ShantanuT01/DACTYL-Pretraining huggingface dataset:
Patient Initials: A.R.  Age: 60  Sex: Male  Subjective Data Client Complaints: The patient reports decreased urinary flow and dysuria, but there is no radiating pain. HPI: The symptoms have worsened during two recent weeks. The patient reports increased nocturia, decreased strength of the urinary flow, and terminal dysuria. A low-grade fever is observed. There is no abdominal pain, blood in the stool, or gross hematuria. PMH: The symptoms are observed for two years, and there was no treatment. The patient has a history of hypertension, hypercholesterolemia, and chest wall syndrome. He takes Cardizem (240 mg daily) and Zocor (20 mg daily), NKDA. Significant Family History: He has a sister and a brother without health problems. Heart disease was observed in aunts and uncles. Social/Personal History: The patient is married and has two sons. He has a Master’s degree in Engineering. He does not smoke or drink, reports healthy eating habits, but exercise is not adequate. Description of Client’s Support System: The patient does not understand what healthcare resources are available and how to utilize the provided services. The support system includes the wife and colleagues. The health insurance coverage is appropriate to address his needs. Behavioral or Nonverbal Messages: The patient is concerned regarding the possibility of having cancer. Client Awareness of Abilities, Disease Process, and Health Care Needs: The patient lacks the understanding of his healthcare problems and the resources available to address them. Objective Data Vital Signs including BMI: BP 140/92, right arm; T: 99°F; P: 80, regular; R 18, non-labored, BMI = 28. Physical Assessment Findings: Heart: RRR, Grade-II/VI systolic murmur, the right sternal border. Carotids: No bruits. Android obesity. Rectum: light brown heme positive stool. The prostate is boggy and enlarged, tender to palpation. No penial lesions or discharges. Lab Tests and Results: PSA: 6.0, CBC: WNL, EKG: None. Client’s Support System: The patient contacts the physician, and his wife is in a good health. Client’s Locus of Control and Readiness to Learn: The patient does not understand why he needs to take medications, as well as the causes and consequences of the observed symptoms. ICD-10 Diagnoses/Client Problems   * D291 Benign neoplasm of the prostate;   * N410 Acute prostatitis;   * N411 Chronic prostatitis;   * N390 Urinary tract infection, site not specified;   * R972 Elevated prostate-specific antigen [PSA];   * R351 Nocturia;   * R300 Dysuria;   * I10 Essential (primary) hypertension;   * E663 Overweight;   * Z8249 Family history of ischemic heart disease and other diseases of the circulatory system;   * E780 Pure hypercholesterolemia;   * E785 Hyperlipidemia, unspecified (Centers for Medicare and Medicaid Services, 2016);   * Costochondritis (chest wall syndrome);
Introduction   * The mean for the heights is 72.6500   * The standard deviation is 6.2935 Figure 1: Screenshot for mean and standard deviation. According to the mean value of the heights from the survey, as indicated in (fig.1) above, I am more than the average since my height is 74.65. Therefore, it means I am taller than most of the people whose heights were surveyed by this study. Step 2: Background Information To choose the participants of the study, the sampling method was used to represent the entire population. Clustered sampling was the appropriate method that was suitable to have a logical representation for the group used for the study. The population was divided into smaller sections called clusters (Haq, 2017). The study took place in several parts of the US, namely Portland, Stowe San Diego, Tao, and New York. The age range that the study mainly focused on was 17 years minimum, and the maximum number of years was 50. The reason why the range was considered to be perfect for the study is due to biological developments and normal human growth (Gatto, 2019). Out of ten participants who were randomly picked from the study’s clusters, 6 were men, while 4 were women. In terms of percentages, male individuals represented 60% of the total number of persons involved in the final analysis while women took the remaining 40%. The interesting thing about the group is that men were taller than women to the extent of 20 inches in terms of difference (Light, 2016). Women were less willing as compared to their male counterparts hence subjecting the research to more men contributors. Step 3: The Empirical Rule In the study, as shown in (fig.2) below, the empirical rule, the lowest numbers for 68%, 95%, and 99.7% were 61.3, 48.3, and 35.3, respectively. The upper numbers for 68%, 95%, and 99.7%, as shown in the figure below, were 78.94, 85.24, and 91.53 in that order. The values tell the researcher that the three-sigma rule has a normal distribution. (Kim & Oh, 2016). Therefore, in this study, the cumulative distribution of the figures is strong, and that depicts a standard score in the results derived. Figure 2: Screenshot of the empirical rule determination. Based on the study results as shown in (fig. 3) below, the percent of study participants shorter than me is 62.47%, the percent of part
Introduction The termination of a trial due to the adverse effects of a drug or agent is one of the most important aspects of clinical studies on drugs and drug agents. Known as a trial “close out,” the procedure of terminating a clinical trial is the act of ensuring that all the activities related to the clinical trial are reconciled in the appropriate manner, recorded and reported at the abrupt end of the process (Chow & Liu, 2012). This should be done in accordance with the standard operating procedures, the GCP, as well as any other applicable regulatory requirement (Chow & Liu, 2012). Clinical trial closes out due to adverse effects or any other reason, including participant walkout, is an important step in ensuring the quality of the study according to the requirements by the SOPs, GCP, sponsors and the law (Fortwengel, 2010). In addition, it is designed to ensure that all the necessary documents are put in place when a need for information retrieval arises in the future. In case of a clinical trial closeout due to adverse effects of the drug or agent, it is the role of the principal investigators (PIs) to ensure that terms and conditions of the trial project and its related budget are in place (Pocock, 2011). The purpose of this research paper is to carry out an investigate analysis of the closeout procedures due to the adverse effects of an agent designed to lower cholesterol in humans. The drug agent is in its Phase II trial under a double-blind placebo study. However, it has faced problems due to adverse effects on the participants. There is an urgent need to terminate the study. Clinical trial closeout For the purpose of quality assurance and protection of information and participant’s rights, a number of activities are conducted at the end of a clinical trial either due to completion of the project or termination (Friedman, Furberg & DeMets, 2011). All the activities carried out at the end of a study for any reason constitute ‘study closeout’ (Fortwengel, 2010). One of the main reasons for study closeout is to ensure that the study records are collected in the right manner and archived. In addition, it ensures that leftover study articles, materials, and equipment are returned to the appropriate party or disposed of (Foresterhill, 2009). It also ensures that any loose end is tied up. In most cases, project sponsors tend to hold up the final payment until a complete closeout has been completed. In Canada, food and drug administration requires proper inspections at the end of a clinical trial. Indications for a trial closeout: Termination due to adverse effects versus normal closeout Although the processes of the closeout for a clinical trial follow a common protocol, it is worth noting that a number of differences exist between the processes i
In the workplace internet use is only authorized during company time if it is for conducting some official business. But the internet plays a highly significant role in our modern organizations since they serve as the principal medium of communication along with resource utility. Since we live in an age of technological dependence, we cannot understate the important service the internet provides to us daily. It is thus highly important that the employees of an organization understand the importance of the internet as a resource and efficiently utilize it for the betterment of the organization (De Cieri 2008). Personal privacy of employees at workplaces has been under scrutiny for a long time. And in this age of information technology, privacy issues frequently involve the employers monitoring the internet usage and e-mails of their employees. People often think that with a personal user id or password they can protect their messages and data keeping them private. But this is not always the case. An organization can always capture and review the communications which take place through the organization’s network without telling the employees (De Cieri 2008). Many countries have laws that can forbid organizations from monitoring the personal data and emails of the employees and also the websites that the employees visit. In case the law is breached, the companies can also be charged by the employees since their privacy and secrecy of telecommunications and the post has been violated. However, if the company suspects that the employee is involved in a serious misuse of the internet, then the charges will not apply, making an exception to their data protection laws (Kuhn 2007). Monitoring an employee’s personal usage of the internet by an organization should be forbidden except in cases of serious misuse of the internet. Personal information or employee data must be allowed to be ascertained or processed by the company only in case of distinctly established legal intentions necessary to carry out acceptable legal proceedings. For the study Mullins International would be taken into consideration. Alongside, it would be compared with the policies of Telstra, according to which as per media release, “ Telstra staff will ….. on social networking sites ” (Winterford 2009). Concern about employees’ use of the internet during work hours Organizations need to be concerned about their employee’s use of the internet during business and work hours. The main reason for this is if the internet usage is not regulated then it has been found that the productivity of the employees get hampered since they spend hours and hours surfing the internet such that it has reached epidemic levels. A business lecturer at the Griffith University, Dr Tino Fenech, has proved through his studies that practically almost half of the time the employees use the internet at their workplaces is for their private usage. Although very few people deliberately abuse their workplace system, the percentile is quite high. Thus organ
The setting of the play in the abandoned kitchen managed to deliver the theme of male chauvinism and the subdued role and authority of women in society. Traditionally, the kitchen was primarily a preserved place for women. Therefore, by deserting the area, Glaspell takes the opportunity to question the power of women in taking charge of their homes. Consequently, the author takes the chance to introduce the concept of male chauvinism as she demeans the value and position of women. In one instance, the Sheriff says, “Nothing here but kitchen things” (Glaspell 1109). Through such words, the author questions the overall authority and power of men in society. The condition of women during that time is that they were highly discriminated against. During the period, females were perceived as people who had no power and authority to control society. The murder story indicates that most of these members were battered, hurt, and killed mercilessly. In other words, gender violence was the order of the day. According to the play, Mr. Wright subjected his wife to several vicious emotional cases of abuse without considering her position in society. Therefore, women were highly vulnerable to male exploitation and dominance in society. Presently, many changes in the position and role of women are experienced in society. Today, several females have taken roles such as leadership that was dominated by men. The global community has accepted the need to have gender equity and all women are allowed to take part in active politics. Nevertheless, more efforts should continue to be placed to ensure that both women and men understand their roles. By creating such a kind of distinction, society will manage to live in harmony. Work Cited Glaspell, Susan. Trifles . New York, NY: Frank Shay, the Washington Square Players, 1916.
Internet is an acronym that is used to refer to internetworking which was adapted in early 70s. Users all over the globe use an internet protocol to access information from unified computers all over the world. The users can only access information from internet sources when they are given permission by relevant authorities. Originally, the internet was developed for communication between researchers in different universities. As the demand for internet grew all over the world, demand for new techniques were necessary to accommodate the growing demand worldwide. The growth of internet has since escalated all over the world as a result of increased usage. Now the internet has evolved to be one of the most vital tools in communications and broadcast of information. It has been embraced by all stakeholders in the world including individuals, private sector and government agencies. According to Luckanavanaporn (44), “internet is used to send messages via emails and social networks which help in interaction between people in different parts of the world. This helps in spreading of information and increases understanding between people of different backgrounds thus bringing about friendship.” The ARPANET In the late 1960s, some proponents of the internet conducted research to find out the likelihood of interconnection between systems using the ARPANET (Advanced Research Projects Agency Network). They settled on building a network with the first one linking Stanford Institute of research and California University. Ten years down the line, there was significant growth in the industry because more than 200 institutions had subscribed for the interconnection network. The ARPANET became the basis upon which the internet grew. When it was first developed, it main purpose was to facilitate for exchanging comments which is still used today to relay internet protocols. Global exchange of information on ARPANET was not very reliable, and various developments in Europe were adopted to improve the system. Necessity of development Before the internet was invented communication systems were restricted in nature. They were based on the fundamental central processing unit of a computer. It only allowed sharing information between specified places. As the necessity of internet use increased, programs were put in place to find out and survey the possibility of standard interconnections between physically separate systems. Different states came in to participate with the likelihood of designing a network which could allow communication between them. Luckanavanaporn (56) wrote that “the United States financed a project of its military agency to assemble strong and secured networks that could not be hacked. The USSR on the other hand launched their technology which motivated the United States to develop more superior machinery in their army to allow interactions and linkage between their computers and the pentagon.” With the offset of research programs to develop a solitary networking working structure, a digital networking system was developed. Luckanavanaporn (23) argued that, research brought about upgrading and development of several packet switching networking so
The movie Malcolm X tells the story of a black man whose life began in poverty and ended with assassination. He was killed because he had antagonized the very people with whom he sought to fight for racial brotherhood. The movie is a true example of how a man reinvents himself in conforming to the needs of society, particularly after recognizing its ills and potential to transform in keeping with the tenets of religious tolerance. At first, Malcolm was a man who stood firm against the white race because he believed it was responsible for the extreme exploitation of the blacks. He was initially a gangster and after the end of his term he became a Black Nationalist leader of the Nation of Islam which was aimed at spreading Islam’s message of equality and tolerance. However, upon realizing that the very leaders whom he worked with were hypocrites, he soon abandoned the organization and assumed the responsibility of spreading the messages of Islam by himself. By this time, he had shed his radical views against the Whites and became more tolerant towards all sections of society. But in doings so he earned the wrath of the very people with whom he worked and was assassinated while he was crusading for the cause of equality. The major theme of the movie shows multiculturalism in sharp contrast with the intense feelings of racialism that prevailed during the period. The movie portrays that Malcolm opposed societal division on the basis of race and held that it is always better for one race to assist another. This transformation in him came after his pilgrimage to Mecca. He started preaching and propagating racial brotherhood. Others themes of the film are those of race, religion extremism and sexual exploitation before such change took place in Malcolm. The themes discussed in the movie are controversial, as the film initially portrays t the ideas of Malcolm as the ones that blacks are more superior in comparison with other races; that whites are evil and that they will eventually be vanquished. After Malcolm undergoes transformation, he assumes the opposite role in propagating racial brotherhood. This is evident in such instance when Malcolm, before conversion to Islam, is approached by a white woman who offers him help, but he bluntly refuses. This behavior indicates his complete lack of feelings for whites. But he becomes more tolerant after converting to Islam. Prominent signs and symbols highlighted in the film include racial hatred, sexual exploitation, religious tolerance and racial brotherhood. The film represents the way in which Malcolm becomes a more tolerant individual after recognizing the spirit of brotherhood in Islam. The film symbolizes how one can change his/her life and indicates that fate is not responsible for all events occurring in one’s life. The signs and symbols in the context of minorities are meaningful because it becomes evident that no religion preaches hatred or violence. The film clearly depicts that Islam preaches racial brotherhood, which is aptly demonstrated by Malcolm in his speeches; for which he was assas
Introduction For two decades traffic management strategies have benefited from the development of simulation tools. These applications are often used for verification, improvement, and testing of these strategies. Unfortunately, these models are not suitable for ITS applications and large-scale traffic networks. The operational level causes most problems, so a significant effort is made to upgrade these systems. With new ITS developments, incident management, mainline traffic control, and real-time route guidance become possible for traffic management systems. A variety of new traffic simulation technologies has become available in recent times, with more models coming in the future. These models include DYNASMART, INTEGRATION, and THOREAU. DYNASMART and INTEGRATION are focused on dynamic traffic assignment applications, and their simulation model can be described as mesoscopic. On the other hand, THOREAU is developed as a microscopic model for evaluation. Its running time is too long for comfortable use, but a variety of similar models are about to be introduced for modeling of Automated Highway Systems. This paper will focus on one such model called Microscopic Traffic SIMmulator, or MITSIM for short. It was created to simulate integrated traffic networks that are supported by surveillance and advanced traffic control systems. Advanced Traveller Information Systems and Advanced Traffic Management Systems are tested and evaluated using MITSIM. This model provides a detailed representation of road networks, while also using lane changing, traffic signal responding logic, and car following to simulate vehicle movements. The route guidance system provides real-time traffic information to capture driver’s route choice decisions by utilizing a probabilistic route choice model. Simulation Output The output of MITSIM can be divided into five categories:  1. Information related to vehicles (average speed, travel time, miles traveled) that get measured when a vehicle comes to its destination node;  2. Traffic sensor information (occupancy, traffic counts, speed, travel times, incident information, and vehicle classification);  3. Information about traffic on a specific segment of the road (average speed, density of traffic, travel times) which is reported at a fixed frequency or on simulation completion;  4. Messages about errors and warnings;  5. Display of graphical representations of segment traffic data and vehicle movements. The amount of data gathered from such testing is often enough to start developing measures of effectiveness for evaluation purposes. Such as queue lengths, emissions, fuel consumption, travel times, and safety. Hardware and Software Environment MITSIM is a flexible model, and its code can be extended and modified which leads to continuous upgrades and validation procedures. This flexibility is made possible by its implementation in C++ with the use of the object-oriented programming paradigm. MITSIM is versatile able to run on a variety of operating systems including UNIX, X Windows, XFree86, and Linux, as well as worksta