ShantanuT01/DACTYL-Pretraining huggingface dataset:
The Multistate Health Corporation religiously directed to provide health services to the unprivileged in society. Its headquarters located in Michigan; it owns four secondary establishments and thirty hospitals located in seventeen states, with more than 10000 employees. The Multistate Health Corporation centers on providing health care to the less privileged in society. The Multistate Health Corporation hospitals denoted as divisions, and each division has a Chief executive officer who reports directly to regional executive vice president (Blanchard & Thacker, 2010). The demand for health care service by patients of the Multistate Cooperation Hospital indicates a need to increase outpatient service more than inpatient service. This is because there has been surfeit of bed space in the hospitals. The management of the hospitals planned self-care introduction of patients as a nontraditional health service to reduce the number of clients due to high market competition of products and service. According to Blanchard & Thacker (2010), the Multistate Health cooperation faces business environmental changes thus affecting their profits. Therefore, they have placed a two-pronged strategy that will assist in balancing the business market. The department of strategic planners of the hospital is focusing on new technologies and techniques that will boost health care service to patients. They view these new technologies and techniques as revenue generating techniques when they sell to other health service providers. These new technologies and techniques will cut down the cost of service because it will fasten regaining times of patients. The hindrance to their success is the high cost of developing new technologies and technique; it may take long before approval by a government agency on health. Since the mission of the hospitals is to offer exemplary health to the unprivileged in society, they have adopted their second prong strategy to increase the outpatient services. This would attract many patients to their hospitals for services. Their focus is to gain profit from grants, governmental fess and other revenues that the unprivileged get offered by these agencies for their health maintenance. In view of Blanchard & Thacker (2010), implementation of the strategy is imperative to ensure health services provided to patients are of excellent quality. Therefore, the Multistate Health Cooperation decided to increase capacity of staff to handle the task ahead. In the new list of employees, cooperate and divisional personnel were added, and the old qualified employees were promoted to first level supervisors. This was in correspondence with to the cooperation mission statement of implementing affirmative action on employment. The Multistate Health Cooperation decided to hire a consulting firm to assist in resolving impediments at the Human Resource Department. The consulting firm conducted interviews of employees, and CEO of divisions to determine the appropriate system to be used in hospitals. The outcome of
Why Are Business Drivers Important? The significance of business drivers is justified by their nature as the factors that define the value of a particular organization. Business drivers indicate the extent of a company’s performance efficiency, as well as the scale of its competitive advantage and the opportunities that it can pursue in the target market (Einhorn et al., 2019). How Do Business Drivers Impact Operational Security? Business drivers have an immediate and uninhibited effect on operational security since they shape policies defining it. Specifically, the main vehicles behind the development of a company determine the type of data that a firm uses, the sources from which it comes, and the related issues (Malik & Singh, 2020). As a result, business drivers shape the extent of operational security, particularly, in the data management department, and inform changes incorporating data management policies. What “Types” of Business Drivers Impact Your Organizations Operational Security? In my organization, primarily digital business drivers affect the operational security levels and the strategy utilized to increase them. Namely, the integration of Big Data into the analysis, the use of cloud services, and the focus on knowledge sharing have been the defining characteristics that hav
Studies show that Coca-Cola Company has many satisfied customers. One of the firm’s core values is to focus on the preferences of the targeted customers. The company has established the best business partnerships with different players in order to support the targeted goals. Coca-Cola has become a preferred supplier in the world. This approach has produced new initiatives and relationships that ensure excellent execution. Coca-Cola’s distribution network continues to support the targeted outcomes ( The Coca-Cola Company 2015). Majority of the firm’s customers get quality services and products. This development has improved the level of customer satisfaction. The criteria presented below will be used to examine the effectiveness of Coca-Cola’s distribution system. The presented recommendations will make it easier for the firm to achieve its business potentials. Analysing Coca-Cola’s Distribution Network Targeted Criteria The total-cost approach can be used to describe the effectiveness of every supply chain. The total-cost concept encourages planners to consider the expenditures incurred whenever performing various logistical operations. The approach also focuses on the best systems in order to solve every logistical problem. Companies should ‘ensure their management and transportation functions are coordinated in a proper manner’ (Lopez 2013, p. 8). This combination ensures ‘that the targeted system operates at an optimum level’ (Lopez 2013, p. 8). Logistical managers in a given firm should also ‘identify the least-total-cost design system ’ (Christopher 2011, p. 8). Managers should use appropriate coordination strategies in order to achieve the targeted outcomes. The distribution system should also focus on the best practices in order to reduce costs. The above combination is critical towards ensuring the distribution network operates optimally. The second issue focuses on the role of the supply chain in modern business organisations. For instance, businesses should create the most appropriate distribution networks in order to eliminate unnecessary processes. This strategy is critical towards reducing the costs incurred by the organisation. The important goal is ensuring that the targeted goods are transported to the different markets within the shortest time. This fact explains why firms should make the necessary trade-offs in an attempt to achieve their potentials (Christopher 2011). The other aspect of the targeted criteria is known as customer service concept. A proper logistical framework will ensure the right services are delivered to the targeted customers. According to Jespersen and Skjott-Larsen (2012), service provision can be very expensive for many busines
Introduction Alpen Bank intends to launch its credit card business in Romania. However, it is facing several challenges, which include an underdeveloped market, low income levels, and high entry costs. These challenges have made it difficult for the bank to select the best positioning strategy and the marketing tactics to use to launch its credit card. This paper will provide recommendations that can be adopted by the bank to position its credit card appropriately. Moreover, various marketing tactics will be recommended to market the credit card. Positioning Strategy The bank should position its credit card as a premium service that offers unique benefits at an affordable price. The company has already established a strong brand image that is known for premium banking services. Deviating from this brand image by positioning the credit card as a purely low cost product is likely to result into brand dilution (Amstrong & Kotler 2011, p. 56). Specifically, the affluent customers are likely to associate the card with negative attributes, thereby reducing its brand equity. On the other hand, the card cannot be positioned as a purely premium product that targets the affluent only. The affluent market segment is small and is likely to reach mature stage in the near future. This will limit growth in revenue (Kazmi 2007, p. 67). Thus, the company should also serve customers in the middle class market. This means that the company should reduce its interest rates and annual fees to improve the uptake of the card among the middle class who are price-sensitive. Given the difficulty in providing premium banking services at a low price across the board, the company should launch the card as a tiered product. This means that the benefits that will be available to various market segments will differ (Kazmi 2007, p. 70). This strategy will enable the company to offer more benefits to its affluent customers who are willing to pay a high price. Similarly, it will enable the company to offer limited but valuable benefits to the middle class customers. Overall, the company will be able to maintain its premium positioning strategy in both the middle class and the affluent market segments. The company’s marketing communications initiatives should reinforce the positioning strategy by clearly highlighting the unique benefits that the credit card provides to each market segment. Marketing Tactics: Recommendations Pricing Given the low rate of uptake and utilization of credit cards in Romania, the company should adopt a penetration pricing strategy in the first two years of entry into the market. The penetration pricing strategy involves charging low prices in order to attract customers, which in turn leads to an increase in market share (Amstrong & Kotler 2011, p. 89). This strategy is very important in the middle class market segment where expenditure is low. The company can eliminate its joining fees to en
Introduction Blood transfusion refers to transferring blood or blood products of one individual to another to save a life. Blood transfusion is a life-saving procedure after massive loss of blood due to trauma or road accidents, loss of blood during surgery, and in the management of anemia and sickle cell disease. Blood donation refers to the exercise of collecting blood from an individual to use the same blood to save a life during a crisis (transfusion). Ethics are forms of regulations and guidelines that have to be followed to avoid a conflict between science and humanity as regards the use of blood and its products. Goals The goals for blood transfusion and donation are to heal and cure hence the blood that is taken from an individual and used on another as a transfusion must be able to offer some beneficial function to the recipient (Macpherson, Domen, & Perlin, 2000) . For instance, if an individual is transfused blood but his or her situation worsens then it is presumed that the blood given did not perform the intended function and therefore the goal of healing and curing the patient is not achieved (Macpherson et al., 2000) . Another goal of transfusing blood is to preserve and promote the health of an individual. For example, if a person has been involved in an accident and has lost a lot of blood this person is transfused blood to preserve life since without the blood the individual will die. Blood transfusion is also undertaken to give palliative care. In such conditions as cancer of the bone marrow, the bone may become unable to produce blood cells in the normal way of hemopoiesis and to argue, the same health practitioners are obliged to give blood to support life (Macpherson et al., 2000) . Therefore, the goals that warrant blood transfusion as well as donation are very clear and are intended to promote the health of an individual and support for life (Macpherson et al., 2000) . Ethical principles The need for the blood donation and transfusion code is ideally to stipulate the ethical principles and rules to governing use as well as distribution of blood. The ethical code affects two areas: the blood centers and the donation – which affects the collection part of the service and the hospitals and the patients that involve the use of the products and blood. Blood centers and donation Blood donation should be a voluntary exercise and no individual should be forced to participate, and nobody should be paid for donation. This includes any form of favors and then the donor is supposed to give consent to the blood center to allow it to use the blood and its products. Blood donation is purely voluntary hence, establishing a donation center that would be run as a profit-making venture is very unethical and therefore prohibited. The donor should be well advised of any potential side effects of the donation exercise before the process starts, e.g. dizziness as well as fatigue. Additionally, anything that might
It is evident that numerous people perceive the term ‘regulation’ as an institutionalized framework or a process meant to streamline various provisions in people. Nonetheless, the term acknowledges the laws, rules, and policies constituting the legal instruments meant to render people regular in this context. Critically, the regulation of gender has assumed critical provisions than expected. There are norms through which such regulations are embodied. Nonetheless, it is critical that the phenomenon becomes problematic at some instances. Discussing the aspects of gender on empirical grounds is important compared to putting it on abstractions as evident in the article. On a broader context, it is agreeable that actual gender regulations have concentrated on the works regarding feminists and lesbians/gays since these parties resonates various aspects of gender thus ruling the phenomenon (Butler, 2004). Agreeably, it is important to understand (as posed by numerous question regarding this topic) how gender is regulated, the imposition of such regulations, incorporation of such provisions, and how the victimized parties cope up with such regulations. This is an important consideration in various contexts. There are numerous contemplations and questions that can be subjected to the provisions of gender regulations in order to unveil their deeper meaning. Nonetheless, this is subjective to various factors that tend to regulate the phenomenon. Additionally, it is imperative to remember at least two stipulations regarding the subjection and regulation of gender as derived from the Foucaultian scholarships. These are the reasoning provisions meant to insinuate the aspects of gender regulations. For example, regulatory powers act upon, shape, and reform their preexisting subjects. This is quite considerable in the context of gender regulation. The second stipulation is that when one becomes a subject to the concerned regulations, then, he/she is being regulated by that phenomenon. Precisely, the regulatory discourses that form the gender subjects similarly require/induce the concerned subject. It is agreeable with the article that the suggestions claiming that gender is a norm necessitate extensive elaborations on the matter. It is evident that a norm does not equate to rules or laws; nonetheless, it operates with social practices in its entire implications. Additionally, it is agreeable that a norm might be analytically separable from the practices associated with it. Contextually, norms might either be explicit or not; however, they regularly remain implicit and incomprehensible when they operate as normalizing principles in the social contexts (Butler, 2004). Thus, gender can be associated to norm under given circumstances despite the alleged regulation. Agreeably, norms administer the aspects of social intelligibility of action; noneth
Incidents in the Life of a Slave Girl by Harriet Ann Jacobs is a book that entails her narration of the experiences she had as a slave. The original copy of the book was published in 1861, and has had several reprints since its first publication. At the time of its publication, the book was intended to enlighten the African-American community so as to promote freedom fighting. The book was also meant to arouse sympathy from the whites so as to gain their support in the anti-slavery movements. By composing this narrative, Jacobs knew that there would be white abolitionists willing to help her rescue the other African-Americans who were still in bondage. Even though Harriet’s narrative presents a commendable insight of the economics of slavery, it is evident that it is gender biased, as it is written from a woman’s perspective. Having been written in the beginning of the Civil War, the book did not reach out to as many readers as expected. This was because most people were not sure who the author was, as the author used pseudonym. For identity protection reasons, Harriet Jacobs referred to herself as Linda Brent. In addition, the book was considered an imaginary tale until in 1970 when Jean Fagan proved that the story was true, and that the author was Harriet Ann Jacobs. Linda is brought up by a well-off slave couple, and unlike other slave children, she enjoys her childhood. She is fortunate to have been adopted by a nice family after her mother dies, as it is with the second family that she learns to read and write. Linda is confused of her status as a slave as she grows up as her masters tend to treat her well compared to other families. However, this is until her mother’s mistress dies, and she is inherited by Dr. Flint who becomes her new master. Life changes for her as she begins to feel the pain inflicted on slaves (Jacobs 227). Under Dr. Flint’s care, Linda experiences the worst incidents in her life; she is dehumanized to a point that she loses her moral control. She is forced to enter into a sexual relationship with Mr. Sands, who is married just to protect herself from his master. Dr. Flint who occasionally makes sexual passes at Linda is at the verge of raping her, forcing Linda to take drastic measure to save her. She is forced to keep the affair going so as to put off Dr. Flint, and as a result, she gives birth to two children, Benjamin and Ellen. Her reasons for going after a married man are arguably justifiable as she
Introduction The interview under investigation provides extensive information about the place and the role of psychiatric nursing in the system of medical sciences and presents the experience and sentiments of that sphere’s prominent manager. The interviewee shares his success stories, analyzes the difficulties that he faced on his career path, reflects on the factors that led to certain achievements, and implicitly or explicitly reveals the skills that helped him. One of the crucial topics that the respondent mentions are the undervalued significance of psychiatric nursing among society members. The existence of such prejudice is what determined an interviewee’s further life, which he dedicated to the cultivation of highly educated and skilled experts in the sphere and improvement of the profession’s image in the eyes of others. In that light, his main objective throughout most of his career has been creating a unique environment for psychiatric nurse practitioners to constantly increase expert knowledge and widely apply new research findings to practice. Therefore, this paper seeks, firstly, to critically discuss the main ideas and issues highlighted by the interviewee; and, secondly, to identify the skills necessary for psychiatric nurse educators, managers, and leaders. Problems That the Profession Encounter There is strong evidence that psychological problems can greatly impact a person’s well-being, quality, and longevity. The extent of that effect can vary significantly, and in extreme cases, severe mental illnesses can reduce a subject’s expectancy of life by twenty years compared to the population’s average (Hennessy & Cocoman, 2018). Therefore, the necessity for mental health professionals who can provide adequate treatment is undeniable. Psychiatric nurses being at the forefront of the interaction between healthcare institutions and patients, play one of the most important roles in the curing process. However, despite the fact that there are distinct regulations, codes of behavior, and necessary skills that coin mental health nursing as a separate profession, the latter’s place is ambiguous (Santangelo, Procter & Fassett, 2018). Baldon (2018) notes that workers who choose the career path of psychiatric nursing face dubious identity issues and have low social status. That situation puts psychiatric nurses in a vulnerable position when their everyday duties vary and adapt according to immediate necessities rather than being strictly determined (Graham et al. , 2020). Phoenix (2019) argues that due to such an ambiguous position, services provided by various departments in clinical and hospital settings that involve psychiatric nurses’ work may not be realized to their full potential. On the other hand, specified roles and improved professional identity would significantly increase their productivity and greatly add to their overall well-being. However, two major factors that make the problem persist further and do not allow the situation to improve were identified. They include 1) undervaluing of the psychiatry nursing field due to current views and stigma towards
Introduction It should be stated that complaints of painless bumps on genitalia can signify many conditions, the diagnostics of which requires gathering more detailed information from the patient. Based on the subjective data given by AB and objective findings, it is impossible to make a final diagnosis, which means that more information should be gathered from this woman. The primary diagnosis of a chancre cannot be rejected, though it cannot be accepted unless supported with results of diagnostics. Differential diagnoses identified include sexually transmitted diseases, such as genital herpes (Simplex II), asymptomatic genital herpes with Chlamydia, and syphilis. However, additional tests should be performed in order to make a conclusive diagnosis. Additional Information Additional subjective information should be gathered from the patient by the health care professional. It is not known if the patient has noticed bumps in the past or this is for the first time. The description of painless bumps is rather broad and insufficient. The patient does not specify where the bumps are localized. She should be asked what recent illnesses she had and if she noticed bumps on any other part of her body and whether there are internal bumps. Considering that AB had Chlamydia two years ago, she should be asked if she had any similar symptoms at that time. Currently, AB states that the bumps are painless, but it should be clarified if she felt any itching before she noticed them and whether she feels any discomfort now. To determine a diagnosis, AB should be asked if the bumps weep or become crusty and whether they change over time. Additionally, more detailed past medical history should be obtained to learn if she had other STIs. In order to reject the diagnosis of contact dermatitis, it should be clarified which food and topical allergies the patient has. Finally, considering that AB has had an STI, a medical professional should ask what protection she currently uses, with whom she lives, and how many people share the bathroom. Objective data also seems to be incomplete, as other body parts should be checked. In particular, it is important to assess her throat for redness and other signs of HSV and her neck for any apparent goiters or nodules. The cervix needs to be inspected for uterine size and presentation (Sullivan, 2019). Bartholin and Skene glands should be palpated for Bartholin’s and Sebaceous cysts. Diagnostics It is impossible to make a diagnosis without performing appropriate diagnostics. Tzanck smear can be used to confirm the diagnosis of herpes infection (Dains, Baumann, & Scheibel, 2016). Nucleic acid amplification tests can be used to identify Gonorrhea and Chlamydia. Syphilis Serology should be used for the sc