ShantanuT01/DACTYL-Pretraining huggingface dataset:
It is imperative to note that the role of coding in health care has been increasing over the years. It has become a vital part of most processes, and its primary goal is to enhance the level of efficiency of operations and increase the number of positive outcomes. The problem is that many professionals are reluctant to accept this approach because of many factors. One of the primary reasons that should not be overlooked is that clinicians already have many tasks and responsibilities that they have to deal with in the workplace. Furthermore, the introduction of coding is not met with approval because such changes are quite significant. Many health professionals are used to standard approaches, and it may not be an easy task to change their opinion. The issue is that they are not provided with additional time for learning most of the time, and it complicates the situation. Another issue that needs to be highlighted is that the level of understanding of coding is not sufficient because health care professionals do not understand that it makes the process of documentation much easier (Jurek, Mosay, and Neris 4). The problem is that errors are possible, and one may have to lose significant amounts of time when checking if everything is correct (DeVore 170). Also, they may think that it is the responsibility of medical coders, but it is not the case. Numerous issues can be introduced during the process of coding. For instance, it may not be an easy task to identify how procedures should be sequenced on paper (Buck 696). Clinicians may need assistance in such situations because the process is quite complicated and they may be too worried about making mistakes. The fact that it is necessary to remember such enormous amounts of information is quite problematic. Moreover, it is important to provide clinicians with materials that would make the process much easier and may help to prevent possible mistakes. Also, need to utilize modern technologies should not be overlooked because they have enormous potential that is not yet fully realized in healthcare. Any issues related to coding compliance should be reported because it may lead to severe consequences and can hurt the institution (Becker 102). It may be necessary to conduct pieces of training, and the level of knowledge that has been gained by health care providers needs to be assessed. It is paramount to explain that one should keep track of the latest techniques to stay competent (Johnson and Linker 6). They should be informed that this field is actively developing, and professionals that have an understanding of these approaches are highly valued (Aalseth 215). In conclusion, it is evident that the situation is quite problematic and necessary
Literature Review A thorough review of current research studies related to the question of clinical interest facilitates the process of evidence-based practice validation and the implementation of the project. For this literature review, three articles published in professional journals within the last four years have been identified. The clinical question under discussion is: In individuals with psychotic disorders (including schizophrenia), is the use of two or more antipsychotic medications concurrently more effective than the use of one antipsychotic only? The strengths, weaknesses, and applicability of the studies’ findings will be analyzed and evaluated. Purpose of Study The reviewed articles aim at different specific outcomes, all of which are connected to the investigation of patterns in patient outcomes when treating psychoses, including schizophrenia and autism spectrum disorders (ASD) with antipsychotic medications. The study by Wink, Pedapati, Horn, McDougle, and Erickson (2017) targets the identification of the impact of multiple antipsychotics use in patients who are treated for behavioral symptoms of ASD. This research was set at a tertiary care specialty clinic where the effectiveness of the use of several antipsychotic drugs was evaluated as per symptomatic reduction (Wink et al., 2017). Unlike this article, the study by Castillo and Stroup (2015) aims at a more specific issue of the effectiveness evaluation of long-acting injectable antipsychotics in the treatment of psychotic disorders in comparison to oral antipsychotic medications. The need for such research is validated by the reduced effectiveness of oral drugs due to non-adherence, which might be mitigated with the help of injectable medications (Castillo & Stroup, 2015). The purpose of Castillo and Stroup’s (2015) study is less applicable to the identified clinical question but presents valuable information about the alternative ways of medication intake. The third article provides the most relevant scope of data due to its precise attention to the issue of polypharmacy in schizophrenia treatment, which is the core element of the clinical question. The purpose of the study by Tesfaye, Debencho, Kisi, and Tareke (2016) is to explore the factors and outcomes of the “frequency of antipsychotic combinations in Amanuel Mental Specialized Hospital” (p. 2). This research most accurately responds to the stated clinical question due to the crucial issues of polypharmacy in comparison to monopharmacy that are considered with high precision. Methods of Study The methodology used for the studies contributes to the understanding of how the investigation of the identified issues was conducted and if the findings might be applicable to answering the clinical question. The study by Wink et al. (2017) is longitudinal research that explores the ongoing effects of multiple antipsychotic medication intakes by 1100 patients at the Christian Sarkine Autism Treatment Cen
Introduction The series of ISO 9000 standards is a universally accepted system of quality management, which develops standards that are in-demand on the market. It is based on eight principles of quality management, which include customer focus, leadership, the involvement of people, process research, system approach to management, continual improvement, factual approach to decision making, and mutually beneficial supplier relationship (“Quality management principles” 1). To get certification under ISO 9000 standards, an organization should follow the specific stages, there are eight of them. Principles and Stages of Certification The process of implementing the standards in an organization requires certain changes in the workflow and commitment to the goal set. There is a description of the necessary stages, provided by an author of an article about ISO implementation: First, decide if ISO 9000 implementation is appropriate for the organization. If it is, then the second step is to select the ISO 9000 system most applicable to the organization. Third, perform a shortfall analysis that indicates how much the organization varies from ISO 9000 compliance. Fourth, create the implementation plan. Fifth, resolve the compliance variations. Sixth, implement training, transitional processes, and other such activities … Seventh, do internal reviews and audits of the new quality system. Eight, prepare for and undergo the on-site compliance audit. (Wilson 37) There is a simple explanation to summarize and illustrate these steps. At first, it is important for the top management to acknowledge the responsibilities and to be committed to the process. Then the organization will need personnel training, and it may be advised to appoint the employees, who will be responsible for the training. The training may include the lectures, manuals and audit simulations following the ISO 9000 guidelines. All of the personnel should be properly trained, and keeping the training records may also be useful. By that time, the operating procedures and quality policy manuals should already be prepared according to the ISO standards. An internal check is required in order to assess whether or not the organization complies with the standards and is ready for registration, as well as to find possible flaws in quality management. If this stage goes successfully, the next step is to find the registrar and determine the cost of registration. The longest and most difficult step is the process of registration itself. It is divided into a few sub-steps, which include the process application, the pre-assessment and the real audit by the accreditation body, necessary revisions and corrections
Network Diagram Strengths In context of the studies conducted by Hinze (2004, p.23), the network diagram, which was used as a resources and activity scheduling tool, had a number of strengths and weaknesses. This method allowed for the use of activity precedence data to generate the network diagram to solve the resource and activity scheduling problems at each phase of the logo design process. It was possible to accurately generate inordinate number of dummies for the logo design activities which consumed minimum computer resources, which did not require significant amount of computer experience. The method was used to solve the problem of limited time and other resources, and was deemed appropriate for practically designing the logo (Kumar 2005). The technique allowed for comprehensive multi-objective optimisation, making it less difficult to calculate information on each network and allowed for reduced late graphics editing time. The method allows users with little knowledge on network design to understand and develop the network diagrams because activities are represented on arrows with particular lengths (Liu & Li 2007). The diagrams allow the designer to comprehend the relative translation between activities and allows for the use of dummy activities to ensure that network logic is created appropriately. The method allows for the establishment of different relationships between the logo design activities within the network diagram. Weaknesses The weakness experienced with this method was that it made it difficult for the designer to construct the initial network diagram at the initial stages of the process design to ensure that the intended design logic was maintained. The required logic included creating sequence diagrams of identifying, differentiating, unifying, explaining, and anthropomorphizing the logo. Insight gained The insight gained when using the network design tools to schedule time and resources was that the resources such as time and money can be assigned appropriately depending on the need and time requirements, and if limited, the management can successfully schedule the resources. To achieve the required network logic, it was possible to include dummy activities into the network diagram to allow for the management time and resources (Fengsheng 2005). It is possible for the management to identify the correct method of assigning resources, and organising project tasks according to required project deliverables and the risks involved in the project lifecycle. It is also possible to simulate the portfolio environment to asses and mitigate the effect of risks. In addition, it is possible to use the network diagram to crash activities when the project is facing time constraints. Gantt The Gantt chart project management tool was useful in enabling the scheduling of resources that were used in the logo design process, but had strengths and weaknesses, which are discussed in the following sections. Strengths The project tool allowed for effective project planning and provided for clear p
Idioms are words, phrases or sentences that have figurative meaning (Gibbs 288). They are commonly used in linguistics as expressions to give out a hidden meaning of a message that is being conveyed. The interpretation of idioms are completely different with the direct interpretation the words that make the phrase or sentence. Idioms are therefore viewed as figures of speech since they contradict the principle of compositionality (Gibbs 301). An example of an idiom that is widely used in speech and literature is A Piece of Cake. The idiom A piece of Cake is used commonly in speech and literature in the modern world. It is used to refer to a task that can easily be done easily. The idiom used the word cake to show how pleasant the task is thus making it easy to complete. This is because cakes are sweet and many people love to eat cakes. The idiom is of American origin. It can be traced back to the 1930`s when it was first seen in the work of a poet named Ogden Nash. The poet used it in his poem entitled promise path in 1936. Here he used the idiom to show that life is easy as a result of a success that was highly anticipated. He therefore referred to life as being a piece of cake. This term is easy to understand and apply in the everyday language. The idiom is straight forward since it does not need a deeper explanation or an in-depth analysis to understand its meaning. It can therefore be used by any one at any time. Due to its simplicity, the phrase can be used by people of different ages, cultures and backgrounds. One does not need to be learned to understand and apply its meaning in the everyday language or literature. The phrase can also be applied in several situations which an individual needs to express the simplicity of the task in hand. Due to this fact therefore, the phrase has found a lot of application in the speech and English literature all around the world. The term tells a lot about our culture and society. First, the term like many other idioms is used to give an indirect meaning of a message. This therefore enriches the language by making it to be somewhat sophisticated. The phrase also gives an impression of literacy and learnedness in the culture of the people who use it. The use of a sophisticated language is always related to those individuals who are learned thus gaining a lot of respect in the society. Furthermore, idioms are colloquial metaphors they indicate a foundation of knowledge, information and experience (Gibbs 288). That is why such a phrase can only be applied in a given culture and not the whole world. This is because it was developed by people who have common experience and understanding. It is therefore rendered as meaningless outside the culture of origin. The phrase is not detrimental in any way. In fact, it has developed language by giving it a stronger base. The fact that it has no harm to the society or anything in general has made it to have a wide application even outside its culture of origin. That is why the phrase has been adopted and used by many other cultures all around the world. Works Cited Gibbs, R.W. The poetics of mind: figurative thought, lan
Introduction The offered research is created with the pivotal aim to investigate the impact of cross border e-commerce on China’s international trade. The topic for the investigation is chosen because of the growing importance of the online business and, at the same time, the robust economic power of China which now becomes one of the leading states in the world with the significant presence in the international market. The scope of the selected issue is also proven by the fact that such platforms as Amazon, e-Bay, AliExpress, RED, or Taobao generate significant income every year and continue to grow. For this reason, the study offers information acquired from relevant literature and devoted to the selected problem. The given section provides the background of the research, rationale, and the primary objectives of the project. Background E-commerce is one of the crucial elements of the modern world. With the evolution of technologies and development of the Internet, companies acquired the chance to sell their products by using available digital channels online platforms such as social media, websites, or specific application. It indicated the rise of the era of e-commerce with its unique peculiarities and a significant impact on global trade (Laudon and Traver, 2014). Today, the given mode of business relations is considered one of the most beneficial and promising approaches to distributing goods and cooperating with partners in distant locations. Nowadays, China can be viewed as one of the flagships of e-commerce. Today, the state devotes significant attention to the development of this sphere and considers it one of the strategically important areas that can help to generate stable and high revenue. The market size of e-commerce reached about 2,7 trillion yuan ($302 billion) in 2018 and continued its annual growth by 63,2% (Feifei, 2019). Moreover, sales revenue from e-commerce accounts for 20% of the whole online market of the state, which proves the importance of the sphere for China ( 2017 China cross-border e-commerce (export B2B) report, no date). This number can grow up to 30%, which demonstrates the fundamental role of e-commerce in the economy of the state (Fan and Backaler, 2019). There is also an idea that e-commerce has a positive impact on the promotion of international trade of China every year because of the emergence of multiple opportunities for the cooperation, business, and increased revenue. Under these conditions, the purpose of this project is to analyse how e-commerce impacts Chinese global trade. In such a way, it is possible to admit that the modern business world is characterised by the dominance of different forms of e-commerce that evolve due to the evolution of technologies and their integration in various spheres of human activity. For this reason, it is cr
First, recruiters must carefully find evidence of character, credibility and contribution from the candidate’s previous employers and relevant educational institutions. This is an investigatory role. Moreover, evidence must be gathered and evaluated regarding technical competence, motivation, and cultural adaptability. Recruiters should have sufficient information on the applicants’ previous contributions, initiatives, awards, coworker relations and employment stability. I found this strategy very effective because the employer will have a holistic picture of the person being hired. When staffing a company, recruiting teams should begin with a job analysis. This includes updating the job description and stating the general competence requirements. Employees can be sourced within the company by promotion and transfer from within or through referrals. Research indicates that recruiting referrals is better than recruiting non referrals due to a reduction of training costs. In addition, referrals are more productive than non-referrals. Pre-employment tests like aptitude tests, performance tests and personality assessment tests must be done during the recruitment process. A performance test is recommended for it is relatively simple, inexpensive and can be used for almost all positions. For example, for clerical positions, a typing test is an obvious. Research indicates that performance or work sample tests have a high degree of accuracy in predicting job performance. For executive applicants, records of performance become an important test. Aptitude tests and personality assessments are not recommended due to low reliability, low validity, legal liability and relatively high costs of conducting them. An interview should begin with a comfortable rapport-building question such as an inquiry about the drive, this helps to demonstrate the dichotomous ambassadorial role. Viable candidates should be afforded the opportunity to ask questions and the interview should be turned into a conversation rather than a question-answer session. An interview conducted by a panel of peers can see the strengths and weaknesses that a single interviewer might miss. As a caution, recruiters must refrain from asking non job-related questions to maintain legal compliance. An office tour is one of the best ways to evaluate the candidate’s motivation and cultural fitness as one can monitor how the candidate moves around and interacts with staff throughout the tour. A matrix technique can be used to weigh and compare candidates and make the selection decision. For example, if a relevant bachelor’s degree is mandatory but a master’s degree is preferred, the two qualifications could be weighted one and two respectively. During the selection process, HR personnel should bear in mind that competitive candidates will likely have other employment opportunities they are following, so a
Lilian Faderman’s main argument centered on the thesis that some members of the gay and lesbian community “have realized the political power that is inherent in renaming oneself, and the effectiveness of taking a word and diffusing its sting through claiming it as your own” (Faderman, 2004, p.543). She was referring to the word “queer” and how it had evolved as a pejorative term hurled at gays and lesbians to a term that was accepted by the gay and lesbian community. The first time Faderman heard the word queer, she was still in elementary school. She did not know its meaning. But when she embraced the lesbian lifestyle, she learned to hate the significance of this word in her life. The reason of her annoyance is linked to the fact that “queer” was a term used as an insult. She was also offended because the word had nonsexual connotations that exemplified concepts related to the terms weird, eccentric and suspicious. The gay and lesbian community was not the first to use this strategy. Faderman acknowledged the fact that it was the African-American community who first utilized this tactic when they adopted the term “black” and coined slogans to diffuse the negative impact of the above mentioned word. A good example of the slogan was a phrase “Black is beautiful.” Faderman added that by using this stratagem, the aggrieved party was able to take the power of the pejorative term to hurt and transform it into a mechanism used to heal wounded feelings and injured pride. Faderman also pointed out that the lesbian and gay communities were not limited to the word queer when it came to the need to transform the meaning of a derogatory word. In the past, there were other labels that gay and lesbian attempted to redefine and finally succeeded to do. However, Faderman said that even if many claimed victory in this subject matter, it must have been made clear that there were other members of the gay and lesbian community who objected to the use of the term. The impact of the word created a discomfort within them, and they argued that they still considered the term as an insult to themselves and their identity. Faderman, however, made the testimony that for those who embraced the word queer, the reaction could be divided into two different groups. The first group reacted in a way that resulted in lessening the impact of the pejorative term. The second group, on the other hand, used the term as a battle cry. With regards to the second group, they created a new community with an advocacy. They named their organization Queer Nation. It was reminiscent of the radical militant tactics of the 1960s. Representatives of the second group argued that there was a need to replace the term gay. In the past, the word gay was used as defiant label, but today, its meaning and connotation have changed to sugges