ShantanuT01/DACTYL-Pretraining huggingface dataset:
Abstract The Capstone project sought to move the facility from the current recorded reports to bedside reporting. It was observed that staff nurses completed their shift reports at the nursing station, not at the bedside, raising the potential for communication lapses. Miscommunication in clinical settings is a critical factor influencing patient safety and satisfaction and nurse outcomes. The project involved an evidence-based practice change to bedside handoffs for duty nurses. Scholarly evidence reviewed indicated that a standardized bedside reporting protocol could promote clinical communication, care continuity, and patient safety outcomes. To move the facility to bedside reporting, the project included a 12-week educational offering to create staff capacity for the change and promote compliance. Its implementation was based on the premise that the practice change would improve patient safety. An interdisciplinary team led by the DON, Unit Managers, and champions oversaw the unit-level implementation of bedside reports, staff re-education, and project evaluation. Implementation Capstone Project Steps Before the adoption of bedside reporting, the shift-to-shift handover occurred at a central nurses’ station, active involvement of patients in the reporting process was lacking, and nurses were unclear on what to put in the report. My practice change project specifically focused on a clinical educational offering to foster a cultural change founded on Lewin’s change model. I presented the concept to the clinical leadership (DON and Unit Managers), addressed their concerns, and initiated a dialogue among the nursing staff through meetings in week 1-2. The presentations highlighted the benefits of bedside reporting over the current recorded reports and adduced evidence i.e., low medical error risk and improved patient/nurse outcomes, to advance a case for a practice change (Tidwell et al., 2011). Further, I worked collaboratively with the educational team to develop a customized SBAR tool (reporting template) and educational materials for nurses and patients in week 3-4. Through this collaborative effort, we also recruited the nurse champions (RNs) who were trained in the essentials of bedside reporting (week 5-7) to provide change leadership and train the staff nurses. The nurses attended a four-week interactive workshop (week 8-11) to prepare them for bedside reporting. I was able to influence change by integrating bedside reporting into the educational curriculum and daily nursing practice. The uncertainties surrounding what constitutes a bedside report, how to engage patients/families, and how to exchange of confidential patient data were addressed through education, removing the barriers to change. Changes to the original implementation plan Several changes were made to the tentative implementation plan to accommodate b
Introduction If you want to enjoy your free time and relax in the company of your friends or together with your family, there is nothing better than watching a movie. Of course, it has to be a good movie. What is a good movie or film? Different people have different opinions concerning this. As for me personally, I like different kinds of films but this time I am going to analyze a film that can be called a romance film although it combines elements of comedy with those of a romantic story. This film is titled “Dirty Dancing” and it is one of the best films I have ever watched. I state this not because I am an admirer of romantic comedy or somebody from the cast of the film. No, the point is that “Dirty Dancing” is a film that was very controversial at the time when it was screened and still is a nice story about the people who did not pay attention to what others said. They just did what their hearts and souls told them to do and danced as their feet danced. So, let us consider the film “Dirty Dancing” in all its aspects through the prism of arts, including plot, screening techniques, the cast of the actors that played in it, and the influence it had upon the people of the epoch of 1980s. Plot Summary The plot of the movie is the story of two young people. One of them was a dancing instructor in Catskill, a resort in New York, and another one was a young teenage girl who came to the town for rest together with her parents. The dancing instructor, John Castle played by Patrick Swayze, is forbidden to have any relationships with his students – visitors of the resort. But having seen a young Baby Houseman, played by Jennifer Grey, he falls in love and decides to break the rules he has to obey. Their relations develop with the accompaniment of dance that is the leitmotif of the film. This dance is the purest expression of love and passion between two people. As Baby’s parents come to know about her romance with Johnny, they protest but she keeps meeting with him. By the accident, Baby becomes a dancing partner of Johnny, as a feel-up for his former partner who could not dance because of being pregnant. The unity between Baby and Johnny develops, and soon lessons of dancing turn into meetings of two people who are in love with each other and reach their peak with the sexual union between the heroes. Understanding that Baby is who he needs, Johnny resists her parents and finally wins their respect and consent for Baby to be with him. The final scene of the movie is a mass dance during which Baby and Johnny perform a figure that Baby was for a long time afraid of – she allows Johnny to lift her in the air and feels no fear at the moment. Analysis The film directed by Emile Ardolino and screened in 1987 is a nice romantic story that incorporates all the typical features of this genre. “Dirty Dancing” develops according to the rules of the genre – there is the beginning of the story, its development, and the logical climax of the plot which is typically happy in this kind of film (Sporre, 2006). The beginning is the episode when Baby Houseman comes to Catskill with her family and meets Johnny. The development is the whole world of events and emo
The subject of health provision in lots of states is at all times at the top of the political plan. The overheads of administering the National Health Service (NHS) add up to many billions each year; the chief overheads being the labor overheads with the funds spent on drugs and professional equipment. As a result, many governments are researching the credibility of private health care systems. Hence, the question of this research paper is: is private health care economical? Economic Analysis The neoclassical model categorizes products and service as public, mixed or private. Private products display excludability whereby utilization by one person prevents utilization by another, competition whereby there is competition among products depending on price; and rejectability whereby persons can opt to forgo utilization. Factual public products have key elements of nonrivalry, unresectability, and nonexcludability. Mixed products have some but not every feature of private products. Besides, allocating utmost externalities via aggressive markets causes a crash in both equity and efficiency. Similarly, creating or offering private products by a public segment monopoly causes serious problems in equity and efficiency. Transaction cost economics stresses the restrictions of contracts and the requirement for supply means of organizing actions. Both agents and principals have personal interests. Agents will try to reduce the total transaction costs and production and capitalize on the benefits; if not closely watched, agents might be untrustworthy, participating in actions such as cheating, infringement of contract, rent-seeking and partial disclosure. Principals will attempt to capitalize on their gain to the degree that the association could become unfeasible for the agent. The degree of such opportunism differs radically from nation to the nation and from one cultural situation to another. In several situations, for instance, monopolistic public health services, opportunism is likely to be less evident than in other situations where suppliers are more used to rivaling with one another. This theory usually inclines to firm limitations and the circumstances under which setting actions is best within a hierarchy, rather than through market relations with suppliers or other service providers. Literature Review Thousands of citizens in the UK are buying healthcare goods each week. The citizens acquire a majority of them including over-the-counter pharmaceutical goods such as first aid apparatus and painkillers freely via the market system (Newhouse, 2005). Similarly, the private segment supplies a sizeable and increasing percentage of nursing care. The NHS faces several challenges, some of them including constant resource crisis, long hospital waiting lists, meeting the rising demand for health care, and difficulties in hiring adequate well-skilled staff (Maxwell, 2000). Resource tribulations are the unavoidable effect of under-investment and under-funding in the health service for several years; affecting the amount and value of the capital stock accessible to health suppliers. Long hospital waiting lists are constant delays in people getting ap
Introduction Greek mythology is a body of teachings used in ancient Greek to describe the human environment, the passing of time, and natural phenomena (Stafford 45). The myths explained stories concerning gods, heroes, and rituals. According to Jennings and Lowery, Greek mythology is depicted in collections of different narratives and artistic works (34). Greek Mythology in Art: The Birth of Venus The story revolves around the birth of Venus. The beautiful piece of art was created in the mid-1480s by Sandro Botticelli. The picture and the story behind it illustrate in many ways the Greek’s profound understanding of human nature and behavior. Venus is a being born from the sea. In the drawing, she is nude and standing on a sea shell on the seashore. Towards her left side, the wind blows gently, causing her hair to flow with poise (Stafford 51). On the right side, a handmaid awaits to dress Venus and cover her nudity. The area around where Venus is standing is filled with violets. According to the Greeks, art illustrates a wide variety of elements within the human environment. To begin with, the floating violets around Venus mean that the air is warm and still. Her nudity symbolizes modesty. In addition, a look at her body creates the idea of divine love. The angel embracing the woman is a symbol of physical love (Jennings and Lowery 47). The illustration also shows that romantic love is unrealistic. The reason is that they are floating on water. On her part, the maid on the right signifies intellectual love and wisdom. The reason behind this is because she is ready to pride Venus with a piece of cloth to cover her nudity. The act is an illustration of how intellectual gifts are hidden from plain sight. An in-depth analysis of the picture reveals that the myth is an accurate metaphor for contemporary human behavior as it was in ancient civilizations. In today’s world, people are inspired to show physical and intellectual love. The same case applied in the ancient era. The piece of art also recommends appropriate behavior for couples through the angel’s embrace (Stafford 62). Comments on Students’ Essays Student one talks about federal, state, and residential buildings. They give a brief and general account of different forms of structures and architectural techniques employed. For example, they state that many southern mansions are constructed using Greek revival design. Greek Revival was an architectural design that gained widespread recognition due to the exploration of similarities between ancient and present-day cultures (Stafford 59). Student two gives an account of their understanding of Sister Wendy’s point of view on changes and improvements in art. They explain that art has changed over time. However, the paintings convey their message in a similar manner. In addition, the student does not shy away from pointing out where they disagree with Sister Wendy’s views. Over the centuries, the process of art and tools used has changed (Jennings and Lowery 63). The different phases of transformation have resulted in significant improvements. Student three shows
The media has opened up space for every person with IT knowledge to use its products. The essence of life is communication. If people fail to communicate, then there would be no progress. WeChat enhances the type of communication that builds up a conversation for fun or for relaying a message. The WeChat brand is in its initial stages. It uses very interesting features. For one to use WeChat, he or she has to open the WeChat website and register (Downing 320). It only requires one’s full names, mobile phone contact, hobbies, a username, and a password. WeChat also works with other social media chat networks to link up contacts and ensure that one has a broad network of friends. The brand has several categories depending on the specialties of the user. The business portal is purely for those who wish to engage in business activities (Safko and Brake 200). It ensures a network of business people and organizations to share information on areas of interest in the market and industry. It requires the business to fill in its vision, mission, objectives, and even its industry. It also has a social interaction category. It is mainly for chatting about any social topic. Anyone can join this on an individual basis. It is open to any discussion, humor, and stories. It is an exciting forum for laughter and putting a smile on someone’s face. And that is why its icon is a smiley face. The other category is the family page. It is a forum for families that want to share experiences about family matters. Parents learn about how to care for their children. Children learn from parents how to earn respect and be part of the family. Inside the family page, there is a children’s page, spouses’ page, the singles page. Children share stuff concerning games and build a network with other children. The page invites children’s teachers to help and guide the children during their conversations. Just next to it there is a page for the nannies (Downing 320). They share their experiences. The professionals’ page allows people from all walks of life with different qualifications to build their network. They discuss issues about the industry, their work, and needs in society. Under the professional network, there is a division of industries. For instance, health workers have their page; financial experts also have their page. WeChat is in the process of creating more value for everyone. The brand has built a network with other social brands like Facebook, Twitter, LinkedIn, and is in the process of getting other networks (Kolodzy 180). If a person joins this brand, he or she receives a message requesting if him or her for permission to find people in his or her network. If the owner grants that permission, the brand searches on his or her other networks to find friends who can join him or her here. For businesses, it provides a good number of other businesses and professionals in the market. The chats are organized in such a way that once someone posts a message, it becomes the heading requesting others to comment, like,
Literary criticism is the science of analyzing works of literature. There are many ways, methods, and theories of literary criticism. Feminist literary criticism is focused on the analysis of texts from the feminist perspective. Feminist critics pay attention to the functions, words, and actions of women within the specific piece of literature. Psychoanalytical criticism, on the other side, is a criticism devoted to the in-depth analysis of psyche of the character. Psychoanalytical critics aim to understand the character’s motivations through reading between the lines. Finally, Formalism criticism is focused purely on the textual evidence without going beyond the information available in the piece of literary. Feminist, Psychoanalytical, and Formalism literary criticisms serve absolutely different functions; but each of these theories can be used to analyze literature effectively. Feminist Literary Criticism Feminist literary criticism is based on the feminist theory and broad politics of feminism. It is based on the analysis of words written by women authors. Feminist criticism is used to develop the theoretical framework in women’s and gender studies. There were several waves of feminist criticism theory development: firstly, the feminist criticism was concerned with the politics of women’s authorship within the literature; secondly, the broader gender studies were included. The goals of feminist criticism can be defined as follows:  1. to analyze the female tradition of writing;  2. to dissect the symbolism of women’s writing in opposition to male point of view;  3. to analyze writings of female authors from female perspective;  4. to address sexism in creative writing;  5. to increase awareness of the sexual language. One of the perfect examples of literature suitable for feminist literary criticism is “Pride and Prejudice” by Jane Austen. This novel is suitable because it is written about by female author, the main character is female, and the story occurs in 18 th century. Thus, “Pride and Prejudice” can be successfully analyzed from feminist criticism perspective. Feminist literary criticism is concerned with the issues of gender and sexism in literature. Analyzing the text with the help of feminist criticism, it is of primary importance to pay attention to the representation of women, the words used to describe women, men as well as general situations, the setting, the sociopolitical environment, etc. All of these factors should be analyzed in the light of female studies. For example, when a dialogue between a man and a woman is presented, it is important to look at women’s manner of speaking and the word choice of both men and women. The dialogues are especially interesting to analyze from historical feminist perspective because they may provide insight into gender relations. Psychoanalytical Literary Criticism Psychoanalytical literary criticism is closely related to the theory of psychoanalysis as developed by Sigmund Freud. Literary criticism of psychoanalysis is a rich interpretive tradition. From the perspective of psychoanalytical analysis, the text is seen as a dream which represses the real behind the content. In other
Introduction The 1972 film ‘The Godfather’ is an American movie based on a 1969 novel ‘the Godfather’ written by Mario Puzo. The film was directed by Francis Coppola and produced by Albert Ruddy. It starts Al Pacion and Marlon Brando, the leaders of an influential and powerful Italian crime family based in New York around the 1940s and 1950s (Schumacher 11). The story revolves around the life of Michael Corleone (Pacino) as he transforms from a humble Italian immigrant to a powerful and ruthless mafia boss (Barsam and Monahan 31). It also revolves around his Corleone family, especially their patriarch leader, Vito Corleone (Brando), and Sonny, the eldest and hotheaded son. This paper will analyze the film from Sonny’s perspectives on social life, business, and crime as he attempts to fit into the American society of the 1950s. Analysis of Sonny and his view on life and society Sonny, whose real names are Santino Corleone, is the eldest son of Don Corleone, a ruthless New York City Mafia and his wife, Carmela Corleone. He has three siblings, Fredo, Michael and Connie, and an adopted brother, Tom Hagen. In this film, Sonny is portrayed as the most ruthless and violent member of the mafia family, whose main roles revolve around his father’s illegal business dealings. For instance, at a tender age of 16, Sonny is involved in a robbery within the city but does not reveal it to his family. The father only learns of the crime from Clemenza, an older Italian immigrant, who is depicted as Sonny’s role model and godfather. The father’s interrogation to find out why the young boy acts in such a manner at a tender age reveals some issues. The viewer can learn that the young boy is on the process of adapting to a criminal’s life and is prepared to lead this life. For instance, Sonny proudly tells his father that he acted in such a way because he once saw Vito kill Don Fanucci. He then proceeds to tell his father that he is mature enough and ready to take over the family business, which he knows quite well that it is a dangerous and risky form of business (Dauth 17). Also, he tells his father than he is ready to sell “olive oil”, which tells the viewer that the young boy already knows the coded language that his father and other parties to the criminal business use. The father immediately learns that Sonny has grown up and is willing to engage himself in the illegal business, prompting him to send the boy to Clemenza for further training. From his perspective, we realize that the illegal business is not only involving, but also needs adequate training to ensure that a person keeps secret and is experienced in sorting out drugs (Phillips 56). Also, we realize that the business has mentors who give lessons to the new entrants like Sonny. Moreover, we realize that there are specific titles in the business, which are given to persons who excel in illegal dealings. For instance, Sonny rises through the ranks at the age of 19 after he “makes his bone”, moving from a trainee to a “capo” in his father’s business (Barsam and Monahan 29). In fact, by the time World War II ends, the boy has risen to become the fat
Introduction Coronary heart disease (CHD) is a major health problem that influences the quality of life and is a major threat to life as nearly 47% of individuals who suffer an acute coronary event will die from it. CHD is not a single disease; it includes acute and chronic ischaemic heart disease, angina pectoris, acute myocardial infarction, and atherosclerotic cardiovascular disease (AHA, 2002). The aim of this essay is to critically study a case of a female case of acute coronary syndrome, the path of discussion will focus on risk factors, pathogenesis and the role of emergency and CCU nurses. Gender-related differences in coronary heart disease Cardiovascular disease is common in both genders, yet only recently, reported gender-related differences in epidemiology became perceptible. The WHO (MONICA project) in the late 1990s pointed that rate of coronary events are higher in males, and coronary heart disease (CHD) rates decreased more than disease fatality rates in both genders (Tunstall-Pedoe and others, 1999). In 2004, Arciero and colleagues showed that the prevalence of females presenting with clinical or angiographic evidence of CHD is increasing. Further, the reported rates of decline in incidence show it is true for males; however, in females the incidence rate is stable over the past 20 years. The American Heart Association (2002) pointed that the prevalence of cardiovascular disease in young age groups is lower in females, yet, it increases with age, and the gender gap narrows significantly with age. Cardiovascular disease is the leading cause of death in females where it is responsible for one third of female deaths worldwide. The gender differences are not only in epidemiology; as the disease affects both genders differently, for example females with diabetes have higher cardiovascular mortality rates than males. Besides, CHD incidence in females increases nearly three folds after menopause (AHA, 2002). Further, there are many factors that influence the gender difference in prevalence, which include cultural, behavioural, psychosocial and socioeconomic factors. In addition, females were under represented in most epidemiological gap, which has created a knowledge gap that might explain why females’ cardiovascular prevalence is not improving as it is for men (Rabi and Cox, 2007). Risk factors of coronary heart disease Recognizing risk factors is essential because if treated, managed or reduced, a significant decrease in disease prevalence and morbidity results (Hu et al, 2000). Epidemiological research identified four major risk factors namely diabetes, hypertension,