ShantanuT01/DACTYL-Pretraining huggingface dataset:
Introduction The American higher education is one of the most elaborate and excellent learning systems in the world. The distinctive factors of the learning structure include the multiplicity, convenience, independence, antagonism, and the extent of the US’ higher learning segment. The US has more than 6500 post-high-school foundations where roughly 4000 are seminaries and campuses that give degrees and about 2500 organizations that offer professional documentation. However, the state of higher education differs from one state to another in terms of accessibility and affordability (SHEEO, 2015). This paper will examine the access and affordability of higher education in New York. The country is one of the most populous states in the US. It has a high concentration of institutions of higher learning and hence the choice of this paper. Accessibility Accessibility of higher education is a function of several factors, which include the availability of appropriate courses, the availability of colleges and institutions, the level of intake in such institutions, and the funding options that are available to students and the institutions. In the state of New York, accessibility of education is a major goal and function of the New York State Education Department. Firstly, the state has one of the highest numbers of institutions of higher learning. Currently, the state has more than 270 institutions of higher education learning. Further, the state has one of the highest enrollments in the United States (HESC, 2014). With more than 1.4 million students currently enrolled in various institutions of higher education, New York has the third largest enrollment in the nation. Secondly, the higher education institutions in the state serve a wide range of students from different racial groups in the United States and across the world. More than 75% of the fulltime students in New York State universities have access to financial assistance and options from the national, state, counties, and other higher education financial aid programs (SHEEO, 2015; NCHEMS Information Center, 2015). For instance, the state distributes more than $26 billion in aid to localities to go towards financing various programs in educational institutions. The New York’s Tuition Assistance Program (TAP) is the state’s higher education student financial aid scheme, which provides students with higher education funding to ensure that they can complete their education (The National Report Card on Higher Education, 2008). The Higher Learning Services Company, which manages the TAP, offers several state sponsorship, centralized seminary admission grants, and the university savings plan (
Introduction Merging can contribute to practical achievements of goals and can help to reach better results. Catholic Health Initiative merge with CommonSpirit Health System may lead to more effective performance across states that may result in the delivery of high-quality care. An understanding of the value proposition, implementation of the project that provides follow-up services, and appropriate training can contribute to the improvement of services. Customer Perspective The primary market customer is patients, as the merger between Catholic Health Initiative and CommonSpirit Health is supposed to make the delivery of health care services more accessible and widespread (Ellison, 2019). An extension of the partnership can provide more opportunities for the hospital’s growth and improvements as it allows reconsidering the existing policies and contributes to the creation of new ones. The value proposition is the delivery of quality healthcare services, which is beneficial for patients. The improvement of integrated systems such as the management of the medical staff and current hospital leadership leads to a better hospital’s performance. Such growth impacts patients as they receive better services and conditions. The expansion will attract new patients as the care will be provided to them in different locations. A personal relationship is important as new customers will evaluate the healthcare services based on communication with medical staff. CommonSpirit Health aims to advocate for the poor and vulnerable and supports the healing process both inside the hospital and in the community. The community covers hospitals and care centers in 21 states and delivers high-quality clinical assistance. Business Process The project that the hospital executes is the transfer of the expertise of national health systems to neighborhoods across the country. The purpose of the project is to provide accessible and appropriate care for various services in neighborhood areas in different states. An important part that requires consideration is the post-sales area, as it is poorly executed in most health care delivery organizations. It is crucial to implement follow-up services that should focus on chronic patients that may require further assistance to provide an effective post-service system. Such service should include inquiries regarding the patient’s diet, medication intake, and visits that will give a better understanding of the quality of treatment and will detect areas that may require improvement. Also, such a service may present opportunities for further growth and knowledge of the innovations that need to be implemented in the future. The external operation metric regarding value purchasing can create more effective ways of physician’s compensation that will lead to higher satisfaction of the staff. A merit-Based Incentive Payment Syste
A perioperative procedure is a very necessary one that takes place before each surgery. Nurses are responsible for appropriate perioperative procedures as they have to question a patient, consider his/her history of disease and make all the necessary tests aimed at checking the possible risks and problems while surgery. Infection, respiratory and cardiac complications are three main which take place if inappropriate perioperative assessment takes place. Pulmonary edema, cardiac arrest, and myocardial infarction are the most frequently met cardiac complications in case of wrong or inappropriate perioperative assessment (King, 2008). Perioperative is divided into two major groups, assessment for cardiac surgery and assessment for non-cardiac surgery. Depending on the type of surgery, the perioperative assessment differs greatly. The discussion in this evidence-based practice and applied nursing research is going to be based on the necessary changes for perioperative assessment before non-cardiovascular surgery of patients with a low level of cardiac risk. Generally, perioperative assessment consists of the different procedures depending on the general condition of a patient, such as age, the urgency of surgical operation, absence of presence of chronic diseases, etc. Even though each patient has to be individually assessed, it is a usual practice that all patients are similarly considered. If a person does not need cardiovascular surgery, the preoperative assessment takes place in several steps without heart testing. Freeman and Gibbons (2009) stress that people with low cardiac risk still need to be tested for cardiac complications before non-cardiac surgery as well. Those patients who have low cardiac risk do not have an appropriate cardiac assessment that may lead to great complications after the surgery or even during it. One of the main limitations, in this case, is the assuredness that people who do not have cardiovascular risk are sure to come through the operation with the lowest risk (Lee, 2007). Such measures are ineffective as the rates of cases of mortality while surgery because of cardiovascular complications increases. Laine, Williams, and Wilson (2009) assure that unnecessary tests may harm people more than bring any good, however, cardiovascular diseases and the risk to patients is to be considered more frequently even if a patient is at the low cardio risk group. 12-lead ECG, non-invasive evaluation of LV function, stress testing, and coronary angiography are the tests that are to be taken as obligatory ones. The procedure of perioperative assessment can be completed more successfully if the step devoted to cardio risk consideration is taken each time, no matter whether a person is included in the low cardio risk group or not. The general condition is assessed by the nurses. They are responsible for measuring patients’ preparedness for the surgery and possible risks. Freeman and Gibbons (2009) say that nowadays, the absence of the cardiac assessment of patients with a low risk of cardio diseases is a
Suicide is the act of killing oneself due to some reasons external or internal. It has moral, ethical, and legal implications, that is why it is viewed as unacceptable in the society. However, liberals have presented several arguments that make it acceptable under certain circumstances. Suicide is condemned because of its severe ethical, moral, and legal ramifications to individuals involved and families of the victims. Several moral, ethical, and legal dilemmas would be encountered when dealing with the terminally ill patient who opts for suicide. Deciding to stop a person from that step or not presents a moral dilemma that is difficult to solve. Since it is a duty of medical practitioners to treat and care for patients, it would be immoral to allow a patient to commit suicide. However, the patient thinks that suicide is the best way to emancipate herself from pain and suffering. The situation has two possible outcomes: allow the patient kill herself and stop her pain and suffering or prevent her from killing herself and thus advance her misery. The act may be described as moral because it would not cause damage or harm to other people (Devettere, 2010). Moreover, it would reduce distress caused to family members for taking caring of her. On the other hand, it may be immoral because the patient would violate her human right to life, her duties to the society, and cause agony and suffering to her family (Devettere, 2010). According to David Hume, using suicide to escape from misery is justifiable and ethical (Greenstone & Leviton, 2010). Patient’s sufferings and pain make suicide be viewed as an option to end that misery. The patient is a burden to her family because she relies on family members for help. She feels guilty because her family dedicates a lot of time to her care. As such, suicide would be considered ethical. However, it is the duty of medical practitioners to take care of patients and ensure that they do not harm themselves. Thus, suicide violates the ethics of medical practice. In medical ethics, beneficence refers to the act of making decisions that are considered to be in patient’s best interest (Devettere, 2010). Om the one hand, the patient has a right to self-determination. As such, allowing her to commit suicide would be a way to end her suffering and pain. On the other hand, non-maleficence refers to the act of minimizing harm. As such, it would be ethically wrong to allow the patient to commit suicide. It is the role of every clinician to protect clients from harm using all the means possible (Devettere, 2010). Suicide has no legal foundation because there are no laws that would illegalize suicide. In some countries, the law illegalizes such forms of suicide as physician-assisted suicide called euthanasia. In the United States, it is a common law crime in many states. The government does not describe it as a crime. However, there are laws that punish medical practitioners who facilitate suicide
The article under consideration reflects on a variety of problems of Brazilian families, and one of the most significant obstacles to their well-being is domestic violence. It presents the struggles of legislators in this regard explained by gender bias distorting the attitudes of citizens towards such events (Adelman & De Azevedo, 2012). The authors highlight the need for action as the situation is unlikely to change without interference (Adelman & De Azevedo, 2012). Therefore, a thorough examination of the specified issue should be performed with the use of feminism and functionalism as main theories alongside survey and content analysis as the principal methods to develop appropriate solutions. Two Major Theories Applicable to the Case The first theory applicable to the problem of domestic violence in Brazil as per the article is feminism, and its importance is defined by the controversy regarding the evolving roles of men and women. In the present-day families, they become equal in their incomes and other conditions, whereas the historic suppression remains in the form of a habit (Adelman & De Azevedo, 2012). Therefore, the suitability of this approach is conditional upon the fact that gender is the main factor in the matter. It affects interactions of people within families as social structures under consideration, and inequality in this respect should be viewed through the lens of feminist thought. In turn, the second theory which can facilitate the examination of domestic violence in Brazilian families is functionalism because it can be applied to the need to explain the interdependence of people. This condition is supposed to lead to stability and harmony, whereas, in reality, this provision is not met. According to the scholars, the current state of the problem is determined by inaccurate judgment and the sex perspective of people working in the legal system (Adelman & De Azevedo, 2012). Therefore, the elimination of the threat to healthy relationships greatly depends on their understanding of families’ functioning without bias. From this perspective, the solution lies in the global shift in perceptions with the focus on the underlying mechanism of regulating interactions. Optimal Methods to Study the Problem The use of feminism and functionalism as the main approaches allowing to find a solution to the identified problem should be complemented by methods to study it, and one of them is surveys. This technique seems beneficial for the issue under consideration because it will help reflect on the perspectives of both men and women in order to see a clear, unbiased picture regarding domestic violence. As per the article, the c
The promotional products initiative is aimed at informing the UAE population about medical waste management measures. The proposed solution aims to convince citizens of the direct impact of incineration or landfill on global warming. The primary means of information will be advertising banners stretched out on the street and distributed on social networks. I had to work with my classmates to choose the inscriptions for the posts that would attract the attention of the user or the pedestrian. Among the users who are interested in the problem will also be medical professionals who regularly throw syringes and cotton in the garbage can. In the UAE, medical personnel is indifferent to the consequences of their actions (Abhijit, Chopra, and Kaur 130). Offline and online information will tell you not only about measures that should not be taken but also about possible risks and the current crime situation in this area. Moreover, in the long term, it is planned to use visual statistics to visualize the overall picture of the UAE pollution. The second important step would be to ensure that norms and regulations are established that apply sanctions to violators. Of course, I do not have the power to enforce any new laws within this country, but by creating a social movement, we will be able to attract the attention of politicians to this problem. The adopted laws will allow us to develop strategies to improve the culture of medical waste management. Alternatively, rewards and benefits can be provided to those who correctly follow the recycling instructions. Advertising on the street and the internet mock-up: Reflexion Page When I was studying the issue of improper waste disposal technology, I realized a critical thought. There is a strong link between careless waste management and global warming (Mugabi, Hattingh, and Chima 1633). Today, in the UAE, many clinics and health facilities are ignoring the rules for the destruction of used materials such as syringes, masks, and medicinal chemicals (Kurannen, Baharum, and Akashah 117). In addition to the apparent danger to the health of citizens, waste also causes significant damage to the environment (Mugabi et al. 1633). Thus, inappropriate waste treatment leads to the release of gases into the atmosphere that triggers global warming processes. My research included a survey of students and people on the street asking them how to manage waste properly. After receiving the results, I realized that citizens do not understand what an environmentally sound system of medical waste disposal is. In this regard, I have two ideas to solve this problem. Firstly, it is necessary to inform the population of the UAE about the rules and regulations of waste recycling (Kurannen et al. 171). When we discussed with my classmates’ possible ways of disseminating information, they said that they actively use social networks and do not watch TV. For this reason, the public is informed through banner
Introduction Since the Wright brothers invented aeroplanes, technological advancements in this field have continued to flow with zeal and zest and in the process introducing machines in the world that have simplified the transportation problem that the world has been experiencing. The invention of the planes did not go in to commercial use immediately due to logistical issues, safety and other intricacies. Later on it took ground with the US being the first to experiment with commercial air transport in 1914. The service being offered by around five companies some of them still in the industry today such as Delta and Northwest Airlines. The trend was to take root also in the UK and Europe at large in the following years. By the early 1920’s commercial flights were common though passenger service was sporadic and could not sustain the airways companies and thus they tended to rely more heavily on transporting of bags and mail. During this time most of the flights were mainly domestic and over short distances as there were no long haul planes available by then. With the emergence of large aircraft manufacturing companies there was an increase in international flights, the most notable ones being made across oceans. Since then the industry has grown in leaps and bounds connecting the world effectively and bringing more meaning to the global village idea. Achieving this fete has seen billions and billions of dollars all over the world sank into the development of this industry. One may wonder whether the benefits gained from this industry putting in mind the fatalities of
The product that will be introduced in the market is mobile money transfer. This is an intangible product, which involves the process of sending and receiving money via the mobile phone. There will be partnerships with the top eight wireless telecommunication service providers in the United States such as Verizon wireless, AT & T mobility, Sprint Nextel, T-mobile USA, TracFone Wireless, MetroPCS, U.S. cellular and Cricket wireless. The wireless telecommunication service providers will charge for the product offered both when sending or receiving money. The range of cash that will be allowed will be between US$ 50 and a maximum of US$ 1500. This is to avoid possible conflicts with the financial institutions and the laws that govern their operation. Mobile money transfer will target low-income earners who would wish to send and receive money from their next of kin. This group of customers should be earning between US$ 80 to US$ 2,000. Majorly, the market segment will comprise of youth aged between 18 years of age to adults aged 45 years of age. This is the active age for employees both self-employed and those employed by other institutions. Besides, this market segment comprises of students in colleges and high schools who would like to receive some cash from their parents to sustain them in school life. The simplicity of this product vests in its convenience and ability to increase employment in the State. As mentioned earlier, the target market or customers are majorly the low-income earners who earn between US$80 and US$ 2000. They might be parents who earn very low income but have students in colleges hence, would like to send cash to their children for sustainability. This can be done by visiting numerous agents deployed around the State by their respective wireless telecommunication service providers. The money is deposited in the mobile phone and the customer can send at any convenient time. On the other hand, those receiving will be able to withdraw the cash from any agent located within vicinity and in town centers at a fee. The customers will not require going to the banks or any other financial institutions to withdraw their cash. Moreover, small business people will be able to transact payments and settle small debts conveniently with this kind of product. Mobile money transfer will be also benefit the customers who are connected to wireless telecommunication but do not have bank accounts or credit cards to transact money transfers. The product has great potential benefits to the clients as far as convenience is concerned. First, it can be used to settle small debts when one does not have the liquid cash at any given time. Second, one can buy goods or products even without cash at any given time especially where there is remoteness. For example, where the ATMs are not available or the financial institutions are not anywhere within vicinity. The agents for money trans