ShantanuT01/DACTYL-Pretraining huggingface dataset:
Assessing While assessing decreased cardiac output, it is important to gather both objective and subjective data from the patient. Subjective data includes numerous symptoms, such as fatigue, anxiety and agitation, changes in mental condition (e.g., hyperactivity or confusion), fainting, and so on (de Souza et al., 2014). Objective data includes such symptoms and signs as weight gain during a short period of time, alterations in respiratory patterns (rate, depth, and frequency), lowered blood pressure (systolic blood pressure < 90 mmHg), changes in ECG patterns, lowered peripheral pulse, clammy and cold skin, alterations in skin color (bluish discoloration), lowered urine output, S3 and S4 heart sounds, etc. (de Souza et al., 2014). It is also essential to monitor the levels of cardiac output, for which purpose various technologies, such as pulmonary artery catheter is traditionally used (Porhomayon, Zadeii, Congello, & Nader, 2012), but non-invasive technologies, such as the non-invasive cardiac output monitor, are recommended (Lorello, Cubillos, McDonald, & Balki, 2014). Diagnosing According to dos Santos, de Souza, de Gutiérrez, Maria, and de Barros (2013), NANDA recognizes the condition “decreased cardiac output” as a nursing diagnosis; it is a health condition in which the heart does not pump enough blood so as to provide an adequate supply of it for the body. PES: the problem, therefore, is decreased blood supply due to an inadequate heart function. The etiology of the condition can vary; the often occurring causes of decreased cardiac output include heart failure, myocardial infarction, serious bradycardia, chronic renal failure, hypotension, tachycardia, and others (Matos, Guimaraes, Brandao, & Santoro, 2012; de Souza et al., 2014). The symptoms and signs, as was stressed, can include various conditions, such as rapid weight gain, changes in breathing, low peripheral pulse, clammy and cold skin; an ECG and technologies for monitoring heart output can be used to diagnose the condition more precisely (Porhomayon et al., 2012; de Souza et al., 2014; Lorello et al., 2014). Planning Desired outcomes: the patient should have an adequate cardiac output. This should be demonstrated by adequate levels of blood pressure (within 20 mmHg of baseline) and heart rate (60-100 bpm), as well as by the normal rhythm of the heart. Peripheral pulse ought to be adequate for the heart rates of the patient. Urine output should be equal to or greater than 30 mL/hour (Gulanick & Myers, 2013). The customer also needs to be able to tolerate exercise without experiencing dyspnea or fainting. Short-term goals: to maintain adequate heart rate, peripheral
Basic Information For this work, I chose the movie The Lord of the Rings: The Fellowship of the Ring . It was released in 2001. Howard Shore was the film composer. Musical Topic 1 The name of this track is The Black Rider . It plays in the moments when the Hobbits are hiding and then running from Nazguls in fear ( The Lord of the Rings: The Fellowship of the Ring ). The scene would be hopelessly flat without this track because it would be robbed of its scary atmosphere. It is clear that the composer wanted the viewers to be as scared as the Hobbits are; he wanted their hearts to be running along with the terrified characters. In the movie, Nazguls are given a mystique, ancient, and horrifying aura. The soundtrack makes a viewer feel this aura. This track can be characterized as a demonic topic, for it makes a listener feel the experience of being chased by several villains. The instruments are trombones, low-voice instruments, and high-pitched voices. The melody turns from slow to very fast in a mere moment. The rhythm is unsettled, and the dynamics are loud. Howard Shore used this musical topic skillfully to enforce the scene. The composer has made a perfect choice of melody, instruments, and rhythm that suited this particular situation. The issue with the scene is that the villains are new to the viewer, and the viewer knows very little about how horrifying they are and what danger they pose. If it was not for the music, the viewer would not understand the point of this scene. With his artful choices, the composer managed to demonstrate the viewer the things yet unmentioned in the script. Musical Topic 2 The name of this soundtrack is Lothlorien . It plays when the protagonists enter an elven kingdom for the first time and look around, startled ( The Lord of the Rings: The Fellowship of the Ring ). The music causes a strong association with this scene since it does create a sense of amazement, astonishment, admiration, and slight fear – the exact feelings that the characters must be experiencing during the scene. At the same time, the exquisite sounding, the innocent but confident singing of the choir, and the occasional interference of strong, low-tone instruments, and the combination of delicate beauty with somewhat terrifying strength would cause association with Tolkien’s elves in a viewer. Lothlorien is a fairy topic since it is associated with supernatural but not demonic. Its harmony is minor. The melody of the soundtrack is slow. The involved instruments are violins, trombones, and voices (chorus). The dynamics are soft. In this scene, the composer again demonstrates a good choice of tools to get a viewer acquainted with a new stage and new characters, as well as cause the same feelings in a viewer that the characters are supposed to experience. The protagonists enter an unknown land, they do not know what to expect, but they do understand that their new companions, though fairy creatures, are powerful.
Music has been an integral part of education since time immemorial. The ancient Greeks considered teaching music just as important as teaching science. Students can benefit immensely from learning music, as it encourages creative and practical thinking. Of late, schools, responding to budgetary constraints have opted to remove music from the school’s curriculum. Such steps will only prove detrimental to the overall growth and personality development of the students. This essay attempts to explain the importance of music in the school curriculum. The language of music is universal. It transcends language and cultural barriers and provides a common medium for people from different parts of the world to interact. One may not understand the lyrics, but if the melody or the musical composition appeals to one’s ears, it is liked and appreciated. Music helps students broaden their horizons, increase their general knowledge and develop an understanding of the world, people and cultures. Learning music is not easy. It requires discipline, patience, and tenacity to succeed. All these qualities are required for the student to succeed later in life. Playing musical instruments develops hand-eye coordination and is especially useful if music is taught right from kindergarten. The other values, which learning music instills amongst children are cultural sensitivity, humility, and the need for continuous self-improvement. It is easier to teach kindergarten children through music. Young children pick up language, vocabulary, ideas, and concepts much more quickly when taught in a sing-along manner. Nursery rhymes are part of that form of teaching. However, the effect of music on the mind is much more than just ‘sing along’ techniques. It affects the student’s mental capabilities. Teachers and scientists have observed that there seems to be a connection between music and mathematical abilities. (Beer 2 ) states that “ Research has proved that children playing piano often show improved reasoning skills like those applied in solving jigsaw puzzles, playing chess or conducting mathematical deductions”. Dickinson in her internet article “Music and the Mind” states that: Recently some reports have appeared that attest to the connection between music and academic achievement. In a study of the ability of fourteen-year-old science students in seventeen countries, the top three countries were Hungary, the Netherlands, and Japan. All three include music throughout the curriculum from kind
Introduction The Tent City project is a consultation initiative to help Sarah Baker during a large forest fire. It achieves fluidity in its operation by dividing the workforce into teams with each team having its specific goals and objective. Each team has to perform the assigned task and in addition it must coordinate with other teams to ensure smooth progress in operations. The teams involved in this project are the engineering and planning, inventory management, customer relations, and operations teams. Interpersonal associations, and leadership and administrative approach and overall a supportive congenial work environment is the most important aspect in the issue of nursing workforce retention. Thus, the project should foster a healthy work atmosphere with strong interpersonal connections and through efficient leadership and strategic organizational skills within the project. Main body One major issue in the Tent city project is efficient communications. The Tent City project team experiences an uncomfortable situation with the information they obtain from the Project Manager. The communiqué appears on the news earlier than the team receiving. Thus under such circumstances few conflict issues has been observed with regards to the different teams. It has been frequently observed that incapability to communicate and work effectively results in individual, team, or organizational conflict circumstances. In this case the key issues and the grievances must be taken care of before it affects the overall performance of the teams and stalls the project operations. Individual interviews may be carried out to identify the issue and subsequently needs to be addressed effectively. (Sims, 2006) To be successful, Sarah must play the role of a leader in addition to that of just an administrator. There is a comprehensible link and interrelationship among the aspects of leadership and management, and a successful leader has to be capable of integrating both leadership and management in his or her responsibilities. It is particularly significant that the cohorts are inspired to follow the leader. Effective organizations have influential people who are trusted and revered by the followers. An organizational structure needs to be created where in the followers must have faith in the fact that that the managers are competent enough to guide the team and the institute into the future. Leaders who appreciate and recognize the offerings of the others are more successful. Valuable leadership has a substantial influence on staff authorization and the accomplishment of the objectives in a single unit. (Hofstede, 2005) As each individual and team is distinctive, the exciting and appealing test for the leaders is to adopt the most efficient leadership approach that is to be put into action for each individual, team and condition. However, one leadership method may
Morality is the principal condition for the emergence of the community as well as the grounds for a prosperous society regardless of the time. However, the perception of this aspect of human life differs depending on the structure instilled by the world governments. What is more important, the true meaning of the term is distorted since it relates to unity in the first place in contrast to the current preference of separation (Macintyre 2007, 37). The same applies to the existing division of fields under the concept of secularism. Hence, the modern state teaches justice, logic, and reason as its main virtues and thereby confirms its seeming suitability to the present era while neglecting the moral considerations. The first notion is justice, and it is primarily emphasized by political leaders who strive to ensure everyone’s equality concerning opportunities and, consequently, self-development for the progress of society. Such an individualized approach implies the orientation on one’s talents and other potentials compared to the previously valued combined efforts of all citizens in the initiatives (Macintyre 2007, 7). Meanwhile, highlighting the significance of this virtue does not indicate its suitability for the targeted areas, including healthcare and education (Macintyre 2007, 7). In this way, the authorities aim at providing everyone with access to corresponding services while ignoring the infeasibility of this idea without uniting people for the achievement of common goals. The second term presented by the secular state as a virtue is logic, which is deemed to be useful for demonstrating the phenomenon accompanying the world population’s trends. It is also widely implemented in science, which attempts to analyze all social events through the lens of generalizations (Macintyre 2007, 88). In other words, this concept is believed to be a solution to all types of problems and, therefore, greatly appreciated by the authorities. Nevertheless, the particular attention paid to logical explanations as opposed to moral principles inevitably leads to the failure stemming from biases and the lack of precision in the outcomes (Macintyre 2007, 88). From this point of view, the low predictive power of this method, when complemented by justice, results in the promotion of policies based on inaccurate and inappropriate assumption
Professional Practice Description Various nursing practices, such as assessment of pain, nurse-to-nurse shifts, effective patient care, improving patients’ satisfaction, and infection control, occupy an important place within the healthcare industry. Nurses must perform at their best level and seek to deliver excellent service and care. Careful analysis and evaluation of nursing practices are essential in developing clear instructions and objectives, as well as in achieving great results through the implication of those practices. The purpose of this paper is to analyze the infection control or prevention nursing practice and observe the necessity of change and possible alternatives based on prior researches. Within the analyzed facility, infection control is an integral concept that implies dangers and problematic issues. The primary point in infection prevention lies in the extensive existence of healthcare-associated infections (HAI) that can be caught by the patients while getting their treatment. The WHO defines infection prevention and control (IPC) as “a specific approach and practical solution designed to prevent harm caused by infection to patients and healthcare workers” (“Infection prevention and control,” 2017, para. 1). Different infectious diseases, social sciences, epidemiology, and the enhancement of the health practices lie in the foundation of infection control practice (“Infection prevention and control,” 2017). Besides, infection control practice has a unique position, because each encounter of the health professional and a patient has a threat of infection development (“Infection prevention and control,” 2017). Consequently, one can see the signif
Introduction Given that nonprofit organizations generally don’t have a lot of time, money, and resources, they are best served by the most efficient fundraising techniques possible. Through efficient fundraising, nonprofits can better survive no matter the economy or other unforeseen circumstances. In order for nonprofits to survive, they need to have diverse funders with the most important source of ongoing support being individual donors. Individual donors are the biggest source of donations nationally (Hatfield, 2008). In 2006, individuals gave 75.6% of charitable donations (Sargeant, Ford, Hudson 2007). Last year, over $300 billion was donated of which individuals again represented roughly 75% (Stone, 2008). Given their importance, it’s crucial to understand donors’ characteristics so charitable organizations can target those most likely to give thereby saving time and money in the process as well. Forty-seven percent of individual donors in 1995 were college graduates (Fulkerson, 1995). Prior research indicates that higher education leads to an increase in charitable giving (Brown, 2001). People who choose to obtain a college degree may be more invested in their communities, to begin with, and learn about the value of charitable organizations in the school. Degrees raise one’s social hierarchy and therefore, people with degrees are more likely to be asked for charitable donations and more expected to donate (Brown, 2001). Among higher education, my hypothesis is that those who are in certain fields of study/work are more likely to give to charitable organizations. This research will offer insight into giving behaviors of the most likely future source of ongoing income for nonprofit groups. Statement of the problem In America statistics have shown that in every five aged elderly, one is a destitute who has no home on a family to support and spends his or her nights out in the streets and survival for the basic needs is achieved through begging. An elderly dressed in lags spreading his on her hand to beg for money does not paint a good picture and the situation is wanting. The government has done its part by establishing homes for the elderly but the demand is too high. Also the fun
Life in the United States came to a standstill on September 11, 2001. It is a day that the Americans will live to remember till their dying day. On that fateful day, the world woke up to the news of terrorist attacks on the twin towers of the World Trade Center in New York, the Pentagon building outside Washington in western Pennsylvania. The attacks killed more than three thousand Americans and seriously wounded thousands more. Skyscrapers were reduced to piles of stones, sand, and shattered glasses. This was a wake-up call to the United States to protect its people. The Bush Administration vowed to take every possible measure to ensure that the perpetrators faced justice. As a result, the Bush Administration put up several domestic and foreign policies to protect American citizens from future terrorist attacks. The goal of this paper is to examine the effective ways of preventing future terrorist attacks and the ways of fighting the war on terror. Prevention of a terrorist attack is not an easy task, but there are numerous ways in which it can be done. It seems that the fundamental question which the United States should ask itself is: Why were the September 11/2001 terrorist attacks targeted, namely at the U.S. and not at any other country of the world? This question evokes a desire to consider U.S. foreign policy prior to the 9/11 attacks. Indeed, many countries, including the European allies of the U.S., were quite critical of the U.S. foreign policies in matters ranging from politics, economy, and globalization to environment and defense. As Coates argues, America belongs to the countries which can be both friendly and hostile to other countries; he uses an example of America’s relations with Cuba, Russia, and China: “There have been periods in history when the United States was very friendly to each of these countries … and other periods when the United States considered using nuclear weapons against each of these countries.” (91) On the other hand, the maintenance of U.S. hegemony has contributed to higher levels of poverty and inequality across the globe. The presence of the U.S. in the Middle East, as well as its interference in the affairs of the countries of this region, is constantly cited as a major reason behind 9/11. The development of nuclear weapon programs in such countries as Iran is a strategy used to balance the hegemony of the U.S. Therefore, to prevent future terrorist attacks, the United States should implement a global-friendly foreign policy that would serve to promote peace and equality around the world. The goal of the United States to create democratic states in countries such as Iraq and Afghanistan was a noble goal. Coaty states that “violent acts have been carried out throughout history. The killing of innocent people for political effect, the assassination of leaders, and the bombing of culturally sensitive symbols have occurred since the beginning of time.” (20) However, the means through which the U.S. aimed to achieve its goal was totally wrong. One cannot fight violence using violent means, because this evokes even mo
Introduction Under Armour (founded in 1996 by the present-day CEO, Kevin Plank) is currently one of the most well-recognized sports brands in the world. Initially, the company was focused on the production of inner wear for American football players; however, in a rather short time, Under Armour expanded its scope to encompass other sports by providing innovative, high-performance clothes, footwear, digital fitness platforms, and other accessories for professionals and amateurs of all age groups and genders. The mission statement of the company runs as follows: “To make all athletes better through passion, design, and the relentless pursuit of innovation.” Over the past decade, Under Armour has achieved a significant growth in scope, stock value, and brand recognition, which allowed it to overcome its competitors and win its high standing in the U.S. market (Thompson, 2013). Under Armour specializes in the production of high-performance goods for sports activities in any kind of environment as they allow for maintaining stable body temperature and keeping the body dry in any climatic conditions. The main product line is apparel, which is divided into heat gear, cold gear, and all-season gear. The core market is North America (91% of all revenues); the better part of the income comes from wholesales to national, regional, and independent retailers, although the company also has direct sales channels (websites, factory houses, and brand stores, etc.). The revenue increased dramatically (32.3%) in FY 2014 due to brand recognition, expanded distribution channels in EMEA and Latin America, and the introduction of e-commerce (the core of the current distribution strategy). Under Armour uses a generic differentiation strategy: Before introducing a new product, the company tests its viability and assesses the competitive advantages it can provide, which allows it to compete with such industry giants as Adidas and Nike. As far as grand strategy is concerned, it is focused on (Ratten & Ferreira, 2016):   * innovation (impressing consumers with highly innovative goods);   * market development (selling products to emerging markets);   * market penetration (improving footwear and accessories sales);   * product development (finding new categories of goods);   * research (studies of emerging technologies that would allow for producing goods superior to those offered by competitors). Strategic Issue Under Armour differentiates itself from its competitors by producing apparel made of innovative synthetic material that maintains the normal temperature of the body. However, it is not enough to ensure brand loyalty. Therefore, the major current strategic directions are (Ratten & Ferreira, 2016):   * at the business level: increasin