ShantanuT01/DACTYL-Pretraining huggingface dataset:
Assessment For this educational activity, I selected six patients, most of them living in Lawrence, Massachusetts county. The Baldpate Treatment Center is a facility located in Georgetown designed to help people with drug use and assist them in their recovery. Thus, the six patients that will participate in the initiative are vulnerable to substance abuse problems and blood-borne pathologies that correlate with their lifestyle. In the center, the individuals will be educationally supported with the objective of helping them learn about certain conditions that become more critical when injected drugs are being used. The critical objective of the assessment is to improve the health status and prevent further damage from using drugs in regard to the infections and viruses the group is prone to having. The implementation will educate the participants about the prevention measures and the mitigating factors. Diagnosis It is essential to examine which specific problems have to be mitigated to implement a plan aimed toward the improvement of the health status of individuals in the Lawrence community. Thus, a NANDA community nursing diagnosis can help determine the issue that affects multiple individuals and correlates with certain addiction types. In regards to physical health, one of the primary concerns is the high rate of individuals with hepatitis C. Researchers also mention this infection as a significant issue among people dealing with substance abuse (Zibbell et al., 2018). Multiple individuals have been diagnosed with HIV and other conditions that are linked to this particular diagnosis. HIV is an immunodeficiency virus that is often acquired due to the use of syringes that are not sterile and have been used before (Paquette & Pollini, 2018). Thus, both conditions correlate with unsterile syringes, which is an illustration of the prevalent blood-borne pathogens that the group is prone to experiencing within their lifetimes. Plan One of the main goals of the health education activity is to sensitize the population about the risk factors of blood-borne pathogens. It is essential to educat
Economic factor This is the most important aspect of the marketing environment. It entails all the aspects that impact on consumer’s patterns of spending (Silk, 2006). Marketing managers of Oatmeal must, therefore, pay attention to the various developments in the economy. The key elements to be considered under economic forces include the following issues. Inflation rates High inflation rates cause an increase in prices. The increase in price is attributed to high cost of production and increased rates on interest on loans. When prices of products are high, consumer’s purchasing power decreases. Product demand In the event that demand for a product or a service increases, supply is to increase in turn to cater for all the consumers. However, if the consumer’s purchasing power is eroded, the increased demand might not be met. But if the consumer’s income is increased, the demand for products will also rise. Unemployment This is a very important issue in the economy. When unemployment increases, the demand for products decreases. Technological factor Technology is an important aspect that shapes the future of Oatmeal. For the company to remain fairly competitive in the market, it has to adapt to the rapidly changing technology. New technology will ensure that a lot of high quality products are produced (Baker, 2012). Moreover, the cost of production is also cut down. On the other hand, technology facilitates faster production; hence the company enjoys economies of scale in production. Therefore, the marketing manager of Oatmeal Company should understand the rate of change in technology in its target market. Technology has also made it easier to market products online. For instance, online marketing reaches out to a wide audience and is also relatively cheap. Legal factors Legal environment forces deal with government policies and regulations that govern certain aspects of the economy. When governments make policies, they become law, and it is the responsibility of companies to use these laws to make their businesses grow. The various aspects of the legal environment that affect the operations of Oatmeal include: Increased legislation Legislation governing business could either make or break business. The legislation comprises policies on fair trade practices, product safety, packaging and labeling, competition, pricing, environmental protection, truth in advertising and other factors in the business environment. The government should be keen to ensure that the policies it puts in place encourage business growth. Laws regulating bus
Introduction Although many people recognize the health hazards related to smoking, a few take bold steps in quitting the act. Jorenby (346) asserts that smoking is a “disease” like any other, but can be cured when fitting strategies are observed. Besides draining one financially, smoking is a major cause of killer diseases such as; heart and lung cancer. Hammerle (86) also cites destructions such as; bushfires, environmental degradation and decreased production as sometimes resultants of smoking activities. It is important that one quits smoking in order to lead a normal and healthy life. Besides contributing to increased production, people who quit smoking will reduce the much felt pressure in the healthcare systems. Discussion Cigarette smoking can be mitigated when suitable strategies are fixed and followed. Smoking a cigarette is addictive; hence a person who withdraws from smoking experiences a series of symptoms. The symptoms vary and they may include; depression, irritability, anger and restlessness. However, Jorenby (346) argument some of the strategies which can help smokers adapt and ultimately quit smoking. In his view, victims should fast seek the services of a counseling specialist to guide them through the steps of quitting the habit. He illustrates that, within the counseling field, specialized units such as self-help groups and individual counseling are best experienced to assist smokers cope with withdrawal behaviors’ and adjust adequately to normal life. Other counseling strategies such as telephone calls and social support also serves the ultimate goal of providing a modern approach in which counseling can be tailored to suit the counseling needs of an individual smoker (Jorenby 364). Besides counseling, smokers can also seek for medical treatment or therapy. Jorenby (346) suggests some medications available to help to deal with dependence. These medications are efficient when they are checked by a doctor and integrated in a comprehensive stop smoking program (Carr 57). In this case, one should seek for the help of his or her doctor (Jorenby 353). The nicotine replacement therapy is of equal importance of medication. This strategy serves as a substitute for cigarette smoking. Using this strategy, the cigarette nicotine used by one is replaced by other nicotine based substitutes. The used substitute majorly includes the nicotine patch or gum. The substitutes work better when they are delivered in small but in steady doses. They help the body of a smoker to relieve some major withdrawal symptoms. They achieve this goal by avoiding the tars and the poisonous gases that are present in the cigarettes. Non nicotine based medication also exists in treating smoke related complications. These medications help a person to stop smoking. They are succeed in their role by decreasing the cravings and withdrawal symptoms, without the influence of nicotine. Jorenby (347) notes that other nicotine alternative t
Abstract An anaphylactic shock is a form of severe allergy that can be fatal. The aim of this essay is to provide in brief the causes, mechanisms, and an outline of management. Introduction The earliest report of death because of anaphylactic shock was King Mines (first Pharaoh of ancient Egypt, 2641 B.C) who died because of a wasp sting that resulted in anaphylaxis (Gruchalla, 2004). Anaphylactic shock is defined as a serious acute type of sweeping hypersensitivity involving many organs and body systems. It is characterized by broncho-constriction (spasm), angioneurotic edema (both lead to severe difficulty in breathing), and a decrease in blood pressure (Brown and others, 2006). Causes and Mechanism Anaphylactic shock may result from insect stings (wasps and bees), food (peanut, fish, egg…etc), drugs (aspirin, antibiotics, i/v anesthetics…etc), or contacts as contact with latex rubber. Other rare causes include exercise and vaccines. It occurs when an antigen combines with IgE antibody present at a specific receptor on the cell wall of basophils or mast cells (types of white blood corpuscles). As a result, chemically active substances like histamine present in the granules of these cells are released. These chemically active substances (mediators) are responsible for the clinical picture of the shock, thus anaphylactic shock is an immunoglobulin E mediated immune reaction. Another variant of anaphylactic shock with the same clinical picture but not mediated by IgE is an anaphylactoid reaction (Ewan, 1998). Management of anaphylactic shock The cornerstone in management is to be ready for rapid progression of the condition manifested by suffocation and mounting to cardiac arrest. Good support for the upper airway (laryngeal edema), proper oxygenation, and ventilation should always be ensured. Drugs like epinephrine (adrenaline) may be injected to support the circulation; Atropine is to be given when significant bradycardia develops.
Introduction It is not possible to define personal responsibility without first discussing what it means to be responsible. Responsibility is consciousness about tasks, duties and obligations. It is the ability to take action about some aspects of life – be it health, education, politics, environment and the like. This sense of consciousness becomes critical when it focuses on an individual. The need to perform tasks related to health, education, politics and the environment becomes an individual obligation. It is at this point that we talk about personal responsibility. This is the ability of an individual to be answerable about an obligation. It is the consciousness by an individual to bear a burden in life by their own free will. No one can be forced to take responsibility. It has to flow naturally. It must be an agreement between a person’s mind and spirit – a response of deeply seated willingness and choice. It must never be coerced or demanded. The distinguishing characteristic of personal responsibility – In the world, there are several causes that someone can get involved in. It is remarkable to be involved in making the world a better place. Without personal responsibility, not much can be accomplished in the world. Throughout history, people have had to sacrifice and take personal responsibilities towards creating a better place for all human beings to live. Personal responsibility is a symbol of maturity. It is easier to distinguish a responsible person from an irresponsible person. One of the distinct characteristics of personal responsibility is the consciousness to fulfil personal promises. It is the sincerity with which an individual keeps their own word. This has to be intentional and well planned. It leaves no room for excusing personal failures and inconsistencies especially when taking care of obligatory responsibilities. It requires knowledge of causal responsibility. Personal responsibility means getting involved in things for which one is liable. This discourages the individual from omissions that could hurt many others. Taking personal responsibility means that failure would attract penalty or reprimand. This calls for a clear understanding of the purpose for which personal responsibility is necessary. The commitment to do an excellent job depends on the understanding of what it is that should be done. It is a strategy for success by students. Every student has a moral obligation and responsibility to study strategically and excel in whatever areas of their specialty. Being a student is not in itself an easy task. This is because students have to put up with a lot of personal struggles and challenges in pursuit of education. It requires dedication and focus. A student must be willing to learn and have an attitude that fosters
Ours are bigger than yours! No, ours are bigger! No, this is not the schoolyard banter of teenage boys, but instead a vast simplification of a vitriolic debate seething and bubbling all through the first decades of the 19 th century. Although it may seem ludicrous to us today, the issue of whether America could boast large species of animals was of keen interest to intellects and patriots on both sides of the Atlantic. The French naturalist, Comte de Buffon,asserted the inferiority of New World flora and fauna. Not only that, he contended that Old World species failed to thrive in the Americas, reflecting some sort of degeneracy. Energetically defending the salubrious character of the United States was the polymath Thomas Jefferson. In 1801, the thoughtful and innovative display of mastodon remains by Charles Willson Peale, in Philosophical Hall, in Philadelphia, and in Europe, thrust both Peale and the ancient, giant relative of the elephant into this debate. The impact of these fossils, their excavation, and exhibition, and the fevered discussion they precipitated, was wide-reaching, and touched the fields of paleontology, anthropology, museum design, public education, and human biology and medicine. Charles Willson Peale, born in 1741, entered the museum business as a second career after portraiture, and in response to seeing the excitement and curiosity generated by some mammoth bones he was sketching at the time [1] . Reflecting current ideas [2] and his own growing enthusiasm for natural history, Brooks quotes Peale as proposing, in a letter to George Washington, to create a museum “which would be of value to the public and a service to the nation” (Brooks 36). In 1786, Peale gave notice that he would convert his home to a “Repository for Natural Curiosities… The several Articles will be classed and arranged according to their several species; and … on each piece will be inscribed the place from whence it came…” (Brooks 36). This was an ambition worthy to round out the remaining decades of his life. As Hart and Ward report, Peale affirmed that, “It is his fixed determination to encrease (sic) the subjects of the Museum with all his powers, whilst life and health will admit of it” (Hart and Ward, The Waning of an Enlightenment Ideal: Charles Willson Peale’s Philadelphia Museum, 1790-1820 390). In the 1780s, Peale’s e
Introduction The aviation industry as a strategically important sector in almost any country performs many different functions that are not limited to civilian passenger transportation. For decades, aviation has been a significant resource in the military sphere, and today, the use of high-performance fighters, unmanned aerial vehicles, and other flying equipment proves progress in this area. However, at the beginning of the 20th century, this industry was not developed enough to speak of it as a key component of tactical military tasks. After World War I, General Guilio Douhet who predicted the colossal success of heavy aircraft assumed that all military interventions would be based on aerial bombardments with irreparable losses and damage to an enemy. The aim of this work is to evaluate this theory by using examples of the development of airpower over the past decades. Such topics will be reviewed as changes in the aircraft industry of the 20th century, new opportunities obtained by expanding capabilities, as well as examples of military operations proving the relevance of Douhet’s theory. The analysis of significant innovations may help prove the proposed concept and determine its importance in tactical solutions. The growth of opportunities in the aviation industry was largely achieved due to the development of the technical base. In particular, Waters and Cadou (2015) note that the introduction of the fuel cells of solid oxide nature made it possible to expand the opportunities of aircraft of the past and expand their capabilities significantly. This step is logical because improving the speed and, consequently, the duration of stay in the air played a crucial role in promoting this industry and developing the equipment of both civilian and military aircraft. Unlike modern flying models, which can be driven by the energy of electricity, century-old designers could only use combustible fuel (Williamson, 2014). Nevertheless, this did not become an obstacle to the development of engineering, and the success demonstrated by military pilots in various hot spots proves the relevance of aircraft designers’ activities. Taylor (2018) provides examples of operations in Korea, Vietnam, Japan, and other regions where conflicts occurred in the 20th century and argues that massive air attacks were the main methods of battle. Therefore, the outcomes achieved over several decades were obvious and significant. Main body The principles of financing the aviation industry have also undergone changes. Over the 20th century, the costs of military aircraft steadily increased, which was caused by a large number of armed conflicts and the need to expand weapons (Kirkpatrick, 2019). The threat posed by aggressor countries prompted many states to enlarge stocks of military aircraft, thereby p
AdventHealth Orlando is faith-based non-profit research and academic medical center located in Orlando, Florida, and serves Central Florida and the Orange County region. It is a part of AdventHealth, the largest Protestant health care provider and one of the largest non-profit health networks in the United States. The network comprises 45 facilities within nine states across the country and serves more than five million patients annually (“Mission and history,” n.d.). Its mission is “extending the healing ministry of Christ” and helping patients by healing their bodies, strengthening their minds, and lifting their spirits (“Mission and history,” n.d.). AdventHealth Orlando is recognized as Number One hospital in Greater Orlando by U.S. News and World Report (“AdventHealth Orlando,” n.d.). It specializes in life-saving medical treatments, preventative care, and pioneering research. AdventHealth Orlando is affected by several internal and external factors. The main external factor that currently has the most influence on health care, in general, is the COVID-19 pandemic. With more than 21 million COVID-19 cases reported as of January 2021, the United States has more confirmed cases and deaths than any other country in the world (“Mortality analyses,” 2021). The pandemic has changed how health care is delivered and affected all medical organizations across the country. Its effects include increases in patients seeking care for a respiratory illness that could be COVID-19, delaying non-COVID-19 care, disruptions in the supply chain, occupancy problems, absenteeism among staff, and increasing mental health concerns (“COVID-19: Healthcare facility guidance,” 2020). For Advent Health, providing comprehensive health care services in times of the pandemic is currently the biggest challenge. Other external factors include economic conditions and political and legal factors. Florida has been hit hard by the pandemic, and AdventHealth experienced a major shortfall and requested additional funding to offset the losses (Lagasse, 2020). Politically, AdventHealth is provided with all possible support from the national and state governments, which are committed to strengthening the COVID-19 response. Overall, external factors are negatively affecting the network, forcing it to focus all efforts on responding to the global COVID-19 challenge. The internal factors affecting AdventHelath Orlando include human, physical, and financial resources. Due to the influence of external factors, internal resources have also been confronted with several challenges. At the start of the pandemic, AdventHealth’s senior leaders committed its staff not to lay off people, which took significant financial resources (Lagasse, 2020). The hospital also experienced problems with the supplies of personal protective equipment: masks, gloves, and gowns (Lagesse, 2020). According to Lagesse (202
Alexie Sherman Journal Entry Born and raised in the Spokane Indian Reservation region of Washington, Alexie Sherman has grown to be one of the renowned poets of his time in the United States. As one of the children in a family of six, Alexie Sherman encountered the challenges that ordinary families experience in the United States. His alcoholic father, who would sometimes stay away from home for days, presents a classic example of the challenges that some families in various parts of the world experience. Furthermore, Alexie’s challenges compounded because they lived in the Indian Reservation region, which is marginalized. Another challenge that the young Alexie went through was the teasing that he received frequently in school. Berglund and Roush (2010) elucidate that due to his big head, which developed after birth, other kids teased him using names such as the globe. It is imperative to state that the big head of Alexie was a result of hydrocephalus, a condition that developed soon after birth and resulted in a successful surgery. Apparently, hydrocephalus is a condition associated with excess fluid in the head, which affects infants. Despite the challenges, Alexie became one of the best students of his school based in the Reardan part of Washington. The excellence demonstrated by Alexie was regardless of him being the only native Indian in the school. In the Reardan High School Indians, he became an excellent basketball player, a factor that earned him the scholarship to be part of a Roman Catholic university, Gonzaga University, based in Spokane. After unsuccessfully grappling with a range of fields such as medicine and law, he found his passion in literature and soon thereafter joined Washington State University to study under a Chinese-American poet, Alex Kuo. Grassian (2006) explains that during his time at Washington State University, Kuo gave him a book ‘ Songs of this Earth on Turtle’s back’ whose author is Joseph Bruchac, which changed his perspective in literature, poetry, and arts. As such, it is fundamental to explain that the lessons from Kuo along with the pieces of literature that he gave to Alexie amplified his passion for literature and led to his eventual excellence in literature. The roles that Alexie has played after his education in Gonzaga and Washington State universities have enabled him to be a renowned star in the field of literature. Alexie has won several awards such as the Odyssey Award and has written several books, which include ‘The Lone Ranger and the Tonto Fistfight in Heaven’. Apparently, the majority of his books and pieces of literature focus on the experiences of Native Americans, especially the Indians. According to Berglund and Roush (2010), the evid