ShantanuT01/DACTYL-Pretraining huggingface dataset:
Medicare is an important part of the healthcare ecosystem in the US. It ensures that many Americans have access to healthcare. This paper reviews five aspects of Medicare. Impact of Medicare on Licensure, Certification, or Accreditation The US medical system requires healthcare facilities and professionals to apply for licensing before offering medical services. The issuance of licenses depends on compliance with state laws and federal regulations (American Health Lawyer Association, 2013). Healthcare facilities must be at a minimum acceptable standard to receive licenses to offer medical licenses. On the other hand, healthcare professionals must also meet given criteria to qualify for a license. Licenses ensure that healthcare facilities and professionals have the capacity to offer a certain minimum standard of care. Certification of healthcare facilities and healthcare professionals is a means of verifying the credentials of the facility and the healthcare professionals. Certificates usually give patients the confidence that healthcare providers have the skills needed to handle their concerns. On the other hand, it gives patients the assurance that the healthcare facility taking care of their needs maintains the requisite standards of care in the eyes of the authorities. Accreditation is a voluntary process where a healthcare institution subjects itself to evaluation by an accrediting agency (Niles, 2010). Accreditation is important because it helps an institution to communicate to the stakeholders its commitment to quality in various aspects of its operations. The Joint Commission runs several voluntary accreditation programs for healthcare institutions. These programs can help healthcare institutions to demonstrate their commitment to quality as participants in Medicare. How Does Medicare Influence Clinical Quality? Medical services depend on the facilities and standards of a healthcare institution, as well as the skills of the medical personnel in the facility. In this sense, Medicare influences clinical quality in two ways. First, Medicare reimbursements depend on the quality of care provided by physicians. Secondly, Medicare reimbursements depend on the quality of care provided by healthcare institutions. The Physician Quality Reporting System (PQRS) developed by the Joint Commission ensures that physicians send quality reports to qualify for incentive pay (LaTour & Eichenwald, 2013). Physicians can qualify for incentive pay for their quality reports show that they have offered high-quality services to their patients. On the other hand, physicians who do not file quality reports run the risk of losing some money by pay
Ersonal Objective I seek to maintain a challenging full-time position that will offer new opportunities to improve my skills and enable me to fulfill my career objectives and in the process give me a chance to make a positive and noticeable difference in the lives of those that I serve. Areer Objective To work in an environment that will utilize my acquired skills and knowledge for the overall organization’s good and also allow me to advance my development career-wise all the while upholding high standards of professionalism and integrity. Ducational Background 2005 – 2008: Phillips County Community College Helena, Arkansas Associate Degree in Nursing   * Basic Life Support (BLS) training   * Advanced Cardiovascular Life Support (ACLS) Provider   * Pediatric Advanced Life Support (PALS) Provider   * Trauma Nursing Core (TNCC)   * ENCARE (Emergency Nurses Cancel Alcohol-Related Emergencies) Provider 2003 – 2005: Colorado State University Colorado, USA Associated Diploma in the Program of Medical Secretary/Medical Transcription. Ther Qualifications   * Certified in Human Pathophysiology   * Certified in Quality Management/ Risk Management/Utilization Review   * Certified in Cardiopulmonary Resuscitation/Basic Life Support   * Certified in English Writing Workshop   * Certified in Business Conversation   * Certified in Project Management   * Certified in Secretarial Work Work Experience Ummary of Qualifications  1. Proactive coordination of all business activities.  2. Preparation of correspondence, reports, and materials for publications and presentations.  3. Setting up the director’s travel arrangements.  4. Coordination of the Director’s meetings and conferences.  5. Creation, transcription, and distribution of meeting agendas.  6. Maintaining an efficient archiving system, organizing all office supplies, and general administrative functions such as filing, faxing, and copying.  7. Ability to work efficiently independently and as part of a team.  8. Understanding and assisting with confidential information.  9. Preparation and organization of statistics reports. 10. Good office automation skills. 11. Knowledge of inventory control and arranging for equipment maintenance. Kills   * Proficiency in computer usage in Microsoft Office Suite   * Good Communication skills verbal /written   * Self-motivated   * Punctual   * Excellent phone etiquette   * Fluent in both Arabic and English speaking and writing   * Typing English and Arabic Speed are around 54 words per minute.   * Willing to work in all work environments   * Patient and supportive   * Good knowledge of Medical terminology, anatomy, physiology, biology, pathology, pharmacology, and laboratory   * Transcription dictation   * Stenography Ersonal Assessment I am self-motivated, sociable, and receptive to new information. I can work well both in a team environment as well as individually with minimal need for supervision
The continued use of computers in our everyday life is beginning to alter how we as humans behave. For instance, “multitasking, output and efficiency” (Ullman 2) concepts that ideally just work for machines are slowly defining “human thought and imagination” (Ullman 2). Computers have a way of actively engaging an individual or seeking their attention when they are about their businesses by either popping up messages on the desktop about “unused icons on your desktop” (Ullman 1) or aid you in writing a document with software like “Clippit” (Ullman 1). The concept of multitasking “introduced in 1960’s, was an engineering strategy for making computers more efficient” (Ullman 1) and it achieved this by switching “its attention to some other task” (Ullman 1) while waiting for the next human input when being used. It is only natural for humans to want to adapt this type of efficiency after “years of working in an environment where efficiency is a god and idleness in any component is intolerable” (Ullman 2) by keeping themselves “as busy as possible” and focusing on different things at the same time (Ullman 2). For instance, we can “drive, eat, talk on the cell phone” simultaneously in an attempt to be efficient; “the ability to multitask, to switch rapidly among many competing focuses of attention, has become a hallmark of a successful citizen of the 21 st century” (Ullman 1). With its continuous advancements, modern technology will continue having an impact especially in the areas of communication, information and lifestyle. Technology and Communication Communication has never been faster or even more instant with the day to day use of both phones and computers. Phones transitioned from the basic feature phones people used to own for the sole purpose of calling and texting, to smart phones that have amazing capabilities and have adapted the concepts of computers. In his article, Mobile Telephone History, Tim Farley exhaustively discussed the development of these devices. These devices have brought unique changes (Farley 1). Firstly, mobile phones, whether the smart phones or otherwise, provide an avenue for
Summary of the article The article is mainly based on the issue of Value Added Tax normally shortened as VAT. As defined in the article, VAT is a type of consumption tax, which is normally, imposed goods produced in a given country. The article begins with explaining the impact of high rates of VAT on the people of a country, especially the middle class. Additionally, it claims that no matter how high the government puts the VAT rate of produced goods, the amount collected is not enough to cater for all its expenses. This is to mean that high VAT rates are not a solution to the needs of a government, unlike what most politicians claim. Actually, this is because when the VAT rates are high, the high-income people in the society will normally look for alternatives of lowering their expenses with regard to the high VAT. On the other hand, the middle class avoid the high taxed commodities and in the long run the government generates revenues lower than it expected. It is because of this fact that the United States Senate voted against the increment of the VAT rates on its commodities. The resolution states that the high VAT rates on commodities will be a barrier towards its economic recovery. In fact, a poll conducted on the American citizens showed that about 60 per cent of America’s population opposes the VAT. The article has also indicated that different rates of VAT rate charged per country with the rate in Europe going as high as 20 per cent while the United States of America charges a rate of 10 per cent. Other nations have VAT exemptions on commodities such as foodstuffs and medicines among other essential commodities. The article concludes that the best way of solving the VAT problems especially among the Americans would be to increase the income tax instead of having high VAT rates. This is because while VAT rates normally affect each group in the society especially the lower and middle earners, the income taxes normally affect the high-income earners only. The article’s relation to economics VAT has been a topic of discussio
When a woman finds out she is pregnant, her life never remains the same no matter what choice she makes. She is going to bear the burden of maternity which means one of the most challenging and rewarding experiences in her life. Being pregnant means entering into a new rank with unique responsibilities which calls for further learning. Besides being loving and caring, the woman has to learn how to guide, encourage, and be proficient in providing other parental support to the one who is still in her womb. After asking themselves many questions and trying to find answers to them, most women try to look for alternatives on the matter concerning the fetus in her maternal womb. Some opt to let it to the new kind of life, where it will live in an environment void of dependence like before. Others resort to abortion as to the means of expulsion of an embryo or fetus from the uterus. Abortion is treated differently as some find it a moral crime, others think that it is a reasonable way out from the unwanted pregnancy situation, and there is also a viewpoint that abortion is the choice which can be made only by the pregnant woman. Abortion is an operation or other intervention with the purpose to end a pregnancy by removing an embryo or fetus from the womb. There exist two types of abortion:   * Spontaneous abortion – is a type of abortion which most people refer to as miscarriage. It is the loss of a fetus before five months (20 weeks) of gestation. It is caused most often by problems with the fetus or with the maternal environments in which it is growing. Stillborn birth (stillbirth) – is the death of the fetus after five month of gestation while still in the uterus (womb).   * Induced abortion – is probably what many people understand by the term “abortion”. This is the case when a woman chooses to terminate her pregnancy. There are two types of induced abortion available: surgical and non-surgical (medical) abortions. In most developed countries they commonly use surgical methods which include vacuum aspiration, dilation and curettage, dilation and evacuation and dilation and extraction which is the less common surgical method for later birth. For many decades induced abortion has been a debatable matter: should it be legalized or not? In many countries it is illegal by the act of the law whil
In this analysis, I have chosen Moanalua Road setting in Oahu Island because I am very familiar with both the verbal and non-verbal speech interactions that usually occur in this place. This island is surrounded by two roads that are parallel to each other. On a normal day, the two roads are often busy as pedestrians and other forms of traffic mingle with each other in different directions. Towards the northern side of this island, a boundary has been created by the H-1 freeway. On the other hand, the southern region is bordered by the Moanalua Road. Both of these two roads are quite phenomenal on this small island. At one time when I was taking a short walk down the streets, I came to realize that the Moanalua Road is also part and parcel of the pearl Ridge shopping center. People at this place seem to be quite relaxed and less active than the upper side of this town. From the concept of speech acts, it is definite that there are minimal activities taking place here although the lower section of the road has quite a several small shopping units. Also, I noted that people are quite friendly along Moanalua Road since they can easily greet even a stranger who passes nearby. I can remember there was a time when I had forgotten my way into the public beach. I tried several times to locate the small pathway that I had earlier used with my friends sometimes back without any success. When I eventually got tired of searching for the correct route to the beach, I boldly requested assistance from another middle-aged man who was making a phone call by the roadside. Initially, my body language could tell it all. I was appearing extremely scared bearing in mind that I was not sure if I was talking to the right person. Another evident speech act that I employed in this scenario was when I described my problem to the stranger. He guided me through the thin avenue behind the shopping center until I was able to find my way to the public beach. It is imperative to note that the description is an important element of speech act because it leads an individual to perform a particular action. It was only after I described my problem to the middle aged man that I eventually traced my way to the beach. I had to say ‘thank you sir’ after I got his assistance. For the time that I have interacted with the activities and occupants of the Moanalua road, I have come to realize that the road was constructed to join the lower section of the island with the rest of the region and especially towards the beach area. There are no many advertisements mounted on the sides of this road compared to what I have always noted with the northern part of the island. Perhaps, one of the reasons why advertisers do not target the Moanalua road stretch is because of its low population density. In any case, any form of advertisement must target a particular set of audience. According to the ritual Model of Communication, the use of symbols is instrumental when launching advisem
This paper seeks to explain the historical background, character development, and the overall value of the movie, Into the Storm. The paper begins by a short movie summary followed by the film’s character development. It then gives a detailed historical background of the film by comparing and contrasting historical accuracy if the movie. The paper concludes by giving a summary and stating whether the film is entertaining and if it can be used as a teaching tool. The movie, Into the Storm, takes the audience through the life of Winston Churchill, a former prime minister of Britain and it runs for about 99 minutes. Winston Churchill is elected the prime minister of the country at a time when the Nazis had started to attack the lower European countries and France. Churchill refuses to engage in dialogue with Germany despite numerous persuasions from various leaders. Instead, he reaches out to the American president, Theodore Roosevelt, for a close personal friendship. The movie depicts Churchill as a self-centered leader who is determined to win the war without much assistance from other countries. In addition, Churchill comes out as an impulsive leader whose focus is only on the war without realizing the consequences on his political career. After the war, Churchill loses in a general election. The movie analyses Churchill’s life both as a prime minister and as a common citizen after he loses the presidency. It paints a clear picture of the events that unfolded during the Second World War with Churchill as the prime minister and the effects of the war on his political and marriage life thereafter. It expresses the Churchill’s determination towards winning the Second World War with the assistance of only a few friends. The movie, Into the storm, is written by Hugh Whitmore, directed by Thaddeus O’Sullivan, and produced by Frank Doelger. The main characters include Brendan Gleeson playing the role of Churchill, Iain Glen who plays the role of King George, Janet McTeer playing the role of Clemmie Churchill, James D’Arcy playing the role of Jock Collville, and Len Cariou playing the role of Roosevelt. Brendan Gleeson emerges as the protagonist in the movie. His voice together with his comic actions and firm stand on issues make him fit to play the role of Churchill who espoused such traits. At times, he uses his speech unintelligibly and when in private places, his face is full of sorrow and confusion, and Churchill equally exhibited such traits during his time. Churchill’s strong stand comes out in Gleeson when persuaded by some leaders to accept talks with Germany and he strongly disagrees with them saying that peace can only be found through violence. In another realistic scene, Gleason (Churchill) tells Iain Glen (King George VI) t
Introduction Traumatic events may trigger immune alterations, and this could lead to the development of post- traumatic stress disorder (PTSD). Therefore, it is important to understand and define the biological underpinnings of immune dysregulation in PTSD as it also plays a crucial role in helping us to understand the nature of the associations between PTSD and other medical and psychiatric illnesses. This is important, given that it is well established that PTSD is associated with the occurrence of co-morbid major depressive disorder (MDD) and other psychiatric illnesses. Peripheral pro-inflammatory cytokines are capable of signaling the brain to induce behavioral symptoms like fatigue, sleep disturbance, and depressive mood (Dantzer, 2001a: Dantzer, 2004a: Dantzer & Kelley, 2007: Myers, 2008). Cytokine-to-brain signaling provides a theoretical base consistent with the evidence demonstrating an association between proinflammatory cytokines and behavioral symptoms of depressive disorders (Dantzer, 2001b: Dantzer, 2004b: Dantzer & Kelley, 2007: Myers, 2008). The result of a hyperactive pro-inflammatory state marked by excess production of the pro-inflammatory cytokines IL-6 may contribute to the pathophysiology of major depressive disorders (Sternberg, 2006). Frink et al. (2009) have postulated that cytokines released in response to infection or inflammation alert the brain to any real or potential threats and initiate behaviors that are thought to be important for survival. Some scholars even refer to the ability of the immune system to alert or communicate with the brain as a “sixth sense” (for example, Fu, Zunich, O’Connor, Kavelaars, Dantzer & Kelley, 2010). Sickness behavior is believed to be adaptive in that it forces an individual to rest and withdraw from activities so that physiological processes can produce healing in an effective manner (Gudmundsdottir, Beck, Coffey, Miller & Palyo, 2004: Quale & Schanke, 2010). It is now known that pro-inflammatory cytokines released during infection, inflammation, injury, and even psychological stress can signal the brain to initiate behavioral changes that facilitate adaptation to these threats. As mentioned earlier, cytokine-to-brain signaling has been implicated in mood disorders, particularly depression that accompanies illness (Dantzer, 2009). As such, a sufficient regulation of cytokine production is crucial for better physical and psychological outcomes (Gill, Saligan, Woods, & Page, 2009). Accordingly, it would be prudent to undertake an investigation of the acute circulating pro-inflammatory cytokines and their predictive values with a view to providing insight into the role of psychoneuroimmunological processes in trauma patients. The purpose of this critical literature revi
“The Human Side of School Change” is a book that is authored by Robert Evans and it offers practical insights on the process of initiating change in schools. Change in schools is a process that is perceived differently by various educational stakeholders. However, school principals are often at the center of the change process. In his book, Evans proposes realistic modalities and expectations when it comes to the speed of educational reforms and the actions of the people who spearhead these changes. Consequently, the book offers viable models of improving the school system through a tenable framework that approaches change as a distinct process that requires a certain level of mastery. Unlike other educational change theorists, Evans argues that stakeholders should focus on the realities on the ground. Therefore, this model of change is more practical than it is theoretical. Furthermore, the method eclipses other theories by scholars such as Guthrie and Schuerman as well as Sergiovanni’s model (Sergiovanni, 2001). Evans also accommodates the sensitive issue of resistance against change within institutional environments. This paper reflects on Evans’ assertions in “The Human Side of School Change” in the context of educational improvement and systemic change. The signature element of Evans’ model of educational improvement is that is the theory is based on the complete perception of human behavior. In addition, the theorist is interested in understanding how human behavior influences the functioning of an organization. By incorporating human behavior in his model, Evans introduces a theory that is meant to combine leadership with realistic management strategies. Unlike most other theories of educational improvement, this framework seeks to cultivate the mutual cooperation between the agents of change in schools and the people whose efforts are required for this change to take place. The author sums up this pioneering theory as follows: “the distinction between management and leadership is that managers get other people to do, but leaders get other people to want to do” (Evans, 1996, p. 172). Although Evans theory appears radical at first glance, the leadership philosophy is similar to other existing proposals in the course of this semester. For example, Burello and others (Burrello, Hoffman & Murray, 2004) propose that leadership can be used to manage structural tension. On the other hand, Evans’ philosophy shares the sentiments of self-awareness among leaders. According to Evans, a convicted advocate of change has the power to influence other agents. However, the success of this process depends on how leaders understand their own positions and those of others. Evans’ theory is relevant in the modern education environment whereby separation of powers makes it hard for leaders to influence change. Today’s educational policies are of interest to various stakeholders including polit