ShantanuT01/DACTYL-Pretraining huggingface dataset:
Introduction Diabetes technologies, historically divided into blood glucose level measurement and insulin delivery instrumentalities, are the terms to describe all kinds of devices and software that help patients with diabetes to control their glycemic level, prevent complications and acute events, and enhance the quality of life. The majority of healthcare organizations are continually developing measures oriented to diabetes treatment improvement. In 2017, the Advanced Technologies & Treatments for Diabetes (ATTD) Congress organized an international panel of scientists and patients to summarize and advance the knowledge on continuous glucose monitoring (Danne et al., 2017). Recently, The American Diabetes Association (ADA, 2019) has updated its “Standards of Medical Care in Diabetes” with an additional section dedicated to modern diabetes technologies, treatment tools, and guidelines. The purpose of this research is the investigation of contemporary diabetes treatment facilities, their benefits, limitations, and integration into nursing practice. Insulin Delivery Insulin delivery is currently performed with a syringe or pen injecting, insulin pumps, or automated insulin delivery devices. Syringes or pens are commonly used by patients with type 1 and type 2 diabetes; these tools allow the delivery of insulin in a fast and effective way to improve blood glycemic levels. Choosing between a syringe or pen, a physician necessarily considers the self-management capabilities of a patient, his preferences, dose schedule, and insulin type. According to ADA (2019) “the most common syringe sizes are1 mL, 0.5 mL, and 0.3 mL, allowing doses of 100 units, 50 units, and 30 units of insulin, respectively” (p. S72). Insulin pens come as a disposable (with a single insulin dose) and reusable (with replaceable cartridges) device for push-button injections and an optional memory function of timing and doses. Continuous subcutaneous insulin injections (insulin pumps) are being used for diabetes treatment in recent years; these tools provide patients with rapid-acting insulin doses throughout the day for glucose control. This measure requires the use of tubing and a cannula to deliver insulin, although, modern devices are attached directly to the skin. The pump therapy for adults and children is successfully used from the stage of diagnosis; though, it is performed after an in-depth examination of the patient’s individual characteristics, appropriate insulin delivery system, insulin type, and potential complication risks. Nevertheless, despite the risk of ketosis, device wearability discomfort, and possible mood disorders, continuous subcutaneous insulin injections are commonly chosen by individuals with high socioeconomic status, determined by the level of income, education, ethnicity, and health insurance. Glucose Level Measurement Glucose level measurement is considered critical for effective diabetes treatment and patients’ life level maintenance. Measurement of glycated hemoglobin has continuously been the traditional method of blood glucose control, although i
There is no doubt that criminals tend to become more inventive when specialists responsible for public security implement changes to the system to reduce the number of opportunities for people related to the crime industry. Based on that assumption, it is extremely important to improve practices aimed at fighting and reducing crime on a regular basis. The given paper is devoted to the new crime-fighting strategy that can be implemented in Miami-Dade, Florida. As for the strategy, it is based on the crime pattern theory. When it comes to the present situation with crime rates in Miami-Dade, it needs to be noted that the crime index of the country is five, which makes it safer than five percent of cities in the United States (“Miami Dade county jail inmate directory search,” n.d.). In Florida, the crime rate per one thousand residents exceeds 4.5. (“Florida crime,” n.d.). When it comes to violent crimes, it needs to be said that the situation in Florida is worse than in other states. According to the data presented in the report, the national median for violent crimes is less than four if compared to 4.6 in Florida. Having reviewed the information on crime rates in Florida, it is important to consider this information and focus on the prevention of violent crimes such as rape, murder, or assault. The purpose of the policy is to combine a range of measures aimed at crime prevention, counteracting criminal groups in Miami-Dade, and prevention of repeated crimes. The strategy is expected to reduce crime rates in Miami-Dade, Florida. In particular, the measures will include a thorough analysis of criminal activity spaces in Miami-Dade. In terms of the theory guiding the proposed crime-fighting strategy, the latter was designed in accordance with the assumptions discussed within the frame of the crime pattern theory. When it comes to the leading principles of the theory, it states that individuals who already have criminal experience or potential criminals have an opportunity to commit crimes when their activity space somehow interacts with the space of those individuals who possess resources that can be the target of criminals (Worrall, 2015). It is accepted that the discussed space includes numerous locations visited on a daily basis (such as educational institutions or supermarkets) (Ludin, Aziz, Yusoff, & Razak, 2013). Apart from that, the theory pays focused attention to the
Introduction Feudalism is defined as a social, economic and political system of Western Europe in the middle ages. In this system, vassals gave military and other services to their lords in exchange for protection and the use of the land. Vassals paid homage and allegiance to the lords and were from then on supposed to serve the lord and their country in as far as military aid was concerned. Although there was the presence of the king, the position was irrelevant in the country. The lords held the supreme authority over the area. The king’s position was basically a formality. It was just to make the lords feel as though they were not inferior to each other ( Bloch, 1961). This paper seeks to analyze and discuss this issue. The medieval period in Europe was characterized by hereditary systems of governance. This was one of them. The paper will seek to give a clear and concise outlook of the system by looking at the characteristics and the features of the system. Factors that led to the collapse of the system will also be looked at briefly. The conclusion will then be given based on the comparison between the feudal system and the present system of authority. Features of the feudal system The social structure in the country in such a way that power was not vested on a single entity. Power, in this case, was vested in the lords and barons. They owned estates and large tracks of land. It was the lords that administered justice, levied taxes and demanded military service from the vassals. The vassals, as mentioned in the introduction, were the persons who paid homage and pledged allegiance to the lords in exchange for the piece of land. The system was built upon a relationship of obligation and mutual service between the vassals and the lords (Cantor, 1991). What was the relationship between the vassals and the lords? The relationship between the vassals and the lords was base on an understanding between the two parties. It was basically a win-win situation for both parties. A vassal held land, also known as fief, from the lord in exchange for his service in the army or in combat. In the even of the vassal’s, the one in contract with the lord, death, it was his heir’s obligation to see to it that he has renewed the contract. This was to be done publicly in an oath of faithfulness (fealty). The public oath was referred to as “homage” (Bloch, 1961). The vassal was expected to perform some duties and responsibilities for as long as he was bound by the agreement. One, and the main, of the responsibilities was that he was expected to provide ‘aid’ or military service to the lord. It was expected that, having entered into agreement with the lord, the vassal would respond to a call of military duty whenever the lord thought it to be necessary. That was the end of his bargain. Another responsibility to the lord was to provide him with counsel whenever the lord needed advice or assistance from the vassals. A good instance was dur
Introduction The human species, homo sapiens, have been on this planet for roughly 200,000 years. Throughout those years, there have been rises and falls of empires, wars and revolutions, incredible inventions, and technological advances. As the lives of people change, they create new things to facilitate their daily lives. It is undeniable that history and technology, no matter how different as concepts, have had a complementary relationship throughout their existence. As the lifestyles of the people change, so does the technology that they use to advance. On the other hand, as technological advancements are made, people adopt lifestyles that are more fitted to the new world order. The following essay strives to demonstrate this relationship with examples from throughout the history of humankind. Technological History Technology has been an invaluable companion the human evolution for as long as humankind has existed, and even longer. The first technological advances were made around 2.5 million years ago when the ancestors of Homo sapiens discovered that stones and rocks could be used as tools (Headrick 1). The next significant innovation was made by another ancestor of Homo sapiens, Homo erectus, almost two million years later with the domestication of fire (Gregersen). As the historical timeline went on, the vital technological advances became more and more frequent, with the two most recent notable discoveries being only five years apart. In 2012, Jennifer Doudna and Emmanuelle Charpentier found a way to alter DNA (Gregersen). Five years later, AlphaGo announced that they had developed a world-champion go player Artificial Intelligence program (Gregersen). The latter is even more impressive if one considers that the first computers were created less than 100 years prior by an Iowa State mathematician and physicist, John Atanasoff (Gregersen). The increase in the frequency of technological advances can be attributed to the fact that humankind is no longer simply surviving. Globalized World: Communication and Travel Especially relevant throughout recent history, technological advances have played a big part in shaping a globalized world and international relations of countries. It doesn’t seem easy to imagine now that it could take years to get from one country to another at some point in human history. Today, some of the longest flights one might take could be just over 24 hours. Furthermore, with the development of the internet and telephones, instant communication is now possible and widely used globally. Ge
The Background Information The Baldrige Award The Baldrige Award is managed by the Baldrige Performance Excellence Program, nation’s public-private partnership that exists to raise the community awareness of performance excellence ( About Us , 2014). The program sets standards for performance excellence, teaches leaders of various organizations, including businesses, educational establishments, and healthcare centers, how to meet those standards, creates assessment tools on their basis, and gives the Baldrige Award to the best. The Baldrige Award was created in 1987 ( The Malcolm Baldrige National Quality Improvement Act , 2013). The reward is named in honor of Malcolm Baldrige, who was 26th Secretary of Commerce and was known for his unique managerial excellence that became the cause of significant improvements in the government. St. David’s Healthcare St. David’s Healthcare refers to a huge hospital system (the fourth largest in its area) that operates in Texas ( 2014 Award Recipient , 2015). The system includes hospitals, EDs, surgery centers, urgent care clinics, and rehabilitation centers ( 2014 Award Recipient , 2015, par. 1). St. David’s Healthcare is also one of the largest employers in its area. Currently, the hospital system has over 8,000 of employees ( 2014 Award Recipient , 2015, par. 1). The financial indicators of SDH are rather high. In 2013, the net revenue reached the point of 1.4 billion dollars ( 2014 Award Recipient , 2015, par. 1). St. David’s Healthcare got the Baldrige Award in November 2014 and became the first hospital system in the Texas area to be rewarded with it ( Baldrige Award , 2014). What Areas of the Baldrige Award Criteria Framework were and were not Covered by St. David’s Healthcare? The official news release about the awarding of St. David’s Healthcare tells, in which areas of performance excellence the hospital system has shown the best score ( Baldrige Award , 2014). First of all, SGH has exclusively high operational standards that help to improve patient outcomes and save lives. As a prime example, St. David’s Healthcare is famous because of the way it deals with the most severe cases of heart attacks. SDH has a very short “door-to-balloon time”, which can be defined as the time that passes between the mome
Introduction Any positive progress in every country is absolutely dependant on the political and leadership stability it enjoys. This implies that political instability and poor leadership are the worst setbacks to constructive progress. Consequently, countries that enjoy political stability no matter how limited resources are at their disposal, development is inevitable. Thus, we cannot talk about the development of any country in the exclusion of its political stability. Therefore, this paper seeks to evaluate the political leadership between Ellen Jonson of Liberia, and Yahya Jammeh of Gambia, so that the most suitable between them is recommended to lead the African continent. Yahya Jammeh, the current president of Gambia, came into power in 1994 after a bloodless coup. At the beginning of his tenure, president Yahya was seen as a man ready to take the people of Gambia a step higher in dealing with the national affairs. The people both citizens and western community, expected him to end impunity and particularly corruption which was perpetuated by the previous regime. In one of the meetings with the ECOWAS delegation, he is portrayed as a state man, a man of the people, a generous person fit for the leadership of Gambia. This was short lived because his leadership was tainted with untold human torture, numerous murders, disappearance of some of the people and especially those who were opposed to his rule, restriction to press freedom, and many other crimes against humanity. The political instability in Gambia under the rule of President Yahya is as a result of poor governance, corruption, absence of democracy, and human resource crisis. His rule is that of a real dictator in the modern world. On the other hand, Ellen Jonson, the president of Liberia is the complete opposite of president Yahya. Having been elected by the people of Liberia as the first woman president, Ellen did not disappoint her people, but step by step she began to restore their hope. Ellen took over as the president of Liberia at the moment when virtually every system of governance was collapsing because the county was at war for 25 years. Under her watch, peace has been established in Liberia, schools have been constructed and education quality improved, hospitals and clinics are operational in all parts of the country. Liberia’s economy has been invigorated through the improvement of agriculture. President Ellen’s Zero tolerance to corruption, is the reason behind the magnitude at with corruption has reduced in Liberia. The aid money that Liberia receives from international communities and particularly America is used to construct more universities, technical schools, roads,
Silverado is a 1985 Western film directed by Lawrence Kasdan and starring Kevin Costner, Scott Glenn, Kevin Kline, and Danny Glover. It portrays the story of four friends who come to a town named Silverado in an attempt to solve their personal problems. Summary The story begins when Emmett is attacked by three thugs while sleeping in a hut. He kills all of the attackers and sets out on a journey through the desert, where he finds Paden, who had been robbed off his horse and all belongings. While making a stop in a small town, the two meet Mal, a black man who is driven out of town by the sheriff after being attacked by three white men at a saloon. The final member of the group is Kevin, Emmett’s brother who is due to be hanged for killing a man in self-defense. Upon reaching Silverado, the four men realize that their families and the entire town are threatened by ranchers, led by McKendrick. Despite their initial intention to part ways upon reaching Silverado, the group reunites to fight McKendrick and his men. In the final fight, the characters manage to resolve their personal problems, as well as establish the safety of the entire town. Key Points and Critical Analysis Friendship The film offers an interesting take on friendship, suggesting that the main characters only bond with one another because of a common goal. Initially, it is the escape from prison and the journey to Silverado that binds the four men together, which is why the men part ways upon reaching the town. However, as they discover the problems threatening their families and the town, they have to join forces to achieve a common goal of defeating injustice. The circumstantial nature of the characters’ friendship suggests that they are always in pursuit of something new and are thus incapable of maintaining a long-term relationship. Racism Racism is also quite prominent in the film. For example, the first appearance of Mal offers the first insight into racist attitudes of the time. Not only does the owner of the saloon refuse to serve Mal; three visitors attack him and face no charges for their actions, whereas Mal is requested to leave town. Further in the film, two more black characters appear: Mal’s father and sister. Both of the characters have barely any v
A most interesting and frustrating feature of marketing Marketing is one of the most important elements of the success of a business. Even though there are many elements such as financing, production, operations etc. marketing is the primary element that contributes to the success of a business. Marketing is directly linked to the profitability of a business. It is very much interesting to notice the result moving higher due to the marketing strategies formulated by us. The most interesting feature of marketing is that it is an activity that depends upon the general attitude of the people. That is the perception and attitude of the people is the primary factor that determines the success of a business and marketing strategy. In a way it is a psychology as the marketers are actually studying the mind of the customers. The most frustrating factor about marketing is that it is not stable. The market trend keeps on changing and the marketers need to be very alert to change the strategies when a change in market trend is being noticed. Therefore it is really hard to make continuous changes in the marketing strategies. A lot of planning and forecasting has to be done by the marketer before making any changes in the strategy. What makes a person to the top in marketing? As mentioned marketing is an activity whose nature changes continuously. A particular marketing theory formulated today may not be suitable for marketing the product after ten years. That means it needs to be updated according to changes in the marketing environment. Therefore if a person wishes to attain a top position in the field of marketing he should be well informed about
‘ No Man’s Land’ is a war time movie that satirizes the War of the Balkans. Produced by Danis Tanovic, ‘No Man’s Land’ depicts more than the horrors and the vagaries of war. The movie depicts the complexities that are likely to rise in a conflict situation especially with with regards to international relations. More significantly, ‘No Man’s Land’ clearly depicts the importance of conjuncture and freedom of action in international relations. The plot in ‘No Man’s Land’ is a clear depiction of war time scenario. The movie begins with two soldiers trapped in a trench with no way of escape. This scenario is compounded by the fact that the two soldiers belong to opposing camps; Ciki is a Bosniac while Nino is a Serb. Despite their predicament, the two are in constant state of disagreement. Nevertheless, it is ironical that they eventually find a common ground with regards to seeking for help. Many people argue that the presence of a Cera, another Bosniak soldier standing on a landmine, complicates the situation. Cera cannot move since it would be fatal for all the three. However,
Introduction Throughout ages, nursing and medical care have always been a dynamic, steadily sprouting study, modifying and adjusting following a broad assortment of factors. Modifications in social rules and regulations, discoveries of the latest remedial cures, enhancements in exceedingly complicated technological structures, and advances in pharmaceutical curing methods have assisted to figure out existing medical care customs. Another latest tendency that has affected nursing sufficiently is the consumer permission for ethnically competent care in a progressively more dissimilar, multicultural public. The capability to offer culturally capable care is particularly significant for critical care nurses, who act in high-perception, high-pressure healthcare surroundings. Culturally competent care Critical care nurses are required to enhance the cultural capability to be successful in founding relations with patients and to accurately assess, develop, and implement nursing interventions designed to meet patients’ needs. As patients’ advocates, critical care nurses are needed to maintain assessments made by patients or their families that could replicate a cultural standpoint that diverges from conventional healthcare procedures. In nowadays community, culturally competent care cannot be provided to all patients unless nurses have a clear realization of dissimilar cultural backdrops. The American Nurses Association recognized the necessity to offer culturally competent care and established in the association’s code that nurses, in all qualified relations, are required to practice with care and respect for the intrinsic dignity, significance, and individuality of every person. Hospitalized people and their families are undergoing abundant strains. This certainty is particularly true in critical care components, where patients with life-threatening diseases are cured. In these circumstances, the necessity for culturally competent curing is prominently obvious. Lack of cultural consciousness and breakdown to offer culturally competent care can significantly augment the stresses undergone by seriously deceased patients and can outline insufficient care offered by healthcare specialists. Mrs. S compared American-Italian patients’ perception of Type 2 Diabetes Mellitus and urinary tract infections and corresponding medical care actions throughout the patients’ admittances to the rigorous medication and care unit. Italian patients in the study supposed that physical and mental energy reduced during a Diabetes stage and that uninterrupted mental abilities to go on studying language and attain courses. Lack of consciousness of these anxieties amongst the concentrated care nurses may outline in some confuses, based upon language barrier. American nurses may not