
The survey results demonstrate that only a subset of patients undergoing knee MRI at the institution during the survey period are aware of the role of the radiologist, which is a well-documented fact described in the literature. Approximately one-third of patients expected to meet the radiologist during their visit to the department of radiology to undergo a knee MRI. The vast majority of patients surveyed wanted to be able to contact the person who read their exam, but only one patient actually contacted the radiologist during the study period.
While the vast majority of surveyed patients wanted to be able to contact the person who read their knee MRI, only one patient actually did reach out to the radiologist to discuss findings. However, six of 36 follow-up respondents reported that they had contacted the person "who interpreted/read your exam:" two in person, one by email, three by phone, and one by other. Survey results demonstrated that only a subset of patients correctly understood the role of the radiologist (46% in the 1st survey and 63% in the 2nd survey, which does not represent a statistically significant difference), which suggests that perhaps the patients did have a conversation with a member of the radiology department staff whom they believed was actually the radiologist. The fact that patients expressed a desire to communicate with the person reading their reports, but then did not take advantage of the opportunity to contact the radiologist, suggests that the issue is more complicated than just a lack of a pathway for communication between patients and radiologists. Perhaps the lack of a clear understanding of the role of the radiologist hinders patients from contacting radiologists, as they feel uncertain as to whom they are actually attempting to reach. Or perhaps patients are sufficiently reassured by having a means through which they could contact the radiologist and do not require the actual communication in order to feel comfortable. There remains a significant amount of work to be done in understanding the barriers in patient-radiologist communications.
Reporting practices in radiology represent a critical component of the patient's medical record in both the inpatient and outpatient settings. There has been considerable interest within the radiology literature to evaluate the efficiency of radiology reporting from the standpoint of the referring physician, patient, and radiologist [1-4]. Specific attention has been given to the matter of how and by whom results are communicated to the patient, with the recent emphasis on autonomy and patient centeredness.
Despite the advent of electronic medical records and implementation of patient portals, patients remain generally dissatisfied with how they receive their medical imaging results [1-4]. Patients want access to relatively detailed information with minimal delay [5-7]. Recent literature demonstrates that patients prefer to receive their imaging results directly from the referring physician and would like both the report and the original images to be available to them [6,8-9].
Public awareness of the radiologist's role in their care, however, is limited, with only a subset of patients correctly identifying the role of the radiologist in several recent surveys addressing this issue [7,10]. The lack of awareness of the radiologist's role in these studies is understandable considering that radiologists often operate outside of direct patient interaction. Some studies, however, have shown that patients felt positive toward meeting the radiologist interpreting their examination, and this is the patient attitude that this study sought to explore [10]. Thus, this study sought to evaluate a simple communication intervention to improve patients' understanding of the radiologist's role and their satisfaction with the medical imaging communication process.
Materials & Methods
Study population
This study was approved by the University of Chicago's institutional review board (IRB) as an IRB exemption and was HIPAA compliant. All adult patients over the age of 18 undergoing knee MRI during the data collection period from September 1, 2015 through August 16, 2016 were eligible. Patients without a known email address were excluded since this was a primary means of communication. Please see Appendix A for a sample communication.
Survey design
The survey was designed and implemented by the radiology department staff and a statistician. Four basic areas were assessed through the survey: 1) patient demographic information, 2) patient knowledge of radiology including perception of the radiologist's role, 3) patient opinions on methods for communication of test results, and 4) patients' perceived ease of access to their own health care record. Please see Appendix B for the complete survey instrument.
Survey protocol
Patients were contacted to obtain consent at least one business day prior to their scheduled MRI appointment. Following consent, a pre-appointment survey was administered by email. The pre-appointment survey restated that the subject's participation was voluntary, could be terminated at any time, and would have no effect on clinical care. To incentivize participation, entry into a drawing for a small prize was offered to patients upon completion of the survey.
The participating patients underwent the scheduled knee MRI as per the standard hospital radiology department protocol. MRI knee protocol comprises a group of MRI sequences to routinely assess the internal pathology of the knee. Within two to four business days following the MRI, participating patients received a copy of the diagnostic report with the intervention: a cover letter introducing the attending radiologist who interpreted the MRI (including a photograph, greeting from the radiologist and invitation to communicate directly with the radiologist about the interpretation). Please see Figure 1 of Appendices for the complete cover letter. In this written communication, patients were encouraged to contact the radiologist with any questions or comments regarding the imaging study or the overall experience in the radiology department. A second post-appointment survey was administered to patients two weeks after the date of the MRI. Collected survey data and exchanges with the radiologists were processed through a departmental data broker (Human Imaging Research Office (HIRO)) for the diagnostic reports.
Statistical analysis
Data were collected via REDCap (REDCap Consortium, Nashville, TN) and analyzed in SPSS v24 (IBM Corp, Armonk, NY). Descriptive statistics and univariate analyses were used as indicated. Chi-square was used for nominal comparisons and independent t-tests for continuous variable comparison. Nonresponse bias for the surveys was evaluated with a population comparison against age and sex of all knee MRIs performed during the study period [11].
One hundred thirty-five patients were contacted, of whom, 63 declined to participate, three were excluded for not having an email address, and 69 consented to participate. Forty-nine consented participants responded at least partially to the first survey, and 36 consented participants responded at least partially to the follow-up survey, yielding a response rate of 25.6% (AAPOR response rate definition #4). Four musculoskeletal fellowship-trained attending radiologists participated. Three of the 135 potential respondents who were contacted did not have an email address and were excluded. Using the same percentage, we estimated that 2.3% of potential respondents who did not respond would also be ineligible. This is accounted for in the response rate calculation per the AAPOR guidelines [11].
The majority of the 49 respondents were female (71.4%), and the mean (standard deviation) age was 42.4 (14.6). Most (95.9%) of the 49 respondents had prior medical imaging, and 71.4% had a prior MRI. Almost a third of the total (49) respondents reported highest education obtained to be a graduate degree (30.6%), 20.4% a bachelor's degree, 40.8% an associate's degree or "some college," and 8.2% a high school degree or equivalent.
Role of the radiologist
Fewer than half (47.9%) of 48 respondents initially reported that a radiologist is a "medical doctor." After receiving the cover letter with information about the radiologist and an invitation to communicate with him or her (the intervention), 69.4% of 36 respondents reported that they thought a radiologist was a "medical doctor," which was not significantly different from before the intervention, regardless of whether or not "don't know" responses were included (Χ2(2)=4.233, p=0.120) and (Χ2(1)=2.451, p=0.117), respectively.
No statistically significant differences were observed in patients' understanding of the radiologist's role after the intervention. Of 49 pre-intervention respondents, 77.6% reported that the radiologist "interpret[s] the images," 44.9% reported that the radiologist "run[s] the machine that takes the images," and 18.4% reported that the radiologist "maintain[s] the machine that takes the images." Of 36 follow-up respondents, 77.8% reported that the radiologist interpreted the images (Χ2(1)=0.001, p=0.980); 30.6% reported that the radiologist ran the machine (Χ2(1)=1.797, p=0.180); and 8.3% reported that the radiologist maintained the machines (Χ2(1)=1.723, p=0.189).
Approximately 1/3 (31.3%) of 48 respondents expected to meet the radiologist during the knee MRI, while 37.5 % did not, and 31.3% were unsure. Twenty-two per cent (22.2%) of the 36 follow-up respondents reported that they met the radiologist during their knee MRI, and 2.8% (one patient) were unsure.
Imaging experience
The vast majority (75.5%) of the 49 respondents expected to have their imaging results within two days after the exam (22.4% same day, 24.5% one day after, 28.6% two days after). 10.2% expected results in one week; the few remaining respondents were spread between three and five days.
After the intervention, most (83.3%) of the 36 follow-up respondents expected future outpatient medical imaging results by two days after the exam (11.1% same day, 27.8% one day after, 44.4% two days after), Χ2(30)=75.663, p<0.001 for all response options).
Communication with the radiologist
The vast majority (85.4%) of 48 respondents wanted to be able to contact the person who read their exam, with a preference for email (51% of 49 respondents) and MyChart® (44.9% of 49 respondents). In-person and phone communication (32.7% and 36.7%, both of 49 respondents) were less preferred. One patient wanted to communicate with the person reading the imaging "through the ordering doctor." MyChart®is the patient-facing component of the institution's electronic health record through which patients can communicate with physicians.
Only one patient called the radiologist and discussed results for 12 minutes. However, six of 36 follow-up respondents reported that they had contacted the person "who interpreted/read your exam:" two in person, one by email, three by phone, and one by "other" but did not specify (one person used two methods of contact).
Nonresponse bias analysis
The study's demographic evaluation found no evidence of nonresponse bias based on age (Mann-Whitney U test for non-normal data, p=0.297) and gender (Χ2(1)=1.070, p=0.308).
Validity and reliability analysis
The study opted to evaluate validity with Cronbach's more traditional measures because of the binomial and cognitive nature of our questionnaires. Content validity was carried out through evaluation by a survey expert (AP) in addition to several attending radiologists who all had more than ten years of experience. The dichotomous data did not lend itself to a Cronbach's alpha for internal consistency analysis; however, several expected relationships existed that support the construct validity. Specifically, those who thought that a radiologist runs the machine that takes the images were more likely to expect to meet the radiologist (Χ2(2)=20.028, p<0.001) in the pre-appointment questionnaire and report that they did meet the radiologist during the exam (Χ2(2)=15.818, p<0.001) in the post-appointment questionnaire. Additionally, respondents who answered that a radiologist interpreted the images were more likely to also respond that the radiologist is a physician in both the pre (Χ2(2)=7.602, p=0.022) and post (Χ2(2)=17.589, p<0.001) appointment questionnaires.
Our study found that many patients, despite being a highly educated cohort, did not understand radiologists' role in their care, a finding that did not improve significantly after a personal introductory communication from the radiologist. We also found discordance between patients' expressed desire to communicate with their radiologist and their actual rate of personal communication with their radiologist.
The first-round survey results re-demonstrated several current trends in the radiology literature. First, concordant with the recent trends toward patient autonomy and medical record access, patients desire access to their medical records--including radiology reports--and desire short turnaround intervals between completion of a radiologic examination and production of a report. Interestingly, although the vast majority of participants felt that it was desirable for the physician interpreting the examination to be available for discussion, only one out of 49 participants actually did engage with the radiologist. This suggests that perhaps the availability of the radiologist is reassuring in that it provides patients with an option, but ultimately patients are generally satisfied with the potential for the encounter with the radiologist without actually needing to engage in it. This is an area in which further exploration is needed.
Public awareness of the role of the radiologist is limited, with only a subset of patients correctly identifying the role of the radiologist in recent surveys addressing this issue [7,10]. In our pre-intervention survey, only 23% of respondents reported that the radiologist is a medical doctor. Interestingly, when the level of education was compared to responses to this question, an inverse correlation between education and knowing that radiologists are physicians was found. Simply put: the more educated a patient was, the less likely s/he was to know that a radiologist is a physician. This lack of understanding regarding the role of the radiologist may contribute to limited patient enthusiasm for consultation with the radiologists who read their imaging in our study. The knowledge gap is likely present because radiologists tend to operate outside of direct patient interaction. However, it is not clear from our intervention or survey why increasing levels of education are associated with the misunderstanding.
Although the vast majority of surveyed patients wanted to be able to contact the person who read their knee MRI, only one patient actually did reach out to the radiologist to discuss findings. Interestingly, six of 36 follow-up respondents reported that they had contacted the person "who interpreted/read your exam:" two in person, one by email, three by phone, and one by unspecified "other." It is likely that these patients communicated with the ordering physician, thinking s/he interpreted the image since that has historically been the patient's source for imaging results. The number also aligns relatively well with the approximately 25% of our patients who did not think the radiologist was the person interpreting the imaging. Alternatively, the patients are mistaking other radiology staff for the radiologist. Technicians should be reminded to properly introduce themselves and their role to ensure patients' understanding.
The fact that patients expressed a desire to communicate with the person reading their reports, but then did not take advantage of the opportunity to contact the radiologist, suggests that the issue is more complicated than just a lack of a pathway for communication between patients and radiologists. Perhaps the lack of clear understanding of the role of the radiologist hinders patients from contacting radiologists since they feel uncertain as to whom they are actually attempting to reach. Or perhaps patients are sufficiently reassured by just having a means through which they could contact the radiologist, and do not require the actual communication in order to feel comfortable.
This study was limited by its single-institution design and relatively small sample size; the follow-up survey had a relatively low response rate as well. Additionally, patients were only screened for inclusion criteria three days a week, and many scans were conducted in less than 24 hours, excluding them from participation. It is also possible that there would be different results with a different imaging modality or body region.
Since a personalized communication to patients for a specific exam was unsuccessful in educating patients, ultimately informing patients about the vital role that radiologists contribute to their care and encouraging patients to make radiologists an active member of their healthcare team may be very difficult in the current healthcare model and should concern the radiology community. Future research should delve into why patients are not actually communicating with their radiologist when given the opportunity and explore working with colleagues in other specialities to help the radiology community inform patients of their care role.
- Johnson AJ, Easterling D, Williams LS, Glover S, Frankel RM: Insight from patients for radiologists: improving our reporting systems. J Am Coll Radiol. 2009, 6:786-794. 10.1016/j.jacr.2009.07.010
- Johnson AJ, Frankel RM, Williams LS, Glover S, Easterling D: Patient access to radiology reports: what do physicians think?. J Am Coll Radiol. 2010, 7:281-289. 10.1016/j.jacr.2009.10.011
- Johnson AJ, Easterling D, Nelson R, Chen MY, Frankel RM: Access to radiologic reports via a patient portal: clinical simulations to investigate patient preferences. J Am Coll Radiol. 2012, 9:256-263. 10.1016/j.jacr.2011.12.023
- Safdar N, Shet N, Bulas D, Knight N: Handoffs between radiologists and patients: threat or opportunity?. J Am Coll Radiol. 2011, 8:853-857. 10.1016/j.jacr.2011.08.010
- Basu PA, Ruiz-Wibbelsmann JA, Spielman SB, Van Dalsem VF 3rd, Rosenberg JK, Glazer GM: Creating a patient-centered imaging service: determining what patients want. AJR Am J Roentgenol. 2011, 196:605-610. 10.2214/ajr.10.5333
- Mangano MD, Rahman A, Choy G, Sahani DV, Boland GW, Gunn AJ: Radiologists' role in the communication of imaging examination results to patients: perceptions and preferences of patients. AJR Am J Roentgenol. 2014, 203:1034-1039. 10.2214/ajr.14.12470
- Koney N, Roudenko A, Ro M, Bahl S, Kagen A: Patients want to meet with imaging experts. J Am Coll Radiol. 2016, 13:465-470. 10.1016/j.jacr.2015.11.011
- Cabarrus M, Naeger DM, Rybkin A, Qayyum A: Patients prefer results from the ordering provider and access to their radiology reports. J Am Coll Radiol. 2015, 12:556-562. 10.1016/j.jacr.2014.12.009
- Henshaw D, Okawa G, Ching K, Garrido T, Qian H, Tsai J: Access to radiology reports via an online patient portal: experiences of referring physicians and patients. J Am Coll Radiol. 2015, 12:582-586. 10.1016/j.jacr.2015.01.015
- Kuhlman M, Meyer M, Krupinski EA: Direct reporting of results to patients: the future of radiology?. Acad Radiol. 2012, 19:646-650. 10.1016/j.acra.2012.02.020
- Halbesleben JR, Whitman MV: Evaluating survey quality in health services research: a decision framework for assessing nonresponse bias. Health Serv Res. 2013, 48:913-930. 10.1111/1475-6773.12002
Optimizing the Radiology Experience through Radiologist–Patient Interaction
Ethics Statement and Conflict of Interest Disclosures
Human subjects: Consent was obtained by all participants in this study. University of Chicago IRB issued approval n/a. exemption status. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
Article Information
Cite this article as:
Phillips A W, Landon R A, Stacy G S, et al. (May 17, 2020) Optimizing the Radiology Experience through Radiologist–Patient Interaction. Cureus 12(5): e8172. doi:10.7759/cureus.8172
Publication history
Received by Cureus: November 18, 2019
Peer review began: November 20, 2019
Peer review concluded: May 10, 2020
Published: May 17, 2020
© Copyright 2020
Phillips et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Optimizing the Radiology Experience through Radiologist–Patient Interaction
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US College Admissions for Undergrads: 5 Critical Components and How to Tackle Them
Posted on By
Posted in College Admission Guidance, Parents Must Read, Study Abroad, Under Graduate
Are you thinking of applying to the US for undergrad education? If yes, I hope you read this so you can better prepare yourself for the application process.
Unlike India and the UK, where only good grades matter to get into a college, the US takes a more holistic approach. They believe that just test scores and GPAs do not completely reflect who a student is and what he or she can bring to a college community.
Grades are a very small part of the entire application process. They want to know you as a person, your likes, your dislikes, your passion and what others think of you. They understand that not everyone can get A's in all subjects and that's why the activities outside of your classroom matter.
Let's explore the different points needed to help in the process.
Undergraduate College Admissions in USA
Key Components and How to Tackle Them
1. Grades
Good grades are the stepping stone for getting into a good college. The most rigorous courses offered in high schools today are Honors, AP and IB courses. If you are doing well in school, keep your grades consistent.
For example, if you are an A student, make sure you keep up with your A's for all 4 years of high school. If you are a B or C student work hard to get to an A or a B. If you can't don't stress too much as you can showcase your strength through your activities outside of your classroom.
Every college in the US accepts either the SAT or ACT. Decide which one works best for you and take the test no more than 2-3 times. Time is of the essence and does not use it in trying to get the perfect score instead of work in areas where you can excel.
SAT is a multiple-choice, 3 hours plus 50 min optional essay writing test. The highest possible SAT score is 1600. Check the SAT test dates and register at https://collegereadiness.collegeboard.org/sat/register
On the other hand, the ACT is a 2-hr, 55 minutes (plus 40 minutes if taking the ACT with writing) test and the highest possible ACT score is 36. For more information visit their website at https://www.act.org/content/act/en.html
Both SAT and ACT test purpose is to measure a high school student's readiness for college. Lately, some colleges like the University of Chicago have made the application process test-optional where one is not required to take the test. So, unless you know which college you are applying to, its highly recommended to take either one.
Related Articles:
SAT / ACT Planning and Guidance for High School Students
SAT vs ACT: Which One to Choose?
SAT vs ACT Diagnostic Test: What makes a "good" SAT vs ACT assessment test?
3. Extracurricular Activities
A very important part of the puzzle is who are you outside of your classroom? What do you do in your free time? Are you a member of any club? Do you play any sports or an instrument? What is your passion and what are you doing about it?
For instance, you may have an interest in computer science. But in your free time, you play soccer and do debate. Your passion and activities are not in sync. Show the college you are interested in studying Computer science by either being the President of Robotics club, making an app or a website for an NGO.
Use your summer well by doing internships in the related field of interest or attending a summer camp. Whatever you do, do it consistently for 4 years and take it to a higher level of achievement. There is no need to do 3-6 different activities; instead, excel in 1-2 activities. Also, what you do here will help in writing those essays and defining who you are.
Don't just check off the box. Follow your passion and show a spike.
Related Article: Advice on Extracurricular Activities by Former Asst. Admissions Dean at Stanford University
Book a 1-on-1 Session with Ruchi Saran (Skype, Phone or WhatsApp Call)
4. Essays
This is your chance to brag about yourself and tell the college how awesome you are through your essays. Tell them your story, your struggles, challenges, and victories. Make sure you write those essays yourself and your parents, teachers or siblings are not doing it for you. Make them laugh, cry or smile and keep the language simple.
Trust me, the application reader is reading 100's of such essays a day and can tell who has written them. You don't have to try too hard to impress the reader.
Just share your life story. Be genuine and authentic.
Related Articles:
How to Utilize Your Summer Break while Staying at Home during COVID-19 Crisis
How to Write a Great College Essay – Strategies, Tips
All You Need to Know about College Essays – Importance, What do Admission Officers Look For, and Essay Types
College Essays – DO's and DON'Ts
5. Letters of Recommendation (LOR)
LOR from school teachers, school counselors, and other community members help college admissions officers get a more complete picture of the applicant.
It's a way of getting to know the applicant better from another valued person. What do they think of you? How are you as a person.
The college knows about your grades already, but this is the opportunity for others to describe you as a person.
Get to know your teachers at a personal level as it will help them write a more personal recommendation. Make sure the teachers write about personal strengths also along with academic achievements. Make sure you ask your teacher for that letter in the month of June or July or just as school reopens so they have enough time to think and write about you.
Finally, don't forget to send a Thank You note. Some schools require mandatory LOR from at least 2 teachers while other schools don't enforce it.
Book a 1-on-1 Session with Our College Admissions Counselors
Parent Tip
College success starts in high school.
We are not talking about grades but hard work, commitment, sense of purpose, writing skills, critical problem-solving skills and time management.
Need any advice on college admissions? Please feel free to book a one-on-one session with me.
How to get into Harvard & Stanford and Top US Colleges? Watch this video:
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Author: Ruchi Saran
Ruchi specializes in counseling students from Grade 8 – 12 for College Admissions to the US. She has spent her last 8 years understanding the college admissions process and firmly believes that the key is to start early. Having lived both in India and the US in the last 25 years, she understands the education system very well in both places.
She has a BA in Psychology and an Associate Degree in Interior Design, Graphic Design, and Child Education and has worked with kids ranging from 5-18 years. She was instrumental in setting up the GEMS Modern Academy School in Gurgaon. She strongly believes in giving back to the community and is an active volunteer in a couple of NGOs. She is also on the board for Udayan Care USA.
Currently, she is residing in California, USA with her husband and 2 sons. One is a graduate from UC Berkeley and the other has just joined UC Berkeley as a freshman.
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List Of Great Criminal Justice Argumentative Essay Topics This week's guide will be about criminal justice research paper topics. Argumentative Essay Topics On Criminal Justice. Criminal justice can be complicated and difficult to resolve. Many cases contain elements that are hard to classify as outright right or wrong, legal or illegal.
Topics for Criminal Law and Justice Essays, and Writing Tips This guide is for you if your institution requires you to write a criminal justice research paper. The students should use this style to quote and reference their essays and college research papers related to the field of criminal justice, law, or international law. Now, let's consider some of the best ideas in the next section. Choose one of the justice essay topics for your class! 20 Exceptional Justice Essay Topics
Criminal Justice System Argumentative Essay Topics If you are interested in and curious about the criminal justice field, then this is also for you! Fantastic work" If you are looking for cheap essay Criminal Justice System Argumentative Essay Topics service in the US, nothing can be better opting for 6as they know the type of essays required for a college level.
Criminal Justice Essay Topics ⋆ Essay Topics ⋆ EssayEmpire Save the world (or your own community first) by enlightening yourself with potential criminal justice research topics! This collection provides a list of more than 100 criminal justice essay topics comprising traditional criminology and criminal justice studies and its more modern interdisciplinary outgrowths. It also provides links to example essays on these topics.
Argumentative topics about criminal justice Essay Example. Updated : conducted a brush-up for the 2018-2019 academic year, added detailed directions for initial research after your numerous requests. Argumentative topics about criminal justice Essay. However, the criminal justice process consists of a series of procedures starting with an investigation and possibly concluding with the discharge of a convicted criminal from a correctional facility. During the system's process many determining factors and rules are at the center of the.
Criminal Justice Research Topics for Inspiration. Criminal justice is a system for governments to prevent and mitigate the occurrence of crimes. Argumentative Essay Topics 100 Extended Essay Topics, the Essay's Layout, and Additional Info 125 Best Capstone Project Ideas for Students When brainstorming good ideas, ask such criminal justice research questions Is criminal justice research topic good enough in terms of relevance?
Criminal Justice Topics Argumentative Essay It is focused on sanctioning violators and maintaining peace and the rule of law. Before we proceed 100 topics collected in this article, let us check the best samples of criminal justice papers, who were submitted by other students. College essays are even more challenging to write than high Criminal Justice Topics Argumentative Essay school ones, Criminal Justice Topics Argumentative Essay and students often get assigned a lot of them. And while you might handle writing about the subjects you enjoy, writing about the other subjects could be a real struggle.


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Woman accused of stabbing teen at Farmington residence
Teen's stab wound described as severe by ER staff
FARMINGTON — A San Juan County woman is accused of stabbing a teenage boy on his arm at a Farmington residence after she accused the teen of stealing money from her.
Daniese Douglas, 23, is accused of a first-degree felony count of child abuse and a third-degree felony count of aggravated battery, according to the criminal complaint.
The defendant is charged with stabbing a 14-year-old boy on the early hours of May 31 in the 2900 block of Edgecliff Drive, according to the arrest warrant affidavit.
She did not have legal representation on June 4.
Farmington Police Department officers were dispatched around 3:53 a.m. on May 31 to Edgecliff Drive on reports of a stabbing.
The teen was standing at the front porch with a rag on his arm.
He was transported by paramedics to the San Juan Regional Medical Center after an officer observed a severe cut to his left forearm. The emergency room staff told a detective that the cut was so severe, it cut multiple tendons and the periosteum, the membrane which directly covers the bone.
The teen told police Douglas and a man arrived at the residence, then she pushed him by the face and started to yell at him.
Douglas allegedly threw rocks at the teen, striking him in the chest. The teen stated the defendant accused him of stealing money from her.
While allegedly kicking the teen, Douglas is accused of pulling a knife out and threatening to stab him.
The teen said she stabbed his left arm, then left the scene with a man not charged in the case.
Douglas has two separate cases pending in Aztec District Court for two felony counts of aggravated assault, a felony count of criminal damage to property, and breaking and entering, along with a misdemeanor count of criminal trespass and petty misdemeanor counts of criminal damage to property, battery and concealing identity.
The defendant was on conditions of release from Pre-Trial Services for the two pending cases in district court when the new alleged crime occurred.
Chief District Court Judge Karen Townsend ordered Douglas held at the San Juan County Adult Detention Center until a hearing in Aztec District Court regarding violating the conditions of her release.
That hearing had not been scheduled as of the morning of June 4.
Joshua Kellogg covers breaking news for The Daily Times. He can be reached at 505-564-4627 or via email at firstname.lastname@example.com.
Support local journalism with a digital subscription: http://bit.ly/2I6TU0e


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Video: Hilarious sketch imagines what it would be like if Pingu was Irish (NSFW)
"Jaysus, 'tis cold now alright."
Many of you are probably too young to remember Pingu, but Irish people of a certain generation will fondly recall a cartoon featuring a family of penguins living in the South Pole.
Although old episodes still feature the odd time on CBeebies (so we're told), the last Pingu episodes were made years and years ago, but such was its appeal that it retains a cult following to this day.
With that in mind, Irish fans of the cartoon will love the Irish recreation of Pingu by Simon Murdoch & Garry Curran of iRadio, which mainly involves the two penguins making a fire, trying to cook some corn and swearing in a manner that fans of the original series will not be used to.
The end product is not unlike some of the work put out by the excellent Sminky Shorts over the years and is nearly guaranteed to give you a good laugh; we certainly got a great kick out of it anyway.
Clip via YouTube/SimonIwork
Hat-tip to iRadio


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Move-Over Shepherd's Pie
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Move-Over Shepherd's Pie adds a unique, healthy twist to a classic meal. This Paleo dinner recipe replaces mashed potatoes with mashed cauliflower, but it's so light and flavorful that you won't even notice the difference! And instead of corn, this recipe uses toasted almonds, which brings a slight element of crunch to this dish, but adds a lot more personality. It's super simple to prepare, and practically guaranteed to satisfy the whole family. After trying this delicious casserole, you'll never look at Shepherd's Pie the same way again!
If you're looking for more healthy casseroles, be sure to check out our list of 10 Savory Ground Beef Casserole Recipes.
Cooking MethodCasserole
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Circuits And Current Electricity | Energy Transfer In ...
Different sized cells provide different amounts of energy to the electrical circuit. The types of cells you would use in toys, torches and other small appliances range in size from AAA, AA, C, D, and 9 volt sizes. AAA, AA, C and D cells usually have a rating of 1,5V, but the larger cells have a larger capacity. This means that the larger cells will last longer before going 'flat'. A cell goes ...
Electricity is the set of physical phenomena associated with the presence and motion of matter that has a property of electric charge.Electricity is related to magnetism, both being part of the phenomenon of electromagnetism, as described by Maxwell's equations.Various common phenomena are related to electricity, including lightning, static electricity, electric heating, electric discharges ...
if electrical energy is flowing around the circuit the motor will Gallery
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Dear Friends,
Merson Loquias, 36 yrs of age, a resident of Mandaue City, Cebu, Philippines is recently confined in Mendero Medical Center, Consolacion, Cebu, Philippines due to kidney problem AKI (Accute Kidney Injury). His laboratory results are not good which requires Dialysis on a daily basis and we have just started his first Dialysis June 26, 2020. This procedure should be done to save the patient asap.
Our family has already maximize our resources and we can longer afford his medical procedures, medicine and etc. May we ask for help? We are asking for prayers and financial contribution for Merson.
Any donation, big or small will be a huge help. If you are unable to contribute, kindly share this message to others. If you can donate that would be a great help to save Merson's life.
Thank you for all the help, concern and prayers for Merson.
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In my continuing in-depth look at
Operates like a venture capital firm
Their selection model for partners is what really sets this program apart. I like to think of it as essentially a venture capital firm—doling out cash grants and technology resources to organizations who are taking innovative approaches in the areas of education, economic empowerment, and critical human needs. Year round, Cisco Systems accepts applicants for the Cisco Product Grant Program—supporting both large and small scale charitable organizations with networking technology and equipment. Their Global Impact Cash Grants go towards multiplying the impact of national and multinational organizations, while their Community Impact Cash Grants support smaller organizations in under-served communities where Cisco already has a volunteer force and presence. In line with their overall business-minded approach to CSR, the highest priority and funding consideration is given to proposals that utilize SMART metrics (specific, measurable, achievable, realistic, timely) to measure impact. In other words, Cisco is not one of those companies who simply gives out money and walks away—they're interested in real, measurable results, and they stay actively involved with the organizations they choose to assist.
Case studies in Cisco partnership
Let's take a closer look at some of the organizations with which Cisco Systems currently partners. Citizen Schools is one of Cisco's education-oriented partners. Created to combat the growing problem of so-called "dropout factories" (high schools where around half of students fail to graduate), Citizen Schools works to engage students in education while they are still in middle school. Their answer is their Extended Learning Time (ELT) model, which provides after-school mentorship in low-performing schools. Cisco has been supporting Citizen Schools since 2009 with donations of information and communication technology (ICT) products, and with their help, the organization has expanded from 10 schools in 5 states to 29 schools in 7 states (in the 2014-15 academic year). I mentioned SMART metrics earlier—61% of Boston Citizen Schools alumni of college age have enrolled in a 2 or 4-year college. 71% of their students graduate on time, as opposed to 59% with non-participants. 90% of the organization's alumni saw proficiency gains in English and math. Talk about measurable results.
A great example of Cisco's economic empowerment-focused partnerships is Living Goods. The organization's 4,000 Community Health Promoters (or CHPs for short) are currently serving a population of more than
Cisco's partnerships' third area of focus is that of critical human needs. They've been partnering with
These several organizations are just the tip of the iceberg—the list of partners benefiting from their association with Cisco Systems goes on and on. Their partnership with Digital Divide Data provides IT skills, training, and employment to disadvantaged populations. Another partner, Water for People, developed the mobile-based FLOW application, which is used by governments and international development organizations to collect, manage, and analyze data on water points. Labor Link uses mobile devices to reach workers across multiple industries with information on safety, workers' rights, and more. Cisco was an early investor in all three of these organizations, and with the help of Cisco, these organizations have been able to scale up across multiple regions and increase their social impact. They are all expected to be financially sustainable through their earned income within the next several years.
Good for everyone involved
Cisco does a whole lot of good, but there's only so much one company can do all by themselves. These partnerships greatly multiply Cisco's ability to make a global impact—and obviously, the partnerships are very mutually beneficial. Their VC approach to partner selection ensures only viable, committed, and innovative organizations get added to the roster, and this process has been yielding great results. In my opinion, it's one of the most differentiated, and effective programs out there. It's good for the brand, good for business, and above all else-- good for the world.
Required disclosure: My firm, Moor Insights & Strategy, like all research and analyst firms, provides or has provided research, analysis, advising and/or consulting to many high-tech companies in the industry including Cisco Systems, referenced in this column. I do not hold equity positions in any company cited.
Patrick was ranked the #1 analyst out of 8,000 in the ARInsights Power 100 rankings and the #1 most cited analyst as ranked by Apollo Research. Patrick founded Moor…
Patrick was ranked the #1 analyst out of 8,000 in the ARInsights Power 100 rankings and the #1 most cited analyst as ranked by Apollo Research. Patrick founded Moor Insights & Strategy based on in his real-world world technology experiences with the understanding of what he wasn't getting from analysts and consultants. Moorhead is also a contributor for both Forbes, CIO, and the Next Platform. He runs MI&S but is a broad-based analyst covering a wide variety of topics including the software-defined datacenter and the Internet of Things (IoT), and Patrick is a deep expert in client computing and semiconductors. He has nearly 30 years of experience including 15 years as an executive at high tech companies leading strategy, product management, product marketing, and corporate marketing, including three industry board appointments. Before Patrick started the firm, he spent over 20 years as a high-tech strategy, product, and marketing executive who has addressed the personal computer, mobile, graphics, and server ecosystems. Unlike other analyst firms, Moorhead held executive positions leading strategy, marketing, and product groups. He is grounded in reality as he has led the planning and execution and had to live with the outcomes. Moorhead also has significant board experience. He served as an executive board member of the Consumer Electronics Association (CEA), the American Electronics Association (AEA) and chaired the board of the St. David's Medical Center for five years, designated by Thomson Reuters as one of the 100 Top Hospitals in America.


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