Johannes brahms Research Paper Example | Topics and Well Written Essays - 1500 words

Johannes brahms - Research Paper Example sitions sustained in the progressive course of the weakening romanticism: massive piano trios, sonatas, along with other creations like the Piano Quartet in G minor, intended for the ending of which Brahms employs a loud gypsy tune. However Brahms later deserted this path, dedicating himself instead towards integrating the Classical forms through the almost already disregarded early Romanticism, with its gradually separating sense of tonality. Brahms generated a repertoire of compositions which amounts to a shimmering and splendid apotheosis of the harmonious customs of the nineteenth-century. The father of Johannes, Johann Jakob Brahms (1806-1872), worked for his living formerly as dance musician; afterward he was able to set an appointment as contrabassist with the Philharmonic orchestra. During 1830, he got married with Johanna Henrica Christiane Nissen (1789-1865), whom he was about 17 years older. Johannes happens to be the second child in the family. Elise, Wilhelmine Elisabeth Louise, was born in 1831 in addition, Friedrich (1835-1885), the younger brother followed during 1835. Sometime in 1853, on a tour in the company of Remà ©nyi a Hungarian violinist, he comes across Joseph Joachim as well as Liszt. Joachim, who turned out to be an all-time friend, persuaded Johannes to meet up with Robert Schumann. Schumann contained a massive influence on Brahms musical line of business. Schumann labeled Brahms as the "upcoming brilliance of German music." He was very much overwhelmed by Brahms uncompleted compositions where he wrote an admiring magazine article in relation to them. Schumann then assembled for the publication of Brahms initial songs as well as piano sonatas. Once Schumann experienced a nervous fall down and attempted to consign to suicide, Brahms hurried towards Dusseldorf to be there by Claras side - Shumanns wife. His purposes were those of a dependable friend, where he in a little while felt so much affection for her. Soon afterwards, Schumann

Patient Satisfaction Compared in 5 Rural and 5 Urban Hospitals in Research Paper

Patient Satisfaction Compared in 5 Rural and 5 Urban Hospitals in Illinois - Research Paper Example Majority concentrates on delivery of primary health care services. As portrayed by recent research, most rural patients’ by-pass rural hospitals to seek medical attention from urban- based hospitals. Due to under utilization of rural hospitals, these hospitals continue facing financial challenges due to reduced occupancy rates and declining government assistance (Dent & Haslam, 2006). The issue of lower occupancy rates has substantially increased costs, hindering efforts to introduce new services and technology. As such, the rural population continue to raise alarm of limited access to quality health care while at the same time they under- utilize rural hospitals leading to their closure The survey conducted in regard to satisfaction derived by patients generally rated the quality of rural care lower than that of urban care. In the figure below, the study was centered on two samples each consisting five hospitals selected from both rural and urban settings. The study found tha t, most patients were satisfied with services rendered by urban hospitals than those offered by their rural counter parts. Many patients from the rural setting either expressed dissatisfaction or were not sure of the quality of local services. Graphs Fig 1.0 Patients response on level of service satisfaction at rural hospitals Source: UnitedHealth Group/Harris Interactive Survey of patient response to quality of services in rural hospitals, May 2011 Results From the research carried out, it was learnt that 15% were strongly satisfied, 33% satisfied, 9% were not sure, 28% dissatisfied while 15% were strongly dissatisfied. Patient’s response on level of service satisfaction at urban hospitals Source: UnitedHealth Group/Harris Interactive Survey of patient response to quality of services in urban hospitals, May 2011 Results From the research undertaken, it was learnt that 37% of all the patients examined were strongly satisfied, 47% satisfied, 5% was not sure, 9% was dissatisfie d while 2% expressed strong dissatisfaction. Discussion Patients perceive rural hospital care to be more personal as they can identify themselves with the caregivers. There may be a chance of caregivers to interact with their patients after discharge. Therefore, they tend to be more attentive and courteous in their job (Chern & Wan, 2000). On the other hand, the anonymity of urban areas endangers the staff attitude of â€Å"who cares,† â€Å"I’ll never see the patient again.† Patients may have lower expectations of rural hospitals when they know that they lack necessary technology or experience high patient to staff ratio. As such, they may evaluate their preferred care against a lower set of expectations. In rural setting, there could be lesser chances of error due to the simpler care processes and simple technology being in use. From the previous studies, it was established that patients discharged from teaching hospitals derived more satisfaction. More so, pa tients want to receive care from hospitals with cutting -edge care, physicians who are the best in their field or those using state of art technology. Perhaps, patients viewed Medicare derived from such modern urban hospitals to be worth the cost associated rather than being prodded and poked by trainees in institutions that train practitioners and conducts research. Patient’s hospital choice between the rural and urban was found to depend on the ability of the patient to evaluate available options and their