ShantanuT01/DACTYL-Pretraining huggingface dataset:
Should community health systems rely on independent medical practice as a durable and reliable “strategic partner” into the future? Community health care institutions remain to be critical in the health care system in the United States. The modern healthcare environment embraces the integration of health care practices as a way of increasing efficiency and reducing costs of operation. The incorporation of independent medical practices in community healthcare is desirable in the sense that there is a significant drop in costs of operation for independent medical operators. The independent operators make use of the assets present in the community health care institutions to provide medical assistance to people in the respective communities. However, the backlog of costs of operation still comes back to the government, raising questions of whether the exercise could be sustainable. “ Is clinical integration sufficient, or is economic integration an imperative?” Clinical integration is part of the consolidation of efforts in the US healthcare sector. These efforts are meant to enhance efficiency in the management of financial resources in the sector. However, several factors surround clinical integration, making it hard to bring about synergy in the healthcare system. Clinical integration is part of the enhancement of vertical integration in the healthcare system. According to experienced leaders in the healthcare system, the alignment of the values that define the culture of medical operators enhances shared accountability in the sector, thereby boosting efficiency in the sector. The embrace of values helps in the rationalization of economic issues that affect the sector. “ Can community health systems remove from 15% – 20% of operating costs from the clinical and business models without fundamental structural, programmatic and business model reconfigurations?” Reduction of the operational costs of the community health systems can only be attained through the restructuring of the entire healthcare system. The complexity of the healthcare sector and the operation of the community health care systems that operate on a no-profit-making basis are affected by the product-line process of delivery of
Abstract Mass killings have riddled the American society for decades. Reasons for the mass murders have been different, but one thing many of such crimes have in common is the impact of social structures on the involved perpetrators. Gun control laws have been in the spotlight each time such crimes have been committed. With the public growing anxious every day waiting for the next incident of mass murders, the government has been under pressure to identify potential perpetrators before they commit the act. One such incident was the Isle Vista, California mass murders, homicide, and suicide enacted by Elliot Rodger, a university student. The story broke headlines all over the world with Rodger being described as a mentally unstable young individual with difficulties socializing with his peers. There is hardly any scientific evidence that supports a link between mental health and crime. However, intentions to kill and hurt his peers were premeditated making them hate crime. Introduction The case dubbed Isla Vista mass killings was of a suicidal male individual who killed six people, excluding himself, and injured fourteen others. This essay analyzes the events, and the murders, and debates on whether the killings should be considered hate crime or not. Overview of the case Isla Vista in California will forever remember the 23 rd day of May 2014. It was the day when Elliot Rodger committed suicide after killing six other people and injuring fourteen others (Brown, 2015). It is interesting to note that the rampage by Rodgers did not occur in one particular location, but it was a series of events. According to police records, Rodgers started on the murdering spree from his apartment, where he stabbed and killed three individuals. He went on to kill to other people at a sorority house and killed the last person at a local deli. It was revealed that Rodger had uploaded a video on popular site YouTube before he started killing his victims. The said video dubbed “Elliot Rodger’s Retribution” gives details on how he planned to make his other attacks and the reasons why he would kill his victims. Rodger clearly stated that his main reason was the rejection he had often received from women and the enjoyable life his male colleagues enjoyed that he did not enjoy, arguably due to the rejection. The police released detailed information on the chronological occurrence of the events. The order of events showed that Rodger had prepared adequately for the attacks, meaning that they were premeditated. The police explained that they had to investigate a total of seventeen different crime scenes to come up with the said chr
Introduction A weeklong protest grabbed American national attention in 1988. This protest at Gallaudet University, a liberal arts university in Washington D.C., was pertaining to the appointment of a hearing person for the presidentship of a Deaf university. The students seized control of the campus and barricaded the parking area and the entrances. Due to the protest, all activities in the campus were halted including classes. The students along with their supporters from amongst the staff raised a sum of $25000 to fund the strike and marched to the capital to grab the attention of the National media. This paper recounts the events of the weeklong strike and captures the reactions of the various parties involved in the strike. Further, the paper will also try to capture the main impact the strike had on the nation. Discussion The rally marked a peaceful revolt against oppression of the deaf. The rally fliers were significant enough to demonstrate the reason for the strike: “ It’s time! In 1842, a Roman Catholic became president of the University of Notre Dame. In 1875, a woman became president of Wellesley College. In 1886, a Jew became president of Yeshiva University. In 1926, a black person became president of Howard University. AND in 1988, the Gallaudet University presidency belongs to a deaf person. To show OUR solidarity behind OUR mandate for a deaf president of OUR university, you are invited to participate in a historic RALLY!” (Gannon, Beatty, & Louie, 2002, p. 20) The theme of the rally was “The time is now!” and there were 1500 people who joined the rally which was more than the estimated number. The rally goers were wearing yellow buttons and blue stickers with “Deaf President Now” printed on them, a phrase which caught national attention like wildfire. The movement gained support of the Congress and the National Association of the Deaf and they wrote to Gallaudet’s management board to appoint a qualified deaf candidate. The flow of the events showed that Elisabeth Ann Zinser resigned from her presidentship of Gallaudet University due to continuous protests by the students. After her resignation, she said, “I came to understand how deeply some see the social stature of deaf persons reflected in the presidency of this university.” (Ayres, 1988, p. 1) However, the board was reluctant to let go Dr. Zinser and said that it would up to the board to accept or reject her resignation and appoint a deaf candidate. The main reason for the protest was that the university although being the first university in the world for deaf, had only a 4 to 21 representation in the management board and until 1988 there were no deaf presidents (Cramer & Brand, 1988). The movement assumed the momentum of a social movement as the whole nation was involved. This was affirmed in Zinser’s comment when she said that she lef
This article highlights financial innovations which have become a common thing for investors and investment banks currently. According to the article, this may not be the most suitable time for financial innovations given the current global economic problems and the industries regulatory overhaul though the current environment looks perfect for stimulating finance’s innovative products. With new regulations necessitated by the crisis, as known, these new regulations spark differences of creativity as the “financial engineers try to turn around the new policies and also gain from them. Martin Chavez, a head of a team of financial experts at Goldman Sachs, says that when a customer wants to take up a specific risk and there is no general solution at hand to the customer’s, it the work of the financial experts at the bank to come up with a derivative that suits the customer’s call rather than say ‘no thanks’ to the customer (The Economist online, 2012). Sometimes clients want things to happen faster at a time when yields are low, risk is high and the need for investment packages which are designed to assume greater risk can’t put a ceiling on possible losses. Thus, investment banks prefer derivatives-based answers which will promise minimum costs and allow for a restricted amount of returns. Investors are now turning their interests to hedging which is proving vital as asset allocation. With the need for financial inventiveness to m
Introduction The world of constant controversies about the issues of discrimination is highly emphasized with numerous facts in past and present times when the color of skin characterizes a possible attitude of people. Racial question is still not resolved in society and the United States, particularly. This fact contributes to the field of contradictories between white and black people and between people of other nationalities. That is why it is necessary to figure out the points of biological and social approaches as for the race while pointing out the background and argumentative base when criticizing people for their racial belonging. Three articles by three different writers, Ann DuCille, Alan H. Goodman, and Amy Harmon are taken into account to investigate the problem thoroughly. Moreover, the attitudinal framework of the racial issue props up against the social and historical cut than any convincing facts of peoples’ differences and their possible separation in the society, as a result. Allan H. Goodman and his evaluation of race issue While analyzing facts of peoples’ prejudices toward those with another color of skin the article by Allan H. Goodman terrifies with hidden cruelty of the investigator Snow and the case in Oklahoma (Goodman 20). This fact points out that after the years of enslavement which were appropriate to America in previous centuries and abolished on the state and legislative level, one can single out that racial discrimination is inherited and facts of white peoples’ prejudices seem to be taken for granted in the American society. This is emphasized by the author’s words that “race science is bad science” (Goodman 21). Ann DuCille’s approach Looking at times after World War II when the United States went through various global changes and was involved in international conflicts having been tremendous for Americans the racial issue drew to a head when everything seemed to be of white origin, toys, clothes, automobiles, etc. Ann Lucille in her article “Toy Theory: Black Barbie and the Deep Play of Difference” makes a reader feel the difference of real intentions among people while talking about or touching upon the race belonging. The author designates the epoch of 1950s and 1960s with personal examples of how the world seen by a black man was perceived in reality: “In the fifties and well into the sixties of my girlhood, the black other, much like the enemy other in our war games, could only be imagined as faceless, far away, and utterly unfamiliar” (DuCille 12). Then there is a question that remains unanswered: Is it so, that peo
In the “Religion and ritual” reading, Emile Durkheim addresses the origin of religion from two perspectives. The first one is the need to understand, and the second one is sociability. The need to understand is concerned with the urge of human beings wanting to know where they originated from and find out facts about God. Men based their origins on the things they got used to, or those that they suffered from, hence creating history out of them. Religious theories came into man’s history much later, and it transformed many men, making them believe in spiritual stories, which remain with them up to the present day. These beliefs led men to realize that there are natural powers, hence rising to be known as gods. Then men developed sentiments, which helped them in communicating with each other, and these sentiments included honour, respect, affection, and fear. Further readings explain how these sentiments affect and impact human beings and their lives. For example, fear of the unknown can cause a healthy person lack proper esteem to behave himself in an expected manner. Unless one is assisted in overcoming these effects, he may end up in messing with his life. Therefore, it is essential to counterbalance people’s beliefs and their real lives to survive in this world. In the sense of religion, it is evident from the readings that some individuals may have elements of Protestantism, as opposed to Catholicism. This is determined by their beliefs in relation to freedom, as far as religion is concerned.
To begin with, word pictures are usually described as in-text illustrations that writers use to make their literary piece powerful, persuasive, and understandable. Bright and vivid images make the written text sound interesting and rather exciting for a reader. Such metaphors and similes are truly significant in order to make literature that will stand the test of time. In the book Mere Christianity , C. S. Lewis uses the same methods to make clear and comprehensible arguments about faith and Christian values. He tells how people should live to achieve peace, love, and harmony in the modern world by giving notable examples. First, the author mentions the car engine that cannot run on anything else except for gasoline, just how human spirits are fueled with God as, Lewis says, people are his creation (Lewis 30). That is how the writer proves his thesis that there is no chance of being happy and fulfilled as a person without satisfying the need of a higher power and finding a religious purpose. Second, one of the most striking metaphors is considered to be about a piano key. The theologian argues that a piano key can make quite a beautiful sound if it is used in the right context, otherwise, it can produce a highly unpleasant sound. The writer compares morality with a piano key and argues that people’s values and principles should be regulated and put into correct context or it can completely lose its meaning if the circumstances are changed. Lewis teaches people to give themselves over to God entirely to become like him and find the morality in Him. Third, a very popular metaphor of Lewis is about atheists who do not believe in the miracles of Christ and His sacrifice to humanity. The writer suggests that arguing with God or not believing in His virtues is just like cutting off the branch a person is sitting on, which is inherently irrational. Lewis says that society should stop turning away from God and embrace his omnipotent and omnipresent nature. To sum up, powerful and striking word pictures are a part of what makes literature timeless and interesting. Lewis, as a famous theologian and writer, makes his writing much more engaging by using various word illustrations or pictures. The author compares people’s need for God with car fuel, piano key with morality that should be put into right context, and atheists with self-destructive people who cut off the branch they are sitting on. The forementioned literary similes help readers understand complex ideas of Christianity that sound simple and understandable because of these vivid imaginary examples. Work Cited Lewis, Clive Staples. Mere Christianity . De Gruyter, 2021.
Introduction Many couples face challenges but will do anything to save their relationship and I agree with Shteyngart that love has its good times and bad times. He also says that every relationship is unique and people fall in love differently. Some will fall in love at first sight while others fall in love with time. This was the case of Lenny and Eunice. Love makes people from different backgrounds come together and live together. On the other hand, love can cause pain to some people. ‘Super Sad True Love Story’ points out the sad part of love. When a person is hurt because of love, it is painful for them and it takes time to heal. Heartbreak is one of the most painful parts of love. Shteyngart also shows that love can save a falling nation. Challenges of Love Long Distance If two people are dating and live far apart from each other, the distance may pose a challenge. For example, if the two live in different countries, they will have to travel regularly to visit each other and it may end up being very expensive and more so, the travelling consumes a lot of time. The fact they are apart most of the time can also strain the relationship. However, long distance relationships still succeed and they are worth the effort. Finances This is one of the greatest challenges and it could lead to people losing trust for each other. The problem could be lack of money or lack of openness about their finances. This could lead to breaking relationships and sometimes even broken marriages. Family One’s family could be a source of lack of happiness in a relationship. They may not like one’s partner and they will sometimes target to ruin that relationship. This affects the couple especially if it is an issue of lack of respect, for example, parents may not want their son to marry a girl from a particular background and will be against a relationship that they do not approve. Emotional problems This is also one of the major challenges that a couple of relationships face. When one of the partners is emotionally unstable or immature, then conflicts may arise. If Lenny was not emotionally mature, he could have easily given up on either his country or his love for Eunice. However he is able to handle the challenge of instability in his country and he vows to love both his homeland and Eunice. Stress Each person has a different way of releasing what is stressing them. When one is going through a difficult moment, one may forget the other person’s feelings which could result to a misunderstanding. It is important for people to talk, share challenges and be sensitive to each other’s needs. Love’s unity Love however is a solution to many problems. Through love, people are united and live peacefully. In countries where there is war, love heals the wounds of those who have lost their loved ones. Love does not have to be romantic; there is also brotherly love, which is c
Introduction The world humanity is living in is not limited by Earth, which is, actually, only one of the multiple objects the Universe comprises. Even without knowing the origin of celestial objects, people have observed them for thousands of years and tried to organize what they saw into understandable outlines. Nowadays, the patterns those outlines form are referred to as constellations, and it seems as if they have been on the sky forever. Furthermore, human intelligence has made it possible to explore the space and identify the laws and algorithms its functioning obeys to, for which reason there is no more need for symbolic descriptions. The modern science describes and studies constellations based on their physical and astronomical qualities, which is the responsibility of the International Astronomical Union. History of the Constellations One would probably describe a constellation as a group of stars, but that is apparently not quite accurate. According to the Oxford English Dictionary, the stars have to form “a recognizable pattern […] traditionally named after its apparent form or identified with a mythological figure” (Lexico). The critical point is that the key criterion for identifying a group of stars as a constellation is the shape observable from the Earth. Throughout the history, the objects people saw in the sky have played a considerable role in their attempts to explore the outside world and live in harmony with it. Therefore, many of the constellations that are determined today have some mythological background. Thus, the Big Dipper and the Little Dipper are parts of bigger groups, Ursa Major and Ursa Minor, respectively, which means “The Big Bear” and “The Little Bear.” The latter, in turn, are named after the characters of ancient Greek myths, the nymph Callisto and her son Arcas, whom Greeks believed to have been carried into heavens by Zeus (Krithika, 2016). This is presumably the brightest example of how the ancestors sought to explain the existence of group of stars in accordance with their worldview. Another case is that of Orion, which the humanity have also known since ancient times. Mythological hunter, the most handsome man in Greek mythology, gave his name to one of the brightest groups of stars observable from the northern hemisphere (“Orion constellation”). It would also be reasonable to mention that ancient Greeks not simply associated the celestial patterns with mythological characters or objects, but used them practically. For instance, the Sun’s circular path across the sky, which is called the ecliptic, helped to identify the season. The twelve constellations that lie along the ecliptic form the so-called zodiac family. The titles zodiac constellations are known under also have mythological backgrounds. For instance, Taurus, which is a bull from Latin, is associated with one of the shapes Zeus could adopt (“Taurus c
In today’s world, research is a fundamental segment when it comes to nursing as well as expanding the nurses’ roles. From what I learnt, nurses nowadays want to conduct thorough research on as many problems as they can, as well as observing patients more as compared to the traditional hospital systems. This move sets the grounds for multi-disciplinary research, as it is a plausible feature in scientific study. I agree with Woolf when he says that any new treatment as well as research knowledge should reach different populations or patients. In many cases, once there is a new treatment, many patients are not in s position to get to it simply because they do not have enough resources to purchase the same. Having access to patients is usually not an easy task, which explains why when it comes to independent research, quite a huge number of nurses are obligated to get permission from physicians. From what I have read, it is clear that multidisciplinary research has quite a number of benefits like being in a position to get to patients who otherwise may be unreachable. Additionally, it gives chance to share as well as broaden each other’s ideas particularly from other disciplinary views. Consequently, this move leads to the prevention of focus from being extremely narrow and widening the viewpoint. I am also of the opinion that the soul value of a discipline is in its system of values and ethics, its scientific knowledge body, as well as its societal worth. Collaboration with other disciplines in my opinion is greatly advantageous as there is access to information especially in matters concerning diagnosis and psychological testing.