ShantanuT01/DACTYL-Pretraining huggingface dataset:
Objective The objective of this paper will be to review clinical trials; randomized and non randomized and observational studies on polycystic ovarian syndrome. Introduction This review describes the etiology, pathogenesis, signs and symptoms and treatment options. It also explores the use of acupuncture as an intervention in the treatment of polycystic ovarian syndrome. The paper will also determine limitations and suggest further improvements that should be made on future studies. Polycystic Ovarian Syndrome is an endocrine system disorder where by the ovaries secrete very high levels of the male hormones resulting into a number of symptoms which include the following: Irregular or missed periods; high blood sugar or insulin resistance; multiple ovarian cysts; hirsutism (excessive facial hair); thinning or loss of scalp hair; and trouble loosing weight. The most common symptoms are missed periods and unwanted weight gain (Agbagbu, 2008). Medical professionals do have a problem diagnosing PCOS due to the fact that the symptoms do vary from woman to woman. The varying is so conspicuous such that some patients may have numerous ovarian cysts while others may have none. Many of the patients do have irregular menses. Taking medical history, blood tests to determine the levels of hormones and pelvic ultra-sonography to determine the presence of ovarian cysts is a surest way of making accurate diagnosis (Eisenberg et al, 2002). Treatment of PCOS majorly depends on the presenting symptoms. The high levels of the male hormones can be regulated by use of oral contraceptives, high blood sugars and abnormal weight gain can be controlled by use of drugs used in the management of diabetes. Excessive facial hair and loss of scalp hair can be managed by use of spironolactone and propecia respectively. One of the complications of PCOS that has even initiated a lot of research studies on use of alternative medicine in treatment of PCOS is infertility which is basically caused by the disturbance in the normal ovarian cycle (Eisenberg et al, 2002). Research studies have shown that maintaining of healthy weight is one of the best ways to manage PCOS as a loss of 10 percent body weight helps to lower blood sugar that further helps the patient in regulating menstrual cycle. Proper nutrition and body exercises are also surest ways of managing symptoms of PCOS (Barnes et al, 2002). Surgery can be used to remove the ovarian cysts to allow for ovulation but it comes with side effects such as scarring of ovarian tissues forming adhesion leading to infertility. The use of acupuncture has also been shown to treat and manage PCOS with high levels of success rates (Barnes et al, 2002). Acupuncture is one of the oldest healing practices that is aimed at restoring and maintain health through the stimulation of acupoints on the body. According to Kaptchuk, (2002), the acupuncture practice that has been scientifical
Accepted wisdom today s that there is sufficient difference between leadership and management, between leader and a manager, that the two concepts or forms of influence should not be used interchangeably . In times of significant organizational change, both leadership and management are required. This paper is going to focus more on the role leader’s role for initiating, implementing, and sustaining organizational change.Organizations progress through developmental stages. As organizations age, structures increase to provide greater control and coordination . The young organization is characterized by high energy, movement, and virtually constant change and adaptation. Aged organizations have established “turf boundaries,” function in an orderly and predictable fashion, and are focused on rules and regulations. In essence, change is limited. However, it is clear that organizations must find a balance between stagnation and chaos, between birth and death. In the process of maturing, workers within the organization can become prisoners of procedures, forget their original purposes, and allow means to become ends. Without change, the organization may stagnate and die. Organizations need to keep foremost what they are going to do not what they have done. This is what informs the role of organizational change. It should be clear that leadership and management skills are necessary for successful planned change to occur. The manager must understand the planning process and planning standards and be able to apply both to the work situation. The manager is also cognizant of the specific driving and restraining forces within a particular environment for change and is able to provide the tools or resources necessary to implement that change. The manager, then, is the mechanic who implements the planned change. The leader however is the inventor or creator. Leaders today are forced to plan in a chaotic health care system that is changing at a frenetic pace. Out of this chaos, leaders must identify trends and changes that may affect their organizations and units and proactively prepare for these changes. Thus, the leader must retain a big picture focus while dealing with each part of the system. In the inventor or creator role the leader displays such traits as flexibility, confidence, tenacity, and the ability to articulate vision through insights and versatile thinking. The leader also must constantly look for and attempt to adapt to the changing and unpredictable interactions between agents and environmental factors outlined by the complexity science theorists. It should be clear that l
“Hocus Pocus” is a fantasy film with the elements of comedy directed by Kenny Ortega and first released in 1993. According to SUNDAY; Your Movie Planner (2010), it is “occasionally bewitching Disney comedy about three Salem sorceresses…Entertaining in spells and surprisingly gruesome “. This Walt Disney Pictures movie is rather fun, exciting and entertaining; and it is still loved by numerous people. Those who watched it in childhood love refreshing these sweet memories and I am not an exception. The film is Halloween-themed and tells the story of three sisters-witches who were unintentionally resurrected by a teenager named Max on Halloween night and started their terror on the surrounding territories and their inhabitants. The boy actually does not like Halloween but appears in the situation making him to participate in it and has to go through a row of Halloween-connected adventures to save his loved ones from these terrible witches. This undaunted boy goes through a row of serious tests to defend his sister and defeat the witches. The movie begins in Salem, Massachusetts more than 300 years before our time. The three witches are about to suck out the life of a little girl to become younger. However the girl’s brother finds them and tries to prevent it. Still he fails to do so and the girl is killed. The boy himself is turned to an immortal black cat Binx as a punishment from the witches. The people from the village come to save the girl and her brother but it is too late. They noose the witches for the committed crimes. However, the witches promise to come back in 300 years as the prophesy in their magic book tells. Then the audience sees the days of 1993. On Halloween eve pupils are discussing the history of sisters Sanders. The new boy at school Max, the main protagonist is skeptical, he protests against this story and the Halloween in itself, but later this evening he lights an ancient candle to prove his beliefs that everything is not true, but he unintentionally resurrects the Sanders witches. So there begins a fight between the witches and Max who tries to protect his little sister from them. Max has a great support of his new friend Allison and the immortal black cat Binx. After a row of exciting adventures and struggles the heroes conquer the witches and remain alive. The ending of the film is not clear-cut. The witches’ magic book remains so to say alive and i
Executive Summary This report is prepared for use by investors in Hawaii Amusement park who are interested to know which factors that are most influential in the construction of amusement park in Hawaii. Apart from the expansion of tourism industry in Hawaii, the tourism destinations can develop economically and the local people can experience the benefits, provided that the local culture, environment, and wild life are protected from exploitation by the park. The Amusement park will promote the idea of encouraging responsible approach towards the conservation of environment and emphasizes the importance of the welfare of the local people. The political, social, and environmental climate of the Hawaii is considered as sensitive issue in determining the acceptance of the project. The Park aims at positive experiences for both visitors and host. It will be also creating awareness regarding environmental and cultural factors. The providers of hospitality services are expected to promote the possible recycling of the resources including the reuse of water and conservation of energy. Hospitality businesses should also encourage the economic activities in order to provide benefits of opportunities to the local people. Active participation of the local people in the construction will be very important as it is their cultural and economic activities that are associated with the dynamic tourism industry of Hawaii are involved. Sustainable economic development in a tourism industry will achieve if the project, while exploring all the opportunities available in the present context of improved status of Hawaii. In the process of ensuring the sustainability, appreciable jobs are taken up by the locals; the amusement park should be accepted by the locals (Johnson and Perkin, 2008, p.75). Introduction and background Authenticity in tourism of any area must be approached with some flexibility in order to be accepted in the society. It must be perceived as an issue with multifaceted influence over the tourist, the community, the government and the environment influencing the tourism. Almost every influential factor in the life of an individual is involved in the experiences felt by the tourist. The cultural, religious, linguistic, geographical, and socio economical factors are influential in shaping the perception of a tourist about the authenticity. The most influential factors in this regard are seems to be the religious, environment and cultural factors. When the religious faith, environmentalist and cultural leaders are the leading force for an individual or a group the perception will be entirely oriented towards the particular direction and the authenticity will be influenced by the devotion of the tourist towards the object. As far as the time and space is concerned both these factors are plating influential and decisive role regarding the success of the tourism project (Weaver and Lawton 2006, p.62). Distance is involved in the process of tour and the distance may simultaneously involve the time also. Other factors such as culture, language, religion may also play very crucial r
The essence of a perfect social life entails the vibrant relationship between people and their surroundings. Sociology only becomes eminent when there is an ideal connection between people and their environment. Individuals practice binary oppositional logic as a means of self defense mechanism in order to avoid being vulnerable to circumstances. This occurs when someone resists the nature of society. Society has its norms based on the law of nature, so it becomes a two way antagonism. The consequences of thinking in terms of binary opposition result to rebellion. Life has so much to offer only when people make their significant contributions to it as well. Metcalfe and Game illustrate that this wonderful life becomes more alive when people appreciate the beauty of their surroundings. Bach remains one of the most magnificent composers of all time because he appreciated his Deity’s presence to unfold in his music. We innately inspire the spirit of gratitude by ourselves from deep within. By having the attitude of gratitude, we become enlightened about the nature of life. When we take life for granted, the world seems unproductive and meaningless. The power of positiv
The mysterious ancient city of pyramids at Caral in Peru is the oldest one in America. The pyramids are dated to 2, 600 BC and they are as old as the pyramids of Egypt. Many scientists consider this ancient civilization to be “fabled missing link in archeology” (“The Lost Pyramids of Caral”, 1/5). Archeologists have been searching for the answer for the most debatable question: why did human create civilization? Archeologists have been looking for the so-called “mother city” – the first human civilization for over the centuries. Mesopotamia, Egypt, Peru, China, India and Central America are the areas where the first civilization could be originated. The mother city, the first stage of civilization could have answered a lot of debatable questions. But it is quite difficult to find it because it seemed destroyed or built over. Not having found the mother city, the scientists provide a lot of theories explaining the reason of civilization. Some said the main reason is warfare; other believed it was caused by the development of trade (“The Lost Pyramids of Caral”, 2/5). Caral, excavated by the archeologist Ruth Shady in the Peruvian desert is believed to be the candidate to the mother city as far as it is a 5,000 years old city of pyramids (“The Lost Pyramids of Caral”, 3/5). It should be noted, that there is no any sign of warfare at Caral. Ruth’s findings suggest that Caral was a gentle city without any weapons, battlements and mutilated bodies. This city was built on commerce and pleasure. Some beautiful flutes made from pelican bones and condor were found in one of the pyramids. More than that, it was found out that people lived at Carol took aphrodisiacs and drugs (“The Lost Pyramids of Caral”, 4/5). The remains of baby buried wrapping in clothes and with a precious necklace made from stone beads was found during Ruth’s excavations. Firstly, it was presupposed that this two months old baby was sacrificed to the deity. The expert examination testified to the fact that that baby dead because of natural causes and it was buried wrapped in the clothes with love. All these facts disprove the theory presupposing that the first civilization was based on warfare. On the contrary, all these findings witness to the fact that people who lived at Caral enjoyed their life and didn’t wage wars on other civilizations (“The Lost Pyramid
The problem of interrelation between such two phenomena as human nature and human morality has always been very important for mankind and always interested people no matter what age group or social group they belonged to. This fact can be easily explained because since the time religion came into people’s lives there was no other question that troubled humans so much as morality. People always tried to combine the two above-mentioned things – natural instincts and morality – and make their lives harmonical. People of art also took their time to deal with the above-stated issue in their works. The branch of arts that made a great contribution to the development of morality was literature. Literary creators, especially writers of fiction, playwrights, and others contributed greatly to the development of the here considered point in human thought. They speculated in their works on such important points of existence as of right and wrong, faithfulness and betrayal, life and death. These are the problems we are going to discuss in the current essay, and we are going to address for help with it such masterpieces of literature as the play “Hamlet, the Prince of Denmark” by William Shakespeare and the play “Dr. Faustus” by Christopher Marlowe. These plays address directly and indirectly the problem of human morality and the aspect of it which concerns the phenomena of relations between morality and nature as an integral part of human existence. The author of the first play, “Hamlet”, William Shakespeare, is the most famous English writer, poet, and playwright of all time. His works touch upon all the most important and burning issues of human life and no one since Shakespeare’s times managed to describe all sides of human existence. Shakespeare lived and worked in the 16 –
Introduction Homer’s The Odyssey remains one of the most popular classical texts, particularly due to its captivating narrative and the fact that the work allows expanding the readers’ understanding of the Ancient World. The roles of fate and prophecy are addressed throughout the story, whereas the detailed portrayal of the Greek concepts of death and the underworld provides an excellent insight into the culture that gave birth to the literary work. For instance, Retief and Cilliers argue that Book XI of The Odyssey largely shaped the perception of Hades, or the Greek land of the dead, as well as of the Ancient views on death and the afterlife, in the later centuries (45). Books VIII to XI of The Odyssey is also particularly interesting as they include both an overview of Odysseus’ adventures prior to his captivity on Calypso’s island and an account of his current adventures. Such a variety of the time periods studied in the text allows for a deeper exploration of the issues of fate and the images of prophecy, as evident in Books VIII to XI. Gartziou-Tatti shows that fate is examined throughout the work, but Odysseus’ story of his wanderings, as well as his interactions with the deceased people in Hades, provide the poet with another angle for the exploration of these concepts (16-18). Finally, Odysseus’ tale, or the Apologue, represents a narrative structure that is characteristic of the Homeric poems (De Jong 221). However, De Jong argues that the Apologue is unique in its scale and examination of the themes and motives of The Odyssey : “This is by far the longest embedded story in the Homeric epics and, together with his many lying tales, forms the basis for Odysseus’ status as ‘singer’” (221). This paper aims to explore the narrative of Books VIII to XI, including the quest narration, as well as the representation of fate, prophetic images, death, and the underworld in this part of The Odyssey . Fate and Prophecy In The Odyssey , the nature of fate is rather interesting. There is no doubt in the reader’s mind as to whether Odysseus will return to Ithaca in the end. The resolution of the story is clear from the very beginning. However, Gartziou-Tatti argues that: The total sum of the poet’s information can be generally demarcated into two categories: those events that have already taken place up to the specific moment of time within the narrative, and those events that will happen. (Gartziou-Tatti 12) The fate of Odysseus is known to the audience and the poet; it is the hero who is not usually aware of what is coming next. The only characters that have the knowledge of the story and Odysseus’ fate are divine characters, including gods, half-gods, and deities. The cannot impact the outco
Introduction Increased security breach within the University is of a major concern to the students and the administration. Rarely a month passes without a security issue being reported. Despite numerous arrests and prosecutions, it seems that the perpetrators are so determined to carry out crimes within the University. The security issue should now be approached from a different perspective to deter perpetrators. It is the high time that the University Security Department adapts and implements recommendations from recent survey which called for increased security measures to guard the University population and properties. Main text Theft and Vandalism are some of the major security concerns in the University. Exactly two months ago, the Information Technology Lab was vandalized and IT equipment worth thousands of Pounds stolen and damaged. The IT was paralyzed department for a whole week as arrangements were made to restore the Laboratory for use by students. A lot of students missed their classes. The university spent over 8 million pounds to replace the equipment that was stolen and damaged. The question on everyone’s mind is, was there enough security at that time to protect the University’s property? Two weeks ago, two culprits managed to break into the University’s President’s Office with the sole aim of stealing important documents related to the tendering of the State Of Art Administration Block contract. How they managed to gain entry through the main gate, to the Administration compound still remains a puzzle. The two perpetrators were able to get the document find their way out of the office only to be spotted by the guards when slipping out through the main gate. The two were apprehended and taken to court. These are some of the security breach incidences that have occurred within the university in the recent past. Students are concerned about their own security as it seems it is no longer safe to be at Webster University. To solve the security issue, I am proposing a number of recommendations which when implemented will see a reduction in crime in the university within the next two months. One of the most viable solutions is to for the university to form a partnership with concerned parties in a bid to deter crime. It is of vital importance for the university to work in close cooperation with the members of the community in the neighborhood surrounding the University and the Community Police Department. This is because most of the crimes are planned in the neighborhood and the perpetrators are members of the community. As such, members of the community are likely to have a hint on a planned crime that they can pass over to the Community Police Department. The police can act by alerting the University security department and/or by backing up the University security before the perpetrator strike. Community involvements in matters relating to University security have worked successfully in most parts of the United Kingdom and I believe it will work here at Webster University. Access control is also paramount in securing th
Introduction The Big Short is a movie that uncovers one of the causes of the financial crisis of 2007-2008. The film reveals that banks, thirsty for higher profits, began to offer mortgage loans to those who were unlikely to pay off the debt. However, The Big Short does not simply narrate the story. It discloses the unethical behavior of bankers, who could have investigated the state of the housing market and taken action to prevent the catastrophe, but instead, they chose to line their pockets. The plot revolves around several investors who discovered the housing bubble and recognized the opportunity to profit from it. Further, this review will discuss what the characters were doing financially and how this story was possible in real life. Characters’ Actions At the beginning of the movie, the voice-over introduces the concept of a mortgage-backed security, which is an investment secured by a bundle of home loans. These securities were profitable and almost not risky because “who the hell doesn’t pay their mortgage?” ( The Big Short ). However, it turned out that there were plenty of people not able to pay their mortgage, and Michael Burry was the first to realize it. After looking through the mortgages in the top 20 selling mortgage bonds, he discovered that many borrowers did not make their payments on time. Michael predicted that it would devaluate mortgage bonds and, therefore, decided to short the housing market, that is, to bet on the market crash. The fact that there were “no insurance contracts or options for mortgage bonds” did not stop him ( The Big Short ). He just went to several banks and spent $1.3 billion on swaps on mortgage bonds that were created on his request. Meanwhile, Jared Vennett from Deutsche Bank realized the opportunity discovered by Burry and managed to sell