ShantanuT01/DACTYL-Pretraining huggingface dataset:
Position of the Thesis Statement In the essay titled “The War on Drugs vs. the Opioid Crisis,” Quintrione Dunlap has placed his thesis statement in the last sentence of the second paragraph. The thesis statement states, “The victims of the opioid crisis are being treated better than past victims of the war on drugs because of the demographics that it affects” (Dunlap 383). His decision was informed by the need to create a strong background for the thesis statement, which could not be captured in a single introductory paragraph. Ostensibly, the essay does not include a counterargument, but the author still conveys his argument succinctly. Importance of Incorporating an Interview The incorporation of an interview in scholarly writing serves as the basis of credibility, as they are a primary source of information. Dunlap weaves interviews responses to the essay to show the Americans’ perspectives on the authorities’ responses to the opioid crisis, although he opts to conceal the interviewees’ identities. As in the case of Dunlap’s work, it is apparent that the use of interviews in essays is recommended, as it makes the argument stronger and the work more credible. Incorporation of Block Quote Dunlap has incorporated two long quotes in the essay to support his argument. Long quotes, also called block quotes, are introduced on an independent line, detached from the main text, entirely indented as a block by ½ inch, and citation added at the end of the verbatim (Harris 56). The quotes support Dunlap’s arguments in the two subsequent paragraphs by showing what authorities and Americans think about the opinion crisis. Comments on the Conclusion Dunlap’s conclusion is effective because the author has reiterated his main argument and included supporting points, although he has incorporated new information in it. It would have been much better had he used a signal phrase to mark the start of the concluding paragrap
Event Sponsorship Proposal This report aims at giving the details of the 2014 Joondalup festival, which will place in the city of Joondalup. The report gives an overview of the management of the event, the benefits of the participating firms and individuals. In addition, the report focuses on identifying the theme of the event, objectives associated with the event and the philosophy of the event, among other event aspects. The management The management of the event is the responsibility of the authorities within the city of Joondalup. The management teams are chosen from various departments because the event is usually quite diverse with regard to the main activities. For example, there are music activities, performing arts and sporting activities, among others. The members of the management team ensure that the event is carried out successfully to meet its goal of uniting people. In addition, the management team ensures that firms that sponsor the event have excellent opportunities for marketing their products (Grey & Reid, 2003). Deadlines for action All events should be organised while considering some deadlines for actions to ensure that all activities are carried out as planned (Allen, O’Toole, Harris & McDonnell, 2011; Goldblatt, 2005; Sonder, 2004). In fact, the deadlines for actions with respect to the event in the city of Joondalup are planned in such a way that attendees, exhibitors and sponsors have adequate time to execute important aspects of the event. The calendar of the event shows that activities are planned to take place throughout the week. Event description Theme of the event, event objectives and event philosophy The event aims at uniting people in the local community for a common purpose of strengthening connections, as well as sharing and broadening ideas through the cultural festival (Allen, O’Toole, Harris & McDonnell, 2011). The philosophy of the event is based on the principles of harmony that is achieved when people meet and share their various aspects of lives. Logistics The event will take place in the city of Joondalup in May. The location is a perfect avenue that has been used in the past to host the event. In fact, the metropolitan nature of the city helps it to be a perfect location for
Section A1 VBP is essential for improving health care services and staff performance. Abbott Northwestern Hospital in Minneapolis has already experienced its advantages. As an acute care hospital, Abbott Northwestern Hospital is eligible for the Hospital VBP Program. So far, the hospital has sufficiently embraced VBP in the domains of patient safety and patient and caregiver-centered experience of care. Particularly, such a significant patient outcomes factor as communication with the hospital’s medical professionals was considerably improved. The organization has consistently high staff responsiveness, doctor communication, and nurse communication indicators. Nonetheless, some other VBP aspects seem to lack. Overall, Abbott Northwestern Hospital seems to rely on the VBP standards of hospital performance to an adequate extent. Department A B1. The emergency department functions as a gatekeeper and a hub. ED often faces the need to contain costs while increasing quality (Von Eiff & Von Eiff, 2016). Thus, the department is essential for implementing VBP’s standards of efficiency and cost reduction.                                                                                                                          B2. Optimize the ER patient flow within the next three years. ED overcrowding not only substantially worsens patient experience but possibly impacts health outcomes by delaying the time of treatment (Salway et al., 2017). In addition, ED crowding is expensive – it causes preventable expenditures. Optimizing ER patient flow would enhance the hospital’s efficiency and reduce costs. B3.                                                                                                                                                                                                                                                                                                                                                                                              1. Increase the effectiveness of intradepartmental communication for improved patient flow and patient satisfaction.                                           1. Measure the performance of the hospital’s patient flow team and turnaround time (TAT) to identify areas needing improvement.                                                                                                                                                                                                                                                                 2. Re-examine record-keeping practices to maximize interdepartmental communication.                                                                            2. Innovate the department by implementing point-of-care testing (POCT).
Introduction Critics have described Dr. Jekyll and Hyde as a book almost completely devoid of female characters and roles, which largely is true given that, for the most part, the cast and action are male-dominated. Both the doctor and the butler are bachelors and, despite the fact that Edward Hyde’s atrocities involve women, the writer hardly humanizes them through vivid description save for a few generalities. In response to this, Valerie Martin decided to retell the story from a feminist perspective in Mary Reilly by assuming the viewpoint of Mary Reilly, a female character whose presence had been ignored in the original book. In the original text, she suffers the double “tragedies” of being a woman in a patriarchal society, and a servant, which makes her story even more unlikely. The following paper will discuss the relationship and love between Mary and the doctor, where the former falls in love with the latter, although her love tragically proves incapable of saving Dr. Jekyll from himself. Body In her character exposition, it appears that Mary retrospectively suffered considerable abuse at the sadistic hands of her alcoholic father. “He’d slapped once and pulled me about by my hair before he lit on the cupboard” (Martins 4). Nonetheless, she has managed to cope and find a reason to live despite her bleak conditions, and this resolve that makes it possible for her to love and even sympathize with the depressed, self-destructive doctor. She has no illusions about her role in the house, and she knows the people upstairs rarely notice or include her in their lives. However, she includes them in hers and sometimes even sees them with more clarity than they see themselves. With time, she develops feelings for Dr. Jekyll, who is the epitome of a good master and man. He ensures that his house is well run and managed and that the servants are treated considerably better than is the case in other households. She is concerned, therefore, when her master appears to be intent in ruining his own health through a series of chemical experiments. In addition, there is the worrying and abrupt appearance of the diabolical Edward Hyde to whom they are to defer and extend the same respect as their master. Although she rarely encounters her master, she interprets every glance and even minor signs of intimacy as subtle displays of affection. For example, when he is examining her neck, her reaction shows she is clearly infatuated. “I closed my eyes for a second as I felt the blood rushing to my face” (11). Furthermore, the casual concern with which he responds to her inquiries about his health especially makes her practically swoon over him with love. However, despite the emotional attraction, the status quo does not allow her enough leeway to save him from himself. When he notices the scars on her body, he asks her to chronicle the events behind them. Consequently, she feels an overt intimacy developing between them, whic
Introduction As per the agency theory, conflicts arise where the principal, or owner of the business, appoints another party, known as the agent, to act on their behalf. For most companies, two types of conflicts come about: conflicts between shareholders and debt holders, and conflicts between shareholders and managers. In multinational companies (MNC), conflicts are much higher given the size and complexity of the MNC (Jensen & Merkling 1976, 360). For a typical MNC, the top management has to further delegate authority and control to foreign subsidiary managers which may create conflict between the top management of the parent company and foreign subsidiary managers, who act as their agents. Agency conflicts Agency conflict arises due to differing interests and the asymmetry of information between the principal and the agent. Shareholders and debt providers have different interests as to the use of funds provided. Shareholders may require managers to invest in high risk activities that promise high returns so as to achieve maximum returns on their investments. From the debt provider’s point of view, such activities increase the risk of default. In the event of success, shareholders will reap the most returns while debt providers only receive the fixed interests; hence there is no incentive for them to agree on risky projects. In the event of failure, both the shareholders and the creditors share the losses (Foss and Foss 2005, 543). The agency problem is a feature of most modern organizations which separate ownership from control. The shareholders of are the owners of the company, while the management serve as their agents, and are in charge of operational decisions (O’Donnell 2000, 538). The primary task of the management is to maximizing the shareholders’ value, through increasing profits, although this is not usually the case due to differing goals. There exists information asymmetry between the principal and the agent since the agent is in a better position to gauge their capabilities in comparison with owner expectations, and because the managers have more access to information due to the daily involvement in the business of the owner (Birkinshaw & Hood 1998, 785). The agency problem that exists in multinational corporations can be defined by the agency relationship between the headquarters’ top management and subsidiary managers. Subsidiaries of the parent company do not always follow the interests of the headquarters, and often pursue their own goals. Therefore, the headquarters and the subsidiaries may have different interests which may cause the MNC to fail in achievi
Introduction Place is highly significant in literature since it is to a very significant extent, determinant of how all other aspects of a literary work are understood. Although it is usually considered a lesser element in comparison to say plot and characterization, place is of such significance in literature as to warrant more attention than it usually does. In this paper, I will show that place is at least important as, if not more important than other literary aspects usually considered to be of more importance. The novel ‘Coming to Birth’ by Marjorie Oludhe Macgoye will serve as my reference towards the achievement of this purpose as I will attempt to show in this discussion. Firstly though, it is important to conceptualize the term Place. There are two possible ways of understanding Place. The first is place as the fictional space where the action of a story takes place. At the same time, place may be approached from another perspective; that is without the text. In this case, the actual place that the author has been exposed to, and which serves to inspire fictional place, becomes essential. I will begin with the concept of place as within the literary text, as the fictional space in which the action of a story takes place. Critical consideration of place in a work of art can never be divorced from time however, on the other hand, space cannot exist outside of time and vice versa. Whenever spacial context is alluded to therefore, its temporal aspect is, as a matter of necessity, implied. In this paper therefore, any reference made to space should be understood to have automatically taken its temporal element into consideration. For this reason that engagement of both in equal measure poses the risk of shifting our focus from place to setting, more attention will definitely be paid to place than time. As mentioned before, space colours the perception and comprehension of all other literal aspects since they exist in it. As such, we can see how space provides room for their interaction. The consumption and criticism of literature therefore is highly influenced by the space in which literary work was set. Aspects such as characterization, thematic concerns, mood, plot are all dependent on space for their functioning as a harmonious whole. These elements will be considered one at a time in a bid to prove the centrality of place for objective criticism of the novel Coming to Birth which will serve as my reference for the achievement of this goal. Background of the book Coming to Birth Coming to Birth was published in Kenya in 1986. However, the events of the book captures actual historical events that had taken place even much earlier in Kenya and documents Luo’s cultural practices that are historical. It was written by Marjorie Oludhe MacGoye, an English woman who migrated to Kenya as a missionary bookseller, married D G W MacGoye, a Luo, and eventually settled permanently in Kenya. The text has been chosen since it presents a literary wor
Introduction As a student aiming at becoming a Nurse Practitioner, I am currently focusing on the exploration of the options for managing the work of the nursing staff, as well as seeking the opportunities for improving their competencies and identifying the ways to enhance the efficacy of the nursing services provided. Therefore, I believe that the issue of management, in general, and communication along with the conflict-resolving strategies, in particular, are essential in enhancing the overall nursing services quality. Despite the recent technological and research-related breakthroughs and the following numerous discoveries that swept the realm of nursing, there are a lot of white spots that need to be filled. Focusing on the issues that need to be addressed and designing the framework that will help increase the quality standards in the designated area should be the key priority for Nurse Practitioners at present. Literature Review and the Problem An overview of the recent nursing studies has shown that the issue of tending to the needs of people with learning disabilities is currently among the primary concerns. Although the number of patients with the identified diagnosis is getting increasingly larger, the number of solutions concerning the services that a Nursing Practitioner can provide to the target audience is very small (Sheehan et al., 2016). For the most part, the current studies point to the necessity for creating a safe environment for the identified type of patients (Beaver, 2014). Although an admittedly important goal, the identified approach does not imply that the patient is capable of acquiring the basic skills at a moderate pace and using them correspondingly. Instead, the current nursing approaches tend to create the environment, in which the patient does not feel the urge to evolve and, therefore, prefers to maintain a consistent lack of the proper abilities. The fact that patients with learning disabilities are often underrated as learners should also be brought up (Keller, Fisher, Marks, & Hsieh, 2014). A recent study points to the fact that people with specific learning disabilities may show impressive skills in other domains and, in fact, be capable of acquiring information in a rather fast manner. However, nurses tend to overlook the identified specifi
Within patient reporting recent suicidal thoughts and past suicidal attempts, do you feel starting her on Lithium is appropriate at this PHP level of care and setting? The case of this patient is complex and requires certain evaluations. On the one hand, Lithium seems to be an appropriate decision for treating this 31-year-old woman who is diagnosed with alcohol use disorder, bipolar II disorder, and generalized anxiety disorder (GAD). Lithium was proven one of the best suicide preventing options for long-term treatment (Lewitzka et al., 20115). Compared to placebo, lithium can be a part of monotherapy or pharmacotherapy along with antidepressants (Kessing et al., 2018). There is no definite answer to the question of how lithium helps patients. Still, the possibility to reduce the risks of suicides among people is the achieved outcome that makes physicians and psychiatrists choose this medication. On the other hand, it is necessary to admit that in addition to the already mentioned mental health complications, the patient suffers from multiple suicidal thoughts and attempts during the last ten years with only two psychiatric hospitalizations. The level of her participation in patient hospitalization programs remains zero. Lithium, as well as other medications, is characterized by toxicity and overdose in case it is not observed by a professional practitioner. The use of this medication can be lethal for some patients. Therefore, it is recommended to change traditional treatment (if this one is chosen) to treatment under thorough observations in a clinical setting. The patient is the mother of three children. She may not memorize things and forget to take medications or hide them to protect her children. Her treatment should be safe for her and her family. Therefore, Lithium can be appropriate at this PHP level of care only in case the level and the setting are changed for the next two weeks. With history of bipolar and presenting depressed mood, would you consider starting this patient on Lamictal at this point in place of Lexapro? Modern patients are free to choose treatment methods that can be offered in hospital settings. Lithium and Lexapro are the drugs that are frequently recommended for patients with bipolar disorders, suicidal thoughts, and depressed mood. In this case, the patient possesses the characteristics of all these mental health problems and has to deal with them in order to be a good mother and a socially responsible person. However, there is also the way of treatment that includes Lamictal, also known as Lamotrigine. The investigation by Terao, Ishida, Kimura, Yarita, and Hara (2017) shows that Lamotrigine is effective for patients with bipolar II disorder. This drug helps to reduce the frequency and severity of mood changes in bipolar disorder patients. However, Lexapro is defined as an antidepressant with few adverse effects compared to other selective serotonin reuptake inhibitors (SSRIs). The comparison of Lamictal and Lexapro shows that both drugs are approved by the FDA. Both of them aim
Presidential debates play a key role in the race to White House. For that reason, President Obama and Mitt Romney approached that debate with caution and optimism. In addition, political analysts concluded that that debate was among the best in history. Nevertheless, a good number of Americans thought that Mitt Romney outsmarted President Obama. 72 percent of those who watched the debate agreed that Romney won, and around 20 percent believed on the contrary. A poll conducted by Gallup showed that Obama led Romney by four points, prior to the debate, according to the opinion polls. However, that lead was cut to three points after the debate. This essay gives an insight into how Romney and President Obama faired in the first presidential debate. Most people thought that Romney won the debate. However, some claimed that he won because he had made up more stuff than President Obama had done. Conversely, others believed that he was more persuasive and articulate than the incumbent. Additionally, some analysts and media houses thought that Romney’s statements contradicted what he had talked about earlier. For instance, he said that pre-existing conditions would be considered in his health care strategy. However, his healthcare plan covers pre-existing conditions for those who have continuous coverage only. President Obama was also not left unscathed despite having lost that debate. Some people argued that he implied that Donald Trump’s business lay in the category of small businesses. However, it is obvious that Donald Trump’s business cannot fit in any category of small businesses. Therefore, both aspirants were guilty of lying to the US electorate. This proved that the US presidential debate was based not on clarity, resolutions and real vision, but on charisma and money. Based on who won the debate, Romney polled the majority of the independents while Obama polled the democrats. However, most polls showed that the support of the two aspirants was unchanged among core party members. For that reason, their support base remained intact. Nonetheless, most swing voters thought that Romney was more convincing than President Obama. Furthermore, the Daily Mail reported that close to 47% of the swing voters felt that none of the two convinced them. This is a clear indication that the battle for the swing votes was far from over. Despite Obama was talking longer than Romney in the debate, most Americans thought that he was less dominant. However, most people believed that Romney controlled the agenda of the debate. For instance, when faced with head to head disagreements and comparisons, Romney used his record as the governor of Massachusetts to articulate his points. On the other hand, Obama, a great orator, as shown in the past, looked like a shell of himself. A closer look at the debate reveals that no one made an embarrassing mistake. However, Obama’s opening and closing remarks were wanting. The only remarkable thing in his closing remark was when he stated that he still had faith and confidence in America’s future. On the other hand, Romney opened and closed the debate in his own sty