ShantanuT01/DACTYL-Pretraining huggingface dataset:
Describing a clinical practice situation which requires the applicant to use problem-solving skills successfully and how the applicant will take a leadership role as an FNP. Virginia Henderson, a nurse theorist, describes a nurse as one who has the unique function of assisting the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that they would otherwise perform unaided if he had the necessary strength, will or knowledge and to do this in such a way as to help them to gain independence as rapidly as possible. The nurse must in a sense, get inside the skin of each of her patients in order to know what they need. This means, that the nurse finds herself with a new challenge to handle since each patient is an individual with their own unique needs. Abdellah, F. (1987), in his theory, Topology of 21 Nursing Problems, states problem solving as one of the eleven fundamental skills of a nurse. He further describes people as having physical, emotional and sociological needs hence; a patient is described as the only justification for the existence of nursing. In my profession as a Family Nurse Practitioner, FNP, I have encountered a myriad of challenges that required me to apply my problem solving skills. It was a few weeks ago when my patient whom I choose to refer to as Mr. X for confidentiality purposes came into the clinic with very low blood sugars that he almost went into a hypoglycaemic coma. He was shaking, sweating profusely and was confused. Hypoglycaemia is a condition in which blood sugar levels are unusually low and it could be fatal if not attended to promptly since the brain may be deprived of glucose leading to its damage. I had known Mr. X as my patient for one year. He is a fifty three year old man from Iraq who works as a bus driver. He is a father of three and is married to one wife. He was newly diagnosed with type 2 diabetes which is a condition characterized by tissue resistance to the action of insulin combined with a relative deficiency in insulin secretion. Although insulin is produced by the B cells in these patients, it is inadequate to overcome the resistance, resulting in raised blood sugars. He was initially put on oral ant diabetic agents but the sugars were still not controlled hence, he was put on insulin. I had taught Mr. X and his wife the technique of injecting the insulin subcutaneously, the dosage, the time to have it because he was on the 70:30 mixtard preparations and how to properly plan for his meals. He had followed my instructions to the letter and the times he came for revisits, I emphasised on the instructions. In fact, he had been faithful with his exercises and was determined to lose weight and maintain a healthy lifestyle. He had also tried to reduce the number of cigarettes he smoked from twenty to ten in a day. Generally, Mr. X was doing well and his blood glucose was under control until this day that
Introduction Labor laws define the relationship between employers and their employees. It also influences employee turnover in an organization. Employment conditions are therefore essential in determining safety as well as protection of workers against work-related risks. In this regard, most countries have established agencies to oversee employee status, which includes safety and health. In the United States, the agency established for this purpose is known as (OSHA) Occupational Safety and Health Administration. It was initiated in 1970 and signed into law by President Nixon. The agency is placed under the Department of Labor. It was created under the Occupational Safety and Health act. This paper will endeavor to review OSHA and establish its source of funding as well as the possible future changes in its operation (Cross & Miller, 2008, p. 65). The Occupational Safety and Health Administration This is an agency, which was created in the United States under the department of labor in 1970. It was signed under the occupational Safety and Health act by President Nixon on December 30 in the same year. The agency serves its mission, which is to prevent or ensure safe and healthy conditions of work for all employees. To do this, they set standards that regulate workers’ conditions as well as ensure that they are fully implemented. They also enhance the achievement of this mission by offering training, assistance, outreach, as well as education to the relevant organizations, individuals, and departments. Since this agency is part of the Department of Labor, It is headed by the Assistant Secretary of Labor for Occupational Safety and Health. The administrator reports to the Secretary of labor. The latter is a member of the United States Cabinet. In essence, this agency defines the standards that employers are required to follow to protect their employees from work-related injuries or hazards. Funding OSHA is part of the department of labor and this makes it liable for federal funding. In principle, it gets funds from the federal government for its operations in enforcing regulations throughout applicable States under its jurisdiction. Therefore, one source is the federal government as it allocates funds to state programs in its annual budget. The other source of funding for this agency is income through penalties issued to employers that breach regulations. However, these penalties are usually less than the annual budget of OSHA. The remaining balance is then supplemented through state Funding. It is also important to note that penalties char
What is the Strategic Change Cycle? The Strategic Change Cycle is an action in strategic planning aimed at the constant development of an organization’s strategy and adaptation to new conditions. All the steps in this cycle are necessary for the most effective and productive strategic planning. Blackburn (2019) assumes that “an organization typically has to go through more than one cycle of strategic planning before it can develop a truly effective vision for itself” (p. 35). However, even during these cycles, the strategy becomes more precise and efficient. Key components of the Strategic Change Cycle Discussion and organization of the planning process At this stage, a group of managers and stakeholders who are involved in the planning process gathers. They discuss goals, objectives, timing, roles, reporting, and other details. In addition, they must take into account possible restrictions and threats. Creation of mandates Mandates contain the basic rules, expectations, and requirements developed for participants and the company as a whole. This allows them to limit the work scope and understand the areas of responsibility and influence of each person. Development of mission, principles, and values This stage allows people to understand the environment in which they work clearly. Thanks to this, they will have a shared vision of what is happening. This will enable them to work more harmoniously and better understand each other. SWAT analysis Participants in strategic planning should consider internal and external factors affecting the organization. This will allow them to identify strengths and weaknesses and work based on this knowledge. Identification of strategic planning At this stage, the team must understand what issues have the most significant negative impact on the organization. These may be finances, services, values, and other factors. They will need to focus on these issues as much as possible. Creating solution strategies After identifying problems, it is necessary to develop a plan to solve them. Thanks to the team’s coordinated work, people will be able to create many useful ideas to achieve their goals. Revision of strategies It is necessary to review strategies to ensure that everyone is accurately aware of the goals and how to achieve them. Thus, the whole team will have a shared vision, which will make the work more effective. Setting the vision of the company All team members should have an understanding of the final result of the work. Realizing it, they will be able to focus on it and, if necessary, change the course of activity. Creating an action plan At this stage, it is necessary to describe in detail the actions of each person. They must follow the schedule, have specific resources, ways of interaction, and other details. Adjustment of strategies This process is ongoing, and performers need to report what they have achieved regularly. This allows
Abstract This paper intends to explore the negotiation between Bradford city council and Curry Corporation. The pertinent issue is the suitability of linkage fees in Bradford. The issues were informed by town’s need for a policy approach that would reenergize Bradford’s development. Several options are available to the two sides. In resolving the deadlock, I will require that a compromise is reached. My recommendation is for the newly elected Bradford mayor to provide his stand on linkage fees issues. Definition The pertinent issue, in this case, is that of the suitability of linkage fees in Bradford given the fact that the town needs to boost its growth and development. Even though the town experienced robust and consistent growth during the nineteenth century, its development has stagnated in recent times. The current mayor, Fran Sutherland, won the election in a tightly contested race where he took a moderate position on linkage payment. The problem here appears to be the viability of linkage payment and getting developers to make their contributions without jeopardizing Bradford’s growth prospects. It has been his hope that new developers take advantage of a voluntary form of linkage payment plan. However, investors are slow to take up the offer, a situation that brought about a deadlock between the city council and Curry Corporation that is planning on setting up the proposed Randolph Square building. I know that this is a problem because of the stalemate between Curry Corporation and the city council that has pitted developers against the mayor’s office with each side seemingly rejecting options that are not in its favor. One of the immediate issues that need to be addressed is the resolution of the stalemate between Bradford’s city council and Curry Corporation concerning the linkage fees. Another problem is that of determining the best way to bring about development to the city while, at the same time, ensuring no derailing of the plans to provide the affordable housing. The issue is important as it will determine Curry Corporation’s profitability from the Randolph Square building. It will contribute to the determination of the strategy that the mayor’s office will implement during future development projects. The urgency, in this case, is in relation to the need for a quick resolution to the linkage issue surrounding Curry Corporation to enable speedy resolution of the matter and promote development in the Bradford area. Analyzing the Case Data The issues arose out of the town’s need for a policy approach that would reinvigorate Bradford’s development with various stakeholders offering different viewpoints. The developers constitute the group most affected by the issues. Their investment decisions in Bradford town are heavily dependent on the outcomes of the negotiations as they will have a great bearing on the cost of the project it intends to complete within the locality. There are some constraints in this case. One of them is time. Given the recent slowdown in the town’s growth, time is of the essence in encouraging developers and bringing back growth. Another constraint is the Mayor’s moderate stance during his campaign
Theory of Miracles and Theism Theism is the act of believing in the existence of a divine reality that refers to the belief in one God. Religious people believe in the existence of God, and their beliefs, to some extent, influence other people in society. Miracles are some of the aspects that enable believers to acknowledge the existence of a divine supernatural being. Most religious denominations have different beliefs about the miracles performed by their gods. Antitheists believe that there is no god; hence there is a reason to prove whether there is really a god. Hume writes about some of the miracle beliefs to prove the existence of God. Hume believes people can be swayed by other people’s opinions into believing ideas that are not true. Hume has discussed various reasons to critique the existence of miracles in relation to religious beliefs. The following study will discuss Hume’s opinions about the existence of miracles while arguing about theism and antitheism beliefs. Hume’s Arguments First Reason David Hume argues that there is no attested truth to the high standards of miracles performed in religious books such as the bible. Hume says research has not been conducted to verify the existence of such actions in real life, and studies have not been conducted to perform such miracles and fail. According to Hume, there are forces of nature that dictate the occurrence of an action (Styers,2017). Actions that occur when there is no existence of nature cannot be referred to as miracles. Hume says that educational research and experimentation should be conducted to verify if the traditional miracles cannot be achieved (Marušić,2019). Hume believes that the traditional miracles are controversial since their high standards do not resonate with natural occurrences. Hume believes there is a lack of integrity in the traditional miracles, and one can be suspicious into believing if the miracles actually happened. Hume says the miracles could have been alleged to happen. Second Reason Hume also argues that humans have the tendency to believe a completely new strange and marvelous thing to a high degree. Hume’s argument points out that the surprise and wonder from tales of miracles attract others to believe in their existence (Marušić,2019). Through the tales, there is a higher probability of influencing humans to believe in the occurrence of miracles. Following the argument of Hume is a psychological argument that has studied human behavior to new marvelous stories. Hume argues that there is a high tendency to believe actions of flying saucers today that can be related to miracle tales (Marušić,2019). According to Hume is easy to influence others to believe miraculous actions as opposed to believing a reality. Hume’s argument suggests that the miracles could be ideas and superstitions developed to influence a man to believe that indeed God exists since it would hav
The clothing market is one of the most important segments of the modern consumer market. The level of demand and consumer behaviour in the clothing market largely determines the competitiveness of both clothing factories and retailers, which include network federal and international companies, as well as small businesses. The key objective of the analysis is to study the trends in the current market for men’s and women’s clothing and the characteristics of consumer behaviour of men and women in the clothing market, significant for a regional trade organization working with a men’s and women’s assortment of clothing and independently developing a marketing policy. The company’s name is Clothing’s Alive with main distribution occurring via online website. Materials offered are polyester, nylon, and acryl, whereas the target market are male and female individuals with age range from 18 to 24. Sales Channels Considering the fact that the main platform for the company will be its official website, it is appropriate to use online sales channels. The primary channel will be a contextual advertising, which use major search engines, such as Google AdSense, in order to promote the product. Contextual advertising is a highly effective and common method of promoting a site, product or service. It is important to consider the concept of advertising and contextual advertising 1 . In general, advertising is understood as information disseminated in any way, in any form and using any means, addressed to an indefinite number of people, aimed at attracting attention to the object of advertising, forming and maintaining interest in it and its promotion in the market. Contextual advertising, in turn, is a type of advertising on the Internet, the display of text advertisements or banners in search engines, catalogues and other advertising platforms, tied to certain keywords. This is a fairly effective method of delivering information to the target audience as soon as possible. Thus, for example, a person who wants to find one or another information about a product is gaining a keyword in a search engine. Several keywords pop up to this keyword, among which is a link to the target site. By clicking on the link, a person gets to the site and receives the information necessary for him. Compared to many other types of advertising, contextual advertising has a property quite unusual for advertising – it does not annoy users. An advertising message appears exactly at the moment when the user became interested in the information offered in the advertisement and clearly expressed his desire to receive it. There are special services that deal with the placement of contextual advertising. In addition, many search services have their own search engine advertising systems 2 . One can select several types of contextual advertising that will be used for the company. First, se
The 21st century has seen the introduction of the overly fast-paced lifestyle of the working class. Each minute is taken up by work and work-related activities so that many sacrifices are made on their part that eventually begin to affect their work output and produce disturbing health-related results. This is why shorter workweeks and avoiding overwork is of the utmost importance to modern man. The reality of the situation is that all workers, be he a factory worker to a high-powered business executive, faces long work hours which, if left unchecked, leads to health complications. Some of these complications could include simple pains like headaches, body pain, and fatigue. Advanced cases of overwork show symptoms of extreme tiredness, regular sleepiness, continuous irritability, and panic attacks. Even though busy people dislike being idle, this does not mean that they are not affected by complications of overworking. In reality, they only handle their symptoms better than those who openly complain about their jobs being too stressful and tiring. Their body is more capable of processing the amount of stress felt, as well as the reaction of the body to the physical symptoms. Due to the highly complex results of overworking, not all commonly thought of solutions to overworking can affect the problem. The problem of overworking can only be resolved by developing a new state of mind and understanding of the problems involved in the issue. One of the solutions to the problem that is being considered by many companies and employers is the pos
Fictions on holocaust are often shocking because they depict murders by the Nazi prosecutions and cold-blooded massacre of Jews. Such stories are full of unsparing depiction of human sufferings and genocide to such an effect that, one fails to see perpetrators as humans, who used to be viewed as faceless entities that were programmed to commit murders. The book Götz and Meyer , written by David Albahari, tries to prove the fact that the perpetrators have a human face. It is emphasized that the protagonists in the novel, who are two Nazi drivers of the gas trucks, are not mere murder machines. The author humanizes the characters in order to present a different way of perceiving the nature of evil. Through the humor and empathy implemented in the novel, the characters that embody two Nazi soldiers are given human faces instead of the sole image of a murderer. A nameless teacher from Belgrade narrates the story about the destruction of the Serbian Jews during the war. He was obsessed with reconstructing his family tree, therefore, he toiled endlessly in the archives to gather information, but failed miserably for he could find only a few members of his family while there were sixty of them killed. The narrator says, “For me to truly understand real people like my relatives, I had first to understand real people like Götz and Meyer.” . The novel is about these two characters, who were Nazi soldiers, being unknown to the narrator though. When the narrator begins his narration, he knows nothing about William Götz and Erwin Meyer except for their names: “Götz and Meyer. Having never seen them, I can only imagine them.” Initially he describes them as unknown people or characters as described in a tale. They were German soldiers, they were SS commissioned, who were assigned the duty of driving a large truck for a “special purpose”. Their duty was to drive the truck every day to and from the fairground in Belgrade. The narrator constantly repeats the following line, “Having never seen them, I can only imagine them” (1) in order to imprint their images in the mind of the listeners, as well as in his own mind. One might say the narrator plays a dangerous game by trying to understand the characters at the risk of becoming them. At this point, one must note the importance of memory in the novel. Robert Eaglestone in the book The Holocaust and the Postmodern highlights the fact that “memory” helps to “evoke nearly everything there is to a person and to a society.” (74) Eaglestone also believes that the way “we remember the past” helps in framing our identity. Like most of the Holocaust fictions, the narrator too is nostalgic of his destroyed past and tells the story from memory. However, unlike most Holocaust fictions, Albahari does not depict an ugly picture of the time. His stories deal with death, killing, mass murders in gas chamber, but they do not describe all the sufferings in detail to haunt the reader’s imagination of the Nazi carnage. Rather, the “memory narration” of the novel builds
Agricultural enterprises seeking to employ management accounting techniques Proper management accounting strategy is crucial for effective cost and price control in an organization. Farming, like any other industry, requires proper accounting for a rewarding business. In the case of John and Mary, the partnership needed to have an effective accounting system that can handle their business. Farming is unique in its way thus it requires a customized managerial accounting system to address its issues. When other companies in the farming industry engage such a system, it will be a breakthrough in proper accounting in the sector. The main strength of the system is that it recognizes different income and expenses heads that farmers have to incur when arriving at their gains. The system has assisted to forge their way forward in the business (Horngren 2008). When doing business especially in small and medium-sized businesses, it has always been a challenge for managers to separate business and personal activities. It is rare to find an entrepreneur in such a business separating his income and expenses from that of the business. The farming industry of the nature of John and Mary falls in this category however with such a management accounting system like the one portrayed, then the management is likely to be more easy and effective. The main benefit that farmers are likely to get from the managing accounting system is control of activities in their business; when professional managerial accounting systems are implemented in farming then there will be the practical improvement of linkage between financial analysis and strategic decision making. Managerial accounting is likely to assist farmers to identify different cost drivers and understand a broad range of technical issues and concepts that can assist them to improve their businesses (Horngren 2008). One area that has been quoted to have been the source of business failures is the lack of proper accounting methods. With an effective managerial accounting system, it will improve the design of record keeping and management information systems to mirror the management structure of the farm (Horngren 2008). The main challenge likely to face farmers in their trade and the adoption of managerial accounting policies is the costs