ShantanuT01/DACTYL-Pretraining huggingface dataset:
Abstract Hospitals are very sensitive places, and there is a need to ensure that proper coordination and communication is maintained. This paper seeks to discuss some of the best strategies that can be used to improve the quality of service delivery within a hospital setting. Some of the issues that have been identified are the expansion of the waiting room, having different waiting rooms for children, adults, and patients with contagious diseases, and organizing in-service classes for the nurses. Strategies that can improve the efficiency of this facility include in-service education for the healthcare providers, improving the state of the equipment at the hospital, and increasing the number of personnel. Objectives Analysis of this hospital has confirmed that there is a need to make improvements in various departments within the hospitals. Patients need a relaxing environment when they visit healthcare facilities to help them psychologically. Clean, spacious, and well-ventilated rooms help them by ensuring that those with contagious diseases do not spread it to other patients. The following are some of the long-term objectives that this hospital should give focus on.   * To expand the building structure to have separate waiting rooms for adults, children, and patients with communicable diseases.   * To install an inter-departmental communication system that would enable all the departments to share patients’ information as first as possible.   * To develop a comprehensive curriculum the staff would follow for their in-service education to improve their efficiency. To achieve the above long-term objectives, the management of this hospital must work in close coordination with the staff to understand the current needs. The following short-term objectives would help elevate the current condition of service delivery.   * To improve the speed of service delivery by improving the capacity of the current work-force, and increasing the number of employees to reduce the time taken by patients in the waiting room by half.   * To improve communication between departments by developing a clear guide in which files from one department would reach other necessary departments within the shortest time possible. These objectives would be pivotal in ensuring that service delivery at this firm is improved to meet the needs of the patients. However, achieving these objectives requires a clear strategy that would be used by the top management to ensure that the needed success is achieved. The management must develop actionable strategies that would be used at various management levels to ensure that the set objectives are achieved as a way of improving service delivery of this facility. The strategy should be conscious of the financial and time constrain that is needed to ensure that this project can be successfully achieved. Having identifie
Introduction I have always wanted to help people. I believe that the major aim of any person is to help others. Thus, if I was offered to become someone for a day, this would be Molly, a teacher in a school for troubled teenagers. I think this is one of the most challenging and enjoyable ways to teach and learn really valuable lessons. I understand that troubled kids make mistakes and make some indecent things. However, they often do bad things to get more attention from adults. They are quite vulnerable and really want to fit in. Nonetheless, these desires are often hidden by these kids’ ‘toughness’ and only few adults manage to see the great potential in those young personalities. I would try to teach those teenagers reveal their abilities and show what they can. At the same time, I am sure they would also teach me a lot. I would definitely learn lots of important lessons while working with troubled teenagers. Main Body My working day would begin early. I would do some exercise with my students. I know that keeping fit helps people be healthy and positive. I would choose a beautiful place to enjoy the view and make us stronger. I believe nature is the best source of positive emotions. This can help teenagers understand that the world is beautiful and it is worth being a part of it. After the exercise, we would start learning and teaching. We would work with our hands. We would have certain workshops where we would create helpful and beautiful things. Working together on some models or projects would help them work in a team. These young people would understand that it is important to work in a team. They would also learn to trust each other and to trust other people, which is very important for their future. I would also choose some teambuilding activities to make each member of my group more supportive. I would help young learners study more effectively. I would pay special attention to literature as I think reading the right books helps the teenagers find their ways in the society. I am sure that books are perfect sources of knowledge and experience as from books teenagers learn what is right and wrong. It is necessary to note that all our classes would be held in the form of discussions. These young people need to understand that someone is interested in their own ideas, in their own approaches. They must understand they can speak and they should speak and express their viewpoint. Hopefully, I would be able to create a group of people who can express their viewpoints and who are ready to become a part of their community. Doing sports, working together and discussing books would help me make those teenagers a good team where each member is supportive though has his/her own viewpoint. I would help them understand the importance of following rules and t
Respiratory alterations are ranked as the leading cause of respiratory illnesses in infants and children. Depending on the organs affected, these respiratory disorders can be classified either as upper respiratory disorders or lower respiratory disorders (Huether & McCance, 2012). The former affects organs that include the nose, the ear, the larynx, and the pharynx while the former affects the bronchi, the trachea and the lungs. It is incumbent for advanced practice nurses (APNs) to draw a distinction between severe and moderate respiratory illnesses and offer a proper diagnosis and prescription to patients that seek their professional help. APNs can only execute this mandate after they have a clear understanding of the pathophysiology of different respiratory disorders. Infants are prone of contacting respiratory disorders. This is because of their immature immune system, underdeveloped supporting cartilages and smaller airways. These expose infants to respiratory illnesses. Their small airways can get obstructed when mucus accumulates in the system. Additionally, their immature immune system can also not withstand some mild attacks that a well developed or mature respiratory system can withstand. In scenario 1, Ms Teel’s baby is brought to the APN and the mother fears that the infant might be suffering from RSV. This is the correct diagnosis because of the chronic nature of the cough. Viral infections do not respond to medication. Again, infants whose immune system was affected by a previous infection are susceptible to such chronic attacks. This is because of the weakened immune system. Pathophysiology of RSV The chronic cough exhibited by the infant shows that there is a likelihood that the infant’s lungs might not have developed properly. The infant’s lung might be lacking in surfactant, a material that is responsible for structural support and prevents collapse of the air spaces during the normal course of breathing (McPhee & Hammer, 2012). In a properly functioning lung, the surfactant packed with lamellar bodies which extrude into the air space and folds to form a lining of the air space. This lining helps in reducing the surface tension exerted on the air space by the fluid that lines the cavity of the air sac (Shanley, Wheeler, & Wong, 2007). Approximately two-thirds of the recoil forces that occur inside the air space can be attributed to surface tension. The reduced surface tension caused by the surfactant prevents the total collapse of the air spaces during exhalation and also causes the air spaces to re-open with a lower amount of force. This shows the important role played by surfactants in ensuring that the air spaces functions as they should (Iannuzzi, Rybicki, &Teirstein, 2007). A lung with insufficient amount of surfactant can be seen microscopically showing expan
Introduction Direct costing, which is also known as variable costing has been used most predominantly as an alternative to absorption costing over the last 70 years. Even though absorption accounting, as suggested in accounting textbooks, must be employed in preparing income tax reports, financial statements as well as in defending pricing models, a number of times, variable costing has served the same purpose up to and including defending the price practices. It is claimed in some quarters of the corporate world that, some companies are shifting to variable costing to achieve some form of consistency between the way decisions are made since it relies on variable costing and the way these decisions are reported by financial accounting systems. This paper will therefore try to compare and contrast absorption costing and variable costing, giving details of the advantages of the latter and weaknesses of the former. It will also endeavor to explore the reasons why absorption costing is preferred despite its weaknesses (Schiff, 1987, p. 36-39). Absorption costing vs. Variable costing Definitions Absorption costing, also known as the traditional costing is a commonly accepted accounting principles for external reporting. It entails all the tools of manufacturing, variable and fixed overheads as well as direct materials and labor. It refers also to full costing. Variable costing on the other hand, entails only the variable tools of manufacturing , that is, variable as well as direct lab
Background Information From 1890, a new journey aimed at revolutionizing the American social, economic, and political structures began. According to the pioneers of progressivism, American society had been characterized by numerous social and economic problems. 1 The rate of industrialization experienced in the country before the era led to numerous challenges such as corruption, inappropriate leadership, child labor, racism, discrimination, and poor representation. According to progressives such as Ida Tarbell, Jane Addams, and Jacob Riis, the right time had come for America to redefine its future. Relationship with World War I To achieve the intended goals, many progressives began by exposing the major evils and challenges that were affecting the United States towards the end of the 19 th century. American society was facing numerous evils such as increased cases of immigration, corporate greed, discrimination, and racism. 2 The most appropriate strategy at the time was to redefine and embrace the power of democracy. During the time, Theodore Roosevelt believed strongly that it was the right time for the people to address the problems affecting the nation. The Progressive Era cannot be studied without mentioning the First World War (initially known as the Great War). The emergence of World War I was a clear indication that social rots and evils were affecting every country across the globe. Before the war, the world had recorded numerous challenges, unrest, and enmities. Throughout the 19 th century, the world had come into terms with the unique problems associated with nationalism, militarism, and imperialism. 3 Such concepts catalyzed numerous struggles, especially in Western Europe. Theodore Roosevelt argued that the right time for America to develop strong and ethical corporations had come. By so doing, the country would find it easier to embrace the idea of democracy. Quality education was supported to deal with racism, poverty, and class warfare. 4 With these developments, the stage had already been set for the First World War. The First World War was therefore the culmination of the Progressive Era. 5 This was the case because the war was a response to the forces of nationalism and militarism that defined the 19 th century. Many analysts have stated clearly that the Great War was mainly aimed at making the world better. 6 Many leaders during the era believed strongly that World War I marked the end of progressivism and created a better society for more people. Importance of the Era The implemented agenda encouraged many people in the country to register as voters. 7 By so doing, the people would influence the major issues affecting the country. Many people were willing to fight political corruption and inequality. According to many historians, Progressivism was a long journey that could not end any time soon. This was the case because most of the challenges affecting Americans such as racism and inequality were deeply ingrained in society. Historians argue that World War I indicated clearly that the goals of the Progressive Era could not be easily achieved. World War I created the best environment for a dead
Introduction The aspect of faith is a contentious issue and therefore different Christian denominations have different beliefs in various aspects pertaining to God, the Supreme Being. There are however certain elements of faith that are almost universal to all Christians while others are treated differently. The Nicene Creed that emphasizes on the Blessed Trinity, for example, attracts different views as some completely adhere to it while others reject it on the basis that it is not part of the bible. This paper tries to evaluate the Church’s understanding of mystery of the Blessed Trinity and the various arguments associated with it. The Blessed Trinity and the church The Blessed Trinity comprises of the Father, the Son, and the Holy Spirit as one body and spirit. It shows the unity among the three parts in one God. It is given high emphasis in the Nicene Creed which is adopted by most churches including the Anglican Church, the Eastern Orthodox Church, Oriental Orthodox Churches, Assyrian Church of the East, the Roman Catholic (Old Catholic Church and Eastern Catholic Churches), the Lutheran church and most Protestant denominations. Some churches and Christians however consider it as unauthoritative because it is not part of the bible, for example, the Church of the New Jerusalem and the Jehovah’s Witnesses. [1] According to the Nicene Creed, there is only one God who is the creator of everything that is visible and invisible, one Lord Jesus, the Son of God who was born of the Holy Spirit through the Virgin Mary for the sake of our salvation, crucified, suffered and died for our sins then rose and asc
The concept of ‘state’ is widely discussed by scholars from various points of view which can differ greatly. These different approaches to the analysis of this notion depend on the peculiarities of the historical, social, and economical development of definite countries. Thus, the peculiar features of the realization of the ‘state’ concept in the Middle East and North Africa are predominantly based on the factors which are characteristic for the historical progress of the region. To understand the processes which are typical for the growth of modern states in the Middle East and North Africa and which are characterized by interventionism in politics, economy and the low level of legitimacy, it is necessary to pay attention to the aspects of the development of the states in the context of historical events and international relations with the countries in the region. What are the main aspects which influence the formation of such types of Eastern states which act in the regional and world arena today? The first point which requires its further investigation is the issue of the role of the society in these states. There are a lot of factors which affect the development of the state in the Eastern part of the world more significantly than the norms of the state’s development, regulations of the structure presented in the form of laws. It is typical for these countries to base the laws on the religious aspects. Moreover, as the result of such a tradition other definite factors increase their role. Thus, the role of “tribalism, sectarianism, regionalism, primordial sentiments, and ascriptive identities in Middle Eastern politics contributed to the view that the state is little more than an arena of socially engendered conflict or an instrument of family, sect, or class domination” (Anderson 1). It is impossible to ignore this fact while discussing the peculiarities of the economical development of the region because all the current relations in it are based on definite historical events and are often justified by the religious norms and rules. This situation can be considered as having certain negative effects for the states’ development. The most important contradiction of the economical and legal progress between Western and Eastern states is in the fact that when the Western world’s economy develops on the principles of openness and globalization, the Eastern states continue to realize the principles of political and economical interventionism and hegemony in the region (Ayubi). Thus, the problem of boundaries in the Eastern region contradicts the globalization processes in the world. During long periods of time Eastern states led the wars for the expansion of boundaries and realized the interventionist’s intentions (Ayubi). “The frequency of border conflicts may be an indication of the novelty of the state’s territorial integrity, while the ambiguities of loyalty and legitimacy characteristic of the Middle Eastern politics may indicate the fragility of the present-day states” (Anderson 2). The result of such a situation is the existence of the countries in
Introduction The Internet has brought about many changes in the consumer world. There have been various advantages that have been developed to make life easier for many people. With these advancements, it has become easier to conduct many traditional activities online. These include communication, purchases, and sending important data. The development of online companies like eBay has enabled consumers and producers to gain because it provides an online avenue for conducting business transactions. About the site (eBay) EBay is an online website that provides an avenue for buyers and sellers to buy and sell goods. Thus, consumers can easily get the goods and services that they want by simply going through the website and finding the deals that suit them. It also offers an auction service where consumers can bid for the prices of various products and services. EBay as a company was founded in 1995. Its success has been attributed to the increasing use and access to the Internet. This has increased the website’s audience, making it grow fast over the years. The company operates in over 130 countries, thereby becoming a multi-billion dollar company (Collier 330). The company is owned by Pierre Omidyar, a computer scientist. It began as a personal website, but he was forced to upgrade by his service provider. During this time it was known as AuctionWeb whereby it provided an online avenue for companies to conduct online auctions. Pierre was forced to charge users of the site because of the high traffic the site was getting during its initial days. Thus, he got the first eBay employee who handled the fees paid by users. The company’s first president was employed in 1996, thus it signaled the evolution of the company into an online e-commerce website. In its initial days, the company was usually involved in online auctions. Thus, it was able to conduct over 2,000,000 online auctions in 1997 in comparison to 1996 whereby only 250,000 online auctions occurred. The company then began to consider business activities beyond auctions. Thus, it changed its name to eBay in 1997. The company belonged to a consulting firm owned by Omidyar called Echo Bay Technology group. Thus, the website was to be located at the domain echobay.com, but a different company already owned the name. Omidyar then named it eBay.com, a shortened version of his consulting company (Collier 322). Major progress for the company occurred in 2002 when it purchased PayPal. Thus, it was able to make a service that enables people to save money within PayPal and use it when making transactions. Thus, this service made it easier to securely send and receive money over the Internet for any company or individual with an email account. EBay in e-business EBay is a company that has witnessed increasing growth over the years. It
Introduction Cinema representation of death is an important issue particularly in documentaries (Ryan and Lenos 23). This paper presents a critical comparative analysis of how death is represented in the documentary Silverlake Life: The View from Here and the fictional movie Die Hard . The analysis exposes the strong divergence between documentary and fiction representation of death. The focus is more on Silverlake Life: The View from Here because of the movie’s unique portrayal of death. The difference in death representation between documentaries and fictional movies is strong because while fiction allows for more flexibility in how events are portrayed, documentaries seek to expose reality and stimulate more emotions from viewers. The way death is portrayed in a movie will influence the viewers’ emotive reactions. Death Portrayal in Silverlake Life: The View from Here Silverlake Life: The View from Here is a nonfictional autobiography that exposes users to the death that is real, true, and slow. This movie directly exposes the issue of death from Tom Joslin’s documentation of his continuous physical deterioration caused by AIDS. Peter Friedman post-produced the movie and used editing to expose different stages in Joslin’s self-documentation of his life, his illness, and his gradual dying process. The movie provokes viewers to judge their personal lifestyles with regard to how death is portrayed in the movie and the general themes of the movie as a whole (Sobchack 245). Analysis The way death is portrayed in Silverlake Life even differs from other documentaries because only the viewer witnesses Joslin’s death. According to Shoback, at least “two viewers are ethically implicated in their relations with the viewed event, both the filmmaker viewing the death through the camera and the spectator viewing the film that makes the death visible” (244) because the director is the subject of the movie and does not see himself die. Notwithstanding the fact that nobody is actually capable of witnessing their death, the decision to document his death remains an ethical issue. The director exposes death in its authenticity and also shows the impact of AIDS especially on homosexuals by editing the movie in a way that the viewer becomes acquainted with his partner Massi and sees how Joslin dies. The viewer is exposed to the gradual process of death from the eyes of Joslin’s partner, and this makes the film more concerned with the ethics in the significance of the rationality of homosexual love conveyed in the film. The emphasis of Joslin’s love for Massi is significant both during the narrative and the production of the movie. The movie focuses both on the process of dying from AIDS and the love shared between homosexuals. The movie also depicts Joslin’s family’s reaction and approach to his homosexu