ShantanuT01/DACTYL-Pretraining huggingface dataset:
Identification of the Problem Type 2 diabetes is a form of diabetes characterized by high levels of blood sugar, resistance to insulin, and its relative lack. The chances of developing the condition depend on a combination of risk factors that include both the genetic background and the lifestyle. While the risk factors associated with one’s age, gender, ethnicity, or family history cannot be changed, the lifestyle choices linked to weight, physical activity, and dietary habits are possible to modify (National Institute of Diabetes and Digestive and Kidney Disease, 2016). If an individual is not physically active, does not make healthy nutritional choices, and continues such behaviors over prolonged time periods, the risk of developing diabetes increases. At this time, the individual at risk of type II diabetes regularly consumes fast food due to its convenience because she is heavily occupied by work. Cooking healthy meals every day takes up too much time, and she has indicated that she would rather spend that time resting after a long workday. The job that the family member does is low in physical activity, she is at her computer most of the time, working with documentation. She has indicated that she tries to walk home from work sometimes because it takes around 30 minutes; however, it does not happen often. Consistent but straightforward changes in lifestyle can be hypothesized to help in decreasing the risk for the condition’s development. There is a high need to invest more time into cooking healthier meals and inserting more movement into daily life. Proposed Solution for the Problem Consistent and positive lifestyle changes represent the leading solution recommended for the family member. Researchers have widely explored lifestyle changes as being a continuous challenge that many women find complicated to maintain. According to Ahlin and Billhult (2012), women have shown to exhibit ambiguous feelings of others’ involvement in their lifestyle, experiencing deficits in knowledge, as well as finding reasons to justify not making any changes. It is imperative for the patient to overcome these challenges despite the inner struggles that make the experience of making modifications in one’s lifestyle. To facilitate a change in lifestyle to include more exercises and change dietary habits, it is recommended for the patient to participate in a structured diabetes patient education program that would be evidence-based, culturally-sensitive, and delivered by trained educators that would provide support in both group and individual settings. Such a structured program for enhancing diabetes prevention education is necessary for the patient to understand her current condition and facilitate a positive change in her daily habits (Chong et al., 2017). Since the patient has indicated that she does not have enough time and moral power to facilitate a change in her physical activity and dietary choices, an educational program can be a good op
Introduction For many years now, women have been pushed to the periphery when it came to joining various careers. This has been as a result of restrictions that were imposed on women, thus hindering their upward mobility. On the same note, there have been different types of discrimination directed towards women. Whenever engineers are named, people expect them to be only men. This is because of the few women engineers that are available currently. Many engineers known in history are men. Women are expected to join other careers, including human resource management. However, it should be known that women can also make good engineers if they are given the opportunity. There are various issues which have limited the chances of women succeeding, and our society has helped in propagating them. Genetics Many people have a conviction that men are naturally meant to be good in mathematical subjects while women are poor in these subjects. For a person to successfully learn this discipline, especially high-level mathematics, there is a special type of memory that should be developed. While this spatial memory is known to be present in men, many people argue that it is absent in women. Unfortunately, engineering and other heavy science careers require deep knowledge of mathematics (Banya 72). Consequently, women find it difficult to join these careers. Their abilities are limited by nature, and they do not do as good as their male counterparts. It is for this reason that many people argue that women are biologically not meant to be engineers. Masculine Supremacy There have been masculine supremacy in the engineering field with men dominating almost in all sections. In this regard, the need to maintain the status quo has kept women out of the question whenever selection was done. The historical dominance of men in the engineering field has discouraged women from venturing into this career for fear of mistreatment. The engineering field is looked at as a special area which requires not only the use of muscles but also a dirtying job which does not fit women. Consequently, many women are reluctant to take up such careers. Moreover, many people are less likely to hire a woman engineer if she attends an interview competing with
Abstract Samuel lived in an era when the Israelites level of spirituality was declining. He was called by God at a young age to minister to the Israelites and reformed their evil ways. He served in various capacities such as being a judge. This paper gives a review of Samuel’s life by considering some of the happenings that occurred during his time. Introduction The prophet Samuel was a loyal servant of God right from his birth. His amazing life started after birth by Hannah – a woman who had been infertile for many years. God answered Hannah’s prayers after praying for a long time. She named her son ‘Samuel’ to mean, “The Lord hears.” God placed him tactically in Israel at a time when Israelites showed little reverence to Him. Samuel was called by God in the wee hours and chosen to go to serve as a prophet to the Israelites as recorded in 1 Samuel 3:10. He would later serve in various positions and anoint the first two Kings of Israel, viz. Saul and David, when the Israelites demanded an earthly King. Time of Samuel Samuel performed his prophetic duties with a lot of wits and after Israel defeated the Philistines, he became a judge and visited many cities to resolve conflicts amongst the Israelites. Through the help of God, he subdued Philistines, and throughout his life, God never favored the Philistines as stated in 1Samuel 7: 13. When Samuel became old, his two sons – Joel and Abijah, replaced him. However, the two did not follow their father’s footsteps. They were cruel and corrupt, and consequently, they received people became rebellious towards them and started demanding an earthly king (Hindson & Yates, 2012). During the Mosaic age, God was the only King of the Israelites- both earthly and spiritually. God had been sincere and omnipotent, and He rescued them from Egypt and delivered them to the Promised Land. God appointed judges to help in fighting Israelites’ enemies like the Philistines and guide them in leading a spiritual life. Israelites wanted to imitate their neighboring kingdoms that worshipped idols under the guidance of earthly kings. In essence, the people were rejecting God, the Lord, who had saved them out of slavery in Egypt (Hindson, 2003). They wanted a physical leader they could see. In tandem with their demand, God asked Samuel to go and anoint Saul as the new king. He was a tall, good-looking, and decent man. Nonetheless, God cautioned the Israelites of several challenges that they would face as a result of asking for a king. The king would enslave their children, grab their vineyards, take a tenth of their plantations, and give them to his officials. Also, he was going to take their donkeys, workers, and demand that they pay a tenth of their sheep (Hindson & Yates, 2012). God appointed Saul as king although he came from the smallest tribe in Israel.
There are several risks that such company as Target can be exposed. First of all, it is possible to speak about the changes in labor legislation. The government of the United States or Canada can introduce new laws requiring Target and other large retailers to raise minimum wages for the employees. This change can strongly affect the financial performance of this organization. Currently, the company faces various lawsuits related to their alleged failure to compensate their employees properly and offer them adequate medical insurance (EOWLD 1 unpaged). Thus, it is possible that these legal conflicts can eventually give rise to new laws. Canadian citizens do not receive healthcare coverage directly from the employer, it is provided by the government (Greenberg, 63). However, the cost of the coverage is reflected in the taxes that private companies pay. Therefore, rapid increase in these health coverage costs can result in extra expense for Target. The company has to be ready for these changes in legislations; otherwise they can lose their positions in the market. Secondly, this management of this company should remember that economic recession forces people in Canada to choose less expensive products, and as a result, retailing companies have to lower the prices and enter price competition. This competition will be very difficult for Target, especially if we consider its rivalry compet
The Gothic style came in the stead of the Romanesque style in the middle of the 12 th century. It brought not only innovative architectural and art forms but also a new worldview of the medieval people. This essay will explain the influence of the cult of the Virgin on Gothic society and its distinction from Romanesque themes, and compare two artworks from France and Italy. The cult of the Virgin emerged in the Middle Ages and influenced Gothic society by shifting the focus of human attention from the external beauty to spiritual virtues. Compared to the severity of the Romanesque style, Gothic artists depicted the Virgin as more tender and humane rather than iconic. Furthermore, Madonna was pictured out of proportion, with extremely long legs and small corpus (“Distorting Madonna in Medieval Art”). Since a virtue was more important than physical attractiveness, it was a compulsory measure because “beautiful objects could lead to a misguided worship of the object rather than the worship of goodness” (“Distorting Madonna in Medieval Art”). The same is true for sculptures because artists emphasized their meaning rather than beauty. For example, the Rottgen Pieta, dated 1300-25, shows Madonna’s grieving over her dead son. Their heads are disproportionally large, which allows the viewer to see their emotions. It is possible to compare the North Rose Window in Chartres Cathedral, France, and the interior of the Basilica of Saint Francis of Assisi, Italy. They differ in techniques and materials since the French work is stained glass, and the Italian one is frescoes. The first work was influenced by the Gothic architecture, which became higher compared to the Romanesque one, and the ceiling did not have to be supported by solid walls. The innovative feature of Chartres Cathedral is the design of its stained glass windows, consisting of a rose window and several lancet windows beneath it. The Italian work is influenced by French masterpieces, and its innovation consists in the combination of Gothic and Romanesque themes, which laid the foundation of Italian Gothic art. In conclusion, the similarity of these works is that they both depict scenes of Christ and Madonna’s life. Like the entire medieval art, they are influenced by the cult of the Virgin, which changed people’s perception of the world. Instead of worshipping physical beauty, humans paid more attention to spiritual ideals. These works brought some innovations to the culture of the country of their origin. Work Cited “Distorting Madonna in Medieval Art – James Earle.” YouTube , uploaded by TED-Ed. 2013, Web.
Health administration is challenging and requires excellent memory, high concentration, and stamina. Thanks to the development of information technology, a significant part of the administrator’s work can be transferred to spreadsheets (for example, Excel) or other programs. Computers and sophisticated technology can now be found in any hospital, and using them is one of the critical skills of an administrator. Excel does a great job with concepts such as probability and measures of central tendency, and it helps medical staff to have straightforward access to extensive databases. It is also easy for administrators to manage hospitals or departments within Lean and Six Sigma using information technology. Probability in work can be calculated using a unique formula given in the table. This function is called PROB, and it divides the number of favorable events by the total number of possible events. These calculations are quick and easy; the specialist can vary the events and numbers. For example, people can calculate the probability of emergencies per shift in this way. Based on the results obtained, it can be concluded how many specialists should be ready and what equipment should always be available. Sometimes people can use the OR and AND tools to calculate the probability. In addition to probability, Excel allows people to calculate measures of the central tendency. Kros and Rosenthal (2016) postulate: “Time spent by physicians with patients what is called the central tendency of the data. There are three commonly employed measures of central tendency: the mean, the median, and the mode” (p. 184). These complex calculations are also based on processing a large number of data and estimating the arithmetic mean. The Lean and Six Sigma management concept allows people to minimize errors during production or operation. A recognized concept postulates that a business should always strive for success and increase its requirements. For managers, the predictability of future results should be necessary. People can predict them using Excel and formulas, thereby analyzing a large amount of data. Despite the abundance of computers and sophisticated technologies in hospitals, doctors’ role remains crucial in terms of morality. Doctors can still be spiritual guides for people: they can see
Introduction J C Penney Company is a commercial entity that operates a variety of departmental stores, mostly in the American market. The company operates from Plano, Texas. From this operational locus, the company effectively coordinates its operations in all states where it has operations. In addition, the company operates several departmental Stores in Puerto Rico (Plunkett, 2007). Through its departmental stores and other related establishments, the company endeavours to achieve and consolidate its operations within the market. This creates additional advantage over competitors in the market. The company ensures that its stores are strategically located in areas that guarantee productivity and sustenance of competitive edge with regard to market functions and operations (Plunkett, 2007). Towards the end of the 20 th century, the management of J C Penney Company acknowledged the growing popularity of shopping malls. Consequently, it embraced the trend and eventually incorporated it as part of its operational regimen. In recent years, the company has increasingly responded to consumer demands and articulations by initiating products and services that fulfil emergent needs of its customers (Plunkett, 2007). Through innovative and creative approach to commerce, the company has effectively shifted from traditional business practices that do not recognize modern operational thresholds in business. In 1998, the company began efforts to realign its operations in catalogue and distribution services through various changes at all stores and departmental establishments. These efforts have seen the company through various turbulent stages of its national and regional operations (Plunkett, 2007). The management of J C Penney Company has indeed played an integral role in building and restructuring the company to its current standing and stature in the market. Discussion The incorporation of J C Penney Company is a tale of exploits by its founder, James Cash Penney. Upon completing his high school studies, he undertook various duties and responsibilities at a local store in Hamilton. Penny later moved to Colorado owing to health concerns. In Colorado, he worked for various department stores where he assisted in creation and incorporation of new stores (Plunkett, 2007). He later acquired full control of the stores through purchase of a substantial stake in the commercial establishments. In 1909, he relocated all operations to Salt Lake City in Utah. Infrastructural developments necessitated the shift from Colorado to Utah. Within a period of three years, Penney had 34 commercial establishments in various states across the United States. Later on, all department stores enjoined under the banner of J C Penney Company. This consolidation aimed at creating a formidable operational threshold that would effectively counter
Medical institutions and facilities should fulfill major requirements for both quality and accreditation. Such measures are critical since they encourage healthcare providers to continue meeting the medical needs of their patients. This paper discusses the unique requirements for accreditation and quality care initiatives. It goes further to describe whether both are necessary or not. Key Requirements Accreditation has become a major aspect that healthcare institutions and facilities should take seriously. Jha (2018) defines it as a self-assessment and external analysis process that clinics and hospitals use to assess performance by the outlined standards and improve their practices continuously. Accreditation occurs when a given institution fulfills outlined requirements. The first one is that it should be assessing and improving the nature and quality of its medical services. This achievement requires a review of both caregivers and practitioners. The second requirement is for every hospital to have a detailed identification of the key services it provides directly or indirectly (Jha, 2018). The third one is that the facility should be providing the right services depending on its status or type. Finally, it should fulfill all the unique attributes associated with the targeted accreditation. The Quality Care Initiative is another powerful concept that many health institutions pursue. The idea behind it is to
Preview In a study by Bondy (2001) is was found that picture exchange communication system is a communication system that is augmentative and alternative and is used mainly to help in communication for those children who have autistic disorders and other needs that are special. The goals of the system is to establish a means of communication that the learners can easily relate with where the exchange of pictures spiced up by verbalization leads to the development of speech in the autistic children. The system entails creating pictures that the children can easily associate with from the favourite objects of the child and the system begins with one picture as it expands slowly. In a study by Stanton (2004) the exchange of the images is found to be very essential because it lays the base for the development of the verbal skills of a child. The use of verbalization to communicate is enhanced by the use of the PECs. According to Bondy (2001) the protocol that is used in PECS’s training is based on skinners theory of behaviour and the systematic functional verbal operant using strategies that prompt and reinforce the process of teaching and acquisition of speech by the learner. This leads to the development of independent process of communication. Howlin et al (2002) conclude that prompt dependency in this case is avoided by the reduced use of verbal prompts which helps in the construction of the speech initiation. PECs begins by use of a picture of an item that is desirable to the learner with a teacher or a communicative partner. When the students acquire the spontaneous skill of asking for that desired object, the PECs system starts teaching discriminative skills among symbols that leads to proper construction of services. Then the students are taught to respond to questions or to make declaratives and imperative sentences. Efficacy In the study (Bondy, 2001) the system was found to be very flexible because it can be used with a wide range of ages like the young preschoolers, the teenagers and even adults who may have a variety of cognitive and communicative difficulties. Though there may be no supporting evidence to show how it improves communication, experts say that it is a very reliable method of helping the people with speech disabilities. According to Tencheon (2001) PECs is better than the simple picture based communication, though it is more expensive than the latter. In the study (Tien, 2008) the
Introduction Chronic obstructive pulmonary disorder disease (COPD) is among the major causes of morbidity and mortality in Australia and around the world. Approximately, over 2 million people suffer from this condition in Australia and the majority of them end up in the emergency department due to exacerbations. Hospitalization from this condition can be avoided with proper pre-hospital diagnosis and treatment. However, the management of COPD at the emergency department is complex as its symptoms overlap with those of other related conditions like asthma. Besides, due to the severity of some cases, paramedics do not have enough information concerning the patient or time to establish the underlying disease. In this case, one has to use the available objective findings and make a decision to initiate the recommended emergency practices for dealing with COPD like intubation and ventilator therapy. Paramedics have to decide whether the benefits of initiating treatment outweigh the associated risks for the patient. This paper reviews the available literature to establish whether paramedics can differentiate between COPD and other related conditions and intervene in time to avoid unnecessary hospitalization. Methods A structured search strategy was used. Keywords were searched in bibliographic databases like CINAHL (via EBSCOhost), MEDLINE, PubMed, and PsycInfo. The main search terms used were pre-hospital, COPD, diagnosis, paramedics, and Australia. The search was restricted to articles published after 2012. Additionally, it was restricted to Australia as this paper focuses on practices in this country. The articles had to be published in English. Review articles were excluded. All articles considered for this study involved paramedics in Australia and the diagnosis of COPD in their line of work. Results The search strategy generated 206 result hits and only three were selected as they addressed the diagnosis of COPD procedures that paramedics use in Australia. 104 articles were discarded because they were published before 2012 thus outdated. The remaining 59 articles were excluded as they addressed the COPD diagnosis in other countries or hospitals. Finally, 40 sources were discarded for they were reviews on the subject. One of the selected articles by Williams et al. addressed whether paramedics differentiate between COPD and asthma. This retrospective cohort study was carried out in Perth between July 2012 and June 2013. Two retrospective studies by Khialani, Sivakumaran, Keijzers, and Sriram and Gerber, Moynihan, Klim, Ritchie, and Kelly sought to establish whether the emergency department’s management of COPD followed the laid down guidelines. I