ShantanuT01/DACTYL-Pretraining huggingface dataset:
Introduction Preventing and treating the life-threatening infection that is sepsis requires one of the most rapid reactions from healthcare professionals regarding time. Thus, identifying and documenting sepsis cases becomes another critical step in the patient’s healing process, requiring a specific set of skills and ultimate collaboration from doctors and nurses alike. Despite paper-based databases remaining the traditional way of going about protocol, using advanced and modern means of documentation presents newer, undiscovered aspects of utility. Hence, the presented Nursing Informatics (NI) project at Northwell Health will focus on the ways a shift from paper to computer databases can be achieved, as well as the benefits of this within treating sepsis. Nursing Informatics Project The need for a computer-based documentation approach within Northwell Health was identified based on multiple factors, concerned not only with modernizing the attitude of healthcare professionals towards the documentation process. A study by Perez (2013) states that the “results of adopting innovation and the improvements effected by its implementation go beyond the adoption process” (p. 89). While the mentioned study deals mainly with educative nursing systems, their apperceived benefits may transfer well onto the presented documentation procedures. Considering all this, along with the fact that Northwell Health does not have a computer-based sepsis protocol, creates the need for a project that will construct the possibility of such a changeover. The project objectives will include:  1. The creation of a sustainable computer-based sepsis documentation protocol to be used within Northwell Health.  2. The identification of those who would benefit from such computerization of the documentation process.  3. An establishment of the project’s priority within Northwell Health and, thus, the need for its timely implementation within the organization.  4. The codification of specific values of success evaluation by using a devised rubric.  5. The determining of those responsible for the project’s implementation. An argument should be made about the need for a computer-based protocol, as it is often associated with unnecessary costs rooted in equipment and software prices, as well as the required staff training. However, computerization allows for an enhanced response time, which becomes vital in life-threatening cases, and electronic documentation has been found to surpass hand-written protocol in speed (Schachner et al., 2016). This fact alone may be enough to give computerization an advantage over slower, paper-based methods, as the positive effects on patient’s health far outweigh the negative repercussions related to cost. Stakeholders The effect of decreasing the so-called paper trail on sepsis identification has already been identified as having a positive impact on patients’ health. The influences of inopportune sepsis treatment result in “long hospital stays (median = 10 days), discharge to long-term care settings (20%), and death (25%)” (Novosad et al., 2016, p. 867). Expediting sepsis treatment through its rapid
Executive Summary The proposed “ABC Online Legal Consulting Firm’ would start its journey through its web portal aim to provide legal service for the foreign workers and local employers for commercial and immigration law areas and it would be a virtual legal service center operated through web-based technology instead of traditional office space. The owners of the company are business graduates with a small investment and one of them would be self-employed, but the company staffing would be hired through online outsourcing instead of traditional in-house employees where the attorneys would be work as freelancers and the company would be a limited liability company with 60% and 40% share. Several Law firms appeared online who indirect competitor of this company for resource similarities, but the “Ogletree Deakins” is the direct competitor of this law firm for both resources and service similarities. The company starts with self-finance and goes for financing from any bank or venture capital after the first year of operation and pays tax associated with the self-employment category. The operational management of the company would engage substantial measurement as well as continuous analysis of the internal processes with critical tools and significant techniques to managing the supply chain aimed to mobilize logistics. The quick-shifting dynamics of the ICT integration in the business procedures of the law firm, this company would facilitate the attorneys to take part in the legal process outsourcing, alternative fee-earning opportunity and even to mergers or acquisition with foreign law firms where clients would get a remarkable cost-cutting opportunity with direct communication. The projected income statement of ABC Online Legal Consulting Firm shows net profit before the interest, taxes will be $328816, and net income will be $322997. The balance sheet demonstrates the net worth of this firm will be $341997 while total assets and liabilities will be $590880 and $258883 accordingly. Introduction The political economy of illegal immigration has threatened globally due to the new immigration policy of the Trump administration in the USA as well as Brexit the UK’s withdrawal from the EU would generate a new dimension for the Law Firms working with labor and immigration law. Online Law firms providing legal support for undocumented immigrants have a tremendous market in the USA although corporate law, pension, and employment law, as well as IP law, has a rising public sphere with a large volume of legal process outsourcing approach with attractive fees arrangements. The proposed “ABC Online Legal Consulting Firm’ has been organized to provide legal service and consulting to the less privileged working group along with the undocumented immigrants who are living within the USA and abroad. Rather than the high lawyer’s fees, the company would penetrate the market with competitive price-tagged service offerings and would attract
Introduction Mergers and acquisitions are the ways for a company to expand. It may presuppose acquiring companies on the national or international levels. This method was particularly popular in the 90s and it is still often used to achieve rapid growth, even though the past years experience had shown that the results of the expansion may not live up to expectations (Papadakis, 2007). Apart from that, growth may be achieved without mergers and through the creation of new stores in the national market or by entering the international market. It should be pointed out, however, that expansion does not necessarily equal success, mostly due to the numerous issues that arise in the process. Obviously, a bigger company is harder to control, but this is not the only problem a growing business has to cope with (Schermerhorn, 2010). In case of international expansion cultural challenges arise: for example, the product needs to be adapted to the local market, and this task is not always carried out successfully (Drahokoupil, 2014). In case of mergers, the difficulty of forging relationships between the constituent companies or the problem of corporate cultures clashes may appear (Papadakis, 2007). In order to predict, avoid or cope with these issues, sound strategies must be created and implemented (Papadakis, 2007). In this paper, both corporate-level and business-level strategies are going to be considered. The former strategy will be described as that devoted to the long-term direction of the business in general, the second being primarily concerned with the way the business is going to make its product competitive in the selected market (Schermerhorn, 2010). The companies that were chosen for this paper are the Starbucks Corporation and the Sonic Corporation. Both are publicly-owned corporations that operate in the industry of fast-food restaurants and have a prominent position in the market along with several decades of experience. Still, their expansion strategies differ significantly. Starbucks: a History of Acquisitions and International Marketing General Information The first US Starbucks store was opened in 1971 in Seattle. In 1996, the company entered the international market by creating its first store in Japan. At the time, it possessed over 1000 stores (Starbucks Coffee Company, 2014). Nowadays Starbucks is a tremendously large industry owning over 20,500 stores in North and South America, Asia, Europe, Middle East, and Africa, where beverages (including trademark ones) are offered along with pastry, salads, and other foods (Starbucks Coffee Company, 2014). Apart from that, the company offers tea and coffee blends along with coffee equipment, mugs, books, and accessories for sale. It would not be an over-estimation to say that Starbucks is flourishing nowadays. During 2014, Starbucks increased its revenues by 11 %, created 1,599 new stores, and although this growth is unprecedented for the company, it cannot be denied that it still has room for expansion (Schultz, 2014). Corporate-level Strategy Expanding is the word that could be used to describe Starbuck’s overall strategy. What is more important, there exist opportunities for future
The Renaissance was exemplified by a highlight on the arts of Ancient Greece and Rome; this resulted in the various changes that were executed on both the technical characteristics of sculpture and painting. Furthermore, changes were also made on the subject matter. It originated from Italy, a country that is well endowed with a valuable Roman inheritance as well as material possessions that could be used to sponsor its artists. During the Renaissance, painters started enhancing the realism of their art by employing innovative skills, thus they were able to present three-dimensional arts more authentically 1 . Artists were also more innovative in the use of light and started using innovative techniques to manipulate light and darkness in their artifacts. These new techniques were evident in such works as Titan’s portrait and Leonardo da Vinci’s sfumato and chiaroscuro. Sculptors were also more innovative and they rediscovered some of the early techniques such as contrapposto and the unsupported nudity. At the onset of the humanist spirit of the age, art revolved into a secular issue that was used to depict early mythology as well as Christian themes. This genre of art was called Renaissance Classicism. The most valuable innovation that occurred in the North was the extensive use of oil paints, these permitted superior color, and intensity 2 . The period from the 15 th century was characterized by the works of such artists like Leonardo da Vinci, Michelangelo Buonarroti, and Raffaello Santi. Though there was not a specific style that marked this period, the art displayed both technical and aesthetic mystery. The artistic developments in this period included; attention to perspectival systems, display of anatomy, and conventional cultures. The artists of the period elevated art to such heights that were only enjoyed by poetry; thus, sculptors, painters, and architects placed their works among the other valued fine arts. The Neoclassicism period was marked by artists reverting to the conventional simpler art of the Renaissance. The period was marked by the intellectual movement that was referred to as the Enlightenment 3 . The famous Neoclassicists include Ingres, Canova, and Jacques-Louis David. This period was followed by Romanticism; this was an artistic era that was characterized by the use of color and motion to depict emotion. The phase was also manifested by the celebrity of nature to expose the splendor and supremacy of the innate world. Romanticism was also exemplified by an immense
Creating a national identity for Canada is the central theme of the documentary Shameless Propaganda by Robert Lower. This film is an overview of Canadian documentaries made in the period during World War II. It helps in understanding the main ideas the Canadian government used in the past to build a national identity, and in comparing these ideas to the current political direction. Although this film features the attempt to find common values, it becomes apparent that diversity itself can be a unifying force. Shameless Propaganda is an example of how the government tried to find values that would unite the whole nation. In the first half of the twentieth century, the eleven million Canadians were as diverse as they are now. According to the film (Shameless Propaganda 2013), the wartime documentaries had the idea of finding something all of those people had in common. However, these documentaries pictured the differing lives of ordinary citizens, and this appeared to be the unifying power. People watching those films realized that they were all the same. They all could relate themselves to the stories of workers from across the country. Nowadays, the country is still experiencing “an anxiety over identity and place that continues to underlie Canadian perceptions of their nation” (Kalant 24). However, unlike the previous idea of looking for shared values in the past, the present political focus is on actions. Laura Tonon and Tracey Raney discuss the Discover Canada guide (Tonon and Raney 201), which addresses the conservative social achievements of Canada. This neo-conservatism comes as an answer to the modern trend of globalization and multiculturalism. The guide, for example, provides inf
The issues that must be addressed in the report include the need for the appropriate safety measures at the gym, including availing of an automated external defibrillator. An appropriate first aid kit needs to be purchased and put in place as well, so that individuals who might get ailments or medical complications while exercising can be attended to. The report also looks at the need for relevant and qualified medical practitioners on a standby to give the appropriate medical assistance incase of an emergency. Given that Tommy was transported to the nearest medical center when it was already too late to save his life, the issue of the appropriate means of transport also needs to be addressed. There is need to address the issue of negligence at the Silver’s gym (Kerber 100). The report also has to look at the need for an appropriate code that would allow the gym to run its activities in a safe and systematic manner. The additional information that could be needed for the firm includes the availability of appropriate personnel to handle the automated external defibrillator. Other information would include the availability of the appropriate policy that governs the usage, maintenance and safety of the device. Introduction Most people who frequent the gym may be prone to various heart complications and if their exercise regimen is not well addressed. The result could be fatal and in some cases, death may occur. There is therefore need to address this issue by taking the most appropriate measures, the best option being the purchase and appropriate use of the automated external defibrillator. The report covers findings from Silver’s gym following the death of Tommy’s death at the gym. It looks into the issues of negligence and unpreparedness witnessed at the gym that could have resulted in Tommy’s death and the need to take appropriate measures to ensure that such an incident does not reoccur. Body An analysis was done after Tommy’s death. The analysis done showed that there were several factors which might have contributed to his death. The main one was the lack of appropriate medical equipment to deal with the issue. The gym for instance lacked an automated external defibrillator. The device could have saved the life of a person suffering from cardiac arrest had it been at the gym. It has the capability to detect and automatically stroke the patient until the situation normalize. This would have saved for instance saved the life of Tommy. Tommy was also taken to hospital when the situation had reached a point where no remedy would have possibly saved his life. The gym was therefore supposed have the appropriate transportation system so as to take victims in bad conditions to the appropriate medical center on time (American Red Cross 77). There is need to ensure that sufficient funds are set aside to meet the cost of the AED
Wealth brings far more significant problems than depriving people of beauty. This is because once the rich in society set eyes on a given item or property, they will do anything within their means to ensure that they get it irrespective of the adverse effects that their actions may have on the lives of the poor. This essay seeks to analyze the other adverse effects that wealth can bring to society apart from the aspect of the destruction of beauty. To this end, examples from modern day living shall be drawn and coupled with proper explanations to illustrate the weaknesses of wealth-driven society adequately. Wealth leads to the creation of frustrated individuals in society. For instance, a wealthy man driving on a highway through the countryside will see a large farm with animals grazing peacefully, and instead of appreciating the calmness of the region, he would probably see how he could turn the farm into an out-of-town shopping mall. The owners of the land may not be willing to part with their property, but this rich man could easily come with ridiculously vast amounts of money and ensure that he has convinced them to leave. Eventually, high story buildings will go up and concrete structures replacing the trees. In this instance, the rich man would have interfered with the beauty of the land. However, and even more disturbing is that he would not care where the farmer and his family relocate to because it is almost apparent he (the rich man) is not going to offer them an alternative settlement. Consequently, the farmer may find himself in an urban region where the costs of living are very high, and in time at all, the money he had received from the sale of the land will have gone into rent and food. With time the farmer and his family will have to go back to the rich man to look for menial jobs at his shopping complex and in a way signing to lifetime slavery. From this example, it is easy to see that wealth also ends up creating a few happy persons at the expense of many frustrated individuals. The acquisition of wealth results in the breaking of family and societal linkages. An individual will generally tend to relate very well with members of his extended family as well as his neighbors as long as they don’t have a lot of money. However, once this individual lands an extreme amount of wealth, he will turn on the people that he used to share good times with and convert them into his laborers. In a way, he will strive to ensure that even the people who helped him get where he is don’t get the opportunities that would make them arrive at his level. A good example is a way politicians in third world countries behave. Before the election, they will meet with the people, share meals and even relate positively with them. They would spend a lot of time pledging to improve the lives of poor citizens as soon as they get elected. However, once they get to the office, they move into posh houses and buy huge cars with dark windows to ensure tha
This essay deals with the analysis of marginal characters in Medieval literature. The research covers various marginal characters that can be met in such Medieval works as Beowulf, The Dream of the Road, Havelock the Dane, Bisclavret (The Werewolf), Lanval, and some others. The main emphasis is put on revealing their role in a wider fabric of the literary structure. Moreover, the current essay provides some insight into the issue of marginal characters’ conceptual role in literature in general. Unfortunately, this issue was often neglected in literary science for marginal characters are an inherent component of every well-structured novel. The role of marginal characters in literature was often underestimated both by critiques and readers. The former claimed marginal characters are the byproduct of literary work since its fabric and structure are totally based on the plot organized around main protagonists in whom an author puts all his intentions and talent. Their deeds and inner world, psychological tensions, struggle, and feelings are manifestations of the author’s greater idea and imprint of the real world encircled by a beautiful façade of literary work. Marginal characters hence as the majority of critics suggest are not worthy of being noticed by readers at all and are not interesting as an object of literary analysis. Just think how little research was conducted on the issue of marginal characters. The current essay proposes a certain approach proceeding from the assumption that in such a complex and intact system as literary work there are no trifles or unimportant elements. To better understand the novel’s purpose and greater idea one should analyze its structural elements and the way in which they are connected and integrated by the author. Marginal characters thus may be claimed to play a crucial role in literary work and in the first place – of its conceptual realization. First of all, they play a formal or technical role. It means that a writer can use them as connectives of literary work’s meanings, episodes, and wider elements of work. They may be used as passages and bridges between main characters and smooth out the narration. Besid
Technologies such as online dating and social media have provided people with unlimited access to a large dating pool filled with a multitude of potential partners. An earlier conference paper reported that over 30 million people were using online dating sites (Tong, Hancock, & Slatcher, 2016). These trends demonstrate the potentially enormous influence technological advances such as online dating and social media sites can have over the formation and experience of intimate relational bonds. This paper draws on previous research and existing literature to demonstrate the changing conceptions of romance in the context of rapidly technological advancement. The central argument of this discussion is that advances in technology such as online dating sites, social media, emails, and instant messaging have enabled people to develop, manage, and enhance romantic relationships. Developing Relationships Technology has made it easier and more convenient to develop intimate relationships. Most important, the various advances facilitate meeting of potential partners. In an investigation of 410 undergraduate students from a large southwestern metropolitan university campus revealed that sexting contributes to intimate relationships (Hertlein & Ancheta, 2014). A majority of the participants stated that technology has helps them to meet new people. One of the fascinating findings observation is that technology allows “those with similar beliefs, hobbies, and habits to find each other more easily” (Hertlein & Ancheta, 2014, p. 4). These findings are confirmed by the research on how CouchSurfing impacts relationships which established that the technology increases the ease with which people establish relational bonds around shared cultural interests (Parigi & State, 2014). A recent qualitative study of 70 African American and Puerto Rican adolescents and young adults in Hartford and Philadelphia established similar findings (Bergdall et al., 2012). The investigators found that the voice and data calls and text messages were the most widely used means for pursuing relationship goals, including forming, maintaining, and dissolving friendships (Bergdall et al., 2012). Ov