ShantanuT01/DACTYL-Pretraining huggingface dataset:
The case study presented has been a distress situation accompanied by complexities of medical issues. The patient needs to be handled with sensitivity and care. I would consider the physical examination of the patient along with the psychological wellbeing as the part of her recovery plan in her management. The girl is overwhelmed with the loss of her father and lack of attention from the mother who is coping with her own grief. She also has medical conditions which do require hospitalization and immediate corrective action. My assessment of her medical situation is that she is suffering badly on account of her tonsils which are triggered by stress. This is the cause of her frequent absence from school. The rapid weight gain is also the sign of distress and stress which requires her psychological assessment. The girl needs hospitalization and management of the hospital staff as she needs to undergo tonsillectomy for the control of her sleep apnea which is a serious problem in her case history and requires immediate action. Sleep Apnea is a condition which is characterized by momentary stopping of the breathing. It is a serious illness. Apnea means in medical terms stopping to breath. The obstruction of large tonsil and adenoids cause this condition in children. In her case she has large tonsils hence removal of this surgically will have curative results on her health. She needs to undergo tonsillectomy, and also needs firm management of her weight which has been an issue of concern. The goals of the hospital management will be to first determine her readiness physically and mentally for the tonsillectomy. The doctor will need to know certain facts regarding the patient before proceeding through the surgery. “  1. Is there a family history of bleeding problems? Does your child bleed excessively from small cuts, or does he bruise easily?  2. Has your child used any blood-thinning medications within 3 weeks of surgery? (Examples are: aspirin, bufferin, motrin, advil, ibuprofen.)  3. Is your child under a doctor’s care for any reason? Does your child take ANY medications (prescription, nonprescription, herbal… anything)?  4. Has your child ever been hospitalized?  5. Has your child ever had general anesthesia?  6. Has anyone in your family (blood relative to your child) ever had a bad reaction to a general anesthetic?”(Hoffman, para.5) The hospital will require certain investigations like checking of the blood pressure, present infection, the calculation of the BMI and determination of the obesity factors before proceeding with the surgery. The child will need to have blood tests done which will include complete blood count, electrolytes, clotting factors along with physical exam and medical history.(Wetmore,pg.380). Since the patient has significant degree of OSA (Obstructive Sleep Apnea) the patient will require overnight hospitalization and management of the physical and psychological factors which im
Introduction The current explosion of information and information availability has led to the creation of a critic in every rational human being. The conception of every idea of whatever subject often leads to people expressing thoughts on that specific idea. It faces the jury, so to speak; the people it affects or influences. What most people do not realize is that as much as honest opinions are welcome, being opinionated does not lead to any positive contribution, which is what people need for motivation. The differences between perceptions and significance of opinions and opinionated expressions are of great impact to society’s view of criticism. Right of Expression This is normally part of the laws encompassed in countries’ constitutions in the Bill of Rights. This bill guarantees that the government can never deprive anyone of his/her right to express his/her feelings on any particular situation (American Civil Liberties Union (ACLU) Para 2). It is from this that people get the right to express opinions on different issues freely. The limitation however comes along when the relevant individual takes offence on the opinion relayed. This is usually when abusive tones are used. Of Opinions and Opinionated Expressions As much as opinions are welcome, opinionated arguments often come off as unwanted. Many a time, people confuse the two terms and claim to be airing views innocently. To avoid such misjudgments, it is important that people understand the differences. Opinions encompass different individuals’ expressions that express points of view on certain situations. Society views opinions as positive too, and lead to improvement in quality of the issue at hand. For this reason, more of them are encouraged. On the contrary, opinionated expressions bear exactly opposite characters as those of opinions. These draw no limit to the comments aired as “they spout out one self-important proclamation after another” (Brooker). Opinionated people only offer self-centered contributions on everything arguable. In character, the opinionated do not lack comments on anything, even when the details are unknown. Society further understands the character argumentative on issues from just the topic of conversation, not even requiring the body that bears with it details of the issue. Since these opinionates value opinions this much, none holds back when it comes to expressing them. Due to this feature, society does not favor rather it shuns them. Reception of arguments from them is normally with skepticism and is never welcome. Factual Evidence Information nowadays is readily available in public resource through the television, radio, in the dailies and the largest of resources that is the internet. These are facts available to public hence provide a backbone for strong arguments. People express opinions and use these information resources as a base for arguments. Due to this, such argume
This paper is aimed at discussing the essay On Snow Days Help Parents Work From Home , Too written by Emma Johnson (2014). Overall, this text throws light on the challenges faced by working families. In particular, the author examines the difficulties encountered by parents at the time when schools are closed due to snowfalls. Emma Johnson Believes that it is necessary to grant parents the right to work at home. Much attention should be paid to the way in which the author uses ethos, logos, and pathos in order to convince the audience. On can say that these classical principles of argumentation enable Emma Johnson to influence the opinions of the readers and evoke compassion for people whose problems the writer depicts. These are the main questions that should be analyzed in greater detail. At first, it is important to examine the use of ethos or the appeal to the credibility of the speaker. In particular, Emma Johnson lays stress on the fact that she is also a parent and that she understands the difficulties that working families need to overcome (Johnson, 2014). At the very beginning, she says, “Like other working parents, I’m fixated on the radio each morning because of the recent winter weather.” In this way, the writer suggests that she has the necessary knowledge and expertise to speak about these issues. Thus, one can say that she has the authority to represent a specific group of people, namely working parents. This is one of the main aspects that can be distinguished. Secondly, pathos or the appeal to emotions also play an important part in this essay. In particular, Emma Johnson describes the desperate efforts of parents to find a babysitter at the time when there is an emergency. In many cases, these people feel virtually helpless. By using this strategy, the author prompts the audience to feel compassion for these people. It should be noted that the possible readers of this essay may be familiar with the issues described by Emma Johnson, and her appeals can affect their views. The only limitation is that the writer does not make full use of logos in order to support her arguments. The writer does not speak about any empirical data that can throw light on the problems of working parents. Emma Johnson might have omitted these details because she thought that the readers had been fully aware of these problems. However, it is possible to raise an objection to the author’s argument. For example, one can argue that the journalist does not consider the interests of employers. One should keep in mind that the work of many businesses can be interrupted provided that many employees decide to stay at home. Thus, the author does not fully reconcile the logical inconsistency of her arguments. Much attention should also be paid to the
Introduction Most countries have found it difficult to do business isolation without being in an economic bloc. The difficulties experienced have escalated the need to form economic group. Economic integration occurs when countries experience pressure to join forces and operate under a common market with a controlled business environment. Such pressures have resulted into several economic integrations such as European Union, Common Wealth, OPEC, and African Economic Community among others. All these integrations have had many positive impacts on the member countries. As member countries, trade freely amongst themselves or under certain tariffs agreements, they accrue benefits. This essay strives to illustrate how the European Economic Community has affected European businesspersons. Impact of European Custom Union A customs union is a kind trade bloc where member states operate in a free market while they form uniform external tariffs. The European Union is a custom union that allows members to operate freely amongst themselves. Chalmers (11) asserts that the European Union treaty required all tariffs to be abolished among the member countries. This treaty obliges members to operate freely or to form a free market zone. In addition, the treaty advocates free movement of goods, services, capital and labor within the member states. There was also an agreement to harmonize trade laws where differences existed (Chalmers 12). Further agreements ensured that private competition barriers did not transcend national barriers. Similarly, countries fiscal regimes were not to discriminate imports. The inclusion of the above agreements in the treaty affects business both positively and negatively. Any business that conducts its affairs within the market enjoys an increased market size. Due to the free market agreements, European organizations can freely sell products across Europe without any restrictions. On the same note, in case a firm wishes to import raw material from another member country, it can do so cheaply since all import levies are withheld. The same applies to labor and capital market operations. The free market makes it easier to outsource them at local cost. On the other hand, the custom union has exposed many businesses to stiff competition from firms from other countries within the union, which are also keen or willing to take advantage of the lucrative local market. The intensification of competition drives local market prices down while firms are forced to produce quality products to avoid losing market. All this means an increase in production cost that reduces the profit margins of the organization. Thus, as the market conditions become tight and tighter, only the best in the market will survive; the rest of the organizations will be compelled to close down. Right of Establishment The European Economic Community has also elaborated vividly on the requirements of establishing a new business entity. The treaty provides that any busines
“Bang Bang Baby” can be labeled a science fiction musical as it incorporates elements of both genres in an exciting plot. After watching the trailer first, I was surprised by the energetic nature of the music and the characters in the film. The main protagonist of the movie is a young lady named Stephy. She dreams about becoming a famous singer; however, her alcoholic father disapproves of her dreams. The story’s setting takes place in 1963 in a small Canadian town, and additionally, the movie is stylistically reminiscent of the 1950-1960s era in American pop music (Perone 34). The dresses, hairstyles, costumes, and decorations all point out the teddy-boy trend that was common in the 1950s. However, after watching a film, it turned out to be a bitter and depressing experience as themes described in the movie are much more profound than they seem from a preview. First of all, the director managed to achieve the surrealistic and magical atmosphere by questioning the reality of the events through the scenes where Stephy wakes up from her dream. Sleep is used as one of the main transitional tools in the movie’s script as Stephy is sexually harassed when she falls asleep. Then she wakes up with Bobby Shore in her house, and the next time she wakes up in her bed, her whole life is different, and she is pregnant with a strange baby and sleeps with a man who raped her. Therefore, I think the film is about the maturity of Stephy and her sad story of letting go of her dreams of becoming a singer to the cruel external circumstances. Besides that, the film is filled with charismatic dialogues and jokes, mainly coming from the famous singer Bobby Shore. He is a stylish young man who looks like Billie Joe Armstrong and Elvis Presley. He is quick-witted and slick, but somehow he feels shallow as his intentions are vague. However, one of my favorite jokes in the film comes from this character when he says, “Yeah, people love casinos. They are great for gambling addicts.” It is dark and cynical, but it dramatically represents the type of man Bobby Holiday is. The music in the film plays a vital role as in every crucial point of the movie, the song starts. One of the most heartbreaking ones for me was when Stephy sings at the gas station when she finds out that all of her dreams are ruined and that she lives a life with a man she hates. Another remarkable thing is the purple fumes from the chemical plant near the city. Once they appear, everything in town and the life of Stephy becomes magical, and when the fumes clear, then everything comes back to the sad norm. The mutations of the city dw
In case LIBOR becomes kaput or ineffective to work, it is possible to replace it with the Overnight Indexed Swap (OIS). The latter is also a viable reference rate. It is a standard value of the discount. According to Gensler, LIBOR has myriads of structural flaws, especially during the process of submitting the rates. Most of the submissions made by banks are sometimes not realistic (Madigan, 2013). This is a clear indication that OIS can be used if LIBOR fails at any given time. In most instances, LIBOR relies on voluntary submissions at the expense of the actual transactions. Benchmarks rooted in real deals can be adopted instead of relying on submissions based on free will from major players in the financial markets. LIBOR has also made it easier for major market players to manipulate the market. There are claims that the ideals of LIBOR have been grossly rigged at the expense of the economy (Madigan, 2013). On the other hand, the OIS rate has been embraced by the derivative markets, especially in cases where trading takes place with cash as the main security. When OIS is used, the currency of security usually determines the precise rate. However, most of the adjustable rates for the US housing market and the futures markets are still being controlled by LIBOR (Madigan, 2013). Therefore, in the event, LIBOR fails to work, there is an alternative reference rate that can still be used. It should also be noted that the Overnight Indexed Swap (OIS) has various appealing features compared to LIBOR. For instance, it can eliminate any chances of manipulating the financial market. According to Norris (2013), LIBOR has not been a favourable preference rate, especially for the large banks in the market. They are torn between abiding by the regulatory measures that have been set up and defying the same rules for the sake of their own survival. Already, LIBOR is no longer a secure and trusted mode of determining the actual prevailing rates in the market. Perhaps, the general collateral repo rates can be used instead of the fictitious LIBOR. The main advantage of a repo is that whoever sells debt instruments, shares or securities is the actual owner contrary to LBOR whereby fake submissions are made with the aim of reaping huge profits from the market (HM Revenue & Customs, n.d). In addition, the first phase of the transaction is usually used to compute the purchase price. This computation is carried out by factoring in the initial interest rate obtained. In other words, a repo rate is applied when calculating the most appropriate buying price. At this point, it is vital to mention that the fluctuations experienced in the market price do not affect the repo rat
The article titled, Perineal Injury in Nulliparous Women Giving Birth at a Community Hospital: Reduced Risk in Births Attended by Certified Nurse-Midwives, was prepared by Maureen Browne et al., who conducted a study to ascertain the difference in rates of perineal injury suffered by nulliparous women under the care of obstetricians and those attended by certified nurse-midwives (CNMs) at a community hospital in the US. Perineal injury during birth is closely related to both temporary and lasting maternal morbidities that include sexual dysfunction, postpartum perineal pain, and deferred time to resume sexual intercourse. Postpartum depression (PPD) is also related to perineal ache and sexual complications. For example, one study found that women who suffered from both sexual problems and perineal pain nine months after delivery were also likely to develop PDD (Browne, Jacobs, Lahiff & Miller, 2010, p.243). In a US study that used the National Hospital Discharge Survey data (between 1979 and 2004), it was discovered that 3.4% of all women who experienced an impulsive vaginal birth had a harsh perineal laceration. This percentage has not declined since 1979. The same study also revealed that the rate of episiotomy associated with vaginal births declined from 60.8% in 1979 to about 24.4% in 2004. Nonetheless, several women still experience perineal aches and its consequence up to date. Thus, Maureen Browne et al. conducted a study to find out the link between the occurrence and severity of perineal pain and the nature of birth attendants in impulsive natural births of nulliparous women who visited a US community hospital. The study also examined both impulsive lacerations and episiotomies (Browne, Jacobs, Lahiff & Miller, 2010, p.243). Methods The study used a sample of 2819 nulliparous women derived from the peri-natal database of Marin General Hospital, found in California. The database holds peri-natal data for births at sampled healthcare institutions in California. The ultimate study population was made up of 2819 nulliparous women who had experienced an impulsive natural birth of a live child in cephalic presentation with a developmental age of at least 36 completed weeks. The study used only women who had been attended to by either a CNM or an obstetrician. The core exposure was the type of attendant-CNM or obstetrician. The key outcome variables were: spontaneous perineal laceration; episiotomy; and intact perineum (Browne, Jacobs, Lahiff & Miller, 2010, p.244). The spontaneous perineal injury was categorized as an injury independent of episiotomy. Those women whose medical records revealed that they suffered secondary episiotomy and perineal laceration were categorized as victims of episiotomy (Browne, Jacobs, Lahiff & Miller, 2010, p.245). The study also analyzed the link between the type of birth assistant and episiotomy in relation to secondary laceration; the link between the type of birth helper and episiotomy in addition to the third or fourth-degree laceration vis-à-vis no injury; and the link between the kind of birth assistant and episiotomy minus a third or fourth-degree laceration vis-à-vis
Introduction A biased language is a language that discriminates against people based on their sex, physical condition, race, ethnicity, age, and other such attributes. A biased language is therefore unfair and hostile and fails to comply with the law. It excludes certain groups of readers and fails to maintain goodwill (Rozakis 63). Biased language has long been used in the wider society and dates back to the creation of the universe. In the Bible, for instance, the pronoun ‘he’ and the noun ‘man’ are used extensively to refer to both genders. The terms ‘he’ and ‘man’ are the most commonly used forms of biased language. However, biased language extends to almost all sectors of society including the healthcare sector, the education sector, and the business world. The purpose of this paper is to examine the use of biased language in different spheres of life such as in schools, professions, and business circles. The paper will also discuss how biased language affects different people both positively and negatively. Biased language and children’s imagery During the last twenty years, a substantial number of research studies have been conducted to examine the effect of biased language on imagery development. The results from these studies have supported the notion that utilization of masculine terms (such as he and man) to denote both genders contributes to a bias towards the male in imagery development. The majority of these studies however use samples of adults rather than children. Hyde (697-706) was among the first scholars to examine the effect of biased language on children’s imagery development. The researcher used a sample of children in grades 1, 2, and 5. The young participants were requested to rate how well women and men could execute a number of traditional jobs as well as a pretentious, gender-impartial occupation (“wudgemaker”). The pronouns used by Hyde to describe the occupations varied from one participant to another. Hyde (699) found that when the pronoun ‘he’ was used to refer to the “wudgemaker”, the children’s rating of how well women ca