ShantanuT01/DACTYL-Pretraining huggingface dataset:
The process of Vertical Integration at Intermountain Healthcare Intermountain Healthcare owns a number of clinics, hospitals and hospices. More importantly, each hospital and clinic provides various services and products (Intermountain Healthcare, 2010). The value chain of the company is divided into several branch including services healthcare services provided by hospitals and clinics, products and researches. Vertical Integration Intermountain Healthcare: How Does It Work?   * Do you need a hospital:       + In case patients are in need of a particular doctor, it is necessary to fill in the form where a patient provides his specific requirements, such as type of a hospital at the company’s disposal, language, gender, address, preferences;       + the request will be processed with via vertical integration to find the most appropriate variant.   * Do you need online prescription bill?       + Fill in the blank and follow the link;       + The process will be processed and returned to a patient   * Do you nee to find a hospital?       + The name of facility, the type of facility, address;       + This data will be used to searcher for the most appropriate variant. Each inquiry is carried through vertical integration. This can create some critical problems. In particular, the company should deliver services through a chain of accomplished values in accordance with fixed priorities. For instance, if a patient is looking for a hospital, the company first makes an inquiry about location of the hospital. Once the hospital is found, it seeks for the ones that correspond to patients’ requirement. Then, the company ask hospital whether these services are available. In its turn hospital makes an analysis of patients’ information and provides possible variants. In the chart presented above, the second area is colored in orange, which means that this is the most critical area of vertical integration. Evaluating the Vertical Integrated Process at Intermountain Healthcare In-depth examination of the vertical process taken place at Intermountain is considered to be a model of vertical integration. The process is more typical of backward vertical integration process because all the inquiries and management are carried out to receive the appropriate input (Tomlinson, 1990). In addition, as vertical integration is also closely associated with division of labor, the company fit well in the frameworks (Preker and World Bank, 2007, p. 90).
Introduction John Spence’s book titled “Question of Hu” came out in 1989. It is considered a historical novel, as it takes place in a real historical setting, but with fictional characters. The story is centered around two heroes – Jean-Francois Foucquet, who is a French Jesuit that had been studying Chinese language, texts, and culture for 20 years in order to find similarities between Chinese writings and the scripture and use it as a foundation for China’s conversion to Christianity. Hu, on the other hand, is a Christian convert. He is poor, disheveled, and a widower. The book tells us about Hu’s adventures in Europe, and Foucquet’s attempts to keep him out of trouble. Throughout the whole story, Hu is portrayed as a bit of a madman, whose condition grows worse as time passes. However, the purpose of these writings is to challenge the readers’ notions of what madness is, as Hu’s condition is multi-layered and riddled with nuances that vouch either for his sanity or for madness. Despite Hu’s actions being bizarre and often appearing unmotivated, the core reasons behind them are a cultural clash, religious zeal, and hierarchical confrontation between him and Foucquet. Analysis Before we analyze Hu’s alleged “madness,” an important question must be answered first. What is madness? Depending on the source, different answers are given. The medicine defines insanity as a disease of the mind, caused by biochemical reactions in the brain. Psychology defines insanity as a condition caused by emotional and physical actions, which alters the perception of reality in a person. Sociology defines madness as an inability to function in society and adhere to its rules. The third definition is obviously flawed – if we use it in the scope of our research, the conclusion will be that any person visiting a foreign country is mad, as they will not be aware of cultural nuances, laws, and habits. This definition of madness, however, is also the most common one. Hu’s tragedy is in the fact that both he and the Europeans he met on his journey are culturally insensitive. Europeans do not feel the need to educate themselves in Hu’s culture, as they are in their country, while he is a visitor. Hu does not educate himself in European culture because he assumes that it does not differ much from China. This is why some of Hu’s actions seem irrational and bizarre not only to Europeans and Foucquet but to the readers as well. The incident where Hu steals a horse is often used as an example of this, though I beli
Introduction/Brief overview Introduces readers to what will be discussed in the paper and to the would-be reviewed articles by Bolonkin and Clocksin One of the main aspects of today’s living is the fact that, as time goes on, more and more people grow increasingly concerned about the possibility for robots (endowed with artificial intelligence) to eventually replace humans, as the next step of evolution. There is, however, much of a controversy to the issue in question – whereas, some social scientists consider the mentioned prospect thoroughly plausible, others believe that there are no objective preconditions to expect that the exponential progress in the field of IT will eventually deem the representatives of Homo Sapiens species ‘outdated’. The validity of this suggestion can be illustrated with the help of two recent studies. Published in 2004, the article titled Twenty-First Century – The Beginning of Human Immortality and written by Alexander Bolonkin represents a peculiar perspective on the subject of immortality in general and the DNA research aimed at locating and influencing the gene responsible for aging in particular. The article first appeared in the journal named Kibernetes and made a breakthrough at the time. According to Bolonkin, William Clocksin, in his turn, wrote his article in 2004 and titled it Artificial Intelligence and the Future . The article was published in the 361 st volume of the journal Philosophical Transactions: Mathematical, Physical and Engineering Sciences and explored the possibility of creating artificial intelligence (AI). To be more specific, Clocksin questions the very possibility of creating AI, as, by definition, intelligence can only be attributed to life forms and not technology, which is merely a tool and, therefore, cannot produce original ideas. The reason for this is that these articles provide the conceptually incompatible outlooks on what artificial intelligence (AI) really is, and on what account for the qualitative aspects of its functioning. This, of course, implies that the reading of both articles is a must for just about anyone, who strives to form its own logically substantiated opinion, regarding the hypothetical prospect at stake. Summary Summarizes the main ideas of each of the mentioned articles. The main idea, promoted throughout the entirety of Bolonkin’s article, is that the very laws of evolution presuppose the process of people growing increasingly less ‘biological’, which in turn suggests that one day; it will indeed become possible saving one’s consciousness (soul) onto the computer’s hard-drive – hence, allowing humans to attain immortality. Moreover, it will also result in the creation of the so-called ‘e-creatures’, who will have very little to do with the former ways of humanity. As the author pointed out: “E-creatures will be made of super strong steels and alloys, their brain will be working on radioactive batteries
Abstract The concept of self-care is analyzed from the field of nursing. Avant and Walker’s theoretical model of analysis provided information for the study. Self-care was defined through different field and correlated with relevant terms. Terms like, antecedents, empirical referents, consequences of self-care concept, and references were examined. Model cases, borderline, related cases, invented cases, contrary cases, and illegitimate cases were correlated with an ESRD patient. The concept of self-care, the factors of occurrence of self-care, and empirical referents were explored in the study. Aim of Analysis: The aim of the concept is to develop an operational definition of theoretical concept of self-care. Introduction Self-care is important to humanity and nursing. Self-care influences the lives of patients and the nursing profession. Self-care is a treatment procedure introduced to a patient, thus increasing the knowledge and independence of the patient. Self-care educational program improves the life of ESRD patients because it provides the patient with knowledge of his or her diseases and the ability to carry on with his or her daily activities. Self-care education will reduce the dependence on nurses and will reduce the number of avoidable pain, discomfort and even death suffered by patients. Self-care is a scheme or mechanism that empowers a CKD or ESRD patients during the early stages of dialysis (Backmann & Hentinen, 1999). An ESRD patient loses control of his or her mental state thus, requiring assistance and support. This procedure helps nurses formulate a training program to provide learning methods for CKD or ESRD patients. Patients who can sit and see how things are done could assist themselves as their situation improves. This will be achieved through educational procedure. Self-care program will have a positive influence on humanity, the nursing profession and the ESRD or CKD patient. Purpose of Analysis The purpose of the study is to determine the influence of self-care on the quality of life of an ESRD patient. This analysis will correlate the importance of self-care to humanity, and its importance in the nursing profession. Self-care program will empower the patients to adequately control his or her environment and self, thus, providing solution s to the limitations of healthcare management, nursing shortages. Patients with End Stage renal disease usually have poor adherence to fluid restrictions. Improving adherence by use of an education program on self-care will aid in improving the quality of life for these patients. Orem (2003) said nursing care revolves around three major things: giving care to a patient; giving instructions to a patient on how to care for them and helping the patient ac
Introduction The highly competitive service industry has undergone a complete evolution in the way competition is perceived, both in context and scope. Today, more than ever before, every service-oriented organization must come up with ways and techniques to retain and attract new customers and at the same time maintain competitiveness and sustainable profit margins if it is to survive the ever competitive landscape (Walter et al 2010). Equally challenging is the fact that customers today have more information available to them, are more flexible in their decision-making processes and have more choices than ever before (Hu et al 2009), triggering a measured and sustained need by service firms to develop innovative strategies aimed at winning the satisfaction and loyalty of their customers (Simpeh et al 2011). To achieve customer loyalty and competitiveness, therefore, the management of service organizations not only need to understand the uniqueness of their customers but also develop strategies that can create value and influence the nature of customer experiences (Bitner, 1992; Simpeh et al, 2011). Against this backdrop, the present paper seeks to employ a case study approach to discuss how the InterContinental Shenzhen, based in China, applies the value creation concepts to shape customer experiences and create a differentiated service firm in the highly competitive service industry, and also to facilitate customer satisfaction. In particular, the discussion and analysis will focus on two fundamental value creation strategies – servicescape and employees. In servicescape, the interior decor of the hotel will be evaluated with a view to delineate how the added value concepts have been delivered, and how they influence customer service experiences, satisfaction and firm competitiveness. In terms of employees, this paper purposes to discuss and analyze how the front-line workers of the five-star hotel add value through the provision of differentiated customer experiences in service settings. Additionally, the paper aims to build on the Stimulus Response Model and the Resource-Based Approach, to provide a conceptual understanding of how the value creation concepts influence customer behaviour, satisfaction and loyalty, and service experiences. Lastly, the paper aims to provide some critique by discussing the benefits and drawbacks of In
In the current essay I am going to analyze the international airline business, the management of the international airline business, the main economic characteristics of the international airline industry, the ways to forecast the business cycle in this particular industry and future prospects of the airline business under the conditions of the world economy recession. As every sphere of life and the industrial area, the airline business has its specific marketing strategies, competitions and advantages before the other companies. Thus one of the main economic characteristics of the airline industry is the diversity of the spheres embraced by the airline business: transportation, leisure, logistics, communication, information, selling services (Shaw, 2005). It involves a great number of different organizations in its business in order to combine all the advantages of different spheres and make a perfect product which would be safe, useful and affordable. “Airline deregulation serves as a useful point from which to review recent trends in commercial aviation service and safety because it significantly reduces the role of government in regulating the service provided by the industry” (National Research Council, 1991). The companies that are owned by the private companies are more profitable and successful than the state-owned ones. Thus we can make a conclusion that nowadays the airline business is an independent industry which is responsible for providing services. One of the main economic characteristics of the airline industry is the form of ownership, because “most of the state-owned airlines belonged” to the group of airlines that “have been unable to generate profits even in some of the years when the industry as a whole has operated profitably” (Doganis, 2006). Thereby the economy of the airlines industry is closely connected to the world economy. Understanding the main economic characteristics of the airline industry helps to forecast the way industry reacts to the business cycle. The airline industry is a cyclical and marginal industry; it depends on the world economical growth and recession. The cycle includes several years, some of them are more profitable and others are less profitable due to the range of factors. “When growth in the world economy slows down, the growth in demand for air traffic and for air freight a
Health care leaders proclaim that the US health care system is the best in the world, but studies suggest that it is on the contrary. Despite spending more per capita on health care the benefits are not proportionately matching. An exceptional entity is the US Family Health Plan (USFHP), which has shown a high rate of member satisfaction. Though continuity of care is found to promote interpersonal relationships between patients and caregivers, leading to lesser hospitalization and facilitating cost reduction, studies suggest that the health care needs of older persons are not getting deserving attention. Comparative study of health status, access to care, and utilization of medical services, as well as disparities in the United States and Canada by Lasser et al (2006), showed that “United States residents are less able to access care than are Canadians.” (Lasser, et al). The United States spends $5,635 per capita for health care, but statistics suggest that “despite spending more per capita on health care…, the United States is not getting commensurate value for its money.” (Davis, et al) Although 60% of health care is being provided by employer-funded health insurance in the US, studies show that “government reimbursement for service for the elderly has not kept pace with their cost.” (Gibbon). A cross-national survey of patients’ views and experiences of their health care system was done by Commonwealth Fund, to assess performance relative to other countries. It was an attempt to enlighten the US health care leaders that US health care is not the best in the world. No doubt, it ranked first on effectiveness, but ranked last on other dimensions of quality, according to the Institute of Medicine’s (IOM’s) framework for quality. Commonwealth Fund’s findings affirm that the US health care system often performs ‘relatively poorly’ from the patient perspective, and it will ‘need to remove financial barriers to care and improve the delivery of care to meet patient’s expectations. US Family Health Plan (USFHP), established in 1993, is a TRICARE Prime option working as a permanent part of the Military Health System. (Bolyard). It is available to eligible persons—including those aged 65 and over—who are in the Defense Eligibility and Reporting System (DEERS) and live near selected civilian medical facilities on the East, West, and Gulf coasts. USFHP offers benefits to family members of active-duty military, including activated Reservists and National Guard members, as well as all military retirees and their family members, whether they participate in Medicare Plan B or not. Its enrollees must l
In relation to the September 11, 2011 attacks, people from all over the world are still in similar dilemma. The big question is whether to believe the explanation being offered by United States government. Most people still do not perceive how this tragedy could happen. The media, both print and electronic have been on this case, trying to establish what exactly happened prior to the tragedy. Much has been written by scholars but in all these cases, the assertions made by the government that the tragedy was caused by terrorists allied to Osama Bin Laden and Al Qaeda have been the least of their concerns. In fact, sources reveal that most people believe the contrary that is the allegation that the US government initiated the attacks as a strategy of gaining control of oil in the Middle East. This has attracted a lot of controversies in all kinds of media such as the television, internet and newspapers. New intriguing theories are being developed everyday concerning this issue, making it more difficult to know what is true and what is not. What was initially an inquiry into the truth of the matter has been converted to intimidating explanations of the strategies to attain world sovereignty. These ideas are developed from the pictures of the tragedy especially that of the plane striking the towers and the explanations given by eye witnesses. Regardless of all these controversies, there are still those people who have hauled this boundary and gotten into serious investigations of the whole issue, in a rational manner. Popular mechanics is one of these organizations which brought together nine qualified researchers to establish the validity of these conspiracy theories. It also employed many other professionals to assist in the research, in the team comprising of military personnel, engineers, aviation specialists and intelligence officials. This research brought about a debate which was based on the quest to bring out the reality of the 9/11 tragedy coupled with supporting evidence obtained through scientific analysis and scrutinized through rational reasoning. It was discovered that most of the theories put forth previously were based on errors and misconceptions made during reporting. This however can be sidelined since they were as a result of the confusion experienced on that day. Other opinions are considered as thoughtful attempts to mislead the people. There are yet other opinions that cannot be neglected since they give some evidence on the invalidity of the government’s explanation. No one has however come out to speak the perceived truth despite not believing the explanation offered. The debate is surrounded by uncertainties, since both sides have doubts surrounding the events but none has mustered the courage to speak what they consider as the truth. Some of these conspiracy theories include the previously mentioned oil case, the government’s foreign policy, involvement of the intelligence officials including CIA, corporate imperialism as well as world politics. None of these theories has however been supported effectively, making them just that, theories. There are also other arguments related to the events on the groun
Introduction The Yemeni revolution started as a continuation of a series of other Middle East revolutions that ousted the Tunisian and Egyptian presidents. However, the Yemeni revolution started soon after the Tunisian revolution, and almost at the same time as the Egyptian revolution. This revolution brought a lot of bloodshed and violence as the government clashed with demonstrators, who demanded that the country’s former president, Ali Abdullah Saleh, step down. During the uprising, the government shot many demonstrators and before long, the conflict became armed. Nonetheless, Saleh’s government collapsed under the uprising and a peaceful handover of power occurred (Arabia 1). Many factors led to the success of the Yemeni revolution (key among them being the role of international actors in mediating this conflict). Notably, the role of the Gulf Cooperation Council (GCC) was profound in brokering a peace deal because it introduced a transition arrangement that saw the president hand over power to his Vice president. Many western powers, including America, Australia, and Britain, backed this agreement. France, Germany, Japan, and Qatar also contributed to solving the conflict (Akhbar 4). This paper investigates the motives behind the contribution of foreign powers in solving the Yemeni conflict (plus how these countries managed to do so). Since the conflict displaced thousands of people from their homes and into neighbouring countries (or other areas perceived to be safe within the country), this paper also focuses on explaining the scope and implications of the humanitarian crisis that characterised the conflict. Finally, this paper explores the possible ramifications of the Yemeni conflict and other countries that hosted Yemeni refugees. Why Foreign Countries intervened in Yemen Violence and Human Right Violations Following the bloodshed and killing of Yemeni protesters, the International community had to intervene in the Yemeni revolution. This revolution did not initially start as a demonstration against the president and his government, but rather, a demonstration against widespread corruption, unemployment, and the lack of social justice in the country (Akhbar 4). However, when the government started attacking and arresting protesters, the conflict soon transitioned to be a call for regime change. The widespread violence that occurred in several parts of the country saw dozens of protestors shot dead by government forces. This violence raised many concerns in the international community because foreign governments saw the failure of Saleh’s government to respect human rights. In one incident, government forces shot 52 protestors in Sana’a (Arabia 1). Consequently, there were several calls from the international community, including the United Nations (U.N), U.S, and U.K, to stop the violence against protestors. The U.N secretary general, Banki moon, for instance, called on the Yemeni government to stop all hostilities against the protestors and seek a political solution with the opposition (Akhbar 5). A planned assassination against Saleh marked the height of the Yemeni viol