ShantanuT01/DACTYL-Pretraining huggingface dataset:
Introduction Electronic services can be used to provide a wide range of remote services, including patient care and education, and monitoring. Telehealth is a revolutionary technology that could reform and enhance the healthcare system by lowering costs, improving quality, and increasing patient satisfaction. During the recent COVID-19 epidemic, which affected both privately insured and Medicare beneficiaries, patients increasingly received healthcare treatments from providers not situated near their doctors. There were restrictions on who may perform and where they could be reimbursed before the pandemic. Due to COVID-19, Congress and the CMS enhanced traditional Medicare’s coverage of telehealth services to make medical treatment more accessible and reduce coronavirus exposure in healthcare settings. Without legislative action, Medicare’s telehealth coverage will revert to its pre-pandemic levels when the public health emergency expires. A New Contribution-Based Incentive Model (CBI) This paper suggests a new physician compensation model that rewards productivity, quality, and community involvement. The CBI Model combines a secure base salary with configurable core incentives to give physicians more career flexibility. The CBI model basically works towards motivating the physicians based on their outcomes and quality and offers great career autonomy. The model also steers organizational stewardship and the degree of clinical and other related activities in physician fields to another level. A Flexible Formula Aligns Disparate Interests Salary-based compensation schemes will become increasingly popular in the healthcare industry in the wake of the pandemic as physicians seek a more stable and predictable source of income. A modest yet significant part of total compensation is the goal of this model’s base wage (Kwon & Kim, 2022). The starting wage of a doctor is indeed higher than that of an entry-level employee. However, physicians can still expect to see a rise in their pay by meeting or exceeding their employers’ vision, strategic direction, and specific goals. A modest base wage is a safety net for physicians, as it reduces the possibility of burnout or other adverse effects of financial strain. The performance will improve if incentive points are allocated openly and transparently. Many conditions have to be met before doctors can participate in the bonus structure, including regular clinical activity and productivity in line with the physician’s base salary (on a fair market value basis). Second is quality thresholds with outcomes set by the organization, and third is agreed-upon community service efforts (Brousselle et al., 2020). It is possible to influence physician behavior by varying financing for each “Core Incentive” based on the business’s goals, needs, and purposes. Increased Productivity Leads to an Increase in Revenue In business, productivity and revenue go directly proportionally in different aspects. Revenue generation goes alongside the rate of productivity in most cases. Work relative value units are the units used to gauge physici
Introduction What is terrorism? The definition of Terrorism will indeed vary widely with the changes in social and historical circumstances. The meaning of terrorism when a country is at war e.g. were a military jet bombs the enemy territory will mean a different thing from that during a political revolution e.g. Political nationalists’ quest for power could also be regarded as a form of terrorism. Whatever the definition of terrorism, its existence dates from time immemorial. (White 2008) Discussion According to historical contexts of terrorism, modern terrorism originated from French, where the government inflicted violence and torture against its nationalists in the name of fighting terrorism. This could as well have meant shutting down the political nationalists who probably were fighting for a just course. In about 1848 it graduated to what was seen as a revolt against governments-revolutionary period. By the end of 1800s and early 1900s, violent activities of groups e.g. labor organizations, anarchists, nationalists groups revolting against foreign powers especially the European rule, and ultra nationalist political organizations. During the period from 1964 to1980 terrorism evolved into violent acts by the left-wing groups and political nationalists whom believed that they were fighting for hum
Name, Brief Description, Specific Start Date, Route Structure, High Technical Solutions, and Aircraft The contemporary world is dynamic, and therefore, the importance of innovations and creativity is one of the crucial factors. Numerous technological developments and inventions have been experienced in logistics, as various companies rise to meet and satisfy people’s needs. Dalsey Hillblom Lynn (DHL) is the world’s leading logistic company providing excellent supply chain and network solutions to its potential customers. It was established in 1968 by Adrian Dalsey, Larry Hillblom, and Robert Lynn (Havarangsi, 2018). The organization has managed to acquire over thirty thousand employees to offer services needed by the individuals in various locations (Havarangsi, 2018). The route structure of the company was developed gradually and initiated through international express delivery quality service to every family in the United States. International air express system was then invented for aircraft operation utilization. The firm is the prominent market leader and core key business partner with long-term technical solutions preventing volatility. DHL Company has observable strategic advantages and market positions that have made it stay in the industry for quite some time. However, the organization is currently experiencing competitive pressure from its rivals such as UPS, FedEx, and TNT Strategic Advantages and Market Positions The core strategic advantage of the company is the minimization of cost to increase the quality of service provided to customers. DHL conducts consolidation of packages worldwide, including the Hong Kong region, supplying the international market products and loads (Evangelista et al., 2017). The sales are increased, while the costs are lowered, which leads to profit maximization. The solution to minimize the overall supply chain cost benefits the employees, and in return, the customers demonstrate the satisfaction required. DHL partners, accordingly, minimize cost and maximize sales, thus promoting production. Additionally, the company facilitates efficiency, thereby driving a high strategic advantage to the potential customers. The qualified experts at the industry borders and sectors assess the employees’ overall performance across the supply chain; therefore, the operations and activities run efficiently (Wińska & Rybicka, 2020). Such practice optimizes the opportunity of the firm to induce true business partnership among the workers. Such performance in the company increases efficiency, translating to the customer’s advantage. The network team connection adopted by the company builds one global team to enhance market operations. DHL goods distribution occurs through road and rail transportation to over eight hundred and fifty locations portraying its market position (Evangelista et al., 2017). The firm provides the customers with hub facilities and single content w
Saint Augustine was a skilled Catholic Bishop of Hippo in the northern part of Africa. He was a creative writer and one of the first Christian philosophers of his time. The contemporary world has a lot to learn from Augustine’s political and social philosophy. Apparently, his views on political and social philosophy provide a vital intellectual bridge between ancient times and the present world. The purpose of this paper is to identify the importance of Augustine’s thoughts on various aspects of life. It also examines the relationship between the church and the state. The Purpose of the State According to Augustine Regarding Augustine’s thoughts on the state, the value of the state is quite obvious. Definitely, the state is a divine gift from God and is an expression of divine justice and mercy. The state plays a very vital role in maintaining law and order and helps to keep the wicked under control through the fear of punishment. As a consequence, God uses the state to control the actions of both the righteous and the wicked so as to maintain and establish order. In general, state leaders are instruments used by God, and they have the privilege of punishing those who are guilty. According to Augustine, the government is instituted by God in order to ensure that a peaceful environment exists for people to live and operate in. Arguably, a nation will end up in a state of lawlessness without a stable government. The state is thus an important requirement in God’s plan for mankind. This is also true from a Christian’s perspective when one considers how God led the Israelites right from Egypt. He used appointed specific individuals to be in charge of his people at different times so as to ensure that there was the order in the way things were done. Apparently, the fact that the state is meant to fulfill the will of God, the type of government is beside the point. Although it is the responsibility of the state to ensure that the society functions properly, it needs the support of the church in order to succeed. Generally, an ideal state should be able to establish institutions that make it possible for individuals to live in a just way. It also ensures orderliness and freedom of worship for everyone. In addition, an ideal state offers protection for all individuals and creates an environment that facilitates growth. Augustine also contends that orderliness is essential as it permits individuals to maintain a good spiritual focus and to be well connected with the creator. The existence of a stable state government is thus a mandatory requirement for people to enjoy a healthy relationship with God. Among other things, the state is responsible for creating laws to ensure that people act morally. It also promotes peace, justice, and mercy for all. It is imperative for the state to remain stable and to avoid any form of disruption for effectiveness to be realized. In Augustine’s opinion, the state should not be allowed to interfere with the operations of the church. Arguably, the main agenda of any state should be to handle se
Introduction People move from one place to another in search of better standards of living. It is practically impossible to deter people from entering any country. Arguably, countries which are seen as being economically well off get the highest number of immigrants. Canada being among the economic powers of the world, the number of immigrants both legal and illegal that enter the country each year is very high. Besides the economic benefits that the immigrants bring to the country, they face various issues while in the country. Among the problems that emerge due to the issue of immigration is access to health care. It is sometimes challenging for the government to provide quality health care for the immigrants. As a result, there have been many efforts directed towards enhancing the provision of health care to immigrants. It should be noted that immigrants face several difficulties regarding access to health care in Canada. Problems Facing Non-Natives To begin with, poverty is one of the reasons why many people leave their country. Immigrants, especially refugees, set off from their native country mostly without enough money to sustain them for long. As a result, affording good health care becomes a challenge especially for people from developing economies. It should be noted that getting employment might take quite some time leading to depletion of any savings that the immigrants might have (Spitzer 231). As a result, lack of enough cash limits the choices that immigrants and refugees have regarding access to health care facilities because they have other expenses to cater for.. Moreover, almost every new immigrant looks for affordable housing. This is done in order to reduce expenses at least until one is able to get a job. In many instances, one unit holds more than one family thus compromising sanitation of the houses. Notably, a major issue facing non-natives in Canada is the lack of medical coverage. The process of obtaining medical coverage takes some time. The problem is compounded if the immigration is illegal therefore barring some immigrants from qualifying for medical insurance. Some do not have work permits while others simply do not have the required documents to qualify for medical coverage due to being in Canada illegally (Raphael 111). In this regard, several immigrants usually wait for several years before they can access medical insurance. It becomes a tricky issue especially when uninsured immigrants require emergency medical attention. For legal immigrants, the case is a bit simpler since they can easily get medical cover compared to refugees. The lack of social connections in the community is also another issue. Being in a new country, some immigrants do not have anyone close to them to guide them on how to acce
Approach to customer service Ryanair is a low-cost airline that has a unique approach to customer service delivery. Unlike other low-cost airlines, it exploits several avenues of service delivery to minimize operational costs. The company outsourced customer service through service contracting in order to minimize the costs of service delivery. The company exploits the fact that customers are concerned with company core products, service delivery and the company’s image. In this case, the company associates that customers’ satisfaction is relative to customers’ expectation. For this reason, value is attached to the time, energy, money and other physical expenditures spent by customers (Bamber, 2009). In addition, the company maximizes on its product delivery service with respect to the level of expectation and satisfaction received by customers. In most instances, customers are charged higher prices in order to access quality services. This means that extra costs may be attached to extra services provided by the airline. Service delivery system Ryanair has used its low cost fares to obtain a competitive advantage in the airline industry. The fares are used to lure customers that results in increased demand since they are provided with high quality services with low fares. This program reduces the levies charged on fares and sometimes offers free seats. The one-way-pricing policy that is adopted aims at minimizing the stay requirements from travel services. Low operating costs are obtained by purchasing single type aircrafts from single manufactures (Zemke & Woods, 2009). This reduces the costs required to train the personnel, maintain the aircrafts and purchase spare parts. Third party services are contracted to cater for aircraft handling and ticketing. On short routes, Ryanair has utilized the point-to-point services. Its flights are made in a manner that discourages customers from booking connective flights since it does not facilitate connection flights. It aims at minimizing the cost incurred in these flight connections in the form of transit passenger assistanc
Introduction The stores diversity is an ardent supporter of diversity in its staff and in supporting other diversity related issues especially in harmonizing races and cultures. In February for example Wal mart donated $250 000 to the Museum of African American History in Boston. The funds were to be used in restoration of the African Meeting House located in that area. The company also sponsors other numerous diversity events in the US that discusses contemporary issues in the society. On another front the firm portrays its liberal mind in supporting same sex marriages that are a no go zone for other corporate. The company however has ran in trouble over some videos released recently showing the firm’s top executives mocking women over sex. The recorder as the owner of the copyright is selling the video which Wal mart has unsuccessfully tried to buy to protect itself. Wal mart legal trouble Wal mart is one of the largest chain stores in America and the world at large. In the recent past the organization has gone international in sourcing its products and even in opening new store such as in Canada. However the expansion program and its command in the retail market is threatened by recent legal battles pitting the organization against individuals and the most prominent one being On shank. The giant retail chain has in the recent past been appearing in the media over a case which many judged emotionally. The case involved Debbie’s Shank who eight years ago (before a tragic traffic accident) worked with the organization. After the accident however, she could no longer work as she sustained seri
Schizophrenia is considered to be a kind of mental disorder resulting in perception abnormalities. It is a chronic disease affecting human brain activities which are characterized by hallucinations, delusions, and disorganized behavior. According to the statistical data, about 1.1% of Americans suffer this severe disease, in most cases at the age of 18-30. Psychosocial treatment is one of the most important aspects in the fight with schizophrenia because it helps patients to overcome communication difficulties and cope with some social problems. Very often this disease is treated with the help of haloperidol, a kind of injection used as a medicine against brain disorders and psychotic states. Haloperidol is an active ingredient that is considered to be antipsychotic. It is used in schizophrenia treatment as it blocks a variety of brain receptors which is very important for dopamine overactivity prevention. This kind of medicine is helpful for the control of psychotic illness. Haloperidol positively affects the human brain improving distributed thoughts and a patient’s mental condition. It provides a calming effect on the general state of the patient and brings some relaxation to the human psychological system. But it should be noted that despite all the positive effects produced by haloperidol, it can cause some abnormal symptoms after its usage. The patient should compulsorily consult the doctor if he feels the following symptoms instead of activity rate increase:   * Drowsiness;   * Abnormal movements of jaw, tongue, face, or lips;   * Fever, fast breathing, sleepiness or muscle stiffness;   * Depression and passiveness;   * Lethargy and restlessness. Haloperidol may cause a very severe rate of depression and low interest in social activities. It is usually can be observed during long-term treatment. It is important to stress that this psychiatric medication causes different symptoms which in most cases depend on the general patient’s state and the term of his treatment. If the symptoms are too dangerous and abnormal the doctor should either stop its usage or increase the dose. The patient usually feels complete antipathy to all kinds of activities and the great depression. These symptoms are usual and are observed very frequently. In such cases, the doctor should try to control the mental and emotional condition of his patient because sometimes haloperidol depression rate results in suicide. Thus, effects caused by haloperidol can be serious enough and lead to abnormal actions of the patient. But the usage of this medication is vital for schizophrenia treatment. It is important to establish a proper dose for the patient for him not to suffer sharp medication effects. The patient is not to start or stop using haloperidol without consulting the doctor
I have joined American Association of Nurse Practitioners (AANP) as a student because it provides me with an opportunity to have access to up-to-date news that focus on topics associated with the sphere of healthcare. Moreover, this membership is advantageous for me as a student and a nurse because it provides resources needed for professional growth and knowledge that can be used in practice. Being a member of AANP, I can be sure that I will always be supported by my colleagues and will not be misled by invalid or unreliable information. The mission of AANP is to “to empower all nurse practitioners to advance quality health care through practice, education, advocacy, research and leadership” (AANP, 2018b, para. 1). It is aligned with the vision of the organization. AANP is willing to promote healthcare providing high-quality services to the diverse population. In this way, the organization values integrity and encourages its members to make ethical decisions, be reliable and respectful, and to reveal true to life information. It emphasizes that nurses and nursing students need to improve their services constantly, ensuring that they meet expectations. Professional behavior and accountability are valued as well as dedication to nursing. AANP encourages nurses to be innovative and proactive leaders who can benefit their clients. In order to become a member of this organization, an individual needs at least to complete an NP program. It is advantageous if one maintained certification as well. These people should have the right to vote as well. An entry-level program is available for nursing students who have not received any degree yet and for post Master’s students who decided to improve their knowledge and returned to school. Career starters retired, and associate nurses and NP organizations also have an opportunity to become a part of AANP. All members of AANP are required to pay annual dues (“Student membership,” 2018). No other requirements exist, which proves that there is no difficulty in becoming a member of this organization. For students, in particular, AANP membership provides a range of benefits (Karns, 2014):   * Education and career. Students can have free access to educational activities, discounted registration, and application for certification. They can have advance notice of jobs and an opportunity to enter online communities. Moreover, they can receive an additional scholarship and grant opportunities.   * Advocacy. Students gain access to proactive advocacy and consultation. They can be involved in surveys and receive information associated with state legislation analysis.   * Journals. Free and discounted subscription is provided.   * Practice tools. Discounted medical ID jewelry becomes available.   * Involvement. AANP online conversations can be joined.   * Discounts. Savings can be made when dealing with retailers, finance organization